Download American Psychiatry After World War II, 1944-1994 by Roy W. Menninger, John C. Nemiah PDF

By Roy W. Menninger, John C. Nemiah

The background of psychiatry is advanced, reflecting diversified origins in mythology, cult ideals, astrology, early drugs, legislations faith, philosophy, and politics. This complexity has generated substantial debate and an expanding outflow of old scholarship, starting from the enthusiastic meliorism of pre-World conflict II histories, to the iconoclastic revisionism of the Nineteen Sixties, to extra centred stories, comparable to the historical past of asylums and the validity and efficacy of Freudian conception. This quantity, meant as a successor to the centennial background of yankee psychiatry released by means of the yank Psychiatric organization in 1944, summarizes the numerous occasions and tactics of the half-century following global warfare II. so much of this heritage is written by means of clinicians who have been principal figures in it.

In large phrases, the historical past of psychiatry after the battle should be considered because the tale of a biking series, moving from a predominantly organic to a psychodynamic point of view and again again—all possibly en path to an final view that's really integrated—and interacting the entire whereas with public perceptions, expectancies, exasperations, and disappointments.

In six sections, Drs. Roy Menninger and John Nemiah and their colleagues hide either the continuities and the dramatic adjustments of this era. the 1st 4 sections of the ebook are approximately chronological. the 1st part specializes in the struggle and its effect on psychiatry; the second one stories postwar development of the sphere (psychoanalysis and psychotherapy, psychiatric schooling, and psychosomatic medicine); the 3rd recounts the increase of medical empiricism (biological psychiatry and nosology); and the fourth discusses public attitudes and perceptions of public psychological future health coverage, deinstitutionalization, antipsychiatry, the patron circulate, and controlled care. The 5th part examines the improvement of specialization and differentiation, exemplified by way of baby and adolescent psychiatry, geriatric psychiatry, dependancy psychiatry, and forensic psychiatry. The concluding part examines ethics, and girls and minorities in psychiatry.

Anyone attracted to psychiatry will locate this publication a desirable learn.

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Sample text

This diagnosis left them open to the suggestion that they were only tired and a little nervous, and with a short rest would be fit for duty. Thus the principles of forward treatment were discovered by French, British, and American physicians and were widely disseminated by the theater neuropsychiatry consultant, Thomas P. Salmon, later a president of the American Psychiatric Association. With the rediscovery of these principles during World War II, the term exhaustion was initially used, then combat exhaustion, and finally combat fatigue, which came to be preferred in that it carried more exactly the expectation desired.

Not only was screening ineffective in preventing breakdown, but also the liberal separation policy for those presenting with neurotic symptoms threatened the war effort (Artiss 1963). 6/1,000 troops per year). Studies in which researchers attempted to find predisposition to psychiatric breakdown in combat have revealed more similarities than differences between psychiatric casualties and their fellow soldiers. For example, in a comparison of the combat records of 100 men who experienced psychiatric breakdowns requiring evacuation to an army hospital in the United States and an equivalent group of 100 surgical casualties, Pratt (1947) found no significant difference in numbers of awards for bravery.

By 1965 and roughly since, the rate dropped to 5/1,000 troops per year (about twice the rate of psychosis). The number of outpatient visits in 1951 was 107/1,000 per year and in 1965 was 305/1,000 per year (Allerton and Peterson 1957; Tiffany and Allerton 1967). The Vietnam War (1961–1973) Our longest war, Vietnam, can best be viewed from a psychiatric perspective as encompassing three phases: an advisory period with few combatants and almost no psychiatric casualties; a build-up period with large numbers of combatants but few psychiatric casualties; and a withdrawal period with relatively large numbers of psychiatric casualties with other than traditional combat fatigue symptomatology.

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