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<p>By CDR Robert E. Strange, M.C, USN<br><br><br><br>IT HAS BEEN established that combat psychiatric problems have been less frequent in the Vietnam Conflict than in previous wars. Experience aboard the U. S. Navy Hospital Ship REPOSE in the combat zone during 1966, however, indicated that pathological emotional reactions continue to occur, although less often than anticipated, and that their recognition and management are still important problems for the military medical officer. Those few cases of combat fatigue which are encountered must be recognized and differentiated from other similar appearing syndromes, most numerous of which are those of personality or psychoneurotic disorders developing symptoms in response to the stress of battle. This common occurrence may well be called pseudo-combat fatigue because of its superficial similarity to the classic situational combat reaction. Recognition of differences in these syndromes is necessary for the physician in making the decisions which will most benefit the patient and his military unit.<br><br>Read before the Section on Mililitary Medicine, American Medical Association, Atlantic City, N.J ., June 19, 1967.<br>Excerpted from Military Medicine October, 1968<br></p>
<br>Subjects: NH Philadelphia; psychiatry; Vietnam War; USS Repose; hospital ship</div>
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U.S. Navy. Bureau of Medicine and Surgery</div>
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