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American Journal of Psychiatry

  • Volume 142
  • Number 9
  • September 1985

Article

Publication date: 01 September 1985

Pages1017–1031

The authors suggest that the activity of neurotransmitter systems in the affective disorders and related psychiatric syndromes may be better understood as a reflection of a relative failure in their regulation, rather than as simple increases or decreases ...

https://doi.org/10.1176/ajp.142.9.1017

Publication date: 01 September 1985

Pages1032–1036

The authors examined dose-response relationships in 62 agoraphobic patients receiving either imipramine or placebo under double-blind conditions in conjunction with behavioral interventions. At the end of 12 weeks, patients treated with imipramine had ...

https://doi.org/10.1176/ajp.142.9.1032

Publication date: 01 September 1985

Pages1037–1043

A study of the psychiatric evaluations of 248 consecutive clients whose cases were in the process of adjudication for approval or renewal of Supplemental Security Income and/or Social Security Disability Income in 1982 and 1983 showed an ...

https://doi.org/10.1176/ajp.142.9.1037

Publication date: 01 September 1985

Pages1043–1046

From 1950 to 1973, 82 charges of unethical conduct were made against APA members; of the 12 (15%) members who were found unethical, six were expelled. From 1972 to 1983, 382 members were charged; 86 (23%) were found unethical and 27 of them were expelled. ...

https://doi.org/10.1176/ajp.142.9.1043

Publication date: 01 September 1985

Pages1047–1052

Matched groups of schizophrenic patients in Portland, Ore., and Vancouver, B.C., were compared approximately 1 year following discharge from an index hospitalization. Whereas Vancouver boasts a rich network of accessible private services and a public ...

https://doi.org/10.1176/ajp.142.9.1047

Publication date: 01 September 1985

Pages1053–1057

The literature suggests that the emotional needs of interns, residents, and fellows have received inadequate attention. Comprehensive psychiatric services are provided by a model program at UCLA. During the 1981-1983 academic years, 89 house officers were ...

https://doi.org/10.1176/ajp.142.9.1053

Publication date: 01 September 1985

Pages1061–1064

A psychological autopsy of 20 children and adolescents aged 12-19 years who had committed suicide and a matched-pair control group revealed that 85% of the victims and 18% of the control subjects had expressed suicidal ideation. A statistically ...

https://doi.org/10.1176/ajp.142.9.1061

Publication date: 01 September 1985

Pages1065–1067

Serum and saliva cortisol levels were determined in 34 depressed and nondepressed children and adolescents. The serum and salivary measures were highly correlated. The measurement of salivary cortisol may be a useful noninvasive technique in the study of ...

https://doi.org/10.1176/ajp.142.9.1065

Publication date: 01 September 1985

Pages1067–1069

The authors describe two sisters who presented with a clinical picture consistent with mania. On further investigation, both had marked vermian and cerebellar cortical atrophy on CAT scans. Their mother also had a history suggestive of cerebellar disease. ...

https://doi.org/10.1176/ajp.142.9.1067

Publication date: 01 September 1985

Pages1070–1073

Some clinicians doubt the validity of a diagnosis of delayed posttraumatic stress disorder for Vietnam veterans. Precombat psychopathology, drug abuse, factitious symptoms, and malingering in pursuit of disability compensation are cited as alternative ...

https://doi.org/10.1176/ajp.142.9.1070

Publication date: 01 September 1985

Pages1074–1077

One procedural protection that has not generally made the transition from the criminal justice system to involuntary civil commitment is the Fifth Amendment protection against self-incrimination. The authors present the results of a study of the ...

https://doi.org/10.1176/ajp.142.9.1074

Publication date: 01 September 1985

Pages1078–1081

The authors examined the correlation between family expressed emotion and relapse in 24 schizophrenic patients in a predominantly inner-city American setting. They found a significant correlation between relapse and high expressed emotion in family ...

