PROGRAM OF INSTRUCTION FOR NEUROPSYCHIATRIC NURSING COURSE MEDICAL FIELD SERVICE SCHOOL BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON, TEXAS 9260—SAGD—9-9-49—150 MEDICAL FIELD-SERVICE SCHOOL BROOKE ARMY MEDICAL CENTER Fort Sam Houston, Texas PROGRAM OF INSTRUCTION FOR HEUROPSYGHIATRIC NURSING COURSE 8-0-7 1 August 1949 (Revised) ■G013HSL TITLES ...JXcOB YGKI.TRIG NURSING COURSE HJRPCL 0 2 ♦ To prepare members of the Army Nurse Corps to assume nursing responsibilities on wards for patients with psychiatric end neurologic illness and to function as instructors to other nurses and enlisted men in an on-the-job training program, HU3RSQU1SITES IFOR ATTENDANCE: Member of Array Nurse' Corps and interest in psychiatric nursing; must bo emo- tionally stable and well-adjusted and have demonstrated an aptitude for psychiatric nursing, Previous experience on neur©psychiatric wards, INNGTII OP COURSE : Meeks - 24- Eours - 96C SUMMARY NEUROPSYCKIATRIC NURSING COURSE 24 Weeks - 960 Hours HOURS ALLOCATED EACH SUBJECT: SUBJECT _. HOURS CLINICAL PSYCHOLOGY 25 Introduction to Theories of Abnormal Reactions (22) Orientation to Personnel Management ( 2) Army Clinical Psychologist in the Neur©psychiatric Team (1) COMMANDANT* S TILE 63 Glass Organization and Orientation : ( 4-) Clearance and Graduation ( 8) The Chaplain1 s Hour ( 1) Examination and Critique (16) Subjects to be Announced (34-) GENERAL SUBJECTS 22 Psychology and Leadership (13) ♦Medical Aspects of Atomic Warfare ( 5) ♦Principles of Atomic Energy ( 2) ♦Tactics and Techniques of Atomic Warfare ( 2) PHYSICAL MEDICINE 7 Physical Medicine in the Army (7) NEUROPSYCHIATRY 116 Basic Neurology ( 4) Clinical Neurology (lO) Legal Aspects of Psychiatry ( 1) Psychiatric Therapy (13) Specific Behavior Deviations and Deficiencies (34) Introduction to Individual and Group Psychotherapy ( 9) Clinical Demonstrations (44) Army Neuropsychiatrist in the Neuropsychiatric Team ( 1) HOURS ALLOCATED EACH SUBJECT (Contact) SUBJECT ■■ ' ' , HOURS NEITIQISICHIATRIC NURSIiO 609 Nursing Aspects of Neuropsychiatry (54) Army Neuropsychiatric Nurse in the Naur©psychiatric Team (1) Supervised Practice Teaching . (30) Nursing Conferences (24) Trends in Nursing ( 6) Nursing Clinics (16) Neuropsychiatric Nursing Procedures (24) Supervised Library Periods (10) Child Guidance Clinic (8) Training Films (4) Practical Application (Neurology* Psychiatry) (112) Clinical Application In Neuropsychiatry (320) PSYCHIATRIC SOCIAL .YORK 18 ■«*■•... . . ‘ Treatment Resources (10) Field of Social Work (3) Social. Case Work - ( 3) Interviewing • (1) Amy Psychiatric Social Worker in the Ncuropsychiatric Team ( 1) TRAINING 100 Physical Training (SO) Troop Information Program (16) Techniques and Methods of Instruction ( 4) SECURITY CLASSIFICATION 960 ( 9) Unclassified (951) COMMON HOURS Ni.UROPSYCHIATRIC NURSING, SOCIAL WORK, PSYCHOLOGY SUiJECT NEUROPSYCHIATRIC NURSING HOURS SOCIAL WORK HOURS PSYCHOLOGY HOURS • ] Introduction to Theories of Abnormal Reactions " • f 22 16 30 Orientation to Personnel Management 2 2 2 Army Clinical Psychologist in the Neuropsychiatric Team 1 1 1 Psychology and Leadership 13 ■ 33 13 Medical Aspects of Atomic Warfare 5 5 5 Principles of Atomic Energy 2 2 2 Tactics and Techniques of Atomic Warfare 2 2 2 Physical Medicine in the Army 7 7 7 Clinical Neurology 10 2 10 Legal Aspects of Psychiatry 1 1 1 Specific Behavior Deviations and Deficiencies 34- 32 32 Introduction to Individual and Group Psychotherapy 9 9 9 Clinical Demonstrations 44- 24- 24- Army Neuropsychiatrist in the Neuropsychiatric Team 1 1 1 Army Neuropsychiatric Nurse in the Neuropsychiatric Team 1 1 1 Treatment Resources 10 16 0 Field of Social Work 3 5 0 Social Case Work 3 96 3 Interviewing 1 36 10 Army Neuropsychiatric Social Worker in the Neuropsychiatric Team 1 1 1 Physical Training 80 60 60 Troop Information 16 12 12 4 PART I CLINICAL PSYCHOLOGY 25 Hours SUBJECT AND ANNEX NO. - : - V. ■ - HOURS SCOPE Introduction to Theories of Abnormal Reactions ANNEX N0o 1 (22) Description of various theories relating to abnormal behavior reactions; develop- ment of personality and personality devi- ations; sensory, motor, and emotional processes involved; psychoanalytic theory and psychopathologyo Orientation to Personnel Management ANNEX N0e 2 (2) Introduction to the field of personnel management with special emphasis on the classification and assignment problems presented by military personnel with disabilities of a psychological nature. Army Clinical Psychologist in the Neuro- psychiatric Team ANNEX N0e 3 (1) Introduction to the role of the clinical psychologist in his working relationships with the other professional members of the neuropsychiatric team. PART II COMMlffi'S TIME 63-Hours SUBJECT AM) ANNEX- -NUMBER HOURS SCOPE Class Organiza- tion and Orientation ANNEX N0o None U) Processing of students; issuance of text- books; organization of students into groups for instructional purposes; address by the Commandant; and such other adminis- trative procedures as announced by the Commandant, Clearance and Graduation ANNEX.N0o None (S) Turning in of books and supplies; pro- cessing for departure and formal gradua- tion exercise. The Chaplain’s Hour ANNEX NOo U (i) Orientation as regards the moral aspects of the program for venereal disease con- trol in the Army, PART II (Cont *d) SUBJECT AND ANNEX NUMBER HOURS SCOPE Examination and Critique ANNEX NO. None (16) Index of effectiveness of teaching] * evaluation of each student's application and accomplishment. Subjects to be M Announced ANNEX NO. None Ok) Conferences with such guest consultants as are available during the course] other activities as deemed desirable. PART III GENERAL SUBJECTS 22 Hours SUBJECT AHD ANNEX HUMBER HOURS SCOPE Psychology and Leadership AMEX NO* 5 (Breakdown of Hours; Dept of NP - 8? Dept of Training - 1$ Dept of Combined Arms - U)* (13) Scope of regimental commander's leader- ship? administrative and tactical respon- sibilities ? size of units and staffs? comparison with battalion commander's leadership including effect of different size units and staffs? added responsi- bilities and coordination of the combined arms into a combat team, psychology and principles of leadership? adjustment to the military service? mental hygiene and maladjustment]; leadership techniques ap- plicable to units below the battalion . ' levela Medical Aspects of Atomic Warfare ANNEX NO* 6 (Breakdown of Hours; ' Dept of HP - 3 j; Dept of Med & Surg - 2). (Restricted) (3) Biological effects? radiological and non- radiological effects of atomic blast? clinical syndrome and treatment? iso- topes? psychological and social effects of atomic warfare* 6 PART III (Cent1d) SUBJECT AHD ADHEX HUMBER HOURS — SCOPE Principles of Atomic Energy MHEX HO, -7 (2) History and development of atomic energy; basic principles of atomic and .1 nuclear physics. (■Breakdown of Honrs: Dept of Med & Snrg - 2) (Restricted) Tactics find Techniques of Atomic Warfare AMEX' HO. 8 (Breakdown of Honrs; Dept of TT&L - 2) (Restricted) (2) Employment and effectiveness of the atom bomb; training films are shown depicting the action of the bomb; structure of the atom and safety measures. PART IV PHYSICAL MEDICINE 7 Hours SUBJECT. AM) ■annex! aumhsr HOURS SGOIE Physical Medicine (7) Organization of the physical medicine in the Army service of a hospital including AMEX NO, 9 purposes, objectives, and procedures emphasizing coordination and coopera- tion between the sections of the service; further acquaint the students with the objectives of each section, namely; physical therapy, occupational therapy, and physical reconditioning; uses of prescriptions for each section; types of activities offered for each section with specific cases considered,, 7 PART V NEUROPSYCHIATRY 116 Hours SUBJECT AND annex NUMBER HOURS SCOPS Basic Neurology ANNEX NO. 10 (a) Lecture and demonstration of gross nouro- anatomy, neurophysiology and neuro- pathology of the nervous system. Clinical Neurology ANNEX NO. 11 (10) Survey of the methods of neurological examinations; aids to diagnosis; signs, symptoms; differential diagnosis and treatment of the common neurological dis- orders with emphasis on military problems• Legal Aspects of Psychiatry ANNEX NO. 12 (1) Determination