About This Journal FREE

The Archives of General Psychiatry strivesto publish original, state-of-the-art studies and commentaries of generalinterest to clinicians, scholars, and research scientists in psychiatry, mentalhealth, behavioral science, and allied fields. The Archives seeks to inform and to educate its readers as well as to stimulatedebate and further exploration into the nature, causes, treatment, and publichealth importance of mental illness.

Editor:

Joseph T. Coyle, MD

McLeanHospital

115 Mill St

Belmont, MA 02478

Phone: (617) 855-2170

Fax:(617) 855-2579

archgenpsychiatry@jama-archives.org

Associate Editor:

Stephan H. W. Heckers,MD, Belmont, Mass

Editorial Assistant:

Frances MacNeil,Belmont, Mass

Web Editor:

Ronald J. Steingard, MD

Ross J. Baldessarini, MD, Belmont, Mass

Floyd E. Bloom, MD, La Jolla, Calif

David L. Braff, MD, San Diego, Calif

WilliamT. Carpenter, Jr, MD, Baltimore, Md

KennethC. Davis, MD, New York, NY

Raymond J. Dolan,MD, London, England

Felton Earls, MD,Cambridge, Mass

Ellen Frank, PhD, Pittsburgh,Pa

James C. Harris, MD, Baltimore, Md

Fritz A. Henn, PhD, MD, Mannheim, Germany

Kenneth S. Kendler, MD, Richmond, Va

Ronald C. Kessler, PhD, Boston, Mass

HelenaChmura Kraemer, PhD, Stanford, Calif

DavidJ. Kupfer, MD, Pittsburgh, Pa

Herbert Y. Meltzer,MD, Nashville, Tenn

Kathleen Ries Merikangas,PhD, Bethesda, Md

Charles P. O'Brien, PHD,Philadelphia, Pa

Michael J. Owen, PhD, FRCPsych,FMed Sci, Cardiff, Wales

Judith L. Rapoport,MD, Bethesda, Md

Alan F. Schatzberg, MD,Stanford, Calif

Ronald J. Steingard, MD, Worcester,Mass

Ming T. Tsuang, MD, PhD, Boston, Mass

Myrna M. Weissman, PhD, New York, NY

Kenneth B. Wells, MD, MPH, Los Angeles, Calif

Charles F. Zorumski, MD, St Louis, Mo

Offices: 515 N State St, Chicago, IL 60610

Catherine D. DeAngelis, MD, MPH

Editorin Chief, Scientific Publications & Multimedia Applications

Cheryl Iverson

Managing Editor

Department Director: Paula Glitman

Manuscript Editing Manager: Brenda Gregoline

Senior Manuscript Editor: Vickey Golden

Manuscript Editors: Paula Bargiel, Tracy Frey, Cheryl L. Tobey

Freelance Manuscript Editing Manager: Diane L. Cannon

Freelance Manuscript Editing Coordinators: Lauren B. Fischer,Connie Manno

Freelance Copy Editors and Copyreaders: Catherine A. Alden,

Karen L. Boyd, Lisa M. Cluver, Mary Coerver-Connolly,Allison Esposito, Laura King, Mary A. Kingzette, Nicole C. Netter, CarolineWoods

Editorial Systems Managers: PaulFrank, Monica Mungle

Systems Programmer/InternetSpecialist: J. D. Neff

Editorial Assistant: Wanda Hill

Executive Assistant to the Editor: Marla A.Hall

Director: Margaret Winker, MD

Electronic Media Department Director: Michelle Kurzynski

Associate Web Editors: Erin M. Giannini

Web Office Manager: Nadine Siewnarine

Group Publisher: Nawin Gupta, PhD

Assistant Publisher: Geoffrey Flick

VP Office Staff: Terri Hanley, Christine Hearne

Division Director: William Fox

Director, Licensing & Permissions: Norman Frankel,PhD

Managers: Kathy Braun, Vida Damijonaitis

Staff: Rhonda Bailey, Millette Jackson-Bates, Sandra Garzon,Anna Goins

Publisher: Bonnie Chi-Lum, MD, MPH

Director Advertising Sales: Jeffery J.Bonistalli

Sales Representative: Stacey McHugh

Marketing Services: Nancy Bell

Staff: Susan Lovenberg, Mirna Monal, Debra Ann Sardo

Manager: Thalia Moss

Staff: Trina Rizzo, Barbara Van Wagner

Director: Mark Kuhns

Staff: Wanda Bartolotta, Joseph Rekash

Division Director: Vanessa Hayden

Directors: Karen Adams-Taylor, Paul Gasiecki, Sue Sherrill

Managers: David Antos, Karen Branham, Suzanne J. Bukovsky,Debbie Camp, Diane Darnell, Karl Elvin, Betty Frigerio, Linda Gardner, Charl Jensen, Mary Ellen Johnston, Mark Matura, Michael McGraw, Phil O'Leary, Susan Price, Alfred Tomaselli, Carmela Ware

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Circulation Processing: Bernadette Bauer, Julie Burton,Rosa Eng, Felicia Kyles, Lawrence Majkszak, Kathryn Osten

Composition and New Media: Rebecca Aiken, Gail Barrett, Regina Brownlee,Brenda Chandler-Grayer, Amy Evers, Domenic Fosco, Mary AnnKuranda, Sandra Lopez, Bruce McGregor, La'son Diggs Sledge, Angela Smits

Graphics: Joe Amft, Fred Furtner, Carolyn Hall, Maria Kowalkowski,Chris Meyer, JoAnne Weiskopf

Proofreading: CarolJoy Farrell, Daniel James, Judith A. Literskis, Teresa H. Omiotek, BarbaraWojtowicz, Agnes A. Zarkadas

Michael D. Maves, MD, MBA, Executive Vice President,Chief Executive Officer

Robert A. Musacchio, PhD,Senior Vice President, Publishing & Business Services

All articles published, including editorials, letters, and book reviews,represent the opinions of the authors and do not reflect the policy of theAmerican Medical Association, the Editorial Board, or the institution withwhich the author is affiliated, unless this is clearly specified.

Copyright 2004 by the American Medical Association. All rights reserved.Reproduction without permission is prohibited.