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American Journal of Psychiatry

  • Volume 144
  • Number 6
  • June 1987

Publication date: 01 June 1987

Pages703–709

As future manned space missions become longer, and as crews become more heterogeneous, psychological and interpersonal factors will take on increasing importance in assuring mission success. On the basis of a review of more than 60 American and Soviet ...

https://doi.org/10.1176/ajp.144.6.703

Publication date: 01 June 1987

Pages710–717

The existing literature on the relationship between childhood cruelty to animals and later violence against people appears to be inconsistent. The authors review the controlled studies that did not support this relationship and those that did and identify ...

https://doi.org/10.1176/ajp.144.6.710

Publication date: 01 June 1987

Pages718–726

The authors report the latest findings from a 32-year longitudinal study of 269 back-ward patients from Vermont State Hospital. This intact cohort participated in a comprehensive rehabilitation program and was released to the community in a planned ...

https://doi.org/10.1176/ajp.144.6.718

Publication date: 01 June 1987

Pages727–735

The authors present the findings from a long-term follow-up study of 118 patients from Vermont State Hospital who, when rediagnosed retrospectively, met DSM-III criteria for schizophrenia at their index hospitalization in the mid-1950s. The patients were ...

https://doi.org/10.1176/ajp.144.6.727

Publication date: 01 June 1987

Pages736–741

Stressful circumstances that covary with maternal affective disorder may account for some of the risk to children for psychological dysfunction. Children (ages 8-16) of mothers with unipolar or bipolar disorders were compared with children of mothers who ...

https://doi.org/10.1176/ajp.144.6.736

Publication date: 01 June 1987

Pages742–747

Two samples of homosexual men, 64 physicians and 58 university students, reported profound decreases in several sexual practices linked to transmission of acquired immune deficiency syndrome (AIDS). The physicians showed the greater reduction. When ...

https://doi.org/10.1176/ajp.144.6.742

Publication date: 01 June 1987

Pages748–752

The authors found that 12 (57%) of 21 consecutive male patients with borderline personality disorder who presented for psychiatric treatment at two distant geographic sites were homosexual. They then obtained the sexual histories of 80 patients who met ...

https://doi.org/10.1176/ajp.144.6.748

Publication date: 01 June 1987

Pages753–757

In winter, depressed patients with seasonal affective disorder respond to treatment with bright artificial light (phototherapy). The authors found that the antidepressant effects of phototherapy were much greater for 10 patients when light was applied to ...

https://doi.org/10.1176/ajp.144.6.753

Publication date: 01 June 1987

Pages757–761

Pathological gamblers entering a comprehensive treatment program were thoroughly assessed before treatment and 6 months after completion of treatment. The reports of gamblers and collateral informants were highly consistent. Follow-up interviews were ...

https://doi.org/10.1176/ajp.144.6.757

Publication date: 01 June 1987

Pages762–766

The authors identified a patient who had premenstrual syndrome (late luteal phase dysphoric disorder) only in the fall and winter and was virtually asymptomatic during the spring and summer. On the basis of previous experience with seasonal affective ...

https://doi.org/10.1176/ajp.144.6.762

Publication date: 01 June 1987

Pages767–771

Avoidant personality disorder was a new addition to DSM-III. Reaction to its inclusion was mixed. Critics cited the lack of empirical data and the overlap with schizoid disorder. The authors consider the overlap and covariation among avoidant, schizoid, ...

https://doi.org/10.1176/ajp.144.6.767

Publication date: 01 June 1987

Pages772–777

The author describes a structured approach to the definition of personality disorder diagnoses using traits or generalized behavioral dimensions as the basic unit of definition. Features of personality disorder diagnoses, identified from the clinical ...

https://doi.org/10.1176/ajp.144.6.772

Publication date: 01 June 1987

Pages778–782

The authors surveyed pharmacotherapy in a group of 136 newly admitted patients with a DSM-III diagnosis of schizophrenia. They found that nine antipsychotic agents were used; the median daily dose (in chlorpromazine equivalents) was 1088 mg (mean +/- SD = ...

https://doi.org/10.1176/ajp.144.6.778

Publication date: 01 June 1987

Pages785–787

Eleven patients with panic disorder or agoraphobia with panic attacks completed an 8-week single-blind trial of trazodone (300 mg/day) without concurrent behavioral instructions. The measures of change included ratings of generalized and panic anxiety, ...

https://doi.org/10.1176/ajp.144.6.785

Publication date: 01 June 1987

Pages788–791

The authors compared the subjective reaction of 13 panic patients and eight control subjects to a 35% CO2 challenge, a treatment known to produce physical symptoms comparable to those of natural or lactate- induced panic, and to placebo treatment (...

https://doi.org/10.1176/ajp.144.6.788

Publication date: 01 June 1987

Pages792–794

Eleven hyperactive boys were treated for 2 weeks with D-phenylalanine (20 mg/kg per day) and for 2 weeks with placebo in a double-blind crossover study. Tests included parent and teacher behavior ratings, cognitive measures, and blood and urine measures ...

https://doi.org/10.1176/ajp.144.6.792

Publication date: 01 June 1987

Pages795–798

Nine patients with panic attacks too infrequent to meet DSM-III criteria for panic disorder were compared to 20 panic disorder patients with respect to clinical characteristics and response to sodium lactate infusion. The two groups showed similar ...

https://doi.org/10.1176/ajp.144.6.795

Publication date: 01 June 1987

Pages798–801

The authors treated 44 outpatients 55 years old or older who were suffering from major depression with either nortriptyline, phenelzine, or placebo for 7 weeks. Plasma levels of nortriptyline were kept between 50 and 170 ng/ml, and platelet monoamine ...

https://doi.org/10.1176/ajp.144.6.798

Publication date: 01 June 1987

Pages802–805

In earlier open studies, beta-blockers were found to be effective in the treatment of neuroleptic-induced akathisia. In the present study, 16 patients with severe neuroleptic-induced akathisia successively received low doses of three beta-blockers--...

https://doi.org/10.1176/ajp.144.6.802

Publication date: 01 June 1987

Pages805–807

The authors present three case reports illustrating that a conservative approach to anorgasmia induced by effective treatment with the monoamine oxidase inhibitor (MAOI) phenelzine can result in spontaneous remission. Precipitously stopping phenelzine or ...

https://doi.org/10.1176/ajp.144.6.805

Publication date: 01 June 1987

Pages808–810

Eight of 10 women with premenstrual depression responded to one night's total sleep deprivation and maintained their improvement after a night of recovery sleep. In responders, subsequent late-night partial sleep deprivation was more effective than early-...

https://doi.org/10.1176/ajp.144.6.808

Publication date: 01 June 1987

Pages811–812

Of 58 demented residents in an American-Chinese nursing home, 44 (75.9%) had multi-infarct dementia, seven (12.1%) had possible Alzheimer's disease, four (6.9%) had other dementias, and three 5.2% had unknown disorders. Alzheimer's disease was relatively ...

https://doi.org/10.1176/ajp.144.6.811

Publication date: 01 June 1987

Pages813–814

Two patients with postconcussional syndrome whose most severe symptoms were blackouts, headaches, and amnesia episodes appeared to respond to naltrexone. Because life-saving emergency trauma services are widely available, it is likely that the incidence ...

https://doi.org/10.1176/ajp.144.6.813

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