American Journal of Psychiatry
- Volume 147
- Number 10
- October 1990
Publication date: 01 October 1990
Pages1267–1274The author examines four major turning points in twentieth-century American psychiatry, emphasizing the movement during the post-World War II period toward a psychotherapeutic/psychoanalytic approach and the emergence of biological psychiatry, ...
https://doi.org/10.1176/ajp.147.10.1267Publication date: 01 October 1990
Pages1275–1282Diabetes mellitus is a very prevalent illness that produces a variety of stresses for the individual patient, but the role of psychosocial factors in this illness is frequently minimized in the teaching of physicians and the care of patients. The authors ...
https://doi.org/10.1176/ajp.147.10.1275Publication date: 01 October 1990
Pages1283–1289A retrospective study of the effect of the implementation of an unlocked seclusion policy was conducted on three child psychiatric inpatient units in a state hospital in Pennsylvania. Unlocked seclusion was associated with 1) increased use of ...
https://doi.org/10.1176/ajp.147.10.1283Publication date: 01 October 1990
Pages1290–1293Hierarchical logistic regression was used to assess the independent and interactive effects of paternal alcoholism and physical child abuse on antisocial behavior in young adult men. Men with alcoholic fathers (N = 131) did not report or exhibit more ...
https://doi.org/10.1176/ajp.147.10.1290Publication date: 01 October 1990
Pages1294–1296Alcohol has widespread effects on the gamma-aminobutyric acid (GABA) system in the brain. This system in the brain is also postulated to have a role in anxiety, and alcoholics have been reported to have more anxiety disorders. Therefore, the authors ...
https://doi.org/10.1176/ajp.147.10.1294Publication date: 01 October 1990
Pages1297–1303In three independent studies with different designs and groups of subjects, the authors found that 1) depressed patients who did not suppress cortisol when given dexamethasone (compared to suppressors and normal control subjects), 2) healthy volunteers ...
https://doi.org/10.1176/ajp.147.10.1297Publication date: 01 October 1990
Pages1304–1307In a forensic population, patients with command hallucinations (N = 25) were compared to two groups of psychotic patients: those with noncommand hallucinations (N = 24) and those without hallucinations (N = 16). The three groups did not differ in overall ...
https://doi.org/10.1176/ajp.147.10.1304Publication date: 01 October 1990
Pages1308–1312One of the diagnostic criteria for posttraumatic stress disorder (PTSD) is an exaggerated startle response; however, this phenomenon has not been verified empirically. The authors compared 20 Vietnam combat veterans with PTSD and 18 combat veterans ...
https://doi.org/10.1176/ajp.147.10.1308Publication date: 01 October 1990
Pages1313–1317The resting-state cerebral metabolic rates for glucose of 10 severely depressed patients (seven bipolar and three unipolar) were compared, before and after treatment with tricyclic antidepressants, to those of 10 control subjects of similar age by means ...
https://doi.org/10.1176/ajp.147.10.1313Publication date: 01 October 1990
Pages1318–1321The authors investigated three biochemical indices of peripheral catecholamine activity in 36 depressed inpatients treated with the monoamine oxidase (MAO) inhibitor phenelzine. Platelet MAO activity, urinary excretion of 3-methoxy-4-hydroxyphenylglycol (...
https://doi.org/10.1176/ajp.147.10.1318Publication date: 01 October 1990
Pages1322–1326The struggle to maintain hope has been described as a central theme faced by clinicians who work with HIV-spectrum people. The authors investigated psychiatric and psychosocial variables thought to be related to level of hope in a community sample of 208 ...
https://doi.org/10.1176/ajp.147.10.1322The role of gender in studies of ventricle enlargement in schizophrenia: a predominantly male effect
Publication date: 01 October 1990
Pages1327–1332Two previously reported neuroimaging studies from the authors' laboratory demonstrated larger lateral ventricles in schizophrenic patients than in normal control subjects. This diagnostic effect was accounted for almost entirely by the male subjects. In ...
https://doi.org/10.1176/ajp.147.10.1327Publication date: 01 October 1990
Pages1333–1340The effects of minority status versus ethnic culture on Mexican- Americans' underutilization of mental health services were reassessed through development and testing of an analytic path model that proposes a sequence of factors, including Mexican-...
https://doi.org/10.1176/ajp.147.10.1333Publication date: 01 October 1990
Pages1341–1347The authors conducted an archival study of 149 new clinic patients at a large community mental health center. The dropout rate for patients in brief psychotherapy in which the length of therapy was specified at the outset of treatment (time-limited ...
https://doi.org/10.1176/ajp.147.10.1341Publication date: 01 October 1990
Pages1348–1352The Massachusetts Supreme Judicial Court's decision in Rogers v. Commissioner is generally regarded as an important right to refuse treatment decision requiring maximum judicial involvement in the treatment of nonconsenting patients. Since courts and ...
https://doi.org/10.1176/ajp.147.10.1348Publication date: 01 October 1990
Pages1353–1357In a double-blind study, 15 cigarette smokers self-monitored 10 withdrawal symptoms. For the first 21 days (baseline), subjects received doxepin hydrochloride, up to 150 mg/day, or inert medication while continuing to smoke. On day 22, they were ...
https://doi.org/10.1176/ajp.147.10.1353Publication date: 01 October 1990
Pages1358–1363The authors examined the autopsied brains from three patients who had a fatal hyperthermia syndrome. There was marked hypothalamic noradrenaline depletion in all three patients, severe brain choline acetyltransferase deficiency with nucleus basalis cell ...
https://doi.org/10.1176/ajp.147.10.1358Publication date: 01 October 1990
Pages1364–1366In independent psychiatric interviews with 175 children and their mothers, either the mother or the child reported that 13 (7%) of the children had made a suicide attempt. Eight of the 13 children reported attempts that were not reported by their mothers.
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Publication date: 01 October 1990
Page1393In the article "Sertraline in Obsessive-Compulsive Disorder: A Double-Blind Comparison With Placebo," by Michael A. Jenike, M.D., et al. (July 1990 issue, pp. 923-928), there are a number of errors that resulted from incorrect computer entry of the ...
https://doi.org/10.1176/ajp.147.10.1393Past Issues
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