of rcents.1 responsibility for wrongful acts; psychiatric testimony be- fore Army retiring boards, disposition boards and courts-martial; legal implica- tions cf the clinical record. Psychiatric Therapy ANNEX NO, 13 (13) Treatment of general paresis, shock ther- apy, prefrontal leukotomy; physical med- icine, individual and group psychotherapy, -and drugs in the treatment of mental and emotional disease. Specific Behavior Deviations end Deficiencies iiNKEX NO, 14 (34) Psychiatric interview; recording the men- tal status; psychoses with demonstrable pathologic changes; functional psychoses; psychoneurosss; mental deficiency; character and behavior disorders; somatiza- tion reactions. Introduction to Individual and Group Psycho- therapy ald'IEX NO, 15 (9) Brief survey of the method of psychotherapy including individual and group techniques. Clinical D emons trations ANNEX NO. 16 (44) Supervised administration of basic nsychc- metric tests; attendance at boards convened under AR 615-369; active participation in clinics demonstrating the function of the neuropsychiatric team as it can best work in the military situation. PART V (Cont’d) SUBJECT AM) ANNEX NUMBER HOURS SCOPE Array Neuro- (X) Introduction to the role of the psychia- psychiatrist in trist in his relationships with the other the Ne-uro- professional members of the neuropsychia- psychiatric Team trie team. ANNEX N0e 1? '■ ■■ . ", ; ■. : ' ' " ’ •’ . ; y - PART VI MEURGES YCHIATRIC NURSING • 609 Hours SUBJECT AND ANNEX NUIBER HOURS SCOPE Nursing Aspects of Neuro- psychiatry ANNEX' NO, 18 (54) Didactic lecture, cinema, demonstration to teach the nurse the fundamentals of neuropsychiatry; relationship of nurse and corpsman! observation and recording; special nursing problems in the care of psychotic and psychoneurotic patients; how the nurse can aid in the techniques of special therapies such as occupational therapy, recreational therapy, hydrother- apy, insulin therapy, malarial therapy, and narcosynthesis. Army Neuro- psychiatric Nurse in the Neuropsychiatric ANNEX N0e 19 (1) Introduction to the role of the neuro- psychiatric nurse in her working rela- tionships with other professional members of the neuropsychiatric team0 Supervised Practice Teaching ANNEX NO, 20 (30) Opportunity for students to conduct classes in the basic principles of neuro- psychiatric care; lectures based on material which would be presented to neuropsychiatric Y/ard technicians in an in- service training program; lectures based on material which will stress the role of the nurse as a supervisor and a teacher0 9 EAKT VI (Cent'd) SUBJECT AW ANNEX NU1.BER HOURS SCOPE Nursing Conferences, ANNEXiNO, 21 (24) Discussion of problems and the possible solutions of problems which arise on neuropsychiatric wards. Trends in Nursing ANNEX NO, None (6) The availability of extension courses for female officers; how they may be used; who may apply for them; benefits derived from these courses; discussion of the edu cational program in the Army; discussion of theories of learning and their tion to ward situations. Nursing Clinics ANNEX NO. None (16) Case presentation for observation and study of specific mental disorders on the neuropsychiatric service. Neur opsychiatric Nursing Procedures ANNEX NO, 22 (24) Return demonstrations of the special neur©psychiatric procedures including wet sheet pack and continuous tub; setting up of special trays for neuro- psychiatric procedures. Supervised Library Periods ANNEX NO, None (10) Library research by students on assigned topics relating to neuropsychiatry for presentation in group conferences. Child Guidance Clinic ANNEX NO, None (S) Introduction to the role of the neuro- psychiatric nurse in the child guidance clinic; orientation to the services of- fered by the child guidance clinic. Training films ANNEX NO, None (4) To furnish visual aids which will empha- size subject matter and activities out- lined in the course. Practical Appli- cation (Neurology, Psychiatry) ANNEX NO. None (112) Supervised bedside study of patients on neuropsychiatric wards; student assists in. both treatment and nursing core of patients 8 Clinical Appli- cation in Neuro- psychiatry ANNEX NO, None (320) Supervised performance of actual duties in the care of neuropsychiatric patients; putting into practice the. principles taught in the course. 10 PART VII PSYCHIATRIC SOCIAL WORK 18 Hours SUBJECT AND ANNEX NUMBER HOURS SCOPE Treatment Resources ANNEX NO. 23 . (10) Survey of the services offered by such agencies as the Veterans Administration, Armed Forces Educational Institute, American Red Cross; utilization of these services for the benefit of the psychiatric patient. Field of Social Work ANNEX NO* 24 (3) Description of the field of social Y/ork; its development and methods employed in carrying out social services. Social Case Work , ANNEX NO* 25 (3) Study of the basic principles of psychia- tric social casework using specially selected case materials. Interviewing ANNEX NO, 26 U) Basic principles and methods of inter- viewing o Army Psychiatric Social Worker in the Neuro- psychiatric Team ANNEX NO. 27 (1) Introduction to the role of the psychia- tric social worker in his working relation- ships ?/ith the other professional members of the neuropsychiatric team. PART VIII TRAINING 100 Hours SUBJECT AM) ANNEX NUMBER HOURS SCOPS Physical Training ANNEX NOe 28 (SO) Knowledge of physical conditioning program, including setting-up exercises, mass games and group games. 11 KRT VIII (Cont'd) SUBJECT AND AM 'NUMBER HOURS SCOPE Troop Information and Education ANNEX NO. 29 (16) Films, group discussions, and student- conducted debates, panels, and sympo- siums; subjects of current interest. Techniques and Methods of Instruction ANNEX NO. 30 U) Explanation and demonstration of the basic principles and techniques involved in good instruction and public speaking, including the following: the mechanism of instruc- tion; general methods of instruction; the approach to public speaicing and instruc- tion; the pitfalls to be avoided; tangible and intangible public speaking and instruc- tional aids, with particular emphasis on the aids furnished by the Army, and those especially suited for Array instruction6 AMEX N0o 1 Introduction to Theories of Abnormal Reactions CLINICAL PSYCHOLOGY 25 Hours SUBJECT3 FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Introduction to Fundamental Concepts 2 C Preview of the field outlining the funda- mental concepts of . abnormal and clinical psychology0 Introduction to Clinical Psychology,” Pennington & Berg5 Chap lo Origins of Maladjustment 2 C Discussion of various theories of causes of abnormal behavior| comparison with normal developmental processes0 *lf Principles of Abnormal Psychology,” Maslow & Mittelmann, pp 17"USo Childhood Development of Psycho- pathology 2 0 • Development of patho- logical symptoms in the child| correlation with development of organs and functions% bearing which parent- child relationship has on psychopathology» Principles of Abnormal Psychology,” Maslow & Mittelmann, Chap'*s 1$, 161 -*”An Introduction to Clinical . Psychology.,’1 Pennington . & Berg, Chap 111 ’’Personality and Behavior Disorders,” Jo McVo Hint, Chap 2£e Mental Deficiencies 2 C Meaning of amentia, definition and classi- fication of feeblemind- edness 3 causes and incident of mental de- ficiency in the armed forceso Introduction to Clinical Psychology, ” Pennington & Berg, Chap ’’Principles of Abnormal Psychology, ” Maslow & Mittelmann, Chap 31o ---Primary Reference 1 o 13 AMEX NO* 1 (Cent*d) SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Development of the Special Senses 3 C, D Senses of seeing, hearing, smelling, touching, and tasting; sense of body position and balance; abnormali- ties of the special senses as related to emotional problems* *" Psychology and Life*” Fo L<, Ruch, Chap 7; "Psychology for the Armed Services* M Boring (Ed), Chap's 2, 5, 7, Development and Psychopathology of Speech 2 G Speaking; organs involved; speech de- fects related to emo- tional problems * *"An Introduc- tion to Clinical Psychology11 Pennington & Berg, Chap 8; "Psychology and Life*" Fe L0 Ruch, pp 231-24.1; "Principles of Abnormal Psychology,«» Maslow & Mittelmann, pp 421”4220 Adjustive Reactions 1 