Army Psychiatry: In and Out of Battle, Its Relationship to the Soldier and to the Service

Abstract

1. Until the early years of the Great War of 1914-1918 Military Psychiatry as an entity had little place within the scheme of medical care of troops. Since then it has developed into a subject of increasing scope and importance. 2. The various types of Neurotic and Psychotic reaction that are found in medical practice among troops in wartime are discussed, but the organic reactions are not dealt with in this paper. The causative factors are studied and differences among various racial groupings receive comment. The symptomatology is briefly outlined. 3. Seventeen clinical cases are discussed in some detail. 4. The treatment of the various reactions is discussed, but it is detailed only in so far as it bears particularly on the Service aspects of the case. A few prognostic indications are touched upon. 5. Three statistical tables are included, it having been impossible to date to obtain complete statistical information. 6. A few suggestions and recommendations are made with regard to the future of military psychiatry, the examining and placing of recruits, the training of medical officers and one or two matters of general application. Cape Town, S.A., June, 1946

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