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American Journal of Psychiatry

  • Volume 148
  • Number 7
  • July 1991

Article

Publication date: 01 July 1991

Pages823–830

OBJECTIVE: The aim of this paper was to review the clinical and conceptual implications of the studies investigating prodromal symptoms of mania, depression, and panic disorder. METHOD: Twenty-four studies specifically addressing the issue of prodromal ...

https://doi.org/10.1176/ajp.148.7.823

Publication date: 01 July 1991

Pages831–843

OBJECTIVE: The authors describe the distribution of bulimia nervosa among males and identify characteristics that distinguish male bulimics from their female counterparts. METHOD: Potential references were identified through an English-language literature ...

https://doi.org/10.1176/ajp.148.7.831

Publication date: 01 July 1991

Pages844–852

Despite descriptions dating back to the nineteenth century of menopause- related affective syndromes, recent investigations have been unable to characterize a specific disturbance of mood or behavior related to this period of life. In this article the ...

https://doi.org/10.1176/ajp.148.7.844

Publication date: 01 July 1991

Pages853–858

OBJECTIVE: The authors' goal was to examine the changing demographic trends in psychiatry manpower. These changes have important implications for the practice of the profession in the future. METHOD: Each year, the APA Office of Membership, in ...

https://doi.org/10.1176/ajp.148.7.853

Publication date: 01 July 1991

Pages859–863

Legislative enactment of criminal penalties for psychotherapists' sexual contact with their patients is pending in several states. The arguments in favor of criminalization are that it serves as a deterrent, offers retribution, provides redress when other ...

https://doi.org/10.1176/ajp.148.7.859

Publication date: 01 July 1991

Pages864–869

OBJECTIVE: This study analyzed psychological representations in 58 subjects in order to achieve a better understanding of the relation between adult borderline personality disorder and reported histories of childhood sexual and physical abuse. METHOD: The ...

https://doi.org/10.1176/ajp.148.7.864

Publication date: 01 July 1991

Pages870–874

OBJECTIVE: The main objective of this study was to determine the congruence between DSM-III and DSM-III-R diagnoses of borderline personality disorder derived through the use of semistructured research interviews or given by experienced clinicians after ...

https://doi.org/10.1176/ajp.148.7.870

Publication date: 01 July 1991

Pages875–879

OBJECTIVE: The purpose of this study was to determine how often forensic psychiatrists evaluated individuals with sadistic personality disorder; their views about the usefulness of the diagnosis; the frequency of certain childhood factors; and the ...

https://doi.org/10.1176/ajp.148.7.875

Publication date: 01 July 1991

Pages880–882

OBJECTIVE: The authors investigated trends in the frequency of neuroleptic malignant syndrome at their center over a period of 8 years and assessed possible reasons for these trends. METHOD: They used previously defined operational criteria in conducting ...

https://doi.org/10.1176/ajp.148.7.880

Publication date: 01 July 1991

Pages883–887

OBJECTIVE: This study was designed to identify variables that correlate with the risk of suicide in two patient groups that differ mainly in their level of expressed aggression. METHOD: Twenty-eight psychiatric patients with a history of violent behavior ...

https://doi.org/10.1176/ajp.148.7.883

Publication date: 01 July 1991

Pages888–891

OBJECTIVE: The authors examined the impact of budgeting based on diagnosis-related groups (DRGs) on inpatient psychiatric care in Department of Veterans Affairs (VA) medical centers. DRG-based budgeting was implemented by the VA in 1984 and suspended in ...

https://doi.org/10.1176/ajp.148.7.888

Publication date: 01 July 1991

Pages892–897

OBJECTIVE: Dramatic increases in lengths of stay for general hospital psychiatric patients in New York City in recent years have raised speculation that general hospitals are assuming a large responsibility for care of the chronically mentally ill. This ...

https://doi.org/10.1176/ajp.148.7.892

Publication date: 01 July 1991

Pages898–903

OBJECTIVE: The authors' objective was to investigate reasons for referral of elderly nursing home residents for psychiatric consultation and the relationship of these reasons for referral to psychiatric diagnoses. METHOD: They examined 197 nursing home ...

https://doi.org/10.1176/ajp.148.7.898

Publication date: 01 July 1991

Pages904–909

OBJECTIVE: To determine the characteristics of cases of drug treatment refusal under the Rivers decision, which mandated court adjudication of such cases, the authors made a retrospective study of all applications for court review during 1 year in New ...

https://doi.org/10.1176/ajp.148.7.904

Publication date: 01 July 1991

Pages910–916

OBJECTIVE: This investigation compared the efficacy of the monoamine oxidase inhibitor (MAOI) tranylcypromine with that of the tricyclic imipramine in the treatment of anergic bipolar depressive illness. METHOD: A controlled, double-blind comparison was ...

https://doi.org/10.1176/ajp.148.7.910

Publication date: 01 July 1991

Pages917–922

OBJECTIVE: The aim of the study was to determine incidence and prevalence rates and long-term trends in incidence of anorexia nervosa by identifying all persons residing in the community of Rochester, Minn., during the 50-year period 1935 through 1984 who ...

https://doi.org/10.1176/ajp.148.7.917

Publication date: 01 July 1991

Pages923–928

OBJECTIVE: This study examined the relation between hypochondriasis and age while controlling for the possible confounding influences of medical morbidity, social isolation, and other psychiatric disorder. METHOD: Consecutive patients attending a general ...

https://doi.org/10.1176/ajp.148.7.923

Publication date: 01 July 1991

Pages929–932

The cognitive function scores and subjective memory complaints of eight patients who had each received more than 100 treatments with bilateral modified since wave ECT were equivalent to those of matched patients who had never received ECT. The results ...

https://doi.org/10.1176/ajp.148.7.929

Publication date: 01 July 1991

Pages933–935

Acute methadone detoxification was induced by the intravenous administration of naloxone during simultaneous intravenous sedation with midazolam, a fully reversible short-acting benzodiazepine, in seven patients addicted to opiates. Within hours the ...

https://doi.org/10.1176/ajp.148.7.933

Publication date: 01 July 1991

Pages936–938

Seven drug-free patients with bipolar affective disorder, currently in a manic phase, underwent desipramine-induced growth hormone (GH) stimulation, as did seven healthy age- and sex-matched subjects. There was significant blunting of GH release in the ...

https://doi.org/10.1176/ajp.148.7.936

Article

Article

Article

Article

Article

Publication date: 01 July 1991

Page960

In the article "Suicide, Stressors, and the Life Cycle" by Charles L. Rich, M.D., et al. (April 1991 issue, p. 524), the second author's name is misspelled. Gary M. Warstadt, M.D., is the second author of this paper.

https://doi.org/10.1176/ajp.148.7.960

Publication date: 01 July 1991

Pages961–964

The American Psychiatric Association established the Task Force on Quantitative Electrophysiological Assessment in May 1989 to consider several questions of interest to psychiatrists. From the inception of techniques for quantitative ...

https://doi.org/10.1176/ajp.148.7.961

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