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American Journal of Psychiatry

  • Volume 149
  • Number 8
  • August 1992

Publication date: 01 August 1992

Pages991–998

OBJECTIVE AND METHOD: To illustrate the continued relevance of psychodynamic thinking in the practice of contemporary psychiatry, the author reviews a number of studies that demonstrate the intimate connection between psychosocial and neurophysiological ...

https://doi.org/10.1176/ajp.149.8.991

Publication date: 01 August 1992

Pages999–1010

Early clinical observations and recent systematic studies overwhelmingly document a greater role for psychosocial stressors in association with the first episode of major affective disorder than with subsequent episodes. The author postulates that both ...

https://doi.org/10.1176/ajp.149.8.999

Publication date: 01 August 1992

Pages1011–1015

The "duty to protect" doctrine heralded by the Tarasoff decision seeks to prevent physical harm to third parties by psychiatric patients. Recent court cases have mandated the testimony of a criminal defendant's psychotherapist both about the Tarasoff ...

https://doi.org/10.1176/ajp.149.8.1011

Publication date: 01 August 1992

Pages1016–1022

OBJECTIVE: The extent to which cerebral dysfunction in alcoholics is related to the direct effects of alcohol in the brain rather than to indirect mechanisms and/or alcohol withdrawal remains unclear. The purpose of this study was to evaluate whether ...

https://doi.org/10.1176/ajp.149.8.1016

Publication date: 01 August 1992

Pages1023–1027

OBJECTIVE: The purpose of the study was to determine whether there are differences in clinical characteristics in two groups of patients with Alzheimer's disease, those reported to have a family history of dementia and those without a family history of ...

https://doi.org/10.1176/ajp.149.8.1023

Publication date: 01 August 1992

Pages1028–1032

OBJECTIVE: The authors tested the hypothesis that evening bright light pulses would improve sleep-wake patterns and reduce agitation in patients with Alzheimer's disease who have severe sundowning (a syndrome of recurring confusion and increased agitation ...

https://doi.org/10.1176/ajp.149.8.1028

Publication date: 01 August 1992

Pages1033–1039

OBJECTIVE: An earlier study showed that the results of dexamethasone suppression test (DST) predicted outcome among patients with a functional psychosis followed to 1 year. The present study was undertaken to replicate these findings with a different ...

https://doi.org/10.1176/ajp.149.8.1033

Publication date: 01 August 1992

Pages1040–1045

OBJECTIVE: The purpose of the study was to determine whether the dexamethasone suppression test (DST) would discriminate between outpatient adolescents with major depressive disorder and normal adolescent comparison subjects. METHOD: Depressed patients ...

https://doi.org/10.1176/ajp.149.8.1040

Publication date: 01 August 1992

Pages1046–1052

OBJECTIVE: The authors studied the risk of relapse among depressed patients after cognitive behavior therapy in order to document the need and potential indications for longer-term models of treatment. METHOD: Forty-eight patients with major depression ...

https://doi.org/10.1176/ajp.149.8.1046

Publication date: 01 August 1992

Pages1053–1057

OBJECTIVE: This study was designed to assess and compare the differential relapse rates of patients with panic disorder and agoraphobia after discontinuation of acute treatment (6 months) or acute plus maintenance treatment (18 months) with imipramine. ...

https://doi.org/10.1176/ajp.149.8.1053

Publication date: 01 August 1992

Pages1058–1061

OBJECTIVE: Research in the psychopathology of panic and anxiety disorders, particularly agoraphobia, suggests that fear of fear may be the basis of these conditions. However, there is little empirical research on the definition and validity of the concept ...

https://doi.org/10.1176/ajp.149.8.1058

Publication date: 01 August 1992

Pages1062–1069

OBJECTIVE: This study asks whether auditory hallucinations are reflected in a distinctive metabolic map of the brain. METHOD: Regional brain metabolism was measured by positron emission tomography with [18F]-fluorodeoxyglucose in 12 DSM-III schizophrenic ...

