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July 14, 1993, Vol 270, No. 2 >
ARTICLE | July 14, 1993

Psychiatry FREE

Daniel X. Freedman, MD; Stephen M. Stahl, MD, PhD
[+] Author Affiliations

†Dr Freedman died June 2, 1993.


JAMA. 1993;270(2):252-254. doi:10.1001/jama.1993.03510020120043
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References

Change! The concern of all US physicians centers on needed health care reforms. Uncertainty is the rule: about modes of practice and reimbursement, ritualized guidelines vs informed clinical judgment, the roles of general and specialized physicians and their "gatekeepers," and more.1 Research is an abiding concern, since the chaotic shift of psychiatric and substance abuse research from the former Alcohol, Drug Abuse, and Mental Health Administration to the National Institutes of Health incurred a loss of at least $15 million for current basic and clinical research grants and may require shifts of $55 million more from such critical efforts. Such policy worries perturb all of medicine. For psychiatrists, with 40% to 50% of the treated disorders encountered in general medicine, their role as accessible consultants implementing relevant knowledge transfer looms large. For their patients, the prospects of unfair discrimination in health care reform loom larger.

Recent research focuses on

REFERENCES

1 +
Freedman DX, Stahl SM.  Pharmacology: policy implications of new drugs. Health Aff . 1992;;11:157-163.
2 +
Klerman GL, Weissman MM.  The course, morbidity, and costs of depression. Arch Gen Psychiatry . 1992;;49:831-834.
3 +
Frank E, Kupfer DJ, Perel JM, et al.  Three-year outcomes for maintenance therapies in recurrent depression. Arch Gen Psychi atry . 1990;;47:1093-1099.
4 +
Schweizer E, Rickels K, Weiss S, Zavodnick S.  Maintenance drug treatment of panic disorder, I: results of a prospective, placebo-controlled comparison of alprazolam and imipramine. Arch Gen Psychiatry . 1993;;50:51-60.
5 +
Mavissakalian M, Perel JM.  Clinical experiments in maintenance and discontinuation of imipramine therapy in panic disorder with agoraphobia. Arch Gen Psychiatry . 1992;;49:318-323.
6 +
Old Age Depression Interest Group.  How long should the elderly take antidepressants? a double-blind placebo-controlled study of continuation/prophylaxis therapy with dothiepin. Br J Psychiatry . 1993;;162:175-182.
7 +
Markowitz JS, Weissman MM, Ouellette RM.  Quality of life and panic disorder. Arch Gen Psychiatry . 1989;;46:984-992.
8 +
Mintz J, Mintz IL, Arruda MJ, Hwang SS.  Treatments of depression and the functional capacity to work. Arch Gen Psychiatry . 1992;;49:761-768.
9 +
Wells KB, Stewart A, Hays RD, et al.  The functioning and wellbeing of depressed patients: results from the Medical Outcomes Study. JAMA . 1989;;262:914-919.
10 +
Lamb HR.  Lesson learned from deinstitutionalization in the US. Br J Psychiatry . 1993;;162:587-592.
11 +
Regier DA, Narrow WE, Rae DS, Manderscheid RW, Locke BZ, Goodwin FK.  The de facto US mental and addictive disorders service system. Arch Gen Psychiatry . 1993;;50:85-94.
12 +
Narrow WE, Regier DA, Rae DS, Manderscheid RW, Locke BZ.  Use of services by persons with mental and addictive disorders: Findings from the NIMH ECA program. Arch Gen Psychiatry . 1993;;50:95-107.
13 +
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders . 3rd ed. Washington, DC: American Psychiatric Association; 1980;.
14 +
Wells KB, Burnham MA, Rogers W.  Course of depression for adult outpatients: results from the Medical Outcomes Study. Arch Gen Psychiatry . 1992;;49:788-794.
15 +
Keller MB, Lavori PW, Mueller TI, et al.  Time to recovery, chronicity, and levels of psychopathology in major depression: a 5-year prospective follow-up of 431 subjects. Arch Gen Psychiatry . 1992;;49:809-816.
16 +
Freedman DX.  Psychiatric epidemiology counts. Arch Gen Psychiatry . 1984;;41:931-933.
17 +
Baxter LR, Schwartz JM, Bergman KS, et al.  Caudate glucose metabolic rate changes with both drug and behavior therapy for OCD. Arch Gen Psychiatry . 1992;;49:681-689.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Freedman DX, Stahl SM.  Pharmacology: policy implications of new drugs. Health Aff . 1992;;11:157-163.
2 +
Klerman GL, Weissman MM.  The course, morbidity, and costs of depression. Arch Gen Psychiatry . 1992;;49:831-834.
3 +
Frank E, Kupfer DJ, Perel JM, et al.  Three-year outcomes for maintenance therapies in recurrent depression. Arch Gen Psychi atry . 1990;;47:1093-1099.
4 +
Schweizer E, Rickels K, Weiss S, Zavodnick S.  Maintenance drug treatment of panic disorder, I: results of a prospective, placebo-controlled comparison of alprazolam and imipramine. Arch Gen Psychiatry . 1993;;50:51-60.
5 +
Mavissakalian M, Perel JM.  Clinical experiments in maintenance and discontinuation of imipramine therapy in panic disorder with agoraphobia. Arch Gen Psychiatry . 1992;;49:318-323.
6 +
Old Age Depression Interest Group.  How long should the elderly take antidepressants? a double-blind placebo-controlled study of continuation/prophylaxis therapy with dothiepin. Br J Psychiatry . 1993;;162:175-182.
7 +
Markowitz JS, Weissman MM, Ouellette RM.  Quality of life and panic disorder. Arch Gen Psychiatry . 1989;;46:984-992.
8 +
Mintz J, Mintz IL, Arruda MJ, Hwang SS.  Treatments of depression and the functional capacity to work. Arch Gen Psychiatry . 1992;;49:761-768.
9 +
Wells KB, Stewart A, Hays RD, et al.  The functioning and wellbeing of depressed patients: results from the Medical Outcomes Study. JAMA . 1989;;262:914-919.
10 +
Lamb HR.  Lesson learned from deinstitutionalization in the US. Br J Psychiatry . 1993;;162:587-592.
11 +
Regier DA, Narrow WE, Rae DS, Manderscheid RW, Locke BZ, Goodwin FK.  The de facto US mental and addictive disorders service system. Arch Gen Psychiatry . 1993;;50:85-94.
12 +
Narrow WE, Regier DA, Rae DS, Manderscheid RW, Locke BZ.  Use of services by persons with mental and addictive disorders: Findings from the NIMH ECA program. Arch Gen Psychiatry . 1993;;50:95-107.
13 +
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders . 3rd ed. Washington, DC: American Psychiatric Association; 1980;.
14 +
Wells KB, Burnham MA, Rogers W.  Course of depression for adult outpatients: results from the Medical Outcomes Study. Arch Gen Psychiatry . 1992;;49:788-794.
15 +
Keller MB, Lavori PW, Mueller TI, et al.  Time to recovery, chronicity, and levels of psychopathology in major depression: a 5-year prospective follow-up of 431 subjects. Arch Gen Psychiatry . 1992;;49:809-816.
16 +
Freedman DX.  Psychiatric epidemiology counts. Arch Gen Psychiatry . 1984;;41:931-933.
17 +
Baxter LR, Schwartz JM, Bergman KS, et al.  Caudate glucose metabolic rate changes with both drug and behavior therapy for OCD. Arch Gen Psychiatry . 1992;;49:681-689.

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