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By Peter Bourne (Eds.)

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Example text

Brill a n d B e e b e (1955) found that m e n w i t h p r e e x i s t i n g o v e r t n e u r o s e s h a d s e v e n to eight t i m e s the c h a n c e of d e v e l o p i n g m a n i - 22 Gary L. Tischler fest p s y c h i a t r i c d i s o r d e r s w h i l e in the s e r v i c e t h a n p r e v i o u s l y w e l l - i n t e g r a t e d m e n . T h e a u t h o r s p o i n t e d o u t , h o w e v e r , t h a t in all probability only o n e t h i r d of t h e m e n s e r v i n g in t h e a r m y w h o could h a v e b e e n disqualified o n n e u r o p s y c h i a t r i c g r o u n d s at the t i m e of i n d u c t i o n , h a d their p r e d i s p o s i t i o n b e e n k n o w n , b e c a m e p s y c h i a t r i c casualties w h i l e in t h e service.

A l t h o u g h p r e d o m i n a n t l y e n g a g e d in r e s e a r c h , t h e t e a m s p r o v i d e d b y t h e W a l t e r R e e d Insti­ tute m a d e their p r e s e n c e felt in a n o p e r a t i o n a l sense. C o n s u l t a t i o n w a s available to Special F o r c e s as well as to the m o r e c o n v e n t i o n a l military units. T h e c o n c e p t t h a t military p s y c h i a t r y w a s c o n c e r n e d w i t h p r e v e n t i o n a n d n o t just w i t h t r e a t i n g " c r a z y p e o p l e " s e e m e d to b e a p p a r e n t to military c o m m a n d to a m u c h g r e a t e r d e g r e e t h a n p e r h a p s w a s e v e r before t h e c a s e .

In r e c e n t y e a r s , t h e a v e r a g e y o u n g general m e d i c a l officer a s s i g n e d to t h e a i m y h a s h a d c o n s i d e r a b l e e x p o s u r e to p s y c h i a t r y , a n d , in m o s t i n s t a n c e s , r e a s o n a b l e e x p o ­ sure to a r m y p r e v e n t i v e p s y c h i a t r i c c o n c e p t s d u r i n g his initial military o r i e n t a t i o n at F o r t S a m H o u s t o n . T h e d i v i s i o n p s y c h i a ­ trist's role a s c o n s u l t a n t to o t h e r m e d i c a l officers is s o m e w h a t simplified as c o m p a r e d w i t h w h a t it m i g h t h a v e b e e n several d e c ­ a d e s a g o , since c o n s i d e r a b l e g r o u n d w o r k h a s a l r e a d y b e e n laid.

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