American Journal of Psychiatry

Volume 150, Issue 2

February 1993

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Article

February 1993

Books Received

Page:A18
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.A18

February 1993

Practice guidelines

Pages:175–177
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.175

February 1993

Cognitive remediation in schizophrenia: is it time yet?

Pages:178–187
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.178

Preview Abstract

Considerable effort has been directed toward identifying and conceptualizing information-processing deficits in schizophrenia and other psychotic disorders. The impressive gains in this field have made meaningful contributions to our understanding of the ...

February 1993

The concept of boundaries in clinical practice: theoretical and risk- management dimensions

Pages:188–196
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.188

Preview Abstract

The authors systematically examine the concept of boundaries and boundary violations in clinical practice, particularly as they relate to recent sexual misconduct litigation. They selectively review the literature on the subject and identify critical ...

February 1993

Diagnostic decision making in psychiatry

Pages:197–206
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.197

Preview Abstract

The purpose of this article is to examine the consequences of and possible responses to uncertainty in psychiatric diagnosis. Uncertainty is inevitable because of the overlap in characteristics, or test results, between populations with and without a ...

Article

February 1993

Practice Guideline for Eating Disorders

Pages:207–211
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.207

February 1993

Practice guideline for eating disorders. American Psychiatric Association

Pages:212–228
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.212

February 1993

Use of posttraumatic stress disorder to support an insanity defense

Pages:229–234
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.229

Preview Abstract

OBJECTIVE: The authors examine the allegation that the diagnosis of posttraumatic stress disorder (PTSD) is frequently abused in the legal system as the basis for a defense of not guilty by reason of insanity. METHOD: Data for the investigation were drawn ...

February 1993

Childhood physical abuse and combat-related posttraumatic stress disorder in Vietnam veterans

Pages:235–239
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.235

Preview Abstract

OBJECTIVE: Early trauma in the form of childhood physical or sexual abuse has been associated with adult psychopathology. The purpose of this study was to compare rates of childhood abuse in Vietnam veterans with and without combat-related posttraumatic ...

February 1993

Psychopathology and psychiatric diagnoses of World War II Pacific theater prisoner of war survivors and combat veterans

Pages:240–245
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.240

Preview Abstract

OBJECTIVE: This study assessed current and long-term psychological and psychiatric sequelae of war trauma in World War II Pacific theater combat veterans, some of whom had been Japanese prisoners of war (POWs). METHOD: A group of 36 POW survivors and a ...

February 1993

Lifetime prevalence of panic states

Pages:246–249
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.246

Preview Abstract

OBJECTIVE: Little is known about the prevalence of panic symptoms that do not meet criteria for panic disorder. This study was conducted to determine the prevalence of panic disorder, panic attacks, and limited- symptom attacks in the general population. ...

February 1993

Diagnostic and substance specificity of carbon-dioxide-induced panic

Pages:250–257
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.250

Preview Abstract

OBJECTIVE: The authors assessed the substance and diagnostic specificity of carbon-dioxide-induced panic since, in addition to the specific biochemical effects of inhaled carbon dioxide (CO2), simple physiologic distress is also frequently implicated as a ...

February 1993

Bereavement after homicide: a synergism of trauma and loss

Pages:258–261
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.258

Preview Abstract

OBJECTIVE: The purpose of this study was to examine the intensity and relationship of trauma and responses to bereavement in family members after homicide. METHOD: The authors established an outpatient clinic that offered evaluation and supportive ...

February 1993

Sexually assaultive male juveniles: a follow-up

Pages:262–265
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.262

Preview Abstract

OBJECTIVE: The purpose of this study was to investigate the adult outcome of a group of male juveniles who committed sexual assault. METHOD: Nineteen sexually assaultive male juveniles and a comparison group of 58 violent juveniles were studied over an 8-...

February 1993

Partial hospitalization (day treatment) for psychiatrically ill elderly patients

Pages:266–271
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.266

Preview Abstract

OBJECTIVE: The purpose of this paper is to present initial findings from a retrospective chart review of geriatric day treatment patients in order to focus attention on this potentially important area, add to the limited database in this area, and ...

February 1993

Familial aggregation of female sexual orientation

Pages:272–277
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.272

Preview Abstract

OBJECTIVE: The purpose of this study was to determine whether female homosexuality is familial and whether it is cofamilial with male homosexuality. METHOD: Subjects included 84 homosexual and 79 heterosexual female probands recruited through newspaper ...

