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20 世纪 60 年代澳大利亚的装病士兵的医学恐惧:“冒牌密友”和遣返。

Medical fears of the malingering soldier: 'phony cronies' and the Repat in 1960s Australia.

机构信息

School of Humanities, Creative Industries and Social Sciences, The University of Newcastle, University Drive, CALLAGHANNSW2308, Australia.

出版信息

Med Hist. 2023 Apr;67(2):172-191. doi: 10.1017/mdh.2023.19. Epub 2023 Aug 1.

Abstract

The fear of the malingering soldier or veteran has existed in Australia since its first nationwide military venture in South Africa. The establishment of the Repatriation Department in 1917 saw the medical, military and political fields work collectively, to some extent, to support hundreds of thousands of men who returned from their military service wounded or ill. Over the next decades the medical profession occasionally criticised the Repatriation Department's alleged laxness towards soldier recipients of military pensions, particularly those with less visible war-related psychiatric conditions. In 1963 this reached a crescendo when a group of Australian doctors drew battle lines in the correspondence pages of the , accusing the Repatriation Department of directing a 'national scandal', and provoking responses by both the Minister for Repatriation and the Chairman of the War Pensions Assessment Appeal Tribunal. Although this controversy and its aftermath does allow for closer investigation of the inner workings of the Repatriation Department, the words of the doctors themselves about 'phony cronies', 'deadbeats' and 'drongoes' also reveal how the medical fear of the malingering soldier, and particularly the traumatised soldier-malingerer, lingered into the early 1960s and beyond. This paper will analyse the medical conceptualisation of the traumatised soldier in the 1960s in relation to historical conceptions of malingering, the increasingly tenuous position of psychiatry, as well as the socio-medical 'sick role', and will explore possible links with the current soldier and veteran suicide crisis in Australia.

摘要

自澳大利亚首次在南非进行全国性军事行动以来,人们一直担心士兵或退伍军人装病。1917 年,退伍军人安置部的成立使得医学、军事和政治领域在一定程度上共同支持了数十万从军队中受伤或患病归来的士兵。在接下来的几十年里,医学界偶尔会批评退伍军人安置部对领取军事养老金的士兵的所谓松懈态度,特别是那些患有不太明显的与战争有关的精神疾病的士兵。1963 年,当一群澳大利亚医生在《澳大利亚医学杂志》的通讯版面划清界限,指责退伍军人安置部制造了“国家丑闻”,并引发了退伍军人安置部长和战争养老金评估上诉法庭主席的回应时,这种情况达到了高潮。尽管这场争议及其后果确实让人们更深入地调查了退伍军人安置部的内部运作,但医生们自己关于“假朋友”、“懒汉”和“蠢材”的言论也揭示了医学界对装病士兵,特别是受创伤士兵装病者的恐惧一直持续到 20 世纪 60 年代及以后。本文将分析 20 世纪 60 年代医学界对受创伤士兵的概念化,以及与装病的历史概念、精神病学日益脆弱的地位以及社会医学“患病角色”的关系,并探讨与当前澳大利亚士兵和退伍军人自杀危机的可能联系。

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本文引用的文献

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REPATRIATION ENTITLEMENTS.回国权益。
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