American Journal of Psychiatry
- Volume 147
- Number 2
- February 1990
Publication date: 01 February 1990
Pages133–147In a two-part series, the author explores the current status of psychotherapy for depression. In part I, three predominant approaches to the psychological treatment of depressive disorders today-- psychodynamic, cognitive, and interpersonal--are described ...
https://doi.org/10.1176/ajp.147.2.133Publication date: 01 February 1990
Pages148–155Reform in a system of mental health services is the result of a variety of forces that operate synergistically to bring about observed events. This evolutionary process is most likely to yield substantial results through multiple interventions over time ...
https://doi.org/10.1176/ajp.147.2.148Publication date: 01 February 1990
Pages156–160As a treatment modality for serious mental disorders, partial hospitalization has been proven to have therapeutic and economic advantages. However, it has relatively low utilization and poor third- party reimbursement compared to the more traditional ...
https://doi.org/10.1176/ajp.147.2.156Publication date: 01 February 1990
Pages161–167The authors used the Revised Diagnostic Interview for Borderline Patients to assess 22 clinical features of 120 patients with borderline personality disorder and 103 control subjects with other axis II disorders. Four of the 22 features were common in but ...
https://doi.org/10.1176/ajp.147.2.161Publication date: 01 February 1990
Pages168–172To assess prospectively the accuracy of standard antemortem clinical diagnostic criteria for Alzheimer's disease, post-mortem examinations were performed on 25 patients who had met DSM-III criteria for primary degenerative dementia and National Institute ...
https://doi.org/10.1176/ajp.147.2.168Antisocial personality disorder in patients with substance abuse disorders: a problematic diagnosis?
Publication date: 01 February 1990
Pages173–178The authors' literature review suggests that the relationship between antisocial personality disorder and substance abuse is complex and not yet fully understood. The confusion regarding the relationship between the disorders may be magnified by the ...
https://doi.org/10.1176/ajp.147.2.173Publication date: 01 February 1990
Pages179–182The authors examined the temporal relationship between onset of depressive and psychotic symptoms in 27 patients with recent-onset schizophrenia or schizo-affective disorder. Ratings on the Brief Psychiatric Rating Scale were collected every 2 weeks for ...
https://doi.org/10.1176/ajp.147.2.179Publication date: 01 February 1990
Pages183–186Thirty-six maritally discordant couples with depressed wives were randomly assigned to marital therapy, cognitive therapy, or a waiting- list control condition. The women given marital or cognitive therapy showed significant and clinically meaningful ...
https://doi.org/10.1176/ajp.147.2.183Publication date: 01 February 1990
Pages187–189Subcortical hyperintensity on T2-weighted brain magnetic resonance imaging was significantly more common and more severe in elderly depressed patients referred for ECT than in a matched control group of normal elderly subjects. The potential clinical and ...
https://doi.org/10.1176/ajp.147.2.187Publication date: 01 February 1990
Pages190–195A prospective study of 1,958 outpatients found that hopelessness, as measured by the Beck Hopelessness Scale, was significantly related to eventual suicide. A scale cutoff score of 9 or above identified 16 (94.2%) of the 17 patients who eventually ...
https://doi.org/10.1176/ajp.147.2.190Publication date: 01 February 1990
Pages196–199Tourette's disorder was diagnosed in triplets reared apart from early infancy and reunited as adults. These data, combined with data on other family members, support the findings of research studies that have demonstrated genetic influences on Tourette's ...
https://doi.org/10.1176/ajp.147.2.196Publication date: 01 February 1990
Pages200–201Fifty consecutive outpatients with stable chronic obstructive pulmonary disease were evaluated for lifetime prevalence of psychiatric morbidity. Eight percent had a diagnosis of panic disorder. This finding suggests that this patient population should be ...
https://doi.org/10.1176/ajp.147.2.200Publication date: 01 February 1990
Pages202–206This study examined the prevalence of four psychiatric disorders-- posttraumatic stress disorder, major depression, generalized anxiety disorder, and alcohol abuse/dependence--in survivors of a jet plane crash into a hotel. Forty-six subjects were ...
