American Journal of Psychiatry
- Volume 150
- Number 1
- January 1993
Article
Publication date: 01 January 1993
Pages7–18Concerns about cost, access, and quality of health care in the United States have led to a variety of legislative proposals that would reform our health care system and its financing. Health insurance benefits for mental illness, including substance abuse,...
https://doi.org/10.1176/ajp.150.1.7Publication date: 01 January 1993
Pages19–27OBJECTIVE: The authors explore the conceptual and phenomenological interface between posttraumatic stress disorder (PTSD) and borderline personality disorder as well as the therapeutic and research implications of this interface. METHOD: They ...
https://doi.org/10.1176/ajp.150.1.19Publication date: 01 January 1993
Pages28–36Individual therapists in office practice are often considered to have limited effectiveness in treating alcohol and drug dependence. In this article the author describes network therapy, an approach developed to assure greater success in such treatment. ...
https://doi.org/10.1176/ajp.150.1.28Publication date: 01 January 1993
Pages37–46OBJECTIVE: The authors compared the effectiveness of 4 months (18 sessions) of cognitive-behavioral and supportive-expressive therapy for bulimia. METHOD: Sixty patients obtained from clinical referrals to an eating disorders program who met modified DSM-...
https://doi.org/10.1176/ajp.150.1.37Publication date: 01 January 1993
Pages47–52OBJECTIVE: This study was conducted to determine the seroprevalence of HIV-1 antibodies among hospitalized homeless mentally ill patients. METHOD: From December 1989 through May 1991 the authors collected discard blood samples from patients consecutively ...
https://doi.org/10.1176/ajp.150.1.47Publication date: 01 January 1993
Pages53–58OBJECTIVE: Antisocial personality disorder in drug abusers has been associated with poor treatment outcome. The authors examined the relationship between diagnosis of antisocial personality and HIV infection. METHOD: Subjects were 272 intravenous drug ...
https://doi.org/10.1176/ajp.150.1.53Publication date: 01 January 1993
Pages59–65OBJECTIVE: Previous studies have suggested the involvement of the frontal and parietal cortices and thalamus in a neural circuit underlying the production of primary enduring negative or deficit symptoms of schizophrenia. The purpose of this study was to ...
https://doi.org/10.1176/ajp.150.1.59Publication date: 01 January 1993
Pages66–71OBJECTIVE: The authors determined morbidity risks for psychiatric illnesses in the families of probands with schizophrenia-spectrum personality disorders. METHOD: Subjects were recruited from the community through newspaper advertisements. Subjects were ...
https://doi.org/10.1176/ajp.150.1.66Publication date: 01 January 1993
Pages72–76OBJECTIVE: Psychiatric beds in public hospitals have decreased 80% since 1955, but admissions have risen correspondingly, largely because of high recidivism rates. Decreases in numbers of beds have been partly achieved by shortening the length of stay, ...
https://doi.org/10.1176/ajp.150.1.72Publication date: 01 January 1993
Pages77–82OBJECTIVE: The authors analyzed the differences in operational and financial performance between 42 matched pairs of for-profit psychiatric hospitals belonging to multifacility organizations and nonprofit psychiatric hospitals for the fiscal years ending ...
https://doi.org/10.1176/ajp.150.1.77Publication date: 01 January 1993
Pages83–86OBJECTIVE: The authors investigated the possibility of enhanced negative feedback sensitivity of the hypothalamic-pituitary-adrenal (HPA) axis in posttraumatic stress disorder (PTSD) by using a low dose of dexamethasone. METHOD: Baseline blood samples ...
https://doi.org/10.1176/ajp.150.1.83Publication date: 01 January 1993
Pages87–92OBJECTIVE: Circumstances surrounding the New Madrid earthquake prediction on Dec. 3, 1990, offered a unique opportunity to study the effects of a disaster warning stage on children and adolescents. METHOD: An initial structured interview was administered ...
https://doi.org/10.1176/ajp.150.1.87Publication date: 01 January 1993
Pages93–97OBJECTIVE AND METHOD: Although obsessive-compulsive disorder commonly occurs in many patients with Gilles de la Tourette's syndrome, little is known about the obsessions and compulsions of Tourette's syndrome and whether they differ from those seen in ...
https://doi.org/10.1176/ajp.150.1.93Publication date: 01 January 1993
Pages98–102OBJECTIVE: Tourette's syndrome traditionally has been viewed as a hyperkinetic movement disorder characterized by involuntary motor and phonic tics. Many patients, however, describe their tics as a voluntary response to premonitory urges. This cross-...