C Preview of the various methods by which the individual attempts to adjust to life's situa- tions; frustration reactions *"An Introduc- tion to Clinical Psychology s Pennington & Berg, Chap 20; "Personality and the Be“ havior Dis- orders, ? J„ McVo Hunt, Chap 110 Reference 14 ANNEX N0C 1 (Cont !d) SUBJECT, FILE NUMBER classification AND TfPE SCOPE OF INSTRUCTION REFERENCES Defense Reactions 2 C, D. Adjustment mechanisms which are primarily of an aggressive nature% compensation! ego- centricismi rationaliza- tion* Principles of Abnormal Psychology,,M Maslow & Mittelmann, Chapss 10, 11, 12; uPsychology for the Armed Services,M Boring (Ed), PP 353-357 Withdrawal Reactions 2 C Adjustment mechanisms which are primarily of a withdrawing na- ture! seclusiveness and timidity! phantasy! retrogression* Principles of Abnormal Psychology,”. Maslow & Mittelmann, Chap 11* Fear and Repression 2 G Fear and adjustment! phobias! repression and selective forgetting! repression in malad- justments c Psychology for the Armed Services,” Boring (Ed), ... Chap 16 o Psychoanalytic Theories and Psychopathology 2 C Introduction to the psychoanalytic concept of personality! psycho- analytic mechanisms and psychopathology0 Personality and the Be- havior Dis- orders ,t! Jc Me Vo Hunt, Chap 7« Reference . V : ' ANNEX NO* 2 Orientation to Personnel Management CLINICAL PSYCHOLOGY 2 Hours SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TIPE SCOPE OF ' INSTRUCTION REFERENCES Personnel Classifica- tion System in the Army Today 2 L, TF General introduction to personnel proce- dures and instruments of the classification system of the Arrays how the system is used in assignment problems for neuropsychiatric patients0 TF 12-578| *TM 12-l£5, Sec?s I, 11° ** Psychology for the Armed Services,** Boring (Ed), Chap 110 < -x-Primary Reference ANNEX NOo 3 Amy Clinical Psychologist in the Neuropsychiatric Team CLINICAL PSfGHQLOGT 1 Hour CLASSIFICATION HOURS • AND TYPE SCOPE OF INSTRUCTION REFERENCES Army Clinical 1 0 Description of the pro- *aiNP 2hl, Psychologist fessional interrelation- ships of the clinical psychologist to the The NT Team in the United States Armyi neuropsyehiatrist, psy~ ICED5 s ll£5 .chiatric social and neuropsychiatric nurse0 Clinical Psychological Senrice in Army Hospitalsj 1563 The Consul ■ ' ■ , ■ C tation Service0 . ---Primary Reference 17 AMEX N0o h The Chaplain:s Hour COMMAHDAHT8 S TIME 1 Hour SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Morale and Character 1L, C Importance of venereal -x-SGO Cir 19, Building disease program, stress- ing the morale of the individual soldier by emphasizing self dis- cipline in conformity ■with the teachings of the home and church, and by inculcating a pride in self and in the unit to which he 19hl> Outline of the lec- tures from Office of the Chief of Chaplains 9 Washington, Do Go belongso -x-Primary. Reference , ♦ 18 ANNEX NOe 5 Psychology and Leadership GENERAL SUBJECTS 13 Hours SUBJECT* FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Psychodynamics of Adjustment k L, C* TF Factors involved in the adjustment process % consideration of normal and abnormal adjustment! mental mechanisms and motives! personality types and theories of personality structure! psychology of the sol- dier and leadership prob- lems! mental hygiene in the Army, *-"Manual of Military Neuropsy- chiatry* " Solomon & Yakovlev* Topic 331 "Psychology of Adjustment*'1 Shaffer* Chap "Psychology for the Armed Services*" Boring (Ed)* Chap 18! PMF ZOhl* Psychoneuroses 1 G* TF Prevention* recognition* and battlefield treatment * "Manual of Military of psychoneuroses on the field officer levels Neuropsy- chiatry* " Solomon & Yakovlev* Topic 15| "War Neuroses*" Grinker and Spiegel* Chap 2$ TF 8-lii02 o Adjustment of the Soldier in Peace and War ---Primary Reference 3 C Personal adjustment of the soldier! the re- cruit 5s adjustment to training and Army life! adjustment to combat0 . . ♦ . . ,■ • ---"Psychology for the Armed Services *" Boring (Ed)* Chap 15! "Personality and Behavior Disorders*" Jo McVo Hunt* Chap 2?o 19 ANNEX NOo 5 (Confer) SUBJECT* FILE MMBEE CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Qualities of Leader- ship 1 C Art of types of leaders) essential qualities and characteristics of military leaders« FM 22~f>* Chap 2! “Leadership for Army Leaders," Munson! "Art of Leadership*" Teado Leadership Pre- requisites of Commanders of Regiments and Like Units 1 G Presentation of tactical and administrative responsibilities of such commanders and methods of exerting leadership* including variations in applications of prin- ciples from the exercise of leadership at lower levels o FM 22-5?! Joint Army* Navy* Air Force Manual —• "The Armed Forces Of- ficer 0 " Leadership and Discipline at Regimental Level 1 C Discussion of the prob- lems of discipline in the regiment* regimental combat team* group and brigade as they relate to leadership. FM 22-5! Joint Army* Navy* Air Force Manual —- "The Armed Forces Of- ficer 0" Leadership and Morale at Regimental Level 1 G Development of the rela- tionship between morale and leadership in the regiment* regimental combat team* group bri- gade and to show how good morale in such units depends to a large extent on the leadership of the com- manders Ibid, AMEX N0„ 5 (Cont!d) SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYRE SCORE OF INSTRUCTION REFERENCES Technique of Leader- 1 G Illustration of tech- FM 22-5, ship at Regimental niques of leadership Joint Army , Level at regimental level which have been used successfully in the past5 and to present some of the problems of leadership which may confront a regi- mental commander and his staff during pre- paration for combat and in combat with proven techniques for their solutiono Navyp Air Force Manuals !fThe Armed Forces Officer ,!! AMEX NO. 6 Medical Aspects of Atomic Warfare GENERAL SUBJECTS 5 Hours SUBJECT, FILE NUMBER CLASSIFICATION HOURS AM) TIPE SCOPE OF ' INSTRUCTION REFERENCES Medical Aspects of Atomic Warfare (Restricted) 2 L, C Biological effects of ionizing radiations to include mechanisms of effects, radiological and non-radiological medical hazards; blast injuries, burns, radiation sickness; clinical syndrome and treatment; contamination with radioactive materials; protection of personnel; sanitation aspects of atomic warfare; isotopes in biology and medicine3 -x-** Act ions of Radiations on Living Cells Lea; Radiological Safety, Vol„ -L o Psychological Effects of Atomic Warfare (Restricted) 2 C, TF Discussion of the psycho- logical implications of possible atomic attack; mass tension and anxiety; atomic explosion and mass hysteria; preventive education and mental hygiene e -x-Film, Army and Navy Screen Magazine No C fta Social Implications of Atomic Warfare (Restricted) 1 G Discussion of social changes taking place due to the threat of atomic warfare and their effect on the individual c -x-11 Our Next Pearl Harbor,1* Drake; Atlantic Monthly, Octo 19hlo -x-Rrimary Reference 22 AMEX NO, 7 Principles of Atomic Energy GENERAL SUBJECTS 2 Hours SUBJECT., FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Orientation to Atomic Energy (Restricted) 2 L5 J), TF Historical milestones in atomic and nuclear physic sy development and use of the atomic bombj medical implica- tions of nuclear fis- sions j review of struc- ture of the atomj origin and properties of ionising radiations | radioactivity <, "Classical and Modern Physics5" White| "Applied Nuclear Physics,” Pollard & Davidson| Radiological Safetyj) Vol0 Ic ANNEX NOo 8 Tactics and Techniques of Atomic Warfare GENERAL SUBJECTS 2 Hours SUBJECT, FILE NUMBER CLASSIFICATION HOURS ' AID TYPE SCOPE Uf ~ INSTRUCTION REFERENCES Tactical Aspects of Atomic Energy (Restricted) 1 C Capabilities of the atomic bomb and its effects on a typical American city| probable targets| possible de- fenses Medical Depart- ment's prob3.em in an atomic attack. None 0 Radiological Defense (Restricted) 1 C Types of hazards| pro- tection before, during, and after an atomic attacks detection instru- ments and devices| radio- logical defense organiza- tions 9 None, AluliiZ i)IC * 9 Physical Medicine in the Army PHYSICAL MEDICINE 7 Honrs SUBJECT, FILS NUMBER CLASSIFICATION HOURS AND TYPE SCOPS OF INSTRUCTION