PROGRAM OF INSTRUCTION FOR MILITARY NEUROPSYCHIATRIC COURSE MEDICAL FIELD SERVICE SCHOOL BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON, TEXAS IQ47 MEDICO FIELD SERVICE SCHOOL BROOKS ARMY MEDICAL CENTER FORT SAM HOUSTON, TEXAS PROGRAM OF INSTRUCTION FOR OFFICERS' BASIC COURSE IN MILITARY NEUROPSYCHIATRY (MO-IO) 2lf .-SEPTEMBER -I9k7 OFFICERS* BASIC COURSE IN MILITARY NEUROPSYCHIATRY MEDICAL FIELD SERVICE SCHOOL PURPOSE: • ' To train Medical Officers to be ward officers in hospital . wards for psychiatric and' neurologic diseases and as psychia- trists at induction stations, training centers and'dispensaries, (MO3 D-3130) PREREQUISITES: Completion of Basie course for Medical officers or its equivalent; previous training in neurology and/or psychiatry and an expressed desire for increased knowledge in psychiatry and neurology; satisfactory personality adjustment, to be deter- mined before enrollment or by the Chief of the Department of Neuropsychiatry, Medical Field Service School during the first four weeks of training period; at least one (l) year of unex- pired active military duty following completion of the course. OFFICERS* BASIC COURSE IN, MILITARY NEUROPSYCHIATRY MEDICAL FIELD SERVICE SCHOOL (16 weeks - 640 hours) SUBJECT HOURS CLINICAL APPLICATION 305 Practical Application of Psychiatry (80) Practical Application of Neurology (50) Clinical Demonstration in Military Neuropsychiatry (175) COMMANDANT1 S TIME 32 Class Organization (4) Clearance and Graduation (2) Examination and Quiz (8) Subjects to be Announced (18) NEUROLOGY SO Neuroanatomy (20) Neurophysiology (20) Neuropathology (20) Clinical Neurology (20) PSYCHIATRY 127 "Normal” Behavior Patterns (5) Psychopathology (20) Specific Behavior Deviations and Deficiencies (50) Childhood Psychiatry (4) Maladjustments in the Military Service (5) Preventive Psychiatry (5) Psychiatric Therapy (30) Legal Aspects of Psychiatry (4) Correlative Services (4) TRAINING 96 Physical Training (80) Troop Information Program (16) PROGRAM OF INSTRUCTION OFFICERS* BASIC COURSE IN MILITARY MEUROPSYCHIATRY PART I CLINICAL APPLICATION 305 Hours SUBJECT AND ‘ANNEX NUMBER HOURS SCOPE Practical Application of Psychiatry ANNEX NO. 1 (80) Supervised bedside study of patients on both open and closed psychiatric wards. The student has responsibil- ity to supervisor for work- up, evaluation, diagnosis, treatment, and disposition of selected assigned cases. Practical Application of Neurology ANNEX NO. 2 (50) Supervised bedside study of patients on neurologic wards. The student has responsibility to'super- visor for work-up, evalu- ation, diagrams, differen- tial. diagnosis, treatment, and disposition of*selected assigned cases. Clinical Demonstrations in Military Neuro- psychiatry ANNEX NO. 3 (175) On-the-job participation in evaluation, treatment, and disposition of hospital cases in conference with the faculty and other members of the staff. Study and conference periods for analysis of important liter- ature . PART II COMMANDANT*S TIME 32 Hours SUBJECT AND ANNEX NUMBER HOURS SCOPE Glass Organization (4) Processing of individuals. ANNEX NO. None organization of students into sections for instruc- PART II SUBJECT AND ANNEX NUMBER HOURS SCORE tional purposes, C ommandant1s address, and such other administrative procedures as announced by the Commandant. Clearance and. Graduation ANNEX NO. None (2) Turning in of books and suppliesi processing for departure and formal gradu- ation exercises. • • Examination and Quiz A*NNEX NO. None (8) To serve as index of effect- iveness of teaching and to ascertain each students application and accomplish- ment . Subjects to be Announced ANNEX NO. None (18) To provide for conferences ■with such guest professional consultants as are available during the course. PART III M3UROLOGY 80 Hours SUBJECT AMD ANNEX NUMBER HOURS SCOPE Neuroanatomy (20) 4 review of the basic.and i* NO. 4 applied'anatomy of the central, autonomic and peripheral nervous systems. Neurophysiology (20) L review of the basic and ANNEX NO. 5 • applied physiology of the central, autonomic and peripheral nervous systems. Neuropathology (20) 4 survey of the common ANNEX NO. 6 pathological changes in the nervous system, their gross and microscopic appearance, and pathogens sis, PART III (Cont!d) SUBJECT AND ANNEX NUMBER HOURS SCOPE Clinical Neurology (20) A survey of the methods of ANNEX NO. 7 neurological examination, aids to diagnosis, signs. symptoms, differential diagnosis and treatment of the common neurological disorders with emphasis on • « military problems. PART IV PSYCHIATRY X27 Hours ■SUBJECT .and ANNEX NUMBER HOURS SCOPE "Normal” Behavior Patterns .iNNEX NO. 8 (5) Orientation on the psychiatric viewpoint* Study of in- dividual as a whole. Common reactions to life situations and stresses. The utility of anxiety. Psychopathology ANNEX NO. 9 * (20) Introduction to the study of personality and its pathologic reactions including somati- zation patterns. Influence of training, secondary gain, motivation, psychodynamics. Specific Behavior Deviations and Deficiencies ANNEX NO. 10 (50) The psychiatric interview. Recording the mental status. Psychoses with demonstrable pathologic changes. Func- tional psychoses. Psycho- neurosis, Mental deficiency. Character and behavior dis* orders. Somatization reactions. Childhood Psychiatry ANNEX NO. ll" (4) To teach the student that childhood is the "golden age" of preventive psychiatry. Influence of training. Per- sist ance and influence of PART IV (Cont»d) SUBJECT AND ANNEX NUMBER HOURS SCOPE childhood patterns; Cor- rection of asocial, anti- social, or disintegrating habits. Maladjustments in the Military Service ANNEX NO,. 12. (5) Influence of peacetime train- ing, Parental influences. Regimentation and other stresses on recruit. Train- ing periods, combat stress, ■ occupation.forces, leader- ship , The chaplain1s role in the Army, Preventive Psychiatry ANNEX NO* 13 . (5) To teach the student that the essence of psychiatric therapy is prevention of mental illness by adjusting the personality stress or manipulation of the envi- ronment , Group psychotherapy as a preventive as veil as a corrective procedure. Psychiatric Therapy ANNEX NO. 14 (30) Use of hospital facilities, socializing techniques, hobby groups, recreational facilities, music and dramatics, psychotherapy both individual and group, hydrotherapy, physical therapy, and drugs in treat- ing mental and emotional disease. Legal Aspects of Psychiatry ANNEX NO. 15 (4) Determination of mental responsibility for wrongful acts. Psychiatric testi- mony before .'army Retiring ' Boards, Disposition Boards, and Courts-Martial, Legal implications of the clinical record. PART IV (Cont»d) SUBJECT AND AMEX NUMBER HOURS SCOPE Correlative Services (4) To acquaint the student with no. 16 the duties, fields d'f activity, and therapeutic influences of neuropsychiatric nurses, attendants, social workers, and psychologists so as to encourage effective teamwork. PART V TRAINING 96 Hours SUBJECT AND ANNEX NUMBER V HOURS SCOPE Physical Training (30) To develop and maintain a ANNEX NO. I? high level of physical fit- ness in the individual by conditioning exercises and f vigorous competitive ath- T letics. Troop Information (16) To inform the student on Program matters of significance to ANNEX NO. 18 him in connection with his military duties, to afford a source of general informa- tion in order that ho may understand and evaluate his