American Journal of Psychiatry
- Volume 155
- Number 4
- April 1998
Editorial
Images in Psychiatry
Special Article
Publication date: 01 April 1998
Pages457–469In an attempt to place psychiatric thinking and the training of future psychiatrists more centrally into the context of modern biology, the author outlines the beginnings of a new intellectual framework for psychiatry that derives from current biological ...
https://doi.org/10.1176/ajp.155.4.457Regular Article
Publication date: 01 April 1998
Pages470–473OBJECTIVE: Humans experience the subjective effects of mu and kappa opioid agonists differently: mu agonists produce mainly euphoria, while kappa agonists are more likely to produce dysphoria. This study tested the hypothesis that these subjective effects ...
https://doi.org/10.1176/ajp.155.4.470Publication date: 01 April 1998
Pages474–478OBJECTIVE: Determinants of individual vulnerability to alcohol withdrawal symptoms are largely unknown. Because of the substantial role of monoaminergic transporters in limiting time and space effects of synaptic neurotransmission, the dopamine ...
https://doi.org/10.1176/ajp.155.4.474Publication date: 01 April 1998
Pages479–485OBJECTIVE: This study investigated the progression from conduct disorder to antisocial personality disorder among individuals treated for adolescent substance abuse. This issue is important because of the poor outcomes observed among individuals with ...
https://doi.org/10.1176/ajp.155.4.479Publication date: 01 April 1998
Pages486–492OBJECTIVE: The DSM-IV criteria for substance use disorders were incorporated into the 1995 Minnesota Student Survey in order to estimate the need for alcohol/drug treatment among adolescents in the state. This study used data from the survey to examine ...
https://doi.org/10.1176/ajp.155.4.486Publication date: 01 April 1998
Pages493–498OBJECTIVE: Numerous studies have examined the adolescent and young adult fate of children with attention deficit hyperactivity disorder (ADHD). In marked contrast, relatively little is known about the adult outcome of these children. There have been only ...
https://doi.org/10.1176/ajp.155.4.493Publication date: 01 April 1998
Pages499–504OBJECTIVE: The purpose of this study was to compare the short-term efficacy and safety of risperidone and clozapine in treatment-resistant chronic schizophrenic patients. METHOD: In a controlled double-blind, multicenter study, 86 inpatients with chronic ...
https://doi.org/10.1176/ajp.155.4.499Publication date: 01 April 1998
Pages505–508OBJECTIVE: This study examined the binding to cortical serotonin 5-HT2A receptors of conventional doses of the typical neuroleptic chlorpromazine in comparison with clozapine, the prototype atypical antipsychotic, and amisulpride, a specific dopamine D2-D...
https://doi.org/10.1176/ajp.155.4.505Publication date: 01 April 1998
Pages509–515OBJECTIVE: A cavum between the septi pellucidi may reflect neurodevelopmental anomalies in midline structures of the brain. The authors examined cavum septi pellucidi in subjects with schizophrenia, affective disorder, and schizotypal personality disorder ...
https://doi.org/10.1176/ajp.155.4.509Publication date: 01 April 1998
Pages516–522OBJECTIVE: Severe and persistent mental illnesses are often lifelong and characterized by intermittent exacerbations requiring hospitalization. Providing needed care within budgetary constraints to this largely publicly subsidized population requires ...
https://doi.org/10.1176/ajp.155.4.516Publication date: 01 April 1998
Pages523–529OBJECTIVE: In 1989, Philadelphia began a bold experiment involving the total shutdown of a 500-bed state hospital. This study examines the service utilization and cost of treating individuals with serious mental illness in a community-based care system in ...
https://doi.org/10.1176/ajp.155.4.523Publication date: 01 April 1998
Pages530–535OBJECTIVE: The aim of this research was to study the relationship between the clinical interview skills of primary care physicians and their psychodiagnostic ability during office visits. METHOD: Ten doctors took part in the study, and 233 patients were ...
https://doi.org/10.1176/ajp.155.4.530Publication date: 01 April 1998
Pages536–542OBJECTIVE: The effects of religious belief and activity on remission of depression were examined in medically ill hospitalized older patients. METHOD: Consecutive patients aged 60 years or over who had been admitted to medical inpatient services at a ...
https://doi.org/10.1176/ajp.155.4.536Publication date: 01 April 1998
Pages543–547OBJECTIVE: Suicidal behavior has been associated with reduced central serotonergic function. Because selective serotonin reuptake inhibitors (SSRIs) enhance serotonergic function, the authors studied the efficacy of an SSRI, paroxetine, in the prevention ...
https://doi.org/10.1176/ajp.155.4.543Publication date: 01 April 1998
Pages548–551OBJECTIVE: While pharmacological interventions are of established utility in bulimia nervosa, medications have no clear role in the treatment of anorexia nervosa. Because patients with anorexia nervosa frequently exhibit mood disturbances and symptoms of ...
https://doi.org/10.1176/ajp.155.4.548Brief Report
Publication date: 01 April 1998
Pages552–554OBJECTIVE: The authors' goal was to use structured clinical interviews to characterize the type and frequency of mental illness in adults with fetal alcohol syndrome or fetal alcohol effects. METHOD: Twenty-five subjects who met criteria for fetal alcohol ...
https://doi.org/10.1176/ajp.155.4.552Publication date: 01 April 1998
Pages555–557OBJECTIVE: The prevalences of obsessive-compulsive symptoms in patients suffering from blepharospasm and in those with hemifacial spasm were determined. The two conditions have similar symptoms, but only blepharospasm is etiologically linked to basal ...
https://doi.org/10.1176/ajp.155.4.555Publication date: 01 April 1998
Pages558–559OBJECTIVE: Changes in defense mechanisms after treatment of patients with obsessive-compulsive disorder (OCD) were measured by using an established rating scale. METHOD: Before and after 7-week group behavior therapy, 17 patients with DSM-III-R OCD were ...
https://doi.org/10.1176/ajp.155.4.558Publication date: 01 April 1998
Pages560–561OBJECTIVE: The authors' goal was to assess naturalistic treatment outcome in trichotillomania. METHOD: Sixty-three patients who had been treated in a specialty clinic for trichotillomania over a period of 6 years were contacted. The patients were given ...
https://doi.org/10.1176/ajp.155.4.560Publication date: 01 April 1998
Pages562–564OBJECTIVE: The authors' goal was to describe the characteristics of posttraumatic stress disorder (PTSD) symptoms on resettlement in the United States and at 1-year follow-up among Bosnian refugees as well as possible factors affecting the PTSD symptom ...
https://doi.org/10.1176/ajp.155.4.562Publication date: 01 April 1998
Pages565–567OBJECTIVE: The authors examined the association between three lifetime medication variables (cumulative amount of neuroleptics, number of interruptions in neuroleptic treatment, cumulative amount of anticholinergics) and the occurrence and severity of ...
https://doi.org/10.1176/ajp.155.4.565Book Forum: TEXTBOOKS
Book Forum: PSYCHOPATHOLOGY
Book Forum: NEUROPSYCHOLOGY
Book Forum: INTERNATIONAL PSYCHIATRY
Letter to the Editor
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