Psychiatric Services
- Volume 44
- Number 8
- August 1993
Article
Publication date: 01 August 1993
Pages723–724We have obviously entered a new world of psychiatry in which fiscal considerations come first. Some of the uncertainties of five years ago are matters of fact today. Length of stay is shifting, and beds are closing all over the country. Psychiatrists' ...
https://doi.org/10.1176/ps.44.8.723Publication date: 01 August 1993
Pages725–726Several pharmacological agents have proven effective in the treatment of patients with panic disorder, although psychological therapies, including behavioral and cognitive-behavioral treatments, have a place in the comprehensive approach to treatment of ...
https://doi.org/10.1176/ps.44.8.725Publication date: 01 August 1993
Pages733–738The authors describe national guidelines introduced in the Netherlands in late 1990 for carrying out euthanasia requests by medically ill patients. In about 49,000 of the 130,000 annual deaths in that country, doctors make a decision that may influence ...
https://doi.org/10.1176/ps.44.8.733Publication date: 01 August 1993
Pages739–743The authors present data from a national survey of state departments of mental health showing that two years after reaching the U. S. market, clozapine is available to only a small fraction of the patients whom it might benefit. The primary continuing ...
https://doi.org/10.1176/ps.44.8.739Publication date: 01 August 1993
Pages744–747Based on the authors' experience with more than 40 patients with treatment-refractory schizophrenia, they describe three phases of clozapine treatment. Phase-speufic responses of patients and their families during clozapine trials often resemble their ...
https://doi.org/10.1176/ps.44.8.744Publication date: 01 August 1993
Pages748–752Objective: Identifying substance use disorders in persons with mental illness is often difficult. in this study prevalence rates of substance use disorders among state psychiatric hospital patients were obtained by six different methods: DSM-III-R ...
https://doi.org/10.1176/ps.44.8.748Publication date: 01 August 1993
Pages752–756Utilization review of treatment for chemical dependence has become increasingly important as evidence accumulates that outpatient treatment can be effective in many cases. The authors discuss the basic questions that guide utilization review of treatment ...
https://doi.org/10.1176/ps.44.8.752Publication date: 01 August 1993
Pages757–763Objective: The outcome of a day treatment program for psychiatric outpatients with affective and pesonality disorders was evaluated. The program was dynamically oriented, intensive, group focused, and time limited (18 weeks). Methods: The prospective ...
https://doi.org/10.1176/ps.44.8.757Publication date: 01 August 1993
Pages764–767Objective: The purposes of the study were to determine rates of compliance with appointments among patients with schizophrenia who had been treated for more than four years in an outpatient clinic, to explore reasons for missed appointments, and to ...
https://doi.org/10.1176/ps.44.8.764Publication date: 01 August 1993
Pages768–771Objectiver The American Psychiatric Association's committee on religion and psychiatry has issued guidelines urging therapists to understand and maintain an empathic respect for patients' religious orientations and beliefs. This paper reviews recent ...
https://doi.org/10.1176/ps.44.8.768Publication date: 01 August 1993
Pages772–774Recent surveys suggest that collaborations between psychiatrists acting as medication consultants and therapists providing psychotherapy are an increasingly common form of treatment. Complex transference and countertransference reactions can arise in ...
https://doi.org/10.1176/ps.44.8.772Publication date: 01 August 1993
Pages775–779Objective: To explore changing the procedures for site reviews of mental health facilities in New Jersey, the study sought to determine the views of administrators of mental health agencies and of state and county mental health officials about evaluation ...
https://doi.org/10.1176/ps.44.8.775Publication date: 01 August 1993
Pages782–784This study showed a high prevalence of cocaine abuse among patients presenting to a psychiatric emergency service. We strongly recommend routine toxicological screening in addition to systematic questioning about past drug use for all patients aged 18 to ...
https://doi.org/10.1176/ps.44.8.782Publication date: 01 August 1993
Pages793–794As the case reported in this paper suggests, clinicians who encounter a patient's claim of a therapist's sexual misconduct involving another patient should respect the patient's perceptions and provide an unhurried, careful, and neutral exploration of the ...
https://doi.org/10.1176/ps.44.8.793Publication date: 01 August 1993
Page810Biomedical research on the brain is attaining new insights about the biology of mental disorders at an increased pace, laying the foundations for future treatments. This month Hospital and Community Psychiatry begins an occasional feature on recent ...
https://doi.org/10.1176/ps.44.8.810Past Issues
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