responsibilities as an officer and a citizen and to provide an opportunity for free discussion with his fellow man on these topics. ANNEX NO. 1 PRACTICAL APPLICATION OF PSYCHIATRY (80 Hours) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Closed Ward Case Work 40 Students are as- PE signed patients on the closed ppychiat- All previous references in Psychiatry and ric wards for which they are responsible . - to the faculty super- visor and ward officer for workup, diagnosis, differential diagno- sis, tr e at me nt, and disposition* Neurology. Open Ward Case Work l 40 Students are as- PE signed patients on the open psychiat- ric wards for which they are responsible to the faculty super- visor aad ward officer for workup, diagnosis, differential, diagnosis, treatment* and disposi- tion. All previous references in Psychiatry and Neurology. ANNEX NO. 2 PRACTICAL APPLICATION OF NEUROLOGY (50 Hours) 'SUBJECT AMD FILE NUMBER HOURS SCORE OF TYRE OF INS TRUCTION INS TRUCTIO N REFERENCES Case 'fork 50 Students are as- RE All previous in Neurology signed patients on neurologic wards for which they are responsi- ble to the faculty references in Psychiatry and Neurology# / supervisor and ward officer for workup, diagnosis, differ- ential diagnosis, treatment, and dis- position,, ■ A1EX NO. 3 CLINICAL DEMO NS TRATIO NS IN MILITARY NEUROPSYCHIATRY (175 Hours) SUBJECT aND ' FILE NUMBER HOURS SCOPS OF ' TYPE' OF ■INSTRUCTION • INSTRUCTION REFERENCES Assigned Reading 8 Students to engage in library research on topics to be as- signed related to military neuropsy- chiatry for presen- tation in group con- ferences. <3,PE- • ■ To be announced. Psychologic Testing 8 Students to engage in supervised ad- ministration of basic psychometric tests. Introduc- tion to interpre- tation of selected personality tests. Students to experi- ence at least one test as subject. C, PE Measurement of Adult Intelli- gence, Weoheler, 369 Boards 6 Each student is to attend throe two hour sessions of an actual aR 615-369 Discharge Board as soldiers with psy- chiatric implica- tions are presented and discussed. PE AR’s 615-360, 615-361, 615- 368* 615-369. Clinics and Con- ferences 153 Students to take active part in clinics and group conference dis- cussions involv- ing the practice of military neuro- psychiatry organ- ized around avail- able case material. Stress on functioning of the neuropsychiat- ric team as it can best function in the military situation. PS All previous references in Psychiatry and Neurology. ’ AMEX NO . 4 NEURO ANATOMY (20 Hours) SUBJECT AM) FILE NUMBER HOURS SCJOPE OF TYPEl OF INSTRUCTION INSTRUCTION REFERENCES Basic Organ- ization of the Nervous System* 1 An outline of the origin of organiza- tion of the ner- vous system* The neuron and neuron doctrine. Neuroglia, Receptors and effect- ors . L,D Human Neuro- anatomy. Strong and Elwynj anato- my of the Ner- vous System , Rausonsj Neuro- anatomy, Mett- ler. Spinal Cord: Anat omy 1 A survey of the ex- ternal morphology of the spinal cord, divisions of white and gray matter, spinal nerves, seg- mental i nncrvat ion- and vascular supply of the spinal cord. L,D As above, Spinal Cord: Conduction Pathways 1 The methods of spinal cord path- ways, afferent ,and efferent tracts, fasciculus proprius systems, lamina- tion, Brown-Scqua-rd Syndrome . L,D As above. Spinal Fluid Pathways 1 A review of the lo- cation of cerebro- spinal fluid, anato- my of the meninges and ventricles and he sources, rate of formation, flow and flow variations of cerebrospinal1 fluid. L,D As above. Peri phe red. Nerve Anato- 1 The basic anatomical features of peripheral L,D Human Neuro- anatomy. ANT1EX NO, 4 (Cont'd) 'StJSJE'CT TW5 FILE NUMBER HOURS SCOPE OF itPB OF INSTRUCTION INSTRUCTION REFERENCES nerves, pattern of segmental nerves, pattern of peripheral nerves. Motor, sensory, auto- nomic and stele- Strong and Elwyn; Anato- my of the Ner- vous System,* Rausonsj Neuro - anatomy, Pett- ier; Peripher- tal innervation. al Nerve In- juries, Hay- maker and Woodhall, Brain Stem 2 The gross anato- L,D Human Neuro- Anatomy my of the brain stem, contrast between spinal anatomy. Strong and EIwyn; Anato- • cord and brain stem, review of cross sectional anatomy of brain stem,, longitudin- al distribution of cranial nerve and other pathways, supranuclear in- nervation. my of the Ner- vous' System , Rausonsj Neuro- anatomy, Nett- le r. Cerebe Hum 1 Gross and topo- L.D graphical anato- my, microscopic structure and connections of the cerebellum. As above. Thalamus ' and Rela- ted Struc- tures 1 The die'ncephalon l,D and its divisions, ’ Anatomy and phys- iology of the pine- al, Gross anatomi- cal relations of the thalamus, thalamic nuclei and their As above. projections and sectors, subthala- mus, general re- view of thalamic function in rela- ANNEX NO. 4 (Cont’d) SUBJtfM AW " TOToT FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES ticn to sensory i and motor phe- i ■ijomena. The thal- , ami■o syndrome s. The. Auto- 1 The organization L,D . Human'' Neur o- nomio Ner- of the autonomic ** \ -f anatomyV vous System; nervous system, oonnec- ' tions, Peripher- 1 Strong and Anato- my ct£ the Ner- al divisions: r vous System, anatomical and Raus o nWfc Ne ur o - functional fea- anat orny /\Mett - tures of the sym- ler; The Auto- pathetic and para- nomio Nervous sympathetic neur- System, White ons « and SmithWiokj Autonomic Regu- lations, Gell- horn, E, The Extrar 1 The concept of the L,D •Human, Neuro- pyramidal extra pyramidal anatomy. System system, anatomi- cal and histologi- cal features of the basal ganglia, corpus luysii. Strong and Elwyn; Anato- my of the Ner- vous System, Rausons; Neuro- substantia nigra. ) anatomy, Hettlerj red nucleus and The Basal Ganglia, cortical fields. ARNMD Monograph, Important funo- ■ , 1943. tional extra- pyramidal .oonnec- tions, Cerebral Cor- 2 The morphology of L|D } Human Neuro- tex Anatomy ■f hem- ’ ispheresj the med- ullary substance; anatomy. Strong ynd Elwyn;^Anato- cytology and archi- • f my of thelNer- lecture of the cere - vous System, bral cortex, the Rausons; Neuro- cortical areas. anatomy, Mett- ler. ANNEX NO. 4 (Cont’d) SUBJECT AND FILE NUMBER HOURS -SCOPE OF TYPE OF INSTRUCTION INSTRUCTIO N REFERENCES Cerebral Cor- 1 A survey of the L Page I, Brain tex, Cerebral significant fea- Metabolism; Metabolism tures of cerebral metabolism: oxy- gen, glucose and Peters and Van Slyke, Quanti- tative Clinical vitamin utiliza- tion, Regional differences and correlation with anat omioa1 and cytologioal fea- tures , Chemistry; Quastel, J. H,, Respiration in the CNS, Physi- iol. Rev, 19; 135, 1S39. Cerebral 2 A survey of the L,D Human Neuro- Circulation arterial supply anatomy. 1 and venous drain- age of the brain. Problems relative to the capillary bed and nend arter- n ies. The physiol- Strong and Elwyn; Anato- my of the Ner- vous System, Rausons; Neure- anatomy, Mett- ogical control of the cerebral cir- culation and the role of function- al vascular altera- tions in the produc- tion of syndromes. ler. The Pituitary 1 A review of the em- L,D bryology, gross an- atomy, histology and cytology of the pituitary. The blood supply and connec- tions of the pituitary. Physiological consid- eration of the anter- ior and posterior lobes. Human Neuro- anatomy. Strong and Elwyn; Anato- my of the Ner- vous System, Rausons; Neuro- anatomy, Mett- ler; The Pitui- tary Gland, ARNMD Monograph XVII, 1939. 