American Journal of Psychiatry

Volume 146, Issue 3

March 1989

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March 1989

New horizons for liaison psychiatry: biomedical technologies and human rights

Pages:293–295
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.293

March 1989

The meaning of culturally sensitive research in mental health

Pages:296–303
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.296

Preview Abstract

To answer the question of what culturally sensitive mental health research is, the author focuses on the entire process of research. He argues that research is made culturally sensitive through a continuing, incessant, and open-ended series of substantive ...

March 1989

Legal principles in the psychiatric assessment of personal injury litigants

Pages:304–310
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.304

Preview Abstract

The authors review the legal principles that a psychiatrist must understand in assessing the emotional and psychiatric sequelae of a personal injury leading to a litigation claim. The principles of the establishment of fault or liability, the assessment ...

March 1989

Pathophysiology of HPA axis abnormalities in patients with major depression: an update

Pages:311–317
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.311

Preview Abstract

Four hypotheses have been proposed to explain why nonsuppression on the dexamethasone suppression test occurs in patients with major depression. These include 1) increased metabolism of dexamethasone, 2) decreased sensitivity of pituitary glucocorticoid ...

March 1989

RDC alcoholism in patients with major affective syndromes: two-year course

Pages:318–323
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.318

Preview Abstract

The authors examined the 2-year course of alcoholism as defined by Research Diagnostic Criteria (RDC) in 127 newly admitted patients with major affective syndromes and concurrent alcoholism at intake. The cumulative probability of remission (at least 6 ...

March 1989

Clinical differentiation between lethal catatonia and neuroleptic malignant syndrome

Pages:324–328
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.324

Preview Abstract

Lethal catatonia, a syndrome described several decades before the advent of neuroleptic drugs, has been regarded by many investigators as clinically similar to, and perhaps indistinguishable from, neuroleptic malignant syndrome. However, published case ...

March 1989

Sleep EEG and DST findings in anergic bipolar depression

Pages:329–333
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.329

Preview Abstract

The authors report sleep EEG and dexamethasone suppression test (DST) findings for a homogeneous sample of anergic bipolar depressed outpatients (bipolar I, N = 7; bipolar II, N = 19) characterized by motor retardation, volitional inhibition, hypersomnia, ...

March 1989

Briquet's syndrome in association with depression and panic: a reconceptualization of Briquet's syndrome

Pages:334–338
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.334

Preview Abstract

In a sample of 188 consecutive female psychiatric patients, Briquet's syndrome was found to be associated more closely with the aggregation of both major depression and either panic disorder or agoraphobia than with major depression or panic disorder-...

March 1989

Depression, hopelessness, and suicidal behavior in Chinese and American psychiatric patients

Pages:339–344
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.339

Preview Abstract

The authors compared 37 patients in the People's Republic of China and 46 patients in the United States who were having difficulty with suicidal thinking or behavior. Hopelessness, reasons for living, and suicidal efficacy showed none of the expected ...

March 1989

Financing the medical management of mental disorders

Pages:345–349
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.345

Preview Abstract

In 1987 Medicare benefits for the mentally ill were expanded for the first time in 22 years. A major change was the removal of limits and copayments for the "medical management of psychopharmacologic agents." Payment for medical management recognizes the ...

March 1989

Depression and Alzheimer's disease

Pages:350–353
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.350

Preview Abstract

In his classic case, Alzheimer described cognitive symptoms such as amnesia, aphasia, and apraxia and noncognitive symptoms such as delusions and agitation. Recent studies have suggested that depression also occurs in Alzheimer's disease. In this study, ...

March 1989

Role of gamma-aminobutyric acid in antipanic drug efficacy

Pages:353–356
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.353

Preview Abstract

All effective pharmacologic agents used to treat panic disorder augment gamma-aminobutyric acid (GABA) transmission. Anxiolytics and antidepressants that lack GABA activity are not effective in panic disorder. To test the hypothesis that GABA activity is ...

March 1989

Maintenance of an insanity defense under Montana's "abolition" of the insanity defense

Pages:357–360
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.357

Preview Abstract

In 1979, Montana's insanity defense was replaced with the more restrictive mens rea defense, a change that has been described as an example of "abolition" of the insanity defense. The authors identified cases in which mental health was an issue in seven ...

March 1989

Psychometric assessment of first-degree relatives of 62 autistic probands in Utah

Pages:361–364
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.361

Preview Abstract

The Wechsler Intelligence Scales, Wide Range Achievement Test, and the Shipley-Hartford Test were administered to 122 parents and 153 siblings of 62 autistic probands in Utah. Scores were distributed as expected within the published normative ranges for ...

March 1989

Salivary prostaglandin concentrations: possible state indicators for major depression

Pages:365–368
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.365

Preview Abstract

Salivary prostaglandin concentrations were determined in 42 patients with major depressive disorder, 16 patients with minor depressive disorder, and 39 healthy control subjects. The diagnoses were made according to the Research Diagnostic Criteria. The ...

March 1989

The psychiatric emergency service holding area: effect on utilization of inpatient resources

Pages:369–372
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.369

Preview Abstract

This study compared the rates of hospitalization from two psychiatric emergency services which were similar except that one service had an extended evaluation unit, or holding area, allowing up to 24 hours of evaluation. The rate of hospitalization from ...

March 1989

Doxepin as an adjunct to smoking cessation: a double-blind pilot study

Pages:373–376
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.373

Preview Abstract

In a double-blind study, 19 adults received bedtime doses of either 150 mg of doxepin hydrochloride (N = 9) or placebo (N = 10). After 3 weeks the subjects were instructed to stop smoking and continue taking medication for 4 additional weeks. Cessation ...

March 1989

Adverse outcome of hip fractures in older schizophrenic patients

Pages:377–379
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.377

Preview Abstract

The psychiatric and ambulatory course of 21 older chronic schizophrenic patients who sustained hip fractures was studied prospectively, and their walking ability after the fractures was compared to that of 25 nonpsychiatric hip fracture patients. Although ...

March 1989

Relationship between endometriosis and affective disorder

Pages:380–381
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.380

Preview Abstract

Comparing 14 women with and 55 women without endometriosis, the authors found no significant differences in the prevalence of affective disorder. They discuss the discrepancy between their finding and Lewis et al.'s finding of an association between ...

March 1989

Cocaine use by senior medical students

Pages:382–383
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.382

Preview Abstract

The authors studied 589 senior medical students' attitudes about and use of cocaine. Reported use was 36% in the students' lifetimes, 17% in the past year, and 6% in the past month. Overall, these rates were lower than those of an age-matched cohort.

March 1989

Self-reported anxiety in adolescents

Pages:384–386
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.384

Preview Abstract

In a study of 988 adolescents, female gender, somatic complaints, history of physical and sexual abuse, poor grades, use of street drugs, and family history related to depression were among factors that differentiated adolescents reporting high anxiety ...

March 1989

The Shanghai 800: prevalence of tardive dyskinesia in a Chinese psychiatric hospital

Pages:387–389
Published Online:1 April 2006

https://doi.org/10.1176/ajp.146.3.387

Preview Abstract

The authors found that 73 (8.4%) of 866 patients with chronic schizophrenia in the Shanghai Psychiatric Hospital who had been treated with neuroleptics had tardive dyskinesia. This low prevalence rate is possibly ascribable to the use of relatively low ...