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To the Editor:—
In a communication in the Nov. 9, 1946 issue of The Journal Dr. Koontz raised an issue of great importance to both medicine and society today in his discussion of the high incidence of psychiatric cases during the recent war. Such an incidence is not, of course, confined to members of the armed forces: it is rather exaggerated in this case owing to the additional stress of circumstances and brought into prominence by the careful attention it receives. But I would not hesitate to suggest that peacetime periods of stress, such as those of depression, result in an equally high incidence of psychiatric "casualties," which in this instance do not have the benefit of medical assistance or even of diagnosis.That the increasing amount of maladjustment is more than a simple medical problem is implied in Dr. Koontz's second suggestion of its cause, "a change in our
Hanley FW. PSYCHIATRIC CASUALTIES. JAMA. 1947;133(5):344. doi:10.1001/jama.1947.02880050064021