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INTRODUCTION Medical Officer Royal Navy 1965-1996

INTRODUCTION Medical Officer Royal Navy 1965-1996. The Role of the Military Psychiatrist. Personnel selection Officer selection Mental dullness Treatment and disposal of psychiatric cases Forward psychiatry Morale and discipline Rehabilitation and repatriation of POWs

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INTRODUCTION Medical Officer Royal Navy 1965-1996

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  1. INTRODUCTION Medical Officer Royal Navy 1965-1996

  2. The Role of theMilitary Psychiatrist • Personnel selection • Officer selection • Mental dullness • Treatment and disposal of psychiatric cases • Forward psychiatry • Morale and discipline • Rehabilitation and repatriation of POWs • Organisation of military psychiatry at home and overseas Ahrenfeldt: “Psychiatry in the British Army in WWII” (1958)

  3. Neuro Psychiatric 4.1% 21 Non-Penetrating 8.3% Trench Foot (NFCI) 14.6% 43 70 270 112 Burns 21.7% Penetrating 52.3% Battle Injuries in British Casualties Total 516

  4. The Coping Spectrum NOT COPING COPING

  5. SELECTION “If screening is to weed out all those likely to develop a psychiatric disorder, all should be weeded out” Anderson R. S. (Ed) Neuropsychiatry in World War II, (Vol. I ). Washington, DC: Office of the Surgeon General 1996, p. 391

  6. Training • Basic • Team • Realistic • Retraining / Reselection?

  7. STRESS • “The confusion created when one’s mind overrides the body’s basic desire to choke the living s1t out of some asshole who richly deserves it”

  8. PTSD • Post Traumatic Stress Disorder 1980+: an evolving concept • History: Nostalgia etc • Incidence: variable • Recognition: comrades and family • Co-morbid disorders: Alcohol, somatic symptoms, depression.

  9. Guilt Loss of control Distress Memories Normal feelings and emotions Which may be experienced Anger Shame Avoidance Numbing Sadness Arousal What you can do Family and social relationships Where to find help When to seek help Coping with Stress after Combat

  10. Morale “The general sense of well-being felt by the group with confidence in their own ability to survive environmental stress, faith in their leader, and an overall sense of cohesiveness amongst their number.” Labuc

  11. Groups at Risk Injured survivors Non-injured survivors Those who might have been there Relatives of the dead Relatives of 1, 2 and 3 Rescuers Witnesses Medical teams Command Carers Correspondents Retraumatised ANO?

  12. QUESTIONS

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