February 1993

Are schizophrenia and affective disorder related? preliminary data from a family study

Pages:278–285
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.278

Preview Abstract

OBJECTIVE: Most investigators presume that schizophrenia and affective disorder are separate diseases. Others have proposed alternatives to this Kraepelinian view. These alternatives were addressed by preliminary analyses of data from a family study of ...

February 1993

Pathological laughing and crying following stroke: validation of a measurement scale and a double-blind treatment study

Pages:286–293
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.286

Preview Abstract

OBJECTIVE: This study was undertaken to test the reliability and validity of the Pathological Laughter and Crying Scale and the effectiveness of nortriptyline treatment for patients with emotional lability following stroke. METHOD: Eighty-two patients ...

February 1993

Depressive symptoms and the self-reported use of alcohol, caffeine, and carbohydrates in normal volunteers and four groups of psychiatric outpatients

Pages:294–301
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.294

Preview Abstract

OBJECTIVE: The authors examined the relationship between depressive symptoms and the self-reported use of alcohol, carbohydrates, and caffeine in normal volunteers and four groups of psychiatric outpatients. METHOD: Outpatients and normal volunteers were ...

February 1993

Body dysmorphic disorder: 30 cases of imagined ugliness

Pages:302–308
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.302

Preview Abstract

OBJECTIVE: Body dysmorphic disorder, preoccupation with an imagined defect in appearance, is included in DSM-III-R but has received little empirical study. The authors investigated the demographics, phenomenology, course, associated psychopathology, ...

February 1993

Personality disorder in patients infected with HIV: a controlled study with implications for clinical care

Pages:309–315
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.309

Preview Abstract

OBJECTIVE: Previous studies of psychiatric illness in populations infected with or at risk for HIV have not included systematic evaluation for personality disorders. The authors present the first controlled study of 1) personality disorders in HIV-...

February 1993

Quality assessment and improvement in group psychotherapy

Pages:316–320
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.316

Preview Abstract

OBJECTIVE: The authors sought a practical means of monitoring and evaluating group psychotherapy, using existing clinical resources, for purposes of quality improvement and education on a large general hospital psychiatric service. METHOD: Monitoring ...

February 1993

A double-blind crossover pilot study of l-deprenyl (selegiline) combined with cholinesterase inhibitor in Alzheimer's disease

Pages:321–323
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.321

Preview Abstract

The potential efficacy of oral l-deprenyl (5 mg b.i.d.) added to the regimen of 10 patients with Alzheimer's disease receiving either tacrine or physostigmine was assessed in a double-blind, placebo- controlled, 4-week, two-period crossover pilot study. l-...

February 1993

HIV-related risk behaviors among psychiatrically hospitalized adolescents and school-based adolescents

Pages:324–325
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.324

Preview Abstract

The authors compared the responses of 76 adolescents on an inpatient psychiatric service with those of 802 school-based adolescents in the same city regarding HIV risk behaviors. The psychiatrically hospitalized adolescents reported a significantly higher ...

February 1993

Manic syndrome early and late in the course of HIV

Pages:326–327
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.326

Preview Abstract

In a chart review at a hospital's infectious disease AIDS clinic, manic syndromes affected 8% of patients who had AIDS. Of the 14 patients with manic episodes, those without a family or personal history of mood disorder presented later in the course of ...

February 1993

Treatment of alcoholism among schizophrenic outpatients: 4-year outcomes

Pages:328–329
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.328

Preview Abstract

In this pilot study, the authors assessed 4-year outcomes for 18 schizophrenic outpatients with alcoholism who were treated in an innovative dual-diagnosis program. Over half (61.1%) achieved stable remissions from alcoholism. The mean duration of ...

February 1993

Correlation of severity of psychiatric patients' delusions with right hemispatial inattention (left-turning behavior)

Pages:330–332
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.330

Preview Abstract

Studies associate psychotic disorders with various forms of subtle inattention to the right hemispace (left-turning behavior). The authors examined the correlation between this dopamine-related sign and severity of delusions (presumably dopaminergic ...

February 1993

Correlation between antisaccade and Wisconsin Card Sorting Test performance in schizophrenia

Pages:333–335
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.333

Preview Abstract

In 27 patients with chronic schizophrenia, there was a significant correlation between performance on an antisaccade eye movement task and on the Wisconsin Card Sorting Test. A significant correlation was not obtained between antisaccade task performance ...

February 1993

Blunted growth hormone responses to growth hormone-releasing factor and to clonidine in panic disorder

Pages:336–337
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.2.336

Preview Abstract

Blunted growth hormone (GH) responses to growth hormone-releasing factor (GH-RF) and clonidine have been reported in patients with panic disorder. In this study GH-RF and clonidine were administered to 13 patients with panic disorder and 20 healthy ...