American Journal of Psychiatry
- Volume 154
- Number 6
- June 1997
Publication date: 01 June 1997
Pages6–12Mel Sabshin and I worked closely together during the 1950s, and his influence on me-as on so many others-has persisted ever since. I have never ceased to be deeply impressed by his intellectual curiosity, his strong sense of social responsibility, his ...
https://doi.org/10.1176/ajp.154.6.6Publication date: 01 June 1997
Pages27–38OBJECTIVE: Psychiatric classification is still a topic of considerable discussion and debate in spite of major advances in the past two decades. The debate involves categorical versus dimensional approaches, cutoff numbers of symptoms to define a case, ...
https://doi.org/10.1176/ajp.154.6.27Publication date: 01 June 1997
Pages39–46OBJECTIVE: The authors aimed to delineate the "common denominators" across a representative number of cognitive measures by administering such measures to a large number of schizophrenic subjects. The authors also aimed to study the consistency of the ...
https://doi.org/10.1176/ajp.154.6.39Publication date: 01 June 1997
Pages47–54The author analyzes some elements in the reception of DSM-III in Europe. The worldwide success of a diagnostic classification originally presented as a purely American endeavor is associated with recurrent, albeit not often openly formulated, criticisms. ...
https://doi.org/10.1176/ajp.154.6.47Publication date: 01 June 1997
Pages55–58This article reports developments in mental health services in Shanghai during the past several years, including family education and involvement, new forms of community services, psychological consultation programs, hot line services and crisis ...
https://doi.org/10.1176/ajp.154.6.55Publication date: 01 June 1997
Pages59–65OBJECTIVE: The adequate recognition and treatment of depression are inhibited by negative public attitudes and gaps in professional expertise. This paper describes the activities and efforts of the Defeat Depression Campaign, a joint activity of the Royal ...
https://doi.org/10.1176/ajp.154.6.59Publication date: 01 June 1997
Pages73–76A "Dialogue" session was set up during the seventh scientific meeting of the Pacific Rim College of Psychiatrists in 1995. The objective of this session was to clarify the opinions of great scholars on modern psychiatry and their contributions to its ...
https://doi.org/10.1176/ajp.154.6.73Publication date: 01 June 1997
Pages87–92OBJECTIVE: The purpose of this exploratory study was to identify a cluster of variables that would most economically explain variations in the grade point averages of medical students during the first 3 years of study. METHOD: Data were derived from a ...
https://doi.org/10.1176/ajp.154.6.87Publication date: 01 June 1997
Pages726–735OBJECTIVE: Although an inability to form normal social attachments characterizes many forms of psychopathology, there has been little study of the neural basis of social bond formation. The primary purpose of this article is to describe a novel approach ...
https://doi.org/10.1176/ajp.154.6.726Publication date: 01 June 1997
Pages736–743OBJECTIVE: The authors examined different ways of measuring unit costs and how methodological assumptions can affect the magnitude of cost estimates and the ratio of treatment costs in comparative studies of mental health interventions. Four ...
https://doi.org/10.1176/ajp.154.6.736Publication date: 01 June 1997
Pages744–751OBJECTIVE: The Challenger spacecraft explosion in 1986 offered an opportunity to study the thinking of normal children after a sudden and distant disaster, differences in thinking among children of different levels of emotional concern and different ages, ...
https://doi.org/10.1176/ajp.154.6.744Prevalence and risk factors for posttraumatic stress disorder among chemically dependent adolescents
Publication date: 01 June 1997
Pages752–757OBJECTIVE: This study ascertained the prevalence of posttraumatic stress disorder (PTSD) among chemically dependent adolescents and identified factors that influence the risk of PTSD after a qualifying trauma. METHOD: The study group consisted of 297 ...
https://doi.org/10.1176/ajp.154.6.752Publication date: 01 June 1997
Pages758–765OBJECTIVE: This study compared the outcomes and costs of three models of Department of Veterans Affairs (VA) inpatient treatment for posttraumatic stress disorder (PTSD): 1) long-stay specialized inpatient PTSD units, 2) short-stay specialized evaluation ...
https://doi.org/10.1176/ajp.154.6.758Publication date: 01 June 1997
Pages766–772OBJECTIVE: The authors sought to characterize the functional impairment in patients with panic disorder, specifically the variance in impairment explained by demographic and clinical variables. METHOD: Sixty-two patients with panic disorder and 61 ...
https://doi.org/10.1176/ajp.154.6.766Publication date: 01 June 1997
Pages773–781OBJECTIVE: Concurrent use of benzodiazepines and psychotherapy for panic disorder is a prevalent but highly controversial practice. Although there are many rationales for that approach, critics contend that benzodiazepines foster drug abuse and dependence ...
https://doi.org/10.1176/ajp.154.6.773Publication date: 01 June 1997
Pages782–791OBJECTIVE: This multicenter, double-blind, placebo-controlled study evaluated the efficacy and safety of three doses of sertindole (12, 20, and 24 mg/day) and haloperidol (4, 8, and 16 mg/day) in the treatment of psychotic symptoms for 497 hospitalized ...