REFERENCES Introduction to Physical Medicine 1 L, TF Organization of the physical medicine ser- vice , including the purposes, objectives and procedures; empha- sising coordination and cooperation between the sections of the service0 Show PMF 5072c ND Cir 349} 1946; WD Memo 5906-46; PMF 5072, Pays leal Therapy' Section 1 L, TF Acquaint students with the physical therapy section of the physical medicine and modalities usedfollowed by show- ing 5034 “Introduction to Therapeutic Exercise o,f TM 8-293; PMF 5034. Occupational Therapy Section 1 L, TF Presentation of objec- tives of the occupa- tional therapy section covering theory and pro- gram of treatment and the use of prescription for patients in, corrective occupational therapy fol- lowed by showing of MF 1129 "Diary of a Sergeant nf! T3 IvlSD S45 1944,° T'M 8-291; MF 1129, Physical Re conditioning 1 L, TF Understanding of the ob- jectives of physical reconditioning section and the types of activities; conditioning exercises for bed patients, ambulatory patients, and use of resistive exercise; showing of PMF 5059 "Dynamic Physical Reconditioning,n TB LED I37 (45); Tm 8-292, ANNEX NO. 9 (Gont’d) SUBJECT, FILS NUI.ilER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Tour of the Physical Medicine Service at Brooke General Hos- pital and Review 3 PE Tour; of the physical medicine service at Brooke General Hospital and to show the student operation of each section. None, 26 ANNEX N0o 10 Basic Neurology MEUROPSICHIATHT h Hours SUBJECT3 FILE NtteER CLASSIFICATION HOURS AND TYPE sgo!pe OF ’ INSTRUCTION REFERENCES Gross Neuro anatomy 1 l. C Survey of the anatomy of brain and spinal cor d0 Neurologic al Nursing 5 ” Gotten & Wilson5 pp 3-18; ----Nervous and Mental Diseases for Nurses/’ Sands5 pp 1-20 e Motor and Sensory System 1 L, G Survey of the general principles,of neuro- physiology with em- phasis on motor and sensory functions0 Neurological Nursings ” Gotten & Wilson^ pp 17-26o Peripheral and Autonomic Nervous System i l. c Review of anatomy and function of peripheral and autonomic nerves; role of autonomic ner- vous system in emo- tional processese ”Nervous and Mental Diseases for Nurses/’ Sands5 pp 20-21).; ’’Neuro- logical Nursing/’ Gotten & pp 27-280 General Neuro- pathology --Primary Reference 1 Lj c Survey of the causes of disease of the nervous system and the manner of reaction of nervous system to disease0 **” Neurological Nursings ’’ .Gotten & Wilson, pp 77-80; ” Nervous and Mental Diseases for Nurses/’ Sands5 pp 68-133o 27 ANNEX NO. 11 Clinical Neurology iffiOHOPSTCmTHT 10 Hours SUBJECT, FIXE HUHBER CLABSIFICATIOM HOURS AM) TYPE SCOPE OF INSTRUCTION REFERENCES The Neurological U, D Survey of the neuro- *"Neurological Examination logical anamnesis’; special methods of the mental status; methods of examination of gait, station,, involuntary movements; coordination, muscle status, speech, reflexes, sensory systems, skilled acts and cranial nerves; clinical significance of abnormal signs. Nursing," Gotten & Wilson, no 35-44; 11 Manual of Military Neuro- psychiatry, u Solomon & Yakovlev, op 53-65. Spinal Cord Injuries 1 L, 1 TP Outline of the clinical syndromes; care and management of spinal cord injuries. *"Manual of Military Neuropsy- chiatry, " Solomon & Yakovlev, pp 406-456; 11 Neuro logical Nursing," Gotten & Wilson, pp 163-16S; TF S-1234. Herniated Nucleus Pulposus and Back Pain 1 L, C Review of significant causes of back pain and role of herniated Manual of Military Neuro- nucleus pulposus; anatom- ical and pathophysiologi- psychiatry," Solomen & cal features; discussion of characteristic syndromes; care and management of patients, Yakovlev, pp 422-426; "Neurological Nursing," *Primary Reference Gotten & Wilson, po 163-168. ; 28 AMEX H0o 11 109-1I2. Poliomyelitis 1 Lj C Epidemiology, pathogenesis, clinical syndromes, differen- tial diagnosis, treatment (in acute, subacute, convalescent, and chronic stages) of polio- myelitis 'and its complicationse *f! Neurological Nursing," Gotten & Wilson, pp 95-100• Neurosyphilis 11, G f Survey of clinical neuro- syphilis | incidence, classifica- tion, pathogenesis, spinal fluid groups| problems of asymptomatic typesj clinical syndromes| treatment$ results and prognosis, and military disposition* Manual of Military Neuropsychiatry," Solomon & Yakovlev, pp 325-337; *SMP 245 $ *" Neurological Nursing," Gotten & . Wilson, pp 101-105. Reference 29 ANNEX N0o 11 (Cent’d) SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Convulsive Disorders 1 L, C Review of general and specific problems related to convulsive disorders; definitions and clarifi- cation of terms; incidence, etiological, chronological and clinicoanatomical classifications; diagnostic features; therapy; manage- ment and disposition of cases« *”Neurological Nursing,” Gotten & Wilson, pp 12 5-IRC; ’’Convulsive Seizures,” Putnam^ ”Manual of Military Neuropsy- chiatry, ” Solomon & Yakovlev, pp 204-"2 2E o Head Injury 1 L, C Review of the clinical syndromes; methods of diagnosis, care, manage- ment, and disposition of patients with different types of heal injury; post traumatic headache; epilepsy and mental re- action types; problems of rehabilitation0 Nursing,” Gotten & Wilson, pp 91-93, 121-124, 145-148, 155-162j ’’Manual of Military Neuropsy- chiatry , ” Solomon & Yakovlev, pp 440-467 0 Diseases of Muscle and Neuromuscular Disorders * Primary Reference 1 L, c Presentation of a series of cases of the clinical syndromes of progressive muscular atrophy, progres- sive muscular dystrophy; amyotonia» *”Neurological Nursing,” Gotten & Wilson, PP 71-75; ”Manual of Military Neuropsy- chiatry , ” Solomon & Yakovlev, pp 64, 374^ 3S0o 30 ANNEX NO, 12 Legal Aspects of Psychiatry NEUKOPST CHIATRY 1 Hour SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Forensic Psychiatry 1 L, C Introduction to legal psychiatry; legal aspects of psychiatric *TB MED 201, Reference diagnosis,, 31 AMEX N0C 13 PsychiatrLc Therapy NEURC PSTCHIATRI . 13 Hours SUBJECT, f'fKB'TOEB— CLASSIFICATION HOURS'- AND TYPE . T'SCOPE OF INSTRUCTION REFERENCES Treatment of General Paresis 1 I, C Evaluation of penicillin and arsenicals* fever box* and malaria? ac- cepted routines of therapeutic procedures? modification of treat- ment methods and when indicatedo 'Manual of Military Neuropsy- chiatry* " Solomon & Yakovlev* pp 325-3271 "Fundamentals of Psychiatry*" Strecker* pp 63-67* Electro-convulsive Therapy 2 L* G Historical development of electro-shock proce- dures used now? indica- tions and contraindica- tions ? electro-narcosis ? use of curare* and other techniques for avoiding complications e -"-"Shock Treatments *" Kalinowsky- Hoch* pp 105-191e Insulin Coma 2 L, C Indications for insulin coma therapy? techniques of administration? pre- cautions to be observed? use of other types of therapy in conjunction with coma0 -X-" Shock Treatments*" Kalinowsky- Hoch* pp 7-1000 Prefrontal Leukotomy 1 L, C Review of status of pre- frontal leukotomy as performed by different techniques? indications* complications and inci- dence,, -x-Ibid * pp 217-227o Reconditioning in Psychiatric Therapy Reference 1 L, C Mleau therapy? recondi- tioning for mental re- covery? socializing aspects of reconditioning? psychobiological concepts in total picture of psy- chiatric therapyo Nonec ANNEX NO, 13 (Contfd) SUBJECT, FIDS NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Analytic Procedure 1L, C Description of technique, rationale, and limita- tions of the analytic procedures; psychoanalytic psychotherapy; psycho- analytically oriented psychiatric therapy, and formal application of psy- choanalysis. Modern Clinical Psychiatry,11 Noyes, pp nThe Psy- choanalytic Theory of Neurosis,11 Fenichela Hypnosis in Psycho- therapy 1 L, C Description of hypnotic procedure; applicability of technique and insight and repressive-supportive psychotherapy programs; hypnotic phenomena such as regression and disas- soelation. Manual of Military Neuropsy- chiatry ,11 Solomon & Yakovlev, PP 15$, 550-559. Intravenous Barbi- turates in Psycho- therapy 2 L, C Drugs of choice; com- parison to hypnosis in application, to different types of psychotherapeutic programs; special value and mode of functioning in acute traumatic con- ditions of recent, origin. *"Shock