Medical Officer Royal Navy

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• INTRODUCTION
• Medical Officer Royal Navy
• 1965-1996

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The Role of theMilitary Psychiatrist

1. Personnel selection
2. Officer selection
3. Mental dullness
4. Treatment and disposal of psychiatric cases
5. Forward psychiatry
6. Morale and discipline
7. Rehabilitation and repatriation of POWs
8. Organisation of military psychiatry at home and
   overseas

Ahrenfeldt Psychiatry in the British Army in
WWII (1958)
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Battle Injuries in British Casualties
Total 516
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The Coping Spectrum
NOT COPING
COPING
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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
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Training

• Basic
• Team
• Realistic
• Retraining / Reselection?

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STRESS

• The confusion created when ones mind overrides
  the bodys basic desire to choke the living s1t
  out of some asshole who richly deserves it

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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.

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Coping with Stress after Combat
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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
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Groups at Risk

1. Injured survivors
2. Non-injured survivors
3. Those who might have been there
4. Relatives of the dead
5. Relatives of 1, 2 and 3
6. Rescuers
7. Witnesses
8. Medical teams
9. Command
10. Carers
11. Correspondents
12. Retraumatised
13. ANO?

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QUESTIONS