American Journal of Psychiatry
- Volume 144
- Number 2
- February 1987
Publication date: 01 February 1987
Pages127–132The life of the eighteenth-century English poet William Cowper, who suffered from recurrent major depression, or bipolar II disorder, is described. Since no effective treatment was available, Cowper's writings give an example of the natural history of ...
https://doi.org/10.1176/ajp.144.2.127Publication date: 01 February 1987
Pages133–143The authors present a cognitive-developmental theory of emotional awareness that creates a bridge between normal and abnormal emotional states. Their primary thesis is that emotional awareness is a type of cognitive processing which undergoes five levels ...
https://doi.org/10.1176/ajp.144.2.133Publication date: 01 February 1987
Pages144–150Using three temperamentally different subgroups from a large birth cohort, the authors undertook a longitudinal study of the association between temperament measured in children at 4 and 8 months and IQ assessed at 4.7 years. The data suggested a strong ...
https://doi.org/10.1176/ajp.144.2.144Publication date: 01 February 1987
Pages151–158Using [11C]-deoxy-D-glucose and positron emission tomography (PET), the authors measured brain metabolism in 18 patients with chronic schizophrenia to assess which of the metabolic measures from two test conditions was more closely related to the patients'...
https://doi.org/10.1176/ajp.144.2.151Publication date: 01 February 1987
Pages159–163Of 15 patients with psychiatric reactions to lidocaine, 12 (80%) had mood changes, 11 (73%) had "doom anxiety," eight (53%) had overt confusional states, and six (40%) had hallucinations and delusions. The authors contend that morbid fears of impending ...
https://doi.org/10.1176/ajp.144.2.159Publication date: 01 February 1987
Pages164–169In a national random-sample survey of 1,423 practicing psychiatrists, the overwhelming majority of the respondents (98%) said that therapist- patient sexual contact is always inappropriate and usually harmful to the patient. However, 29.6% said that such ...
https://doi.org/10.1176/ajp.144.2.164Publication date: 01 February 1987
Pages170–175Studies have shown that some depressed patients may demonstrate multiple hormonal response abnormalities after a neuroendocrine challenge test; this finding has suggested the strategy of measuring several hormones after an insulin tolerance test. The ...
https://doi.org/10.1176/ajp.144.2.170Publication date: 01 February 1987
Pages176–181An antibody test for the causative virus of the acquired immune deficiency syndrome (AIDS) became commercially available in 1985. The author discusses the use of the AIDS antibody test on inpatient psychiatric units. She reviews the controversial legal ...
https://doi.org/10.1176/ajp.144.2.176Publication date: 01 February 1987
Pages181–187The authors examined 36 patients with panic disorder, 66 patients with major depression, and 124 control subjects to determine personality differences between them in the ill and the recovered states. The panic and depressed groups did not differ from ...
https://doi.org/10.1176/ajp.144.2.181Publication date: 01 February 1987
Pages188–192The Jamison-Farabee consent decree in California mandates an outside psychiatrist's review of involuntary medication of state hospital patients. Patients' rights advocates presumably hoped the decree would facilitate more frequent medication refusal, ...
https://doi.org/10.1176/ajp.144.2.188Publication date: 01 February 1987
Pages193–196The authors present a brief overview of competency determinations in criminal justice and civil commitment proceedings and review the American Psychiatric Association's Model Commitment Statute, which gives competency a central role. They present an ...
https://doi.org/10.1176/ajp.144.2.193Publication date: 01 February 1987
Pages197–200The authors investigated the predictive validity of judgments of dangerousness made in the context of emergency civil commitment. The medical charts of 101 consecutive patients involuntarily admitted to a university-based acute inpatient unit were ...
https://doi.org/10.1176/ajp.144.2.197Publication date: 01 February 1987
Pages201–204Diverse psychological, interpersonal, environmental, and pharmacological factors that appear to trigger the onset of mania could act via their capacity to cause sleep deprivation, a mechanism that has been shown in experiments with bipolar patients to ...
https://doi.org/10.1176/ajp.144.2.201Publication date: 01 February 1987
Pages205–208In a sample of 1,006 middle-aged male smokers drawn from the general population, 90% (N = 905) fulfilled DSM-III criteria and 36% (N = 362) fulfilled Fagerstrom's criteria for tobacco dependence. Among the 875 who had stopped smoking in the past for at ...
https://doi.org/10.1176/ajp.144.2.205Publication date: 01 February 1987
Pages208–211On the basis of a case-control study, the authors conclude that former psychiatric inpatients are more likely than control subjects to die of both natural and unnatural causes within 2 years of discharge. Patients who committed suicide were more likely to ...
https://doi.org/10.1176/ajp.144.2.208Publication date: 01 February 1987
Pages212–214In a 6-month prospective follow-up study, the authors located and interviewed 165 (88.2%) of 187 primary unipolar depressed inpatients to whom a 1-mg dexamethasone suppression test (DST) had been given during their first week of hospitalization. ...
https://doi.org/10.1176/ajp.144.2.212Publication date: 01 February 1987
Pages215–219The authors found significant positive correlations between the suicide and homicide rates for 15-24-year-olds and the proportion of 15-24-year- olds in the U.S. population from 1933 to 1982. Significant negative correlations were found for most adult age ...
https://doi.org/10.1176/ajp.144.2.215Publication date: 01 February 1987
Pages219–221Patients with command hallucinations (voices ordering particular acts, often violent or destructive ones) are commonly assumed to be at high risk for dangerous behavior. The authors reviewed 789 consecutive inpatient admissions. Of 151 patients with ...
https://doi.org/10.1176/ajp.144.2.219Publication date: 01 February 1987
Pages222–225Fourteen of 18 hallucinating schizophrenic patients reported that the voices they heard went away when they undertook a maneuver that precluded subvocalization. The same applied to 18 of 21 normal subjects who hallucinated under the influence of hypnotic ...
https://doi.org/10.1176/ajp.144.2.222Publication date: 01 February 1987
Pages226–228The authors studied depressive symptoms among 251 Chinese medical inpatients through the use of the Beck Depression Inventory. Assessment of 100 healthy Chinese volunteers validated the use of American score norms for Chinese subjects. A total of 47.8% of ...
https://doi.org/10.1176/ajp.144.2.226Publication date: 01 February 1987
Pages229–231The authors measured pituitary adrenocortical responses to human corticotropin-releasing hormone (CRH) in 10 patients with a major depressive episode and 10 matched control subjects. Depressed patients had a significantly lower aldosterone and ACTH ...
https://doi.org/10.1176/ajp.144.2.229Publication date: 01 February 1987
Pages232–234Platelet serotonin (5-HT) concentration did not significantly differ between control subjects (N = 45) and schizophrenic (N = 62) or chronic schizophrenic (N = 39) patients. No clinical feature was associated with hyperserotonemia, but the subgroup ...
https://doi.org/10.1176/ajp.144.2.232Publication date: 01 February 1987
Pages235–236Six hospitalized patients with neuroleptic-induced akathisia were treated with clonidine under single-blind conditions. Akathisia and anxiety at maximum clonidine dose were significantly lower than at baseline, although it was difficult to differentiate ...
https://doi.org/10.1176/ajp.144.2.235Publication date: 01 February 1987
Pages237–238The authors describe five cases of apparent allergy to tartrazine (FD&C yellow dye number 5) in 170 patients exposed to the dye in antidepressants. The frequency of tartrazine sensitivity was much higher than the reported frequency of six in 1,000 ...
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