During the evolution of the primate CNS, organization of neural activity has been shaped by the need for rapid and accurate evaluation of the motivations of others. Using a broad biological approach, the author considers empathy from evolutionary, ...

January 1989

Melancholia: from DSM-III to DSM-III-R

Pages:20–28
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.20

Preview Abstract

On July 26, 1985, an ad hoc committee appointed by the APA Work Group to Revise DSM-III met and reviewed the research on the validity of the DSM-III criteria for melancholia. In this paper the proceedings of the meeting are related. After reviewing ...

January 1989

The making of the psychiatrist-executive

Pages:29–34
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.29

Preview Abstract

The authors reviewed the literature on the factors influencing the development of psychiatrist-executives. The results indicate that personality traits, clinical psychiatry training, training in administration, mentors, and administrative experience have ...

January 1989

The current status of psychiatric education in alcoholism and drug abuse

Pages:35–39
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.35

Preview Abstract

The authors conducted a survey of psychiatric education in alcoholism and drug abuse in the United States. Ninety-seven percent of 106 undergraduate training programs and 91% of 169 residency programs offered curriculum units in this field. Most of these ...

January 1989

Treatment of cocaine-induced panic disorder

Pages:40–44
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.40

Preview Abstract

The authors describe 10 patients who developed panic attacks only after substantial cocaine use. The timing of the onset of symptoms, i.e., after 1-6 years of cocaine use, and the fact that only one patient had a first-degree relative with panic disorder ...

January 1989

Double-blind trial of imipramine in Alzheimer's disease patients with and without depression

Pages:45–49
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.45

Preview Abstract

The authors divided 61 subjects with primary degenerative dementia of the Alzheimer's type into a group who also met DSM-III criteria for depression (N = 28) and a group who did not (N = 33). Both groups were randomly assigned to an 8-week double-blind ...

January 1989

Observations of interactions of depressed women with their children

Pages:50–55
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.50

Preview Abstract

Dysfunctional interactions between mothers with major affective disorders and their children may contribute to the children's high risk of disorder. This study investigated the behavior of mothers with recurrent unipolar depression, bipolar disorder, or ...

January 1989

Effects of behavioral skills training and schedule of nicotine gum administration on smoking cessation

Pages:56–60
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.56

Preview Abstract

Eighty-nine smokers were randomly assigned to four nicotine gum treatments for smoking cessation: behavioral treatment plus a fixed schedule of nicotine gum, behavioral treatment plus an ad lib schedule, education plus a fixed schedule, and education plus ...

January 1989

Use of DSM-III axis IV in clinical practice: rating etiologically significant stressors

Pages:61–66
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.61

Preview Abstract

This study compared the etiologically significant stressors listed on DSM-III axis IV (severity of psychosocial stressors) with life events elicited by the Psychiatric Epidemiology Research Interview (PERI). Multiaxial evaluations of a diagnostically ...

January 1989

Religious beliefs and practices among 52 psychiatric inpatients in Minnesota

Pages:67–72
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.67

Preview Abstract

The authors studied the religious beliefs, practices, and experiences of 52 psychiatric inpatients. The rate of belief in the major tenets of faith (God, the Devil, and an afterlife) was uniformly high and in accord with national and local public poll ...

January 1989

The academic dilemma of the inpatient unit director

Pages:73–76
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.73

Preview Abstract

Inpatient units in academic departments are typically directed by junior faculty members, who quickly abandon these positions for less demanding, more rewarding jobs. These frequent turnovers in the directorship compromise the clinical, research, and ...

January 1989

Clonazepam treatment of five lithium-refractory patients with bipolar disorder

Pages:77–80
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.77

Preview Abstract

The authors describe the first five patients enrolled in an open clinical trial of clonazepam as a maintenance treatment in lithium- refractory bipolar disorder. All patients relapsed quickly after taking clonazepam (one within 2 weeks and four within 10-...

January 1989

Mood disorders in the psychoneurologic borderland: three cases of responsiveness to carbamazepine

Pages:81–83
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.81

Preview Abstract

Three patients with affective disorders with psychotic features were refractory to various combinations of psychotropic agents (antipsychotics, antidepressants, and lithium). Closer scrutiny revealed a seizure history in two patients and unusual ...

January 1989

Lithium-induced nephrotic syndrome

Pages:84–87
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.84

Preview Abstract

The nephrotic syndrome is a rare, idiosyncratic adverse renal effect of lithium that can occur with therapeutic plasma lithium levels. The syndrome is usually reversed by discontinuation of lithium treatment but may require corticosteroids. Renal biopsies ...

January 1989

Fluphenazine decanoate: a clinical problem?

Pages:88–91
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.88

Preview Abstract

The authors compared the medical records of 20 randomly selected schizophrenic patients who were receiving fluphenazine decanoate with the records of 20 other randomly selected schizophrenic patients who were receiving oral medications only. The ...

January 1989

Blunted growth hormone response to peripheral infusion of human growth hormone-releasing factor in patients with panic disorder

Pages:92–95
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.92

Preview Abstract

Patients with panic disorder (N = 11) and age- and sex-matched normal control subjects (N = 11) were challenged with human growth hormone- releasing factor (GH-RF) (1 microgram/kg i.v.) or placebo in random order. The control subjects had significantly ...

January 1989

Psychiatric resident dismissal: a national survey of training programs

Pages:96–98
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.96

Preview Abstract

The authors report on a nationwide survey of psychiatric residency training directors who responded to a questionnaire designed to elicit information on the magnitude of the problem of unacceptable performance by residents. One hundred six program ...

January 1989

Quantification of corpus callosum and ventricles in schizophrenia with nuclear magnetic resonance imaging: a pilot study

Pages:99–101
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.99

Preview Abstract

Twelve chronic schizophrenic patients and 12 normal control subjects underwent magnetic resonance imaging of the brain. The schizophrenic patients had a significantly smaller corpus callosum area and higher ventricle-brain ratio than the control subjects.

January 1989

Self-induced water intoxication and alcohol abuse

Pages:102–103
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.102

Preview Abstract

According to Feighner criteria, alcohol abuse was significantly more common among 17 schizophrenic male inpatients with self-induced water intoxication than among 17 matched schizophrenic control inpatients. The alcohol abuse had begun 8-22 years before ...

January 1989

Management of neuroleptic-induced movement disorders: effects of physician training

Pages:104–106
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.1.104

Preview Abstract

Residents given a specialized 4-hour course in managing extrapyramidal syndromes prescribed significantly lower neuroleptic doses and were more skilled at diagnosis of extrapyramidal syndromes than residents given standard psychopharmacology training. The ...