American Journal of Psychiatry
- Volume 146
- Number 7
- July 1989
Publication date: 01 July 1989
Pages821–828A consensus has developed among mental health professionals that the legal duty to protect potential victims of their patients' violent acts, as fashioned by the courts, requires modification. To date, 12 states have responded with legislation designed to ...
https://doi.org/10.1176/ajp.146.7.821Publication date: 01 July 1989
Pages829–839The authors review what has been learned about the causes, symptoms, and treatments of seasonal affective disorder and discuss its relevance to affective illness in general. They point out that seasonal and environmental influences on depression have been ...
https://doi.org/10.1176/ajp.146.7.829Publication date: 01 July 1989
Pages840–848The authors review the research literature on drug treatment for the prevention of recurrences in bipolar disorder, emphasizing the available alternatives to lithium therapy. They discuss the need for alternative treatments and the current status of ...
https://doi.org/10.1176/ajp.146.7.840Publication date: 01 July 1989
Pages849–853This study relates violent behavior of schizophrenic inpatients to demographic, historical, EEG, neurological, and neuropsychological variables. Patients were classified into high (N = 28), low (N = 27), or no (N = 34) violence groups. There were no ...
https://doi.org/10.1176/ajp.146.7.849Publication date: 01 July 1989
Pages854–859Clinical observations suggest that patients with generalized anxiety disorder differ in somatic symptoms. The authors compared 28 patients with generalized anxiety disorder who had high levels of cardiovascular complaints with 32 patients with generalized ...
https://doi.org/10.1176/ajp.146.7.854Publication date: 01 July 1989
Pages860–865The authors assessed the effects of partial tapering followed by abrupt discontinuation of alprazolam, diazepam, and placebo in 40 patients with panic attacks. The anxiety scores and frequency of panic attacks of the three groups did not differ at the end ...
https://doi.org/10.1176/ajp.146.7.860Publication date: 01 July 1989
Pages866–870Startle responses to bursts of white noise were recorded as blink reflexes 17-21 months after a traumatic event in six children with posttraumatic stress disorder (PTSD) and in six normal control children. A seventh child with PTSD was studied on four ...
https://doi.org/10.1176/ajp.146.7.866Publication date: 01 July 1989
Pages871–875This developmental study provides some normative data on the distribution of depressive symptoms in 210 children and adolescents in three different age groups (8, 12, and 17 years) from a nonclinically referred sample. The Child Assessment Schedule and ...
https://doi.org/10.1176/ajp.146.7.871Publication date: 01 July 1989
Pages876–880The authors examined levels of psychosocial distress and well-being in 65 gay or bisexual men infected with the human immunodeficiency virus (HIV); 24 of these men had asymptomatic HIV infection, 22 had acquired immune deficiency syndrome (AIDS)-related ...
https://doi.org/10.1176/ajp.146.7.876Publication date: 01 July 1989
Pages881–886Psychiatrists in Australia and New Zealand are similarly trained, but the health care delivery systems in each country differ. Australia has unlimited insurance for fee-for-service private practice and has twice the psychiatrists and half the psychiatric ...
https://doi.org/10.1176/ajp.146.7.881Publication date: 01 July 1989
Pages887–891The authors examined the role of fantasy as an internal drive mechanism for repetitive acts of sexual violence. A sample of 25 serial sexual murderers with three or more known victims each was compared with a sample of 17 single sexual murderers, with ...
https://doi.org/10.1176/ajp.146.7.887Publication date: 01 July 1989
Pages892–897Text and diagnostic criteria for a new category, late luteal phase dysphoric disorder, appear in appendix A of DSM-III-R: "Proposed Diagnostic Categories Needing Further Study." The inclusion of this category in the manual was perhaps the most ...
https://doi.org/10.1176/ajp.146.7.892Publication date: 01 July 1989
Pages898–901Because only 2% of the 47% of cancer patients with psychiatric disorders receive psychiatric consultations, the authors investigated the impact of a psychiatric liaison program on improving consultation rates on a gynecologic oncology unit. Consultation ...
https://doi.org/10.1176/ajp.146.7.898Publication date: 01 July 1989
Pages902–904To determine whether a formalized informing process transmitted knowledge concerning the risks and benefits of neuroleptic medication, particularly the risk of tardive dyskinesia, to stable schizophrenic outpatients, the authors administered a multiple-...
https://doi.org/10.1176/ajp.146.7.902Publication date: 01 July 1989
Pages905–908Because CNS neuroleptic concentration cannot be directly measured in patients, the relation between clinical response and extent of dopamine receptor blockade is unknown. This relationship is critical in ascertaining whether nonresponse to neuroleptics is ...
https://doi.org/10.1176/ajp.146.7.905Publication date: 01 July 1989
Pages909–911A 12-week open trial of fluoxetine in 61 obsessive-compulsive disorder patients significantly improved depressive and obsessive-compulsive symptoms. Baseline depression scores were not related to improvement on two obsessive-compulsive scales. The results ...
https://doi.org/10.1176/ajp.146.7.909Publication date: 01 July 1989
Pages911–913Four patients treated with tricyclic antidepressants and one patient treated with trazodone all demonstrated marked increases in plasma levels of these drugs after the addition of fluoxetine. Such increases could increase adverse effects.
https://doi.org/10.1176/ajp.146.7.911Publication date: 01 July 1989
Pages914–916Four patients with panic disorder whose panic attacks responded to benzodiazepine treatment but who suffered persistent anxiety improved after addition of buspirone. Despite its lack of antipanic effect, buspirone may offer an adjunctive benefit when ...
https://doi.org/10.1176/ajp.146.7.914Publication date: 01 July 1989
Pages917–919Plasma lipids were measured in 102 subjects with panic disorder or agoraphobia. In women, but not men, a significantly higher than expected number of subjects had cholesterol values that exceeded the 75th percentile of national reference values for their ...
https://doi.org/10.1176/ajp.146.7.917Publication date: 01 July 1989
Pages920–921Although the onset of panic disorder with agoraphobia is usually thought to occur in early adulthood, the authors describe three cases in which onset occurred after age 65.
https://doi.org/10.1176/ajp.146.7.920Publication date: 01 July 1989
Pages922–924The authors report three cases of panic disorder with agoraphobia in children, with characteristic panic attacks, separation anxiety, and fear and avoidance of crowds and public places. The panic and agoraphobic symptoms responded to medications effective ...
https://doi.org/10.1176/ajp.146.7.922Publication date: 01 July 1989
Pages925–926Midazolam was administered to three mentally retarded patients with acute and refractory aggressivity and violence. Midazolam was well tolerated without complications and provided dramatic control of the symptoms, suggesting an expanded role for it in the ...
https://doi.org/10.1176/ajp.146.7.925Article
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Publication date: 01 July 1989
Pages950-b–950In the letter to the Editor "Refinement of the Diagnosis of Schizophreniform Disorder" from Patrick E. Ciccone, M.D. (April 1989 issue, pp. 561-562), the question in the first line of the last paragraph should begin "is it not reasonable . . . ?"
https://doi.org/10.1176/ajp.146.7.950-bPast Issues
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