American Journal of Psychiatry
- Volume 148
- Number 4
- April 1991
Article
Publication date: 01 April 1991
Pages421–431The author traces the history of psychiatric nosology in the United States from its origins in the early nineteenth century to the introduction of DSM-I in 1952. Until World War I, psychiatrists were not interested in systematic classification, although ...
https://doi.org/10.1176/ajp.148.4.421Publication date: 01 April 1991
Pages432–438OBJECTIVE: The authors review the usefulness, reliability, and validity of recently proposed subtypes of primary insomnia. DSM-III uses "primary insomnia" to indicate chronic insomnia not associated with other diagnosable mental or medical disorders, ...
https://doi.org/10.1176/ajp.148.4.432Publication date: 01 April 1991
Pages439–443The development of newer imaging techniques that allow direct investigation of the function of the human brain under normal and pathological conditions has affected the way in which we conceive of the mind/brain relation. In this report the authors use ...
https://doi.org/10.1176/ajp.148.4.439Publication date: 01 April 1991
Pages444–448This article reviews the recent literature documenting changes that have taken place in the management and treatment of insanity defense acquittees with the development of conditional release and monitored community treatment. The review demonstrates that ...
https://doi.org/10.1176/ajp.148.4.444Publication date: 01 April 1991
Pages449–453OBJECTIVE: Reporting of child sexual abuse is mandatory in all 50 states. Conceptual distinctions between privileged communications and mandatory reporting are reviewed, and the impact of recent changes in Maryland's reporting laws is examined. METHOD: ...
https://doi.org/10.1176/ajp.148.4.449Publication date: 01 April 1991
Pages454–457OBJECTIVE: The objective of this study was to determine empirically how many patients are identified as delirious or nondelirious according to DMS-III, DMS-III-R, and ICD-10 criteria. METHOD: Daily, a trained research assistant using a structured ...
https://doi.org/10.1176/ajp.148.4.454Publication date: 01 April 1991
Pages458–462OBJECTIVE: To improve the ability to diagnose dissociative disorders in The Netherlands, the authors conducted a study using a Dutch version of the Structured Clinical Interview for DSM-III-R Dissociative Disorders (SCID-D) with additional questions on ...
https://doi.org/10.1176/ajp.148.4.458Publication date: 01 April 1991
Pages463–467OBJECTIVE: The purpose of this study was to determine whether American psychiatrists believe that DSM-IV is being published too soon after DSM- III-R. METHOD: The authors conducted a mail survey of the attitudes of practicing psychiatrists (N = 454), ...
https://doi.org/10.1176/ajp.148.4.463Publication date: 01 April 1991
Pages468–471OBJECTIVE: To date, there have been no formal investigations of neuropsychological performance in patients with Tourette's disorder who are taking psychotropic medications. The authors conducted this study to provide such information. METHOD: They ...
https://doi.org/10.1176/ajp.148.4.468Publication date: 01 April 1991
Pages472–478OBJECTIVE: Clinical scales have become established as tools to quantify phenomenological features of schizophrenia. The goal of this study was to examine relations among the following: the Brief Psychiatric Rating Scale (BPRS), the Scale for the ...
https://doi.org/10.1176/ajp.148.4.472Publication date: 01 April 1991
Pages479–483OBJECTIVE: This study investigated possible antecedents of minor physical anomalies in schizophrenia, particularly in terms of obstetric and genetic factors, and demographic, clinical and cognitive correlates of such anomalies in schizophrenia. METHOD: ...
https://doi.org/10.1176/ajp.148.4.479Publication date: 01 April 1991
Pages484–488OBJECTIVE: The authors investigated the putative endogenous antipsychotic neurotensin in relation to both psychotic symptoms and patterns of response during treatment with an antipsychotic drug. METHOD: Twenty recently admitted patients with mood-...
https://doi.org/10.1176/ajp.148.4.484Publication date: 01 April 1991
Pages489–494OBJECTIVE: The purpose of the study was to examine the course of involuntarily administered medication in a state hospital population. METHOD: The authors retrospectively examined the records of all 51 involuntarily medicated patients in six state ...
https://doi.org/10.1176/ajp.148.4.489Publication date: 01 April 1991
Pages495–498OBJECTIVE: The authors' objective was to assess the frequency and nature of cocaine-induced paranoia. METHOD: They interviewed 50 cocaine- dependent men consecutively admitted to a 28-day rehabilitation program. RESULTS: Thirty-four (68%) of the 50 men ...
https://doi.org/10.1176/ajp.148.4.495Publication date: 01 April 1991
Pages499–504OBJECTIVE: The authors' objective was to investigate the possibility that glucocorticoid receptor changes may be involved in the dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis in posttraumatic stress disorder (PTSD). METHOD: They measured ...
https://doi.org/10.1176/ajp.148.4.499Publication date: 01 April 1991
Pages505–508OBJECTIVE: The aim of this work was to study the clinical utility of salivary cortisol concentrations in a group of depressed patients undergoing the dexamethasone suppression test (DST) and the correlation of these concentrations with plasma ACTH levels. ...
https://doi.org/10.1176/ajp.148.4.505Publication date: 01 April 1991
Pages509–511OBJECTIVE: This study sought to determine whether an equal photon density of green light is superior to red light in treating seasonal affective disorder. METHOD: After recruitment through the media, 20 outpatients with seasonal affective disorder ...
https://doi.org/10.1176/ajp.148.4.509Publication date: 01 April 1991
Pages512–516OBJECTIVE: The cardiovascular effects of therapeutic plasma levels of tricyclic antidepressants in depressed patients with and without preexisting cardiac disease have been well characterized and include orthostatic hypotension and conduction delay. ...
https://doi.org/10.1176/ajp.148.4.512Publication date: 01 April 1991
Pages517–523OBJECTIVE: The purpose of this study was to compare the effects of discontinuing treatment with intermediate- and long-acting benzodiazepines. METHOD: Fifty patients with panic disorder who had taken part in a double-blind treatment study and had ...
https://doi.org/10.1176/ajp.148.4.517Publication date: 01 April 1991
Pages524–527OBJECTIVE: Relationships between stressors and suicide might be expected to vary with stages of the life cycle. The purpose of this study was to examine this possibility. METHOD: The authors examined the first 204 consecutive cases from the San Diego ...
https://doi.org/10.1176/ajp.148.4.524Publication date: 01 April 1991
Pages528–530The authors surveyed 23 psychiatrically hospitalized adolescent girls regarding behavior that involves high risk of HIV infection. Over half (57%) of the girls reported high-risk sexual activities; these girls were more likely to have sexually transmitted ...
https://doi.org/10.1176/ajp.148.4.528Article
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Publication date: 01 April 1991
Page552This position statement was proposed by the Committee on Gay, Lesbian, and Bisexual Issues1 the Council on National Affairs. It was approved by the Assembly of District Branches in November 1990 and by the Board of Trustees in December 1990.
https://doi.org/10.1176/ajp.148.4.552Past Issues
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