American Journal of Psychiatry
- Volume 145
- Number 1
- January 1988
Publication date: 01 January 1988
Pages1–10Although Meyer and Freud believed that the seeds of mental health are sown in childhood, systematic research has proved difficult and disappointing, and theory has remained intensely controversial. Research of the past two decades by developmental ...
https://doi.org/10.1176/ajp.145.1.1Publication date: 01 January 1988
Pages11–18The authors review studies of abnormal signs on clinical neurological examination of schizophrenic patients. In spite of a number of methodologic limitations, the cumulative evidence strongly argues that there are more neurological signs in schizophrenic ...
https://doi.org/10.1176/ajp.145.1.11Publication date: 01 January 1988
Pages19–24Mental health coverage generally limits benefits for high use, which is assumed to be discretionary. The authors present data from the National Medical Care Utilization and Expenditure Survey. Of the individuals who made mental health outpatient visits in ...
https://doi.org/10.1176/ajp.145.1.19Publication date: 01 January 1988
Pages24–28Four assumptions underlie the stereotyped view of use of outpatient mental health services: 1) all use is alike, 2) any use leads to high use, 3) all high use is discretionary, and 4) insurance encourages excessive use. The authors refute the first three ...
https://doi.org/10.1176/ajp.145.1.24Publication date: 01 January 1988
Pages29–34Recent research on hospital tenure has neglected mental patients' attitudes toward hospitalization. The authors consider problems with past research on these attitudes and examine "living preference"--the patient's preference for living in the hospital or ...
https://doi.org/10.1176/ajp.145.1.29Publication date: 01 January 1988
Pages35–40The authors examine the validity of subtyping psychotic depression by comparing 111 patients with schizoaffective, unipolar, and bipolar psychotic depression on demographic characteristics and symptoms at index episode. Diagnoses were made by using ...
https://doi.org/10.1176/ajp.145.1.35Publication date: 01 January 1988
Pages41–45The authors report on sex differences in a group of 230 patients with recurrent depression. Male and female patients were similar in clinical characteristics and baseline measures of severity. Some sex differences in depressive symptoms were apparent, ...
https://doi.org/10.1176/ajp.145.1.41Publication date: 01 January 1988
Pages46–51The author reports on a study investigating the question of whether certain phases of resettlement are accompanied by an elevated risk for depression in Southeast Asian refugees in Canada. In general, the longer the Southeast Asian refugees remained in ...
https://doi.org/10.1176/ajp.145.1.46Publication date: 01 January 1988
Pages52–56To test the hypothesis that the antidepressant effects of bright light in seasonal affective disorder are mediated by the suppression of melatonin, 19 patients with this disorder were given atenolol, which suppresses melatonin secretion, and placebo in a ...
https://doi.org/10.1176/ajp.145.1.52Publication date: 01 January 1988
Pages57–62The authors conducted a blind family study based on probands diagnosed as schizophrenic by DSM-III and subtyped by four diagnostic systems. The pattern of psychopathology in relatives did not differ as a function of the probands' subtype diagnosis. ...
https://doi.org/10.1176/ajp.145.1.57Publication date: 01 January 1988
Pages63–69Eighteen young men and women whose parents had major affective disorders, often in combination with other serious psychiatric disorders, were selected from a larger sample on the basis of their good behavioral functioning as adolescents at initial ...
https://doi.org/10.1176/ajp.145.1.63Publication date: 01 January 1988
Pages70–74Family pedigrees of six children with severe school phobia compared with those of a matched group of families of five children with psychiatric disorders showed a clustering of affective and anxiety disorders. Blind and independent family histories and ...
https://doi.org/10.1176/ajp.145.1.70Publication date: 01 January 1988
Pages75–80Structured psychiatric and sexual abuse interviews were administered to 25 women with chronic pelvic pain and a comparison group of 30 women with specific gynecological conditions. All 55 patients underwent diagnostic laparoscopy, and the results of the ...
https://doi.org/10.1176/ajp.145.1.75Article
Publication date: 01 January 1988
Pages90–92The authors administered the growth hormone-releasing factor (GRF) stimulation test to 19 patients with major depression and 19 age- and sex-matched control subjects to test the hypothesis that a blunted growth hormone (GH) response to clonidine reflects ...
https://doi.org/10.1176/ajp.145.1.90Publication date: 01 January 1988
Pages93–95The authors studied 52 depressed inpatients to examine treatment response to phenelzine, a monoamine oxidase (MAO) inhibitor. All patients were classified into one of three RDC categories (definitely psychotic, probably psychotic, and nonpsychotic). For ...
https://doi.org/10.1176/ajp.145.1.93Publication date: 01 January 1988
Pages96–99To determine whether seasonal affective disorder exists in the southern hemisphere and whether there is any seasonal specificity in phenomenology, the authors compared 23 subjects who reported a winter/autumn affective disorder, consistent with earlier ...
https://doi.org/10.1176/ajp.145.1.96Publication date: 01 January 1988
Pages100–102Eighteen patients with seasonal affective disorder were compared to 13 patients with recurrent nonseasonal depressions. Seasonal depressions were associated with hypersomnia and carbohydrate craving, and there was a trend for a younger age at onset of ...
https://doi.org/10.1176/ajp.145.1.100Publication date: 01 January 1988
Pages103–106The authors studied the management styles of the 11 directors of psychiatry in municipal general hospitals in New York City. The Lead- Self Scale and the Lead-Other Scale were used. The directors' Lead-Self Scale scores were compared with those of 11 ...
https://doi.org/10.1176/ajp.145.1.103Publication date: 01 January 1988
Pages107–109The serum anticholinergic levels of 22 demented nursing home patients were related to their cognition and capacity for self-care. The patients with high anticholinergic levels had greater impairment in self-care capacity than patients with low levels.
https://doi.org/10.1176/ajp.145.1.107Publication date: 01 January 1988
Pages110–111During a heat wave three patients developed neuroleptic malignant syndrome. The role of heat load in triggering this syndrome and possible mechanisms behind such a role are discussed. Data concerning the season of occurrence of neuroleptic malignant ...
https://doi.org/10.1176/ajp.145.1.110Publication date: 01 January 1988
Pages112–113Homeless persons who received emergency psychiatric screening in a public general hospital exhibited patterns of gross geographic mobility. They did not uniformly avail themselves of community services, such as soup kitchens, and there were marked sex ...
https://doi.org/10.1176/ajp.145.1.112Publication date: 01 January 1988
Pages114–115The author describes three related women with rapid cycling bipolar II disorder. Their cycles of approximately 55 days usually included 3-7 days of hypomania, followed by 5 weeks of mild to moderate depression and 2 weeks of severe depression.
https://doi.org/10.1176/ajp.145.1.114Article
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