Treatments,” Kalinovsky- Hoch, op 101-105; 2C1-207. Sub-coma Insulin T echniques 2 L, C T echniques, indications, and expected results with A. C. insulin; ambulatory insulin and sub-convulsive administration. *lf Shock Treatments,” Kalinovsky- Hoch, do 38-40 / * Primary Reference 33 AMEX NO, IX Specific Behavior Deviations and Deficiencies MEUROPSTC HIATHT 3U Hours SUBJECT, FILS NUMBER CLASSIFICATION HOURS AND TYPE ’ SCOPE OF INSTRUCTION 0 1 History of Psychiatry 1E,C Introductory lecture to present historical high- lights in psychiatry em- phasizing the cultural aspects in the recogni- tion of mental disease as a medical problem; humanisation in treatment and handling of mentally sick patients0 ♦"Fundamentals of Psychiatry," Strecker, op 1-8. Scope and Techniques in Psychiatry 2L, G Recording the mental status and personal history5 survey descrip- tion of the many classes of conditions seen by the psychiatrist0 ♦Ibid, pp 2S~ 38, 39-62. Character and Behavior Disorders 8 1, C Definition of the psycho- pathic personality! des» cription of the various classifications including constitutional inadequacy; nomadism, and the emotion- ally unstable; discussion of the delinquent as re- lated to Army setting; presentation of clinical cases 0 ♦"Modern Clinical Psychiatry," Noyes, Chap 28; "Manual of Military Neuropsychiatry," Solomon & Yakovlev, Topic I60 Psychoneurotic Reactions ♦Primary Reference 13 L, G Introduction to psycho - neuroses; general dis- cussion of the causative factors, symptoms, treat- ment and prognosis; psychosomatic mechanisms„ ♦"Manual of Military Neuropsy- chiatry, " Solomon & Yakovlev, Pp 123-157; ♦ "Textbook of Psychiatry," Noyes, 2d Ed, pp 184“ 197; "Modern Clinical Psychiatry," Noyes 0 AMEX NO, 14 (Cont ?d) SUBJECT, FILE NUMBER C LilS SIFIC AT I ON HOURS AHD TYPE SCOPE OF INSTRUCTION REFERENCES The Psychoses 10 L, C Causes, development, recognition, prognosis and treatment of the *"Textbook of Psychiatry,*’ Noyes, pp organic and functional psychoses; mental status examination. 158-183; Principles of Psychia- tric Nursing,” Ingram, pp 293“351; "Fundamentals of Psychiatry," Streaker, pp 91-150. ♦Primary Reference 35 ANNEX NO. 15 Introduction to individual and Group Psychotherapy NEUROPSYCHIATRY 9 Hours SUBJECT, FI1E NUMBER . G IASS IF IGAT ION HOURS AND TYPE SC0H; OF INSTRUCTION REFERENCES Individual Psycho- therapy u,c Principles of indi- vidual psychotherapy; reassurance; suggestion and ventilation; analytic techniques; descriptive analysis; psychoanalysis; use of hypnosis, drugs, electro-shock, and surgery. ♦"Modem Clinical Psychiatry," Noyes, pp 363- 375> "Personality and the Behavior Disorders," J, McV. Hunt, Chap 34? "Psychology of Adjustment," Shaffer, op 473-497; TB MED's SO, 84e Group Psychotherapy 5 1, C Principles and methods of group psychotherapy; demonstration and critique of group psychotherapeutic methods. ♦"The Practice of Group Therapy,1 Slavson, Chap's 1-6; "Manual of Military Neuro- psychiatry, " Solomon & Yakovlev, pp 56$-569? T3 MED 103, ♦Primary Reference 36 ANNEX HO, 16 Clinical Demonstrations MUROBSIGHIATRY 44 Horn’s SUBJECT, FILS NUMBER CLASS IFIOAT ION HOURS AND TIBS SCOBS OF INSTRUCTION REFERENCES Psychological Testing s c, bs Supervised administra- tion of basic psycho- metric tests; intro- duction to interpreta- tion of selected person- ality tests; students to expex-ience at least one test as subject. *MMeasurement of Adult Intelligence,u Wechsler, op 1-18. 369 Boards u c Attendance of each stu- dent at two two-hour ses- sions of an actual dis- charge board convened under ,AR 615-369 (presen- tation and discussion of soldiers with neuropsy- chiatric implications). AR's 615-360, 615-361, 615- 366, 615-369. Problem Clinic 32 C, HS Active participation by students in clinics and group conference discus- sions involving the prac- tice of military neuro- psychiatry organized around available case material; function of the neuropsychiatric team as it can best work in the military situation. All previous references in psychiatry and neurology. *Primary Reference 37 ANNEX NO. 17 Army Neuropsychiatrist in the Neuropsychiatric Team rISURO PSTC HIATRY 1 Hour SUBJECT, FILS NUMBER HOURS SCOIE OF CLASSIFICATION AND TYPE INSTRUCTION REFERENCES Army Neuropsychia- 1L,C Description of the pro- *SIfflfP 241, trist fesslonal interrela- The NP Team tionships of the neuro- psychiatrist to the neuropsychiatric nurse, clinical psychologist, and psychiatric, social worker„ in the United States Army; *T3 MED S4, Treatment Programs for Psychiatric Patients in Station and General Hos- pitals; tb MED SO, Re<= conditioning Program for Neuropsy- chiatric Patients; TB HED's 154, 115, Clinical Psychological Service in Army Hospitals; TB MED 155, Asphasic Language Dis- orders; TB MED 156, Con- sultation Service; TB MED 103, Group Psychotherapy 9 *Prlmary Reference ■ ■ AMEX NO* 18 Arsing Aspects of Neuropsychiatry NEUROPSYCHIATRIC NURSING Hours SUBJECT, FILE NUMBER CLASSIFICATION Sours Aid TYPE SCOPE OF INSTRUCTION REFERENCES Attitude Toward the Mentally 111 2 L, TF Insight into the rela- tionship of attitude to professional and personal activities. *-"The Atten- dants Guide," Stern! "A Ward Attendant," Moore! SMNF 239| TF 11+28. Etiological Factors in Mental Ulness 2 L, C Discussion of etio- logical factors in re- lation to heredity and pre- cipitating causes of mental disease. --"Fund ament als of Psychiatry," Strecker, pp 9-27, mo-151. Terminology and Symptomatology 2 L, C Explanation"of tech- nical terras used in psychiatry. ---SMNF 21+6, Glossary of Psychiatric Terms! ”Text- book of Psychiatry," Noyes, pp 26-501 Relationship of Nurses and Corpsmen 1 L, C Importance of nurse in tearaworkj her role as "mother11 in the "family circle"! idea of caring for neuropsychiatric patients! difference between being personal and being friendly. None. Observation and Recording --Primary Reference 1 L, c Discussion of various phases of observation in regard to the mentally ill! what to look for and how to record that information. --"Principles of Psychiatric Nursing," Ingram, pp hl0-)426! *SMNP 251, What to Ob- serve and How to Report It, ANNEX NO „ 18 (Contfd) SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Special Problems in the Care of Neuro- 2 L, TF Special problems in the care of neuropsy- *11 Manual of Military psychiatric Patients; chiatric patients; Neuropsy- Suicide discussion of the recognition and manage- chiatry," Solomon & ment of such problems; practical suicidal pre- cautions c Yakovlev, PP 585-591; * "Textbook of Psychiatric Nursing," Noyes & Haydon, 4-th Ed«, pp 275“ 282; "Prin- ciples of Psychiatric Nursing," Ingram, pp 104“109| TF 8-2090o . Escape 1 L, G Motivations leading to escape; necessary precautions to pre- vent such motivationo of Psychia- tric Nursing," Ingram, pp 109-113/ *nTextbook of Psychiatric Nursing," Noyes & Haydon, 4th Edo, pp 286-287; ♦Primary Reference • ' • ... "Manual of Military Neuropsy- chiatry," Solomon & Yakovlev, pp 601-602O 40 MMX NOe 18 (Cont'd) SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Seclusion and Pro- tective Restraints 1 L, D Discussion of factors which create confusion and stimulate mental and physical disturb- ance ; when seclusion and protective restraint is indicated, and methods of application. Principles of Psychiatric Nursing,” Ingram, op 143-153; "Manual of Military Neuropsy- chiatry,” Solomon & Yakovlev, pp 591-59B, Assaultiveness and C ombativenes s X L, C Discussion of factors which stimulate assault and combativenessa, dis- cussion of methods of prevention and manage- ment. *MPrinciples of Psychia- tric Nursing,” Ingram, pp 143-1530 Untidiness and Denudation 1 L, C Discussion of offensive behavior in psychotic patients| methods of prevention and manage- ment. Ibid, F ceding and Medications 2 L, D Problems arising in feeding and medicating psychotic patientsj . methods used such as urging, spoon feeding, cup feeding, and nasal tube demon"" stration of the equip- ment and the procedure used in nasal tube feeding. *”Principles of Psychia- tric Nursing,” Ingram, op 82-97; "Manual of Military Neuropsychiatry Solomon & Yakovlev, pp 59B”601o Reference 41 ANNEX NO. 18 (Cont’d) SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Specific Care of Neuropsychiatric Patients (Overactive) 2 L Discussion of specific problems in the nursing care of the overactive patient and his manage- ment . *n Textbook of Psychiatric Nursing,11 Noyes & Haydon, 4th Edo, pp 13S-192, 274*= 279; "Prin- ciples of Psychiatric Nursing," Ingram, pp 323-326; "Attendant’s , Guide," Stern, pp 57-66, Organic Care 3 L Differentiation between the problems in the nursing care of the organic disorders and those among the func- tional groups„ *"Nervous and Mental Diseases for Nurses," Sands, pp 190-201; "Fundamentals of Psychiatry," Stracker, pp 63-77. Underactive Care 2 L, C Problems which arise in the care of the underactive patient; differentiation between the underactivity of the depressed patient from that of the retarded schizophrenic and the management of botho ■*"Textbook of Psychiatric Nursing," Noyes & Haydon, 4th Edo, pp 192- 195? 