https://doi.org/10.1176/ajp.142.9.1078

Publication date: 01 September 1985

Pages1081–1084

Naltrexone treatment, used to prevent relapse among former opioid addicts, is reported to have an extraordinary rate of noncompliance. Since activation of opioid receptors produces a sense of well-being, naltrexone's blockade of these receptors might ...

https://doi.org/10.1176/ajp.142.9.1081

Publication date: 01 September 1985

Pages1085–1089

The authors contrast the clinical, administrative, and reimbursement aspects of two units offering combined medical and psychiatric inpatient treatment, one under medical auspices (the medical/psychiatric model), the other under psychiatric auspices (the ...

https://doi.org/10.1176/ajp.142.9.1085

Publication date: 01 September 1985

Pages1089–1092

The authors reviewed the records of 10 men charged with patricide, including one charged with double parricide, all of whom had been examined at the Forensic Psychiatry Service of Bellevue Hospital from 1970 to 1983. Prior psychoses were documented in all ...

https://doi.org/10.1176/ajp.142.9.1089

Publication date: 01 September 1985

Pages1092–1094

The authors conducted a study of psychiatric consultation in a Chinese general hospital. Seventy-five inpatients (0.74% of the patients in the hospital) were referred by different services over a 1-year period. Internal medicine referred the most patients,...

https://doi.org/10.1176/ajp.142.9.1092

Publication date: 01 September 1985

Pages1095–1097

The authors investigated ECG measurements in 21 children with major depressive disorder treated with nortriptyline at plasma levels of 50- 100 ng/ml. P-R and QRS intervals and heart rate measured at baseline and once a week during treatment remained ...

https://doi.org/10.1176/ajp.142.9.1095

Publication date: 01 September 1985

Pages1097–1099

The authors administered the thyrotropin-releasing hormone (TRH) test to 17 patients with severe cocaine abuse and without major depression. The results suggest that the test is not specific for major depression when serious cocaine abuse is present.

https://doi.org/10.1176/ajp.142.9.1097

Publication date: 01 September 1985

Pages1099–1100

The authors retrospectively studied 150 psychiatric inpatients, 96 of whom had had nasopharyngeal EEGs and 54 of whom had had regular EEGs. The nasopharyngeal recordings did not reveal significantly more epileptiform abnormalities than did the regular EEG ...

https://doi.org/10.1176/ajp.142.9.1099

Publication date: 01 September 1985

Pages1101–1102

The authors reports eight cases of depression induced by thiazide diuretics prescribed for hypertension and discusses possible mechanisms behind this action. The side effects of thiazide diuretics may be overlooked when they are used with other ...

https://doi.org/10.1176/ajp.142.9.1101

Publication date: 01 September 1985

Pages1103–1105

Improvement in depressive symptoms was significantly related to a decrease in subjective memory complaints in 29 elderly depressed outpatients. Patients with substantial improvement in their depression showed similar reductions in memory complaints ...

https://doi.org/10.1176/ajp.142.9.1103

Publication date: 01 September 1985

Pages1106–1107

In a placebo-controlled single-crossover study, seven patients with treatment-resistant chronic paranoid schizophrenia who received methadone plus neuroleptic showed significant improvement. Methadone may be a useful adjunctive treatment in a ...

https://doi.org/10.1176/ajp.142.9.1106

Publication date: 01 September 1985

Pages1108–1109

Metoprolol, a selective beta 1-adrenoreceptor blocker, was administered to two patients with intermittent explosive disorder who had not done well with previous medications, including propranolol and carbamazepine. Both patients improved dramatically, ...

https://doi.org/10.1176/ajp.142.9.1108

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Publication date: 01 September 1985

Pages1135–1136

Prepared by a working committee of the American Psychiatric Association1 and the American Medical Association. Approved by the APA Assembly Executive Committee on March 17, 1985; the APA Board of Trustees in April 1985; and the AMA Board of Trustees in ...

https://doi.org/10.1176/ajp.142.9.1135

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