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Psychiatry Online
Sections

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American Journal of Psychiatry

Volume 147, Issue 4

April 1990
April 1990
Studies of the epidemiology of bulimia nervosa
  • Pages:401–408
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.401

Preview Abstract
Research on the epidemiology of bulimia nervosa has focused largely on the prevalence of the disorder. As methods have improved, consensus has increased regarding the prevalence rate among adolescent and young adult women--about 1%. However, the accuracy ...
April 1990
The psychiatric patient's right to effective treatment: implications of Osheroff v. Chestnut Lodge
  • Pages:409–418
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.409

Preview Abstract
Although Osheroff v. Chestnut Lodge never reached final court adjudication, the case generated widespread discussion in psychiatric, legal, and lay circles. The author served as a consultant to Dr. Osheroff and testified that Chestnut Lodge failed to ...
April 1990
Law, science, and psychiatric malpractice: a response to Klerman's indictment of psychoanalytic psychiatry
  • Pages:419–427
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.419

Preview Abstract
The Osheroff litigation, which is central to Klerman's paper, ended in an out-of-court settlement. The author states that there is no legal precedent for the so-called right to effective treatment and that the case history was a much more complicated ...
April 1990
Whatever happened to intensive psychotherapy?
  • Pages:428–430
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.428

Preview Abstract
Of 163 residency programs responding to a survey about training requirements in long-term psychotherapy, more than 100 did not require that any patients be seen more than once a week. Among 41 psychotherapy protocols representing outcome-related research ...
April 1990
Spectrum of efficacy of valproate in 55 patients with rapid-cycling bipolar disorder
  • Pages:431–434
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.431

Preview Abstract
In order to explore valproate's spectrum of efficacy in rapid-cycling bipolar disorder, 55 patients underwent a prospective, open, 7.8-month trial designed to assess the drug's acute and prophylactic properties. Twenty patients received monotherapy, and ...
April 1990
Progression of illness in the differential diagnosis of primary dementia
  • Pages:435–438
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.435

Preview Abstract
The diagnostic utility of determinations of insidious or stepwise progression of illness was examined in 124 geriatric inpatients with primary dementia. Such determinations failed to distinguish patients with primary degenerative dementia of the Alzheimer ...
April 1990
Dysfunctional attitudes in depressed patients before and after clinical treatment and in normal control subjects
  • Pages:439–444
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.439

Preview Abstract
To evaluate the role of maladaptive thinking patterns in depression, the authors administered the Dysfunctional Attitude Scale to 112 depressed patients before and after 3-6 weeks of treatment with antidepressants or placebo. Twenty-two normal subjects ...
April 1990
Clonazepam treatment of tardive dyskinesia: a practical GABAmimetic strategy
  • Pages:445–451
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.445

Preview Abstract
Because of the efficacy of specific gamma-aminobutyric acid (GABA) agonists in tardive dyskinesia, the authors tested the benzodiazepine clonazepam in a 12-week, double-blind, placebo-controlled, randomized crossover trial in 19 chronically ill patients ...
April 1990
Association between family history of affective disorder and the depressive syndrome of Alzheimer's disease
  • Pages:452–456
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.452

Preview Abstract
For each of 41 index patients with probable Alzheimer's disease and a first episode of major depression and 71 nondepressed Alzheimer's disease patients, two first-degree relatives were interviewed by a rater blind to presence or absence of depression in ...
April 1990
Relapse following discontinuation of lithium maintenance therapy in adolescents with bipolar I illness: a naturalistic study
  • Pages:457–461
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.457

Preview Abstract
The authors conducted an 18-month naturalistic prospective follow-up study of 37 adolescents whose bipolar I illness had been stabilized with lithium carbonate during inpatient hospitalization. Thirteen of the patients discontinued prophylactic lithium ...
April 1990
Plasma concentrations of melatonin in panic disorder
  • Pages:462–464
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.462

Preview Abstract
Nocturnal plasma melatonin concentrations were measured in seven patients with panic disorder and eight healthy control subjects. The five patients who had never received psychotropic medication had significantly greater melatonin concentrations from 4:00 ...
April 1990
Relationship between utilization of mental health and medical services in a VA hospital
  • Pages:465–469
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.465

Preview Abstract
Previous research has demonstrated a reduction in utilization of medical services following the initiation of psychiatric services for certain patients. The phenomenon has been called the offset effect. The authors investigated the offset effect in a ...
April 1990
The borderline diagnosis in adolescents: symptoms and developmental history
  • Pages:470–476
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.470

Preview Abstract
Adult criteria for borderline personality disorder distinguished a group of 27 inpatient adolescent girls from 23 nonborderline inpatient female comparison subjects. The two groups were compared on retrospectively assessed variables measuring ...
April 1990
Glucose tolerance testing in women with premenstrual syndrome
  • Pages:477–480
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.477

Preview Abstract
Glucose tolerance tests (GTTs) were administered to 11 women with premenstrual syndrome (PMS) to ascertain whether the patients had abnormalities of glucose tolerance, to determine whether such abnormalities were related to menstrual cycle phase, and to ...
April 1990
Tridimensional Personality Questionnaire scores of sons of alcoholic and nonalcoholic fathers
  • Pages:481–487
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.481

