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

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Author :
Publisher : Government Printing Office
ISBN 13 : 0160937906
Total Pages : 868 pages
Book Rating : 4.1/5 (69 download)

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Book Synopsis US Army Psychiatry in the Vietnam War: New Challenges in Extended Counterinsurgency Warfare by : Norman M. Camp

Download or read book US Army Psychiatry in the Vietnam War: New Challenges in Extended Counterinsurgency Warfare written by Norman M. Camp and published by Government Printing Office. This book was released on 2015-03-15 with total page 868 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

US Army Psychiatry in the Vietnam War

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Author :
Publisher : Government Printing Office
ISBN 13 :
Total Pages : 612 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis US Army Psychiatry in the Vietnam War by : Norman M. Camp

Download or read book US Army Psychiatry in the Vietnam War written by Norman M. Camp and published by Government Printing Office. This book was released on 2014 with total page 612 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Psychiatric Casualties

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Publisher : Columbia University Press
ISBN 13 : 0231547455
Total Pages : 460 pages
Book Rating : 4.2/5 (315 download)

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Book Synopsis Psychiatric Casualties by : Mark Russell

Download or read book Psychiatric Casualties written by Mark Russell and published by Columbia University Press. This book was released on 2021-06-15 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Breaking Point

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Publisher : Fordham University Press
ISBN 13 : 1531500137
Total Pages : 256 pages
Book Rating : 4.5/5 (315 download)

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Book Synopsis Breaking Point by : Rebecca Schwartz Greene

Download or read book Breaking Point written by Rebecca Schwartz Greene and published by Fordham University Press. This book was released on 2023-01-03 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Military and Veteran Mental Health

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Author :
Publisher : Springer
ISBN 13 : 1493974386
Total Pages : 471 pages
Book Rating : 4.4/5 (939 download)

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Book Synopsis Military and Veteran Mental Health by : Laura Weiss Roberts

Download or read book Military and Veteran Mental Health written by Laura Weiss Roberts and published by Springer. This book was released on 2018-01-23 with total page 471 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Military Psychology, First Edition

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Author :
Publisher : Guilford Publications
ISBN 13 :
Total Pages : 453 pages
Book Rating : 4.9/5 (781 download)

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Book Synopsis Military Psychology, First Edition by : Carrie H. Kennedy

Download or read book Military Psychology, First Edition written by Carrie H. Kennedy and published by Guilford Publications. This book was released on 2006-08-18 with total page 453 pages. Available in PDF, EPUB and Kindle. Book excerpt: During wartime, the need for mental health professionals intensifies, and the role they play is increasingly important. This comprehensive professional reference and text presents crucial knowledge for anyone who provides direct psychological services or consultation to military, law enforcement, or intelligence personnel, or who works to enhance operational readiness. Expert contributors describe the ins and outs of working within the military system and offer guidelines for effective, ethical practice. Among the clinical applications discussed are fitness-for-duty evaluations, suicide risk assessment and prevention, substance abuse treatment, and brief psychotherapy. Operational applications include such topics as combat stress, survival training, hostage negotiation, and understanding terrorist motivation.

Veteran Psychiatry in the US

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Publisher : Springer
ISBN 13 : 3030053849
Total Pages : 354 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Veteran Psychiatry in the US by : Elspeth Cameron Ritchie

Download or read book Veteran Psychiatry in the US written by Elspeth Cameron Ritchie and published by Springer. This book was released on 2019-03-29 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume explores the unique psychiatric needs of active and former military personnel and offers clinical pearls for the optimal delivery of care for these individuals. Written by experts in military and veteran psychiatry, this book addresses the most common issues in military and veteran patients, including depression, traumatic brain injury, posttraumatic stress disorder, substance use disorder, homelessness, and suicidality. Chapters highlight the characteristics of veterans suffering from each disorder that requires special treatment, making it a valuable resource for both military and civilian clinicians. Veteran Psychiatry in the US is a valuable resource for all mental health clinicians working with or seeking to work with veterans, including psychiatrists, neurologists, primary care physicians, psychologists, counselors, social workers, nurses, residents, and all others.

A Psychiatrist's Guide to Advocacy

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Publisher : American Psychiatric Pub
ISBN 13 : 1615372334
Total Pages : 460 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis A Psychiatrist's Guide to Advocacy by : Mary C. Vance, M.D.

