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American Journal of Psychiatry

  • Volume 144
  • Number 8
  • August 1987

Publication date: 01 August 1987

Pages989–995

The author reports findings from recent psychophysiological and biochemical research on Vietnam combat veterans with chronic posttraumatic stress disorder. Applying these data and the analogy of the known functional and structural defects in the ...

https://doi.org/10.1176/ajp.144.8.989

Publication date: 01 August 1987

Pages996–1002

The depiction of psychiatry in the movies has been a source of concern over the years to many in the profession who feel that a false picture of psychiatrists' work has been presented to the public. In fact, psychiatry in the movies has developed its own ...

https://doi.org/10.1176/ajp.144.8.996

Publication date: 01 August 1987

Pages1003–1008

A strong relationship was found between the degree of fatness of biologic mothers and that of their adult offspring who had been separated from their mothers at birth and adopted during the first year of life. This relationship persisted even after age, ...

https://doi.org/10.1176/ajp.144.8.1003

Publication date: 01 August 1987

Pages1009–1013

The authors report on 188 healthy college men followed biennially from age 19 years to age 63. A relatively low standing heart rate and long treadmill running time in college predicted mental--but not physical-- health during the next 40 years, whereas a ...

https://doi.org/10.1176/ajp.144.8.1009

Publication date: 01 August 1987

Pages1014–1019

This naturalistic study examined the treatment response to imipramine of 60 patients who had panic disorder or agoraphobia with panic attacks. Only half of the patients could tolerate the drug, but of those who did, 88% obtained a markedly beneficial ...

https://doi.org/10.1176/ajp.144.8.1014

Publication date: 01 August 1987

Pages1019–1024

The frequency of generalized anxiety disorder was higher among first- degree relatives of probands with generalized anxiety (N = 20) than among the relatives of control subjects (N = 20), but it was not higher among relatives of probands with panic ...

https://doi.org/10.1176/ajp.144.8.1019

Publication date: 01 August 1987

Pages1025–1029

To investigate the effect of treatment modality on length of hospital stay, the authors retrospectively studied 86 admissions of 74 patients with major depression. All 19 patients who received ECT recovered, in contrast to only 27 (49%) of 55 patients ...

https://doi.org/10.1176/ajp.144.8.1025

Publication date: 01 August 1987

Pages1030–1036

The effects of yohimbine, an alpha 2-adrenergic receptor antagonist, on anxiety, blood pressure, heart rate, and plasma levels of the norepinephrine metabolite 3-methoxy-4-hydroxyphenylglycol (MHPG) and cortisol were determined in 20 healthy subjects and ...

https://doi.org/10.1176/ajp.144.8.1030

Publication date: 01 August 1987

Pages1037–1041

Six women with primary hyperprolactinemia (mean prolactin level, 50 ng/ml) were matched with six normal women on eight factors influencing life style. Observers blind to endocrine status followed the subjects weekly for 10 weeks. Patients took ...

https://doi.org/10.1176/ajp.144.8.1037

Publication date: 01 August 1987

Pages1042–1048

In contrast to the past decade's concerns about an undersupply of psychiatric manpower, the authors point out that the profession may soon be facing the prospect of an oversupply of psychiatrists. Given the present rate of producing psychiatrists, shifts ...

https://doi.org/10.1176/ajp.144.8.1042

Publication date: 01 August 1987

Pages1049–1052

Neuropathologic data from patients with Alzheimer's disease indicate the presence of neurofibrillary tangles in hypothalamic regions associated with regulation of pituitary hormone release. The authors explored the hypothesis that cholinergic projections ...

https://doi.org/10.1176/ajp.144.8.1049

Publication date: 01 August 1987

Pages1053–1056

The authors present the cases of three patients in whom panic attacks and epilepsy appeared together. These cases illustrate various possible relationships between panic attacks and epilepsy. These relationships include panic attacks representing the aura ...

https://doi.org/10.1176/ajp.144.8.1053

Publication date: 01 August 1987

Pages1056–1058

The authors describe three cases of idiosyncratic response to occupational solvent exposure, with symptoms characteristic of panic disorder (DSM-III). The specific treatment and prognostic implications of this panic-like reaction to solvents are ...

https://doi.org/10.1176/ajp.144.8.1056

Publication date: 01 August 1987

Pages1059–1061

Ten obsessive-compulsive patients received single-blind treatment with fluvoxamine, a selective serotonin reuptake inhibitor, for several weeks following at least 2 weeks of placebo. The group showed significant improvement, as measured by several ...

