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American Journal of Psychiatry

  • Volume 150
  • Number 2
  • February 1993

Article

Publication date: 01 February 1993

Pages178–187

Considerable effort has been directed toward identifying and conceptualizing information-processing deficits in schizophrenia and other psychotic disorders. The impressive gains in this field have made meaningful contributions to our understanding of the ...

https://doi.org/10.1176/ajp.150.2.178

Publication date: 01 February 1993

Pages188–196

The authors systematically examine the concept of boundaries and boundary violations in clinical practice, particularly as they relate to recent sexual misconduct litigation. They selectively review the literature on the subject and identify critical ...

https://doi.org/10.1176/ajp.150.2.188

Publication date: 01 February 1993

Pages197–206

The purpose of this article is to examine the consequences of and possible responses to uncertainty in psychiatric diagnosis. Uncertainty is inevitable because of the overlap in characteristics, or test results, between populations with and without a ...

https://doi.org/10.1176/ajp.150.2.197

Article

Publication date: 01 February 1993

Pages229–234

OBJECTIVE: The authors examine the allegation that the diagnosis of posttraumatic stress disorder (PTSD) is frequently abused in the legal system as the basis for a defense of not guilty by reason of insanity. METHOD: Data for the investigation were drawn ...

https://doi.org/10.1176/ajp.150.2.229

Publication date: 01 February 1993

Pages235–239

OBJECTIVE: Early trauma in the form of childhood physical or sexual abuse has been associated with adult psychopathology. The purpose of this study was to compare rates of childhood abuse in Vietnam veterans with and without combat-related posttraumatic ...

https://doi.org/10.1176/ajp.150.2.235

Publication date: 01 February 1993

Pages240–245

OBJECTIVE: This study assessed current and long-term psychological and psychiatric sequelae of war trauma in World War II Pacific theater combat veterans, some of whom had been Japanese prisoners of war (POWs). METHOD: A group of 36 POW survivors and a ...

https://doi.org/10.1176/ajp.150.2.240

Publication date: 01 February 1993

Pages246–249

OBJECTIVE: Little is known about the prevalence of panic symptoms that do not meet criteria for panic disorder. This study was conducted to determine the prevalence of panic disorder, panic attacks, and limited- symptom attacks in the general population. ...

https://doi.org/10.1176/ajp.150.2.246

Publication date: 01 February 1993

Pages250–257

OBJECTIVE: The authors assessed the substance and diagnostic specificity of carbon-dioxide-induced panic since, in addition to the specific biochemical effects of inhaled carbon dioxide (CO2), simple physiologic distress is also frequently implicated as a ...

https://doi.org/10.1176/ajp.150.2.250

Publication date: 01 February 1993

Pages258–261

OBJECTIVE: The purpose of this study was to examine the intensity and relationship of trauma and responses to bereavement in family members after homicide. METHOD: The authors established an outpatient clinic that offered evaluation and supportive ...

https://doi.org/10.1176/ajp.150.2.258

Publication date: 01 February 1993

Pages262–265

OBJECTIVE: The purpose of this study was to investigate the adult outcome of a group of male juveniles who committed sexual assault. METHOD: Nineteen sexually assaultive male juveniles and a comparison group of 58 violent juveniles were studied over an 8-...

https://doi.org/10.1176/ajp.150.2.262

Publication date: 01 February 1993

Pages266–271

OBJECTIVE: The purpose of this paper is to present initial findings from a retrospective chart review of geriatric day treatment patients in order to focus attention on this potentially important area, add to the limited database in this area, and ...

https://doi.org/10.1176/ajp.150.2.266

Publication date: 01 February 1993

Pages272–277

OBJECTIVE: The purpose of this study was to determine whether female homosexuality is familial and whether it is cofamilial with male homosexuality. METHOD: Subjects included 84 homosexual and 79 heterosexual female probands recruited through newspaper ...

https://doi.org/10.1176/ajp.150.2.272

Publication date: 01 February 1993

Pages278–285

OBJECTIVE: Most investigators presume that schizophrenia and affective disorder are separate diseases. Others have proposed alternatives to this Kraepelinian view. These alternatives were addressed by preliminary analyses of data from a family study of ...

