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American Journal of Psychiatry

  • Volume 146
  • Number 8
  • August 1989

Article

Publication date: 01 August 1989

Pages953–962

The authors review the important changes in the three sections of DSM- III-R that include only psychotic disorders (schizophrenia, delusional disorder, and psychotic disorders not elsewhere classified), outline the rationale for these changes, and, where ...

https://doi.org/10.1176/ajp.146.8.953

Publication date: 01 August 1989

Pages963–971

The authors review the research on anorexia nervosa and bulimia nervosa, emphasizing the neurotransmitters and neuromodulators that regulate eating behavior. Anorexia nervosa is associated with changes in the noradrenergic, serotonergic, and opioid ...

https://doi.org/10.1176/ajp.146.8.963

Publication date: 01 August 1989

Pages972–982

Technical advances in surgery and the new antirejection agents cyclosporine and muromonab-CD3 have led to improved outcome for organ transplantation. Allograft rejection and complications of immunosuppressant therapy are often associated with considerable ...

https://doi.org/10.1176/ajp.146.8.972

Publication date: 01 August 1989

Pages983–988

The authors studied 442 probands with nonbipolar major depression, 64 with bipolar II disorder, and 88 with bipolar I disorder. Although the proband groups did not differ in occupational or educational achievement, the first-degree relatives of probands ...

https://doi.org/10.1176/ajp.146.8.983

Publication date: 01 August 1989

Pages989–995

To test hypotheses of opposing roles of dopamine and serotonin in prolactin secretion in seasonal affective disorder, the authors determined basal serum prolactin concentrations for premenopausal women, eight with and 14 without seasonal affective ...

https://doi.org/10.1176/ajp.146.8.989

Publication date: 01 August 1989

Pages996–1000

CO2 inhalation has been reported to induce panic attacks in panic disorder patients. State anxiety, somatic symptoms of anxiety, physiological changes, and cerebral blood flow (CBF) were monitored in panic disorder patients before and after intravenous ...

https://doi.org/10.1176/ajp.146.8.996

Publication date: 01 August 1989

Pages1001–1005

Magnetic resonance imaging (MRI) of the brains of 32 patients who met the DSM-III criteria for obsessive-compulsive disorder and of 14 normal subjects frequently revealed abnormalities, but none was specific to obsessive-compulsive disorder. Spin-lattice ...

https://doi.org/10.1176/ajp.146.8.1001

Publication date: 01 August 1989

Pages1006–1011

The information-processing correlates of positive and negative symptoms in schizophrenic patients are of increasing clinical research interest. The author tested 40 schizophrenic patients and 35 normal control subjects and reports on two major findings. ...

https://doi.org/10.1176/ajp.146.8.1006

Publication date: 01 August 1989

Pages1012–1016

The authors report on the use of playing back audiotaped portions of the speech of two schizophrenic patients during psychotherapy. They believe that this audiotape replay was instrumental in organizing the patients' thoughts and spoken communications and ...

https://doi.org/10.1176/ajp.146.8.1012

Publication date: 01 August 1989

Pages1017–1021

The authors describe psychiatric abnormalities, including personality and affective changes and psychotic symptoms, associated with very mild senile dementia of the Alzheimer type. The behavioral and affective changes in the subjects with very mild ...

https://doi.org/10.1176/ajp.146.8.1017

Publication date: 01 August 1989

Pages1022–1026

One of the major controversies during the development of DSM-III-R was the possible inclusion of self-defeating personality disorder. The authors review the clinical literature that serves as the conceptual basis for this diagnosis. The development of the ...

https://doi.org/10.1176/ajp.146.8.1022

Publication date: 01 August 1989

Pages1027–1031

This paper reports on an empirical study of defense mechanisms in 60 psychiatric inpatients. Eight defenses--compensation, denial, displacement, intellectualization, projection, reaction formation, regression, and repression--were studied in the context ...

https://doi.org/10.1176/ajp.146.8.1027

Publication date: 01 August 1989

Pages1032–1036

The authors recently reported, in this journal, an epidemiologic survey of autism in Utah. Twenty (9.7%) of the 207 families ascertained had more than one autistic child. Analyses of these data revealed that autism is 215 times more frequent among the ...

https://doi.org/10.1176/ajp.146.8.1032

Publication date: 01 August 1989

Pages1037–1040

The authors investigated the melatonin response to 5-methoxypsoralen in 39 healthy adult and elderly subjects and in 13 demented, 13 depressed, and 13 schizophrenic inpatients. Subjects' plasma melatonin levels were evaluated before they took single, oral ...

https://doi.org/10.1176/ajp.146.8.1037

Publication date: 01 August 1989

Pages1041–1043

In a series of 11 melancholic patients who received both right unilateral and bilateral ECT during a single course of treatment, mean and minimum postictal heart rates were greater after bilateral ECT. Greater catecholamine release during bilateral ECT is ...

https://doi.org/10.1176/ajp.146.8.1041

Publication date: 01 August 1989

Pages1044–1047

The authors studied the response of 10 macaque monkeys to administration of sodium lactate, a panicogenic agent used in human panic disorder research, after treatment with the tricyclic antidepressant imipramine, the triazolobenzodiazepine alprazolam, or ...

https://doi.org/10.1176/ajp.146.8.1044

Publication date: 01 August 1989

Pages1048–1051

Of 31 consecutive male patients referred for evaluation of marital violence, 19 (61.3%) had histories of severe head injury. Although the relationship between child abuse and head injury did not reach an acceptable level of significance, it did indicate a ...

https://doi.org/10.1176/ajp.146.8.1048

Publication date: 01 August 1989

Pages1052–1055

Volunteers who claimed they were "healthy and normal" and did not reveal any physical or mental abnormality or medication use during brief structured interviews underwent detailed structured interviews with the Schedule for Affective Disorders and ...

https://doi.org/10.1176/ajp.146.8.1052

Publication date: 01 August 1989

Pages1056–1058

Left-handed schizophrenic patients showed lateral ventricular enlargement and generally poorer performance on intelligence and neuropsychological tests compared with right-handed schizophrenic patients. These results suggest that left-handed schizophrenic ...

https://doi.org/10.1176/ajp.146.8.1056

Publication date: 01 August 1989

Pages1059–1060

While conventional clinical wisdom has been that panic disorder does not occur in children, evidence derived from structured diagnostic interviews suggests that panic disorder, similar in symptom pattern to the adult disorder, does occur in children and ...

https://doi.org/10.1176/ajp.146.8.1059

Publication date: 01 August 1989

Pages1061–1062

The lifetime prevalence of interview-determined four-symptom panic attacks in 95 ninth graders was 11.6%. Those with panic attacks were significantly more depressed, were significantly more likely to have separated or divorced parents, and tended to be ...

https://doi.org/10.1176/ajp.146.8.1061

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Publication date: 01 August 1989

Pages1089-b–1089

In the article "A Comparison of Three Measures for the Diagnosis of Borderline Personality Disorder" (November 1988 issue, pp. 1453-1454) by Lynne E. Angus, Ph.D., and Elsa Marziali, Ph.D., the percent for Diagnostic Interview for Borderline Patients, ...

https://doi.org/10.1176/ajp.146.8.1089-b

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