US Army Psychiatry in the Vietnam War: New Challenges in Extended Counterinsurgency Warfare: New Challenges in Extended Counterinsurgency Warfare

US Army Psychiatry in the Vietnam War: New Challenges in Extended Counterinsurgency Warfare: New Challenges in Extended Counterinsurgency Warfare

US Army Psychiatry in the Vietnam War: New Challenges in Extended Counterinsurgency Warfare: New Challenges in Extended Counterinsurgency Warfare

US Army Psychiatry in the Vietnam War: New Challenges in Extended Counterinsurgency Warfare: New Challenges in Extended Counterinsurgency Warfare

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Overview

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During Vietnam War (1965-1973), the US Army suffered a severe breakdown in soldier morale and discipline in Vietnam -- matters that are not only at the heart of military leadership, but also ones that overlap with the mission of Army psychiatry. The psychosocial strain on deployed soldiers and their leaders in Vietnam, especially during the second half of the war, produced a wide array of individual and group symptoms that thoroughly tested Army psychiatrists and mental health colleagues there. 

This book seeks to consolidate a history of the military psychiatric experience in Vietnam through assembling and synthesizing extant information from a wide variety of sources documenting the success and failure of Army's psychiatry in responding to the psychiatric and behavioral problems that changed and expanded as the war became protracted and bitterly controversial.

Mental health professionals, especially psychiatrists in both military and civilian professions, as well as military historians researching the Vietnam era may be interested in this volume.

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Product Details

ISBN-13: 9780160937903
Publisher: United States Dept. of Defense
Publication date: 03/15/2015
Series: Textbooks of Military Medicine
Sold by: Barnes & Noble
Format: eBook
Pages: 832
File size: 72 MB
Note: This product may take a few minutes to download.
Age Range: 18 Years

About the Author


ABOUT THE AUTHOR: 

DURING THE CREATION AND COMPLETION of this volume, Norman M Camp, MD brought a unique blend of training and experience to the task of making sense of the many political, environmental, institutional, social, and psychological strands that interacted to ultimately create a morale and mental health crisis among US ground forces in Vietnam. Pivotal was his service as psychiatrist and commanding officer of the 98th Neuropsychiatric Medical

Specialty Detachment (KO) in Vietnam from October 1970 to October 1971— the period of greatest demoralization and dissent—for which he received the Bronze Star for Meritorious Achievement. Before going to Vietnam he completed his general medical internship at Letterman Army Hospital in San Francisco, California, and his general psychiatry residency at Walter Reed General Hospital in Washington, DC. After his return he completed child and adolescent psychiatry fellowship training at Letterman Army Hospital/University of California, San Francisco and psychoanalytic training with the Baltimore-Washington Institute for Psychoanalysis.

Additional familiarity with social sciences research came through his assignment as research investigator with the Department of Military Psychiatry, Walter Reed Army Institute of Research (WRAIR) in Washington, DC, from 1980 to 1985, where he had the opportunity to conduct a survey of veteran Army psychiatrists who served in Vietnam regarding their professional activities in the theater. His WRAIR assignment also resulted in his publishing (with Stretch and Marshall) an annotated bibliography of the psychiatric and social sciences literature pertaining to the effects of the war on troops serving in Vietnam, and later a long overdue exploration of the potential confusion of military psychiatric ethics arising during war. Practical augmentation of these experiences came through Dr Camp’s assignments as Chief of Psychiatry of an Army hospital in Germany, Chief of the Community Mental Health Activity at a post in the United States, and as a member of the teaching faculty at Walter Reed Army Medical Center.

Dr Camp retired as a colonel from active service in 1988. He was awarded the Army Surgeon General’s “A” Proficiency Designator as having attained the highest level of professional achievement recognized by the Army Medical Department. After his military retirement, Dr Camp relocated to Richmond, Virginia, where, in addition to maintaining an active clinical practice of psychiatry and psychoanalysis, he steadfastly directed his professional energies to the education and training of the next generation of psychiatrists. As Clinical Professor of Psychiatry at the Medical College of Virginia/Virginia Commonwealth University, he served for almost two decades as the Director of Psychotherapy Training for the psychiatry residency training program.

Table of Contents

TABLE OF CONTENTS

About the Author | v
Foreword | vii
Prefac e | ix
Acknowledgments | xi
Prologue A Psychiatrist’s Experience During the Drawdown in Vietnam:
Coping With Epidemic Demoralization, Dissent, and Dysfunction at the
Tipping Point | xiii
Chapter 1 C ontexts of the Vietnam War and Army Psychiatry: A Debilitating
War Fought a Long Way From Home | 1
Chapter 2 O verview of the Army’s Accelerating Psychiatric and Behavioral
Challenges: From Halcyon to Heroin | 35
Chapter 3 O rganization of Army Psychiatry, I: Psychiatric Services in the
Combat Divisions | 73
Chapter 4 O rganization of Army Psychiatry, II: Hospital-Based Services and the
Theater Psychiatric Leadership | 101
Chapter 5 T he Walter Reed Army Institute of Research Survey of Army Psychiatrists
Who Served in Vietnam | 125
Chapter 6 C ombat Stress and Its Effects: Combat’s Bloodless Casualties | 145
Chapter 7 T reatment of Combat Reaction Casualties: Providing Humanitarian Care
While “Protecting Peace in Southeast Asia” | 211
Chapter 8 D eployment Stress, Inverted Morale, and Psychiatric Attrition:
“We Are the Unwilling, Led by the Unqualified, Doing the Unnecessary,
for the Ungrateful” | 259
Chapter 9 S ubstance Abuse in the Theatre: The Big Story | 321
Note to the readers. This volume utilizes some materials that are not available either in print or online.
Several colleagues gave me access to their personal journals kept during their tours in Vietnam. Other
colleagues shared papers they had written either during their tours in Vietnam or after their return home,
but had never published. Other unpublished sources of information include handouts or other materials I
received at various times during my Army career: when I attended Officer Basic Course, when I completed
my residency, when I deployed to Vietnam, and after my return. None of these materials are considered
“sensitive” by the military. I have included some of these materials as exhibits in the chapters, attachments to
the chapters, or appendices to the volume. They are also listed in the references for each chapter, followed
by a note that the document is available as indicated in this volume.

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