4 (Contfd) SUBJECT AND FILE NUMBER HOUR’S SCOPE OF TYPE OF INSTRUCTION INSTRUCTIO N REFERENCES Sleep Path- ways 1 General oortico - L,D hypothalamic rela- tionships* Anatom- ical considerations and physiolqgipal • mechanisms, involved. Human Neurn- anatomy. Strong and Elwyn; Anato- my of the Ner- vous System, Rausons; Neure- anatomy, Mett- le r. Optic Path- ways 1 A review of the an- L,D atomy of the visual pathwaysf Arrange- ment of fibers with regard to visual areas. Visual field disturb- ances, optic reflexes. Methods of neuro- opthalmological ex- amination. Human Neuro- anatnmy. Strong and Elwyn; Anato- my of the Ner- vous System, Raus ons; Ne uro- anatomy, Pett- ier; Neurolo- gy of the Eye, Edr, Nose, and Throat, Spiegel, E, and Sommer, I,; Clinical Peri- metry, Traquair, Review: Sensori- motor Systems 1 A general review C of the sensory and motor systems with a survey of organ- ization at the var- ious levels from peripheral nerve to cerebral cortex and defect syn- dromes . Human Neuro- anatomy. Strong and Elwyn; Anato- my of the Ner- vous System, Bausons; Neurn- anatomy, Mett- ler. AMEX.NO. 5 ' . . NEUROPHYSIOLOGY (20 Hours) ~srnmvrmr~ FILE NUMBER HOURS STOTT75P nww ; INSTRUCTION INSTRUCTION REFERENCES Mechanisms 1 Introduction to the L,D Te±tbook«of ’ '. of Ne rve electrical activity Physiology, Activity of the nervous sys- tem; physico-chemi- cal mechanisms, pro- duction of EUR, ex- citation, conduc- Chap's 1**6, Fult on-H*we11; Symposium on the Synapse, C, C# Thomas, 1939; tion and response, Reviev; of the prop- erties of the nerve impulse and action Physi oo-Che mi cal Mechanism of Nerve activity, Ann, N, Y# Acad, Sci. potentials# Neuronal XLVTI, 1946, * and synaptic trans- mission# Spinal Cord: 1 General characteris- L,D Physiology of Reflexes tics of the elemen- tary cord reflex, central inhibition, flexor reflex, ex- tension reflexes, intersegmental re- flexes, visceral reflexes# Reoip- ■ rooal innervation# ■tho Nervous Syc- tcr./ Fulton; Textbook of Phys- iology, 1946, rcll; Proie of Clinic,-1 Neurology, Brock# ANNEX NO. 5 (Cont'd) SUBJECT AND SCOPE OF TYPE OF FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES The Neuro- 1 a review of the 7 L,D Physi'mWy of genic Bladder physiology of normal and ab- normal bladder function. Sur- vey of the tech- nique s of cysto - the Nervous Sys- tem, Fultonj Textbook of : •Physiology, 194-6, Pu 1 ton-Ho rx *11 • •• Fr.sis of -Cllni- metry, Classi- ccl Neurology^ Pro-ck, ’ ■* “ fioation of neuro— •• genic bladders. Tidal drainage. Physiology, nf Micturition, • Problems in the Lung*, .or thy, 0, care and ma na ge- ment of neuro- . genic bladders. - The Cerebro 1 A review of'the L,D Physiology’ of Spinal Fluid method of spinal fluid formation. Lumbar puncture; techniques, in- dications and contraindications. the’ Nervous Sys- tbn, Fulton; Textbook of Physiologyf 194.6, Fulton- Unwell; Er.sis • Cerebro spinal fluid dynamics. at Cliniccl’ Neurology, Brock, Peripheral- 1 The problem of L,I rbovov Nerve Physi- utilization of ology: eleotrod iagnostic Ele ctrodiagnos- tests, anatomical tic Tests and physiological features of signi- ficance, excitabil- ity, chronaxic, re- action of degen- eration, electrical skin resistance, ele otromyography; motor unit discharges. ANNEX NO« 5 (Cont'd) Subject 'And' FILS NUMBER HOURS ' Scope of tYft: of IUS TRUCTIO N INS TRUCTION REFERENCES Brain Stem 2 A reviei/v of de- L,D,TF Fh-' ■%ir,ln.r7r o f Physiology cerebrate rigid- the Nervous 3y s- ity and of the ten. Fulton; , cranial nerve Textbook of functions and cysfunctions, General princi- ples of brain stem,syndromy. -194-6, Flilton-Ko-. ell* , Fr.sis of Clini-. cr.l Brock, Lise Films 1307, ' * 130S, 1309, ■1310, Cerebellum 1 A review of cere- L,D of be 11ar funotions, the Nervous S^s- - definition of terms ton, Fulton; describing abnormal of movement, equilibri- 19 a6, urn and coordination, problems of locali- zation of function in the cerebellum, the flooculonodular and neocerebe liar Ft 11 o n-H c v.'611 • Pdsis of Clini- cs 1 Neurology Frock,* 0 ' ' • \ Syndromes, * The Hypo- 1 Gross anatomical L,D Phv si hlhr’V of thalamus relationships; nu- the* Nerv ous Sy s- clear subdivisions ten, ’Fulton; and relation to autonomic functions, hypothalamic oonnec- Textbook of Phys- iology, • 194.‘6, • Pi? 1 thh-IV' ;ol 1; 4 tions, relationship to cortical func- tions, blood supply, physiological correla- tions and mechanisms, clinical implications and syndromes. Persia of Olfni- cr 1 Neuraldrg f ■' I Phdck'-Thc _ ’• _ Hyn'dthr 1'rnu s> * .iRMltD I.hnogrrph,* aX, * 194-2• * ---• i ■ i • ANNEX NO. 5 (Cont’d) SUBJECT AND FILE NUMBER HOURS SCOPE OF I’YFte OF INSTRUCTION INSTRUCTION REFERENCES The Extra- pyramidal System 1 The extrapyramidal system as a phys- iological unit. General features of extrapyramidal function: role in motor activity, relation to pyrami- dal function, sig- nificance of sup- pressor circuits, mechanism of al- ternating tremor and choreo-atheto- sis, review of ex- trap/ramidal syn- dromes and theories of extrapyramidal function. L,D Physiology 'of the Nervous Sys- tem, ’Pulton; Textbook of : Physiology, 194.6, e*il; Basis of Qlihi- _* cc«L Neurology, - J- Bmck; The Basel G*Vhgiia, • ARNMC ihon ~ gr a~ph, xxi/ 1943.-' ,1 Cerebral Cor- tex Physiolo- gy 2 1 Encephalization of L,D neurol functions, problems of cere- bral dominance and compensation, methods of study of cerebral .'function* A review of the functions of the frontal (prefrontal, premotor and motor), temporal, narietal and occipital lobes with orientation on clinical significance * of defect syndromes and focal seizures. Physiology’ of the Nervous Sys- tem, Pulton; Textbook‘of Phys- I94.6, Fultcn-Ho-.ell; Bcfis r*f Ciini- ‘ col , BrocS;L,. .? r 1 ¥ A.gno s ia, Aproxia, Aphasia o A revie.w of the sig- nificance and inci- dence of the prob- lem. Pathways of proxis and types of apraxia. Levels of gnosis and types of agnosia. Aphasia L,D TF Agn 0si a., • oxi a., Aphasia,’Nielsen,’ j;,;r:.VTB riDE);'l55T Basis of Clinical Neurology , ' I4tsc> 1306." AJTmEX NO. 5 (Cont’d) SUBJECT IND FILE NUMBER scope of Type of HOURS INSTRUCTION INSTRUCTION REFERENCES 1 Headache and symbolic for- - mulation and ex- pression. Types of aphasia. Dif- ferent concepts. Localizing value of these syn- dromes, Methods of testing and evaluation of cases. Treat- ment and manage- ment of oases, 1 A review of the L,D Pain, ARM® Mechanisms nerve pathways Monograph • involved in head- XXIII, 1945 achej pain sensi- Xarticles by tive and pain in- Ufa Iff and Co- • senitive struc- workers), rf* t tures, Radiation areas, Basic mechanisms of headache from extracranial and intracranial Me ckanisms sources. An analysis of dif- ferent types of headaches in various clinical conditions, 1 Classification and L,D JPhysiological , of Fainting description of .Basis of Medi- . . • type3 and mechan- isms of syncope; cal Practice, Best and'Tay- fall in 3 P in lor; Meehan- erect position. isms of Faint- (vasodepressor ing, Engel, G,L.• syncope), cardiac Journal Mt, Sinai asystole (i,o. IIosp. 