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American Journal of Psychiatry

  • Volume 146
  • Number 5
  • May 1989

Publication date: 01 May 1989

Pages573–576

The author examines some widely held views about prophylactic lithium treatment. When seen in relation to the factual evidence concerning lithium, these views require revision because they are wrong or not valid for treatment carried out according to ...

https://doi.org/10.1176/ajp.146.5.573

Publication date: 01 May 1989

Pages577–587

The authors reviewed 30 studies on Alzheimer's disease to determine the prevalence and phenomenology of affective and psychotic symptoms in patients with this disorder. Depressive and psychotic symptoms occurred in 30%-40% of the Alzheimer's disease ...

https://doi.org/10.1176/ajp.146.5.577

Publication date: 01 May 1989

Pages588–596

Although psychiatry is part of Western biomedicine and its roots in neurobiology are widely appreciated, Anglo-American psychiatry addresses social behavior that is deviant and potentially stigmatizing and is said to uniquely engage in social control. ...

https://doi.org/10.1176/ajp.146.5.588

Publication date: 01 May 1989

Pages597–602

The author addresses the issue of sexual relations between therapist and patient and the related boundary violations that are involved in such relations. He points out that patients with borderline personality disorder are particularly likely to evoke ...

https://doi.org/10.1176/ajp.146.5.597

Publication date: 01 May 1989

Pages603–608

The Boston Psychotherapy Study found no major differences in the effects of insight-oriented and supportive psychotherapies in the treatment of schizophrenia. The authors of the current study looked beyond the assignments to those treatment designations ...

https://doi.org/10.1176/ajp.146.5.603

Publication date: 01 May 1989

Pages609–616

The authors examined the immune status at the cellular and humoral levels of 16 untreated schizophrenic patients. No abnormality in the distribution of T cell subsets (CD4+, CD8+) was detected. The proliferative response to the T cell mitogen ...

https://doi.org/10.1176/ajp.146.5.609

Publication date: 01 May 1989

Pages617–621

Of 86 alcoholic men with severe alcohol withdrawal who began a double- blind controlled study comparing carbamazepine, 800 mg/day, to oxazepam, 120 mg/day, 66 (carbamazepine, N = 32; oxazepam, N = 34) completed the 7-day trial. In general, the drugs were ...

https://doi.org/10.1176/ajp.146.5.617

Publication date: 01 May 1989

Pages622–626

The authors assessed life events during the 12 months before the onset of panic disorder in 64 patients. Compared with a control group of 78 healthy subjects, patients with panic disorder had higher scores however life events were assessed, i.e., number ...

https://doi.org/10.1176/ajp.146.5.622

Publication date: 01 May 1989

Pages627–634

In a group of stroke patients with left-hemisphere lesions, those with major depression performed significantly below nondepressed patients on four of nine cognitive domains examined with a neuropsychological test battery. Among patients with right-...

https://doi.org/10.1176/ajp.146.5.627

Publication date: 01 May 1989

Pages635–639

The authors studied 25 middle-class pregnant women and their husbands who had experienced perinatal losses (16 miscarriages, seven stillbirths, and two neonatal deaths) within the previous 2 years. The Perinatal Bereavement Scale was designed to determine ...

https://doi.org/10.1176/ajp.146.5.635

Publication date: 01 May 1989

Pages640–644

The authors studied the other recent psychiatric symptoms of 218 subjects who reported having had depressive episodes within the past year to determine the influence of the nondepressive symptoms on whether the subjects discussed the depressive episodes ...

https://doi.org/10.1176/ajp.146.5.640

Publication date: 01 May 1989

Pages645–651

The authors studied arrest records and clinical data on 217 persons formerly hospitalized as "White House Cases" because they were psychotically preoccupied with prominent political figures. Prior arrest for violent crime was the variable most strongly ...

https://doi.org/10.1176/ajp.146.5.645

Publication date: 01 May 1989

Pages652–655

In an epidemiological study of 5,596 high school students, the authors identified 20 adolescents with obsessive-compulsive disorder and compared their physical size to that of adolescents of the same sex with no obsessive-compulsive symptoms. The ...

https://doi.org/10.1176/ajp.146.5.652

Publication date: 01 May 1989

Pages656–658

Contagion of self-mutilation was studied in a treatment program for disturbed adolescents. Statistical analyses and a sociogram revealed that 1) episodes of contagion were significantly associated with specific pairs of subjects, and 2) a few subjects ...

https://doi.org/10.1176/ajp.146.5.656

Publication date: 01 May 1989

Pages659–661

Using a two-stage screening procedure, ICD-9 diagnostic criteria, and the Hamilton Rating Scale for Depression, the authors diagnosed depressive disorders in 81 (9.2%) of 881 patients in a primary care setting in Kenya. All depressed patients had somatic ...

https://doi.org/10.1176/ajp.146.5.659

Publication date: 01 May 1989

Pages662–664

The authors used the MMPI to assess psychopathology in neurologically impaired and neurologically asymptomatic patients with Wilson's disease. Neurologically impaired patients showed more psychopathology on the schizophrenia and depression scales and had ...

https://doi.org/10.1176/ajp.146.5.662

Publication date: 01 May 1989

Pages665–666

Posttraumatic stress disorder, as defined by DSM-III, remains a controversial diagnostic entity. This descriptive study, which was carried out by the author in a war zone, supports the changes made in the criteria in DSM-III-R.

https://doi.org/10.1176/ajp.146.5.665

Publication date: 01 May 1989

Pages667–669

Of 156 wounded Vietnam veterans evaluated for posttraumatic stress disorder (PTSD) by a questionnaire and a diagnostic interview in selected cases, 40% had a definite or probable lifetime diagnosis of PTSD. Of the 27 interviewed patients with lifetime ...

https://doi.org/10.1176/ajp.146.5.667

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Publication date: 01 May 1989

Page689

The names listed below were inadvertently omitted from the Editor's "New Year's Greetings" (January 1989 issue, pp. 2-7), which is partially reprinted here: New Year's Greetings "If men could learn from history," remarked Samuel Taylor Coleridge, "what ...

https://doi.org/10.1176/ajp.146.5.689

Publication date: 01 May 1989

Pages690–694

This report was prepared by the Committee on Occupational Psychiatry1 of the Council on National Affairs. It was approved by the Board of Trustees in December 1988.

https://doi.org/10.1176/ajp.146.5.690

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