The authors review the evidence for the efficacy of the sodium amytal
interview with particular reference to psychiatric emergencies and rapid
assessment and treatment. Amytal interviews have a valid role in the
assessment and initial management of catatonia, hysterical stupor, and
unexplained muteness as well as in distinguishing between depressive,
schizophrenic, and organic stuporous states. Valid therapeutic indications
include the abreaction of traumatic neurosis, recovery of memory in amnesic
and fugue states, and recovery of function in conversion disorders. The
authors offer a protocol for application of the amytal interview in
emergency settings.
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