American Journal of Psychiatry
- Volume 148
- Number 5
- May 1991
Publication date: 01 May 1991
Pages553–563The purpose of this essay is to delineate the conceptual framework for psychiatry as an integrated and integrative science that unites the mental and the physical. Four basic philosophical perspectives concerning the relationship between mind and body are ...
https://doi.org/10.1176/ajp.148.5.553Publication date: 01 May 1991
Pages564–577OBJECTIVE: Attention deficit hyperactivity disorder is a heterogeneous disorder of unknown etiology. Little is known about the comorbidity of this disorder with disorders other than conduct. Therefore, the authors made a systematic search of the ...
https://doi.org/10.1176/ajp.148.5.564Publication date: 01 May 1991
Pages578–585OBJECTIVE: The purpose of this article is to review the available literature on the psychological sequelae of therapeutic abortion, addressing both the issue of the effects of the abortion on the woman involved and the effects on the woman and on the ...
https://doi.org/10.1176/ajp.148.5.578Publication date: 01 May 1991
Pages586–591OBJECTIVE: Although studies have suggested a disproportionate rate of suicide among war veterans, particularly those with postservice psychiatric illness, there has been little systematic examination of the underlying reasons. This study aimed to identify ...
https://doi.org/10.1176/ajp.148.5.586Publication date: 01 May 1991
Pages592–597OBJECTIVE: The purpose of the study was to investigate the effect of symptom threshold and criteria set selections on the diagnosis of posttraumatic stress disorder (PTSD) in adults and children exposed to a man-made disaster and determine how well DSM-...
https://doi.org/10.1176/ajp.148.5.592Publication date: 01 May 1991
Pages598–605OBJECTIVE: Performance anxiety in musicians may be severe enough to require intervention but has been the subject of relatively little clinical research. The authors' objectives were to describe the results of a comprehensive clinical and laboratory ...
https://doi.org/10.1176/ajp.148.5.598Publication date: 01 May 1991
Pages606–611OBJECTIVE: The present research attempts to add to the existing body of data on the course of schizophrenia by comparing the findings of a prospective study of a group of U.S. schizophrenic patients with data from two European studies. METHOD: Seventy-...
https://doi.org/10.1176/ajp.148.5.606Publication date: 01 May 1991
Pages612–616OBJECTIVE: To assess the validity of DSM-III-R schizoaffective disorder, the authors explored the morbid risks for schizophrenia and major affective disorders in the first-degree relatives of patients with schizoaffective disorder and relevant other ...
https://doi.org/10.1176/ajp.148.5.612Publication date: 01 May 1991
Pages617–620OBJECTIVE: The purpose of the study was to determine if magnetic resonance imaging (MRI) scans of elderly depressed patients differ from MRI scans of age-matched control subjects and age-matched patients with Alzheimer's disease. METHOD: The authors ...
https://doi.org/10.1176/ajp.148.5.617Publication date: 01 May 1991
Pages621–626OBJECTIVE: The authors investigated changes in brain function associated with cocaine dependence and withdrawal to provide clues regarding the processes that lead to the uncontrollable self- administration of cocaine. METHOD: They measured regional brain ...
https://doi.org/10.1176/ajp.148.5.621Publication date: 01 May 1991
Pages627–629OBJECTIVE AND METHOD: The authors compared the effects of acetorphan, an enkephalinase inhibitor, with those of clonidine for the treatment of the opioid withdrawal syndrome. Nineteen patients addicted to heroin or synthetic opiates who were undergoing ...
https://doi.org/10.1176/ajp.148.5.627Publication date: 01 May 1991
Pages630–635OBJECTIVE: The authors studied the efficacy of once-weekly psychotherapy, family therapy, or group therapy led by paraprofessionals among patients with cocaine use disorders. METHOD: Of subjects who sought outpatient treatment, 168 consented to ...
https://doi.org/10.1176/ajp.148.5.630Publication date: 01 May 1991
Pages636–640OBJECTIVE: This paper examines the sociodemographic and psychiatric characteristics of patients taking methadone who continue to share needles. METHOD: Three hundred twenty-three patients were recruited from four methadone programs. Data were collected by ...
https://doi.org/10.1176/ajp.148.5.636Publication date: 01 May 1991
Pages641–643OBJECTIVE: The authors examined HIV-positive subjects to determine the relationship of patient complaints of cognitive and motor dysfunction to psychiatric status and performance on established cognitive and motor function tests. METHOD: HIV-positive ...
https://doi.org/10.1176/ajp.148.5.641Publication date: 01 May 1991
Pages644–647OBJECTIVE: Psychotropic medications have seldom been included in estimates of the costs of mental health services. In the infrequent case that these costs have been assessed, they have been estimated by using national surveys of consumers of health ...
https://doi.org/10.1176/ajp.148.5.644Publication date: 01 May 1991
Pages648–651OBJECTIVE: The purpose of this study was to test clinical hypotheses about the role of emotional neglect and overprotection in the childhood of patients with borderline personality disorder. METHOD: The subjects were male and female borderline (N = 62) ...
https://doi.org/10.1176/ajp.148.5.648Publication date: 01 May 1991
Pages652–657OBJECTIVE: The authors' objective was to provide phenomenologic, family history, and treatment response data on a group of rigorously diagnosed patients with kleptomania. METHOD: Twenty consecutive inpatients and outpatients met DSM-III-R criteria for ...
https://doi.org/10.1176/ajp.148.5.652Publication date: 01 May 1991
Pages658–660OBJECTIVE: The authors sought to replicate the part of a study by Bick and Kinsbourne in which hypnotically induced auditory hallucinations in normal volunteer subjects were abolished by requiring the subjects to open their mouths. METHODS: Sixty-four ...
https://doi.org/10.1176/ajp.148.5.658Publication date: 01 May 1991
Pages661–666OBJECTIVE: Because tardive dyskinesia and spontaneous dyskinesia appear the same, it is difficult to determine whether an individual patient's abnormal movements are induced by medication or have developed spontaneously. Therefore, estimates of the ...
https://doi.org/10.1176/ajp.148.5.661Publication date: 01 May 1991
Pages667–669Of 17 consecutive patients receiving methadone maintenance treatment who had primary or chronic depression, nine (53%) improved in both mood and drug abuse after imipramine treatment. This finding suggests a potential for helping such dual-diagnosis ...
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