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American Journal of Psychiatry

  • Volume 158
  • Number 3
  • March 2001

Editorial

Reviews and Overviews

Publication date: 01 March 2001

Pages351–359

OBJECTIVE: This article offers selective reviews of cogent sectors of research regarding the dream in contemporary psychiatry. METHOD: First, the author discusses relatively recent research (1953–1999) on the neurobiology and clinical psychophysiology of ...

https://doi.org/10.1176/appi.ajp.158.3.351

Publication date: 01 March 2001

Pages360–369

OBJECTIVE: Although atypical antipsychotics are becoming the treatment of choice for schizophrenia, what makes an antipsychotic “atypical” is not clear. This article provides a new hypothesis about the mechanism of action of atypical antipsychotics. ...

https://doi.org/10.1176/appi.ajp.158.3.360

Images in Neuroscience

Clinical Case Conference

Images in Psychiatry

Article

Publication date: 01 March 2001

Pages383–389

OBJECTIVE: Methamphetamine has raised concerns because it may be neurotoxic to the human brain. Although prior work has focused primarily on the effects of methamphetamine on dopamine cells, there is evidence that other neuronal types are affected. The ...

https://doi.org/10.1176/appi.ajp.158.3.383

Publication date: 01 March 2001

Pages390–398

OBJECTIVE: The limbic system plays a critical role in motivation, emotional expression, and memory. The authors investigated whether a state of permanent limbic neuronal hyperexcitability, or sensitization, is present in cocaine addicts as a consequence ...

https://doi.org/10.1176/appi.ajp.158.3.390

Publication date: 01 March 2001

Pages399–404

OBJECTIVE: This study was an investigation of the frequencies of insomnia and its self-medication with alcohol in a group of alcoholic patients, as well as the relationship of these variables to alcoholic relapse. METHOD: The subjects were 172 men and ...

https://doi.org/10.1176/appi.ajp.158.3.399

Publication date: 01 March 2001

Pages416–419

OBJECTIVE: The authors’ goal was to examine whether depression is associated with overreporting of functional disability. METHOD: The subjects were 304 patients 60 years old or older who were recruited from primary care settings. Measures included ...

https://doi.org/10.1176/appi.ajp.158.3.416

Publication date: 01 March 2001

Pages427–432

OBJECTIVE: Individuals who mutilate themselves are at greater risk for suicidal behavior. Clinically, however, there is a perception that the suicide attempts of self-mutilators are motivated by the desire for attention rather than by a genuine wish to ...

https://doi.org/10.1176/appi.ajp.158.3.427

Publication date: 01 March 2001

Pages433–439

OBJECTIVE: The authors investigated whether self-reported life satisfaction predicted suicide over a period of 20 years (1976–1995) in adults unselected for mental health status. METHOD: A nationwide sample of adults aged 18–64 years (N=29,173) from the ...

https://doi.org/10.1176/appi.ajp.158.3.433

Publication date: 01 March 2001

Pages440–446

OBJECTIVE: Schizophrenia following a traumatic brain injury could be a phenocopy of genetic schizophrenia or the consequence of a gene-environment interaction. Alternatively, traumatic brain injury and schizophrenia could be spuriously associated if those ...

https://doi.org/10.1176/appi.ajp.158.3.440

Publication date: 01 March 2001

Pages447–453

OBJECTIVE: Velocardiofacial syndrome results from a microdeletion on chromosome 22 (22q11.2). Clinical studies indicate that more than 30% of children with the syndrome will develop schizophrenia. The authors sought to determine whether neuroanatomical ...

https://doi.org/10.1176/appi.ajp.158.3.447

Publication date: 01 March 2001

Pages454–459

OBJECTIVE: The possibility that delusions of influence could be related to abnormal recognition of one’s own actions was investigated in persons with schizophrenia. METHOD: Schizophrenic patients with (N=6) and without (N=18) delusions of influence were ...

https://doi.org/10.1176/appi.ajp.158.3.454

Publication date: 01 March 2001

Pages460–466

OBJECTIVE: Assessment of functional status is increasingly important in clinical trials and outcome research. Although several scales for assessing functioning are widely used, they vary in coverage, and direct comparisons among them are rare. Comparative ...

https://doi.org/10.1176/appi.ajp.158.3.460

Publication date: 01 March 2001

Pages467–473

OBJECTIVE: There is widespread agreement that the concept of defense is useful, but large-scale studies with representative cohorts are lacking. Self-report measures capturing conscious derivatives of defense can facilitate such studies. The authors ...

https://doi.org/10.1176/appi.ajp.158.3.467

Publication date: 01 March 2001

Pages474–478

OBJECTIVE: This study determined the risk of discipline by a medical board for psychiatrists relative to other physicians and assessed the contributions to such risk. METHOD: Physicians disciplined by the California Medical Board in a 30-month period were ...

https://doi.org/10.1176/appi.ajp.158.3.474

Brief Report

Publication date: 01 March 2001

Pages479–481

OBJECTIVE: The authors’ goal was to examine the extent to which perceived stigma affected treatment discontinuation in young and older adults with major depression. METHOD: A two-stage sampling design identified 92 new admissions of outpatients with major ...

https://doi.org/10.1176/appi.ajp.158.3.479

Publication date: 01 March 2001

Pages481–483

OBJECTIVE: The illicit use of hallucinogens is reemerging in the United States, especially among well-educated adults and teenagers. These same groups are also frequent users of the Internet. The authors sought to characterize the extent of information ...

https://doi.org/10.1176/appi.ajp.158.3.481

Publication date: 01 March 2001

Pages484–486

OBJECTIVE: High rates of medical morbidity have been reported in subjects with posttraumatic stress disorder (PTSD). The authors examined immune function in subjects in remission from past PTSD. METHOD: The initial study group was composed of 1,550 ...

https://doi.org/10.1176/appi.ajp.158.3.484

Publication date: 01 March 2001

Pages486–489

OBJECTIVE: Deficits in dopaminergic function may contribute to hypertrophy of striatal structures associated with typical neuroleptic treatment. In light of a body of research that has associated chronic cocaine use with extrapyramidal symptoms and ...

https://doi.org/10.1176/appi.ajp.158.3.486

Publication date: 01 March 2001

Pages489–492

OBJECTIVE: The authors address whether a possible age-at-onset cohort effect may have introduced a bias into anticipation studies of schizophrenia. METHOD: A retrospective review of the medical records of all admissions for psychotic disorders (N=877) was ...

https://doi.org/10.1176/appi.ajp.158.3.489

Publication date: 01 March 2001

Pages492–494

OBJECTIVE: The authors compared impulsivity, sensation seeking, and anhedonia in a group of schizophrenic patients with and without lifetime substance abuse or dependence. METHOD: Patients (N=100) with schizophrenia or schizoaffective disorder (per DSM-...

https://doi.org/10.1176/appi.ajp.158.3.492

Publication date: 01 March 2001

Pages494–496

OBJECTIVE: The authors used magnetic resonance imaging to corroborate the postmortem finding of right frontal hypergyria associated with schizophrenia. METHOD: Twelve affected-unaffected sibling pairs from families multiply affected with schizophrenia ...

https://doi.org/10.1176/appi.ajp.158.3.494

Letter to the Editor

Book Forum: Psychoanalysis

Book Forum: Mood Disorders

Book Forum: Obsessive-Compulsive Disorder

Book Forum: Disorders of Childhood and Beyond

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