Straker M
Dis Nerv Syst. 1976 Feb;37(2):75-9.
The Vietnam veteran is re-integrating into the Community. Some veterans are experiencing special difficulties, and tend to cluster inot groups which are cemented by common needs, common symptoms or ideologies. At Brentwood V.A.H., the Vietnam veterans show serious psychiatric illness. The contributing factors are often complex, and include personality and social maladjustments, traumatic experiences and an impoverished family and social structure. The full range of psychiatric therapies may be appropriate, depending upon the individual problem constellation. In addition to empathic professional treatment, there is a need for community support and for a continuing open-minded clinical inquiry about both the defined and as yet unmet needs of the Vietnam veteran. Some veterans are in need of help but reject V.A. facilities. Answers to this problem are not easy. As the adolescent veteran ages, some maturation may spark a greater flexibility in attitudes and viewpoints. The V.A. as an institution is obligated to exercise its own strugles to attain a broader community base for its services. Other non-V.A. agencies have this responsibility as well. Veterans are also citizens in a wider sense. Everywhere, helping professionals have many tasks. One of these is to recognize the dangers of blurring the boundary between advocacy and therapy. The failure to attend to this confusion risks sacrificing the patient in advancing the cause.
这位越南退伍军人正在重新融入社区。一些退伍军人正经历着特殊困难，并且倾向于聚集形成因共同需求、共同症状或意识形态而紧密结合的群体。在布伦特伍德退伍军人管理局医院，越南退伍军人表现出严重的精神疾病。促成因素往往很复杂，包括人格和社会适应不良、创伤经历以及贫困的家庭和社会结构。根据个体问题的情况，全方位的精神治疗可能都是合适的。除了富有同理心的专业治疗外，还需要社区支持以及对越南退伍军人已明确和尚未满足的需求进行持续的开放心态的临床探究。一些退伍军人需要帮助，但却拒绝退伍军人管理局的设施。解决这个问题并不容易。随着青少年退伍军人年龄增长，一些成熟可能会引发态度和观点上更大的灵活性。退伍军人管理局作为一个机构，有义务努力为其服务争取更广泛的社区基础。其他非退伍军人管理局的机构也有这项责任。从更广泛的意义上讲，退伍军人也是公民。在各地，专业助人者都有许多任务。其中之一就是认识到模糊倡导与治疗界限的危险。不处理这种混淆情况有可能在推进事业的过程中牺牲患者。
