Abstract

Immediacy, proximity, and expectancy are the three principles which have come to form the foundation of military psychiatric theory. Immediacy refers to the speed with which treatment is instituted after symptoms appear; proximity refers to the institution of treatment occurring near the patient's peers (unit, comrades, etc.); and expectancy refers to the covert and overt implication to the patient that his therapy will succeed and that he will be returned to duty. There is no doubt that these principles of military psychiatry have succeeded in the combat zone to decrease the numbers of psychiatric casualties. 1 This paper is directed, however, to the distortion of theory and practice of psychiatry on a military installation in the continental United States (a noncombat zone).

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