202-216; "Principles of Psychiatric Nursing," Ingram, pp 326-3290 Reference 42 ANNEX NO. IS (Cont’d) SUBJECT, FILE NUMBER CLAS3IFICATIpN HOURS MD TYPE SCOPE OF INSTRUCTION REFERENCES Senile and Involu- tional Melancholia 2 if C Importance of protec- tive care for senile patients in contrast to the establishment of new interest in the involutional melan- cholia* ■; n Principles of Psychiatric Nursing," Ingram, pp 294-299; "Nursing Mental Diseases," Bailey, pp 143-149; "Nervous and Mental Diseases for Nurses," Sands, pp 195“197. Nursing Care; Gon- vulsive Disorders 1 L, c Emphasis on observa- tion recording, care and precautions of patients with seizures; importance of teaching patient to learn to live with his illness. *Sf,3WF 244, Aids in Observing and Reporting Con- vulsive Seizures; ♦"Textbook of Psychiatric Nursing," Noyes & Haydon, 4th Ed., pp 137-154; "Nervous and Mental Diseases for Nurses," Sands, pp 119-125; "Convulsive Seizures," Putnam. Nursing Care: Alcoholic and Drug Psychoses 1 c S pe cial precautions against escape in alcoholic and drug psychoses; importance of occupation and diet. ♦"Nervous and Mental Diseases for Nurses," Sands, pp 210-216; "Principles of Psychiatric Nursing," Ingram, PP 313-319; "Textbook of Psychiatric Nursing," Noyes & Haydon, 4th Ed,, pp 10S-125® ♦Primary Reference ANNEX NOe IS (Cont'd) SUBJECT, FILS NUMBER CLASSIFICATION. HOURS AND TYPE SCOPS GF INSTRUCTION , REFERENCES ' Nursing Care; The Psychoneurotic Group U L, C, FS Basic principles in- volved in the care and management of this group* *”Textbook of Psychiatric Nursing,” Noyes & Haydon, 4-th Ed*, pp “Principles of Psychiatric Nursing,” Ingram, PP 336-34-6; P3 107, 108, 109o Nursing Care: Character and Behavior Disorders 1 L, C Factors which make care of the psycho- path and mental deficient difficult; need of utmost co- operation among all personnel in the management of those patients* *,,Iv!anual of Military Neuropsychiatry,n Solomon & Yakovlev, pro 160-179; “Text- book of Psychiatric Nursing,” Noyes & Haydon, pp 225-231, Nursing Cares Special Emergencies 1 L, C Review special hazards and discuss their *“ Principles of Psychiatric in First Aid preventive measures; emergency treatment in hanging, poisoning, bleeding, bruising, and drowning* Nursing,” Ingram, pp 113-125; "Introduction to Psychiatry,” Biddle & Van Sickle, pp 76-87, *Primary Reference ANNEX NO, 18 (Cont’d) SUBJECT, FILE NUMBER CLASSIFICATION HONRS AND TYPE SCOPE OF INSTRUCTION REFERENCES Nursing Direction of Occupational Therapy 1L,C Importance of occupa- tional therapy in the treatment of neuro- psychiatric patients| various types of occupa- tions most suited for the different illnesses. *°Manual of Military . Neuropsy- chiatry ,n Solomon & Yakovlev, pp 6O4.-6IO; *-° Principles of Psychia- tric Nursing,0 Ingram, dp 186-1991’ "Introduction to Psychiatry,0 Biddle & Van Sickle, pp 9B- 107| "Psychia- tric Nursing,0 Steele, pp 117-1330 Nursing Direction of Recreational Therapy 1L, 0 Importance of recrea- tional therapy in the treatment of neuro- psychiatric patients ?* various types of acti- vities most suited for the different illnesses0 *°Nursing Mental Diseases,0 Bailey, dd 213-2180” Hydrotherapy ' 5 L, D Therapeutic effect of the various hydrotherapy treatments| demonstra- tion of principles and methods of giving wet sheet packs and con- tinuous tubs. *SMMP 201, Shock . Therapyj *SMNP 231, Continuous Tubs 1 0Principles of Psychia- tric Nursing,0 Ingram, op 207-2331 0Hydrotherapy in Psychiatric Hospitals,0 Wright, op 117-122, 175- 178 e Reference ANNEX NO, 18 (Cont’d) SUBJECT, FILE NUMBER ' riottes ————rrrrr CLASSIFICATION AND TYPE INSTRUCTION REFERENCES Shock Therapies h L, c Importance of observing and recording signs and symptoms of patients receiving ambulatory insulin, deep coma Insulin, electroshock NPN3s 10, . X3$ 1hi *Smnp 201, Shock Therapy; *”Principles of therapy* Psychiatric Nursing,” Ingram, pp 391-U06; , 11 Shock Treat- ment, ” Kali new sky- Hoch, pp 16-30, 63-710 Malaria 1L,C Review of danger signs and care of patients receiving malaria therapy; importance of a well balanced health program (diet, rest, exercise, and occupa- *NPN5s 3s hs 51 11 Prin- ciples of Psychiatric Nursing,” Ingran, pp •303-30^1 tion)e "Textbook of Psychia- tric Nursing,” Noyes & Haydon, Uth Edo, pp 316-318o Special Procedures 1 L, D Review preoperative and postoperative care of patients receiving pneumo- encephalography, electro- encephalography, my. ‘ : graphy and ventriculo- graphy., *-SMNP!s 301;, 305l aid Mental Di- seases,” Sands, pp 297-3071 ’ • TB IvESD 76o Closed and Open 2 L/C Outline of nurse’s TM’s 8-220, Wards duties for twenty-four hours in the care of patients; management of closed and open wards* pp 185-208| 8-260, pp 81j.-87o Reference ANNEX NO a 18 (Cont'd) SUBJECT* FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Admission* Disposi- tion and Transfer 1 L, C Review general prin- ciples of admissions* discharges* and trans- fers of patients« 8-260s pp 36~ltl; 8-220, pp 193-191*, Principles of Psychiatric Nursing*11 Ingram* pp 128-138o Keys* Sharps and Drugs 1 L, C Importance of the care of keys* sharps* and drugs; outline of practical method of recording* checking* and safe handling of these necessary but hazardous items„ Principles of Psychia- tric Nursing*” Ingram* pp 109-110| "Nursing Mental Diseases*11 Bailey* pp 90-960 Valuables* Property and Clothing 1 L* c Responsibility of nurse for safe and careful handling of patients5 valuables* property* and clothingo -x-TM 8-260* pp j Principles of Psychia- tric Nursing*” Ingram* pp 66-770 Mail* Visitors* Telephones* Accident Reports Reference 1 L, c Importance of careful and tactful handling of problems concerning mail* visitors* and telephones; outline of an accident report* its distribution* and the legal aspect of such a report* Regulation* Brooke Gen- eral Hospital* PP 25* U8, 58; -x-” introduction to Psychiatry*” Biddle & Van Sickle* pp 18-22; ’’Textbook of Psychiatric Nursing*” Noyes & Haydon* irbh Edo* pp 287-2891 ANNEX NO. 18 (ContM) WOmTTWmm— CLASSIFICATION HOllRS AND TYPE flfitfPB W INSTRUCTION REFERENCES Requisitions and Maintenance • 1 L, C Establishment of a cooperative attitude toward sharing the responsibility of pro- viding necessary sup- plies and materials needed for the ef- ficient management of neuropsychiatric pa- tients, and the proper maintenance of a safe and clean environment,, TM5s 8-220, pp 186-190j 8-262, pp 81-825 for Psychiatric Attendants,,f Fitzsimmons, Chap IVo Seriously 111 and Deaths ' 1 L, C Review general care of the seriously illj prob- lems involved in the care and management of these patients on a neuropsy- chiatric wardj review- procedure in the case of deaths special pre- cautions in the removal of the body from the neuropsychiatric ward. *TM 8-260, pp Brooke Gen- eral Hos- pital Cir- cular on Deaths! for Psychiatric Attendants,18 Fitzsimmons, pp 306-309J Hospital Regulation, Brooke Gen- eral Hospital, pp UU.5 11 As Life Ebbs,” Ao Jo No, Mar 19i+8, pp l?0o Reference ANNEX NO, 19 Army Neuropsychiatric Nurse in the Neuropsychiatric Team NEUROPSTCHIATRIC NURSING 1 Hour SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Army Neuropsychiatric Nurse 1 L,C ' 1 *■ Description of the pro- fessional interrelation- ships of the neuropsy- chiatric nurse to the neuropsychiatrist, clinical psychologist, and psychiatric social workero None • ANNEX NO. 20 