American Journal of Psychiatry
- Volume 145
- Number 7
- July 1988
Publication date: 01 July 1988
Pages779–785The legal doctrine of the duty to protect potential victims of patients' violent acts has created problems beyond those usually discussed, which involve breach of patients' confidentiality. Fear of liability has led some psychiatrists to hospitalize, ...
https://doi.org/10.1176/ajp.145.7.779Publication date: 01 July 1988
Pages786–795The revision of DSM-III (DSM-III-R) includes substantial changes in the axis II personality disorders. The authors present and critically review these revisions and suggest directions for further research. The issues discussed include the multiaxial ...
https://doi.org/10.1176/ajp.145.7.786Publication date: 01 July 1988
Pages796–803Supervision is an essential element of training in psychotherapy, and the issue of privacy in relation to the supervisory process is an important one. The authors examine the attitude toward privacy implicit in each of the two major models of supervision, ...
https://doi.org/10.1176/ajp.145.7.796Publication date: 01 July 1988
Pages804–808This prospective study examined the incidence of mania or hypomania in 230 patients with recurrent depression treated with imipramine. Overall, only six individuals (2.6%) developed hypomania, representing 0.9% of those in the acute phase and 2.5% of ...
https://doi.org/10.1176/ajp.145.7.804Publication date: 01 July 1988
Pages809–814The authors used amphetamine as a psychopharmacological probe to investigate the hypothesis that patients with borderline personality disorder are prone to psychosis following ingestion of a dopamine agonist. Sixteen patients with borderline personality ...
https://doi.org/10.1176/ajp.145.7.809Publication date: 01 July 1988
Pages815–819Data from a survey of five U.S. communities showed that dysthymia affected approximately 3% of the adult population. It was more common in women under age 65, unmarried persons, and young persons with low income and was associated with greater use of ...
https://doi.org/10.1176/ajp.145.7.815Publication date: 01 July 1988
Pages820–824To determine whether abnormalities in brain morphology are present at the onset of illness, patients with schizophrenia, schizophreniform and bipolar disorders, and major depression who were experiencing their first episodes of psychosis were compared ...
https://doi.org/10.1176/ajp.145.7.820Publication date: 01 July 1988
Pages825–829The authors studied the relationship of psychological symptoms to clinicians' ratings on DSM-III's axis V. A total of 355 patients received multiaxial assessments and were reinterviewed under blind conditions with the Psychiatric Epidemiology Research ...
https://doi.org/10.1176/ajp.145.7.825Publication date: 01 July 1988
Pages830–835Support for psychiatric research is limited to a relatively small number of funding sources. Foundations--nonprofit entities that support a variety of social, medical, educational, and other activities--are a potentially important source. The authors ...
https://doi.org/10.1176/ajp.145.7.830Publication date: 01 July 1988
Pages836–843The authors present recommendations for educating medical students and psychiatric residents in geropsychiatry. They are primarily concerned with the objectives and methods rather than the content of training. Proposals are structured in terms of training ...
https://doi.org/10.1176/ajp.145.7.836Publication date: 01 July 1988
Pages844–848The authors illustrate methods for the graphic depiction of the course of unipolar and bipolar affective illness. The utility and advantages of such an approach include 1) accurate assessment of episode patterns, 2) elucidation of relationships to ...
https://doi.org/10.1176/ajp.145.7.844Publication date: 01 July 1988
Pages849–852The authors report suicide risk among 1,593 patients with major depression or bipolar disorder, 443 (27.8%) of whom were psychotic (260 bipolar and 183 unipolar). The subjects were followed for 0-14 years, and their suicide experience was compared with ...
https://doi.org/10.1176/ajp.145.7.849Publication date: 01 July 1988
Pages853–856The T2 component of the magnetic resonance imaging (MRI) signal was measured in 11 brain loci in six elderly patients diagnosed as having probable Alzheimer's disease. T2 values and relative amount of periventricular high-intensity foci were significantly ...
https://doi.org/10.1176/ajp.145.7.853Publication date: 01 July 1988
Pages857–860For 43 patients with probable Alzheimer's disease who were screened for psychiatric disorders, the interrater reliability of the Global Deterioration Scale, BPRS, and Hamilton Rating Scale for Depression was high (intraclass correlation, 0.82-0.998). As ...
https://doi.org/10.1176/ajp.145.7.857Publication date: 01 July 1988
Pages861–864Low alpha frequency (less than 10.2 Hz) occurred more frequently in medication-free schizophrenic patients than in normal control subjects, as determined by quantitative EEG analysis. Furthermore, those patients with low alpha frequency had significantly ...
https://doi.org/10.1176/ajp.145.7.861Publication date: 01 July 1988
Pages865–868The authors assessed the impact of the Nazi Holocaust on the course and symptoms of posttraumatic stress disorder (PTSD) among Israeli combat stress reaction casualties. They examined a sample of 96 such casualties of the 1982 Lebanon War whose parents ...
https://doi.org/10.1176/ajp.145.7.865Publication date: 01 July 1988
Pages869–871This retrospective study examined the common notion that neuroleptic- induced dystonia is less frequent in elderly patients. The hospital records of 45 young patients and 45 elderly patients were reviewed. Thirty-one percent of the young patients ...
https://doi.org/10.1176/ajp.145.7.869Publication date: 01 July 1988
Pages872–875The authors gave DSM-III diagnoses to 116 Chinese psychiatric outpatients in Shanghai and compared them with the diagnoses of the same patients made by a Chinese psychiatrist according to Chinese criteria. Affective disorders were the most common DSM-III ...
https://doi.org/10.1176/ajp.145.7.872Publication date: 01 July 1988
Pages876–877Studies of the human leukocyte antigen (HLA) system were performed in 37 patients with anorexia nervosa to confirm an alleged association with HLA-B16 and haplotype HLA-A26,B38. No correlation between anorexia nervosa and HLA, including HLA-DR, could be ...
https://doi.org/10.1176/ajp.145.7.876Publication date: 01 July 1988
Pages878–879Carbamazepine alone or carbamazepine plus neuroleptic was administered to 20 chronic schizophrenic patients. Upon abrupt discontinuation two of the 20 patients had exacerbations of their psychoses characterized by paranoia, hostility, and agitation. The ...
https://doi.org/10.1176/ajp.145.7.878Publication date: 01 July 1988
Pages880–881The authors report eight instances of ECT-induced postictal (emergence) delirium that occurred after bilateral ECT, right unilateral ECT, or left unilateral ECT. They conclude that postictal delirium is a random phenomenon unrelated to lateralized ...
https://doi.org/10.1176/ajp.145.7.880Publication date: 01 July 1988
Pages882–883The authors administered the Zung Self-Rating Depression Scale to 764 black and 773 white adult outpatients in primary care settings. There was no significant difference between the races in prevalence of depressive symptoms or distribution of symptom ...
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