Showing papers in "Psychiatric Clinics of North America in 1983"

TL;DR: The evidence that retardation is a primary disturbance in affective disorders, that it is a core behavioral pattern and not merely a consequence of dysphoric mood is reviewed.

TL;DR: Analysis of patterns and causes, clinical reports, and systematic studies of noncompliance in bipolar illness set up a clinical framework for understanding and treating lithium noncompliance.

TL;DR: Beyond its role as a diagnostic aid, EEG sleep studies show great promise as a research strategy to help elucidate the pathophysiology of affective disorders and to understand mechanisms of antidepressant response.

TL;DR: By using Symptomatologie, characterologic, temperamental, and pharmacologic variables, the authors review the evidence that, between the extremes of full recovery and chronicity, affective disorders exhibit many forms of intermediate outcome that are less well known and that have not received sufficient attention.

TL;DR: The main problems in their clinical application is their low sensitivity, and the possibility that those without extensive training in the phenomenologic approach may overendorse their presence, thereby diluting the specificity of the test.

TL;DR: This article critically reviews strategies and the status of experimental work accomplished to assess the involvement of the endogenous opioid system in human adaptation to stressors and offers directions for clinical research.

TL;DR: This cogent article examines the clinical characteristics of the sexual offender and outlines recent advances in treatment modalities.

TL;DR: The thesis is developed that the failure of many studies to show prevention is due to the insufficient weight given in suicide prevention programs to the available data linking certain types of mental disorder to completed suicide.

TL;DR: It may be that endorphinergic neurons play a fundamental role in selective attention--a kind of sensory filtering of information flow--in somatosensory and other sensory modalities in somatic illness and schizophrenia.

TL;DR: In this article, a well-detailed article, the author substantiates, through reports of open trials and double-blind controlled trials, that carbamazepine has therapeutic and prophylactic efficacy in bipolar disorders.

TL;DR: There is no sure-fire way to prevent violence, but adhering to the above principles should help to minimize violence as well as allow staff to comfort this most difficult aspect of emergency psychiatry.

TL;DR: This is a comprehensive review of the opioid agonist and antagonist effects on neuro endocrine function, and the possible neurochemical mechanisms and anatomic loci by which endogenous opioid pepHdes may exert the neuroendocrine modulatory effects.

TL;DR: Primary events in treatment of special needs and aberrant patients in the emergency department that may have legal consequences are discussed.

TL;DR: The dynamics involved in traumatic events are examined, providing a historical perspective and presenting symptoms and treatment of such clinical syndromes as post-traumatic stress disorder, conversion disorder, somatization disorder, and others.

TL;DR: This review of the central and peripheral opioid systems from anatomic and functional perspectives, provides a basic understanding of how these systems are involved in behavior and in the normally functioning central nervous system.

TL;DR: The author provides an overview of rationale, techniques, mechanisms, and recent findings concerning the efficacy and indications for cognitive therapy.

TL;DR: The article serves to alert the clinician to the existence of potentially treatable neuropsychopathology and to give an awareness of the psychobiologic vulnerabilities of most violent delinquents.

TL;DR: This article discusses the two different types of legal situations involving participation by psychiatrists--clinical testimony and forensic expert testimony--and presents guidelines and ethical considerations for the psychiatrist participating in the criminal justice system.

TL;DR: A persuasive argument for working in prisons is presented and ethical considerations, treatment approaches, and the special problems and challenges provided by prison psychiatry are discussed.

TL;DR: This article examines intensive short-term hospitalization units, generally located in or near emergency settings, that emphasize multidisciplinary approaches to psychiatric problems that are amenable to short- term care.

TL;DR: The authors trace the history of opiate use from Assyrian poppy art through modern times, and investigate the roles endorphins play in addiction, withdrawal, and recovery.

TL;DR: The scientific issues in evaluating the psychotherapies, vis-a-vis somatic therapies, as well as the special problems in assessing the efficacy of combined treatments are reviewed.

TL;DR: The routine mental status examination must be expanded to include brief psychological testing, as the cases demonstrate, because emergencies may present in unexpected contexts.

TL;DR: The difficulty of treating patients with both affective and cardiovascular disorders is addressed by examining the complex interactions between the disorders and their treatments while stressing the need for a collaborative effort between the primary physician and consultants treating the patient who has both disorders.

TL;DR: The psychiatry resident retains his or her identity as a physician, working in consultation and cooperation with other physicians in a medical facility, rather than in a community clinic or psychiatric hospital.

TL;DR: It is believed that the emerging laboratory technology, if interpreted in the context of clinical findings, may assist in differential diagnostic decisions on difficult boundary issues surrounding affective disorders.

TL;DR: The determinants of the decision to hospitalize are reviewed, the outcome of those decisions are examined, and a framework and set of criteria are proposed within which to view this decision.

TL;DR: The authors explore the many facets of this controversial issue of informed consent as an ethical and legal requirement for enrolling patients in human experimentation.

TL;DR: In this work measuring opioids in CSF, relationships between anxiety and CSF opioids in normals and psychiatric patients and changes inCSF opioid activity in patients with anorexia nervosa accompanying weight change are observed, consistent with other evidence linking endorphins to CNS noradrenergic systems and to biologic response to stress.

TL;DR: The authors describe their work and the work of others, exploring the investigative use of opioid/opiate antagonists to understand the pathophysiology of affective disorders and schizophrenia.