Supervised Practise Teaching NEUROPSTCHIATRig NURSING 30 Hour 3 SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION i REFERENCES Attitude Toward the Mentally 111 1 L, C Importance of a proper attitude toward men- tally ill patients ; good motives, interest and workable attitudes in.the technician. None; to be selected by student. Observation and Recording 1 L, c Phases of observation in regard to the men- tally ill; what to look for and how to report and record it. Ibid, Suicide and Escape 1 L,. c Special problems in the care of neuropsychiatric . patients; management of such problems; practical suicidal precautions. Ibid, Assaultiveness, Combativeness, Un- tidness and Denuda- tion 1 L, c Discussion of factors which stimulate assault- iveness and combative- ness | methods of pre- vention, methods of management! offensive behavior in the psychotic patient; methods of pre- vention; methods of managemento Ibid, Feeding Problems X L, c . Problems arising in feed- ing neuropsychiatric pa- tients; cause of problems; prevention and correction of these problems* Ibido Technician Care of the Overactive Patient 1 L, c Specific care involved in the treatment of various psychotic and neurotic disorders; spe- cific problems in tech- nician care and management of the overactive patient. Ibid, ANNEX NO „ 20 (Gont’d) SUBJECT, FIXE NUMBER CLASSIFICATION HOURS AND TYPE SC GTE OF INSTRUCTION REFERENCES Technician Care of the Organic Disorders 1 L, C Differentiation between the technician care of organic disorders and functional disorders. None; to be selected by student. Technician Care of the Underactive Patient 1 L, c ■ Problems which arise in the care of the under- active patient; dif- ferentiation between the underactivity of the depressed patient from the retarded schizo- phrenic patientj manage- ment of both. Ibid. Senile and Involu- tional Melancholia 1 L, c Importance of protective • care for senile patients in contrast to the establishment of new interests in the involu- tional melancholia. Ibid, . Technician Care of Patients with Convulsive Disorders 1 L, G Technique of observing and reporting these disorders; precautions taken in the care of these patients during seizures; general care of the patient during hospitalization. Ibid. Technician Care of the Psychoneurotic Patients j-j C Basic principles in- volved in the care and management of psycho- neurotic patients. Ibid, Occupational Therapy 1 L, C Importance of occupa- tional therapy in the treatment of neuropsy- chi : - patients; various types of occupa- tions most suited for the different- illnesses; part the technician plays in occupational therapy. Ibid. 51 ANNEX NO. 20 (Cont»d) - SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE’OF INSTRUCTION REFERENCES Recreational Therapy 1 L, C Importance of recrea- tional therapy in the treatment of neuropsy- . chiatric patients; various types of recrea- tion most suited for the different illnesses; the part the technician plays in recreational therapy., None; to be selected by student, Wet Sheet Pack 1 L, D Discussion of basic prin- ciples and demonstration of wet sheet pack o Ibid! Continuous Tub 1 L, D Discussion of basic prin- ciples and demonstration , . of continuous tub. Ibid, Care and Management of Patients Receiving Insulin Coma Therapy 1 L, C Importance, of blv orving and recording signs and symptoms of patients re- ceiving insulin treat- ments; danger signals and treatment of patients in shock; delayed reaction. Ibid, Malaria Fever Therapy i 9 C Preparation of patient . for therapy; technician care during therapy; ob- servation of danger signs; record of treatment. Ibid, Care and Management of Patients Receiving Ele ctro shock Therapy i L, G Preparation of patients receiving electroshock therapy; care during treatment; care following treatment. Ibid 3 Admission, Discharge, and Transfer of Patients i C General principles of ad- mission, dis charge and transfer of patients; their adaptation to neuropsychiatric wards! Ibid, 52 ANNEX NO. 20 (Corrb»d) SUBJECT* FILE NUMBER CLASSIFICATION " HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Keys * Sharps * Drugs * Other Hazardous Objects 1 L* C Importance of the care of keys* sharps* drugs, other hazardous ob- ject s| outline of practical method of recording* checking and safe handling of these necessary but hazardous objects*, None! to be selected by studento Valuables* Property and Clothing 1L, C Responsibility of technician for safe and careful handling of patients6 valuables* property* and clothing. Ibid, .Mail* Visitors* Telephones 1 I? C Importance of careful and tactful handling of problems concerning mail* visitors* and telephones on the neuropsychiatric closed wards , Ibid, Environment of the Ward 1 L, C Emphasis on the impor- tance of a hygienic* attractive* safe* and friendly atmosphere0 Ibid. Setting up a Closed Neur opsychiatri c Section (To Nurses) 1 Lj C Location* structure and reasons for spe- cific pro- visions for allied departments! specific location and setup of one ward of your own choice within the sec- tion., Ibid. Orientation of New Attendants (To Nurses) 1 Lj C Method of orientation of new personnel to staff personnel* physical facilities* hospital and ward policies to patientsj role in the neuropsychiatric team* closed or open wards 0 Ibid. ANNEX NO* 20 (Gont’d) SUBJECT* FILE NUMBER CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Establishment of a Nursing Service on a Closed Section (To Mirses) 1 L* C Present a hypothetical closed ward section; number of nurses re- quired to staff desig- nated wards in an 8 hour duty schedule; outline duty assignments; explana- tion of duties„ None; to be selected by student. Duties of a Ward Master (To Nurses) 1 L* C Duties and responsibili- ties of the ward master on a closed ward; role in the neuropsychiatric team0 Ibido The Neuropsychiatric Supervisor (To Nurses) 1 L, C . Personal characteristics; qualifications; activi- ties; functions• Ibid0 Supervisor1s Lesson Plan for a 10-hour Course for Enlisted Men (To Nurses) 1 L* c Objectives* schedule out- line of course; references, Ibid* The Nurse — Her Role as a Teacher (To Nurses) 1 L, c Teaching as an essential secondary function of all nurses* Ibid0 ANNEX NO* 21 Nursing Conferences NEUROPSrCHIATRIC NURSING 2k Hours SUBJECT, FILE MM3 EE GLASSIFICATION HOURS AND TYPE ~ sco£e of INSTRUCTION REFERENCES Nursing Conferences - 2k C Characteristics of a All SMNP!s| Problems on Neuro- good neuropsychiatric All NPN'S! pssrchiatric Wards nurse.! factors essential for good rapport| passes and sign-out books safe- guarding of keys on the closed ward| special watch; tray for patient on closed ward! weight and T„P0R*a books $ shaving methods $ valuables and clothing, admission, dis- charge, and transfer of a night report and ward rounds s obser- vation and reporting of convulsive seizuresj general policies regard- ing personnel! a general c ourt s-martial$ funct ions of the VeA0B0! .sleep records! socialization of patients! mental hygiene! advantages and disadvan- tages of books and movies on closed wards! mental and emotional aspects in medical and surgical patients! types of dis- positions! methods of scheduling clinic appoint- ments! discuss sick leave, administrative leave, emer- gency leave and accrued leave! reasons for studying neuropsychiatric nursing. Individual Research on the Neuropsy- chiatric Sec- tion! all pre- vious refer- ences. 