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American Journal of Psychiatry

  • Volume 146
  • Number 11
  • November 1989

Publication date: 01 November 1989

Pages1394–1403

Three of Freud's case histories are reviewed and reexamined from the perspective of modern psychodynamic thinking. The Dora case illuminates advances in our understanding of adolescent psychology and countertransference. The cases of the Rat Man and the ...

https://doi.org/10.1176/ajp.146.11.1394

Publication date: 01 November 1989

Pages1404–1412

Some of the most important issues in dynamic psychiatry involve the mechanisms of action of and the distinctions between psychotherapy and psychoanalysis. Recent advances in developmental psychology and in clinical practice and theory provide new insights ...

https://doi.org/10.1176/ajp.146.11.1404

Publication date: 01 November 1989

Pages1413–1422

Four psychiatric syndromes related to reproductive function in women have been identified: postpartum depression, premenstrual syndrome (PMS), post-hysterectomy depression, and involutional melancholia. The authors review what is known about these ...

https://doi.org/10.1176/ajp.146.11.1413

Publication date: 01 November 1989

Pages1423–1426

A survey of 794 subjects volunteering for studies of panic disorder with or without phobic avoidance revealed that fewer than 15% had received imipramine and fewer than 15% had undergone in vivo exposure, although the majority had engaged in some form of ...

https://doi.org/10.1176/ajp.146.11.1423

Publication date: 01 November 1989

Pages1427–1433

Several investigators have proposed that diurnal rhythms, particularly that of the norepinephrine metabolite 3-methoxy-4-hydroxyphenylglycol (MHPG), show abnormalities in affective disorders. The present study compared diurnal MHPG rhythms in the plasma ...

https://doi.org/10.1176/ajp.146.11.1427

Publication date: 01 November 1989

Pages1434–1439

The hypothesis that alexithymia reflects a functional disconnection between the two cerebral hemispheres was examined in 25 male combat veterans with posttraumatic stress disorder (PTSD). Multiple regression analysis revealed that the efficiency of ...

https://doi.org/10.1176/ajp.146.11.1434

Publication date: 01 November 1989

Pages1440–1446

The authors studied the prevalence of eight chronic medical conditions in an adult population sample (N = 2,554) with and without psychiatric disorders. Adjusted for age and sex, the prevalence of any lifetime chronic medical condition for persons with ...

https://doi.org/10.1176/ajp.146.11.1440

Publication date: 01 November 1989

Pages1447–1450

The authors investigated the reliability of the Psychotherapy Supervisory Inventory scales, which rate behaviors of supervisors on the basis of observation of supervision sessions. The scales assess focus on the therapist and the patient, intellectual and ...

https://doi.org/10.1176/ajp.146.11.1447

Publication date: 01 November 1989

Pages1451–1455

In an open study, seven patients with Parkinson's disease received ECT for major depression. Both the motor dysfunction and the mood impairment of these patients improved following an average of seven ECT sessions. Significant improvement in motor ...

https://doi.org/10.1176/ajp.146.11.1451

Publication date: 01 November 1989

Pages1456–1461

The Markers and Predictors of Psychosis study at the University of British Columbia addresses the role of psychosocial factors, such as social relationships, in predicting the short-term course of first- episode schizophrenia. Before their first episode ...

https://doi.org/10.1176/ajp.146.11.1456

Publication date: 01 November 1989

Pages1462–1467

The authors assessed the occurrence of suicidal ideation, suicide attempts, major depression, and substance abuse in a sample of 424 apparently healthy college students 16-19 years old. Major depression and substance abuse were independent and interactive ...

https://doi.org/10.1176/ajp.146.11.1462

Publication date: 01 November 1989

Pages1468–1471

Data from a family study of psychiatric disorders showed higher rates of major affective disorders, eating disorders, and alcoholism in first- degree relatives of 40 bulimic probands than in first-degree relatives of 24 control subjects. More importantly, ...

