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American Journal of Psychiatry

  • Volume 149
  • Number 6
  • June 1992

Article

Publication date: 01 June 1992

Pages725–732

Philippe Pinel's "Memoir on Madness" can now be precisely dated. It was read to the Society for Natural History in Paris on Dec. 11, 1794, soon after the fall of the Jacobin dictatorship. It is thus a political document, an appeal to the Revolutionary ...

https://doi.org/10.1176/ajp.149.6.725

Publication date: 01 June 1992

Pages733–745

To review data supporting or not supporting the designation of unipolar psychotic major depression as a distinct syndrome in DSM-IV, the authors used computerized literature searches to identify reports of studies that have directly compared the ...

https://doi.org/10.1176/ajp.149.6.733

Publication date: 01 June 1992

Pages746–760

There is mounting evidence that a family of guanosine triphosphate binding proteins (G proteins) play an obligatory role in the transduction of a vast array of extracellular, receptor-detected signals across cell membranes to intracellular effectors. The ...

https://doi.org/10.1176/ajp.149.6.746

Publication date: 01 June 1992

Pages761–767

OBJECTIVE: The purpose of this study was to evaluate the relationship between use of tobacco, alcohol, marijuana, and hard drugs (substance use) and psychiatric disorder in early adolescence and substance use in late adolescence. METHOD: Adolescents ...

https://doi.org/10.1176/ajp.149.6.761

Publication date: 01 June 1992

Pages768–772

OBJECTIVE: In response to several studies suggesting that there is racial bias in the admission of proportionately more white children and adolescents to the child and adolescent mental health system than to the juvenile justice system, the authors tested ...

https://doi.org/10.1176/ajp.149.6.768

Publication date: 01 June 1992

Pages773–777

OBJECTIVE: Vitamin E (alpha-tocopherol), a free-radical scavenger, has been reported to improve symptoms of tardive dyskinesia. The authors attempted to replicate this finding under more controlled conditions in a larger study group. METHOD: Fifteen ...

https://doi.org/10.1176/ajp.149.6.773

Publication date: 01 June 1992

Pages778–783

OBJECTIVE: This study sought to determine the short- and long-term effects of focused cognitive therapy for panic disorder. METHOD: Thirty- three psychiatric outpatients with the DSM-III diagnosis of panic disorder were randomly assigned to either 12 ...

https://doi.org/10.1176/ajp.149.6.778

Publication date: 01 June 1992

Pages784–794

OBJECTIVE: Neuroimaging studies of brain morphology in schizophrenia have used predominantly morphometric techniques to assess brain scans. However, as currently implemented, such methods are not particularly helpful in the routine assessment of ...

https://doi.org/10.1176/ajp.149.6.784

Publication date: 01 June 1992

Pages795–800

OBJECTIVE: This study assessed prospectively the pattern of recurrence of illness after recovery from an episode of major depression. METHOD: Seventy-two patients who had recovered from an episode of primary, nonbipolar, nonpsychotic major depression were ...

https://doi.org/10.1176/ajp.149.6.795

Publication date: 01 June 1992

Pages801–805

OBJECTIVE: Lithium and benzodiazepines are widely used in the treatment of bipolar patients. Yet studies of the effect of these drugs on sexual function are scarce. This study surveyed sexual function in bipolar patients treated with lithium, either alone ...

https://doi.org/10.1176/ajp.149.6.801

Publication date: 01 June 1992

Pages806–809

OBJECTIVE: Studies of the learned helplessness paradigm in laboratory animals show increased central noradrenergic activity following exposure to uncontrollable stressors. In clinical studies, depressed patients as a group report higher perceptions of ...

https://doi.org/10.1176/ajp.149.6.806

Publication date: 01 June 1992

Pages810–815

OBJECTIVE: Cocaine, either smoked (as "crack") or taken intranasally, is now a common cause of psychiatric illness. This study was designed to assess the impact of cocaine abuse on a general psychiatric service and an obstetrics service in an urban ...

https://doi.org/10.1176/ajp.149.6.810

Publication date: 01 June 1992

Pages816–823

Mainstream psychiatry conceptualizes people who are homeless and mentally ill as distinct from other homeless persons because it is thought that their status stems from their mental disorder and the poor implementation of deinstitutionalization. The ...

https://doi.org/10.1176/ajp.149.6.816

Publication date: 01 June 1992

Pages824–826

Like typical stressors that produce posttraumatic stress disorder (PTSD), panic attacks are sudden, unpredictable, and often perceived as life-threatening. Structured interviews with 30 subjects with panic disorder revealed that five (17%) and two (7%) ...

https://doi.org/10.1176/ajp.149.6.824

Publication date: 01 June 1992

Pages827–828

The situations in which the first panic attack occurred were investigated in 44 patients affected by panic disorder. Although the first panic attack was reported to be unexpected and no avoidance was present before it, 75.8% of patients (N = 22) with ...

https://doi.org/10.1176/ajp.149.6.827

Publication date: 01 June 1992

Pages829–831

Seventeen patients with obsessive-compulsive disorder and concomitant personality disorders were treated with pharmacologic and/or behavioral therapy and reassessed after 4 months. Nine of the 10 patients who responded to treatment for obsessive-...

https://doi.org/10.1176/ajp.149.6.829

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