BackgroundJerusalem's psychiatrists expect to encounter, as the millennium approaches, an ever-increasing number of tourists who, upon arriving in Jerusalem, may suffer psychotic decompensation.AimsTo describe the Jerusalem syndrome as a unique acute psychotic state.MethodThis analysis is based on accumulated clinical experience and phenomenological data consisting of cultural and religious perspectives.ResultsThree main categories of the syndrome are identified and described, with special focus on the category pertaining to spontaneous manifestations, unconfounded by previous psychotic history or psychopathology.ConclusionsThe discrete form of the Jerusalem syndrome is related to religious excitement induced by proximity to the holy places of Jerusalem, and is indicated by seven characteristic sequential stages.

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The effectiveness of Israel's compulsory ambulatory treatment order was evaluated based on a one-year follow-up of the 326 orders served during the first four years of implementation. Demographic, epidemiological, clinical, and legal data were obtained from patient records. Success was defined as continuous treatment for the entire six-month period of compulsory ambulatory treatment, or as voluntary hospitalization during or after the compulsory treatment period. The compulsory ambulatory treatment order was found to be efficacious in 43.3 percent of the cases; in 32.5 percent it did not succeed in preventing compulsory hospitalization, and in the remaining cases (22.1 percent), success was partial.

EDITED BY LOUISE HOWARD Contents Anorexia nervosa as a phenotype ofcognitive impairment in schizophrenia De novo jet-lag psychosis Development of obsessive and depressive symptoms during risperidone treatment Definitions of depression rn Criteria for traumatic grief and PTSD Behavioural changes and psychiatric symptoms in Alzheimer's disease Fergusor~. J. M. & Dunlu/l, N. F. (1988) Anorexia nervosa and schizophrenia. International lourno1 of Eating Dtsorders, 7,343-352.