https://doi.org/10.1176/ajp.146.11.1468

Publication date: 01 November 1989

Pages1472–1478

Eleven percent (N = 25) of 232 dementia patients seen in an active geropsychiatry service also met criteria for major depression. Ten patients with dementia/depression were prospectively compared with 10 non-depressed demented and 33 nondemented depressed ...

https://doi.org/10.1176/ajp.146.11.1472

Publication date: 01 November 1989

Pages1479–1483

The authors studied the response to sodium lactate infusion of 12 alcoholics with a history of panic attacks, 10 alcoholics without a history of panic attacks, and 16 nonalcoholic patients with panic disorder. The rate of lactate-induced panic was ...

https://doi.org/10.1176/ajp.146.11.1479

Publication date: 01 November 1989

Pages1484–1488

The authors explored the multidimensional aspects of early grief reactions in 201 relatives and close friends of victims of accidental deaths, suicides, homicides, and sudden natural deaths. A principal components analysis of a grief reaction measure ...

https://doi.org/10.1176/ajp.146.11.1484

Publication date: 01 November 1989

Pages1489–1491

The authors investigated the pregnancy outcomes, contraceptive behavior, and contraceptive needs of 80 female chronic psychiatric outpatients. Thirty-one percent of the patients reported they had had induced abortions. Of 75 children born, 60% were being ...

https://doi.org/10.1176/ajp.146.11.1489

Publication date: 01 November 1989

Pages1492–1494

The meaningful application of the biopsychosocial model in psychiatry requires explicit attention to the relational or interpersonal level of functioning. Family-oriented researchers and clinicians recommend that, despite pressures for early publication ...

https://doi.org/10.1176/ajp.146.11.1492

Publication date: 01 November 1989

Pages1495–1497

Ten patients with histories of postpsychotic depression responsive to adjunctive imipramine added to fluphenazine decanoate and benztropine underwent a double-blind trial of imipramine discontinuation 6 months after responding to the adjunctive ...

https://doi.org/10.1176/ajp.146.11.1495

Publication date: 01 November 1989

Pages1498–1499

Eighteen borderline and 29 nonborderline female patients were scored on perceptions of care and of protection by each of their parents. The two groups differed significantly in that borderline patients perceived less care than did nonborderline patients, ...

https://doi.org/10.1176/ajp.146.11.1498

Publication date: 01 November 1989

Pages1500–1502

The Defense Style Questionnaire was administered to control subjects from the general population (N = 204) and to patients with DSM-III panic disorder (N = 39), agoraphobia (N = 39), social phobia (N = 23), or obsessive-compulsive disorder (N = 18). A ...

https://doi.org/10.1176/ajp.146.11.1500

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Publication date: 01 November 1989

Pages1523-b–1523

In the article "Psychiatric Aspects of Organ Transplantation"(August 1989 issue, pp. 972-982)by Owen S. Surman, M.D., C.M., on p. 978, under Postoperative Adjustment, the second sentence should read, "The liver is relatively favored in this regard (133)."

https://doi.org/10.1176/ajp.146.11.1523-b

Publication date: 01 November 1989

Pages1523-c–1523

In the review by Lyman C. Wynne, M.D., Ph.D., of the book Marital and Family Therapy, 3rd ed. by Ira D. Glick, M.D., John F. Clarkin, Ph.D., and David R. Kessler, M.D. (September 1989 issue, p. 1223), Drs. Glick, Clarkin, and Kessler should have been ...

https://doi.org/10.1176/ajp.146.11.1523-c

Publication date: 01 November 1989

Page1524

This statement was developed by Stephen P. Herman, M.D., for the Committee for Rights and Legal Matters1 of the American Academy of Child and Adolescent Psychiatry, and it was approved by the American Academy of Child and Adolescent Psychiatry in June ...

https://doi.org/10.1176/ajp.146.11.1524

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