12; 170, carotid sinus) sinus), local changes in cere- bral blood flow. 1945; Carot id Sinus Syncope, Ferris, E. B,, Cappo, R.B, and ANN3X NO-. -5 (Gont’d) SUBJECT AND FILE NUMBER HOURS SCO'PE OF TYPE OF INSTRUCTION • INSTRUCTION REFERENCES changes in cardiac Weiss, S., Med- rhythm, obstruc- tion of blood flow from left ventricle, anoxemia, acapnia. icine 14; 377, 1935} ”Talue of EEG in Differ- ential Diagno- hysterical fainting. Difference between sis of Epilepsy and Fainting, syncope and epilep- sy. Method of analy- sis of cases. Redlioh, F,C., Dis, New Syst. 7; 2, 1946. Electro- 4 History of electro- L;,D Atlas of LEG, encephalo- encephalography, a Gibbs, F, A, graphy survey of the eleo- and Gibbs, E. trical activity of the central nervous system in relation L,; EEG,Chap XIV in Fenfield and Erickson, to EEC, methods and techniques of EEG, principles of ESC analysis, the nor- mal E ,1 and its physiological var- iations, artifacts, EE (I i nd i o at ions an d limitations, general- ized 'EG abnormalities, focal EEC abnormalities, EEC in epilepsy, electro- convulsive therapy, head trauma, brain tumors, ■'ethods of EEC class- ification and interpre- tation, Review of SEG application to prob.- lems of military neuro- psychiatry . Epilepsy and Cerebral Local- ization, Jasper, H. H,; TB MED 74; SEG, Chap 33 in FcV.Hunt Personality and Behavior Disorders, Linds ley, D.B,; Chap III in Bucy, P., The Precentral Motor Cortex, O'Leary, J, L, ANNEX NO. 6 NEUROPATHOLGY (20 Hours) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES General Neuro- pathology i • 2 A survey of C,D,PE histological meth- ods, laboratory study of structural changes'in nerve cells, fibers and Pathology of Central Nervous System, Gourville, C#B.; Histo— • ■ • glia. General principles of pathology of Peripheral • 4 neuropathology. and Central Nervous' Systems, Hassin, G,B,; Neuropathology, Tfeilj Atlas of Neuropath- ology, Army Institute of Pathology Neuropathology, Freeman, W. Vascular Disorders i 1 A review of the L,D pathology of vas- cular disorders of the nervous system: cerebral anoremia,'arterio- sclerosis hyper- tension and arterio- lar sclerosis, embolism, throm- bosis, hemorrhage, an i uryoms _> anom- alies, periarteritis nodosa. thrombo - ang„itis obliter- ans As above. Vascular Disorders 2 Laboratory study of PE the gross and microscopic path- ology of vascular lesions of the nervous system. As above. ANNEX NO. 6 (Continued) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION' REPEREHCES" Encephalitis 1 A review of the L Pathology of - • : pathogenesis and pathology of in- fectious encephal- itis, A general classification and survey. Central Ner- vous System, Courville, C.B,; Histo- pathology of Peripheral and Central Nervous Systems, Hassin, G,B,; Neuropath- ology, 'Ceil; Atlas of Neuropath- ology, Army Institute of Pathology; Neuropath- ology, Free- man, TB MED 112; Encephalitis, Me al, J. Infections of 2 Laboratory study PE Pathology of the Nervous of the gross and Central Ner- System histopathology of infectious lesions of the central vous System, Courville, C,B«; Histo- nervous system: pathology of poliomyelitis, encephalitis, meningitis, ab- Peripheral and Central Nervous scess, neuro- Systems, syphilis. Hassin, G.B.; Neuropath- ology, Weil; Atlas of Neuropath- ology, Army Institute of Patholoev: ANNEX NO... 6 (Continued) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Neuropath- ology, Free- man, W.; TB MED 112; Encephalitis, Neal, J; Virus Encephalitis, Army In- stitute of Pathology. Dcmyelinating Diseases 1 A presentation of the classification, basic lesions and concepts of pathogenesis of dcmyelinating diseases of the central nervous system. L,D Pathology of Central Ner- vous System, Courville, C.B.; Histo- pathology of Peripheral and Central Nervous' Systems, Hassin, G.B.; Neuropath- ology, Weil; Atlas of Neuropath- ology, Army Institute of Pathology; Neuropath- • • ology, Free- Pathology of Demyclinating Diseases, Ferraro, A.; Wrche Neurol, and Psychiat* 52: 443, 19443 Newer Concepts of Post-in- fectious and Related Forms of Encephalitis, Putnam, T,J *; Bull. N.Y* Acad* Med. 1?: 337, 1941. ANNEX NO. 6 (Continued) SUBJECT AND FILE NUMBER HOURS ' .SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Demyelinating 1 Laboratory study HE Pathology of Diseases » of . the gross and histopathology of demyelinating diseases of the central nervous system. , Central Ner- vous System, Courville, C.B.; Histo- pathology of Peripheral and Central Nervous' Systems, Hassin, G.B.; Neuropath- ology, Weil; Atlas of Neuropath- ology. Army Institute of Pathology; Neuropath- ology, Free- man, W,; Pathology of Demyelinating Diseases, Ferraro, A,; Arch, Neurol, and Psychiat. 52: 443, 1944) Newer Concepts of Post-in- fectious and Re .ated Forms of Encephalitis, Putnam, T.J.; Bull. N.Y. Acad. Med, 12: 337* 1941. Degenerative Diseases . 2 Laboratory study of the gross and histopathology of degenerative and heredofamilial diseases of the central, nervous system. Review of classification and concepts of pathogenesis. L Pathology of Central Ner- vous System, Courville, G.B.; Histo- pathology of Peripheral and Central Nervous' Systems, Hassin, G.B.; ANNEX NO. 6 (Continued) SUBJECT AND FILE ■ NUMBER HOURS SCOPE .OF , TYPE OF INSTRUC TION INSTRUCTION REFERENCES • Neuropath- ology, Weil; Atlas of Neuropath- ology, Army Institute of Pathology; Ne uropath- ology, Free- 1113X1 y • Deficiency Disorders . * 1 A survey of nutritional de- ficiency and the central nervous system with a review of preva- ' lence ,pathogenssis* pathological lesions and syndromes particularly those related to de- ficiencies of the Vitamin B group. L,D / Pathology of Central Ner- vous System, Courville, G.B.; Histo- pathology of Peripheral and Central Nervous Systems, ilassin, G.B.; Neuropath- ology, Weil; Atlas of Neuropath- ology, Army Institute of Pathology; Neuropath- ology, Free- man, W.; Nutritional Deficiency, ARN1D Mono-' graph, XXII, 1944. Pathology of Head Injury 1 A review of mecha- nisms of head in- jury and types of injury to intra- cranial contents: L Pathology of Central Ner- vous System, Courville, C.3.; Histo- concussion, contusion laceration, edema, vascular lesions, chronic effects. 3 pathology of Peripheral and Central Nervous ANNEX NO. 6 (Continued) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION ■REFERENCES • Pathogenesis and relationship to clinical syndromes. Systems, Hassin, G.B.; Neuropath- ology, Weil; Atlas of Neuropath- ology, Army Institute of Pathology; Neuropath- ology, Free- man, W.; Trauma of the Central Nervous System: ARNMD Mono- graph XXIV, 1945 • Trauma of the Central Nervous System 1 Laboratory study of the gross and histological lesions of the various types of injury to the central nervous system. PE As above. Brain Tumors 1 \ A survey of the types and incidence of intracranial tumors, their pathological physiology, origin and specific sites of predilection. L,D Pathology of Central Ner- vous System, Courville, C.B.; Histo- pathology of Peripheral and Central Nervous Systems, Hassin, C.B.; Neuropath- ology, Veil; Atlas of Neuropath- ology, Army ANNEX NO, 6 (Continued) SUBJECT and FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES * • ■ ' Institute of Pathology; Neuropath- ology, Free- man, W*; The Meningiomas, Cushing, H. and Eisenhardt, L. Brain Tumors ’ 2 Laboratory study of the gross and histological characteristics of the different types of common brain tumors. PE As above. Brain Sectioning . 2 Demonstrations and practical application of routine techniques of gross brain sectioning, study, description and removal of speci- mens for histo- logical preparation. ✓ D,PE • Pathology of Central Ner- vous System, Courville, G,B,; Histo- pathology of Peripheral and Central Nervous Systems, Hassin, G.B,; Neuropath- ology, Weil; Atlas of Neuropath- ology, Army Institute of Pathology; Neuropath- ology, Free- man, W.; Special mimeo- graphed out- lines. ANNEX NO. 7 CLINICAL NEUROLOGY (20 Hours) SUBJECT AND FILE NUMBER HOURS . SCOPE OF TYPE OF IN STRUCTION IN STRUCTION REFERENCES The Neurological 6 A survey of the L, D, TF Monrad-Krohn, Examination neurological anamnesis, special methods of the G,, Clinical Examination of the Norv- mental status and ous System, methods of examine- Spurling, R, • tion of gait, sta- tion, involuntary G,, Neurol- ogical Exam- movements, coordina- tion, muscle status, speech, reflexes. ination, Herz, E, & Putnam* T,J,, Motor - sensory systems. Disorders in skilled acts and Nervous Dis- cranial nerves. Clini- eases, Merritt, i cal significance of H,H,, 'Mettle r. abnormal signs is F, & Putnam, \ discussed. T,J,, Funda- mentals of Clinical Neurol- • ogy, Mi sc. Films: 1301, 1302, 1303, 1304, 1305, Spinal Cord 1 The clinical L, TF Grinker, R,R,, Injuries syndromes, methods Neurology, - • of diagnosis, care and management of Wo, 1 she, F.M.R., Diseases of » spinal cord injuries. the Nervous System, Wilson, S,K, ,Nourology, Wochsler, I,, - Textbook of Clinical Neurol- ogy, Solomon, H, & Yakovlev, P,, Manua1 of Mili- tary Neuropsy- chiatry, TB MED 162, TF 8- 1234, Brain, R,, Diseases of the Nervous System, ANNEX NO. 7 (Cont'd; SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Herniated .Nucleus 1 Review of signif- L, D Grinker, R.R., Pulposus and icant causes of Neurology, Walshe, Back Pain back pain and F.M.R., Diseases role of herniated of the Nervous , nucleus pulposus* System* Brain, R • > > . Anatomical and Diseases of the pathophysiologi- Nervous System*. cal features* Wilson, S.Kv, Neu- Survey of history rology* Wechsler f . and methods of I*, Textbook of examination* Clinical Neurol- Myelography. • ogy* Solomon, H, , Characteristic & Yakovlev, P*, « * - syn dr ome s, c ar e, Manual of Mill- management and tary Neuropsy- disposition of chiatry. TB MED patients* 162. TF 8-1234,. » . ' - Bradford, K. & Spur ling, R*G*., s V The Intervortobra' * • • Disb» Peripheral 2 A survey of syn- L, D Grinker, R, R*., .Nerve Disease dromes, methods Neurology, Walshe - of diagnosis. F*M*R*, Diseases 1 , treatment and of the Nervous . disposition of System* Brain, R • I generalized and Diseases of the 1 ♦ localized dis- Nervous System* 1 , orders of peri- Wilson, S.K,, Neel . . • pheral nerves rology, WechslerJ including I*, Textbook of - traumatic, in- Clinical Neurol-1 factious, toxic- ogy, Solomon, H, , metabolic dis- & Yakovlev, P,, , . orders* Manual of Mill- tary Neuropsy- chiatry. TB MED # 162, TF 8-1234, • «i Haymaker, W, & / Woodhall, B*, Peripheral Nerve * Injuries* AMEX NO,' 7 (ContT d) SUBJECT*AND FILE NUMBER SCOPE OF HOURS ' INFORMATION TYPE OF IN STRU CTION REFEREN CES Demyelinating 1 The incidence. Lt D Grinker, R*R*, Diseases signs, symptoms. Neurology* Walshe, natural history, differential di- agnosis, care, treatment and F.M.R., Diseases of the Nervous System* Brain, R*, Diseases of the * management of Nervous System* de myelinating disorders, par- Wilson, S.K.,Neu- rology. Wochsler, ticularly mul- tiple sclerosis. I,, Textbook of Clinical Neurol- ogy# Solomon, H, & Yakovlev, P*, Manual of Mili- tary Neuropsy- chiatry# TB MED 162* TF 8-1234. Poliomyelitis 1 The epidemiology, pathogenesis, clinical syn- L Grinkcr, R.R., Neurology. Walshe, F.M.R., Diseases * dromes, differ- of the Nervous ontial diagnosis. System* Brain, R., treatment (in acute, subacute, convalescent and chronic stages) of poliomyelitis Diseases of the Nervous System# Wilson, S.K*,Neu- rology. Wechslor, I,, Textbook of and its complica- tions* Clinical Neurol- ogy. Solomon, H, & Yakovlev, P • , Manua 1 of Mill-* - tary Neuropsy- chiatry. TB MED 162. TF 8-1234* TB MED 193. Nourosyphilis 2 A survey of clinical neuro- L Grinker, R.R., Neurology, Walshe, , syphilis: inci- F#M#R., Diseases dence, classifi- of the Nervous cation, patho- System. Brain, R,, genesis, spinal fluid groups. Diseases of the Nervous System. problems of asymP' tomatic types. Wilson, S.K.,Neu- rology. Wechsler, ANNEX NO, 7» (CTont’d) SUBJECT AND FILE NUMBER HOURS SCOPE OF ' TYPE OF ■ • INFORMATION INSTRUCTION REFERENCES * » \ ¥ clinical syn- "I,, Textbook of , 9 dromes, treat- Clinical Neurol- ment, results ogy* Solomon, H# 0 and prognosis, and military & Yakovlev, P., Manual of Mili- disposition# tary Neuropsy- chiatry* TB MED 162. TF 8-1234* TB MED 48# Moore, J#, Modern Treat- ment of Sjrphilis# Convulsive 3 A review of L, TF Grinker, R.R., Disorders .general and Neurology# Walshs, • specific prob- F.M*R#, Diseases lems related to convulsive dis- of the Nervous System. Brain, R,, ordorsl dofini- Diseases of the . tions and clari- Nervous System# • ■ floation of terms, incidence, etio- Wilson, S.K.,Neu- rol ogy, Wechsler, logical,' chrono- I., Textbook of logical" and clinico- anatomical classi- Clinical Neurol- ogy, Solomon, H# fications, diag- & Yakovlev, P,, , nostic features. Manual of Mili- ■ methods of case work-up, study and tary Neuropsy- chiatry, TB MED follow-up, socio- logical and psycho- logical factors. 162# TF 8-1234. Ponfiold & Erick- son, Epilopsy & • therapy, manage- Cerebral Local- 0 ment and disposi- tion of oases, problems of epi- lepsy in the mili- ization. r tary setting# j| • • \ v-V Hoad Injury 2 A rov.iew of the L clinical syn- dromes, methods of diagnosis, care. Grinker, R,R., Neurology# Walshe, F.M.R,, Diseases of the Nervous j * management and dis- System. Brain, R#, . ■ position of pa- Diseases of the r * tionts with the Nervous System# different typos of head injury# Post <«ilson, S,K#,Neu- rol ogy* Wechsler, AMEX NO. 7 (Cont'd) SUBJECT AND FILE NUMBER SCOPE OF TYPE OF HOURS INFORMATION INSTRUCTION REFERENCES traumatic head- ache, epilepsy and mental rps action types* Problems of re- habilitation* I,,'Textbook of Clinical Neurol- ogy. Solomon, H, & Yakovlev, P*, Manual of Mili- tary Neuropsy- chiatry. TB MED 162. TF 8-1234. Goldstein, K., * Brain Injuries • in the War. Trauma of tho Central Nervous System. ARNMD Monograph, XXIV, 1945* Rowbotham, G., Acute Injuries of the Hoad* Diseases of 1 A presentation TF, C Grinkor, R.R., Muscle and of a series of Neurology, Maishe. Neuromuscular cases (by motion F.H.R., Diseases Disorders picture.) of the clinical syn- dromes of prog- of the Nervous System* Brain, R*, Diseases of the ♦ rossive muscular Nervous System# atrophy, prog- ressive muscular V«ilsai, S.K., Neu- rology, iVcchsler, dystrophy,- amyo- tonia congenita, I., Textbook of Clinical Neurol- myotonia atrophica, ogy. Solomon, H, myasthenia gravis, syringo myelia, auto- trophic lateral sclerosis* Discus- & Yakovlev, P*, Manual of Mili- tary Neuropsy- chiatry. TB MED sion of. differen- tial diagnosis, treatment and 162. TF 8-1234. Neurological C inemat ogr ap hi c management* Atlas Film, M5a and b: Progres- sive Muscular Atrophies, Distro- phlos and Allied Conditions • ANNEX NO. 3 ’’NORMAL" BEHAVIOR PATTERNS (5 Hours) SUBJECT AND , FILE NUMBER SCOPE OF HOURS INSTRUCTION INS TYPE OF TRUCTICN REFERENCES Mental Me chanisms 2 Mechanistic aspects of psychic life, T he me chan isms of sublimation, proj- ect ion, intr oj e ct i on, repression, suppres- sion., regression, isolation, and re- action' formation* L Personality and the Behavi or Disorders, J.McV. Hunt, Vol. I. Incapacity in Mental Illness 1 Normal use of mental mechanisms. What constitutes L Common Neurosis of Children and Adults, I mental illness. Contrast of mental illness and defective character formation. The fallacy of con*' sidering all people as "a little neurotic. • Pearson and English. The Psychology of Insanity, Hart. "Nervousness” and Anxiety \ , ' • 1 The feeling of anxiety, its source, physiology, and function. Vfhen anxiety is a symptom •of mental illness. ■ Argument against treating nervousness. L The Psycho- analytic Theory of Neurosis, Fenichel, pp 193-200. Concept of Anxiety 1 Anxiety as a neur- ot i c symp t om. Ha s ke d anxiety. Anxiety in the service of the ogo. Related feelings: guilt*, fear, irrita- bility, and sorrow. C The Psycho- analytic Theory of Neurosis, Fenichel, pp 129-140, pp 200-216. ANNEX NO. 9 PSYCHOPATHOLOGY* (20 Hours) . SUBJECT AND FILE NUMBER HOURS SCOPE OF ' TYPE OF INSTRUCTION INSTRUCTION REFERENCES Observations on Behavi oral Aspects in Neurosis f. 4 Using a series -of L, TF films from the Penn. U, Psycho- logical Labora- tories, the experi- mental production of neurotic behav- ior and evaluation of intensifying and remission favoring factors are discus- sed* The nature of pathology producing conflict is explained from the experimental point of view. Behavior and Neurosis, ' Massermann Learning Theory- in Psycho- dynamics* • 4 * The psychology of L conditioning, learning theory as applied to- the emotional life, .the evolution of the behaviorist school from Gatson until tpday, Gestalt school in learning theory .psychology* Personality and the Behavior Dis- orders, J. McV» Hunt, Vol*s I & II. Introduction to P sych©analytic Psychology •» ♦ 5 The totality of a L dynamic person- ality; psychic economics; the dif- ferentiation of self; regulation and morality; love, hate, and tender affection; ego psychology; libidinal theories in psychol- ogy. The Psycho- analytic Theory of Neurosis, Fenichel* Common Neurosis of Children and Adults, Pearson and English. AMEX NO. 9 (Garb'd) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION IN STRU CTION REFERENCES Alcohol and Experimental Neuroses 1 Role of alcohol' L, TF in some neuroses* Rationale of condi- tioning treatment for alcoholism* None Sociological 5 To present and L / The American Factors in interpret a uni- J ournal of Individual fied picture of Sociology, Psychodynamics human behavior in military society. To attempt an exp 1 an at i on of the nature of military society and its effects upon its participants* To emphasize an anal- ysis of the social March, 1946, Vol, LI, No, 5, (Is sue i s devoted to the social psychology of military life). Plant, J ame s 3•, Personality structure of the Army and the char- acteristics which .differentiate it from civilian society. Interpretation of cultural and institu- tional factors that and the Cul- tural Pattern, The Common- wealth Fund, Now York, 1937; Benedict, Ruth, Patterns of Culture, Boston, impinge on the per- sonality to bring about both adjust- ment and maladjust- ment to the military situation. Houghton, Mif- flin Co*, 1934; Benedict, Ruth, The Chrysan- themum and the Sword, Houghton- Mifflin Co., Boston, 1946; Homey, Karen, The Neurotic Personality of Our Time, W*iV, N ort on & C o, ,N ew York,1937; Lynd, R,S0 .& Lynd, H.M, , Middleton, Har- court and Brace, i 1929; Lynd, R, S, and Lynd, ANNEX No. c (Cont’d) Subject and FILE NUMBER SCOPE OF TYPE OF HOURS INSTRUCTION INSTRUCTION REFERENCES H, M., Middle- ton in Transi- tion, Harcourt. Brace, New York, 1937, Psychological Concept 1 To introduce L student to the concept of total personality func- tioning in a total « environment* The therapeutic and theoretical implica- tion of this concept. None ANNEX N0* 10 SPECIFIC BEHAVIOR DEVIATIONS AND DEFICIENCIES (50 Hours) SUBJECT AND FILE NUMBER HOURS SCOP'fe op TYPE OF IN STRU CTI ON IN STRU CT ION REFERENCES History of Psychiatry 1 1 Introductory lec- ture to present historical high- lights in psychiatry emphasizing the cul- L History of Medical Psychology, Zilboorg, i tural aspects in the recognition of mental disease as a medical problem. Humaniza- tion in treatment and handling of mentally sick patients. Scope and Techniques in Psychiatry 8 Recording the mental status and personal his- tory, Interview toclmique. Nursing classification of behavior disorders. Survey description of the many classes of conditions seen by the psychiatrist. L TD MED 203> Modern Clin- ical Psy- chiatry, Noyes; Prac- tical Clinical Psychiatry, Strocher and Ebaugh, Mental Deficiency 1 Clinical determina- tion of mental deficiency, psycho- logic tests of mental age, concept of I.Q. Distinguish- ing between primary and secondary mental deficiency. L Modern Clin- ical Psychia- try, Noyes; Feebleminded- ness, Its Causes and Consequences, Goddard, Character and Behavi or Disorders 8 Lectures and class discussions cover- ing the descriptions, differential diagnose: prognostic thera- peutic military Vs. civilian implications L, C TB MED 203 j The Psycho- analytic Theory of Neurosis, Fenichel, pp 465-540; Alco- holics are Sick ANNEX NO. 10 (Cant’d) "Subject and FILE NUMBER " HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES v of the personality disorders and im- maturity reactions. The concepts of psy- chopathic personal- People, Seliger; Social Pathology, Brown; Common Neurosis of Child- ren and Adults, / 0 ‘ity. Nature'vs, nurture in C.P.I, Pearson & English, pp 261-285,‘ Psychoneuroses 12 The nature of the L, C Modern Clin- • neurotic conflict, traumatic neuroses, the historic devel- ical Psychia- try, Noyes; The Psychoanalytic opmont of neuroses Theory of Neuro- 1 in an individual. ses, Fenichel, mental mechanism in pp 1-386; Common neuroses, the defini- Neurosis of Child- tions, classifica- tions, descriptions of combat exhaus- ren and Adults, Pearson & English; The Human Mind, tion, situational reactions, anxiety reactions, disas- sociative reactions. Meninger; Goals and Desires of Man, Schi1dor; The Person in the phobic reactions. Body, Hinsio, f conversion Reactions, obsessive-compulsive reactions, hypochon- driacal reactions, and neurotic depres- sion reactions. The symbolic language P sychoses 15 and meaning of neu- rotic symptoms. Diagnosis and L, C Modern Clin- pathological con- sideration of p sy- choses due to organ- ic disease. Schizo- phrenic reactions, types, clinical con- siderations, longi- tudinal viewpoint in life chart, etiolog- ical considerations. ical Psychia- try, Noyes; The Psycho- analytic Theory of Neurosis, Fon- ichol, pp 387- 452; Prac- tical Clin- ical Psy-’ regressive and roatitutional mean- ings of symptoms, chiatry, Strecher & Ebaugh; AMEX WO. 10 (Cant’d) SUBJECT AND SCOPE OF 1 TYPE CF " FILE NUMBER ' HOUR S IN STRUCTION INSTRUCTION REFERENCES peculiarities of Schizoid ♦ thought and feel- Personality ing, and course. and Schizo- « Manic' depressive phronia. •reactions, typos. Bartomoior . - oldnical and etio- (Aar Modi cine, logical considora- Sept, ’41); tion. Involutional Some problems ; reactions, typos. of the Func- . clinical and 6tio- tional Psy- - logical considerations* chosos, Camp- Paranoia and related bell; Language . psychoses. Senile and and Thought *■ pro senile -psychoses. in Schizophrenia, * Kasanin, Somatization 5 Anxiety in’ somat- L, C Psychosomatic Reactions ization reactions. Medicine, Relation to' con- Weiss and i. -version reactions. English; The -organ neuroses rind Psychoanalytic * hypochondriacal Theory of .reactions. Do scrip- Neurosis, tion, diagnosis. Fenichel, pp and handling of 236-267; TB psychogenic gastro- MED 203; P sy- .intestinal, cardio- chosomatic