American Journal of Psychiatry
- Volume 144
- Number 5
- May 1987
Publication date: 01 May 1987
Pages543–550The authors present a brief written psychodynamic formulation that focuses on central conflicts, anticipates transferences and resistances, and helps guide all psychiatric treatments. After placing the presenting problem in the context of the patient's ...
https://doi.org/10.1176/ajp.144.5.543Publication date: 01 May 1987
Pages551–556Acquired immune deficiency syndrome (AIDS) has neuropsychiatric and psychopathological complications: anxiety, depressive symptoms, and suicidal ideation are common. Patients may express anger toward ineffective medical care and perceived public ...
https://doi.org/10.1176/ajp.144.5.551Publication date: 01 May 1987
Pages557–562The authors examined data from the National Institute of Mental Health regarding the use of ECT in the United States in 1975 and 1980. A total of 33,384 hospitalized patients were treated with ECT in 1980, representing 2.4% of all patients hospitalized in ...
https://doi.org/10.1176/ajp.144.5.557Publication date: 01 May 1987
Pages563–567A review of medical examiner records yielded data on 19 men and one woman who died playing Russian roulette. The men differed significantly from 95 male suicide victims who died of gunshot wounds to the head on several variables including age, race, ...
https://doi.org/10.1176/ajp.144.5.563Publication date: 01 May 1987
Pages567–572The authors surveyed a sample of 134 physicians and 125 physicians' spouses regarding marital satisfaction, sources of marital conflict, and complaints about their spouses. Contrary to conventional wisdom, the number of hours at work did not relate to the ...
https://doi.org/10.1176/ajp.144.5.567Publication date: 01 May 1987
Pages573–577Anticholinergic drugs impair one's ability to learn new material, even at routine clinically used doses. During the trihexyphenidyl phase of this double-blind crossover trial, elderly normal subjects complained of confusion and memory impairment and ...
https://doi.org/10.1176/ajp.144.5.573Publication date: 01 May 1987
Pages578–583The authors examined the effects of wartime stressors in a sample of 69 Vietnam veterans who were psychiatric inpatients in a Veterans Administration hospital. Participation in atrocities and the cumulative exposure to combat stressors, each independently ...
https://doi.org/10.1176/ajp.144.5.578Publication date: 01 May 1987
Pages584–589The prevalence of psychiatric disorders diagnosed according to DSM-III in adolescents in the general population is not known. The authors address this issue in a community sample of 150 adolescents 14-16 years of age. Structured interviews as well as ...
https://doi.org/10.1176/ajp.144.5.584Publication date: 01 May 1987
Pages590–596To provide information on the long-debated issue of the value of psychotherapy as an addition to paraprofessional counseling services for opiate addicts receiving methadone maintenance, the authors obtained 12-month follow-up data on 93 such patients ...
https://doi.org/10.1176/ajp.144.5.590Publication date: 01 May 1987
Pages597–602The authors administered a 1-mg dexamethasone suppression test (DST) to 85 institutionalized adults with mild to profound mental retardation after screening to exclude false-positive nonsuppression. Thirty-one (36%) of these subjects had baseline ...
https://doi.org/10.1176/ajp.144.5.597Publication date: 01 May 1987
Pages603–609The authors analyzed the potential financial impact of paying general hospitals on the basis of diagnosis-related groups (DRGs) for Medicare alcohol-drug abuse and psychiatric admissions. Average costs per admission were substantially higher for general ...
https://doi.org/10.1176/ajp.144.5.603Publication date: 01 May 1987
Pages610–615The basis of Medicare's prospective payment for alcohol, drug abuse, and mental illness hospital admissions has been the patient classification system known as diagnosis-related groups (DRGs). This paper describes two alternative patient classification ...
https://doi.org/10.1176/ajp.144.5.610Publication date: 01 May 1987
Pages616–620Specialized psychiatric facilities, including qualified distinct-part units in general hospitals, are exempt from Medicare's diagnosis- related group prospective payment system (PPS). One major reason for continuing the exemption is the redistribution of ...
https://doi.org/10.1176/ajp.144.5.616Publication date: 01 May 1987
Pages621–625The author reviews the vicissitudes of psychiatry's history over the past 50 years and urges the profession to abandon false boundaries between mind and brain and to make a commitment to the scientific validation of prevailing theories of the etiology of ...
https://doi.org/10.1176/ajp.144.5.621Publication date: 01 May 1987
Pages630–632Methods for taking family psychiatric histories have been developed primarily for research rather than clinical settings. The authors compared family histories obtained independently by a research team and by PGY-3 residents on 52 consecutively admitted ...
