American Journal of Psychiatry
- Volume 148
- Number 2
- February 1991
Article
Publication date: 01 February 1991
Pages153–161This paper clarifies the various current usages of the term "projective identification." The author presents a broad reference model of projective identification based on the work of Ogden. This model divides projective identification into three steps. ...
https://doi.org/10.1176/ajp.148.2.153Publication date: 01 February 1991
Pages162–173OBJECTIVE: As a result of combined biophysical and molecular biological studies, important insights into the structure and function of gamma- aminobutyric acid (GABA) receptors have been achieved. These insights have helped to define the role of GABA ...
https://doi.org/10.1176/ajp.148.2.162Publication date: 01 February 1991
Pages174–178OBJECTIVE: The relation of poor health to the onset of depression symptoms in late life is well recognized, but little attention has been given to characteristics that might predict persistence or remission of depressive symptoms. In previous analyses the ...
https://doi.org/10.1176/ajp.148.2.174Publication date: 01 February 1991
Pages179–183OBJECTIVE: Many patients with posttraumatic stress disorder (PTSD) have symptoms of depression, but operationalized psychological constructs related to depression have not been used extensively in characterizing affective symptoms of PTSD. The authors' ...
https://doi.org/10.1176/ajp.148.2.179Publication date: 01 February 1991
Pages184–188OBJECTIVE: Some studies have suggested relationships between depression in probands and alcoholism in relatives. Other studies have not, but some of these have used inappropriate control groups or failed to divide probands by sex. METHOD: The present ...
https://doi.org/10.1176/ajp.148.2.184Publication date: 01 February 1991
Pages189–192OBJECTIVE: This study was designed to determine whether patients maintained on a regimen of lithium on a once-per-day schedule have lower urine volumes than do patients receiving multiple doses per day. METHOD: This was a cross-sectional study of 85 ...
https://doi.org/10.1176/ajp.148.2.189Publication date: 01 February 1991
Pages193–196OBJECTIVE: The authors attempted to identify different patterns of improvement among patients receiving placebo during clinical trials. It was hypothesized that patients who improved abruptly would differ from patients whose improvement was gradual in ...
https://doi.org/10.1176/ajp.148.2.193Publication date: 01 February 1991
Pages197–203OBJECTIVE: The authors studied the responses of drug-treated patients in an attempt to validate observations about abrupt and gradual improvements in patients receiving placebo. Since previous data suggested that in the first 2 weeks of antidepressant ...
https://doi.org/10.1176/ajp.148.2.197Publication date: 01 February 1991
Pages204–210BACKGROUND: The delivery system for psychiatric inpatient services in the United States has changed dramatically over the past 30 years, undergoing a marked privatization. METHOD: To assess the effect of changes in ownership and types of inpatient ...
https://doi.org/10.1176/ajp.148.2.204Publication date: 01 February 1991
Pages211–215OBJECTIVE: The authors attempt to answer the question of whether patients with eating disorders experience more distortions in body image than do individuals without eating disorders. METHOD: The study group was composed of 214 women out of 230 patients ...
https://doi.org/10.1176/ajp.148.2.211Publication date: 01 February 1991
Pages216–220BACKGROUND and METHOD: A survey of all Canadian psychiatric residents was undertaken to ascertain the prevalence of resident-educator sexual contact in training programs, the residents' feelings about this contact, their knowledge of the ethical standards ...
https://doi.org/10.1176/ajp.148.2.216Publication date: 01 February 1991
Pages221–223OBJECTIVE: Treatment-unresponsive alcoholics in New Zealand who are unable to care for themselves tend to be hospitalized for lengthy periods of time. The author examined the effect of adding financial management to the therapeutic management of such ...
https://doi.org/10.1176/ajp.148.2.221Publication date: 01 February 1991
Pages224–230OBJECTIVE: This study aimed to 1) determine substance abuse prevalence and preference in a diverse sample of schizophrenic, schizoaffective, and schizophreniform inpatients, 2) compare drug-abusing and non-drug- abusing patients on demographic and ...
https://doi.org/10.1176/ajp.148.2.224Publication date: 01 February 1991
Pages231–235OBJECTIVE: Clozapine, an atypical antipsychotic, has been estimated to be effective in 30% of treatment-refractory schizophrenic patients. The authors hypothesized that if a dose-response relationship was obvious for this drug, the response rate could be ...
https://doi.org/10.1176/ajp.148.2.231Publication date: 01 February 1991
Pages236–239OBJECTIVE: The aim of this survey was to estimate the prevalence of severe mental disorders in a representative sample of sentenced prisoners. METHOD: The subjects were selected as a random sample of sentenced prisoners in Melbourne's three metropolitan ...
https://doi.org/10.1176/ajp.148.2.236Publication date: 01 February 1991
Pages240–243OBJECTIVE: The purpose of this study was to examine the clinical profiles of psychotic patients whose fasting levels of plasma free homovanillic acid (HVA) were elevated on the day after admission to the hospital. METHOD: These 85 subjects with nonorganic ...
https://doi.org/10.1176/ajp.148.2.240Publication date: 01 February 1991
Pages244–247BACKGROUND and METHOD: The purpose of this study was to compare titers of cold agglutinins in schizophrenic patients with those in patients with major affective disorders and in normal healthy subjects. One hundred sixty-six psychiatric patients and 37 ...
https://doi.org/10.1176/ajp.148.2.244Publication date: 01 February 1991
Pages248–250OBJECTIVE: Impaired odor identification is described in a number of CNS disorders, and human immunodeficiency virus (HIV) infects the CNS in a large percentage of patients. To evaluate whether impaired olfaction may indicate CNS disease, the authors ...
https://doi.org/10.1176/ajp.148.2.248Publication date: 01 February 1991
Pages251–256BACKGROUND AND METHOD: This study tested hypotheses about patterns of familial association between attention deficit disorder (ADD) and anxiety disorders among 356 first-degree relatives of 73 clinically referred children with ADD and 26 normal comparison ...
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