vascular, genitourinary. Diagnosis, allergic, skin, and Dunbar; Psy- asthenic reactions. chosomatic Coordination with other Medicine, medical specialties. English and Pearson, AMEX NO* 11 CHILDHOOD PSYCHIATRY ( 4 H our s) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF m STRU CTI ON IN STRU CTI ON REFERENCES Practice of 2 The importance of L Emotional Child Psychiatry childhood as the golden ago for preventive psy- . chiatry, reasons# Various schools in child rearing. Common errors and misconceptions in handling children. What constitutes "frustration#" Problems of Living, Pear- son and English; Common Neuroses of Children and Adults, Pearson and English# Neurotic Behavior in Children 2 Anxiety in L children. Fears and insecurities of childhood# Magical thinking of child. Anxiety hysteria in child- ren and adults# Special considera- tions in phobia formation in child- ren# N ormal schizophrenoid symptoms of child's behavior# Same as above# AMEX NO, 12 MALADJUSTMENTS IN THE MILITARY SERVICE (5 Hours) SUBJECT MD FILE NUMBER HOURS SCOPE OF TYPE W)F INSTRUCT!ON INSTRUCTION REFERENCES Stresses of Induction 2 Stresses encount- ered by the indiv- idual upon entering the military environ- ment, Effects of regimentation on various perscnalitios. Relation to previous relations with author- itative figures. L Manual of Military Neuropsychia- try, Sol omen & Yakovlev, Induction Exaninati ons 1 Lessons learned as to utility and limitations of induction examina- tions as regards the psychiatric problem. L TB MED* s 94 and 100; Manual of Military Neuropsychiatry, Solomon & Yakovlev# Psychiatric Picture of World War II and World War I 1 Factors to bo considered in understanding the greLiter incidence of psychiatric illness in World War II; leader- ship, supply, pace of war , dur ati on of c omb at, general morale and motiva- tional considerations. L N one P sychoneurosis in World War II 1 The psychcnourotic vg, character dis- order as a military, tactical problem. Considerations of malingering, psycho- pathy, .and mental illness in the mil- itary picture. L All But Me and Thee, Cook; What Has Psy- chiatry Learned During Present War, Porter (Amor, Journ, Psychiatry, Vol. 99, Nov, . '45); Inci- dences of NP ANNEX.NO, l^Ccit’d) SUBJECT AND SCOPE OF type OF— FILE NUMBER HOURS INSTRUCTION INSTRUCTION REFERENCES Disorders in World War II (Amor. Journ. Psychiatry, Vol. 102, Jan. Mg). ANNEX NO. 13 PREVENTIVE PSYCHIATRY (5 Hours) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF IN STRUCT I ON IN STRU CTI ON REFERENCES Preventive Psychiatry in Preventive Medicine 1 Incidence of mental incapar city. Evaluation of therapeutic techniquesj need for mental hygiene. Childhood and pre- ventive psychiatry. L P sychio.tr ic Objoctives- in Army, Men- ninger (Amor, Journ. Psy,, Vol, 102, July ’45.) Difficulties in the Practice of Preventive Psychiatry 1 Personal factor of parents* Effects of previous repres- sions on adult. Rationalized deriva- tives displayed by parents towards the i r c h i 1 dr on. Tendency to pro- duce the same or oppositu reaction patterns in off- spring. L Role of Mental Hygiene Clinic in Military Training Center, Freed- man (Mental Hygiene, Vol, mil, Jan. ’43) Efficiency of Methods 1 Difficulties in statistical evalua- tion, Review of most popular methods including those used in pre-school and early grade clinics, formal group psychotherapy and education in mental hygiene t Consultation Service Psychiatry, L TB MED*s 12, 21, 156; Pre- ventive Psy- chiatry with Combat Troops, Spoigel (Amer, Journ, Psy., Vol, 101, Nov,, ’ 44 ), Informal Mental Hygiene 1 Dyn ami c a 1 ly in t e r .- preted usefulness of long-standing social institu- tions, e,g,. Boy L Counseling on Psycho- therapy, Rogers, ANNEX NO, 13 (Cont’d) SUBJECT AND FILE NUMBER HOURS SCOPE CF TYPE OF INSTRUCTION • INSTRUCTION REFERENCES •I Morale and 1 Scouts of America, Women’s Clubs, Menfs Clubs, gatherings for particular emotional experiences, and considerations of schorl as a serializ- ing medium. To develop and L SCO Cir 19, Character? ■ Building ¥ ■ 4' • •strengthen the moral fibre of the individual soldier so that the venereal disease incidence rates of fhe Army- may be decreased by the individual practice of sexual continence. To acquaint the soldier with the moral and physical dangers of promis cuous sex relationships. To build the morale of the individual soldier by empha- sizing self dis- cipline in con- formity with the teachings of home and church, and by inculcating a pride in self and in the unit to which he belongs. 6 Feb hi*, Outline of Lectures from Office of Chief Chaplai*, Washinton, D.C, ANNEX . MO* IX f PHYCHIA.TR IC THERAPY (30 Hours) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Treatment of General Paresis 1 Evaluation of peni- cillin and arsen- icals, fever box, and malaria. Accepted routines of therapeutic pro- cedures. Modification of treatment methods and when indicated. L TB MED 48; Practical Clinical Psychiatry, Strecher & Ebaugh, Electro- convulsive Therapy' i • 5 Historical develop- ment of electro- shock procedures used now. Indica- tions and contra- indications. Electro- narcosis. Use of curare, and other techniques for avoid- ing complications. L, TF Shock Treat- ments, Kalin- owsky-Hoch; Present Status of Shock Therapy, Rennie (Psychia- try, Vol, 6, May ’43). Insulin Coma 2 Indications for inqulin coma therapy. Techniques of admin- istration. Precau- tions to be observed. Use of other types of therapy in conjunction with coma. L Shock Treat- ments, Kalin- ov? sky-Hoch, Prefrontal Leukotomy 1 Review.of status of prefrontal leukotomy as performed by dif- ferent techniques. Indications, complica- tions and incidence. L Ac abovo. Reconditioning in Psychiatric Therapy 3 Mi lean therapy. Reconditioning for mental recovery. Socializing aspects of reconditioning. L Mtin.ua 1 of Physical Therapy, Kovacs; TB MED 80. ANNEX NO. U (Cant’d) SUBJECT MD FILE NUMBER SCOPE OF 'TYPE OF HOURS INSTRUCTION INSTRUCTION REFERENCES Psychobiological concepts in total picture of psychia- tric' therapy. Ward Care as Therapy 2 Stressing that everything effect- ing the patient is part of the therapeutic program. Administration as therapy. Import- ance of trained and understanding . ward-men, nurses, social workers, and psychologists. L Hydrotherapy, Wright; Psy- chiatry for Nurses, Biddle and van Sickle. Individual P sychotherapy 7 Individual Psycho- therapy as one phase of Psychia- tric Therapy, Evaluation of type and purpose in dif- ferent classes of cases. Insight and repressive, sup- portive psychotherapy. Techniques in psycho- therapy. L TB MED 105; Active Psycho- therapy, Herz- berg; Psycho- therapy in Medical Prac- tice, Levine• Analytic Procedure 2 Description of L technique, ration- ale, and limita- tions of the anal- ytic procedures. Psychoanalytic psycho- therapy, psycho- analyt.ically oriented psychiatric therapy, and formal applica- tion of psychoanalysis. The Psycho- analytic Theory of Neurosis, Fenichel, ANNEX NO.' U (Cant'd) SUBJECT AND FILE -NUMBER • HOUR S SCOPE OF TYPE INSTRUCTION INSTRUCTICN REFERENCES Hypnosis in Psychotherapy l 2 Description of hypnotic proce- dure. Appli- cability of tech- nique in insight and repressive- supportive psy- chotherapy programs. Hypnotic phenomena such as regression and disassDelation. L, TF Hypnoanaly s i s, Wolberg, Intra-venous Barbiturates in P sychotherapy 2 t Drugs of choice. Comparison to hypno- sis in application to different