https://doi.org/10.1176/ajp.144.8.1059

Publication date: 01 August 1987

Pages1062–1065

Despite the widespread use of meperidine as an analgesic, its potential for producing delirium has been overlooked. Six cases demonstrating meperidine-induced behavioral toxicity are reported. Toxicity was more likely when meperidine was combined with ...

https://doi.org/10.1176/ajp.144.8.1062

Publication date: 01 August 1987

Pages1066–1067

The authors report on three patients in North Dakota with an apparent onset of Gilles de la Tourette's syndrome before 1 year of age. Infantile onset may occur in 4.1% of the child patients with Tourette's disorder in that state. It is suggested that the ...

https://doi.org/10.1176/ajp.144.8.1066

Publication date: 01 August 1987

Pages1068–1071

The dexamethasone suppression test (DST) was administered to 28 male combat veterans with posttraumatic stress disorder. Six subjects (21%) were nonsuppressors. The nonsuppression rates for the subgroups with and without major depressive disorder ...

https://doi.org/10.1176/ajp.144.8.1068

Publication date: 01 August 1987

Pages1071–1073

To elucidate the role of catecholamines in attention deficit disorder, the authors conducted an open 8-week trial of L-tyrosine in 12 adults with attention deficit disorder, residual type. Eight showed marked to moderate clinical response in 2 weeks; at 6 ...

https://doi.org/10.1176/ajp.144.8.1071

Publication date: 01 August 1987

Pages1074–1077

Controversy over potential mental health effects of the Three Mile Island Unit-1 restart led the authors to examine prospectively the pattern of psychiatric symptoms in a sample of Three Mile Island area mothers of young children. Symptom levels after ...

https://doi.org/10.1176/ajp.144.8.1074

Publication date: 01 August 1987

Pages1078–1079

Three women with panic disorder showed marked improvement in their panic symptoms during pregnancy. Such effects might be due to pregnancy's blunting of the sympathoadrenal response to simple physiologic stimuli, effects on barbiturate receptors, or ...

https://doi.org/10.1176/ajp.144.8.1078

Publication date: 01 August 1987

Pages1080–1082

In an open trial, five of eight panic disorder patients and none of five control subjects panicked after inhalation of two breaths of 35% CO2 and 65% O2; none panicked after placebo. Using 35% CO2 to induce panic is safe, simple, and well tolerated and ...

https://doi.org/10.1176/ajp.144.8.1080

Publication date: 01 August 1987

Pages1082–1083

Catatonia poses special diagnostic and management problems for the psychiatrist. The authors report three patients with psychogenic catatonia who received intramuscular lorazepam and experienced rapid resolution of their conditions.

https://doi.org/10.1176/ajp.144.8.1082

Publication date: 01 August 1987

Pages1084–1085

Development of increased tolerance to neuroleptics was investigated in 38 neuroleptic-respondent schizophrenic patients. At 5- or 8-year follow-up, clinical global assessments were related to changes in neuroleptic doses. In 93% of the patients gradually ...

https://doi.org/10.1176/ajp.144.8.1084

Publication date: 01 August 1987

Pages1086–1087

In a study of family roles, 85 adolescent sons and daughters from 27 families initially attributed "power" roles to fathers and "support" roles to mothers. Three years later, daughters perceived power and support roles as shared, while sons still ...

https://doi.org/10.1176/ajp.144.8.1086

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Publication date: 01 August 1987

Pages1114-a–1114

In the article "Psychiatric Disorders in a Community Sample of Adolescents" (May 1987 issue, pp. 584-589) by Javad H. Kashani, M.D., et al., there was an error in the fourth paragraph on page 585. The number 115 (72.4%) should have been 155 (72.4%). The ...

https://doi.org/10.1176/ajp.144.8.1114-a

Publication date: 01 August 1987

Page1122

This statement was drafted by the Task Force on Psychiatric Aspects of AIDS.1 It was passed by the Board of Trustees in December 1986 and by the Assembly in May 1987.

https://doi.org/10.1176/ajp.144.8.1122

Publication date: 01 August 1987

Pages1122-a–1122

This statement was drafted by the Task Force on Psychiatric Aspects of AIDS.1 In October 1986 the joint Reference Committee recommended a few editorial changes, which were incorporated into the draft sent to the Assembly. The Assembly approved the ...

https://doi.org/10.1176/ajp.144.8.1122-a

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