https://doi.org/10.1176/ajp.149.8.1062

Publication date: 01 August 1992

Pages1070–1074

OBJECTIVE: This study was undertaken to determine whether the incidence of schizophrenia is equivalent for males and females. METHOD: An attempt was made to identify every first-episode case of psychosis in a large Canadian city over a period of 2 1/2 ...

https://doi.org/10.1176/ajp.149.8.1070

Publication date: 01 August 1992

Pages1075–1080

OBJECTIVE: The authors tested the hypothesis that neuroleptic-induced extrapyramidal syndromes are associated with painful sensations objectively conforming to the characteristics of primary sensory symptoms as reported in idiopathic and postencephalitic ...

https://doi.org/10.1176/ajp.149.8.1075

Publication date: 01 August 1992

Pages1081–1085

OBJECTIVE: Only scanty information on the prevalence of tardive dyskinesia in Chinese patients has been available. This study was undertaken to examine the prevalence of tardive dyskinesia, tardive dystonia, and respiratory dyskinesia in Chinese ...

https://doi.org/10.1176/ajp.149.8.1081

Publication date: 01 August 1992

Pages1086–1090

OBJECTIVE: Preclinical and clinical evidence suggests that central opioid dysfunction may play a role in the pathophysiology of the eating disorders. In particular, endogenous opioids are known to regulate feeding behavior, mood, perception, and ...

https://doi.org/10.1176/ajp.149.8.1086

Publication date: 01 August 1992

Pages1091–1095

One piece of genetic evidence for the biological distinctness of schizophrenia and bipolar illness is the rarity of monozygotic twin pairs in which one twin suffers from schizophrenia and the other from bipolar disorder. The authors describe a pair of ...

https://doi.org/10.1176/ajp.149.8.1091

Publication date: 01 August 1992

Pages1096–1098

Of 71 consecutive patients admitted to an epilepsy unit of a general hospital, 32 (45%) were classified as having psychiatric disorders by using the General Health Questionnaire. No differences were evident to support a specific relationship between the ...

https://doi.org/10.1176/ajp.149.8.1096

Publication date: 01 August 1992

Pages1099–1102

Neurobehavioral functioning was tested in 34 asymptomatic HIV- seropositive and 43 HIV-seronegative male homosexual subjects without substance abuse and CNS disorders. The HIV-positive subjects exhibited mild motor slowing compared to the seronegative ...

https://doi.org/10.1176/ajp.149.8.1099

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Publication date: 01 August 1992

Page1129

In the article "An Empirical Evaluation of the Global Deterioration Scale for Staging Alzheimer's Disease" by Carl Eisdorfer, Ph.D., M.D., et al. (February 1992, pp. 190-194), on p. 192, second paragraph, seventh line, the words "dependent variables" ...

https://doi.org/10.1176/ajp.149.8.1129

Publication date: 01 August 1992

Pages1129-a–1129

The authors of the letter "Clozapine-Induced Priapism" (Joseph Ziegler, M.D., and David Behar, M.D., February 1992, pp. 272-273) thank Dr. Richard Balon for correcting the references. Reference 2 should read "Balon R, Berchou R, Han H: Priapism associated ...

https://doi.org/10.1176/ajp.149.8.1129-a

Publication date: 01 August 1992

Pages1129-b–1129

In the article "Alprazolam as a Neuroleptic Adjunct in the Emergency Treatment of Schizophrenia" by James G. Barbee, M.D., et al. (April 1992, pp. 506-510), the unit of measurement for alprazolam and haloperidol blood levels described in the fifth ...

https://doi.org/10.1176/ajp.149.8.1129-b

Publication date: 01 August 1992

Pages1129-c–1129

In the article "Symptom Responses of Female Vietnam Veterans to Operation Desert Storm" by Jessica Wolfe, Ph.D., et al. (May 1992, pp. 676-679), on p. 678 the key to figure 1 is inverted. The corrected figure follows. [See figure in the PDF file]

https://doi.org/10.1176/ajp.149.8.1129-c

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