American Journal of Psychiatry
- Volume 146
- Number 12
- December 1989
Publication date: 01 December 1989
Pages1530–1540In this reappraisal of the work of Pierre Janet at the centenary of the publication of L'automatisme psychologique, the authors review his investigations into the mental processes that transform traumatic experiences into psychopathology. Janet was the ...
https://doi.org/10.1176/ajp.146.12.1530Publication date: 01 December 1989
Pages1541–1551Process theory is a comprehensive theory of physical and psychological processes that can serve to integrate biological, social, and psychodynamic psychiatry. Process theory uses concepts derived from mathematical dynamics and Heraclitus's process ...
https://doi.org/10.1176/ajp.146.12.1541Publication date: 01 December 1989
Pages1552–1560Over the past 20 years, object relations theory has broadly influenced general psychiatry. Along with its insights, the theory has brought its own conundrums. This paper provides an overview of the theory, indicating its contributions--such as a basis for ...
https://doi.org/10.1176/ajp.146.12.1552Publication date: 01 December 1989
Pages1561–1567A national field trial of the criteria for self-defeating personality disorder was conducted in 1986. Among psychiatrists with a special interest in personality disorders there was a lack of consensus as to the need for the category in DSM-III-R. Although ...
https://doi.org/10.1176/ajp.146.12.1561Publication date: 01 December 1989
Pages1568–1574This chart review study compared 54 schizophrenic patients with onset of illness after age 45 years to 54 young and 22 elderly patients with early-onset schizophrenia (before age 45). The index group was more likely to have visual, tactile, and olfactory ...
https://doi.org/10.1176/ajp.146.12.1568Publication date: 01 December 1989
Pages1575–1579A list of the 142 diagnostic criteria for the DSM-III-R personality disorders was sent to a national sample of psychiatrists and clinical psychologists. The criteria were presented in randomly scrambled order, and clinicians were asked to assign the ...
https://doi.org/10.1176/ajp.146.12.1575Publication date: 01 December 1989
Pages1580–1584Histories of psychiatry concerning preindustrial Europe emphasize demonologic beliefs and physical mistreatment of the insane. Records of an English legal incompetency jurisdiction demonstrate that both government officials and laymen accepted that ...
https://doi.org/10.1176/ajp.146.12.1580Publication date: 01 December 1989
Pages1585–1591The authors conducted a systematic examination of DSM-III-R personality disorders among 35 patients with eating disorders. Fifty-seven percent of the patients met the criteria for at least one axis II diagnosis; borderline, self-defeating, and avoidant ...
https://doi.org/10.1176/ajp.146.12.1585Publication date: 01 December 1989
Pages1592–1597The authors report on 404 Southeast Asian refugees seen at a community clinic. Approximately three-quarters of these patients met DSM-III criteria for major depressive episode, and 14% had posttraumatic stress disorder. Complaints of pain and sleep ...
https://doi.org/10.1176/ajp.146.12.1592Publication date: 01 December 1989
Pages1598–1601The combination of haloperidol, 5 mg, and lorazepam, 4 mg, was both effective and safe for managing agitated behavior in an open trial with acutely psychotic patients. The combination also appeared to be superior to its individual components when studied ...
https://doi.org/10.1176/ajp.146.12.1598Publication date: 01 December 1989
Pages1602–1606The charts of 100 nonpsychotic female patients in a psychiatric emergency room were reviewed to locate references to history of sexual molestation: 50 charts were selected at random from emergency room files, and 50 charts had been written by clinicians ...
https://doi.org/10.1176/ajp.146.12.1602Publication date: 01 December 1989
Pages1607–1610Three consecutive cases of multiple personality disorder seen over a period of 3 years at a psychiatric clinic in India are reported. The prevalence of this disorder at the clinic is about 0.15/1,000 patients per year. The authors discuss the infrequency ...
https://doi.org/10.1176/ajp.146.12.1607Publication date: 01 December 1989
Pages1611–1613Five men in a methadone treatment program who were also receiving desipramine had significantly higher desipramine serum levels when taking both drugs than when taking the antidepressant alone. Monitoring of desipramine serum levels may be useful with ...
https://doi.org/10.1176/ajp.146.12.1611Publication date: 01 December 1989
Pages1614–1615Eight men with chronic schizophrenia and self-induced water intoxication showed marked individual differences in their serum sodium levels. The severity of the intoxication symptoms reflected the amount and speed of change in sodium levels rather than the ...
https://doi.org/10.1176/ajp.146.12.1614Publication date: 01 December 1989
Pages1616–1617After 3-4 weeks of taking fluoxetine for depression, a 27-year-old man developed fever, skin eruptions, arthralgia, and lymphadenopathy. His clinical symptoms and results of laboratory assessment were consistent with a diagnosis of serum sickness reaction ...
https://doi.org/10.1176/ajp.146.12.1616Publication date: 01 December 1989
Pages1618–1619This survey of the gambling behavior of 1,750 adults in New Jersey and Maryland confirmed findings in New York State. The substantial differences between problem and pathological gamblers in the general population and those entering treatment programs ...
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Publication date: 01 December 1989
Page1651In a recent personal communication, our colleague, Jim Mintz, Ph.D., brought to our attention errors in two of our articles in the American Journal of Psychiatry. In our 1987 article titled "Twelve Month Follow-Up of Psychotherapy for Opiate Dependence" (...
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