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American Journal of Psychiatry

  • Volume 147
  • Number 2
  • February 1990

Publication date: 01 February 1990

Pages133–147

In 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.147.2.133

Publication date: 01 February 1990

Pages148–155

Reform 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.147.2.148

Publication date: 01 February 1990

Pages156–160

As 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.147.2.156

Publication date: 01 February 1990

Pages161–167

The 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.147.2.161

Publication date: 01 February 1990

Pages168–172

To 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.147.2.168

Publication date: 01 February 1990

Pages173–178

The 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.147.2.173

Publication date: 01 February 1990

Pages179–182

The 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.147.2.179

Publication date: 01 February 1990

Pages183–186

Thirty-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.147.2.183

Publication date: 01 February 1990

Pages187–189

Subcortical 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.147.2.187

Publication date: 01 February 1990

Pages190–195

A 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.147.2.190

Publication date: 01 February 1990

Pages196–199

Tourette'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.147.2.196

Publication date: 01 February 1990

Pages200–201

Fifty 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.147.2.200

Publication date: 01 February 1990

Pages202–206

This 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.147.2.202

Publication date: 01 February 1990

Pages207–210

Six 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.147.2.207

Publication date: 01 February 1990

Pages211–213

Regional 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.147.2.211

Publication date: 01 February 1990

Pages214–216

Suspected 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.147.2.214

Publication date: 01 February 1990

Pages217–220

To 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.147.2.217

Publication date: 01 February 1990

Pages221–224

This 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.147.2.221

Publication date: 01 February 1990

Pages225–229

Normal-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.147.2.225

Publication date: 01 February 1990

Pages230–234

The 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.147.2.230

Publication date: 01 February 1990

Pages235–238

The 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.147.2.235

Publication date: 01 February 1990

Pages239–242

Ten 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.147.2.239

Publication date: 01 February 1990

Pages242–244

In 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.147.2.242

Publication date: 01 February 1990

Pages245–247

Of 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.147.2.245

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Publication date: 01 February 1990

Page262

In 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.147.2.262

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