Download or read book A Psychiatrist's Guide to Advocacy written by Mary C. Vance, M.D. and published by American Psychiatric Pub. This book was released on 2020-03-31 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book explores the diverse definitions of advocacy and helps to identify methods and opportunities for advocacy by mental health practitioners. The editors argue for a greater culture of advocacy among psychiatrists in order to effect broad and lasting systemic and structural change. Legislative advocacy is just one of the many types explored in the book; advocacy takes many forms, including patient-level advocacy, organizational advocacy, education and research as advocacy, and media-targeted advocacy.

Psychiatry, Politics and PTSD

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Author :
Publisher : Routledge
ISBN 13 : 100009409X
Total Pages : 231 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Psychiatry, Politics and PTSD by : Janice Haaken

Download or read book Psychiatry, Politics and PTSD written by Janice Haaken and published by Routledge. This book was released on 2020-07-19 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating critical and feminist psychology, psychiatry, and psychoanalysis, this text offers a distinct perspective of posttraumatic stress disorder (PTSD) as a clinical and social phenomenon. The book draws upon interviews carried out in field settings to examine the true individual and social costs of being diagnosed with PTSD. The author examines how social contexts and social movements shape diagnostic thinking about mental trauma and how the PTSD diagnosis emerged as a symptom of a crisis in psychiatry over demands to recognize the social and political origins of mental suffering. Chapters explore case examples from a range of settings, such as military and veterans' affairs clinics, war zones and refugee camps, psychosomatic medicine, the criminal justice system, and more. Providing a new way of thinking about PTSD and an alternative to both critics and defenders of the diagnosis, this text will be useful for scholars and practitioners in psychiatry, psychology, psychoanalysis, public health policy as well as, sociology, social work, gender studies, and the law.

Religion in Uniform

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Publisher : Rowman & Littlefield
ISBN 13 : 1498596169
Total Pages : 214 pages
Book Rating : 4.4/5 (985 download)

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Book Synopsis Religion in Uniform by : Edward Waggoner

Download or read book Religion in Uniform written by Edward Waggoner and published by Rowman & Littlefield. This book was released on 2019-10-03 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first scholarly evaluation of the contemporary US military chaplain corps, and the first to offer not only political and military but also theological analysis, Religion in Uniform shows why the military’s chaplaincy is a failing public project, and what Americans can do about it.

Psychiatrists in Combat

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Publisher : Springer
ISBN 13 : 3319441183
Total Pages : 221 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Psychiatrists in Combat by : Elspeth Cameron Ritchie

Download or read book Psychiatrists in Combat written by Elspeth Cameron Ritchie and published by Springer. This book was released on 2017-04-21 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book tells the professional and personal experiences of American military psychiatrists and their colleagues in the longest conflict in American history. These highly trained men and women treat service members for the psychological consequences from their experiences in battle, including killing enemy combatants; seeing wounded and killed civilian casualties; losing their friends in combat; factoring in personal mental health needs, including psychiatric drug treatment; and potentially dealing with their own physical injuries from being shot or blown up. The volume consists of 20 short first-person case studies from the mental health providers who have been risking their lives while treating patients in the battlefield since 9/11. Written by expert psychiatrists who have experienced these challenges directly, this texts offers both a clinical and personal account that is not found anywhere else. Topics include tips on providing psychotherapy in battle, evaluating and treating detainees in war prisons such as Abu Ghraib and Guantanamo Bay, and the unique challenges of prescribing medication to patients who are also comrades in war. Psychiatrists in Combat is uniquely positioned to be a valuable resource for psychiatrists interested in trauma and veterans, psychologists, social workers, occupational therapists, military health personnel, and mental health professionals interested in military psychiatry.

War Psychiatry

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Publisher :
ISBN 13 :
Total Pages : 532 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis War Psychiatry by : Franklin D. Jones

Download or read book War Psychiatry written by Franklin D. Jones and published by . This book was released on 1995 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume of the Textbook of Military Medicine addresses the delivery of mental health services during wartime. The foreseeable future of the U.S. military includes the potential for involvement in a variety of conflicts, ranging from peace-keeping missions to massive deployments of personnel and materiel and possible nuclear, biological, and chemical threats as was seen in the Persian Gulf War. The medical role in wartime is critical to success of the mission. For the mental health disciplines, this role encompasses identification and elimination of unfit personnel, improvement of marginal personnel to standards of acceptability, prevention of psychiatric casualties, and their treatment when prevention fails. All of these efforts must be guided by past experience and sound principles of human behavior.

The ASAM Principles of Addiction Medicine

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975201574
Total Pages : 5147 pages
Book Rating : 4.9/5 (752 download)

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Book Synopsis The ASAM Principles of Addiction Medicine by : Shannon C. Miller

Download or read book The ASAM Principles of Addiction Medicine written by Shannon C. Miller and published by Lippincott Williams & Wilkins. This book was released on 2024-02-15 with total page 5147 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles of Addiction Medicine, 7th ed is a fully reimagined resource, integrating the latest advancements and research in addiction treatment. Prepared for physicians in internal medicine, psychiatry, and nearly every medical specialty, the 7th edition is the most comprehensive publication in addiction medicine. It offers detailed information to help physicians navigate addiction treatment for all patients, not just those seeking treatment for SUDs. Published by the American Society of Addiction Medicine and edited by Shannon C. Miller, MD, Richard N. Rosenthal, MD, Sharon Levy, MD, Andrew J. Saxon, MD, Jeanette M. Tetrault, MD, and Sarah E. Wakeman, MD, this edition is a testament to the collective experience and wisdom of 350 medical, research, and public health experts in the field. The exhaustive content, now in vibrant full color, bridges science and medicine and offers new insights and advancements for evidence-based treatment of SUDs. This foundational textbook for medical students, residents, and addiction medicine/addiction psychiatry fellows, medical libraires and institution, also serves as a comprehensive reference for everyday clinical practice and policymaking. Physicians, mental health practitioners, NP, PAs, or public officials who need reference material to recognize and treat substance use disorders will find this an invaluable addition to their professional libraries.

Va/Dod Clinical Practice Guideline: Management of Posttraumatic Stress Disorder and Acute Stress Disorder Guideline Summary

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Author :
Publisher : Government Printing Office
ISBN 13 : 9780160941917
Total Pages : 34 pages
Book Rating : 4.9/5 (419 download)

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Book Synopsis Va/Dod Clinical Practice Guideline: Management of Posttraumatic Stress Disorder and Acute Stress Disorder Guideline Summary by : Veterans Health Administration Chief Bus

Download or read book Va/Dod Clinical Practice Guideline: Management of Posttraumatic Stress Disorder and Acute Stress Disorder Guideline Summary written by Veterans Health Administration Chief Bus and published by Government Printing Office. This book was released on 2017-05 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: This updated guidance covers treatment for both PTSD (Post-Traumatic Stress Disorder) and Acute Stress Disorder (ASD) from the clinical perspective. This clinical practice guideline is objective, evidence-based information on the management of PTSD and related conditions. It is intended to provide healthcare providers with assistance in all aspects of patient care, including but not limited to diagnosis, treatment, and follow-up. Within this guideline, it defines traumatic events and stress disorders as defined in the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition, that will appeal to military combat situations found in war zones or events of serious injury or threatened death and acute stress disorder often involves symptoms that last at least three days but less than one month after exposure to traumatic event for an individual to be eligible for the diagnosis. Related products: Other products produced by the United States Department of Veterans Affairs can be found here: https://bookstore.gpo.gov/agency/department-veterans-affairs-va Code of Federal Regulations, Title 38, Pensions, Bonuses, and Veterans' Relief, Pt. 0-17, Revised as of July 1, 2017 is available here: https://bookstore.gpo.gov/products/cfr-t38-pt0-17-code-federal-regulationspaper-2017 Code of Federal Regulations, Title 38, Pensions, Bonuses, and Veterans' Relief, Pt. 18-End, Revised as of July 1, 2017 is available here: https://bookstore.gpo.gov/products/cfr-t38-pt18-end-code-federal-regulationspaper-2017 US Army Psychiatry in the Vietnam War: New Challenges in Extended Counterinsurgency Warfare can be found here: https://bookstore.gpo.gov/products/us-army-psychiatry-vietnam-war-new-challenges-extended-counterinsurgency-warfare --Reduced List Price while supplies last Journal of Research & Development (JRRD), V. 53, No. 01, 2016 single issue is available here: https://bookstore.gpo.gov/products/journal-rehabilitation-research-development-v-53-no-01-2016journal-rehabilitation-research Journal of Research & Development (JRRD), V. 52, No. 06, 2015 single issue is available here: https://bookstore.gpo.gov/products/journal-rehabilitation-research-development-v-52-no-06-2015 PTSD Research Quarterly, V 22, No.4, 2011 -single issue is available here: https://bookstore.gpo.gov/products/v22-42011-post-traumatic-stress-disorder-research-quarterly Forensic and Ethical Issues in Military Behavioral Health--Reduced List Price while supplies last can be found here-- https://bookstore.gpo.gov/products/forensic-and-ethical-issues-military-behavioral-health

The 71F Advantage

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Publisher : NDU Press
ISBN 13 : 1907521658
Total Pages : 529 pages
Book Rating : 4.9/5 (75 download)

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Book Synopsis The 71F Advantage by : National Defense University Press

Download or read book The 71F Advantage written by National Defense University Press and published by NDU Press. This book was released on 2010-09 with total page 529 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes a foreword by Major General David A. Rubenstein. From the editor: "71F, or "71 Foxtrot," is the AOC (area of concentration) code assigned by the U.S. Army to the specialty of Research Psychology. Qualifying as an Army research psychologist requires, first of all, a Ph.D. from a research (not clinical) intensive graduate psychology program. Due to their advanced education, research psychologists receive a direct commission as Army officers in the Medical Service Corps at the rank of captain. In terms of numbers, the 71F AOC is a small one, with only 25 to 30 officers serving in any given year. However, the 71F impact is much bigger than this small cadre suggests. Army research psychologists apply their extensive training and expertise in the science of psychology and social behavior toward understanding, preserving, and enhancing the health, well being, morale, and performance of Soldiers and military families. As is clear throughout the pages of this book, they do this in many ways and in many areas, but always with a scientific approach. This is the 71F advantage: applying the science of psychology to understand the human dimension, and developing programs, policies, and products to benefit the person in military operations. This book grew out of the April 2008 biennial conference of U.S. Army Research Psychologists, held in Bethesda, Maryland. This meeting was to be my last as Consultant to the Surgeon General for Research Psychology, and I thought it would be a good idea to publish proceedings, which had not been done before. As Consultant, I'd often wished for such a document to help explain to people what it is that Army Research Psychologists "do for a living." In addition to our core group of 71Fs, at the Bethesda 2008 meeting we had several brand-new members, and a number of distinguished retirees, the "grey-beards" of the 71F clan. Together with longtime 71F colleagues Ross Pastel and Mark Vaitkus, I also saw an unusual opportunity to capture some of the history of the Army Research Psychology specialty while providing a representative sample of current 71F research and activities. It seemed to us especially important to do this at a time when the operational demands on the Army and the total force were reaching unprecedented levels, with no sign of easing, and with the Army in turn relying more heavily on research psychology to inform its programs for protecting the health, well being, and performance of Soldiers and their families."

Care of the Combat Amputee

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Author :
Publisher : Government Printing Office
ISBN 13 : 9780160840777
Total Pages : 824 pages
Book Rating : 4.8/5 (47 download)

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Book Synopsis Care of the Combat Amputee by : Paul F. Pasquina

Download or read book Care of the Combat Amputee written by Paul F. Pasquina and published by Government Printing Office. This book was released on 2009 with total page 824 pages. Available in PDF, EPUB and Kindle. Book excerpt: This resource addresses all aspects of combat amputee care ranging from surgical techniques to long-term care, polytrauma and comorbidities such as traumatic brain injury and burns, pain management, psychological issues, physical and occupational therapy, VA benefits, prosthetics and adaptive technologies, sports and recreational opportunities, and return to duty and vocational rehabilitation.

Psychiatry in a Troubled World

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Publisher :
ISBN 13 :
Total Pages : 662 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Psychiatry in a Troubled World by : William Claire Menninger

Download or read book Psychiatry in a Troubled World written by William Claire Menninger and published by . This book was released on 1948 with total page 662 pages. Available in PDF, EPUB and Kindle. Book excerpt: