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Psychiatric Services

  • Volume 38
  • Number 5
  • May 1987

Article

Publication date: 01 May 1987

Pages464–466

Clinicians should be alerted to the adverse effects of acute and chronic use of cocaine and watch for potential withdrawal symptoms, possibly including chest pain. At this point, further studies are needed to address the efficacy and safety of agents such ...

https://doi.org/10.1176/ps.38.5.464

Publication date: 01 May 1987

Pages477–486

Clinical experience has appeared to support the view that persons with repeated episodes of schizophrenia can expect to have a chronic course with residual symptoms and lasting deficits in such areas as work, social relations, and self-care. However, the ...

https://doi.org/10.1176/ps.38.5.477

Publication date: 01 May 1987

Pages486–491

The author chronicles her 20-year battle with schizophrenia and her growing acceptance ofher illness. She has committed herself to leading thefullest life her disease will allow and to educating others about mental illness. While she does not deny that ...

https://doi.org/10.1176/ps.38.5.486

Publication date: 01 May 1987

Pages491–494

Community nurses and other community workers often encounter persons who live in conditions of extreme uncleanliness, but not much attention has been paid to the causes of this behavior. The author surveyed 12 community health centers in Sydney, Australia,...

https://doi.org/10.1176/ps.38.5.491

Publication date: 01 May 1987

Pages495–501

Child firesetting constitutes a serious and widespread problem, yet little definitive evidence exists distinguishing child firesetters from their nonfiresetting peers. The authors studied the characteristics of 186 firesetters and 165 age- and sex-matched ...

https://doi.org/10.1176/ps.38.5.495

Publication date: 01 May 1987

Pages501–506

Firesetting by adult psychiatric patients is a symptom found in many primary disorders; it is rarely a reflection of the classic disorder, pyromania, as historically defined. The author emphasizes the importance of clinically addressing firesetting ...

https://doi.org/10.1176/ps.38.5.501

Publication date: 01 May 1987

Pages506–510

Hospitals offering alcohol and drug treatment programs that meet certain criteria are currently exempt from Medicare's prospective payment system, which was introduced in October 1983 as a means of containing medical costs. Substance abuse experts have ...

https://doi.org/10.1176/ps.38.5.506

Publication date: 01 May 1987

Pages511–514

Of 41 chronic psychiatric patients between the ages of 19 to 39 seen at a community mental health center, 44 percent were current substance abusers, 29 percent had a history of substance abuse, and only 27 percent had little or no substance abuse history. ...

https://doi.org/10.1176/ps.38.5.511

Publication date: 01 May 1987

Page514

In Dr. Stephen M. Goldfinger's response to a letter in the January issue ("Homeless Veterans," reply, page 79), it was reported that only one of the 19 directors of the Health Care for the Homeless programs, funded by the Robert Wood Johnson Foundation, ...

https://doi.org/10.1176/ps.38.5.514

Publication date: 01 May 1987

Pages515–519

Paradigms abstracted from the literature on hospital treatment of severely disturbed patients with borderline personality disorder are not adequate for ex- tended treatment in state hospital settings. A new paradigm, based on Winnicott's concept of the ...

https://doi.org/10.1176/ps.38.5.515

Publication date: 01 May 1987

Pages520–524

A model developed at the Forensic Center of the Mendota Mental Health Institute for understanding and managing aggressive inpatients focuses on the dynamics of inpatient aggression and their impact on staff. Divided into cycles of physical and verbal ...

https://doi.org/10.1176/ps.38.5.520

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