NOTE: NO FURTHER DISCOUNT FOR THIS PRODUCT -- OVERSTOCK SALE - Significantly reduced list price 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. Related products: A Shared Burden: The Military and Civilian Consequences of Army Pain Management Since 2001 can be found here: https://bookstore.gpo.gov/products/sku/008-000-01151-6 Mild Traumatic Brain Injury Rehabilitation Toolkit can be found here: https://bookstore.gpo.gov/products/sku/008-020-01632-2 Textbooks of Military Medicine, Pt. 1, Warfare, Weaponry, and the Casualty: Military Psychiatry, Preparing in Peace for War can be found here: https://bookstore.gpo.gov/products/sku/008-023-00112-0

NOTE: NO FURTHER DISCOUNT FOR THIS PRODUCT -- OVERSTOCK SALE - Significantly reduced list price This book tells the mostly forgotten story of the accelerating mental health problems that arose among the troops sent to fight in South Vietnam, especially the morale, discipline, and heroin crisis that ultimately characterized the second half of the war. This situation was unprecedented in U.S. military history and dangerous, and reflected the fact that during the war America underwent its most divisive period since the Civil War and, as a result, the war became bitterly controversial. The author is a career Army psychiatrist who led a psychiatric unit in Vietnam. In the years following his return, he was dismayed to discover that the Army had conducted no formal review of this alarming situation, including from the standpoint of military psychiatry, and had lost or destroyed all of the pertinent clinical records. In addition to permitting a study of the psychological wounds and their treatment in Vietnam, these records would have been priceless in the treatment of the legions of veterans who presented serious adjustment problems and Post-traumatic Stress Disorder. As a consequence, Dr Camp has been relentless in combing the professional, civilian, and surviving military literature--including unpublished documents--to construct a compelling narrative documenting the successes and failures of Army psychiatry and the Army leadership in Vietnam in responding to these psychiatric and behavioral challenges. The result is a book that is both scholarly and intensely personal, includes vivid case material and anecdotes from colleagues who also served there, and is replete with illustrations and correspondence. It presents the story of Vietnam in a fresh manner--through the psychiatrist's eyes, and sensibilities.

The psychological toll of war is vast, and the social costs of war’s psychiatric casualties extend even further. Yet military mental health care suffers from extensive waiting lists, organizational scandals, spikes in veteran suicide, narcotic overprescription, shortages of mental health professionals, and inadequate treatment. The prevalence of conditions such as post–traumatic stress disorder is often underestimated, and there remains entrenched stigma and fear of being diagnosed. Even more alarming is how the military dismisses or conceals the significance and extent of the mental health crisis. The trauma experts Mark C. Russell and Charles Figley offer an impassioned and meticulous critique of the systemic failures in military mental health care in the United States. They examine the persistent disconnect between war culture, which valorizes an appearance of strength and seeks to purge weakness, and the science and treatment of trauma. Instead of reckoning with the mental health crisis, the military has neglected the needs of service members. It has discharged, prosecuted, and incarcerated a large number of people struggling with the psychological realities of war, and it has inflicted humiliation, ridicule, and shame on many more. Through a far-reaching historical account, Russell and Figley detail how the military has perpetuated a self-inflicted crisis. The book concludes with actionable prescriptions for change and a comprehensive approach to significantly improving military mental health.

This book informs the public for the first time about the impact of American psychiatry on soldiers during World War II. Breaking Point is the first in-depth history of American psychiatry in World War II. Drawn from unpublished primary documents, oral histories, and the author’s personal interviews and correspondence over years with key psychiatric and military policymakers, it begins with Franklin Roosevelt’s endorsement of a universal Selective Service psychiatric examination followed by Army and Navy pre- and post-induction examinations. Ultimately, 2.5 million men and women were rejected or discharged from military service on neuropsychiatric grounds. Never before or since has the United States engaged in such a program. In designing Selective Service Medical Circular No. 1, psychiatrist Harry Stack Sullivan assumed psychiatrists could predict who might break down or falter in military service or even in civilian life thereafter. While many American and European psychiatrists questioned this belief, and huge numbers of American psychiatric casualties soon raised questions about screening’s validity, psychiatric and military leaders persisted in 1942 and 1943 in endorsing ever tougher screening and little else. Soon, families complained of fathers and teens being drafted instead of being identified as psychiatric 4Fs, and Blacks and Native Americans, among others, complained of bias. A frustrated General George S. Patton famously slapped two “malingering” neuropsychiatric patients in Sicily (a sentiment shared by Marshall and Eisenhower, though they favored a tamer style). Yet psychiatric rejections, evacuations, and discharges mounted. While psychiatrist Roy Grinker and a few others treated soldiers close to the front in Tunisia in early 1943, this was the exception. But as demand for manpower soared and psychiatrists finally went to the field and saw that combat itself, not “predisposition,” precipitated breakdown, leading military psychiatrists switched their emphasis from screening to prevention and treatment. But this switch was too little too late and slowed by a year-long series of Inspector General investigations even while numbers of psychiatric casualties soared. Ironically, despite and even partly because of psychiatrists’ wartime performance, plus the emotional toll of war, postwar America soon witnessed a dramatic growth in numbers, popularity, and influence of the profession, culminating in the National Mental Health Act (1946). But veterans with “PTSD,” not recognized until 1980, were largely neglected.

This authoritative and comprehensive title is designed to enhance best clinical practices for all healthcare providers who care for military service personnel and veterans. The book is organized into four sections. The first section covers foundational information on the culture and context of health care for members of the US military and veteran population. The second section focuses on systems of care for mental health needs of military and veteran populations. The third section characterizes best practices as well as ethical issues in clinical care for mental health needs of members of the military and veterans. Guidance in relation to a wide range of clinical topics is provided, such as mood disorders, post-traumatic stress disorder, combat and operational stress, military sexual assault, psychosis, and sleep disorders. The last section is intended to assist readers in reinforcing their learning through a set of clinical cases with accompanying questions for deeper consideration. An invaluable resource for all clinicians, allied health personnel, and administrators concerned with the mental health needs of service members and veterans, Military and Veteran Mental Health: A Comprehensive Guide is a gold-standard addition to the literature on military healthcare.