types of p syohotherapeuti o programs. Special value and mode of functioning in acute traumatic conditions of recent origin. L Narcoanalysis, Horsley. Sub-coma 'Insulin Techniques 2 Techniques, indica- tions, and expected results with A, C, insulin, ambulatory insulin and sub- convulsive administra- tion. L Shock Treat- ments, Ka 1 in ow - sky-Hooh, C ombined Therapy 1 Value of specific psychotherapeutic pro- L Factors in P sych othe r apy, * codures when combined with physical therapy. Special emphasis on the possible combina- tions of physical therapies into on integrated program for individual patient needs. Kaufman (Psy- chiatric Quar- terly Vol. 15, Jan. r41) AMEX NO. LEGAL ASPECTS OF PSYuilATRY (4 Hours) SUBJECT AND FILS NUMBER HOUR S scop'e of TYPE of INSTRUCTION INSTRUCTION REFERENCES Legal Implica- tions of the Clinical Record 2 Profiling* Legal L consequences of various diagnoses# The importance of line of 'duty deter- minations# The clinical record as it protects the indiv- idual patient and doctor. Coding# Interpretation of the clinical record by the V.A. TB MED • , to ° , CXJ Psychiatric Testimony 1 Imparting psychia- L trie testimony before courts- martial, Army re- tiring boards, boards of officers convened under AR 515-368 and AR 615- 369. 'Reclassifica- tion, boards in dis- position of officers# TB MED 201. Determination of Legal Responsibility 1 Social implications of L mental responsibility de torminatidhs• Into r- 9 *• r* ‘ ., pretations of par. 35c in Manual for Courts- Martial# The legal concept of insanity# Mental deficiency and mental competency. Responsibilities of the psychiatrist to society, to military, and to individual. • TB MED 201# ANNEX NO. 16 CORRELATIVE SERVICES (4 Hours) subjSsoTand FILE NUMBER HOURS SCOPE 'of type of' IN STRUCT I ON • • IN- STRUCT I ON REFERENCES The Psychiatric Team 1 Under standing the organization, pur- pose j and function- ing of the team com- posed of doctor, nurse, social worker, and psychologist. Need'for cooperation while yet maintaining individuality of approach. L N one Duties of the N our op sy ohi at r i c Nurse 1 Survey of the duties and respon- sibilities of the nour op sychiatric nurse as a func- tioning unit in the team. Special stress cn how doctor and nurse con best cooperate in effi- cient handling of patients. The train- ing and role of the psychiatric attendant, L Psychiatry for Nurses, Biddle & van Sick3fi , Duties of the P sychiatric Social Worker 1 The particular viewpoint of the psychiatric social worker. Special stress on how he can best be .integrated into team activities. L P sychiatric Social Work, French. The Psychologist 1 The viewpoint of the psychologist. His special skills and contributions to patient evalua- tion, How he can render most useful service to th© nouro- psychiatric team. L Principles of Abnormal Psychology, Maslow and Mittelmann, ANNEX NO. 17 PHYSICAL TRAINING (80 Rours)’ SUBJECT AND FIXE NUMBER HOURS SCOPE OF TYRE OF INSTRUCTION INSTRUC11 ON REFERENCES Introduction to Physical Training 2 Training film to demonstrate types of conditioning exercises, grass drills and guerrilla exercises that are conducted in accord- ance with Training Circular 8?. TF None. Formations and Starting Positions 2 Explanation and demonstration of various formations, starting positions ■ and warm-up exer- cises used in physical training. Application of each under super- vision of the instructor. D,PE FM 21-20, Chap 4 * Warm-up Conditioning Exercises 2 Explanation, demon- stration and application of various warm-up and* conditioning exercises described in Training Circular 67. D,PE • FM 21-20,- Chap 4. Conditioning Exercises 14 Demonstration and application of conditioning exorcise**. D,PE FM 21-20, Chap 4. Guerrilla Exercises '2 I Explanation, demon- stration and application of various types of guerrilla exercises. D,PE FM 21-20, Chap 8. ANNEX NO. 17 (Continued) SUBJECT AMD FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION, REFERENCES Conditioning and Guerrilla Exercises 10 I Explanation, demonstration and application of conditioning and guerrilla exercises. DjPE FM 21-20, Chap 1-8. Team Competition U Explanation, demon- stration and application of various types of athletics and mass games. D,PE FM 21-20, Chap 13 Competitive Sports ; 6 Class divided into teams to participate in volleyball, softball and touch football. PE FM 21-20; TM 21-220. Conditioning and Guerrilla Exercises, Mass Games and Competi- tive’ Sports 36 Explanation, demon- stration and appli- cation of various types of exercises and.athletics. D,PE FM 21-20; TM 21-220 Physical Fitness Test 2 Class divided into groups to partici- pate in tests 2-3-4-5 as described in FM 21-20. PE FM 21-20, Chap 17. AMEX NO. IB TROOP INFORMATION PROGRAM (16 Hours) SUBJECT AM) FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES China (1600-1947) 1 History and develop- ment of China from 1600 through the second World War, L None. The Mission, Need and Organization of I & E 1 The use of ideas as weapons, mission of I&E, I&E as a command function, authorization and organization, per- sonnel and duties, need of I&E in combat and peace time, I&E for in- .ductees, volunteers, outbound and in- coming troops. L WD Cirs 360, 36?, Sec X; 392, Sect VI; 1944; 193, Sect I, 1945; 18, Sect II; 111, Sect I; 138, par 20, 1946; Ltr, I&E Div, WDSS 29 Apr 46, Subject: "Troop Information Program,"; WD Pamphlet 20-3; Amy Information Digest. Russia (1682-1947) 1 The history and development of Russia from 1682 to the present time. L None. Troop Information Program 3 A panel will be presented to discuss their views of a subject of timely and current in- terest, After the main speaker has completed his talk, the hour will be opened to questions from the audience, directed to any one of the members of L WD Cirs 360, 1944; 100, Sect IX, 1946; TM 28-210; EM-1 (GI Round table); .limy Infor- mation Digest; Discussion and Infor- mation Train- ing Handbook (proposed) ANNEX MO. 18 (Continued) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES * the panel under the supervision of the instructor. Germany (1618-1947) 1 History, development and background" of Germany from 1618 to the present time. L None. Information Centers and Media 1 The purpose, means and methods of developing, locating and maintaining a live' information center, and a tour of a Battalion Infor- mation Center. L,P 1JD Cirs 360, 1944; 100, Sect ix, 1946; TM 28-210; EM-1 (GI Roundtable); Army Infor- mation Digest; Discussion and Information Training Handbook (Proposed) Problems of the 1 *orld Today 3 Open forum dis- cussing any prob- 1cm that might arise regarding current affairs and problems of interest. / C,PE Current Magazines; Army Talks Guide of Current ,'Efairs; "A Meekly Digest of Public Opinion," prepared by the Analysis Division; Amcriban Government and Politics, Beard; A Short History of the American Democracy, Hicks. /JNNEX NO. 18 (Continued) SUBJECT AND FILE NUMBER HOURS SCOPE OF TYPE OF INSTRUCTION INSTRUCTION REFERENCES Army Education 1 The mission of L VJD Cirs 360, Program education in the 367, Soct J; Army; organization 392, Sect VI; and administration 1944; 193, of the educational Sect I, 1945; program, USAPI and 111, Sect!, its operation, off- 1946; TM 28- duty educational 210; USAFI programs, education- Information al counsellors, and Bulletin; publicizing edu- USAFI cational programs. Catalog. Training 4 Films of current TF None. Films interest to be shown.