Psychiatric Services
- Volume 41
- Number 1
- January 1990
Article
Publication date: 01 January 1990
Pages39–51This review of the recent literature on personality disorders summarizes theoretical and methodologic issues, DSM-III-R criteria sets, nosological controversies, and current treatment approaches. Work in the personality disorders is burgeoning, with ...
https://doi.org/10.1176/ps.41.1.39Publication date: 01 January 1990
Pages51–58National and state-level data on Medicare-covered hospital discharges after treatment for psychiatric illness in 1985 were analyzed to determine the distribution of cases among various types of psychiatric and general hospitals. In most states, 80 to 90 ...
https://doi.org/10.1176/ps.41.1.51Publication date: 01 January 1990
Pages59–63Substance abuse rehabilitation programs have been increasingly faced with the difficult task of treating patients with both an eating disorder and a chemical dependency disorder. The authors discuss screening patients with substance abuse for eating ...
https://doi.org/10.1176/ps.41.1.59Publication date: 01 January 1990
Pages63–67The reliability of diagnoses of 46 child psychiatric inpatients made using three independent instruments —an unstructured interview with the parent and child that produced the chart diagnosis, a structured interview with the parent, and a structured ...
https://doi.org/10.1176/ps.41.1.63Publication date: 01 January 1990
Pages67–70A prospective research design was used to identify patient and family variables that would predict relatires' attendance at an educational workshop on schizophrenia at a state psychiatric hospital. Data were collected from patient charts and telephone ...
https://doi.org/10.1176/ps.41.1.67Publication date: 01 January 1990
Pages71–74A questionnaire was sent to 244 psychiatrist-administrators from the metropolitan New York City area to assess the actual and perceived effects of five factors— personality traits, clinical psychiatric training, formal training in administration, ...
https://doi.org/10.1176/ps.41.1.71Publication date: 01 January 1990
Pages75–81Use of seclusion and restraint in 23 adult public psychiatric hospitals in New York State was examined by comparing demographic and diagnostic characteristics of 657 patients who were secluded or restrained during a four-week period with characteristics ...
https://doi.org/10.1176/ps.41.1.75Publication date: 01 January 1990
Pages81–83To provide better mental health services for a population that now exceeds 12 million people, in the 1960s Shanghai began to develop a three-level system of services that is considered a model for the country. Services at each of the three levels—...
https://doi.org/10.1176/ps.41.1.81Publication date: 01 January 1990
Pages84–86Psychiatric toxicity to tnicycic antidepressants may be an underrecognized adverse effect of treatment with tricyclics, possibly occurring in between 5 and 15 percent of patients. Such toxicity is probably mediated by a central antimuscarinic action of ...
https://doi.org/10.1176/ps.41.1.84Publication date: 01 January 1990
Pages88–89Fulfilling the legal duty outlined by the Tarasoff decision in a therapeutic context encourages patients to make choices, to be involved in decision making, and to accept that they, not the therapist, have the ultimate responsibility for impulse control (...
https://doi.org/10.1176/ps.41.1.88Publication date: 01 January 1990
Pages93–95Despite having appropriate medication and supervision, a deinstitutionalized patient could still find himself in a temporary shelter or on the street, seeking permanent housing (3). Our hypothetical patient, working at a minimum wage, could not afford ...
https://doi.org/10.1176/ps.41.1.93