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Psychiatry Online
Sections

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cover

American Journal of Psychiatry

Volume 157, Issue 4

April 2000
Editorial
April 2000
Genes, Environment, and Mental Health Wellness
  • Pages:489–491
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.489

Images in Neuroscience
April 2000
Cognition
  • Page:492
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.492

Special Article
April 2000
Neuroanatomical Hypothesis of Panic Disorder, Revised
  • Pages:493–505
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.493

Preview Abstract
OBJECTIVE: In a 1989 article, the authors provided a hypothesis for the neuroanatomical basis of panic disorder that attempted to explain why both medication and cognitive behavioral psychotherapy are effective treatments. Here they revise that hypothesis ...
Regular Article
April 2000
A Multidimensional Twin Study of Mental Health in Women
  • Pages:506–513
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.506

Preview Abstract
OBJECTIVE: While researchers have increasing insight into the role of genetic and environmental factors in the etiology of psychiatric and substance use disorders, they know much less about how such factors influence the dimensions of healthy ...
April 2000
Relationship Between Dopamine D2 Occupancy, Clinical Response, and Side Effects: A Double-Blind PET Study of First-Episode Schizophrenia
  • Pages:514–520
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.514

Preview Abstract
OBJECTIVE: Since all antipsychotics block dopamine D2 receptors, the authors investigated how well D2 receptor occupancy in vivo predicts clinical response, extrapyramidal side effects, and hyperprolactinemia. METHOD: In a double-blind study, 22 patients ...
April 2000
Barriers to the Treatment of Social Anxiety
  • Pages:521–527
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.521

Preview Abstract
OBJECTIVE: This article evaluates barriers to treatment reported by adults with social anxiety who participated in the 1996 National Anxiety Disorders Screening Day. METHOD: The background characteristics of screening day participants with symptoms of ...
April 2000
Identity Disturbance in Borderline Personality Disorder: An Empirical Investigation
  • Pages:528–541
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.528

Preview Abstract
OBJECTIVE: Identity disturbance is one of the nine criteria for borderline personality disorder in DSM-IV, yet the precise nature of this disturbance has received little empirical attention. This study examines 1) the extent to which identity disturbance ...
April 2000
Regional Neural Dysfunctions in Chronic Schizophrenia Studied With Positron Emission Tomography
  • Pages:542–548
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.542

Preview Abstract
OBJECTIVE: Whether chronicity of illness produces progressive neural abnormality is an important question in current schizophrenia research. Positron emission tomography (PET) offers an opportunity to visualize and measure blood flow in vivo to address ...
April 2000
Neuropsychology of First-Episode Schizophrenia: Initial Characterization and Clinical Correlates
  • Pages:549–559
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.549

Preview Abstract
OBJECTIVE: Neuropsychological impairments are well documented in schizophrenia and are important targets of treatment. Information about the severity and pattern of deficits after treatment for the first psychotic episode and about relationships between ...
April 2000
Neurological Signs and the Heterogeneity of Schizophrenia
  • Pages:560–565
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.560

Preview Abstract
OBJECTIVE: More than 20 studies of schizophrenia have found a three-factor model of symptom complexes or syndromes consisting of hallucinations/delusions, disorganization of thought and behavior, and negative symptoms. Several lines of evidence suggest ...
April 2000
Violence and Delusions: Data From the MacArthur Violence Risk Assessment Study
  • Pages:566–572
  • Published Online:24 January 2015

https://doi.org/10.1176/appi.ajp.157.4.566

Preview Abstract
OBJECTIVE: Previous work has suggested that delusions are associated with a higher risk of violence, particularly delusions in which patients believe that people are seeking to harm them or that outside forces are controlling their minds (denoted as “...
April 2000
Empirical Examination of Current Depression Categories in a Population-Based Study: Symptoms, Course, and Risk Factors
  • Pages:573–580
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.573

Preview Abstract
OBJECTIVE: Research studies on the validity of current diagnostic and subthreshold categories of depression that use a population-based follow-up design are rare. The authors examined the validity and utility of four current depression categories by ...
April 2000
Diagnosis of Nonpsychotic Patients in Community Clinics
  • Pages:581–587
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.581

Preview Abstract
OBJECTIVE: Diagnosis-specific, proven efficacious treatments are a major recent advance in psychiatry. Appropriate use of such treatments presupposes patients who meet the diagnostic criteria and clinicians who have accurately diagnosed the target ...
April 2000
Use of Exclusion Criteria in Selecting Research Subjects and Its Effect on the Generalizability of Alcohol Treatment Outcome Studies
  • Pages:588–594
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.588

Preview Abstract
OBJECTIVE: Researchers have not systematically examined how exclusion criteria used in selection of research subjects affect the generalizability of treatment outcome research. This study evaluated the use of exclusion criteria in alcohol treatment ...
April 2000
Evaluation of Competence to Consent to Assisted Suicide:Views of Forensic Psychiatrists
  • Pages:595–600
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.595

Preview Abstract
OBJECTIVE: Mental health evaluation of competence to consent has been proposed as an important safeguard for patients requesting assisted suicide, yet mental health professionals have not developed guidelines or standards to aid in such evaluations. The ...
April 2000
Characteristics of Suicide Attempts of Patients With Major Depressive Episode and Borderline Personality Disorder: A Comparative Study
  • Pages:601–608
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.601

Preview Abstract
OBJECTIVE: Suicidal behavior is highly prevalent in borderline personality disorder and major depressive episode, although the characteristics of suicide attempts in the two disorders are believed to differ. Comorbidity of borderline personality disorder ...
April 2000
Association of Aggressive Behavior With Altered Serotonergic Function in Patients Who Are Not Suicidal
  • Pages:609–614
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.609

