Psychiatry and the homeless mentally ill.
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Biomedical subjects
Publications and source records attributed to F Lemere.
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An analysis of 292 private patients treated for cocaine addiction showed the following. Comorbid Axis I psychiatric disorders were found in 19% and preaddiction Axis I disorders in 9% of these patients. Psychopathology at the time of treatment appeared to be more the result of than the cause of the addiction. Of these patients 63% had become addicted pursuing euphoria. A definitive nonpathologic unipolar hypomanic subtype of cocaine addict was observed in 13% of these 292 patients. This was manifested more as a trait than a disorder. This subgroup had been reasonably well adjusted, fun-loving and action oriented extroverts before their addiction. The rush and lifestyle of cocaine fit the imperatives of their personality. In a significant subtype of cocaine addict, an underlying hypomanic personality trait is ego-syntonic with the abuse of cocaine.
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Trends in the sex, religious preference, marital status, number of children and age of patients seeking admission at a private alcoholism hospital from 1955 to 1980 are discussed.
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