Matsumura Janice
Bull Hist Med. 2004 Winter;78(4):804-35. doi: 10.1353/bhm.2004.0178.
This article explores the politics of Japanese wartime medical policy, demonstrating how state propaganda about the people and their armed forces influenced authoritative views on health and what might endanger it. By focusing on the obstacles faced by psychiatrists trying to promote more official concern for mental health issues, it challenges the validity of figures indicating a low incidence of psychological trauma among the country's soldiers. Civilian psychiatrists had to contend with the threat of censorship and arrest for even discussing war-induced mental disorders; at the same time, army psychiatrists as military insiders were pressured to convince their patients that their conditions were not serious and did not merit compensation. While discussing the neglected topic of Japanese psychiatric casualties, an attempt is made to provide a comparative approach by referring to the state of military psychiatry in other national settings.
本文探讨了日本战时医疗政策的政治因素,展示了国家对民众及其武装部队的宣传如何影响了关于健康以及可能危害健康因素的权威观点。通过关注精神科医生在试图促使官方更多关注心理健康问题时所面临的障碍,本文对该国士兵心理创伤发生率较低这一数据的有效性提出了质疑。平民精神科医生甚至因讨论战争引发的精神障碍而不得不应对审查和被捕的威胁;与此同时,作为军队内部人员的军队精神科医生也面临压力,要让他们的病人相信自己的病情并不严重,不值得获得赔偿。在讨论被忽视的日本精神科伤亡这一话题时,本文尝试通过参考其他国家军事精神病学的状况提供一种比较方法。