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Showing papers by "Sunnybrook Health Sciences Centre published in 1983"


Journal ArticleDOI
TL;DR: A study of 26 case histories showed thatSegmental spasms of the iris dilator muscle produce intermittent pupillary distortion but can occur several times a day, and focal application of phenylephrine produced a similar distortion in a normal human eye.

41 citations


Journal ArticleDOI
TL;DR: This pilot study addressed whether the combination of an observer scale and a self-rating scale can make a valid distinction between the frequency and severity of depressive symptomatology in adolescents not referred for treatment, and psychiatric inpatients.
Abstract: This pilot study addressed two questions. The first was whether the combination of an observer scale (Hamilton Rating Scale) and a self-rating scale (Carroll Self-Rating Scale, modelled after the Hamilton) can make a valid distinction between the frequency and severity of depressive symptomatology in adolescents not referred for treatment, and psychiatric inpatients. The second was whether Major Depressive Disorder (MDD) could be recognized and diagnosed in "non-patient" adolescents using this interview and rating scale approach. The median Hamilton and Carroll scores of the school students differed significantly from those of the inpatients, though the scores alone did not correspond with the presence or absence of MDD. Only 1 of the 26 (3.8%) tenth grade students interviewed appeared to have MDD, compared with 9 of 33 (27%) adolescent inpatients studied previously with the same methodology. The strength and limitations of this interview and assessment approach are discussed.

11 citations


Journal ArticleDOI
TL;DR: This pilot project enabled us to set up a cost-effective treatment for all forms of agoraphobia which is as efficient as other programs described, and highlighted the fact that some patients exist who may do poorly on schedules of behaviour therapy, and yet may do well if the amount of treatment is drastically increased.
Abstract: This was a pilot project set up to test the feasibility of effectively and inexpensively treating agoraphobic patients who had not responded to adequate trials of behaviour therapy (and other therapy) in the past. We employed a quantitatively intensive program of exposure therapy, calisthenics and muscular relaxation, and have explained the rationales for the choice of each treatment. The results were gratifying in four of the five patients, with follow-up to three years. This pilot project enabled us to set up a cost-effective treatment for all forms of agoraphobia which is as efficient as other programs described. It has also highlighted the fact that some patients exist who may do poorly on schedules of behaviour therapy which are adequate for some patients, and yet may do well if the amount of treatment is drastically increased.

5 citations