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The US psychiatric response in the 20th century

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  • Pols, H.
  • Oak, S.

Abstract

Involvement in warfare can have dramatic consequences for the mental health and well-being of military personnel. During the 20th century, US military psychiatrists tried to deal with these consequences while contributing to the military goal of preserving manpower and reducing the debilitating impact of psychiatric syndromes by implementing screening programs to detect factors that predispose individuals to mental disorders, providing early intervention strategies for acute war-related syndromes, and treating long-term psychiatric disability after deployment. The success of screening has proven disappointing, the effects of treatment near the front lines are unclear, and the results of treatment for chronic postwar syndromes are mixed. After the Persian Gulf War, a number of military physicians made innovative proposals for a population-based approach, anchored in primary care instead of specialty-based care. This approach appears to hold the most promise for the future.

Suggested Citation

  • Pols, H. & Oak, S., 2007. "The US psychiatric response in the 20th century," American Journal of Public Health, American Public Health Association, vol. 97(12), pages 2132-2142.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.090910_0
    DOI: 10.2105/AJPH.2006.090910
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    Cited by:

    1. Pflueger, Dane, 2016. "Knowing patients: The customer survey and the changing margins of accounting in healthcare," Accounting, Organizations and Society, Elsevier, vol. 53(C), pages 17-33.

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