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American Journal of Psychiatry

  • Volume 145
  • Number 4
  • April 1988

Publication date: 01 April 1988

Pages413–419

The right to refuse antipsychotic medication is now more than a decade old. Its evolution has taken divergent forms, driven either by the needs of patients' treatment or the mandate of patients' rights. Regardless of the model employed, refusal is not ...

https://doi.org/10.1176/ajp.145.4.413

Publication date: 01 April 1988

Pages420–424

The frequent misconceptions and misuses of empathy that occur during psychotherapy are related to confusion about the definition of empathy, misunderstanding of the difference between the process of empathy and the therapist's response of being empathic, ...

https://doi.org/10.1176/ajp.145.4.420

Publication date: 01 April 1988

Pages425–430

The authors review the literature on adverse cutaneous reactions to antidepressant medications. The prevalence of rashes ranges from approximately 2% to 4% but is higher for certain antidepressants such as maprotiline and carbamazepine. Antidepressant ...

https://doi.org/10.1176/ajp.145.4.425

Publication date: 01 April 1988

Pages431–434

The authors conducted a 16-week double-blind, crossover study in 11 patients with panic disorder to study the effects of verapamil, a calcium channel blocker commonly used in the treatment of cardiovascular disorders, on the treatment of panic disorder. ...

https://doi.org/10.1176/ajp.145.4.431

Publication date: 01 April 1988

Pages435–441

Personality assessments of 119 treatment-responsive patients with recurrent unipolar depression revealed that nearly half of the patients (48%) showed some personality disturbance. The most common personality features were avoidant (30.4%), compulsive (...

https://doi.org/10.1176/ajp.145.4.435

Publication date: 01 April 1988

Pages442–449

Dynamic single-photon emission computed axial tomography (CAT) with inhaled xenon-133 was used to measure regional cerebral blood flow in 10 drug-free patients with DSM-III-diagnosed panic disorder and in five normal control subjects. All subjects ...

https://doi.org/10.1176/ajp.145.4.442

Publication date: 01 April 1988

Pages450–456

The authors conducted a 5-year follow-up study of 79 persons found not guilty by reason of insanity who were referred to and accepted for court-mandated community outpatient treatment. This was a severely mentally ill and violent group with extensive ...

https://doi.org/10.1176/ajp.145.4.450

Publication date: 01 April 1988

Pages457–463

Representative community mental health center (CMHC) survey data showed that psychiatrists differed from other CMHC providers of mental health services by serving the more seriously impaired patients who are admitted and readmitted to outpatient services. ...

https://doi.org/10.1176/ajp.145.4.457

Publication date: 01 April 1988

Pages464–468

Speech samples from 71 patients in four diagnostic groups were analyzed by two quantitative methods of speech content analysis, the results of which were entered into a discriminant analysis to test whether patients could be accurately classified back ...

https://doi.org/10.1176/ajp.145.4.464

Publication date: 01 April 1988

Pages469–475

In 1980, psychiatric practitioners and educators were surveyed to determine their concepts of the knowledge and skills that define a specialist in psychiatry. The authors repeated this survey, expanding the list of skill and knowledge items and asking ...

https://doi.org/10.1176/ajp.145.4.469

Publication date: 01 April 1988

Pages476–478

The number of geriatric patients with major psychiatric disorders is expected to grow along with the rising proportion of people age 65 and older. Despite recognition of this growth and increases in the training of geropsychiatrists, the supply of ...

https://doi.org/10.1176/ajp.145.4.476

Publication date: 01 April 1988

Pages479–482

A group of primiparous women in Australia rated their parents' attitudes and behaviors toward them as children as well as perceived levels of social support shortly after the birth of their first child and 1 year later. After any bias that might have been ...

https://doi.org/10.1176/ajp.145.4.479

Publication date: 01 April 1988

Pages483–486

Nine chronic schizophrenic patients being treated with high-potency antipsychotic medication and antiparkinsonian agents were enrolled in a double-blind, crossover trial comparing amantadine and trihexyphenidyl. Memory function was assessed with the Rey ...

