American Journal of Psychiatry
- Volume 144
- Number 7
- July 1987
Publication date: 01 July 1987
Pages839–846Despite the dramatic increase over recent years in the research and teaching of medical ethics, there exists no theoretical framework within which to conceptualize ethical problems in medicine, to say nothing of solutions to these problems. The model ...
https://doi.org/10.1176/ajp.144.7.839Publication date: 01 July 1987
Pages847–853Using the Oregon statutory scheme as an example, the authors review certain areas of the law where psychiatric expertise is mandated by statute. This review points out the diversity of determinations where forensic psychiatric expertise is required by ...
https://doi.org/10.1176/ajp.144.7.847Publication date: 01 July 1987
Pages854–859The authors evaluated changes in serum prolactin levels as a measure of differences in response to ethanol between 30 healthy, drinking, young adult sons of alcoholics and 30 matched control subjects with no family history of psychiatric or substance ...
https://doi.org/10.1176/ajp.144.7.854Publication date: 01 July 1987
Pages860–868Double-blind fluorescence studies of platelet membrane fluidity were conducted at 37 degrees C for 51 patients with Alzheimer-type dementia, 24 nondemented depressed patients, and 50 neurologically healthy subjects. The fluidity of the hydrocarbon region ...
https://doi.org/10.1176/ajp.144.7.860Publication date: 01 July 1987
Pages868–872The activity of the hypothalamic-pituitary-adrenocortical (HPA) axis is often high in depressive illness. The authors studied 132 depressed patients and 80 healthy control subjects. They report a significant direct association between HPA axis activity ...
https://doi.org/10.1176/ajp.144.7.868Publication date: 01 July 1987
Pages873–877To further investigate the hypothesis that hyperactivity of the hypothalamic-pituitary-adrenal axis in patients with depression may be mediated by hypersecretion of corticotropin-releasing factor (CRF), the authors measured CRF-like immunoreactivity in ...
https://doi.org/10.1176/ajp.144.7.873Publication date: 01 July 1987
Pages878–882The impact of psychiatric comorbidity on the length of hospital stay was addressed in a study of all medical/surgical patients discharged in 1984 from the Mount Sinai Hospital in New York City (N = 37,370) and Northwestern Memorial Hospital in Chicago (N =...
https://doi.org/10.1176/ajp.144.7.878Publication date: 01 July 1987
Pages883–888A national sample of psychiatrists, psychologists, social workers, and primary care physicians responded to a survey of their professional activities. From these data, the authors estimate that during a representative 60-day period, 6.7% of U.S. adults ...
https://doi.org/10.1176/ajp.144.7.883Publication date: 01 July 1987
Pages889–895The authors compared 21 "Kraepelinian" schizophrenic patients who had been ill and dependent on others for the past 5 years with 76 chronic schizophrenic patients in remission or with exacerbations requiring hospitalization. The Kraepelinian patients met ...
https://doi.org/10.1176/ajp.144.7.889Publication date: 01 July 1987
Pages895–902The authors describe 19 patients with severe tardive dyskinesia, 11 of whom had a diagnosis of affective or schizoaffective disorder rather than schizophrenia. Most patients had been receiving long-term neuroleptic treatment with few interruptions and had ...
https://doi.org/10.1176/ajp.144.7.895Publication date: 01 July 1987
Pages903–907Solvent-inhalant abuse, existent for a century, has been gradually increasing in several sectors of our society over the last few decades. This form of substance abuse involves a variety of pharmacological agents as well as several target groups at risk. ...
https://doi.org/10.1176/ajp.144.7.903Publication date: 01 July 1987
Pages908–913The authors obtained complete histories of all experiences of being physically or sexually assaulted from 100 psychiatric inpatients, using a structured interview with well-defined assault scales and a detailed inquiry into circumstances surrounding the ...
https://doi.org/10.1176/ajp.144.7.908Publication date: 01 July 1987
Pages913–917Psychiatric residents completing their training in 1976, 1978, 1980, and 1986 were sent surveys on their attitudes toward treatment and training among a "dynamic-organic continuum." Their responses indicated decreasing antagonism toward the medical model ...
https://doi.org/10.1176/ajp.144.7.913Publication date: 01 July 1987
Pages918–922Data collected from the Los Angeles site of the National Institute of Mental Health Epidemiologic Catchment Area Program were used to examine the utilization of health services in a community population. Mexican- Americans, especially the less ...
https://doi.org/10.1176/ajp.144.7.918Publication date: 01 July 1987
Pages923–926The authors undertook a field test of Motto and colleagues' Risk Estimator for Suicide by selecting a subset (N = 593) of psychiatric patients with major or chronic affective disorder that corresponded to Motto's sample. They rated each subject on Motto's ...
https://doi.org/10.1176/ajp.144.7.923Publication date: 01 July 1987
Pages927–930The initial treatment contract with a borderline patient recognizes the patient's potential for destructiveness and builds in safeguards. The therapist's effort to protect the treatment mobilizes the patient's primitive defenses. The therapist must be ...
https://doi.org/10.1176/ajp.144.7.927Publication date: 01 July 1987
Pages931–934Using a structured interview, the authors found that the prevalence of major depression and dysthymic disorder was 4.7% and 3.3%, respectively, in a community sample of 150 adolescents. All of the adolescents who met the criteria for major depression and ...
https://doi.org/10.1176/ajp.144.7.931Publication date: 01 July 1987
Pages934–938Neuroleptic administration has been shown to be superior to placebo in prolonging schizophrenic remission. However, individual patients are able to maintain long periods of remission in the absence of neuroleptic treatment, while others relapse soon after ...
https://doi.org/10.1176/ajp.144.7.934Publication date: 01 July 1987
Pages939–942While studying amenorrheic runners, the authors became aware of psychiatric differences between them. Psychiatric interviews of 13 amenorrheic and 19 regularly menstruating runners revealed that of the amenorrheic runners, 11 reported major affective ...
https://doi.org/10.1176/ajp.144.7.939Publication date: 01 July 1987
Pages943–947Of 33 chronically psychotic patients in a state hospital, 17 received carbamazepine, 13 received carbamazepine and lithium, and three received carbamazepine and then the combination. There was a significant difference in serum sodium level between the ...
https://doi.org/10.1176/ajp.144.7.943Publication date: 01 July 1987
Pages948–950Patients with schizophrenic spectrum disorders and affective disorders were compared on a reaction time procedure. The nonhospitalized schizotypal subjects performed similarly to the schizophrenic patients on the crossover measure. Mean reaction time ...
https://doi.org/10.1176/ajp.144.7.948Publication date: 01 July 1987
Pages951–953Of 16 patients with Cushing's disease, 13 (81%) had lifetime diagnoses of major affective disorder according to DSM-III criteria. However, the rate of familial major affective disorder among these patients was significantly lower than that found among ...
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