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Psychiatric Services

  • Volume 37
  • Number 8
  • August 1986

Article

Publication date: 01 August 1986

Pages771–788

Commenting on this month's case is guest expert Virginia Susman, M.D., New York Hospital-Westchester Division, Cornell University Medical College.

https://doi.org/10.1176/ps.37.8.771

Publication date: 01 August 1986

Pages795–802

Italy's Law 180, passed in 1978, abolished mental hospitals and replaced them with community services. The Italian literature suggests that the law has been far less successful in improving services for mental patients than reports by foreign visitors ...

https://doi.org/10.1176/ps.37.8.795

Publication date: 01 August 1986

Pages802–808

Recent data on Italy's mental health law of 1978 delineate a more complex picture of deinstitutionalization than that suggested by the first wave of enthusiastic writings on the law's implementation. In violation of the law's original intent, many Italian ...

https://doi.org/10.1176/ps.37.8.802

Publication date: 01 August 1986

Pages809–813

Italy's mental health law of 1978 mandated the closing of state mental hospitals to new and former mer patients and the creation of comprehensive community-based service systems. The authors describe the organization, facilities and services, and ...

https://doi.org/10.1176/ps.37.8.809

Publication date: 01 August 1986

Pages814–818

The stigma associated with psychiatry is the most critical problem facing the profession, the author contends. He identifies the major sources of stigma as psychiatrists' internal conflicts over treatment ideologies and methods and the hostility between ...

https://doi.org/10.1176/ps.37.8.814

Publication date: 01 August 1986

Pages819–825

In the United States electroconvulsive therapy (ECT) is not commonly used with patients who have conditions affecting the structure or function of the brain. Many clinicians may be unaware, therefore, that ECT has been used safely to treat patients with ...

https://doi.org/10.1176/ps.37.8.819

Publication date: 01 August 1986

Pages825–827

Electroconvulsive therapy (ECT) is often delayed because the patient develops cognitive disturbances. The authors reviewed the charts of 45 depressed patients who received ECT and found that 25 patients developed cognitive dysfunctions severe enough to ...

https://doi.org/10.1176/ps.37.8.825

Publication date: 01 August 1986

Pages828–832

The authors present guidelines for diagnosing and managing conversion disorders in an emergency room setting. Assessment of the patient must be based on a careful physical and psychiatric evaluation that will identify any underlying physical illness or ...

https://doi.org/10.1176/ps.37.8.828

Publication date: 01 August 1986

Pages832–836

The rapid increase in the number of proprietary psychiatric hospitals during the last 15 years has drawn criticism from those concerned about the impact of the profit motive on the quality of patient care. This study assessed changes in the structure and ...

https://doi.org/10.1176/ps.37.8.832

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