World War II and Beyond Flashcards

1
Q

After WWII, psychoanalysis became dominant in psychiatry, why was that?

A

Because of the perceived success of psychoanalysis on the frontlines – not based on any research.

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2
Q

The changes in psychiatry around the 1940s were based on what? Research?

A

No, not on research but changes in diagnosis and theories in psychiatry reflected the broader philosophical assumptions and political views at the time.

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3
Q

In psychiatry, it is understood that social factors matter in the progression or development of mental illness. How is this seen in other fields, such as medicine?

A

This is seen in medicine, for example, in the people diagnosed with tuberculosis. That diagnosis is dependent on social factors as well.

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4
Q

Between 1940 and 1942 an idea called ‘selection predisposition’ became prominent in the American army, what does this mean?

A

It’s the idea that people with a predisposition for mental illness would not be selected for the army.

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5
Q

How was ‘selection predisposition’ implemented in the American army?

A

Psychiatrists would ask people questions that assessed their levels of adjustment and maladjustment. Answers that reflected maladjustment were periods of unemployment (although that was common because of the depression), being a delinquent during highschool, etc.

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6
Q

What did ‘selection predisposition’ mean for the ability to serve in the American army? Were these guidelines maintained?

A

It meant that the number of things that disqualified someone from being in the army increased but it did not last, as America needed more and more soldiers.

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7
Q

What were the later implications of ‘selection predisposition’ for the American army?

A

The soldiers who were newly conscripted had much less training compared to countries like Germany.

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8
Q

Compared to Germany and other countries, America had much less training and equipment for WWII, what did this mean for the mental health of the American army?

A

The Americans were ill-prepared and there was huge mental breakdown.

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9
Q

In 1943, it became obvious that many American soldiers were experiencing mental breakdowns, so what was implemented to help treat these soldiers?

A

PIES was implemented, a treatment that involves ‘proximity, immediacy, expectancy & simplicity’.

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10
Q

How was PIES implemented? And did it work?

A

Soldiers were given a drug that puts them into a sleepy state, and they were forced to talk about and reexperience their trauma. For many, their symptoms of stress decreased – only to reoccur later on.

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11
Q

There were many differences in psychiatry before and after WWII. For example, before 1943 practitioners treated ___ individuals under ___ circumstances, and after 1943 practitioners treated ___ individuals under ___ circumstances.

A

Before 1943 practitioners treated abnormal individuals under normal circumstances, and after 1943 practitioners treated normal individuals under extraordinary circumstances.

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12
Q

Before WWII, it was understood that some individuals may have a mental breakdown. During the war, it was believed that…?

A

… every man has his breaking point; it is not who but when.

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13
Q

Why was WWII considered more taxing and difficult than WWI?

A

Because in WWII attacks could come from anywhere at anytime and attacks in the air were more common and difficult to defend.

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14
Q

Samuel Stouffer had new beliefs about what contributed to mental breakdowns during war, what was his perspective?

A

Samuel Stouffer had a public health perspective on mental breakdown during war. He believed that mental health was tied to morale, which needed to be boosted in many different ways.

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15
Q

In the American army, during WWII, it was considered that if mental breakdowns were high it indicated that… ?

A

Morale was low.

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16
Q

What factors were believed to contribute to morale in the American army? How were these implemented?

A

Trust and belief in the war, by spreading ideas of liberty. Trusting in one’s own ability and equipment (which they didn’t compared to the nazis). Trusting in the friends around you.

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17
Q

It was decided that one’s comrades were an important motivating force in creating morale for each soldier. Give two reasons as to why this seemed evident?

A

Because soldiers would often break down when their friends were killed AND, replacement soldiers, who had no bond to the group yet, were often killed quickly.

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18
Q

Belief in the war was considered an important motivator for morale in the American army, how was this observed?

A

Well, it is evident that the nazis believed in the war, but the Americans didn’t.

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19
Q

There were another two factors that seemed to upset American soldiers and reduce their morale, which had to do with home… what were they?

A

Soldiers were upset by strikes happening back home, as they thought, ‘we’re out fighting this and you’re safe at home not going to work?’ Also, the Dear John letters… when soldiers would get breakup letters from their sweethearts back at home.

20
Q

What did strawberries and chocolate have to do with morale and thus, mental breakdown?

A

Soldiers would get packages of food often containing strawberries and chocolate. It was understood that chocolate was the preferred food, yet when the packages reached the soldiers in the trenches and on the frontlines, all the chocolate would have been taking away. This really upset them and broke their morale.

21
Q

What is the biggest lesson about morale and its connection with mental breakdown?

A

That morale can depend on lots of little elements that you don’t want to mess up for the soldiers.

22
Q

A pocketbook, called ‘psychology for the fighting man’ and written for soldiers, was released by a handful of prominent psychiatrists, what was it about?

