ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

On the basis of familial constellations it is possible to separate out most of the unipolar depressive patients that are seen in the hospital. The groups may be called depression spectrum disease, pure depressive disease, and sporadic depressive disease. The sporadic depressive disease group is older at onset and older at index of admission than the other two groups. The depression spectrum disease and pure depressive disease groups are separated by virtue of the fact that there are more episodes of illness in the latter.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

A survey was conducted of psychotic persons in a peasant society where psychiatric services were not available. Their age distribution and duration of psychosis indicated that they had a reduced longevity as compared to the general population. Intensive study of six fatal and near fatal cases suggested that violence and infection accounted for their early demise. Those with organic psychosis appeared to have a greater mortality than those with functional psychosis. As our social policies toward the mentally ill change, these findings may have applicability in our own society.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Visual evoked potentials (VEPs) were recorded from the midoccipital area of 72 schizophrenic patients. The amplitude of wave IV (100− to 115-millisecond latency) was reduced after the addition test for 15 minutes. It recovered to the pretest level later, and four types of recovery curves were found; marked reduction in amplitude occurred in A1 (A1 type), in A3 with fast recovery (A3f type), in A3 with slow recovery (A3s type), and in A5 (A5 type) (A1, A3, A5: averaged potentials evoked by 1-Hz flashes which started 1 minute, 3 minutes, and 5 minutes after the end of the test). Each type closely corresponded to paranoid, atypical hebephrenic, typical hebephrenic, and simple schizophrenia, respectively.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

In recent years agoraphobia has been viewed by clinicians as etiologically distinct from other phobic disorders, with conflicts over the developmentally early issue of separation and individuation (self-other differentiation) playing a central role. In an effort to adduce quantitative evidence for this clinical observation, three groups of phobic patients (totaling 166 outpatients in all) were distinguished on the basis of their symptomatology (agoraphobia, simple phobias, and mixed phobias) and were individually administered the Group Embedded Figures Test as a measure of field dependence, a cognitive style dimension that according to Witkin is, at least in part, a manifestation of self-other differentiation. A one-way analysis of variance, performed separately for men and women for differences among the three phobic groups on field dependence, showed significance (p< .05) for the females, with the female agoraphobic being more field dependent than the female simple phobic groups, but not for the males. Implications for the understanding of agoraphobia are discussed.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

This study reports on a survey of all Boards of Medical Examiners in the 50 United States, pertaining to actions taken for physician drug abuse.During the year 1976, we could obtain verification of only 37 actions taken against American physicians for drug abuse; in contrast, 142 actions were taken in Canada the previous year. Response rate to the questionnaire was 72 per cent, however, only 18 per cent of the responses gave actual figures regarding action taken. The study also surveyed legal reporting requirements for physician drug abusers in the United States.Factors affecting therapeutic management of physician abusers are discussed in light of difficulties encountered by therapists and peers. Collective data from the authors' treatment of eight physician abusers are reported.Physician abuse is a significant but under-reported problem. Without an impaired physician program, colleagues have difficulty in dealing with physician drug abuse which is characteristically of long duration and known to spouses and colleagues. Few physician abusers voluntarily seek treatment.This study emphasizes the need for continued support, and the development of impaired physician programs.A discussion relevant to predisposing causes, effect of the abuse on the practice of medicine, family stress, and outcome, is undertaken. A management approach for the physician abuser is outlined.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Four married patients are reported who first manifested pedophilia and other signs of disinhibition after sustaining illnesses that led to cognitive impairments. Although pedophilia may often be related to a long-standing inadequacy of sexual functioning, the onset of pedophilia in an individual without a previous history of sexual perversion may indicate the presence of recently sustained cognitive impairments.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Twelve high risk and 27 low risk 10-year-old male children performed a nonsense syllable discrimination task administered under each of three reinforcement conditions: neutral information feedback, and two response-contingent conditions, praise and censure. Risk status was determined on the basis of index parent diagnosis (schizophrenic or nonschizophrenic) usingDSM-IIIcriteria. Although the two groups did not differ significantly in the mean number of errors made in learning the task under the neutral condition, when reinforcement was provided by subject's mother during both praise and censure conditions, schizophrenics' offspring made approximately twice as many errors as did offspring of controls. Either form of social reinforcement administered by the mother, or merely the mother's voice itself, has a uniquely disruptive effect on the learning efficiency of the offspring of schizophrenics.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Patients with depressions accompanied by delusional thinking are reported to respond poorly to tricyclic antidepressants. We present four cases of delusional depression successfully treated with tranylcypromine. Three patients had previously been treated unsuccessfully with adequate trials of tricyclic antidepressants and one had been treated with a tricyclic-phenothiazine combination with a poor response. These four patients experienced a dramatic reduction in depression and delusional thinking when treated with tranylcypromine. On the basis of these cases, tranylcypromine appears to be an effective treatment for some patients with delusional depressions.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

A case of basilar migraine headache in a young woman is presented. Although the patient had been treated by a neurologist for 2 years, the diagnosis was not established. When she presented to the emergency room of a local hospital, another neurologist diagnosed conversion reaction.Although there had been problems in the family, neurological examination during an episode of headache revealed the typical features of basilar migraine headache.This case illustrates the need for sharp neurological diagnostic skills among psychiatrists, as well as the need to avoid mind-body dichotomies when possible.With treatment for migraine, the patient has done well for several months posthospitalization.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID