American Journal of Psychiatry
- Volume 147
- Number 8
- August 1990
Publication date: 01 August 1990
Pages967–973The author describes approaches to utilization management and the growth of this segment of the health care industry. Issues posed for the mental health field by introducing a third party as the arbiter of care include professional uncertainty and the ...
https://doi.org/10.1176/ajp.147.8.967Publication date: 01 August 1990
Pages974–981The authors reviewed all known English-language literature on the association between psychiatric factors and ulcerative colitis to ascertain the evidence for such an association and evaluate the methods used in these studies. Most of the 138 studies ...
https://doi.org/10.1176/ajp.147.8.974Publication date: 01 August 1990
Pages982–987A 1978 consent decree affecting one region of Massachusetts mandated a drastic reduction of census at its state hospital, where considerable deinstitutionalization had already occurred over the prior two decades. The transfer of patients from hospital to ...
https://doi.org/10.1176/ajp.147.8.982Publication date: 01 August 1990
Pages988–993On the basis of the principle that patients have the right to be treated in the least restrictive setting appropriate to their needs, all 368 patients at Northampton State Hospital (Massachusetts) were discharged over a 10-year period. Three-quarters were ...
https://doi.org/10.1176/ajp.147.8.988Publication date: 01 August 1990
Pages994–997Mental health professionals often must decide whether to release a psychiatric patient who has been committed for treatment on the basis of being mentally ill and dangerous. This decision involves liability risks if the patient becomes violent after ...
https://doi.org/10.1176/ajp.147.8.994Publication date: 01 August 1990
Pages998–1001The authors conducted anonymous questionnaire studies of drug use and life style among college seniors at the same institution in 1969, 1978, and 1989. The 1989 group of students reported strikingly lower frequencies of virtually all forms of drug use ...
https://doi.org/10.1176/ajp.147.8.998Publication date: 01 August 1990
Pages1002–1007The authors investigated the prevalence of substance abuse in 137 inpatients with DSM-III borderline personality disorder. Ninety-two (67%) of these patients were given DSM-III substance use disorder diagnosis. The most frequently used substances were ...
https://doi.org/10.1176/ajp.147.8.1002Publication date: 01 August 1990
Pages1008–1013Experiences of abuse and neglect were assessed in 24 adults diagnosed as having borderline personality disorder according to the Diagnostic Interview for Borderline Patients and in 18 depressed control subjects without borderline disorder. Significantly ...
https://doi.org/10.1176/ajp.147.8.1008Publication date: 01 August 1990
Pages1014–1017The authors found significantly fewer total platelet alpha 2-adrenergic receptor binding sites in 13 nonmedicated patients with borderline personality disorder than in 11 patients with borderline personality disorder who were receiving low doses of ...
https://doi.org/10.1176/ajp.147.8.1014Publication date: 01 August 1990
Pages1018–1020The authors treated 19 adults with attention-deficit hyperactivity disorder with an open trial of bupropion. These patients had received maintenance stimulant medication or monoamine oxidase inhibitors for an average of 3.7 years. Fourteen of the patients ...
https://doi.org/10.1176/ajp.147.8.1018Publication date: 01 August 1990
Pages1021–1024Diagnoses of major depression in 152 cancer patients differed as much as 13% depending on the diagnostic system used. The Beck Depression Inventory and the Hamilton Rating Scale for Depression were useful tools for screening patients with depressive ...
https://doi.org/10.1176/ajp.147.8.1021Publication date: 01 August 1990
Pages1025–1028The authors administered the Structured Clinical Interview for DSM-III- R to 260 patients with principal diagnoses of depressive disorders. Approximately two-thirds of these patients were given at least one additional concurrent axis I disorder. The most ...
https://doi.org/10.1176/ajp.147.8.1025Evidence for less improvement in depression in patients taking benzodiazepines during unilateral ECT
Publication date: 01 August 1990
Pages1029–1035Among 48 patients with diagnoses of depression according to DSM-III, there was a significant relation between therapeutic failure of unilateral ECT, as measured by scores on the Hamilton Rating Scale for Depression, and the concomitant use of a ...
https://doi.org/10.1176/ajp.147.8.1029Publication date: 01 August 1990
Pages1036–1039Twelve couples in cases of murder-suicide were compared to 24 couples in cases of homicide during the period 1978 to 1987 in Albuquerque, N.M. Data were obtained from police, the courts, hospital records, and interviews with friends and family of the ...
https://doi.org/10.1176/ajp.147.8.1036Publication date: 01 August 1990
Pages1040–1042A systematic manual search for articles related to consultation-liaison psychiatry was compared to a computerized search of the same journals during the same period that was done with the Medical Literature Analysis and Retrieval System (MEDLARS). More ...
https://doi.org/10.1176/ajp.147.8.1040Publication date: 01 August 1990
Pages1043–1048The authors gave the self-report Personality Diagnostic Questionnaire-- Revised (PDQ-R) to 87 applicants for inpatient treatment of severe personality psychopathology and, blind to these results, diagnosed personality disorders in the applicants by using ...
https://doi.org/10.1176/ajp.147.8.1043Publication date: 01 August 1990
Pages1049–1051Two hundred ten community-dwelling patients with Alzheimer's disease were examined prospectively by psychiatrists as part of a longitudinal study. Twenty-five of these patients who were institutionalized during the next 3 years were then matched to 25 ...
https://doi.org/10.1176/ajp.147.8.1049Publication date: 01 August 1990
Pages1052–1056In a preliminary study of developmental precursors of schizophrenia, home movies of adult-onset schizophrenic patients and their healthy siblings filmed during their childhood were viewed by judges who were blind to the psychiatric outcome of the ...
https://doi.org/10.1176/ajp.147.8.1052Publication date: 01 August 1990
Pages1057–1060The authors attempted to replicate previous studies that used the Frequency (F) scale and the posttraumatic stress disorder (PTSD) subscale of the MMPI to discriminate Vietnam veterans with PTSD from well-adjusted veterans and mental health professionals ...
https://doi.org/10.1176/ajp.147.8.1057Publication date: 01 August 1990
Pages1061–1068This study explored empirically the relationship between developmental history variables and several dimensions of object relations in a sample of 36 female adolescent inpatients. The results document the importance of preoedipal experience, the ...
https://doi.org/10.1176/ajp.147.8.1061Publication date: 01 August 1990
Pages1069–1071Clozapine is a newly released antipsychotic that is associated with a higher prevalence of seizures than traditional neuroleptics. The authors describe four patients who developed seizure activity during clozapine treatment and provide recommendations for ...
https://doi.org/10.1176/ajp.147.8.1069Publication date: 01 August 1990
Pages1072–1074Ten schizophrenic patients and five normal control subjects were challenged with growth hormone-releasing hormone in a pilot study investigating growth hormone secretion from the pituitary. The results suggest suprapituitary dysfunction in schizophrenia, ...
https://doi.org/10.1176/ajp.147.8.1072Publication date: 01 August 1990
Pages1075–1077Urine volume and osmolality were studied in two schizophrenic patients with hyponatremia and six normal subjects after they smoked or ingested cigarettes. The results suggest that cigarette use may contribute to the development of hyponatremia by ...
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Publication date: 01 August 1990
Pages1110-a–1110In the review by Ralph Hoffman, M.D., of the book Thought Without Language, edited by L. Weiskrantz (March 1990 issue, pp. 365-366), the reference was inadvertently deleted. The reference should be 1. Wittgenstein L: Remarks on the Philosophy of ...
https://doi.org/10.1176/ajp.147.8.1110-aPublication date: 01 August 1990
Pages1110-b–1110In the paper "Suicide and Schizophrenia: Data From a Prospective Community Study" by Lawrence J. Cohen, Ph.D., et al. (May 1990 issue, pp. 602-607), one of the instruments reported was mistakenly identified as the SCL-90-R. In fact, the Brief Symptom ...
https://doi.org/10.1176/ajp.147.8.1110-bPast Issues
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