A

It was about the fact that fear is normal and it is how you manage your fear that counts.

23
Q

Who was Edward Strecker and what did he determine caused mental breakdown after the war had finished?

A

Edward Strecker did psychoanalysis during WWII and then became a bureaucrat in Washington DC afterwards. He believed that mental breakdown happened in ‘undeserving soldiers’ and it was due to predisposition.

24
Q

After the war finished mental breakdown was attributed to predisposition again, what was considered one of the main causes behind mental breakdown (by Edward Strecker & other psychiatrists)?

A

The Mother and the idea that the American Mother is too protective. It was believed that kids needed to be toughened up and not afraid of pain.

25
Q

So, before the war, during the war, and after the war changes in occurred in the perception on what caused mental break down, what were the changes?

A

Before the war, it was considered that mental breakdown was due to predisposition (‘selection predisposition’). During the war, it was considered that mental breakdown was due to the environment (‘normal people in extraordinary circumstances’); and after the war, it was considered that mental breakdown was due to predisposition again (molly-coddling).

26
Q

S.L.A Marshall asked, ‘what does it take to kill’? Why did he ask this question and what was implemented in the Vietnam war?

A

He asked this question because it was observed that a lot of people struggled to kill and didn’t use their weapons correctly (which is not exactly helpful when running a war). Training to kill was then implemented in the Vietnam War.

27
Q

There are other theorists/writers that say many soldiers enjoyed killing in the war, why? What was their belief about mental health after the war?

A

It was believed that soldiers enjoyed killing in the war because it felt like revenge. However, after the war, their killing created a lot of psychological problems.

28
Q

In conclusion, what were the four main changes that happened to psychiatry during and after WWII?

A

The move toward understanding normal stresses in normal individuals, the growth of clinical psychology, growth in out-patient clinics, and the mental hygiene movement.

29
Q

The National Institute of Mental Health was established in 1946 and with it brought what?

A

It was established in 1946 and brought a lot of funding to psychiatry.

30
Q

What is the financial consequence of war, AFTER is has finished?

A

How expensive it is. The care of soldiers after the war is as expensive as conducting the war itself.

31
Q

Australia does have a lot of mental health care for ex-soldiers, but what is a problem with these strategies?

A

That a lot of soldiers don’t access the mental health care options.

32
Q

What was a big lesson of WWII in terms of the duration of a soldier’s service?

A

That if a soldier has a limited tour of duty and knows they will go home eventually, their mental wellbeing is generally a lot better.

33
Q

In WWII, what was the difference in mental health complaints before the war and after the war?

A

During the war, the treatment of mental health issues was considered a success story, afterwards, psychiatric complaints exploded by about 10 times the amount.

34
Q

Why were psychiatric complaints from the Vietnam War so high?

A

It was a unique war in its violence, took place in difficult terrain (the jungle), soldiers had to kill civilians, they lost the war and when they went home they were not considered war heroes but criminals.

35
Q

What is ‘perpetrator trauma’?

A

It is the notion that soldiers who killed civilians during the Vietnam war experienced trauma from their actions later.

36
Q

What was the ‘Vietnam syndrome’?

A

The idea that soldiers would pretend to have symptoms of trauma to get a pension.

37
Q

Why was there such a push for recognition of PTSD?

A

Mainly to help those inflicted with the disorder access a pension.

38
Q

PTSD was initially a diagnosis for ex-soldiers, then what happened?

A

Feminists said it applied to domestic violence and others, so that it increasingly applied to more and more people. It all got bundled up as a diagnosis in the 1980 version of the DSM(-3).

39
Q

What is the difference between a diagnosis of PTSD in the 80s compared to today?

A

In the 80s, people were only diagnosed with the disorder if their life had been in danger, today, a lot more people are diagnosed with it after experiencing less extreme circumstances.

40
Q

PTSD became a unique disorder because of two things that were eventually picked up on…

A

The fact it has a delayed onset and is caused by events beyond the realm of normal human experience.

41
Q

What are some symptoms of PTSD?

A

Hyper arousal, fight and flight, intrusive memories, depression & substance abuse.

42
Q

Why is it believed that the research conducted on PTSD is flawed?

A

Because most research was from self-reporting and retrospective data.

43
Q

What is the notion of ‘stolen valour’? And what is the ‘stolen valour’ law?

A

A conspiracy that PTSD is a way for people to get access to health care, and that ex-veteran’s coach each other to help qualify.
The ‘stolen valour’ law is that if someone is lying about their symptoms in a claim for benefits, they will get in a lot of trouble.

44
Q

What is the ethical paradox of military psychiatry?

A

That killing others for the good of the war/liberty costs people their mental health and the country a lot of resources.

45
Q

What was observed in the wars helped psychiatrists understand what crucial element about trauma?

A

That it is what happens after the trauma that is most important.