Military Psychiatry and Refugees .Pdf
Military Psychiatry and Refugees Chapter 15 MILITARY PSYCHIATRY AND REFUGEES FRANKLIN D. JONES, M.D., F.A.P.A.,* PINCHAS HARRIS, M.D.,† MANUEL FEBO, M.D.,‡ AND PEDRO J. CRUZ, M.D.§ INTRODUCTION TYPES OF DISPLACEMENT Refugees Migrants Voluntary Exiles SOCIAL IMPLICATIONS PSYCHOLOGICAL IMPLICATIONS Initial Phase Phase of Preentry Phase of Entry Period of Psychological Arrival Period of Resettlement MILITARY ASSISTANCE: THE CUBAN MARIEL BOAT PEOPLE Psychological Phases Patient Data Profile Discussion SUMMARY AND CONCLUSION *Colonel (ret), Medical Corps, U.S. Army; Clinical Professor, Uniformed Services University of the Health Sciences; Past President and Secretary and Current Honorary President of the Military Section, World Psychiatric Association †Director of Rehabilitation Services, Herzliya Medical Center—Haifa, Israel; formerly Medical Officer, Israeli Defence Forces ‡Colonel (ret), Medical Corps, U.S. Army; formerly Psychiatry Consultant to The Surgeon General, U.S. Army; formerly Chief, Inpatient Psychiatry, Walter Reed Army Medical Center, Washington, D.C. §Chief, Department of Psychiatry, Caguas Regional Hospital, Caguas, Puerto Rico 251 Military Psychiatry: Preparing in Peace for War INTRODUCTION The 20th century may be described as the century The military is called to assist when the influx of of the uprooted or homeless man.1 Since the begin- refugees is so great that civilian organizations have ning of the century and especially since World War difficulties in coping with all of the initial prob- II, there have been millions of displaced persons in lems.10,11 Such a state has developed numerous times various parts of the world at the same time. As of in the United States. In 1975, the large number of April 1991, there were nearly 15 million refugees Vietnam refugees who arrived in California were worldwide, mostly women and children.
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