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American Journal of Psychiatry

  • Volume 153
  • Number 7
  • July 1996

Article

Publication date: 01 July 1996

Pages7–10

Psychodynamic psychotherapy has evolved in the 30 years since John Nemiah was the author's mentor in the endeavor. It has always occupied an epistemologic position somewhere between the scientific standard of physics and the postmodern or ...

https://doi.org/10.1176/ajp.153.7.7

Publication date: 01 July 1996

Pages11–23

OBJECTIVE: The author's goal was to evaluate theories of the conditions that exist before onset of psychological and somatic symptoms by assessing these preconditions clinically and quantitatively. METHOD: He assembled a set of texts from the cases of ...

https://doi.org/10.1176/ajp.153.7.11

Publication date: 01 July 1996

Pages24–29

OBJECTIVE: This study was an effort to clarify both the psychological contributions to and the long-term consequences of uncomplicated essential hypertension. METHOD: The subjects were 193 healthy college students selected as sophomores and prospectively ...

https://doi.org/10.1176/ajp.153.7.24

Publication date: 01 July 1996

Pages42–63

OBJECTIVE: The authors propose a diathesis-stress model to describe how pathological dissociation may arise from an interaction between innate hypnotizability and traumatic experience. METHOD: To support the proposition that pathological dissociation may ...

https://doi.org/10.1176/ajp.153.7.42

Publication date: 01 July 1996

Pages64–70

An attempt was made by the authors of DSM-III to restrict its focus to the experimental, the observable, and the measurable. The intention was to free the nosology from the influence of unproven theories, and the philosophy was driven largely by the ...

https://doi.org/10.1176/ajp.153.7.64

Publication date: 01 July 1996

Pages71–82

OBJECTIVE: There is considerable controversy about delayed recall of childhood abuse. Some authors have claimed that there is a "false memory syndrome," in which therapists suggest to patients events that never actually occurred. These authors point to ...

https://doi.org/10.1176/ajp.153.7.71

Publication date: 01 July 1996

Pages83–93

OBJECTIVE: A century of clinical research has noted a range of trauma- related psychological problems that are not captured in the DSM-IV framework of posttraumatic stress disorder (PTSD). This study investigated the relationships between exposure to ...

https://doi.org/10.1176/ajp.153.7.83

Publication date: 01 July 1996

Pages94–102

OBJECTIVE: The aim of this study was to identify characteristics of emergency services personnel related to acute dissociative responses at the time of critical incident exposure, a phenomenon designated "peritraumatic dissociation." METHOD: The authors ...

https://doi.org/10.1176/ajp.153.7.94

Publication date: 01 July 1996

Pages103–110

OBJECTIVE: The author uses clinical experience informed by research findings to suggest approaches to the treatment of the traumatic memories of patients with dissociative identity disorder. METHOD: Recent findings in the treatment of patients with this ...

https://doi.org/10.1176/ajp.153.7.103

Publication date: 01 July 1996

Pages861–869

OBJECTIVE: The Internet is a rapidly growing communications resource that is beginning to have an impact on medicine, and it is anticipated that the Internet will soon have a major effect on psychiatry. It is essential for psychiatrists to have a ...

https://doi.org/10.1176/ajp.153.7.861

Publication date: 01 July 1996

Pages870–876

OBJECTIVE: Research on schizophrenia has tended to ignore patterns and costs of mental health service use in late life. The present study examined the types of mental health services used and their costs for several age-defined cohorts in a large ...

https://doi.org/10.1176/ajp.153.7.870

Publication date: 01 July 1996

Pages877–885

OBJECTIVE: The authors' purpose was to identify the relationship of disability to clinical measures that are part of a comprehensive psychiatric examination of depressed elderly patients. METHOD: The disability of 75 elderly inpatients and outpatients ...

https://doi.org/10.1176/ajp.153.7.877

Publication date: 01 July 1996

Pages886–891

OBJECTIVE: Surprisingly little research supports the hypothesis that depressions characterized by objective measures of neurobiological dysregulation respond poorly to psychotherapy. Moreover, relevant studies testing this hypothesis have been compromised ...

