American Journal of Psychiatry

Volume 135, Issue 12

December 1978

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December 1978

Genetic counseling for psychiatric patients and their families

Pages:1465–1475
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1465

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The author presents an overview of genetic counseling for psychiatric patients and their families, including a brief summary of contemporary research into the evidence of genetic factors, the familial risks, and the possible modes of inheritance for major ...

December 1978

The incidence of psychosurgery in the United States, 1971--1973

Pages:1476–1480
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1476

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As part of the work of the APA Task Force on Psychosurgery, the author surveyed 1,901 neurosurgeons on how many psychosurgical procedures they performed in 1971, 1972 and 1973. A total of 1.481 questionnaires were returned: 195 neurosurgeons indicated ...

December 1978

First-rank symptoms in the postacute schizophrenic: a follow-up study

Pages:1481–1486
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1481

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Schneider's diagnostic system of first-rank symptoms (FRS) is acknowledged by psychiatrists throughout the world as a decisive basis for the diagnosis of schizophrenia. Recently, the author's and others' works have challenged this view. This report ...

December 1978

Hyperkinetic/aggressive boys in treatment: predictors of clinical response to methylphenidate

Pages:1487–1491
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1487

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Data on 84 nonretarded boys aged 6--12 with the hyperkinetic/MBD syndrome were drawn from a comprehensive, longitudinal investigation in the interest of identifying factors that contribute significantly to variation in clinically rated improvement during ...

December 1978

The group psychotherapy dropout phenomenon revisited

Pages:1492–1495
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1492

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In this two-year study, patients referred for group therapy were extensively screened and carefully prepared for the therapy. In spite of this effort there was a 29% dorpout rate after group therapy began. All of the therapists reported that they disliked ...

December 1978

Families and hospitals: collusion or cooperation?

Pages:1496–1499
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1496

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The author describes the therapeutic problems that can arise on a family-oriented psychiatric inpatient service. The stress emerging from the therapeutic demands on and changes in the internal structure of the family may cause the family to seek to ...

December 1978

Hysteria split asunder

Pages:1500–1504
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1500

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The authors present the proposed DSM-III classification of the traditional hysterical disorders, i.e., disorders that suggest physical illness but in which psychological factors are judged to be of importance. The use of the DSM-III inclusion and ...

December 1978

Group therapy training in psychiatric residency programs: a national survey

Pages:1505–1508
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1505

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The authors used a questionnaire sent to the directors of the 256 approved American psychiatric residency programs to examine the availability, content, and orientations of group therapy training. They found that 78% of the responding programs offered ...

December 1978

Consultation-liaison versus other psychiatry clerkships: a comparison of learning outcomes and student reactions

Pages:1509–1512
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1509

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The authors present the results of a one-year study showing equivalent mastery of basic psychiatric knowledge and skills and equally favorable student reactions after psychiatry clerkships on a consultation-liaison service and on other more traditional ...

December 1978

The transition to practice seminar

Pages:1513–1516
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1513

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The author discusses the lack of organized faculty attempts to facilitate psychiatric residents' transition to professional practice. Interviewed residents suggested that faculty discontinue their "benign neglect" of the transition and provide information ...

December 1978

Supervision and the professional development of the psychiatric resident

Pages:1516–1519
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1516

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The authors used a questionnaire survey to study the way psychiatric residents experience their psychotherapy supervisors at two points in their training. Results show that second-year residents were more critical in their evaluations of supervisors than ...

December 1978

Training psychiatrists of working with blacks in basic residency programs

Pages:1520–1524
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1520

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The author summarizes recommendations on how specific training for working black and other minority patients can be integrated into the existing relatively traditional residency programs. He also discusses psychotherapeutic issues and problems encountered ...

December 1978

Psychiatric education and training of Asian and Asian-American psychiatrists

Pages:1525–1529
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1525

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The Asian and Asian-American physician in a standard psychiatric residency is faced with discrimination at several levels, as well as special problems of professional role confusion and personal identity, all of which can create barriers to professional ...

December 1978

Children of an idle brain?

Page:1530
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1530

December 1978

An alternative view of the neurobiology of dreaming

Pages:1531–1535
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1531

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The author critiques the recently proposed activation-synthesis hypothesis about the origin and formation of dreams. Many findings do not support the new hypothesis that specific pontine physiological processes, rather than mental processes, instigate ...

December 1978

The activation-synthesis hypothesis of dreams: a theoretical note

Pages:1536–1538
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1536

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The author examines Hobson and McCarley's activation-synthesis hypothesis of dreams from the point of view of theory construction and the logic of science. After reviewing pertinent literature, he concludes that modern sciences has not yet established a ...

December 1978

Comparison of the incidence and severity of extrapyramidal side effects with fluphenazine enanthate and fluphenazine decanoate

Pages:1539–1542
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1539

Preview Abstract

Forty-nine schizophrenic outpatients stabilized on oral antipsychotic medication and procyclidine received 12.5 mg or 18.75 mg of fluphenazine enanthate or fluphenazine decanoate and were examined for extrapyramidal side effects one and two weeks later. ...

December 1978

Severe depersonalization treated by behavior therapy

Pages:1543–1545
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1543

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The author reports the use of behavior therapy in the treatment of two cases of severe intractable depersonalization. Outcome criteria included full psychiatric assessment, patients' self-ratings, and psychometric test scores. Treatment by flooding was ...

December 1978

Neurobiological vulnerability to low-dose amphetamine psychosis

Pages:1546–1548
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1546

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The authors present a case to illustrate a model of drug-induced psychosis wherein the drug acts as if it fits with some neurobiological predisposition in the patient. Patients with a good interpersonal developmental history but extreme sensitivity to a ...

December 1978

Enuresis treatment with imipramine hydrochloride: a 10-year follow-up study

Pages:1549–1552
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1549

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The authors followed 29 young adults who had been treated for enuresis with imipramine hydrochloride 10 years earlier. To test beliefs that enuresis is symptomatic of severe psychopathology or of urological conditions, they studied whether the treatment ...

December 1978

Sexual function and affect in parkinsonian men treated with L-dopa

Pages:1552–1555
Published Online:1 April 2006

https://doi.org/10.1176/ajp.135.12.1552

Preview Abstract

Using psychiatric interviews, sexual and affect rating scales, hormonal studies, and neurologic assessment, the authors assessed the effect of L-dopa treatment on men with Parkinson's disease. Patients demonstrated variable affect changes. Approximately ...

December 1978