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Psychiatric Services

  • Volume 41
  • Number 1
  • January 1990

Article

Publication date: 01 January 1990

Pages39–51

This 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.41.1.39

Publication date: 01 January 1990

Pages51–58

National 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.41.1.51

Publication date: 01 January 1990

Pages59–63

Substance 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.41.1.59

Publication date: 01 January 1990

Pages63–67

The 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.41.1.63

Publication date: 01 January 1990

Pages67–70

A 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.41.1.67

Publication date: 01 January 1990

Pages71–74

A 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.41.1.71

Publication date: 01 January 1990

Pages75–81

Use 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.41.1.75

Publication date: 01 January 1990

Pages81–83

To 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.41.1.81

Publication date: 01 January 1990

Pages84–86

Psychiatric 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.41.1.84

Publication date: 01 January 1990

Pages88–89

Fulfilling 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.41.1.88

Publication date: 01 January 1990

Pages93–95

Despite 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

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