Preview Abstract
OBJECTIVE: The purpose of this study was to determine whether aggression and serotonergic dysfunction are related in the absence of a history of suicidal behavior. Although serotonergic dysfunction has been implicated in aggressive and impulsive behavior, ...
April 2000
Posttraumatic Stress Disorder Among Hispanic Vietnam Veterans
  • Pages:615–619
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.615

Preview Abstract
OBJECTIVE: The purpose of this study was to examine posttraumatic stress disorder (PTSD) among Hispanics who served in the Vietnam War. METHOD: The authors conducted secondary data analyses of the National Vietnam Veterans Readjustment Study, a national ...
Clinical Case Conference
Images in Psychiatry
April 2000
Viktor Emil Frankl 1905–1997
  • Page:625
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.625

Brief Report
April 2000
Two-Year Prospective Evaluation of the Relationship Between Acute Stress Disorder and Posttraumatic Stress Disorder Following Mild Traumatic Brain Injury
  • Pages:626–628
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.626

Preview Abstract
OBJECTIVE: To assess the ability of acute stress disorder to predict posttraumatic stress disorder (PTSD), the relationship between acute stress disorder and PTSD over the 2 years following mild traumatic brain injury was determined. METHOD: Survivors of ...
April 2000
Posttraumatic Stress Disorder After Severe Traumatic Brain Injury
  • Pages:629–631
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.629

Preview Abstract
OBJECTIVE: This study indexed the profile of posttraumatic stress disorder (PTSD) after severe traumatic injury to the brain. METHOD: Patients who sustained a severe traumatic brain injury (N=96) were assessed for PTSD 6 months after the injury with the ...
April 2000
High Levels of Dopamine Activity in the Basal Ganglia of Cigarette Smokers
  • Pages:632–634
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.632

Preview Abstract
OBJECTIVE: The authors’ goal was to study presynaptic dopamine activity in smoking and nonsmoking human subjects in vivo. METHOD: [18F]Fluorodopa ([18F]DOPA) uptake Ki values in the basal ganglia of nine smoking and 10 nonsmoking healthy men were measured ...
April 2000
Age-Related Cognitive Deficits Mediated by Changes in the Striatal Dopamine System
  • Pages:635–637
  • Published Online:1 April 2000

https://doi.org/10.1176/ajp.157.4.635

Preview Abstract
OBJECTIVE: The study examined the influence of losses in dopaminergic function on age-related cognitive deficits. METHOD: Eleven healthy subjects (21–68 years of age) completed a set of cognitive tasks used to assess perceptual speed and episodic memory. ...
April 2000
Cognitive Deficit Induced by Acute Tryptophan Depletion in Patients With Alzheimer’s Disease
  • Pages:638–640
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.638

Preview Abstract
OBJECTIVE: The study assessed the effects on global cognitive function and mood of a reduction of brain serotonin by means of acute tryptophan depletion in 16 patients with dementia of the Alzheimer type and in 16 cognitively intact comparison subjects. ...
April 2000
Proton Magnetic Resonance Spectroscopy of the Medial Prefrontal Cortex in Patients With Deficit Schizophrenia: Preliminary Report
  • Pages:641–643
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.641

Preview Abstract
OBJECTIVE: Proton magnetic resonance spectroscopy (1H-MRS) was used to study medial prefrontal metabolic impairments in schizophrenic patients with the deficit syndrome. METHOD: The subjects were 22 schizophrenic patients categorized as deficit (N=5) or ...
April 2000
Reduced Concentrations of ThalamicN-Acetylaspartate in Male Patients With Schizophrenia
  • Pages:644–647
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.644

Preview Abstract
OBJECTIVE: The authors measured N-acetylaspartate (a putative neuronal marker) in the right and left thalamus of 17 male patients with schizophrenia using in vivo proton magnetic resonance spectroscopic imaging (1H MRSI). METHOD:1H MRSI was performed on ...
April 2000
High Serum Cholesterol and Risk of Suicide
  • Pages:648–650
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.648

Preview Abstract
OBJECTIVE: The study was conducted to estimate the association between serum total cholesterol concentration and mortality from suicide. METHOD: The baseline serum total cholesterol concentration of 37,635 adults was determined in five independent ...
Book Forum: PSYCHOANALYSIS
April 2000
Countertransference and Regression
  • Pages:651-a–652
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.651-a

April 2000
Lay Analysis: Life Inside the Controversy
  • Pages:652–653
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.652

Book Forum: SUBSTANCE ABUSE
April 2000
New Treatments for Opiate Dependence
  • Pages:654–655
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.654

Book Forum: CHILD ABUSE AND PTSD
April 2000
Recollections of Sexual Abuse: Treatment Principles and Guidelines
  • JUDITH H. GOLD,C.M., M.D., F.R.C.P.C., F.R.A.N.Z.C.P.,Halifax, N.S., Canada
  • Pages:655-a–656
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.655-a

Book Forum: MOOD DISORDERS
April 2000
Comorbidity in Affective Disorders,
  • Pages:656-a–657
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.656-a

April 2000
Manic Depression and Creativity
  • Page:657
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.657

Letter to the Editor
April 2000
Older Patients and Health Care Utilization
  • Page:661
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.661

April 2000
Dr. Kales and Colleagues Reply
  • Pages:661-a–662
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.661-a

April 2000
“Cognitive Dysmetria” in Schizophrenia
  • Page:662
  • Published Online:1 April 2000

https://doi.org/10.1176/ajp.157.4.662

April 2000
Dr. Crespo-Facorro and Colleagues Reply
  • Pages:662-a–663
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.662-a

April 2000
Dr. Gurrera Replies
  • Pages:663-a–664
  • Published Online:1 April 2000

https://doi.org/10.1176/appi.ajp.157.4.663-a


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