https://doi.org/10.1176/ajp.153.7.886

Publication date: 01 July 1996

Pages892–899

OBJECTIVE: This study used an adoption study design to separate genetic from environmental factors in the etiology of depression spectrum disease, a type of major depression characterized by families in which male relatives are alcoholic and females are ...

https://doi.org/10.1176/ajp.153.7.892

Publication date: 01 July 1996

Pages900–906

OBJECTIVE: A number of studies have documented significant comorbidity between dysthymia and axis II personality disorders, particularly those grouped in cluster B. However, the nature of this comorbidity is poorly understood. The purpose of this ...

https://doi.org/10.1176/ajp.153.7.900

Publication date: 01 July 1996

Pages907–913

OBJECTIVE: The purpose of this study was to investigate the childhood antecedents of personality disorders that are diagnosed in adolescence. METHOD: A randomly selected community sample of 641 youths was assessed initially in childhood and followed ...

https://doi.org/10.1176/ajp.153.7.907

Publication date: 01 July 1996

Pages914–920

OBJECTIVE: The authors examined the association between conduct disorder and substance use disorders in adolescent inpatients. METHOD: Structured diagnostic interviews were given to 165 adolescent inpatients to assess the presence of DSM-III-R axis I ...

https://doi.org/10.1176/ajp.153.7.914

Publication date: 01 July 1996

Pages921–928

OBJECTIVE: In this study the authors measured the number of adults in three U.S. communities who reported abusing and neglecting children in their lifetime and assessed the relative impact of sociodemographic characteristics and lifetime diagnosis of ...

https://doi.org/10.1176/ajp.153.7.921

Publication date: 01 July 1996

Pages929–934

OBJECTIVE: This study evaluated basal salivary cortisol, 3-methoxy-4- hydroxyphenylglycol (MHPG), and cortisol suppression following dexamethasone administration in adolescents exposed to two levels of earthquake-related trauma. METHOD: Five years after ...

https://doi.org/10.1176/ajp.153.7.929

Publication date: 01 July 1996

Pages935–940

OBJECTIVE: This study explored relationships among dissociation, trauma, and posttraumatic stress disorder (PTSD) in elderly Holocaust survivors with and without PTSD and in a demographically comparable group of nontraumatized subjects. METHOD: Holocaust ...

https://doi.org/10.1176/ajp.153.7.935

Publication date: 01 July 1996

Pages945–947

OBJECTIVE: The authors' goal was to determine whether cognitive behavioral treatment of residual symptoms of depression might have a significant effect on relapse rate. METHOD: In an earlier study, 40 patients with primary major depressive disorder who ...

https://doi.org/10.1176/ajp.153.7.945

Publication date: 01 July 1996

Pages948–950

OBJECTIVE: The purpose of this study was to determine the dopamine D2 receptor occupancy induced by low-dose haloperidol treatment in a prospective trial. METHOD: Seven patients with schizophrenia were treated with 2 mg/day of haloperidol for 2 weeks, and ...

https://doi.org/10.1176/ajp.153.7.948

Publication date: 01 July 1996

Pages951–952

OBJECTIVE: To characterize better the length of time required for the onset of improvement during clozapine treatment for refractory schizophrenia, the author reanalyzed data from a naturalistic outcome study. METHOD: Medical records of 100 adults ...

https://doi.org/10.1176/ajp.153.7.951

Publication date: 01 July 1996

Pages953–955

OBJECTIVE: The aim of this study was to examine the association between active, concomitant cocaine and alcohol abuse and the prevalence and severity of current suicidal and homicidal behavior among hospitalized psychiatric patients. METHOD: Three groups ...

https://doi.org/10.1176/ajp.153.7.953

Publication date: 01 July 1996

Pages956–958

OBJECTIVE: The purpose of this study was to determine mood changes in women with a parental history of alcohol dependence (daughters of alcoholics) after challenge does of alprazolam and placebo in comparison with responses in women without a history of ...

https://doi.org/10.1176/ajp.153.7.956

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