Preview Abstract
The authors studied 33 men whose fathers had severe alcohol-related problems and 33 subjects with no family history of alcoholism. The former supplied information about the course of their fathers' alcohol problems; all 66 men answered questions about ...
April 1990
Paradoxical patient reactions to psychiatric life support: clinical and ethical considerations
  • Pages:488–491
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.488

Preview Abstract
The authors describe cases illustrating two types of high-risk and especially difficult suicidal psychiatric inpatients. In the first case, a suicidal patient reacted to psychiatric life support measures (maximum observation) with increasingly life-...
April 1990
Trial of fluoxetine added to neuroleptics for treatment-resistant schizophrenic patients
  • Pages:492–494
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.492

Preview Abstract
Mean ratings of positive and negative symptoms and depression significantly improved in nine treatment-resistant schizophrenic patients who completed a 6-week open trial of fluoxetine added to their neuroleptics. The authors identify differences between ...
April 1990
Effect of imipramine on depression and immune status in a sample of men with HIV infection
  • Pages:495–497
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.495

Preview Abstract
Eleven men with major depression and human immunodeficiency virus (HIV) infection underwent an open trial of imipramine. Eight of nine (89%) who completed 12 weeks responded. The mean decline in T4 cells from baseline was 100 at week 12 and 16 at week 26. ...
April 1990
Reliability of categorical and dimensional judgments of personality disorder
  • Pages:498–500
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.498

Preview Abstract
To investigate interrater reliability on categorical and dimensional judgments of personality disorder, five clinicians completed five different judgment tasks for each of 10 case vignettes. The reliability estimates support previously unconfirmed ...
April 1990
Effects of methylphenidate on early adolescent growth
  • Pages:501–502
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.501

Preview Abstract
Thirty-one hyperactive adolescents treated with methylphenidate for at least 6 months demonstrated no significant deviation from expected height and weight growth velocities. In contrast to findings in prepubertal children, these results suggest that ...
April 1990
Weight gain associated with clozapine
  • Pages:503–504
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.503

Preview Abstract
Six of seven patients treated with clozapine gained 6-69 lb. Because of clozapine's anticipated availability in the United States, clinicians should be aware of this possible side effect, which, to the authors' knowledge, has not been reported previously.
April 1990
Vitamin E in the treatment of tardive dyskinesia
  • Pages:505–506
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.505

Preview Abstract
Eight subjects with persistent tardive dyskinesia were treated with vitamin E and placebo in a randomized, double-blind crossover study. Their mean score on the Abnormal Involuntary Movement Scale (AIMS) was significantly lower after treatment with ...
April 1990
Surreptitious drug use by patients in a panic disorder study
  • Pages:507–509
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.507

Preview Abstract
In a double-blind, placebo-controlled trial comparing alprazolam and imipramine for panic disorder, serum analysis revealed that a substantial proportion of the patients took explicitly prohibited anxiolytic medication. Excluding these patients changed ...
April 1990
Evidence for physical and psychological dependence on anabolic androgenic steroids in eight weight lifters
  • Pages:510–512
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.510

Preview Abstract
All eight users of anabolic androgenic steroids in a pilot survey of weight lifters reported withdrawal symptoms and continued steroid use despite adverse consequences. Psychiatric (especially, depressive) symptoms were prominent in dependent users, ...
April 1990
Effect of distraction on communication failures in schizophrenic patients
  • Pages:513–515
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.513

Preview Abstract
Manic, schizophrenic, and normal subjects were interviewed in the presence and absence of distracting information, and their speech performance was evaluated. Normal and manic subjects were unaffected by irrelevant information. Schizophrenic subjects ...
Article
April 1990
Psychosomatic Disorders
  • Pages:528–529
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.147.4.528

    April 1990
    MAOIs and Meniere's syndrome
    • Pages:534a–534
    • Published Online:1 April 2006

    https://doi.org/10.1176/ajp.147.4.534a

    April 1990
    Propranolol withdrawal in psychosis
    • Pages:534b–535
    • Published Online:1 April 2006

    https://doi.org/10.1176/ajp.147.4.534b

    Article
    April 1990
    Indiana statute on the duty to protect
    • Pages:536b–536
    • Published Online:1 April 2006

    https://doi.org/10.1176/ajp.147.4.536b

    April 1990
    Seasonal birthrates and schizophrenia
    • Pages:537a–537
    • Published Online:1 April 2006

    https://doi.org/10.1176/ajp.147.4.537a

    Article
    April 1990
    Dr. Swartz Replies
    • Pages:540-a–540
    • Published Online:1 April 2006

    https://doi.org/10.1176/ajp.147.4.540-a

    April 1990
    Position Statement Opposing Mandatory Name Reporting of HIV-Seropositive Individuals
    • Page:541
    • Published Online:1 April 2006

    https://doi.org/10.1176/ajp.147.4.541

    Preview Abstract
    This statement was proposed by the Commission on AIDS.1 It was approved by the Board of Trustees in September 1989 and the Assembly of District Branches in November 1989.
    April 1990
    Guidelines Regarding Possible Conflict Between Psychiatrists' Religious Commitments and Psychiatric Practice
    • Page:542
    • Published Online:1 April 2006

    https://doi.org/10.1176/ajp.147.4.542

    Preview Abstract
    The guidelines were prepared by the Committee on Religion and Psychiatry.1 They were approved by the Assembly in November 1989 and by the Board of Trustees in December 1989.
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