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Biomedical subjects

B G McCaughey

Publications and source records attributed to B G McCaughey.

14 recordsLinked to original sources

Suicide following Medical/Physical Evaluation Boards: a complication unique to military psychiatry.

Psychiatrically hospitalized military members are at risk for suicide during Medical/Physical Evaluation Board processing. Following initial hospitalization and treatment, usually for major depression, members are entered into medical administrative channels. During this period they are often returned to duty, placed on "casual" status in a holding company, or moved to a "transition unit" within the hospital, often under the care of other than mental health personnel. It is in this situation that they must face the reality of the loss of their military identity and career. This stressor may occasion a reoccurrence of the presenting illness which may be missed by medical personnel because the member is viewed by them as treated, or no longer actually a patient, but rather in the process of leaving. Medical personnel are reminded that ongoing or de novo psychiatric illness, including the risk of suicide, can and does occur on the occasion of separation from the military as stressor-independent from the reason for admission.

Adult↗

Slight hysteria.

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Combat Disorders↗

Clinical observations concerning active duty veterans with post-Vietnam adjustment problems.

Clinical observations by Navy psychiatrists and psychologists who concurrently conducted therapy groups at three separate military treatment facilities between 1981 and 1984 were recorded. The reasons they returned to active duty or remained in the service, how and why they were referred to therapy, issues that arose in group therapy, and factors that were believed to have influenced the successful outcome are summarized and discussed.

Adult↗

US Coast Guard collision at sea.

The collision between the USCGC Cuyahoga and the motor vessel Santa Cruz II resulted in psychological distress among the Coast Guard crewmen. The US Navy Special Psychiatric Rapid Intervention Team (SPRINT) was activated to provide mental health services to the Coast Guard survivors and others who had been affected by the disaster. The psychiatric records of the 18 survivors were examined and summarized, and combined with anecdotal comments made by SPRINT members. The most prominent psychological reactions among the survivors were shock, anger, sadness, and guilt. Spouses of the survivors dealt with bereavement and strove to understand their husbands' reactions. Variables identified by the SPRINT as being important to their success were communication with and support from the training center command, assurances of confidentiality to the survivors, and commencement of their work almost immediately following the collision.

Accidents, Occupational↗

The traumatic aftereffects of collision at sea.

To determine the psychological effects of a maritime collision, the authors compared the performance and health of the officers and crews of the USS Belknap (N = 336) and the USS Yarnell (N = 387) during the 3 years after the Belknap's collision. Significantly more of the Belknap members were hospitalized or separated from service because of neuroses, and the men who had the highest percentage of psychiatric hospitalizations were the uninjured men who were evacuated, returned to the ship, then flown to the United States. Future disaster studies should evaluate the effectiveness of crisis intervention in reducing long-term psychological impairment.

Crisis Intervention↗