By Roy W. Menninger, John C. Nemiah

The historical past of psychiatry is complicated, reflecting different origins in mythology, cult ideals, astrology, early medication, legislations faith, philosophy, and politics. This complexity has generated substantial debate and an expanding outflow of ancient scholarship, starting from the enthusiastic meliorism of pre-World conflict II histories, to the iconoclastic revisionism of the Nineteen Sixties, to extra concentrated reports, resembling the heritage of asylums and the validity and efficacy of Freudian concept. This quantity, meant as a successor to the centennial heritage of yank psychiatry released by means of the yankee Psychiatric organization in 1944, summarizes the numerous occasions and procedures of the half-century following global warfare II. so much of this heritage is written through clinicians who have been relevant figures in it.

In large phrases, the heritage of psychiatry after the warfare could be seen because the tale of a biking series, moving from a predominantly organic to a psychodynamic standpoint and again again—all most likely en path to an final view that's really integrated—and interacting all of the 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 adjustments of this era. the 1st 4 sections of the e-book are approximately chronological. the 1st part specializes in the conflict and its impression on psychiatry; the second one stories postwar development of the sector (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 wellbeing and fitness coverage, deinstitutionalization, antipsychiatry, the shopper flow, and controlled care. The 5th part examines the advance of specialization and differentiation, exemplified by way of 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 ebook a desirable learn.

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Domestic problems at home are often reflected in behavior problems in soldiers, particularly those of immature personality or with character defects. (pp. 719–720) The Korean War revealed that the appropriate use of the principles of combat psychiatry could result in the return to battle of up to 90% of combat psychiatric casualties; however, there was a failure to recognize the types of casualties that can occur among rear-echelon soldiers. These “garrison casualties” ( Jones 1985a, 1985b) later became the predominant psychiatric casualties of the Vietnam War (Jones and Johnson 1975).

These findings must be considered in light of a nationwide epidemic of drug abuse in American youths at that time. Drug and alcohol abuse were both so prevalent in troops stationed in Europe that special treatment programs had to be inaugurated (Rock 1973a, 1973b; Rock and Donley 1975). The biggest difference between drug abuse in Vietnam and in Europe and the United States was the ready availability of very pure, inexpensive heroin in Vietnam (Frenkel et al. 1977). Treatment of substance abusers has varied considerably over time.

From studies of cumulative stress such as these, as well as observations of the efficacy of a “point system” (so many points of credit toward rotation from combat per unit of time in combat or so many combat missions of aircrews) used during World War II, the value of periodic rest from combat and of rotation came to be understood and applied in the Korean and Vietnam Wars with fixed combat tours. The fixed tours did, however, result in the “short-timer’s syndrome,” an anxious, tense state not uncommon in combat participants during the final weeks of the stipulated tour of combat duty (Glass 1973).

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