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

By Roy W. Menninger, John C. Nemiah

The heritage of psychiatry is advanced, reflecting assorted origins in mythology, cult ideals, astrology, early medication, legislations faith, philosophy, and politics. This complexity has generated enormous debate and an expanding outflow of old scholarship, starting from the enthusiastic meliorism of pre-World warfare II histories, to the iconoclastic revisionism of the Nineteen Sixties, to extra targeted reports, resembling the heritage of asylums and the validity and efficacy of Freudian idea. This quantity, meant as a successor to the centennial historical past of yank psychiatry released by way of the yank Psychiatric organization in 1944, summarizes the numerous occasions and approaches of the half-century following international warfare II. such a lot of this background is written by means of clinicians who have been primary figures in it.

In vast phrases, the heritage of psychiatry after the warfare could be considered because the tale of a biking series, moving from a predominantly organic to a psychodynamic point of view and again again—all most likely en path to an final view that's actually 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 disguise either the continuities and the dramatic alterations of this era. the 1st 4 sections of the publication are approximately chronological. the 1st part specializes in the conflict and its effect on psychiatry; the second one experiences postwar development of the sector (psychoanalysis and psychotherapy, psychiatric schooling, and psychosomatic medicine); the 3rd recounts the increase of clinical empiricism (biological psychiatry and nosology); and the fourth discusses public attitudes and perceptions of public psychological future health coverage, deinstitutionalization, antipsychiatry, the shopper move, and controlled care. The 5th part examines the advance of specialization and differentiation, exemplified through baby and adolescent psychiatry, geriatric psychiatry, habit psychiatry, and forensic psychiatry. The concluding part examines ethics, and girls and minorities in psychiatry.

Anyone drawn to psychiatry will locate this booklet a desirable learn.

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436) This concept was translated into behavioral terms involving positive social reinforcement in research projects for treating delinquent soldiers ( Jones et al. 1977; Poirier and Jones 1977; Wichlacz et al. 1972). One saw the soldier seek concurrence as he looked for the support of his chaplain, his inspector general, his family, his legislators, or anyone else who might agree that the proper solution of his discomfort was a specific change, such as a return home. Seeking support from more official sources, he usually had either abandoned his immediate colleagues or failed to obtain comfortgiving concurrence.

He concluded that “trench neuroses occur usually in unwounded soldiers” (p. 16). 3 4 • The Experience and Lessons of War The British had been evacuating soldiers who developed neuropsychiatric symptoms to England and found their conditions refractory to treatment. However, within a few months of the onset of hostilities, British and French physicians had noted that patients with war neuroses improved more rapidly when treated in permanent hospitals near the front rather than at the base, better in casualty clearing stations than even at advanced base hospitals, and better still when encouragement, rest, persuasion, and suggestion could be given in a combat organization itself.

Alienation from the unit and the army led to the formation of regressive alternative groups based on race, alcohol or drug consumption, delinquent and hedonistic behavior, and countercultural lifestyles. A second paradox was the development of greatly increased rates of psychosis in army troops ( Jones and Johnson 1975). Datel (1976) showed that this was a worldwide phenomenon of all active-duty personnel but especially of army troops. Like the total neuropsychiatric incidence rate, the psychosis rate also peaked after active combat.

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