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Psychiatric Services

  • Volume 44
  • Number 4
  • April 1993

Article

Publication date: 01 April 1993

Pages325–327

Dr. Sharfstein's introduction: Managed care has had a profound impact on clinical practice. Clinicians find fourth and fifth parties are looking over thier shoulders to review their treatment plans for cost-efficiency. The biopsychosocial model of ...

https://doi.org/10.1176/ps.44.4.325

Publication date: 01 April 1993

Pages341–347

Behavioral interventions can augment the effects of antipsychotic medication in alleviating ballucinations, delusions, and conceptual disorganization. Such interventions may be based on operant conditioning and reinforcement strategies and on training in ...

https://doi.org/10.1176/ps.44.4.341

Publication date: 01 April 1993

Pages347–351

Some researchers and theorists are convinced that graphic scenes of violence on television and in movies are inextricably linked to human aggression. Others insist that a link has not been conclusively established. This paper summarizes scientific studies ...

https://doi.org/10.1176/ps.44.4.347

Publication date: 01 April 1993

Pages352–357

Objective: Characteristics attributed by nurses and by psychiatric residents to difficult-to-treat inpatients in a short-stay setting were compared to determine whether her discipline-specific perceptions of such patients existed. Methods: A total of 117 ...

https://doi.org/10.1176/ps.44.4.352

Publication date: 01 April 1993

Pages357–360

Patients' fear of and objection to electroconvulsive therapy (ECT) have complicated the administration of this modality since its inception. Despite modifications in technique and pretreatment education over the years, these problems have not disappeared. ...

https://doi.org/10.1176/ps.44.4.357

Publication date: 01 April 1993

Pages361–364

The issue of therapists' liability for patients who commit suicide may depend on whether courts view the suicidal patient as competent to decide to follow or not follow an agreed-upon treatment plan. Therapists have not been found liable for malpractice ...

https://doi.org/10.1176/ps.44.4.361

Publication date: 01 April 1993

Pages364–367

Many long-term psychotherapies begin without sufficient attention to an in formed-consent process. Failure to obtain informed consent may leave patients ill prepared to question the recommendation for long-term psychotherapy or to make alternate treatment ...

https://doi.org/10.1176/ps.44.4.364

Publication date: 01 April 1993

Pages367–371

Objective: Patterns of seclusion and restraint over a one-year period at 82 Veterans Affairs medical centers were examined to determine whether use of these interventions was influenced by hospital characteristics (such as geographic location, per diem ...

https://doi.org/10.1176/ps.44.4.367

Publication date: 01 April 1993

Page371

Acknowledgment of grant support was omitted from the paper "Resilmence in Adversity Among Long-Term Survivors of AIDS," by Judith G. Rabkin, Robert Remien, Lewis Katoff, and Janet B. W. Williams, published in the February 1993 issue, pages 162-167. The ...

https://doi.org/10.1176/ps.44.4.371

Publication date: 01 April 1993

Pages372–375

Objective: The study examined characteristics of patients who made repeat visits to the psychiatric emergency service of a Veterans Affairs medical center. Methods: Computer records of patients who visited the emergency service were retrospectively ...

https://doi.org/10.1176/ps.44.4.372

Publication date: 01 April 1993

Pages376–380

Objective: Patients who visited a psychiatric emergency service were studied to determine whether repeat visitors, who consume a disproportionate share of services, could be identified by demographic and diagnostic characteristics. Methods: Data were ...

https://doi.org/10.1176/ps.44.4.376

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