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American Journal of Psychiatry

Volume 131, Issue 2

February 1974

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Article

February 1974

Radical Psychiatry: An Examination of the Issues

JOHN A. TALBOTT

Pages:121–128
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.121

Abstract
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Articles that appeared in the Radical Therapist, an "alternate journal" in the mental health field that published 12 issues between 1970 and 1972, voiced pointed criticisms of psychiatrists during this period: little interest was paid to these issues in "...

February 1974

Psychiatry's Drift Away from Medicine

RICHARD A. SCHWARTZ

Pages:129–134
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.129

Abstract
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The author discusses a number of trends in current psychiatric theory and practice that he believes have tended to separate psychiatry from its traditional medical orientation. These include an overly broad concept of psychiatric illness, overinvolvement ...

February 1974

ROBERT M. SIMON

Pages:135–139
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.135

Abstract
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In psychiatry today eclecticism is encouraged by the wide range of therapeutic techniques available, the complex needs of patients, and the many political systems (family, school, job, etc.) in which they are enmeshed. Although it is possible to learn a ...

February 1974

A Long-Term Follow-Up Study of 60 Adolescent Psychiatric Outpatients

JULIAN I. PICHEL

Pages:140–144
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.140

Abstract
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The author describes a follow-up study of 60 psychiatrically disturbed outpatients who had first been seen at least ten years earlier. His findings suggest that adult disorders can be predicted on the basis of the patient's history of earlier childhood ...

February 1974

Successful Psychiatric Rehabilitation Using an Inpatient Teaching Laboratory—A One-Year Follow-Up Study

MARION K. JACOBS, and
O. LEE TRICK

Pages:145–148
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.145

Abstract
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The authors describe a one-year follow-up study of psychiatric patients hospitalized at the West Virginia University Medical Center. They found a rehospitalization rate considerably below the national average; also, about three-quarters of the patients ...

February 1974

Six-Year Specialist: A Progress Report

JAMES A. RUGOWSKI, and
JOHN R. MARSHALL

Pages:149–153
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.149

Abstract
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The authors describe a pioneer program in which approximately half of the available first-year psychiatric residency positions were given to students who had just completed their third year of medical school. They describe the problems encountered as the ...

February 1974

Young Psychiatrist Administrators

E. MANSELL PATTISON

Pages:154–159
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.154

Abstract
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Administrative issues posed in public community organizations are significantly different from those encountered in mental hospitals and university administrative systems. Thus the development of community mental health delivery systems has created new ...

February 1974

Heroin Use as an Attempt To Cope: Clinical Observations

EDWARD J. KHANTZIAN,
JOHN E. MACK, and
ALAN F. SCHATZBERG

Pages:160–164
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.160

Abstract
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The authors suggest that addicts' use of opiates represents a unique and characteristic way of dealing with ordinary human problems and the real world around them. Through five case reports they illustrate how addicts resort to drugs because they have ...

February 1974

Opium Smoking in Laos: A Survey of 40 Addicts

JOSEPH WESTERMEYER

Pages:165–170
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.165

Abstract
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An intensive survey of 40 opium addicts in Laos showed that opium smoking, like narcotic usage in general, can be powerfully addicting. As is true of alcoholism in the United States, the families of the addicts appeared to have inordinately high rates of ...

February 1974

Ego Development and Cultural Differences

CHARLES A. PINDERHUGHES

Pages:171–175
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.171

Abstract
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Analogues of aggressive-differentiating and affectionate-affiliating behavior are presumed to exist in human systems at all levels of organization—from cells to supranational organizations. The author offers hypotheses about the nature and relationships ...

February 1974

Correlative Aspects of Introjective and Projective Mechanisms

W. W. MEISSNER

Pages:176–180
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.176

Abstract
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The author discusses the correlative nature of projection and introjection, their early roles in development and differentiation, and their later defensive uses. He describes how, in paranoid states, the interplay between projecting and introjecting leads ...

February 1974

A Guide for Drug Use in Depressive Disorders

ALLEN RASKIN

Pages:181–185
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.181

Abstract
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The author extracts information from the multihospital NIMH collaborative studies of drugs and depression that might be of practical use to the clinician. The drugs used in these controlled studies were chlorpromazine, imipramine, diazepam, and phenelzine,...

February 1974

Treatment of Depression by Drugs and Psychotherapy

GERALD L. KLERMAN,
ALBERTO DIMASCIO,
MYRNA WEISSMAN,
BRIGITTE PRUSOFF, and
EUGENE S. PAYKEL

Pages:186–191
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.186

Abstract
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Prevention of relapse following depression is a pressing research problem. The authors tested the efficacy of the tricyclic antidepressant amitriptyline and psychotherapy, alone and in combination, in preventing the relapse of 150 neurotic depressed ...

February 1974

Drugs and Group Psychotherapy in Neurotic Depression

LINO COVI,
RONALD S. LIPMAN,
LEONARD R. DEROGATES,
JAMES E. SMITH, and
JOSEPH H. PATTISON

Pages:191–198
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.191

Abstract
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Chronically depressed neurotic women outpatients were randomly assigned, after a two-week placebo washout period, to receive one of three medications (imipramine, diazepam, or placebo) and to either weekly group psychotherapy or biweekly brief supportive ...

