Books and Documents

The

BULLETIN

of the

U. S. Army Medical Department

COMBAT PSYCHIATRY

The Bulletin is indexed in the following publications:

Current List of Medical Literature
    (Army Medical Library) Weekly listings of journal contents by author; subject index monthly.

Quarterly Cumulative Index Medicus
    (American Medical Association) Author and subject.

Index-Catalogue of the Library of the Surgeon General's Office, U. S. Army
    (Army Medical Library) Now in Fourth Series, Vol. X, Letter M (first half). Author and subject.

By direction of the Secretary of the Army, the material contained herein is published monthly as administrative information for the proper transaction of the public business and with the approval of the Director of the Budget.

R. W. BLISS,
  Major General, U. S. Army.
Surgeon General.

DISTRIBUTION:
    Special distribution.

THE BULLETIN

OF THE

U. S. Army Medical Department

UNITED STATES

GOVERNMENT PRINTING OFFICE

WASHINGTON : 1949

THE BULLETIN

OF THE

U. S. Army Medical Department

Lieutenant Colonel Wayne G. Brandstadt, M. C., Editor
Mr. Clifford F. Johnson, Managing Editor

EDITORIAL BOARD

Major General George E. Armstrong, M. C., U. S. Army,
    Deputy Surgeon General, Chairman

Major General Thomas L. Smith, D. C., U. S. Army,
    Chief, Dental Division

Brigadier General James A. McCallam, V. C., U. S. Army,
    Chief, Veterinary Division

Colonel Don Longfellow, M.C.,
    Chief, Preventive Medicine Division

Colonel John M. Caldwell, Jr., M. C.,
    Chief, Neuropsychiatry Consultants Division

Colonel Emmett M. Smith
   Chief, Physical Medicine Consultants Division

Colonel Hugh R. Gilmore, Jr.
    Chief, Pathology and Allied Sciences Division

Colonel Warner F. Bowers, M. C.,
    Chief, Surgical Consultants Division

Lieutenant Colonel Charles H. Gingles, M. C.,
    Chief, Medical Consultants Division

ADVISORY EDITORIAL BOARD

Dr. Michael E. DeBakey, professor of surgery, Baylor University, Houston; Dr. Johnston F. Hammond, associate editor, Journal of the American Medical Association; Dr. Raymond A. Kelser, professor of bacteriology and dean of faculty, School of Veterinary Medicine, University of Pennsylvania; Dr. B. R. Kirklin, professor of radiology, University of Minnesota, and director of the Division of Radiology, Mayo Clinic; Dr. Esmond R. Long, director Henry Phipps Institute, University of Pennsylvania; Dr. William C. Menninger, executive secretary, Menninger Foundation; Dr. Clyde E. Minges, president, American Dental Association; Dr. Hugh J. Morgan, professor of medicine, School of Medicine, Vanderbilt University; Dr. Fred W. Rankin, former president of American Medical Association; Dr. James S. Simmons, dean, Harvard School of Public Health; and Dr. Derrick Vail, professor of ophthalmology, Northwestern University.

U. S. Government Printing Office, Washington 25, D. C.
Single copies: domestic 60 cents.

COMBAT PSYCHIATRY

Experiences in the North African and Mediterranean
Theaters of Operation, American Ground Forces,
World War II

Compiled and Edited

by

Colonel Frederick R. Hanson
Medical Corps, Army of the United States

From the Historical Division, Office of the Surgeon General. This manuscript was prepared as part of the history of the Medical Department, U. S. Army, in World War II

Contents

Monograph

Foreword

Major General Raymond W. Bliss, Surgeon General, U. S. Army

Introduction

Colonel Frederick R.. Hanson, M.C., A. U. S.

SECTION I. PSYCHIATRIC TREATMENT AT VARIOUS ECHELONS

The Normal Battle Reaction: Its Relation to the Pathologic Battle Reaction

Lieutenant Colonel Stephen W. Ranson, M.C., U.S.A.

A Dynamic Approach to the Problems of Combat-Induced Anxiety

Major Edwin A. Weinstein, M. C., A. U. S., and Lieutenant Colonel Calvin S. Drayer, M. C., A. U. S.

Malingering in Combat Soldiers
Major Alfred O. Ludwig, M. C., A. U. S.

Organization of the Psychiatric Services in World War II

Colonel Frederick R. Hanson, M. C., A. U. S.

The Battalion Surgeon as Psychiatrist

Major Raymond Sobel, M. C., A. U. S.

Psychiatry at the Division Level
Lieutenant Colonel Albert J. Glass, M. C., U. S. A.

Psychiatry at the Army Level

Major Alfred O. Ludwig, M. C., A. U. S.

The Base Section Psychiatric Hospital

Lieutenant Colonel Louis L. Tureen, M. C., A. U. S., and Major Martin Stein, M. C., A. U. S.

SECTION II. PSYCHIATRIC DISORDERS OF COMBAT

Anxiety-Depression Reactions after Prolonged Combat Experience: The "Old Sergeant Syndrome"

Major Raymond Sobel, M. C., A. U. S.

The Factor of Fatigue in Neuroses of Combat

Colonel Frederick R. Hanson, M. C., A. U. S.

Pseudopsychotic and Psychotic States Arising in Combat

Lieutenant Colonel Benjamin Boshes, M. C., A. U. S., and Lieutenant Colonel Clifford O.  Erickson, M. C., A. U. S.

Gastrointestinal Disorders of Psychogenic Origin

Lieutenant Colonel James A. Halstead, M. C., A. U. S.

Military Medicolegal Problems in Field Psychiatry

Lieutenant Colonel Stephen W. Hanson, M. C., U. S. A.

APPENDIXES

I.    Statistical Studies

Colonel Frederick R. Hansson, M. C., A. U. S., and Lieutenant Colonel Stephen W. Ranson, M. C., U. S. A.

II.   Combat Treatment Plan (Proposed 1949)

III.  References