https://doi.org/10.1176/ajp.150.2.278

Publication date: 01 February 1993

Pages286–293

OBJECTIVE: This study was undertaken to test the reliability and validity of the Pathological Laughter and Crying Scale and the effectiveness of nortriptyline treatment for patients with emotional lability following stroke. METHOD: Eighty-two patients ...

https://doi.org/10.1176/ajp.150.2.286

Publication date: 01 February 1993

Pages294–301

OBJECTIVE: The authors examined the relationship between depressive symptoms and the self-reported use of alcohol, carbohydrates, and caffeine in normal volunteers and four groups of psychiatric outpatients. METHOD: Outpatients and normal volunteers were ...

https://doi.org/10.1176/ajp.150.2.294

Publication date: 01 February 1993

Pages302–308

OBJECTIVE: Body dysmorphic disorder, preoccupation with an imagined defect in appearance, is included in DSM-III-R but has received little empirical study. The authors investigated the demographics, phenomenology, course, associated psychopathology, ...

https://doi.org/10.1176/ajp.150.2.302

Publication date: 01 February 1993

Pages309–315

OBJECTIVE: Previous studies of psychiatric illness in populations infected with or at risk for HIV have not included systematic evaluation for personality disorders. The authors present the first controlled study of 1) personality disorders in HIV-...

https://doi.org/10.1176/ajp.150.2.309

Publication date: 01 February 1993

Pages316–320

OBJECTIVE: The authors sought a practical means of monitoring and evaluating group psychotherapy, using existing clinical resources, for purposes of quality improvement and education on a large general hospital psychiatric service. METHOD: Monitoring ...

https://doi.org/10.1176/ajp.150.2.316

Publication date: 01 February 1993

Pages321–323

The potential efficacy of oral l-deprenyl (5 mg b.i.d.) added to the regimen of 10 patients with Alzheimer's disease receiving either tacrine or physostigmine was assessed in a double-blind, placebo- controlled, 4-week, two-period crossover pilot study. l-...

https://doi.org/10.1176/ajp.150.2.321

Publication date: 01 February 1993

Pages324–325

The authors compared the responses of 76 adolescents on an inpatient psychiatric service with those of 802 school-based adolescents in the same city regarding HIV risk behaviors. The psychiatrically hospitalized adolescents reported a significantly higher ...

https://doi.org/10.1176/ajp.150.2.324

Publication date: 01 February 1993

Pages326–327

In a chart review at a hospital's infectious disease AIDS clinic, manic syndromes affected 8% of patients who had AIDS. Of the 14 patients with manic episodes, those without a family or personal history of mood disorder presented later in the course of ...

https://doi.org/10.1176/ajp.150.2.326

Publication date: 01 February 1993

Pages328–329

In this pilot study, the authors assessed 4-year outcomes for 18 schizophrenic outpatients with alcoholism who were treated in an innovative dual-diagnosis program. Over half (61.1%) achieved stable remissions from alcoholism. The mean duration of ...

https://doi.org/10.1176/ajp.150.2.328

Publication date: 01 February 1993

Pages330–332

Studies associate psychotic disorders with various forms of subtle inattention to the right hemispace (left-turning behavior). The authors examined the correlation between this dopamine-related sign and severity of delusions (presumably dopaminergic ...

https://doi.org/10.1176/ajp.150.2.330

Publication date: 01 February 1993

Pages333–335

In 27 patients with chronic schizophrenia, there was a significant correlation between performance on an antisaccade eye movement task and on the Wisconsin Card Sorting Test. A significant correlation was not obtained between antisaccade task performance ...

https://doi.org/10.1176/ajp.150.2.333

Publication date: 01 February 1993

Pages336–337

Blunted growth hormone (GH) responses to growth hormone-releasing factor (GH-RF) and clonidine have been reported in patients with panic disorder. In this study GH-RF and clonidine were administered to 13 patients with panic disorder and 20 healthy ...

https://doi.org/10.1176/ajp.150.2.336

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