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Psychiatry Online
Sections

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American Journal of Psychiatry

Volume 138, Issue 6

June 1981
June 1981
Developmental structuralist approach to the classification of adaptive and pathologic personality organizations: infancy and early childhood
  • Pages:725–735
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.725

Preview Abstract
Traditional classification of psychopathology is based on either symptom clusters or etiology. The authors suggest the use of a developmental structuralist approach, which focuses on an organism's manner of organizing and differentiating its experience of ...
June 1981
Overview: deinstitutionalization of psychiatric patients, a critical review of outcome studies
  • Pages:736–749
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.736

Preview Abstract
The authors performed a critical review of experimental studies on the outcomes for psychiatric patients of 1) alternatives to hospital admission, 2) modifications of conventional hospitalization, and 3) alternatives to continued long-term ...
June 1981
Review of behavioral psychotherapy, II: sexual disorders
  • Pages:750–756
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.750

Preview Abstract
Sexual dysfunction has been shown to respond to a "behavioral Masters and Johnson" approach. Several controlled studies have found this approach to be superior to other methods, with one follow-up showing improvement up to 18 months later. Good results ...
June 1981
Psychopathology in individuals with sexual dysfunction
  • Pages:757–763
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.757

Preview Abstract
The literature contains contradictory reports on the psychiatric status of individuals with sexual dysfunction. As a step toward resolving the controversy the authors administered the SCL-90-R to a large series of patients who sought treatment for sexual ...
June 1981
A comparison of nonpatient and bipolar patient-well spouse couples
  • Pages:764–768
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.764

Preview Abstract
The authors compared responses of 16 couples, in which one partner had a diagnosis of remitted bipolar illness, to a lengthy self-report questionnaire (KDS-15) designed to assess many aspects of marital adjustment with those of 16 matched nonpatient ...
June 1981
Evaluation and diagnosis of persistent insomnia
  • Pages:769–773
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.769

Preview Abstract
The authors placed 84 patients who complained of insomnia into 10 diagnostic categories on the basis of medical, psychiatric, and polysomnographic evaluations. Only half the patients had objectively defined difficulty inducing or maintaining sleep when ...
June 1981
Effect of the Rennie decision on private hospitalization in New Jersey: two case reports
  • Pages:774–778
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.774

Preview Abstract
The Rennie decision in New Jersey on the right to refuse treatment has been extended from public mental health programs to private psychiatric hospitals where conditions are very different from those which engendered the decision. This ripple effect may ...
June 1981
Established chronicity of psychotic symptoms in first-admission schizophrenic patients
  • Pages:779–784
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.779

Preview Abstract
The course of schizophrenia before a patient's first admission is important theoretically, prognostically, and from a preventive psychiatric perspective. However, there is little systematically collected information on this topic. In this evaluation of a ...
June 1981
Pretreatment source of income and response to methadone maintenance: a follow-up study
  • Pages:785–789
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.785

Preview Abstract
The authors assessed the relationship between source of pretreatment income and response to treatment at 6-month follow-up in 165 male veterans admitted to a methadone maintenance treatment program. Subjects were grouped according to whether the majority ...
June 1981
Clinical and cost benefits of liaison psychiatry
  • Pages:790–793
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.790

Preview Abstract
A liaison psychiatrist participated in the postoperative care of a group of elderly patients who underwent surgery for fractured femurs. Clinical outcomes for this group were compared with a control group of patients who were not treated by a liaison ...
June 1981
A preliminary study of the personality of the nightmare sufferer: relationship to schizophrenia and creativity?
  • Pages:794–797
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.794

Preview Abstract
Through psychiatric interviews and psychological tests the authors studied 38 adults who reported experiencing at least one nightmare per week. Nearly all of the subjects had a lifelong history of frequent nightmares. Four of the subjects met DSM-III ...
June 1981
Does attitude toward psychosis relate to outcome?
  • Pages:797–801
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.797

