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July 31, 1967


JAMA. 1967;201(5):320-321. doi:10.1001/jama.1967.03130050054018

In the study of stress, combat has long enjoyed a position of special significance as a naturally occurring event in which the threat of death or mutilation reached an extreme degree. In three major wars the stresses on the soldier under fire have been investigated extensively from a behavioral standpoint. At the same time, during the last ten years, there has been considerable investigation of altered adrenal function and psychic stress. Although application of this approach to the study of combat has long been recognized as highly important, the obvious logistic problems have prevented very extensive investigation in this area. The first attempts to carry out this type of study were made during the Korean Conflict.1 Since then, refinement of technique and improved transportation have made such work more feasible. During the past year, members of the Walter Reed Army Institute of Research, working with helicopter ambulance crews and