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American Journal of Psychiatry

  • Volume 155
  • Number 2
  • February 1998

Editorial

Images in Neuroscience

Regular Article

Publication date: 01 February 1998

Pages163–171

OBJECTIVE: The aim of this historical study was to examine the methods actually used by Sigmund Freud in his practice of psychoanalysis in his mature years (1907–1939) and to assess the relationship between these methods and Freud's published ...

https://doi.org/10.1176/ajp.155.2.163

Publication date: 01 February 1998

Pages172–177

OBJECTIVE: Little is known about the boundaries between major depression and milder subsyndromal depressive states. With respect to depressive symptoms, does DSM-IV “carve nature at its joints”? METHOD: In personally interviewed female twins from a ...

https://doi.org/10.1176/ajp.155.2.172

Publication date: 01 February 1998

Pages178–183

OBJECTIVE: The purpose of this study was to determine whether elderly patients with psychotic depression differed in long-term outcome from patients with nonpsychotic depression. METHOD: The study group consisted of 19 patients with psychotic major ...

https://doi.org/10.1176/ajp.155.2.178

Publication date: 01 February 1998

Pages184–191

OBJECTIVE: A 55-year prospective study attempted to determine the antecedents and consequences of positive mental and physical health in adult men. A substudy was conducted to look at the late-life physical health of men selected to be as unlike men with ...

https://doi.org/10.1176/ajp.155.2.184

Publication date: 01 February 1998

Pages192–199

OBJECTIVE: This study presents polysomnographic data and psychiatric history for parents and siblings of probands with unipolar depression and short REM latency, probands with unipolar depression and normal REM latency, and normal comparison probands. ...

https://doi.org/10.1176/ajp.155.2.192

Publication date: 01 February 1998

Pages200–206

OBJECTIVE: Because cocaine enhances dopamine brain activity and dopamine signals are transferred through γ-aminobutyric acid pathways, the authors hypothesized GABA-ergic disruption in cocaine-abusing subjects. This study tests this hypothesis. METHOD: ...

https://doi.org/10.1176/ajp.155.2.200

Publication date: 01 February 1998

Pages214–219

OBJECTIVE: This study examined the prevalence of lifetime traumatic events and current symptoms of posttraumatic stress disorder (PTSD) among treatment-seeking cocaine-dependent outpatients and compared patients with and without PTSD on current substance ...

https://doi.org/10.1176/ajp.155.2.214

Publication date: 01 February 1998

Pages220–225

OBJECTIVE: The authors investigated the theoretical and clinical role of depression among cocaine abusers in treatment. METHOD: Eighty-nine cocaine-abusing patients underwent 2 weeks of substance abuse treatment. Posttreatment major depressive disorder, ...

https://doi.org/10.1176/ajp.155.2.220

Publication date: 01 February 1998

Pages226–231

OBJECTIVE: Violent behavior among individuals with severe mental illness has become an important focus in community-based care. This study examines the joint effect of substance abuse and medication noncompliance on the greater risk of serious violence ...

https://doi.org/10.1176/ajp.155.2.226

Publication date: 01 February 1998

Pages232–238

OBJECTIVE: Despite high rates of co-occurring substance use disorder in people with severe mental illness, substance use disorder is often undetected in acute-care psychiatric settings. Because underdetection is related to the failure of traditional ...

https://doi.org/10.1176/ajp.155.2.232

Publication date: 01 February 1998

Pages239–243

OBJECTIVE: The authors assessed the nature and stability of remission of substance use disorder among persons with severe mental illness at index hospitalization and at 1-year follow-up. METHOD: Consecutively admitted inpatients with severe mental illness ...

https://doi.org/10.1176/ajp.155.2.239

Publication date: 01 February 1998

Pages244–249

OBJECTIVE: The present study examines whether concomitant obsessive-compulsive disorder (OCD) indicates a poorer prognosis for patients with anorexia or bulimia nervosa. METHOD: Seventy-five female inpatients who met DSM-IV criteria for anorexia or ...

https://doi.org/10.1176/ajp.155.2.244

Publication date: 01 February 1998

Pages250–254

OBJECTIVE: The purpose of this study was to examine the presence and severity of eating disorder pathology in students representing South Africa's ethnically and culturally diverse population. METHOD: A questionnaire survey, which involved the Eating ...

https://doi.org/10.1176/ajp.155.2.250

Publication date: 01 February 1998

Pages255–263

OBJECTIVE: The authors sought to determine the long-term outcome of subjects with severe and refractory obsessive-compulsive disorder (OCD) who had undergone ventromedial frontal leukotomy during the 1970s. Special emphasis was given to the analysis of ...

https://doi.org/10.1176/ajp.155.2.255

Publication date: 01 February 1998

Pages264–271

OBJECTIVE: The purpose of this study was to describe the clinical characteristics of a novel group of patients with obsessive-compulsive disorder (OCD) and tic disorders, designated as pediatric autoimmune neuropsychiatric disorders associated with ...

https://doi.org/10.1176/ajp.155.2.264

Clinical Case Conference

Images in Psychiatry

Brief Report

Publication date: 01 February 1998

Pages278–279

OBJECTIVE: Studies have shown memory deficits among combat veterans with posttraumatic stress disorder (PTSD); however, high rates of comorbid conditions, including alcoholism, make it difficult to definitively associate these findings with the PTSD ...

https://doi.org/10.1176/ajp.155.2.278

Publication date: 01 February 1998

Pages280–282

OBJECTIVE: The authors evaluated respiratory response to cholecystokinin tetrapeptide (CCK-4) in healthy volunteers. METHOD: Subjects were randomly assigned to either a CCK-4 (N=15) or placebo (N=15) challenge under double-blind conditions. RESULTS: ...

https://doi.org/10.1176/ajp.155.2.280

Publication date: 01 February 1998

Pages283–285

OBJECTIVE: Epidemiologic surveys have found that the incidence and prevalence of panic disorder decline in later life. The goal of this study was to determine whether aging has an effect on healthy subjects' responses to the panicogenic agent ...

https://doi.org/10.1176/ajp.155.2.283

Publication date: 01 February 1998

Pages290–292

OBJECTIVE: The authors sought to determine the effect of clinically equivalent doses of fluoxetine on mood and other psychological variables in normal subjects. METHOD: Fifteen healthy volunteers received placebo for 2 weeks; fluoxetine, 10 mg/day, for 1 ...

https://doi.org/10.1176/ajp.155.2.290

Publication date: 01 February 1998

Pages293–294

OBJECTIVE: Previous reports of side effects from light therapy were mostly based on administration of 2,500-lux treatments. It has become common practice to use brighter, 10,000-lux exposure when treating seasonal affective disorder. The authors studied ...

https://doi.org/10.1176/ajp.155.2.293

Publication date: 01 February 1998

Pages295–297

OBJECTIVE: The primary purpose of this study was to compare the reliability of differing sets of criteria for attachment disorders by using a retrospective case review. METHOD: Forty-eight consecutive clinical case summaries from an infant behavior clinic ...

https://doi.org/10.1176/ajp.155.2.295

Book Forum: PSYCHOTHERAPY

Book Forum: TRAUMA

Book Forum: DEPRESSION

Book Forum: ADDICTION

Letter to the Editor

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