https://doi.org/10.1176/ajp.154.6.782Publication date: 01 June 1997
Pages792–798OBJECTIVE: The authors investigated the relationship of cognitive and coping characteristics to stressful life events at the time of relapse in patients with recent-onset paranoid schizophrenia. METHOD: Over 6 years, the authors collected data on 41 ...
https://doi.org/10.1176/ajp.154.6.792Publication date: 01 June 1997
Pages799–804OBJECTIVE: Treatment efficacy in schizophrenia is typically defined in terms of symptom reduction. However, new antipsychotic medications could potentially have an impact on aspects of disability, such as neurocognitive deficits. The authors evaluated the ...
https://doi.org/10.1176/ajp.154.6.799Publication date: 01 June 1997
Pages805–811OBJECTIVE: Agents that antagonize the N-methyl-D-aspartic acid (NMDA) receptor, such as phencyclidine and ketamine, produce an acute psychotic state in normal individuals that resembles some symptoms of schizophrenia. The aim of this study was to ...
https://doi.org/10.1176/ajp.154.6.805Publication date: 01 June 1997
Pages812–818OBJECTIVE: Schizophrenia may involve the two cerebral hemispheres differentially. This study was conducted to determine whether left and right hippocampal neuronal size, shape, and orientation are normally asymmetrical or asymmetrically affected in ...
https://doi.org/10.1176/ajp.154.6.812Publication date: 01 June 1997
Pages819–825OBJECTIVE: The purpose of this study was to determine whether women with chronic, severe schizophrenia manifest a widespread deficit in cortical gray matter and ventricular enlargement similar to that seen in men with schizophrenia and whether this ...
https://doi.org/10.1176/ajp.154.6.819Publication date: 01 June 1997
Pages826–831OBJECTIVE: This study examined the 1-year temporal stability of a National Institute of Mental Health Diagnostic Interview Schedule (DIS) lifetime diagnosis of obsessive-compulsive disorder in the Epidemiologic Catchment Area (ECA) study. METHOD: In that ...
https://doi.org/10.1176/ajp.154.6.826Publication date: 01 June 1997
Pages832–839OBJECTIVE: A group of 135 inpatients with dissociative identity disorder was followed for 2 years to monitor treatment outcome. METHOD: Fifty-four of the patients were located and reassessed after a 2-year period through the use of the same self-report ...
https://doi.org/10.1176/ajp.154.6.832Publication date: 01 June 1997
Pages840–845OBJECTIVE: The purpose of the study was to examine the quantitative risk of criminal behavior associated with specific mental disorders. METHOD: An unselected 1966 birth cohort (N = 12,058) in Northern Finland was prospectively studied until the end of ...
https://doi.org/10.1176/ajp.154.6.840Publication date: 01 June 1997
Pages853–855OBJECTIVE: This study examines the role of elevated autonomic nervous system reactivity in protecting individuals at high risk for criminal behavior from antisocial outcomes. The authors hypothesized that subjects with criminal fathers who did not become ...
https://doi.org/10.1176/ajp.154.6.853Publication date: 01 June 1997
Pages856–857OBJECTIVE: Two questions were posed: Does stress precipitate episodes of bipolar I disorder, and does sensitivity to stress differ in episodes later in the course of illness compared to early ones? METHOD: Fifty-two patients with bipolar I disorder were ...
https://doi.org/10.1176/ajp.154.6.856Publication date: 01 June 1997
Pages858–860OBJECTIVE: It has been suggested that auditory hallucinations and delusions of control in persons with schizophrenia could involve a disconnection between an "intention center" and a "monitoring center." METHOD: To test this model directly, the authors ...
https://doi.org/10.1176/ajp.154.6.858Publication date: 01 June 1997
Pages861–863OBJECTIVE: To evaluate the hypothesis that patients with schizophrenia who have been treated with neuroleptics have a high rate of Alzheimer's disease-like neuropathology. METHOD: Neuropathological studies indicating the presence or absence of Alzheimer's ...
https://doi.org/10.1176/ajp.154.6.861Publication date: 01 June 1997
Pages864–866OBJECTIVE: The authors examined HIV infection among young adults with newly diagnosed psychotic disorders. METHODS: The study was based on a research cohort of 320 first-admission patients aged 20-39 years in a semirural-suburban county. Research ...
https://doi.org/10.1176/ajp.154.6.864Publication date: 01 June 1997
Pages867–869OBJECTIVE: Prefrontal mechanisms are implicated in obsessive-compulsive disorder. The authors investigated whether prefrontal repetitive transcranial magnetic stimulation influenced obsessive-compulsive disorder symptoms. METHOD: Twelve patients with ...
https://doi.org/10.1176/ajp.154.6.867Publication date: 01 June 1997
Pages870–872OBJECTIVE: The authors' goal was to test the hypothesis that the antidepressant effect of total sleep deprivation can be maintained by initially avoiding sleep during a supposedly "critical" time period in the early morning. METHOD: They studied 33 ...
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