American Journal of Psychiatry
- Volume 145
- Number 2
- February 1988
Publication date: 01 February 1988
Pages137–147Philosophical perspectives, although eminently relevant to clinical investigation and practice, are rarely brought to bear on psychiatric topics. The author attempts to raise professional consciousness of core issues in the philosophy of science by ...
https://doi.org/10.1176/ajp.145.2.137Publication date: 01 February 1988
Pages148–153Psychiatry is part of medicine, and developing competence to deal with the mental life of patients is an essential part of general medical as well as psychiatric subspecialty education. As psychiatry's neurobiological data base, therapeutic armamentarium, ...
https://doi.org/10.1176/ajp.145.2.148Publication date: 01 February 1988
Pages154–163To replicate earlier findings of central and cortical cerebral structural abnormalities and to further examine specific prefrontal cortical irregularities in schizophrenia, the authors examined computerized tomographic (CT) scans of 71 patients with ...
https://doi.org/10.1176/ajp.145.2.154Publication date: 01 February 1988
Pages164–171The authors report four cases in which magnetic resonance imaging (MRI) provided diagnostic information not apparent by X-ray CAT in clinical investigations of patients with neuropsychiatric disorders. The relative capabilities and contraindications for ...
https://doi.org/10.1176/ajp.145.2.164Publication date: 01 February 1988
Pages172–178Patients who developed secondary mania after brain injury (N = 17) had a significantly greater frequency of injury to right hemisphere areas connected with the limbic system than poststroke patients with major depression (N = 31), who had injury primarily ...
https://doi.org/10.1176/ajp.145.2.172Publication date: 01 February 1988
Pages179–184For 51 patients with rapid cycling affective disorder, clinical and family history data indicated that the illness was phenotypically and genetically related to more typical forms of affective disorder, was characterized by a bipolar course (100%), and ...
https://doi.org/10.1176/ajp.145.2.179Publication date: 01 February 1988
Pages185–190Sixty-four children from 37 families with an alcoholic parent were compared with 80 children from 45 families that did not have an alcoholic parent on measures of intelligence, cognitive achievement, psychological and physical disorders, impulsivity-...
https://doi.org/10.1176/ajp.145.2.185Publication date: 01 February 1988
Pages191–196As part of a community-based survey of 529 homeless adults, the authors analyzed factors associated with their use of mental health services. Homeless persons who had had a previous psychiatric hospitalization were the least likely to sleep in an ...
https://doi.org/10.1176/ajp.145.2.191Publication date: 01 February 1988
Pages197–202The author reports on a survey of 97 Hmong adult refugees in the United States. Thirty of these refugees showed symptoms of chronic maladjustment, and 13 showed another DSM-III axis I disorder; two manifested a paranoid psychosis, and six had a major ...
https://doi.org/10.1176/ajp.145.2.197Publication date: 01 February 1988
Pages203–209Sixty-one women who sought treatment for unresolved grief reactions 4 months to 3 years after the death of their husbands were randomly assigned to either brief dynamic psychotherapy with experienced clinicians or mutual-help group treatment led by ...
https://doi.org/10.1176/ajp.145.2.203Publication date: 01 February 1988
Pages210–213The authors present data on changes in resource use by Medicare psychiatric patients in general hospitals after the introduction of the prospective payment system in 1984. Length of stay and charges per discharge during fiscal year 1984 fell 13.8% and ...
https://doi.org/10.1176/ajp.145.2.210Publication date: 01 February 1988
Pages214–217The authors assayed plasma dopamine beta-hydroxylase activity, platelet monoamine oxidase (MAO) activity, plasma prolactin, the urinary monoamine metabolites 3-methoxy-4-hydroxyphenylglycol (MHPG), 5- hydroxyindoleacetic acid (5-HIAA), and homovanillic ...
https://doi.org/10.1176/ajp.145.2.214Publication date: 01 February 1988
Pages218–220The authors compared hospital diagnoses with best-estimate research diagnoses of affective disorders and schizophrenia for patients admitted to public psychiatric hospitals in Maryland. The concern that there is overdiagnosis of schizophrenia and ...
https://doi.org/10.1176/ajp.145.2.218Publication date: 01 February 1988
Pages221–223Patients with adolescent-onset mania at a long-term treatment facility presented with more psychotic symptoms and greater chronicity than adult-onset manic patients. However, the long-term (15-year) outcome of the 35 adolescent-onset patients was ...
https://doi.org/10.1176/ajp.145.2.221Publication date: 01 February 1988
Pages224–228Results of a national survey of randomly selected psychiatrists revealed that 51% (N = 131) of the 259 respondents had had a patient who committed suicide. This event had an impact on both their personal and their professional lives. Sixty-five ...
https://doi.org/10.1176/ajp.145.2.224Publication date: 01 February 1988
Pages229–232The authors recorded electroretinograms for 27 autistic patients and 20 age- and sex-matched healthy volunteers. Thirteen (48%) of the autistic patients demonstrated subnormal b-wave amplitudes, which may indicate abnormal retinal function. One patient ...
https://doi.org/10.1176/ajp.145.2.229Publication date: 01 February 1988
Pages233–237The authors studied 401 patients with depressions secondary to psychiatric illnesses (substance abuse disorders or somatoform, anxiety, or personality disorders) or depressions secondary to medical illnesses. They found that the patients with depressions ...
https://doi.org/10.1176/ajp.145.2.233Publication date: 01 February 1988
Pages238–241Eleven of 45 normal control subjects experienced panic attacks during lactate and/or isoproterenol infusions. Ten of the 11 subjects were followed up for a mean period of 32.5 months. Two subjects reported the development of spontaneous panic attacks ...
https://doi.org/10.1176/ajp.145.2.238Publication date: 01 February 1988
Pages242–245The cold wet sheet pack is a treatment that is seldom discussed anymore. The authors present results of a national survey which demonstrated that this treatment is rarely used in modern American psychiatry. They retrospectively review its recent use for ...
https://doi.org/10.1176/ajp.145.2.242Publication date: 01 February 1988
Pages246–248The authors measured plasma levels of free homovanillic acid (HVA) and 3-methoxy-4-hydroxyphenyl-glycol (MHPG) in 350 consecutive psychiatric patients. Among the 22 patients with the highest values for both HVA and MHPG, the primary diagnoses were ...
https://doi.org/10.1176/ajp.145.2.246Publication date: 01 February 1988
Pages249–250Lithium combined with phenelzine alleviated the symptoms of four severely depressed patients. Previously, all four patients had failed to respond to tricyclic antidepressants, and three had not responded to monoamine oxidase inhibitors.
https://doi.org/10.1176/ajp.145.2.249Publication date: 01 February 1988
Pages251–253Frontal/posterior ratios of cerebral glucose metabolism as determined by positron emission tomography were significantly lower in 13 chronic schizophrenic patients than in eight normal control subjects, as were absolute metabolic rates in both the frontal ...
https://doi.org/10.1176/ajp.145.2.251Article
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Publication date: 01 February 1988
Pages280-a–280In the review by Stuart M. Finch, M.D., of the book The Transference in Psychotherapy: Clinical Management, edited by Evelyne Albrecht Schwaber, M.D. (November 1987 issue, p. 1499), the date of publication should have been listed as 1985. Dr. Schwaber is ...
https://doi.org/10.1176/ajp.145.2.280-aPast Issues
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