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Activation of new aaa units - Air Defense Artillery

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MANAGING MEN*<br />

By Samuel Henry Kraines, M.D.<br />

PSYCHIATRIC PROBLEMS AMONG SOLDIERS<br />

There are four main kinds <strong>of</strong> mental problems which the<br />

unit leader will see in the service. These mental difficulties<br />

will be discussed here not from the medical point <strong>of</strong> view<br />

but as the commissioned and noncommissioned <strong>of</strong>ficersees<br />

them and must deal with them. Too <strong>of</strong>ten serious mental<br />

conditions arise in the service but because they are not<br />

recognized or because they are thought to be the result <strong>of</strong><br />

malingering, the soldier is improperly treated. As a result<br />

many such men develop severe disciplinary problems or<br />

become completely "broken down" mentally. Moreover,<br />

many <strong>of</strong> the "nen-ous breakdmNns,"are the result <strong>of</strong> minor<br />

arm):or personal problems, so that in many cases the unit<br />

leader can actuallv treat these nervous conditions. Even<br />

more important, by use <strong>of</strong> the right principles <strong>of</strong> human<br />

thinking the sergeant can PREVENT nen'ous breakdowns.<br />

The four main kinds <strong>of</strong> mental illness seen in the service<br />

are;<br />

Feeblemindedness-or "dumbness"<br />

Neuroses-or severe nervousness<br />

Psychopathic personalities-or peculiar persons<br />

Psychoses-or insanity.<br />

Practically speaking, most <strong>of</strong> the mental problems in the<br />

armv center about the first two, feeblemindedness and<br />

neu~oses.The last two conditions are much less common<br />

and need more expert diagnosis and treatment.<br />

Feeblemindedness.<br />

" From a layman's point <strong>of</strong> view feeblemindedness is<br />

dumbness." But there are various degrees <strong>of</strong> this condition,<br />

and various causes. Some men with feeblemindedness can<br />

be transformed into good soldiers-while others are \\"orthless.Only<br />

a thorough study and trial can provide the correct<br />

answer.<br />

All intelligence (and we are not being scientifically exact)<br />

lies in the brain. ;,\lan's superiority over the animal is<br />

the result <strong>of</strong> his larger brain. The m'erage human brain<br />

weighs3t? pounds and, according to one scientist contains<br />

O\'erten billion brain cells.<br />

Only a small part <strong>of</strong> the brain is related to intelligence.<br />

~lost <strong>of</strong> the brain is composed <strong>of</strong> "white matter" \\"hich is<br />

hke telephone wires. i\Iost <strong>of</strong> the ten billion (some say as<br />

high as twenty billion) brain cells lie in the cortex oF" the<br />

brain which i; the outer cm:ering and is about one-tenth <strong>of</strong><br />

--<br />

an inch thick. The cortex \\"hichcontains all the brain cells<br />

concerned \vlth thinking covers the brain (and is part <strong>of</strong><br />

*Extracted from the book <strong>of</strong> the same tUffie by permission <strong>of</strong> the<br />

author, Copyrighted by the author in 1946, -<br />

it) like the skin covers the body, and fits into every groove<br />

and indentation.<br />

Native intelligence seems to be dependent upon the<br />

number <strong>of</strong> certain kinds <strong>of</strong> these brain cells and the number<br />

<strong>of</strong> connections between them. However, this problem is not<br />

clearly solved, and many <strong>new</strong> discoveries have yet to be<br />

made in the field. For the purposes <strong>of</strong> this discussion, however,<br />

we can assume that if a man has a large number <strong>of</strong><br />

his brain cells destroyed he has little intelligence left,<br />

whereas the more he has intact the better is his intelligence.<br />

Belmv "normal" intelligence, in general, is due to three<br />

main causes; a) hereditv, b) disease <strong>of</strong> the brftin, and c)<br />

injury to the brain. Th~ most common cause seems to be<br />

heredity. Just how it acts we do not know, but some children<br />

are born ~withvery little intelligence and never develop<br />

very mudil no matter how much schooling they have.<br />

Children born -.b.-ithlittle intelligence do not walk, talk, or<br />

grow teeth till much later than the average child. Similarly,<br />

\"hen in early childhood a disease strikes the brain cortex<br />

and destrovs'manv brain cells, feeblemindedness may result..<br />

, .<br />

The feebl~minded person has so few brain cells that he<br />

CANNOT learn as much as the average person no matter<br />

how much teaching is given. It is important to understand<br />

the difference between men who are uneducated and men<br />

who are feebleminded. The uneducated man mav have<br />

the normal amount <strong>of</strong> brain cells but he mav not h;ve had<br />

the opportunity to go to school. Such a man ~ay be illiterate<br />

and be unable even to sign his own name-but he may have<br />

normal intelligence and \vill thus be able to learn rapidly if<br />

properly taught. On the other hand, a man may be feebleminded<br />

because <strong>of</strong> a lack <strong>of</strong> brain cells and no amount <strong>of</strong><br />

education could make him have "normal" intelligence.<br />

For this reason it is well to ask each man who is illiterate<br />

how far he went in school. If he had a chance to go to<br />

school but didn't learn at least to read and write then the<br />

chances are that he is feebleminded. It is important to ask<br />

the soldier at what age he left school because the man who<br />

left the fifth grade <strong>of</strong> grammar school at the age <strong>of</strong> ten may<br />

have normal intelligence; if he only reached the fifth grade<br />

<strong>of</strong> school despite continuous attendance until he was S1..\:teen<br />

vears old, as many <strong>of</strong> our case histories show, then<br />

the chances are that h~ is mentallv retarded.<br />

There is another common sign '<strong>of</strong> feeblemindedness in<br />

the army-and that is poor coordination. \\'bile many men<br />

\\'ho are mildly feebleminded can learn to be \vell coordinated,<br />

at first ~ost <strong>of</strong> them find coordination difficult. You<br />

will find that most <strong>of</strong> them cannot perform the flanking<br />

mm-ements quickly, that they turn the wrong \my \vhen a

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