American Journal of Psychiatry

Volume 145, Issue 7

July 1988

Submit an article Subscribe Get Free Publication Alerts

July 1988

The new preventive detention: psychiatry's problematic responsibility for the control of violence

Pages:779–785
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.779

Preview Abstract

The legal doctrine of the duty to protect potential victims of patients' violent acts has created problems beyond those usually discussed, which involve breach of patients' confidentiality. Fear of liability has led some psychiatrists to hospitalize, ...

July 1988

The DSM-III-R personality disorders: an overview

Pages:786–795
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.786

Preview Abstract

The revision of DSM-III (DSM-III-R) includes substantial changes in the axis II personality disorders. The authors present and critically review these revisions and suggest directions for further research. The issues discussed include the multiaxial ...

July 1988

Supervision and privacy in psychotherapy training

Pages:796–803
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.796

Preview Abstract

Supervision is an essential element of training in psychotherapy, and the issue of privacy in relation to the supervisory process is an important one. The authors examine the attitude toward privacy implicit in each of the two major models of supervision, ...

July 1988

Possible role of antidepressants in precipitating mania and hypomania in recurrent depression

Pages:804–808
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.804

Preview Abstract

This prospective study examined the incidence of mania or hypomania in 230 patients with recurrent depression treated with imipramine. Overall, only six individuals (2.6%) developed hypomania, representing 0.9% of those in the acute phase and 2.5% of ...

July 1988

The amphetamine challenge test in patients with borderline disorder

Pages:809–814
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.809

Preview Abstract

The authors used amphetamine as a psychopharmacological probe to investigate the hypothesis that patients with borderline personality disorder are prone to psychosis following ingestion of a dopamine agonist. Sixteen patients with borderline personality ...

July 1988

The epidemiology of dysthymia in five communities: rates, risks, comorbidity, and treatment

Pages:815–819
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.815

Preview Abstract

Data from a survey of five U.S. communities showed that dysthymia affected approximately 3% of the adult population. It was more common in women under age 65, unmarried persons, and young persons with low income and was associated with greater use of ...

July 1988

Ventricular and sulcal size at the onset of psychosis

Pages:820–824
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.820

Preview Abstract

To determine whether abnormalities in brain morphology are present at the onset of illness, patients with schizophrenia, schizophreniform and bipolar disorders, and major depression who were experiencing their first episodes of psychosis were compared ...

July 1988

The revision of axis V in DSM-III-R: should symptoms have been included?

Pages:825–829
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.825

Preview Abstract

The authors studied the relationship of psychological symptoms to clinicians' ratings on DSM-III's axis V. A total of 355 patients received multiaxial assessments and were reinterviewed under blind conditions with the Psychiatric Epidemiology Research ...

July 1988

Foundation funding and psychiatric research

Pages:830–835
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.830

Preview Abstract

Support for psychiatric research is limited to a relatively small number of funding sources. Foundations--nonprofit entities that support a variety of social, medical, educational, and other activities--are a potentially important source. The authors ...

July 1988

A curriculum for education in geriatric psychiatry

Pages:836–843
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.836

Preview Abstract

The authors present recommendations for educating medical students and psychiatric residents in geropsychiatry. They are primarily concerned with the objectives and methods rather than the content of training. Proposals are structured in terms of training ...

July 1988

Graphic representation of the life course of illness in patients with affective disorder

Pages:844–848
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.844

Preview Abstract

The authors illustrate methods for the graphic depiction of the course of unipolar and bipolar affective illness. The utility and advantages of such an approach include 1) accurate assessment of episode patterns, 2) elucidation of relationships to ...

July 1988

Effect of psychosis on suicide risk in 1,593 patients with unipolar and bipolar affective disorders

Pages:849–852
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.849

Preview Abstract

The authors report suicide risk among 1,593 patients with major depression or bipolar disorder, 443 (27.8%) of whom were psychotic (260 bipolar and 183 unipolar). The subjects were followed for 0-14 years, and their suicide experience was compared with ...

July 1988

Quantitative magnetic resonance imaging and the severity of dementia in Alzheimer's disease

Pages:853–856
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.853

Preview Abstract

The T2 component of the magnetic resonance imaging (MRI) signal was measured in 11 brain loci in six elderly patients diagnosed as having probable Alzheimer's disease. T2 values and relative amount of periventricular high-intensity foci were significantly ...

July 1988

Reliability of psychiatric scales in patients with dementia of the Alzheimer type

Pages:857–860
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.857

Preview Abstract

For 43 patients with probable Alzheimer's disease who were screened for psychiatric disorders, the interrater reliability of the Global Deterioration Scale, BPRS, and Hamilton Rating Scale for Depression was high (intraclass correlation, 0.82-0.998). As ...

July 1988

Alpha frequency in schizophrenia: an association with enlarged cerebral ventricles

Pages:861–864
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.861

Preview Abstract

Low alpha frequency (less than 10.2 Hz) occurred more frequently in medication-free schizophrenic patients than in normal control subjects, as determined by quantitative EEG analysis. Furthermore, those patients with low alpha frequency had significantly ...

July 1988

Combat-related posttraumatic stress disorder among second-generation Holocaust survivors: preliminary findings

Pages:865–868
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.865

Preview Abstract

The authors assessed the impact of the Nazi Holocaust on the course and symptoms of posttraumatic stress disorder (PTSD) among Israeli combat stress reaction casualties. They examined a sample of 96 such casualties of the 1982 Lebanon War whose parents ...

July 1988

Drug-induced dystonia in young and elderly patients

Pages:869–871
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.869

Preview Abstract

This retrospective study examined the common notion that neuroleptic- induced dystonia is less frequent in elderly patients. The hospital records of 45 young patients and 45 elderly patients were reviewed. Thirty-one percent of the young patients ...

July 1988

Who seeks mental health care in China? Diagnoses of Chinese outpatients according to DSM-III criteria and the Chinese classification system

Pages:872–875
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.872

Preview Abstract

The authors gave DSM-III diagnoses to 116 Chinese psychiatric outpatients in Shanghai and compared them with the diagnoses of the same patients made by a Chinese psychiatrist according to Chinese criteria. Affective disorders were the most common DSM-III ...

July 1988

Lack of association between HLA antigens and anorexia nervosa

Pages:876–877
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.876

Preview Abstract

Studies of the human leukocyte antigen (HLA) system were performed in 37 patients with anorexia nervosa to confirm an alleged association with HLA-B16 and haplotype HLA-A26,B38. No correlation between anorexia nervosa and HLA, including HLA-DR, could be ...

July 1988

Exacerbation of psychosis after discontinuation of carbamazepine treatment

Pages:878–879
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.878

Preview Abstract

Carbamazepine alone or carbamazepine plus neuroleptic was administered to 20 chronic schizophrenic patients. Upon abrupt discontinuation two of the 20 patients had exacerbations of their psychoses characterized by paranoia, hostility, and agitation. The ...

July 1988

ECT-induced postictal delirium and electrode placement

Pages:880–881
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.880

Preview Abstract

The authors report eight instances of ECT-induced postictal (emergence) delirium that occurred after bilateral ECT, right unilateral ECT, or left unilateral ECT. They conclude that postictal delirium is a random phenomenon unrelated to lateralized ...

July 1988

Prevalence of clinically significant depressive symptoms in black and white patients in family practice settings

Pages:882–883
Published Online:1 April 2006

https://doi.org/10.1176/ajp.145.7.882

Preview Abstract

The authors administered the Zung Self-Rating Depression Scale to 764 black and 773 white adult outpatients in primary care settings. There was no significant difference between the races in prevalence of depressive symptoms or distribution of symptom ...