https://doi.org/10.1176/ajp.144.5.630Publication date: 01 May 1987
Pages633–637This study assessed cardiac rate and rhythm by ambulatory monitoring in 23 patients with panic disorder or agoraphobia with panic attacks. The patients had a higher than normal mean daily density of ventricular premature complexes (VPCs), but complex ...
https://doi.org/10.1176/ajp.144.5.633Publication date: 01 May 1987
Pages638–640Polygraphic sleep recordings were made and dream reports collected over 3 consecutive nights for 12 asthmatic subjects with nocturnal attacks and 12 matched normal control subjects. The asthmatic group 1) had more episodes of a vivid impression of ...
https://doi.org/10.1176/ajp.144.5.638Publication date: 01 May 1987
Pages641–645The authors studied CSF corticotropin-releasing hormone (CRH) and plasma cortisol in 22 depressed patients and 18 normal control subjects. CRH levels were similar in the two groups. Depressed patients who were nonsuppressors on the dexamethasone ...
https://doi.org/10.1176/ajp.144.5.641Publication date: 01 May 1987
Pages646–649The authors examined the effects of certain nonpsychiatric variables on dexamethasone suppression test (DST) results. Sixty physically healthy, nondepressed, nondemented adults participated in a standard outpatient 1-mg DST. Postdexamethasone plasma ...
https://doi.org/10.1176/ajp.144.5.646Publication date: 01 May 1987
Pages650–652In an adolescent medicine clinic with more than 1,000 patients during 1982-1984, 11 male adolescents reported a history of sexual molestation by females. This molestation had commonly involved acquaintances and was unlikely to have been accompanied by ...
https://doi.org/10.1176/ajp.144.5.650Publication date: 01 May 1987
Pages653–657Children who met DSM-III criteria for separation anxiety disorder (N = 48) or a phobic disorder of school (N = 19) were compared with respect to demographic characteristics, symptoms, associated psychiatric disorders, and maternal psychiatric illness. ...
https://doi.org/10.1176/ajp.144.5.653Publication date: 01 May 1987
Pages658–660Reports of folie a famille are rare; this may be the first reported case involving a Vietnam veteran. Expression of his paranoid schizophrenia involved delusions and hallucinations relating to Vietnam, and his wife and children shared his paranoia. ...
https://doi.org/10.1176/ajp.144.5.658Publication date: 01 May 1987
Pages661–663The authors compared the type and number of life events experienced by 19 mentally retarded patients and 19 nonretarded control subjects in the month before their admission to the same unit of a state mental hospital. The retarded patients had exhibited ...
https://doi.org/10.1176/ajp.144.5.661Publication date: 01 May 1987
Pages664–665The authors relate their clinical experience with 46 panic disorder patients who were receiving 3-10 mg/day of alprazolam. Fifteen (33%) developed symptoms consistent with DSM-III criteria for major depression despite remission of their panic symptoms. ...
https://doi.org/10.1176/ajp.144.5.664Publication date: 01 May 1987
Pages666–667Among 50 schizophrenic patients grouped by age at onset, the group with onset at or before age 18 had significantly more subjects with minor physical anomalies. These findings suggest that early-onset schizophrenia is associated with a more compromised ...
https://doi.org/10.1176/ajp.144.5.666Publication date: 01 May 1987
Pages668–670Sleep polysomnographic data on 17 juveniles (age 9 to 14) with major depression revealed abnormalities similar to those in depressed adults.
https://doi.org/10.1176/ajp.144.5.668Publication date: 01 May 1987
Pages670–672Serum beta 2-microglobulin and creatinine values were compared with creatinine clearance in 20 lithium-treated patients. beta 2- microglobulin, but not creatinine, correlated significantly with creatinine clearance, indicating that beta 2-microglobulin is ...
https://doi.org/10.1176/ajp.144.5.670Publication date: 01 May 1987
Pages673–675The ECG QTc interval was significantly prolonged by pimozide but not haloperidol or placebo in a randomized clinical trial with 40 patients with Tourette's disorder. However, no adverse cardiac effects or differences in rate, rhythm, or waveform were ...
https://doi.org/10.1176/ajp.144.5.673Article
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Publication date: 01 May 1987
Page697In the article "Prediction of Postdexamethasone Cortisol Levels by Serum Sodium Levels in Patients With Major Depression" (January 1986 issue, pp. 81-84) by Gary D. Tollefson, M.D., Ph.D., et al., there was an error in the final paragraph on p. 83. The ...
https://doi.org/10.1176/ajp.144.5.697Publication date: 01 May 1987
Pages698–702This statement is an adjunct to the position statement on substance abuse published in the June 1981 issue of the American Journal of Psychiatry, which emphasizes diagnosis and treatment. It replaces the position statement on marijuana laws published in ...
https://doi.org/10.1176/ajp.144.5.698Past Issues
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