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American Journal of Psychiatry

  • Volume 143
  • Number 6
  • June 1986

Publication date: 01 June 1986

Pages687–695

The author examines the specificity versus nonspecificity dilemma that characterizes the unresolved question of how psychotherapy works. He explores different meanings and arguments on both sides of the controversy and attempts to identify three ...

https://doi.org/10.1176/ajp.143.6.687

Publication date: 01 June 1986

Pages696–705

Depressive symptoms and syndromes are common in the medically ill, although they are frequently unrecognized and untreated. The authors review the epidemiology, differential diagnosis, clinical presentations, and response to treatment of this clinical ...

https://doi.org/10.1176/ajp.143.6.696

Publication date: 01 June 1986

Pages706–710

The authors performed a prospective double-blind study of 39 inpatients beginning high-potency neuroleptics. Patients were randomly assigned to a 7-day course of benztropine or placebo in addition to a neuroleptic. Of 17 patients receiving placebo, eight (...

https://doi.org/10.1176/ajp.143.6.706

Publication date: 01 June 1986

Pages711–717

Platelet [3H]imipramine binding (Bmax) was determined in 67 patients with major affective illness (33 euthymic bipolar, 34 depressed unipolar) and 58 normal control subjects. Bipolar patients had significantly lower Bmax values than did control subjects. ...

https://doi.org/10.1176/ajp.143.6.711

Publication date: 01 June 1986

Pages718–722

The authors examined the association of antisocial personality disorder, somatization disorder, and histrionic personality disorder, both within individuals and within families, in 250 patients. All three disorders overlapped considerably within ...

https://doi.org/10.1176/ajp.143.6.718

Publication date: 01 June 1986

Pages722–727

A questionnaire distributed to the 1,033 medical students who matched into postgraduate year 1 psychiatric positions in 1982 and 1983 obtained data on personal characteristics, career plans before entering medical school, future career plans, attitudes ...

https://doi.org/10.1176/ajp.143.6.722

Publication date: 01 June 1986

Pages728–732

The author reports a survey of the clinical features used by psychiatrists to diagnose personality disorders. The purpose was to develop definitions of these disorders and to identify behavioral features that could be used as diagnostic criteria. ...

https://doi.org/10.1176/ajp.143.6.728

Publication date: 01 June 1986

Pages733–738

One hundred one child psychiatric outpatients were assessed using a standard battery of measures to identify factors associated with suicidal behavior. Data on these outpatients were compared to those for psychiatric inpatients and nonpatients previously ...

https://doi.org/10.1176/ajp.143.6.733

Publication date: 01 June 1986

Pages739–743

The authors identified a pathological fear of methadone detoxification in 22%, 25%, and 32% of random samples of patients in three disparate methadone maintenance programs. Patients with a pathological fear of detoxification had higher scores on the ...

https://doi.org/10.1176/ajp.143.6.739

Publication date: 01 June 1986

Pages744–749

The authors present a three-step civil commitment model and formulas for calculating 1) the probability of release from the commitment process and 2) the relative importance of the three steps in determining outcome. Using data from Oregon's civil ...

https://doi.org/10.1176/ajp.143.6.744

Publication date: 01 June 1986

Pages752–755

The authors studied the reliability of axis V of DSM-III by analyzing ratings of 97 psychiatric inpatients made by a multidisciplinary team of clinicians. The intraclass correlation coefficient for ratings of the overall sample was .49, lower than the ...

https://doi.org/10.1176/ajp.143.6.752

Publication date: 01 June 1986

Pages756–759

Among 49 consecutive patients with Parkinson's disease, 40% were depressed according to DSM-III; they had major depression or dysthymic disorder accompanied by sleep disturbance, fatigue, psychomotor retardation, loss of self-esteem, and excessive guilt. ...

https://doi.org/10.1176/ajp.143.6.756

Publication date: 01 June 1986

Pages760–763

The authors examined the effect of state anxiety on the personality test scores of 56 patients receiving treatment for panic disorder and agoraphobia. The tests were administered before treatment and again 6 weeks later. For the 40 patients who improved ...

https://doi.org/10.1176/ajp.143.6.760

Publication date: 01 June 1986

Pages764–767

Two hundred fifty ex-fellowship psychiatrists answered a questionnaire on their administrative and other professional experiences during and after residency as part of a study to determine the relationship between psychiatric training experiences and ...

https://doi.org/10.1176/ajp.143.6.764

Publication date: 01 June 1986

Pages768–771

To test the hypothesis that there is an association between polycystic ovary disease and Briquet's syndrome, the authors administered a health questionnaire to infertile women with polycystic ovary disease, infertile women with tubal disease, and normal ...

https://doi.org/10.1176/ajp.143.6.768

Publication date: 01 June 1986

Pages772–774

The authors found a significant negative correlation between human growth hormone (HGH) response to clonidine and urinary free cortisol level in 14 depressed patients. The HGH response did not distinguish endogenous depression from nonendogenous ...

https://doi.org/10.1176/ajp.143.6.772

Publication date: 01 June 1986

Pages775–776

The authors conducted a chart review to determine the effect of beta blockers on chronic assaultiveness in seven patients with chronic schizophrenia. Six of the patients showed improvement. Four of the seven showed a greater than 70% decrease in actual ...

https://doi.org/10.1176/ajp.143.6.775

Publication date: 01 June 1986

Pages777–778

Psychiatric disorders related to acquired immune deficiency syndrome (AIDS) can take various and complex forms. The authors present cases of AIDS patients in whom paranoia, organic brain syndrome, depression, or suicidal ideation was present.

https://doi.org/10.1176/ajp.143.6.777

Publication date: 01 June 1986

Pages779–780

Proton T1 relaxation times of red blood cells were significantly higher in six bipolar depressed patients than in matched normal control subjects before lithium treatment. Times decreased in five of the six patients following 1 week of lithium therapy.

https://doi.org/10.1176/ajp.143.6.779

Publication date: 01 June 1986

Pages781–782

The author presents the cases of three depressed women whose libido increased to above premorbid levels during trazodone treatment. Two patients resisted discontinuing the drug because of this pleasurable side effect.

https://doi.org/10.1176/ajp.143.6.781

Publication date: 01 June 1986

Pages783–784

During dental examinations 38% of 66 outpatients with bulimia were found to have evidence of significant enamel erosion, and chronicity of vomiting was significantly associated with erosion. Liaison with colleagues in dentistry is necessary when working ...

https://doi.org/10.1176/ajp.143.6.783

Publication date: 01 June 1986

Pages785–786

The authors report organic brain dysfunction in two psychiatric patients with grade 2 hypothyroidism; one was depressed and one had a paranoid psychosis with depressive features. The depression and psychosis responded to psychotropic medication and L-...

https://doi.org/10.1176/ajp.143.6.785

Publication date: 01 June 1986

Pages787–788

The authors estimate the prevalence of Tourette's disorder in North Dakota to be .22 per 10,000 for women and .77 per 10,000 for men. Comparison with figures for North Dakota children suggests that the disorder is relatively uncommon in adults.

https://doi.org/10.1176/ajp.143.6.787

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Publication date: 01 June 1986

Pages816-a–816

In the book review by Robert Stern, M.D., Ph.D., of W.W. Meissner's The Borderline Spectrum: Differential Diagnosis and Developmental Issues in the April 1986 issue, on page 544 the ninth line of the third paragraph should begin, "From early 1984 to early ...

https://doi.org/10.1176/ajp.143.6.816-a

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