American Journal of Psychiatry
- Volume 145
- Number 5
- May 1988
Publication date: 01 May 1988
Pages543–553The authors provide an overview of privatization, a major trend in mental health policy, focusing in particular on the reasons for and consequences of substantial growth and change in ownership of private psychiatric hospitals; the proportion of all ...
https://doi.org/10.1176/ajp.145.5.543Publication date: 01 May 1988
Pages554–562The authors discuss the phenomenon of lying, a common psychic process that has received remarkably little scrutiny. The ubiquity of lying and others forms of deception suggests that they have "normal" aspects, but lying which is persistent or destructive ...
https://doi.org/10.1176/ajp.145.5.554Publication date: 01 May 1988
Pages563–572Since it was first described a century ago, the phenomenon of the idiot savant--the juxtaposition of severe mental handicap and prodigious mental ability--has remained unexplained. The author defines the condition, reviews and summarizes the world ...
https://doi.org/10.1176/ajp.145.5.563Publication date: 01 May 1988
Pages573–577Although many sections of DSM-III-R reflect few changes from DSM-III, the diagnostic criteria for the personality disorders involve more substantial revisions. This study examined the impact of DSM-III-R revisions in terms of convergence with DSM-III, the ...
https://doi.org/10.1176/ajp.145.5.573Publication date: 01 May 1988
Pages578–583The authors provide a rationale for distinguishing the primary, enduring negative symptoms of schizophrenia (termed "deficit symptoms") from the more transient negative symptoms secondary to other factors. They argue that the former are more likely to ...
https://doi.org/10.1176/ajp.145.5.578Publication date: 01 May 1988
Pages584–589Of the 37 juveniles currently condemned to death in the United States, all of the 14 incarcerated in four states received comprehensive psychiatric, neurological, neuropsychological, and educational evaluations. Nine had major neurological impairment, ...
https://doi.org/10.1176/ajp.145.5.584Publication date: 01 May 1988
Pages590–594Fourteen patients with DSM-III social phobia were treated with alprazolam in an open study. Multiple measures of symptoms and disability showed significant improvement. The symptoms improved during the first and second weeks, and disability improved at 3 ...
https://doi.org/10.1176/ajp.145.5.590Publication date: 01 May 1988
Pages595–599Changes in blood test values from the time of discharge from an alcohol treatment program to 3-month follow-up were studied in two consecutive series of alcoholic men. The parallel combination of a percent increase in gamma-glutamyltransferase (GGT) of ...
https://doi.org/10.1176/ajp.145.5.595Publication date: 01 May 1988
Pages600–604Most discussions about legal guardianship pertain to special populations, such as the mentally retarded or demented. Except for the case of refusal of antipsychotic medication, little has been written about using guardianship to authorize nonemergency ...
https://doi.org/10.1176/ajp.145.5.600Publication date: 01 May 1988
Pages605–610Several states are changing legislation and treatment programs for mentally ill offenders without knowing how current laws and programs operate. To address this problem the authors linked data from police records, court reports, and clinical files for 2,...
https://doi.org/10.1176/ajp.145.5.605Publication date: 01 May 1988
Pages613–616Cognitive function, course of illness, and medication history were assessed in 42 bipolar patients evaluated for the presence of involuntary movements. Among the 25 patients 55 years old or older, the 16 with involuntary movements were not distinguished ...
https://doi.org/10.1176/ajp.145.5.613Publication date: 01 May 1988
Pages617–620The pathogenesis of the neuroleptic malignant syndrome is currently unclear, and no specific morphological abnormalities in the CNS of victims of neuroleptic malignant syndrome have been described. The authors report a case of neuroleptic malignant ...
https://doi.org/10.1176/ajp.145.5.617Publication date: 01 May 1988
Pages621–624A variety of side effects developed in children treated with neuroleptics for Tourette's disorder. Of 208 children, 34 manifested dose-related symptoms of dysphoria, nine experienced a worsening of symptoms of Tourette's disorder that was attributed to ...
https://doi.org/10.1176/ajp.145.5.621Publication date: 01 May 1988
Pages625–627The authors report on seven patients who met the DSM-III-R criteria for psychoactive substance (alprazolam) dependence. All had withdrawal symptoms, six demonstrated tolerance, and at least four had substantial social or occupational impairment secondary ...
https://doi.org/10.1176/ajp.145.5.625Publication date: 01 May 1988
Pages628–631Menstrual cycle phase-dependent changes in appetite in women with premenstrual syndrome has not thus far been systematically demonstrated. In this study of 21 patients with premenstrual syndrome and 13 control subjects, there were significant increases in ...
https://doi.org/10.1176/ajp.145.5.628Publication date: 01 May 1988
Pages632–635Caffeine increases anxiety in people with anxiety disorders. To determine whether caffeine exerts a similar effect in depression, the authors compared retrospective reports of caffeine intake and symptoms produced by caffeine ingestion in patients with ...
https://doi.org/10.1176/ajp.145.5.632Publication date: 01 May 1988
Pages636–639Prior studies have documented the effectiveness of several types of memory training for the elderly with normal age-related memory losses. Despite these positive results, there is substantial variability of individual response to treatment. The authors ...
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