https://doi.org/10.1176/ajp.150.1.98Publication date: 01 January 1993
Pages103–107OBJECTIVE: The goal of this study was to describe suicide attempts and risk factors among runaway adolescents. METHOD: A structured interview format was used to assess suicidal behavior and suicide-related risk factors among a consecutive series of 576 ...
https://doi.org/10.1176/ajp.150.1.103Publication date: 01 January 1993
Pages108–112OBJECTIVE: Because the findings of previous studies of suicidal behaviors in psychiatric outpatients may not necessarily generalize to outpatients with a wide spectrum of psychiatric diagnoses, the authors evaluated the prevalence of suicidal behaviors in ...
https://doi.org/10.1176/ajp.150.1.108Publication date: 01 January 1993
Pages113–117OBJECTIVE: This study sought to determine whether dawn simulation was superior to a shorter dimmer "placebo" dawn signal in treating winter depression. METHOD: In a randomized, parallel design, 22 patients with winter depression were treated with either 1 ...
https://doi.org/10.1176/ajp.150.1.113Publication date: 01 January 1993
Pages118–123OBJECTIVE: Data from controlled studies concerning the response rates of patients to a second antidepressant medication after they have been unresponsive to a systematic trial of another antidepressant are extremely useful to clinicians for rational ...
https://doi.org/10.1176/ajp.150.1.118Publication date: 01 January 1993
Pages124–129OBJECTIVE: Depression has been linked to higher than expected mortality from natural causes, particularly among elderly patients with physical illness. The authors examined the effect of depression on mortality among a group of stroke patients followed up ...
https://doi.org/10.1176/ajp.150.1.124Publication date: 01 January 1993
Pages130–134OBJECTIVE: This study was designed to evaluate the relation between intelligence and a variety of measures of brain structure. METHOD: Magnetic resonance imaging scans were used to measure the volume of the intracranial cavity, cerebral hemispheres, ...
https://doi.org/10.1176/ajp.150.1.130Publication date: 01 January 1993
Pages135–142OBJECTIVE: The authors describe the characteristics of psychiatric research over the past two decades as captured in the articles published by two general psychiatric journals. METHOD: A total of 1,236 articles were drawn from The American Journal of ...
https://doi.org/10.1176/ajp.150.1.135Publication date: 01 January 1993
Pages143–145The authors examine physician-assisted suicide in the light of what is known about suicide and terminal illness, exploring the potential for abuse if legalization occurs. The elderly, those frightened by illness, and the depressed of all ages would be ...
https://doi.org/10.1176/ajp.150.1.143Publication date: 01 January 1993
Pages146–148Three patients with schizophrenia-like psychosis and two with schizoaffective-like psychosis who experienced cerebral trauma before the onset of their illness underwent clinical and magnetic resonance imaging evaluation. Each patient with a schizophrenia-...
https://doi.org/10.1176/ajp.150.1.146Publication date: 01 January 1993
Pages149–151CSF concentrations of homovanillic acid (HVA) were measured in 10 patients with schizotypal personality disorder and 14 patients with other personality disorders. The patients with schizotypal personality disorder had higher CSF HVA concentrations than ...
https://doi.org/10.1176/ajp.150.1.149Publication date: 01 January 1993
Pages152–154Qualitative ratings of smooth pursuit eye movements were significantly worse for 14 undergraduates with DSM-III-R schizotypal personality disorder than for 18 comparison subjects. The groups did not differ on IQ, indicating that deficits in smooth pursuit ...
https://doi.org/10.1176/ajp.150.1.152Publication date: 01 January 1993
Pages155–156Compulsive foraging behavior associated with use of crack cocaine involves compulsively searching the environment for possibly misplaced pieces of crack. Of 41 crack cocaine addicts evaluated, 33 (80.5%) reported at least some compulsive foraging ...
https://doi.org/10.1176/ajp.150.1.155Article
Article
Article
Article
Publication date: 01 January 1993
Pages174-a–174In the letter "Panic Disorder and Suicidal Ideation" by Giovanni A. Fava, M.D., et al. (October 1992, p. 1412), the second sentence should end on the eighth line as follows: "SD=9.5 years). They all [instead of `five of whom'] satisfied the DSM-III-R ...
https://doi.org/10.1176/ajp.150.1.174-aPublication date: 01 January 1993
Pages174-b–174Tables 1 and 2 of "Regional Cerebral Glucose Metabolism in Bulimia Nervosa" by Paul J. Andreason, M.D., et al. (November 1992, pp. 1509 and 1510) present normalized data; the units of measure given in these tables (µmol/minute per 100 g of tissue) do not ...
https://doi.org/10.1176/ajp.150.1.174-bPast Issues
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