American Journal of Psychiatry
- Volume 148
- Number 6
- June 1991
Article
Publication date: 01 June 1991
Pages695–704OBJECTIVE: The authors' goal is to address the complex issue of treatment-refractory depression from a clinical perspective. DATA COLLECTION: They review the literature on the major clinical and methodological issues involved in the treatment and study of ...
https://doi.org/10.1176/ajp.148.6.695Publication date: 01 June 1991
Pages705–713OBJECTIVE AND METHOD: A review of the literature on the serotonin syndrome in animals and human beings was conducted, and 12 reports of 38 cases in human patients were then analyzed to determine the most frequently reported clinical features and drug ...
https://doi.org/10.1176/ajp.148.6.705Publication date: 01 June 1991
Pages714–726OBJECTIVE: Benzodiazepines, either alone or added to neuroleptics, have been studied extensively as treatments for schizophrenia, but no consensus regarding their efficacy has been reached. The authors review the double-blind trials in the literature and ...
https://doi.org/10.1176/ajp.148.6.714Publication date: 01 June 1991
Pages727–732OBJECTIVE:The author's goal is to determine whether there has been a recent change in the number and proportion of severely ill psychiatric patients treated in general hospitals. METHOD: He analyzed the discharge data from the National Hospital Discharge ...
https://doi.org/10.1176/ajp.148.6.727Publication date: 01 June 1991
Pages733–738OBJECTIVE: The authors' goal is to provide basic epidemiologic data on the issue of reactivity to stress and HIV symptom onset by studying the relationship between a broad set of naturally occurring stressor events and HIV natural history in a large ...
https://doi.org/10.1176/ajp.148.6.733Publication date: 01 June 1991
Pages739–743The suicide of a patient is not an infrequent event in a psychiatrist's practice, and it has a major impact on the clinician as well as on the patient's family and the hospital staff. Dealing with a patient's suicide is a neglected topic in residency ...
https://doi.org/10.1176/ajp.148.6.739Publication date: 01 June 1991
Pages744–750OBJECTIVE: The authors' goal was to determine whether changing the insanity test in California in 1982 actually affected use of the insanity defense. METHOD: They gathered information on all individuals who entered the insanity plea (N = 1,300) and all ...
https://doi.org/10.1176/ajp.148.6.744Publication date: 01 June 1991
Pages751–756OBJECTIVE: The aim of the study was to evaluate associations between olfactory dysfunction and aberrations in learning and memory after chronic occupational exposure to mixed hydrocarbon solvents. METHOD: This was a cross-sectional, epidemiologic study of ...
https://doi.org/10.1176/ajp.148.6.751Publication date: 01 June 1991
Pages757–761OBJECTIVE: Clinical status and use of benzodiazepines and other psychotropic drugs at follow-up were assessed in patients who had been chronically dependent on benzodiazepines and had been referred for participation in a discontinuation study. METHOD: Of ...
https://doi.org/10.1176/ajp.148.6.757Publication date: 01 June 1991
Pages762–767OBJECTIVE: The authors' goals are to use scales from the MMPI hypothesized in their previous research to be correlates of liability to schizophrenia to differentiate DSM-III schizophrenia from bipolar and unipolar affective illness and to cross-validate ...
https://doi.org/10.1176/ajp.148.6.762Publication date: 01 June 1991
Pages768–774OBJECTIVE: A review of reports of reduced bone mineral density in women with anorexia nervosa was undertaken in order to profile specific risk factors, which could then be used as the basis for suggestions for future research and treatment. METHOD: ...
https://doi.org/10.1176/ajp.148.6.768Publication date: 01 June 1991
Pages775–779OBJECTIVE: The purpose of this study was to test the hypothesis that heterozygous carriers of the gene for the Wolfram syndrome, who constitute about 1% of the population, are predisposed to significant psychiatric illness. The Wolfram syndrome is an ...
https://doi.org/10.1176/ajp.148.6.775Publication date: 01 June 1991
Pages780–783OBJECTIVE: The objective of this research was to identify and measure the differences among three groups of psychiatric outpatients: those with family problems but without mental disorders, those with both family problems and mental disorders, and those ...
https://doi.org/10.1176/ajp.148.6.780Publication date: 01 June 1991
Pages784–789OBJECTIVE: The authors studied the relationship between clinical severity of depression and response to cognitive behavior therapy. METHOD: Fifty-nine outpatients with major depression with endogenous features, according to Research Diagnostic Criteria, ...
https://doi.org/10.1176/ajp.148.6.784Publication date: 01 June 1991
Pages790–792Fluoxetine (20 mg/day) was added for 7-10 days to stable doses of haloperidol given to eight psychotic patients. Mean plasma concentrations of haloperidol were elevated by 20% (p less than 0.05), but extrapyramidal side effects did not increase ...
https://doi.org/10.1176/ajp.148.6.790Publication date: 01 June 1991
Pages793–794In an open, nonblind study, 10 patients with Tourette's disorder who were being treated with haloperidol were videotaped before, while, and after chewing nicotine gum. The frequency of tics was reduced significantly during the 30-minute gum-chewing period ...
https://doi.org/10.1176/ajp.148.6.793Publication date: 01 June 1991
Pages795–797Six patients with panic disorder who had panicked during sodium lactate infusion were given cognitive-behavioral treatment for 12-24 weeks. After treatment they underwent another lactate infusion, and four patients were rates as having no panic, ...
https://doi.org/10.1176/ajp.148.6.795Article
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Publication date: 01 June 1991
Page819In the better to the Editor "Efficacy of Psychotherapy" from Victor Bloom, M.D. (December 1990 issue, p. 1700), the last sentence should have stated that Dr. Bloom "has practiced and taught for 30 years."
https://doi.org/10.1176/ajp.148.6.819Publication date: 01 June 1991
Pages819-a–819In the March 1991 issue, only one author, Russell T. Joffe, M.D., was given for the letter to the Editor "Thyroid Function and Phototherapy in Seasonal Affective Disorder" (p. 393). Anthony J. Levitt, M.D., and Sidney H. Kennedy, M.D., should have been ...
https://doi.org/10.1176/ajp.148.6.819-aPublication date: 01 June 1991
Pages819-b–819In the paper "Continuous Versus Targeted Medication in Schizophrenic Outpatients: Outcome Results" by William T. Carpenter, Jr., M.D., et al. (September 1990 issue, pp. 1138-1148), there was an error in calculating dose evels for patients. The new table 3,...
https://doi.org/10.1176/ajp.148.6.819-bPublication date: 01 June 1991
Page820This statement was proposed by the Council on Children, Adolescents, and Their Families.1 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.148.6.820Publication date: 01 June 1991
Page821Protocols and Protections This statement was proposed by the Commission on AIDA1 and is based on guidelines originally drafted by the San Francisco Medical Society. It was approved by the Assembly of District Branches in November 1990 and by the Board of ...
https://doi.org/10.1176/ajp.148.6.821Publication date: 01 June 1991
Page822This revision of the statement originally adopted in September 1988 was proposed by the Commission on AIDS.1 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.148.6.822