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American Journal of Psychiatry

  • Volume 155
  • Number 8
  • August 1998

Editorial

Images in Neuroscience

Special Article

Publication date: 01 August 1998

Pages1001–1008

OBJECTIVE: This article delineates the main psychological interventions used by American asylum superintendents practicing moral treatment between 1815 and 1875. Further, it explores the impact of Protestant religious ideas on specific aspects of moral ...

https://doi.org/10.1176/ajp.155.8.1001

Regular Article

Publication date: 01 August 1998

Pages1009–1015

OBJECTIVE: Nicotine is a highly addictive substance, and cigarette smoking is a major cause of premature death among humans. Little is known about the neuropharmacology and sites of action of nicotine in the human brain. Such knowledge might help in the ...

https://doi.org/10.1176/ajp.155.8.1009

Publication date: 01 August 1998

Pages1016–1022

OBJECTIVE: The rate of cannabis use by women has been increasing in recent decades. This study examined the etiology of cannabis use and abuse among women and the possible role of genetic risk factors. METHOD: Unselected individual twins (N=1,934) from ...

https://doi.org/10.1176/ajp.155.8.1016

Publication date: 01 August 1998

Pages1029–1034

OBJECTIVE: The authors examined differences in program participation and outcome between black and white veterans with addictive disorders who participated in an intensive Department of Veterans Affairs (VA) residential work therapy program. METHOD: Data ...

https://doi.org/10.1176/ajp.155.8.1029

Publication date: 01 August 1998

Pages1035–1038

OBJECTIVE: Effective treatments are available for major depressive disorder in later life. The purpose of this study was to elucidate the frequency of treatment resistance among the elderly. METHOD: Treatment resistance, defined as lack of recovery ...

https://doi.org/10.1176/ajp.155.8.1035

Publication date: 01 August 1998

Pages1039–1043

OBJECTIVE: The authors' goal was to examine whether individuals diagnosed as having major depression experienced greater levels of depressive symptoms and cognitive dysfunction up to 3 years before the clinical diagnosis was rendered. METHOD: The study ...

https://doi.org/10.1176/ajp.155.8.1039

Publication date: 01 August 1998

Pages1044–1048

OBJECTIVE: Depressive personality disorder was introduced into DSM-IV's appendix amid controversy. While that disorder appears to be a reliable and valid one, the authors offer new data about its relationship to major depression, dysthymic disorder, and ...

https://doi.org/10.1176/ajp.155.8.1044

Publication date: 01 August 1998

Pages1049–1055

OBJECTIVE: Altered prefrontal cortical function has been repeatedly implicated in the pathophysiology of schizophrenia. Attempts to determine whether this altered function is associated with structural changes in the prefrontal cortex have been hampered ...

https://doi.org/10.1176/ajp.155.8.1049

Publication date: 01 August 1998

Pages1064–1073

OBJECTIVE: Intersubject averaging of structural magnetic resonance (MR) images has been infrequently used as a means to study group differences in cerebral structure throughout the brain. In the present study, the authors used linear intersubject ...

https://doi.org/10.1176/ajp.155.8.1064

Publication date: 01 August 1998

Pages1074–1079

OBJECTIVE: Patients with schizophrenia have been reported to have a higher frequency of enlarged cavum septi pellucidi (CSP) in comparison with normal subjects. Neurodevelopmental models of schizophrenia suggest that the more severe the brain dysgenesis, ...

https://doi.org/10.1176/ajp.155.8.1074

Publication date: 01 August 1998

Pages1080–1086

OBJECTIVE: Although many geriatric patients with schizophrenia have been referred to nursing home care, little is known about their characteristics. Across nursing home and chronic hospital settings, the authors directly assessed poor outcome geriatric ...

https://doi.org/10.1176/ajp.155.8.1080

Publication date: 01 August 1998

Pages1087–1091

OBJECTIVE: The authors compared the community functioning of outpatients with persistent forms of schizophrenia after treatment with psychosocial occupational therapy or social skills training, with the latter conducted by paraprofessionals. METHOD: ...

https://doi.org/10.1176/ajp.155.8.1087

Publication date: 01 August 1998

Pages1092–1096

OBJECTIVE: The associations of prior DSM-III-R disorders with probability and timing of subsequent divorce were examined. METHOD: The data came from the part II subsample (N=5,877) of the National Comorbidity Survey. The respondents completed a structured ...

https://doi.org/10.1176/ajp.155.8.1092

Publication date: 01 August 1998

Pages1097–1101

OBJECTIVE: This is the first study to assess clinical practices under one of the new duty-to-protect statutes, some version of which has been passed in many states. In 1985, California enacted a statute enabling psychotherapists to limit their liability ...

https://doi.org/10.1176/ajp.155.8.1097

Publication date: 01 August 1998

Pages1102–1105

OBJECTIVE: The purpose of this study was to identify demographic and clinical characteristics of psychiatric inpatients who stalk, threaten, or harass hospital staff after discharge. METHOD: The authors retrospectively summarized the demographic and ...

https://doi.org/10.1176/ajp.155.8.1102

Clinical Case Conference

Images in Psychiatry

Brief Report

Publication date: 01 August 1998

Pages1110–1112

OBJECTIVE: The authors' goal was to compare serum anticholinergicity of 61 elderly depressed patients randomly assigned to double-blind treatment with paroxetine (N=31) or nortriptyline (N=30). METHOD: Both antidepressants were titrated in a standardized ...

https://doi.org/10.1176/ajp.155.8.1110

Publication date: 01 August 1998

Pages1113–1116

OBJECTIVE: The authors' goal was to analyze reported cases of neuroleptic malignant syndrome in patients given clozapine and risperidone. METHOD: They assessed 19 cases of clozapine-induced neuroleptic malignant syndrome and 13 cases of risperidone-...

https://doi.org/10.1176/ajp.155.8.1113

Publication date: 01 August 1998

Pages1117–1118

OBJECTIVE: The authors' goal was to determine whether cognitively impaired patients with schizophrenia exhibit age-related cognitive declines similar to those of patients with schizophrenia who do not have substantial cognitive impairment. METHOD: ...

https://doi.org/10.1176/ajp.155.8.1117

Publication date: 01 August 1998

Pages1119–1121

OBJECTIVE: The authors' goal was to examine the hypnotic effects of slow-release melatonin during the initial 4 weeks of treatment with fluoxetine in 19 patients with major depressive disorder. METHOD: Twenty-four outpatients with major depressive ...

https://doi.org/10.1176/ajp.155.8.1119

Publication date: 01 August 1998

Pages1122–1124

OBJECTIVE: The incidence and course of neuropsychiatric symptoms were determined in pediatric patients with rheumatic fever. METHOD: The Leyton Obsessional Inventory and National Institute of Mental Health Global Obsessive-Compulsive Scale were used to ...

https://doi.org/10.1176/ajp.155.8.1122

Book Forum: NEUROPSYCHIATRY

Book Forum: MOOD DISORDERS

Book Forum: NEUROPSYCHIATRY

Book Forum: MOOD DISORDERS

Book Forum: ADDICTIVE DISORDERS

Book Forum: OTHER SPECIFIC DISORDERS

Letter to the Editor

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