https://doi.org/10.1176/ajp.147.2.202Publication date: 01 February 1990
Pages207–210Six depressed patients free of recent serious suicidal ideation developed intense, violent suicidal preoccupation after 2-7 weeks of fluoxetine treatment. This state persisted for as little as 3 days to as long as 3 months after discontinuation of ...
https://doi.org/10.1176/ajp.147.2.207Publication date: 01 February 1990
Pages211–213Regional cerebral blood flow (CBF) was measured with the 133xenon inhalation technique in 27 patients with schizophrenia of less than 5 years' duration and in 27 patients with schizophrenia of more than 12 years' duration, under resting conditions. ...
https://doi.org/10.1176/ajp.147.2.211Publication date: 01 February 1990
Pages214–216Suspected complex partial seizure disorder, eating disorders, and drug abuse disorders were overrepresented among the 40% (N = 16) of female borderline inpatients who reported a history of sexual abuse. Early family disruption, more frequent hospital ...
https://doi.org/10.1176/ajp.147.2.214Publication date: 01 February 1990
Pages217–220To study the prevalence and importance of anxiety disorders in patients with idiopathic Parkinson's disease, the authors systematically evaluated 24 parkinsonian patients for the presence of DSM-III-R axis I syndromes. Nine subjects (38%) had a clinically ...
https://doi.org/10.1176/ajp.147.2.217Publication date: 01 February 1990
Pages221–224This study, the first report on witch doctors in the People's Republic of China, found that most witch doctors are poorly educated peasants who perform healing rituals as a part-time occupation. Despite being officially illegal, folk healing practices are ...
https://doi.org/10.1176/ajp.147.2.221Publication date: 01 February 1990
Pages225–229Normal-weight bulimic patients have disturbed appetite, mood, and neuroendocrine function and often respond to antidepressants. Since these findings suggest abnormalities in brain monoaminergic pathways, the authors measured CSF monoamine concentrations ...
https://doi.org/10.1176/ajp.147.2.225Publication date: 01 February 1990
Pages230–234The authors examined the reporting of daily life events by women with prospectively confirmed menstrual-related mood disorder (N = 40) and asymptomatic control subjects (N = 20). During the follicular and late luteal phases of the menstrual cycle, ...
https://doi.org/10.1176/ajp.147.2.230Publication date: 01 February 1990
Pages235–238The authors present case reports of three patients with temporal lobe epilepsy who developed anorexia nervosa. All three patients showed both affective disorder and dysmorphic delusions, which were probable contributors to the appearance of the eating ...
https://doi.org/10.1176/ajp.147.2.235Publication date: 01 February 1990
Pages239–242Ten Alzheimer's disease patients underwent a trial of oral tetrahydroaminoacridine (THA) and lecithin. After 3 inpatient weeks there was no clear therapeutic effect. Three of six patients able to continue in long-term treatment showed measurable cognitive ...
https://doi.org/10.1176/ajp.147.2.239Publication date: 01 February 1990
Pages242–244In this pilot study of poststroke depression, the authors evaluated regional cerebral blood flow and depression in 14 stroke patients. Volume of ischemia was measured by two methods, which were highly correlated. Depression scores correlated with lesion ...
https://doi.org/10.1176/ajp.147.2.242Publication date: 01 February 1990
Pages245–247Of 44 patients who experienced command hallucinations, those with hallucination-related delusions and hallucinatory voices they could identify were more likely to comply with the commands. The danger of the behaviors specified by the hallucinations did ...
https://doi.org/10.1176/ajp.147.2.245Article
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Publication date: 01 February 1990
Page262In the review by Ira D. Glick, M.D., of the book The Creative Process of Psychotherapy (May 1989 issue, p. 675), the book's author was incorrectly identified as Arnold Rothenberg. The author of the book is Albert Rothenberg. The book was published in 1988,...
https://doi.org/10.1176/ajp.147.2.262Past Issues
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