https://doi.org/10.1176/ajp.145.4.483

Publication date: 01 April 1988

Pages487–490

To assess the frequency of affective and psychotic symptoms in athletes taking anabolic steroids, the authors performed structured interviews of 41 body-builders and football players who had used steroids. According to DSM-III-R, nine subjects (22%) ...

https://doi.org/10.1176/ajp.145.4.487

Publication date: 01 April 1988

Pages491–494

Correlates of prospectively defined premenstrual syndrome were investigated in 50 women who visited a premenstrual syndrome clinic. To assess premenstrual symptom change relative to daily change, the author used effect size, the difference in mood ratings ...

https://doi.org/10.1176/ajp.145.4.491

Publication date: 01 April 1988

Pages495–497

To investigate whether homosexuality predisposes males to eating disorders, the authors studied 48 nonpatient homosexual male students at UCLA. The homosexual men had higher prevalences of binge-eating problems, of feeling fat in spite of others' ...

https://doi.org/10.1176/ajp.145.4.495

Publication date: 01 April 1988

Pages498–501

The dramatic endocrinologic changes that occur after childbirth and the coincident affective disturbances that range from "maternity blues" to major depression have stimulated much theorizing and some study. The role of breast-feeding and weaning has ...

https://doi.org/10.1176/ajp.145.4.498

Publication date: 01 April 1988

Pages502–505

Pathological gambling was officially defined as a psychiatric illness by APA in 1980. The authors report on the results of a state-wide study in New York that indicated significant differences between problem gamblers in the general population and ...

https://doi.org/10.1176/ajp.145.4.502

Publication date: 01 April 1988

Pages506–509

Seven male children who each had a manic-depressive parent (five alos had a parent with unipolar depression) and 12 control children were studied. The proband children had shown a range of adjustment problems as infants and toddlers. Four years later, ...

https://doi.org/10.1176/ajp.145.4.506

Publication date: 01 April 1988

Pages510–512

Under the tort doctrine of ostensible (apparent) agency, a psychiatrist was named as a codefendant in a psychiatric malpractice suit against a nonmedical psychotherapist employed in his medical group, who had treated the plaintiff in her private practice ...

https://doi.org/10.1176/ajp.145.4.510

Publication date: 01 April 1988

Pages513–515

Meige's syndrome is characterized by blepharospasm and oromandibular dystonia. Three cases are presented; two were associated with long-term neuroleptic administration. This drug-induced syndrome may be a variant of tardive dystonia, and prompt ...

https://doi.org/10.1176/ajp.145.4.513

Publication date: 01 April 1988

Pages515–516

Three cases of seasonal affective disorder in north India are described, illustrating different seasonal patterns: 1) mania in summer and depression in winter, 2) mania in early winter and depression in late winter, and 3) depression in summer and mania ...

https://doi.org/10.1176/ajp.145.4.515

Publication date: 01 April 1988

Pages517–518

Of 1,470 patients treated with neuroleptics during 1 year at a private psychiatric hospital, only one patient developed neuroleptic malignant syndrome--an annual frequency of 0.07%. Use of low doses of neuroleptics may account for this frequency, which is ...

https://doi.org/10.1176/ajp.145.4.517

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Publication date: 01 April 1988

Pages540-a–540

In the article "Use of Magnetic Resonance Imaging in Psychiatry" (February 1988 issue, pp. 164-171) by H. Jordan Garber, M.D., et al., on p. 169, right column, first full paragraph, twelfth line, TI should have been T1. Also, there should have been an ...

https://doi.org/10.1176/ajp.145.4.540-a

Publication date: 01 April 1988

Page541

This policy was drafted by the Ad Hoc Committee on AIDS Policy1 and was approved by the Board of Trustees in December 1987.

https://doi.org/10.1176/ajp.145.4.541

Publication date: 01 April 1988

Page542

This policy was drafted by the Ad Hoc Committee on AIDS Policy1 and was approved by the Board of Trustees in December 1987.

https://doi.org/10.1176/ajp.145.4.542

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