American Journal of Psychiatry
- Volume 146
- Number 10
- October 1989
Publication date: 01 October 1989
Pages1251–1260Most models of psychotropic drug action have emphasized effects on the release or uptake of neurotransmitters as well as interactions with receptors. Stimulation of neurotransmitter receptors triggers a complex array of electrical and biochemical actions. ...
https://doi.org/10.1176/ajp.146.10.1251Publication date: 01 October 1989
Pages1261–1266Erotomania, the persistent delusion of being loved from afar by another person, has defied easy categorization for years. Kraepelin and de Clerambault both discussed the syndrome in detail, but it has recently appeared officially for the first time, in ...
https://doi.org/10.1176/ajp.146.10.1261Publication date: 01 October 1989
Pages1267–1273The diagnostic category called simple schizophrenia has disappeared from official American nosology but has been retained in ICD-9. The diagnosis has a long history, was one of the traditional schizophrenic subtypes identified by Bleuler, and was later ...
https://doi.org/10.1176/ajp.146.10.1267Publication date: 01 October 1989
Pages1274–1279The authors report 6- and 12-month follow-up data for 45 depressed inpatients who were randomly assigned to either standard treatment (hospital milieu therapy, pharmacotherapy, clinical management sessions), cognitive therapy plus standard treatment, or ...
https://doi.org/10.1176/ajp.146.10.1274Publication date: 01 October 1989
Pages1280–1284Inpatients from the Chestnut Lodge follow-up study diagnosed with character disorder were studied to predict future schizophrenic decompensation. Individually, three DSM-III criteria for schizotypal personality disorder predicted schizophrenia at long-...
https://doi.org/10.1176/ajp.146.10.1280Publication date: 01 October 1989
Pages1285–1288Sixty patients with acquired immune deficiency syndrome (AIDS) or AIDS- related complex were treated on a locked inpatient psychiatric unit over a 30-month period. The wide range of mental disorders exhibited by these patients, key aspects of patient ...
https://doi.org/10.1176/ajp.146.10.1285Publication date: 01 October 1989
Pages1289–1292The authors reviewed relevant studies in an attempt to define the onset and time course of antipsychotic effects of neuroleptic drugs. After excluding open trials, studies of chronically psychotic patients, and studies not using a placebo or ...
https://doi.org/10.1176/ajp.146.10.1289Publication date: 01 October 1989
Pages1293–1298The first 4 years of an intensive community support program were evaluated in terms of key variables of patient stabilization. Patients (N = 196) had previously demonstrated an inability to manage themselves without repeated and/or lengthy ...
https://doi.org/10.1176/ajp.146.10.1293Publication date: 01 October 1989
Pages1299–1303The authors prospectively evaluated 20 normally menstruating women with panic disorder across a minimum of two drug-free menstrual cycles. There were no significant effects of menstrual cycle phase on anxiety ratings in the panic disorder patients or in ...
https://doi.org/10.1176/ajp.146.10.1299Publication date: 01 October 1989
Pages1304–1306The authors infused 45 control subjects with sodium lactate. Eight of 10 subjects with lactate-induced panic attacks and 26 of 35 without panic attacks were interviewed. An investigator, blind to the outcome of the infusion study, obtained family ...
https://doi.org/10.1176/ajp.146.10.1304Publication date: 01 October 1989
Pages1307–1311Over 3 months, 13 Caucasian and 16 Asian schizophrenic patients were sequentially treated with weight-adjusted fixed doses and clinically determined, variable doses of haloperidol. During the fixed-dose phase, Asians had a slightly higher mean serum ...
https://doi.org/10.1176/ajp.146.10.1307Publication date: 01 October 1989
Pages1312–1314The authors question the clinical status of factitious disorder with psychological symptoms as a mental disorder. In particular, they argue that unresolved issues regarding the motivational basis of this disorder and the lack of clearly delineated ...
https://doi.org/10.1176/ajp.146.10.1312Publication date: 01 October 1989
Pages1315–1319The authors describe a crosswalk, or translation, from DSM-III-R to ICD- 9-CM. They present differences in the purposes and formatting of these two documents and discuss different levels of compatibility between the two. They demonstrate several problems ...
https://doi.org/10.1176/ajp.146.10.1315Publication date: 01 October 1989
Pages1320–1322Olfactory identification and olfactory acuity were measured in 41 schizophrenic patients receiving neuroleptic medication and in 43 normal control subjects. The performance of the male schizophrenic patients was significantly lower than that of the female ...
https://doi.org/10.1176/ajp.146.10.1320Publication date: 01 October 1989
Pages1323–1327In this paper a group of knowledgeable individuals with expertise in psychiatric education present their recommendations for a basic psychiatric residency curriculum concerning the chronically mentally ill. The proposed curriculum consists of knowledge, ...
https://doi.org/10.1176/ajp.146.10.1323Publication date: 01 October 1989
Pages1328–1330Clomipramine was significantly superior to placebo in a 10-week double- blind, placebo-controlled trial in 27 outpatients who met DSM-III-R criteria for obsessive-compulsive disorder.
https://doi.org/10.1176/ajp.146.10.1328Publication date: 01 October 1989
Pages1331–1332The charts of 2,719 patients from several outpatient clinics were reviewed for evidence of use and abuse of benzodiazepines. According to the chart data and interviews with physicians, no patient met the criteria for benzodiazepine abuse or dependence.
https://doi.org/10.1176/ajp.146.10.1331Publication date: 01 October 1989
Pages1333–1335Nine of 12 men with a family history of alcoholism but only two of 12 control subjects had euphoric responses to alprazolam. The authors conclude that sons of alcoholics may be at high risk to abuse alprazolam.
https://doi.org/10.1176/ajp.146.10.1333Article
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Publication date: 01 October 1989
Page1390These guidelines were prepared by the Council on Psychiatric Services1 and were approved by the Board of Trustees on June 23, 1989.
https://doi.org/10.1176/ajp.146.10.1390Past Issues
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