American Journal of Psychiatry

Volume 147
Number 1
January 1990

Article

New Year's Greetings

J. C. N.

Publication date: 01 January 1990

Pages1–6https://doi.org/10.1176/ajp.147.1.1

Psychotherapy training for the psychiatrist of the future

Publication date: 01 January 1990

Pages7–13

There is uncertainty about the future role of psychodynamic psychotherapy in psychiatric practice and education. The Association for Academic Psychiatry and the American Association of Directors of Psychiatry Residency Training formed a joint task force ...

https://doi.org/10.1176/ajp.147.1.7

The biological basis of an antidepressant response to sleep deprivation and relapse: review and hypothesis

Publication date: 01 January 1990

Pages14–21

Sixty-one papers involving over 1,700 subjects have documented that over half of depressed patients experience an antidepressant response to sleep deprivation. Eighty-three percent of unmedicated depressed patients who had an antidepressant response to ...

https://doi.org/10.1176/ajp.147.1.14

Differential diagnosis and classification of apathy

Publication date: 01 January 1990

Pages22–30

This paper discusses the definition of apathy, reviews its differential diagnosis, and proposes a classification for the conditions that may produce it. Apathy is defined as diminished motivation not attributable to diminished level of consciousness, ...

https://doi.org/10.1176/ajp.147.1.22

Natural history of male psychological health, XII: a 45-year study of predictors of successful aging at age 65

Publication date: 01 January 1990

Pages31–37

In order to determine important predictors of psychosocial and physical vitality in late midlife, the authors examined the lives of 173 men prospectively studied from ages 18 to 65. Biopsychosocial predictors-- gathered before age 50--were examined for ...

https://doi.org/10.1176/ajp.147.1.31

Medicine court, II: Rivers in practice

Publication date: 01 January 1990

Pages38–43

The authors conducted a retrospective study of the initial impact (1986- 1987) of the Rivers v. Katz decision involving patients' right to refuse treatment at New York State's largest forensic psychiatric hospital. Of 18 petitions submitted, 15 cases were ...

https://doi.org/10.1176/ajp.147.1.38

Striatal D2 dopaminergic receptors assessed with positron emission tomography and [76Br]bromospiperone in untreated schizophrenic patients

Publication date: 01 January 1990

Pages44–50

Striatal D2 dopaminergic receptors of 12 drug-free schizophrenic patients and 12 normal subjects were investigated with positron emission tomography and [76Br]bromospiperone. Patients were classified according to DSM-III criteria, and their clinical ...

https://doi.org/10.1176/ajp.147.1.44

Computer-administered cognitive-behavioral therapy for depression

Publication date: 01 January 1990

Pages51–56

The authors evaluated a six-session interactive computer cognitive- behavioral treatment program given to volunteer patients who met Research Diagnostic Criteria (RDC) for major or minor depressive disorder. Patients were randomly assigned to computer-...

https://doi.org/10.1176/ajp.147.1.51

Cognitive features of borderline personality disorder

Publication date: 01 January 1990

Pages57–63

Of 50 patients with borderline personality disorder, 100% reported disturbed but nonpsychotic thought, 40% (N = 20) reported quasi- psychotic thought, and none reported true psychotic thought during the past 2 years; only 14% (N = 7) reported ever ...

https://doi.org/10.1176/ajp.147.1.57

Combined Alcoholics Anonymous and professional care for addicted physicians

Publication date: 01 January 1990

Pages64–68

The authors studied 100 impaired physicians who were successfully treated in a program that combined professionally directed psychotherapeutic treatment and peer-led self-help. An average of 33.4 months after admission they all reported being abstinent ...

https://doi.org/10.1176/ajp.147.1.64

Hypnotizability of psychiatric inpatients according to two different scales

Publication date: 01 January 1990

Pages69–75

Data on the hypnotizability of 113 psychiatric inpatients and 58 normal control subjects were compared. The patients' mean score on the Hypnotic Induction Profile was significantly lower than that of the control subjects, but on the Stanford Hypnotic ...

https://doi.org/10.1176/ajp.147.1.69

The Structured Clinical Interview for DSM-III-R Dissociative Disorders: preliminary report on a new diagnostic instrument

Publication date: 01 January 1990

Pages76–82

The authors describe the Structured Clinical Interview for DSM-III-R Dissociative Disorders (SCID-D), which investigates five groups of dissociative symptoms (amnesia, depersonalization, derealization, identity confusion, and identity alteration) and ...

https://doi.org/10.1176/ajp.147.1.76

Assessing symptom change in Southeast Asian refugee survivors of mass violence and torture

Publication date: 01 January 1990

Pages83–88

The authors evaluated changes in symptoms and levels of perceived distress of 21 Cambodian, 13 Hmong/Laotian, and 18 Vietnamese patients before and after a 6-month treatment period. Most of the patients improved significantly. Cambodians had the greatest ...

https://doi.org/10.1176/ajp.147.1.83

Psychiatric diagnosis before serological testing for the human immunodeficiency virus

Publication date: 01 January 1990

Pages89–93

To identify the diagnostic characteristics and counseling needs of individuals at risk for acquired immune deficiency syndrome (AIDS), standardized DSM-III-R diagnoses were given to 207 physically asymptomatic adults when they sought serological testing ...

https://doi.org/10.1176/ajp.147.1.89

Neuropsychiatric manifestations of altered thyroid state

Publication date: 01 January 1990

Pages94–99

The authors assessed the mood and cognitive effects of sequential T4, T3, and withdrawal of thyroid hormone replacement on 25 patients who had had thyroidectomies for thyroid cancer. The patients experienced increased sadness and anxiety when they were ...

https://doi.org/10.1176/ajp.147.1.94

Transfers of hospitalized psychiatric patients under Medicare's prospective payment system

Publication date: 01 January 1990

Pages100–105

Medicare's reimbursement policy provides payment incentives for hospitals to transfer psychiatric patients to another acute-care facility, especially when the destination facility is exempt from Medicare's prospective payment system. The authors found, ...

https://doi.org/10.1176/ajp.147.1.100

Short REM latency in primary alcoholic patients with secondary depression

Publication date: 01 January 1990

Pages106–109

Primary alcoholic patients with secondary depression had significantly shorter REM latency and less non-REM sleep than alcoholics without other psychiatric diagnoses and normal control subjects. Both patient groups had significantly longer sleep latency ...

https://doi.org/10.1176/ajp.147.1.106

Pharmacotherapy of four men with paruresis

Publication date: 01 January 1990

Pages109–111

Four men with paruresis received trials of atenolol or phenelzine or both. Atenolol was effective in one patient. Three patients had a poor response to phenelzine, and they all experienced troublesome side effects.

https://doi.org/10.1176/ajp.147.1.109

Psychiatric patients' belief in general health factors and sin as causes of illness

Publication date: 01 January 1990

Pages112–113

Of 52 psychiatric inpatients, 81% believed that factors such as proper diet, sleep, and exercise affect the development of illnesses, and 23% believed that sin-related factors, such as sinful thoughts or acts, have such an effect.

https://doi.org/10.1176/ajp.147.1.112