American Journal of Psychiatry
- Volume 143
- Number 12
- December 1986
Publication date: 01 December 1986
Pages1507–1517The authors review and contrast four brief individual psychodynamic psychotherapies: focal, anxiety-provoking, time-limited, and broad- focus. They also summarize the techniques associated with two other brief individual psychotherapies that rely less on ...
https://doi.org/10.1176/ajp.143.12.1507Publication date: 01 December 1986
Pages1518–1526The major cause of cardiac mortality in the United States is sudden cardiac death, most often the result of ventricular tachycardia- ventricular fibrillation. Transient risk factors for sudden cardiac death include psychiatric conditions mediated through ...
https://doi.org/10.1176/ajp.143.12.1518Publication date: 01 December 1986
Pages1527–1533The authors review the literature on obsessive-compulsive disorder and present clinical vignettes to illustrate that delusions can arise in the course of this illness. These delusions do not signify a schizophrenic diagnosis but represent reactive ...
https://doi.org/10.1176/ajp.143.12.1527Publication date: 01 December 1986
Pages1534–1538The authors examined whether transitional object use distinguishes borderline patients from patients with other personality disorders or schizophrenia and from normal subjects. One hundred five subjects were given a structured interview to assess present ...
https://doi.org/10.1176/ajp.143.12.1534Publication date: 01 December 1986
Pages1539–1545Depressed patients who had attempted suicide (N = 19) had significantly lower CSF homovanillic acid (HVA) levels than patients who had not attempted suicide (N = 8) and control subjects (N = 41). Intergroup levels of 5-hydroxyindoleacetic acid (5-HIAA) ...
https://doi.org/10.1176/ajp.143.12.1539Publication date: 01 December 1986
Pages1546–1550Using a repeated measures counterbalanced design, the authors had 10 Navy P3-C Orion pilots fly two carefully designed simulated flights under control (no hangover) and hangover conditions. For the control condition, pilots drank no alcohol within 48 ...
https://doi.org/10.1176/ajp.143.12.1546Publication date: 01 December 1986
Pages1551–1556The authors randomly assigned 79 inpatients with nonchronic schizophrenia or affective disorder to either an intensive experimental day program called "transitional treatment" or a control treatment-- weekly clinically believed to require intensive ...
https://doi.org/10.1176/ajp.143.12.1551Publication date: 01 December 1986
Pages1557–1562This exploratory study was undertaken to begin to identify what clinically significant changes besides symptom diminution may occur during brief psychiatric hospitalization. Intensive interviews with 20 patients at the beginning and end of a 1-month ...
https://doi.org/10.1176/ajp.143.12.1557Publication date: 01 December 1986
Pages1563–1568One of the major side effects of lithium is nephrogenic diabetes insipidus. The established treatment for the disorder is thiazide diuretics, which are associated with hypokalemia and reduced lithium excretion, predisposing the patient to lithium ...
https://doi.org/10.1176/ajp.143.12.1563Publication date: 01 December 1986
Pages1569–1574The author reports the results of five studies of panic disorder undertaken as part of the Epidemiologic Catchment Area Program of the National Institute of Mental Health (NIMH). This program involves community samples in New Haven, Conn. (N = 5,034), ...
https://doi.org/10.1176/ajp.143.12.1569Publication date: 01 December 1986
Pages1575–1579Litigation may be a viable means to change mental health systems for the chronically mentally ill. Court orders achieved in the 1970s have been ignored or proven inefficient over the years. However, in Arizona, a strategy was designed by a team of lawyers ...
https://doi.org/10.1176/ajp.143.12.1575Publication date: 01 December 1986
Pages1580–1584In 1978 a revolutionary mental health act was passed in Italy. By closing large mental hospitals and replacing them with community programs, it required a radical shift in psychiatric practice. The authors discuss the background philosophy, principles, ...
https://doi.org/10.1176/ajp.143.12.1580Publication date: 01 December 1986
Pages1587–1590This study, a retrospective chart review of 82 consecutive male inpatients, assessed the spectrum and prevalence of neuroleptic malignant syndrome. The prevalence of diagnosed neuroleptic malignant syndrome (2.4%) was greater than that generally reported. ...
https://doi.org/10.1176/ajp.143.12.1587Publication date: 01 December 1986
Pages1590–1592Fifteen patients with 146 cumulative years of tranquilizer use were withdrawn from their benzodiazepine (nine gradually and six abruptly), and buspirone, a new nonbenzodiazepine anxiolytic, was substituted. The addition of buspirone did not appear to ...
https://doi.org/10.1176/ajp.143.12.1590Publication date: 01 December 1986
Pages1593–1596To determine whether major depressive disorder might be associated with serologic evidence for a chronic active Epstein-Barr virus infection, viral-specific antibodies were measured in two separate groups of depressed patients (N=43) and in 46 ...
https://doi.org/10.1176/ajp.143.12.1593Publication date: 01 December 1986
Pages1597–1600Desipramine and its metabolite 2-hydroxydesipramine were measured in the milk of a nursing mother and in the plasma of the mother and infant during administration of 300 mg/day of desipramine to the mother. Similar concentrations of both compounds were ...
https://doi.org/10.1176/ajp.143.12.1597Publication date: 01 December 1986
Pages1601–1603Seventy-one patients with major depression or an anxiety disorder were treated with benzodiazepines. They were followed prospectively for evidence of misuse or abuse. There was no evidence of benzodiazepine abuse. Five patients (all with major depression) ...
https://doi.org/10.1176/ajp.143.12.1601Publication date: 01 December 1986
Pages1603–1605A paradoxical increase in suicide threats, paranoid ideation, and demanding and assaultive behavior occurred among 15 borderline inpatients receiving amitriptyline in a double-blind study. This pattern differed significantly from that of 14 nonresponding ...
https://doi.org/10.1176/ajp.143.12.1603Publication date: 01 December 1986
Pages1605–1607In a pilot study of 13 patients with borderline personality disorder, analysis of brief psychotic symptoms was done. Derealization and depersonalization were the most common symptoms, but drug-free hallucinations were also observed. The symptoms did not ...
https://doi.org/10.1176/ajp.143.12.1605Publication date: 01 December 1986
Pages1608–1609The authors compared the antimanic effects of clonidine with lithium carbonate in a double-blind crossover design with 24 volunteers. Lithium was observed to be more effective than clonidine. Some patients reported experiencing hypotension (N=8) and ...
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