Preview Abstract
In a previous follow-up of recovered schizophrenic patients, it was found that a positive, integrating attitude toward illness correlated with good outcome. In similar research at NIH, the authors of this study obtained partial replication of these ...
June 1981
Attitudes toward medication change among chronically impaired psychiatric patients
  • Pages:801–803
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.801

Preview Abstract
As the hazards of long-term use of psychotropic drugs become more apparent, drug holidays and medication discontinuance are increasingly being implemented. Chronically ill patients are often reluctant to cooperate with such treatment recommendations. The ...
June 1981
Breast cancer in hospitalized psychiatric patients
  • Pages:804–806
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.804

Preview Abstract
Elevated serum prolactin levels caused by antipsychotic agents have been suspected of increasing the risk of breast cancer. The authors reviewed all the cases of breast cancer in 1969-1978 among the female population of a large psychiatric hospital and ...
June 1981
Special issues regarding psychotherapy with the deaf
  • Pages:807–811
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.807

Preview Abstract
The authors interviewed 10 therapists and supervisors who had clinical experience in working with deaf patients. The responses centered on issues related to the necessity of visual rather than auditory communication, problems of diagnosis and assessment, ...
June 1981
Pseudodementia and physical findings masking significant psychopathology
  • Pages:811–814
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.811

Preview Abstract
In a study of 53 medical-surgical patients who were in extended care and were consecutively referred for psychiatric evaluation, 7 (13%) of the patients had been considered to have unequivocal dementia, yet 3 of them (6% of the total or 43% of those ...
June 1981
Racial differences in perception of ward atmosphere
  • Pages:815–817
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.815

Preview Abstract
The authors administered the Moos Ward Atmosphere Scale (WAS) to 17 black inpatients and 17 white inpatients at a VA hospital. Scores on 5 of the 10 subscales reflected significant differences on the basis of race. From these results, the authors assume ...
June 1981
New data on lithium and haloperidol incompatibility
  • Pages:818–821
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.818

Preview Abstract
The authors describe a case of combined lithium and haloperidol toxicity characterized by hyperpyrexia, severe rigidity, mutism, and development of irreversible tardive dyskinesia. This case is similar to four other cases described in the literature and ...
June 1981
The fate of the clinical interview: an observational study
  • Pages:822–825
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.822

Preview Abstract
To highlight differences between data observed in patient interviews conducted by medical students and reports of these data in supervision, the authors compared the number of themes in 26 videotaped interviews with those reported by the students in ...
June 1981
Coping with adversaries in elective public office
  • Pages:826–828
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.826

Preview Abstract
The author, a psychoanalyst who has served as an elected public official, has observed and participated in many adversary relationships in that they provide explicit procedures for expression and resolution of disputes. These cognitive features can ...
June 1981
Effects of lithium on memory
  • Pages:847–848
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.847

Article
June 1981
Dr. Pattison Replies
  • Pages:853-a–853
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.853-a

June 1981
Dr. Abrams Replies
  • Pages:854-b–855
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.854-b

June 1981
Studies of self-mutilating patients
  • Pages:855–856
  • Published Online:23 January 2015

https://doi.org/10.1176/ajp.138.6.aj1386855

Article
June 1981
Dangerousness of the mentally ill?
  • Pages:857–858
  • Published Online:23 January 2015

https://doi.org/10.1176/ajp.138.6.aj1386857

Article
June 1981
Depression and jet lag
  • Pages:858a–858
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.858a

Article
June 1981
Memorizing DSM-III Categories
  • Pages:859-b–859
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.859-b

June 1981
The Scheme of Things
  • Pages:862–863
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.862

June 1981
Position Statement on Substance Abuse
  • Pages:874–875
  • Published Online:1 April 2006

https://doi.org/10.1176/ajp.138.6.874

Preview Abstract
This statement was approved by the Council on Mental Health Services at its September 1980 meeting, by the Assembly of District Branches at its October 1980 meeting, and by the Board of Trustees at its December 1980 meeting. It was prepared by the Task ...

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