February 1974

Lithium Prophylaxis in Recurrent Affective Illness

ROBERT F. PRIEN,
C. JAMES KLETT, and
EUGENE M. CAFFEY

Pages:198–203
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.198

Abstract
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The authors report on two recent two-year studies that attempted to determine the effectiveness of lithium carbonate in treating recurrent affective illness. In study I, 205 bipolar (manic-depressive) patients were randomly assigned to lithium or placebo; ...

February 1974

JONATHAN O. COLE

Pages:204–205
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.204

PDF/EPUB

February 1974

Alcohol Sensitivity and Ethnic Background

JOHN A. EWING,
BEATRICE A. ROUSE, and
E. D. PELLIZZARI

Pages:206–210
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.206

Abstract
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Previous clinical studies have shown Oriental subjects to be significantly more sensitive to alcohol than Occidental subjects. The results of this study corroborated these findings: the 24 Oriental subjects tested showed significantly more skin flushing, ...

February 1974

Alcoholism: A Statewide Program Evaluation

SHELDON MILLER,
EDWARD HELMICK,
LAWRENCE BERG,
PAUL NUTTING, and
GREGORY SHORR

Pages:210–214
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.210

Abstract
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This paper describes an attempt to evaluate the mental health services offered to Alaskan Natives. The concern of the authors was not the outcome of treatment, but whether the delivery system was functioning efficiently. Restricting their study to a ...

February 1974

Staff Attitudes and Conflict Regarding the Use of Methadone in the Treatment of Heroin Addiction

BARRY S. BROWN,
DONALD R. JANSEN, and
URBANE F. BASS

Pages:215–219
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.215

Abstract
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Realizing that attitudes toward drug use held by staff members of methadone maintenance clinics have a strong influence on the treatment given, the authors sampled the opinions of ex-addict counselors maintained with methadone, ex-addict counselors who ...

February 1974

Involuntary Hospitalization: What For and How Long?

JAMES SPENSLEY,
JAMES T. BARTER,
PAUL H. WERME, and
DONALD G. LANGSLEY

Pages:219–223
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.219

Abstract
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In spite of much criticism of the practice of involuntary hospitalization for mental illness, specific data on the practice are lacking. This study examined the data on all involuntarily hospitalized patients (N = 226) discharged from Sacramento Medical ...

February 1974

Comprehensive Training in Forensic Psychiatry

ROBERT L. SADOFF

Pages:223–225
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.223

Abstract
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The University of Pennsylvania's program of training in legal psychiatry is presented as a model of an integrated program of training, research, and service. With the establishment of similar programs at various university centers around the country and ...

February 1974

Authority Versus Evidence in Psychiatry

LEE BIRK

Page:226
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.226

PDF/EPUB

February 1974

More on Freud and Putnam

NATHAN G. HALE

Pages:226-a–226
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.226-a

PDF/EPUB

February 1974

Dr. Grinker Replies

ROY R. GRINKER

Page:227
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.227

PDF/EPUB

February 1974

The Pendulum Swings Back

JOSEPH A. BARSA

Pages:227-a–228
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.227-a

PDF/EPUB

February 1974

18 Years on Chlorpromazine

NATHAN S. KLINE

Page:228
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.228

PDF/EPUB

February 1974

Alternating Caffeine and Stimulants

IVAN FRAS

Pages:228-a–229
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.228-a

PDF/EPUB

February 1974

Notes of Interest

EUGENE B. BRODY

Page:229
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.229

PDF/EPUB

February 1974

Notes of Interest

CAROL A. LARSON

Pages:229-a–229
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.229-a

PDF/EPUB

February 1974

Involuntary Commitment in Wisconsin

A. L. HALPERN

Pages:229-b–229
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.229-b

PDF/EPUB

February 1974

Dr. Treffert Replies

DAROLD A. TREFFERT

Pages:229-c–230
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.229-c

PDF/EPUB

February 1974

Comments on "Homicides and the Lunar Cycle"

ROBERT LYNCH

Page:230
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.230

PDF/EPUB

February 1974

Dr. Lieber Replies

A. L. LIEBER

Pages:230-a–230
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.230-a

PDF/EPUB

February 1974

The Ethics of Psychiatry

E. M. COLES

Page:231
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.231

PDF/EPUB

February 1974

Questioning Time-Extended Group Therapy

HANS A. ILLING

Pages:231-a–232
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.231-a

PDF/EPUB

February 1974

Dr. Reckless and Colleagues Reply

JOHN RECKLESS,
DAVID HAWKINS, and
ALEXANDRA FAUNTLEROY

Page:232
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.232

PDF/EPUB

February 1974

Pages:232-a–232
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.232-a

Abstract
PDF/EPUB

Preview Abstract

In Dr. Samuel B. Guze's editorial on page 1378 of the December 1973 issue of the Journal, a symposium on hereditary transmission of psychiatric illnesses was incorrectly described as having taken place at a meeting of the American Psychological ...

February 1974

Pages:233–240
Published Online:1 April 2006

https://doi.org/10.1176/ajp.131.2.233

First Page
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