American Journal of Psychiatry
- Volume 144
- Number 3
- March 1987
Publication date: 01 March 1987
Pages267–274The author reviews major controversies in the literature regarding techniques of intensive psychodynamic therapy with borderline patients. These include debates about the importance of content versus process in the therapist's early interventions, the ...
https://doi.org/10.1176/ajp.144.3.267Publication date: 01 March 1987
Pages275–282In psychosocial outcome research, as contrasted to pharmacologic research, control groups receiving inert treatment, designed to raise expectations but otherwise provide no service, are almost never indicated; this is true because of methodologic as well ...
https://doi.org/10.1176/ajp.144.3.275Publication date: 01 March 1987
Pages283–287The authors compared the use of outpatient mental health services in a health maintenance organization (HMO) and fee-for-service plans over a 5-year period, using data from a randomized controlled trial. In any given year, enrollees in the HMO and a fee-...
https://doi.org/10.1176/ajp.144.3.283Publication date: 01 March 1987
Pages288–293The authors examined 52 women with recurrent depression to determine the differences between women with and without histories of pregnancy- related affective episodes. The women with histories of such episodes (N = 24) had been significantly younger at ...
https://doi.org/10.1176/ajp.144.3.288Publication date: 01 March 1987
Pages293–298Thirty patients with multiple personality disorder had one or more of Schneider's 11 first-rank symptoms at initial assessment (mean = 3.6; range = 1-8). The author describes these symptom categories, eight of which were noted in the patients he ...
https://doi.org/10.1176/ajp.144.3.293Publication date: 01 March 1987
Pages299–302Intrusive images have been reported to occur in a broad range of people with posttraumatic stress disorder, but the frequency of intrusive auditory perceptions has rarely been addressed. This study compared five posttraumatic stress disorder veterans ...
https://doi.org/10.1176/ajp.144.3.299Publication date: 01 March 1987
Pages303–308Alprazolam treatment was tapered in 17 panic patients at a rate of 10% of the starting dose every 3 days. Only four subjects completed withdrawal on schedule (4-5 weeks); four additional subjects discontinued treatment in 7-13 weeks. During withdrawal 15 ...
https://doi.org/10.1176/ajp.144.3.303Publication date: 01 March 1987
Pages309–315Patients with primary major depression (N = 372) were followed for 2 years to determine the prognostic importance of past manic or hypomanic episodes. While bipolar I and bipolar II patients were more likely to relapse and bipolar I patients were more ...
https://doi.org/10.1176/ajp.144.3.309Publication date: 01 March 1987
Pages316–322Ratings of videotaped interviews with simulated patients were compared with four other measures commonly used to evaluate medical students during their psychiatry clerkship. Intercorrelations among self- reported attitude change, written examination grade,...
https://doi.org/10.1176/ajp.144.3.316Publication date: 01 March 1987
Pages323–326Eighty-eight panic disorder patients were divided into three groups according to the extent of their phobic avoidance (none, limited, or extensive). These groups were compared on three personality disorder instruments: the Structured Interview for DSM-III ...
https://doi.org/10.1176/ajp.144.3.323Publication date: 01 March 1987
Pages327–329Six right-unilateral and bilateral ECTs were equally effective in reducing Hamilton Rating Scale for Depression scores in 34 melancholic patients whose EEG symmetry did not change after ECT. However, a substantial therapeutic advantage was recorded for ...
https://doi.org/10.1176/ajp.144.3.327Publication date: 01 March 1987
Pages330–333In a controlled family study of attention deficit disorder, data were collected on first-degree relatives of 22 children with attention deficit disorder and 20 normal children. The rate of major affective disorder was significantly higher in the attention ...
https://doi.org/10.1176/ajp.144.3.330Publication date: 01 March 1987
Pages334–337To determine if the enhanced cortisol response to oral administration of the serotonin (5-HT) precursor 5-hydroxytryptophan (5-HTP) that has been reported in unmedicated depressed and manic patients might be related to brain monoaminergic metabolism, the ...
https://doi.org/10.1176/ajp.144.3.334Publication date: 01 March 1987
Pages338–340Thirty-seven depressed patients over the age of 55 were treated for 5-7 weeks with either nortriptyline, a tricyclic antidepressant, or phenelzine, a monoamine oxidase (MAO) inhibitor. Patients' platelet MAO activity was measured following a drug washout ...
https://doi.org/10.1176/ajp.144.3.338Publication date: 01 March 1987
Pages341–344The authors describe the development of an affective disorders consultation service that implemented a biopsychosocial model of subspecialty consultation within a university-affiliated community mental health center. They retrospectively analyzed the ...
https://doi.org/10.1176/ajp.144.3.341Publication date: 01 March 1987
Pages344–347Sleep data were obtained on 11 patients who had survived traumatic events and who complained of sleep disturbances. Each was awakened from REM and non-REM sleep for dream recall. The patients had lower sleep efficiency indices (because of prolonged sleep ...
https://doi.org/10.1176/ajp.144.3.344Publication date: 01 March 1987
Pages348–350In a prospective and comprehensive evaluation (including DSM-III diagnoses) of 1,000 preschoolers in a child development unit, nine children were found to meet the criteria for major depressive disorder. The symptoms of these children are described and ...
https://doi.org/10.1176/ajp.144.3.348Publication date: 01 March 1987
Pages351–355The authors field-tested proposed criteria for diagnoses of psychoactive substance use disorders in the revision of DSM-III (DSM- III-R) and compared them with DSM-III criteria in a treated group of 83 patients. They found a high level of agreement ...
https://doi.org/10.1176/ajp.144.3.351Publication date: 01 March 1987
Pages355–357The authors conducted a study of treatment utilization and outcome on a sample of 116 psychiatric outpatients at a Veterans Administration (VA) hospital. Utilization and outcome measures were obtained at a follow-up interview 18 months after a baseline ...
https://doi.org/10.1176/ajp.144.3.355Publication date: 01 March 1987
Pages358–361Data from a national survey were used to explore whether the patients of male and female psychiatrists differed substantially in demographic or clinical characteristics and whether there were any differences in psychiatrists' treatment of same-gender ...
https://doi.org/10.1176/ajp.144.3.358Publication date: 01 March 1987
Pages362–364After inpatient treatment focused on aberrant eating behavior, six depressed normal-weight bulimic patients showed little improvement in depressive or eating symptoms. Four depressed anorexic patients with bulimic behavior improved in both areas, and five ...
https://doi.org/10.1176/ajp.144.3.362Publication date: 01 March 1987
Pages365–366An effective, practical, and inexpensive method of preventing water intoxication in inpatients is described. The procedure uses the relationship between acute changes in body water and body weight to predict body weights associated with severe ...
https://doi.org/10.1176/ajp.144.3.365Publication date: 01 March 1987
Pages367–369For 98 affective disorder patients receiving lithium prophylaxis for a mean of 45 months, number of interepisode symptoms correlated with relapse rate. Response to prophylaxis appeared highly determined by prelithium frequency of episodes and duration of ...
https://doi.org/10.1176/ajp.144.3.367Article
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Publication date: 01 March 1987
Pages396-a–396In the letter to the Editor entitled "Fybromyalgia in a Woman With Bipolar Disorder, Manic Phase" (August 1986 issue, p. 1064) by Alice A. Hale et al., Dr. Wongsam (P.E.W.) is listed as a psychiatrist. She is a physiatrist, or specialist in physical ...
https://doi.org/10.1176/ajp.144.3.396-aPast Issues
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