55 AMEX NOe 22 Neuropsychiatric Nursing Procedures NEUROPSYCHIATRIC NURSING 2k Hours Subject, file number CLASSIFICATION HOURS AND TYPE SCOPE OF INSTRUCTION REFERENCES Ifydr ot h or a peutic 12 PE Practice and return SMNP 231, Procedures demonstrations of the T/et sheet pack and continuous tub. Continuous Tub SMNP Wet Sheet Pack, Neur ops ychi atr ic 12 PE Special needs of SMNP 3 Oli., Trays neuropsychiatric sec- Lumbar Pane- tionj non-standard turej SMNP equipment; setting up of trays such as tube 305? Pneumo- encephalo- feeding, insulin and emergency insulin, graphy, NPN 9, Equipment lumbar puncture, pneumo-enc ephalography, narcosynthesis, medi- cine, myelogram. for Ambula- tory Insulin Unit, ANNEX ND0 23 Treatment Resources PSYCHIATRIC SOCIAL WORK 10 Hours SUBJECT* FILE NUMBER GLASSIFICATION HOURS AND TYPE SCOPE' OF INSTRUCTION REFERENCES American Red Cross 5 Lj c Constructive relation- ship between the Ameri- can Red Cross and the Armyi services provided by the American Red Cross in alleviating social and emotional problems* utilization of these services. *AR 8£0~?5* The American National Red Cross* "Let*s Talk It Over," ♦ The Veterans 2 Lj TF Veterans Administration M Summary of Admini strati on benefits to veterans and their dependents. Rights and Benefits *" Stutler & Kraabel| Benefits for World War II Veterans * ,Veterans Administration Film AMSM-U3/ "GI Bill of Rights|M ANSW ?1* "Veterans Administra- tion, " Educational and Vocational Services 2 L* G Mission of information and education; USAFI* its mission and opera- tion. None e The Army Chaplain -''-Primary Reference 1 L* C Functions of the chap- lain in aiding soldiers with emotional conflicts. TM 16-205? "The Minister and Mental Hygieneg His Opportunity and Responsibility*" Kemp* Mental Ifrgiene* pp 72-79? Jan ANNEX NO. 2k Field of Social Work PSYCHIATRIC SOCIAL TOHK 3 Hours . SUBJECT,' file numbeS ' CLASSIFICATION HOURS ' AND TYPE SCOPE W INSTRUCTION REFERENCES History of Social Work 1 L, C Origin and develop- ment of the social work; definition of social work. #"The Field of Social Work,” Fink, Chap 1. Social Case Work 1 l. C Aspects of social case work in a psy- chiatric setting; historical background, evolution of social work, basic principles. *MThe Field of Social Work," Fink, pp 136” lUO; *lfPsy- chiatric So- cial Work,” French, Chap’s 1, 2; "Short Term Therapy," Beck, Chap 2, Social Group Work 1 L, C Description of social group work as a special- ization within the field of social work; dif- ferentiation between group work and case work. -x-"The Field of Social Work," Fink, pp I4.O8— U23; SMP 266, "Social Group Work,” Reference ANNEX NO,, 25 Social Case Work PSYCHIATRIC SOCIAL WORK 3 Hours SUBJECT, FILE NUMBER CLASSIFICATION HOURS •AND TYRE SCORE OF INSTRUCTION REFERENCES History of Social Work 3; L, c Aspects of social case work in a psychiatric historical background, evolution of social work, basic principles 0 *MThe Field of. Social Work," Fink, Chap If HTheory and . Practice of Social Case Work,” Hamilton, Chap 10 Reference 59 ANNEX NO. 26 Interviewing PSYCHIATRIC SOCIAL WORK ■ 1 Hour SUBJECT, FIDS NUMBER HOURS SCOPE OF CLASSIFICATION AND TYPE INSTRUCTION REFERENCES ' The Interviewerfs 1 C Discussion of the *”Interviewing, Attitudes effect of the Its Principles ‘ ’’ "• ' ' interviewer’s at- and Methods," titude upon the Garrett, pp 21- , ■ ■ ■ 'r- v interview relationsj 25; "How to ■ prejudices; acceptance. Interview," Bingham said Moore, pp 1- ' ■ . 25. *Primary Reference ANNEX NO, 27 Army Psychiatric Social Worker in the Neuropsychiatric Team PSYCHIATRIC SOCIAL WORK 1 Hour SUBJECT, FILE NUMBER CLASSIFICATION , HOURS AND TYRE SCOPE OF INSTRUCTION REFERENCES Army Psychiatric Social Worker 1 L, C Description of the professional inter- relationships of the psychiatric social worker to the neuro™ psychiatrist, clinical psychologist, and neuropsychiatric nurse„ *TB MED 154,. *SMNP 24.1, nThe NP Team in the United States Army|n *SMNP 293, “Functional Chart, Mental Hygiene Unit;n TB MED1s 12, 20, so, at, 103, ■ . 115, 155, 156. * Reference . . ANNEX NO, 28 Physical Training TRAINING oO hours SUBJECT, FILS NUMBER GASIFICATION HOURS AMD TIPS SCOPE OF INSTRUCTION REFERENCES Introduction to Physical Braining 1 TF Training film, ’•Figures Don’t Lie.’1 TF 8-2101. Physical Training 2 D, PE Explanation, demonstra- tion, and application of various formations and starting positions. FM 21-20, RP 8-25. Physical Training and Setting-Up Exercises 4 D, PS Explanation, demonstra- tion, and application of cadence series exer- cises . FM 35-20, pp 28-34. Physical Training and Setting-Up Exercises 4 P, PS Explanation, demonstra- tion, and application of cadence series exer- cises. FM 35-20, pp 34-38. Physical Training 6 IE Explanation, demonstra- tion, and application of shoulder, arm and abdominal exer ci s e s• FM 35-20, pp 38-50. Physical Training 6 IS Explanation, demonstra- tion, and application of back, neck and foot exercises. FM 35-20, pp 50-62. Team Competition and Mass Games 19 E, EE Explanation, demonstra- tion, and application of various types of athletics and mass games. FM 21-20, Chap’s 11, 12 j TM 21- 221. Competitive Sports 19 PS Class divided into teams to participate in volley- ball, softball, and touch football. TM 21-221. Indivi dual S ports 19 PB Class to participate in desired sports such as hiking, bowling, swimming, handball, golf, gymnastics, etco None. 62 ANNEX.NO0 29 Troop Information Program TRAINING jlO noui 'b SUBJECT, FILS NUMBER CLASSIFICATION HOURS AND TYRE SCOPE OF INSTRUCTION REFERENCES Troop Information and Education , 1 L, C Introduction to Troop Information and Edu- cation Program, mis- sion, need, and type of program to be presen- ted during this course. TM 28-210, Troop Information and Education 1 C Review of subjects such as "Continuing Occupa- tion in Japan" with stu- dent participationo None 0 Troop Information and Education 1C Question to be presented, "Is Russia Hoping for War?"; debate team (6 members) to be selected from members of student body*, Current periodicals, magazines. Weekly Digest of Public Opinion, Armed Forces Talks, etc. Troop Information and Education 1 L Panel (student) to present views on subject of cur- rent interest such as the Economic Cooperation Administration, Ibid, Troop Information and Education 1 TF D/A Film to be announced several weeks prior to period. None, Troop Information and Education 1C Monitored discussion of subject of timely interest, eg,,"Racial Tolerance„n Current magazines. Weekly Digest of Public- Opinion, D/A Publica- tions, Armed Forces Talks, etc 9 ANNEX NO, 29 (Gont'd) SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYRE SCORE OF INSTRUCTION REFERENCES Troop Information and Education 1 c Problem of current interest to be pre- sented in form of a debate; teams composed of members of the stu- dent body* Current maga- zines, Weekly Digest of Public Opinion, D/A Pub- lications, Armed Forces Talks, etc. Troop Information and Education 1 C Panel composed of stu- dent members to present topic of current interest, ego, "Communism in the U.'S," Ibid. Troop Information and Education 1C Symposium composed of members of the student body to present views and answers to questions on subject of timely interest, eg0, "Outlawing of Communist Party in the U. S." Ibid. Troop Information and Education 1 TF D/a Film; title to be announced at least two weeks prior to class„ None, Troop Information and Education 1 C Discussion of subject of current interest monitored by instructor, eg,,"United Nations Organization0" Current magazines, D/A Digest of Public Opinion, Armed Forces Talks, etc0 Troop Information and Education 1 C Subject of timely interest to be presented in form of a debate; teams to be com- posed of student body* Ibid , Troop Information and Education 1 C Members of student body to prepare and present to the students a panel type program to consider a sub- ject of timely interest, eg* "Communism 8" Ibido # 9 ANNEX N0o 29 (Cont»d) SUBJECT, FIIE NUMBER CLASSIFICATION HOURS . AND TYPE ' SCOPE OF INSTRUCTION REFERENCES Troop Information and Education ■ 1C Symposium type program, to be led by students\ questions of timely interest to be dis- cussed for the benefit of tiie student body, eg„* uAtomic ErafV Current maga- zines* D/A ■ Digest of Public Opinion* Armed Forces , Talks* etc. Troop Information and Education 1 TF D/A Film? title to be announced at least two weeks prior to class„ None, Troop Information and Education 1 D Instructor to introduce and review a current subject, eg0, "IMT,” and open the period for group discUssion9 Magazines* D/A Digest of Public Opinion, Armed Forces Talks, ANNEX N0o 30 Techniques and Methods of Instruction TRAINING 4 ilG—., SUBJECT, FILE NUMBER CLASSIFICATION HOURS AND TYRE SCOPE OF INSTRUCTION REFERENCES Techniques and Psychology of Instructing 1 C, D Discussion of the requisites of good instruction with par- ticular emphasis on the approach to in- struction, the lecture itself, and some of the pitfalls to be avoided in instruction. TM1 s 1-1000, pars 22-24, 34, 36; 21- 250, pars 33-36; FM 21-5, oars 88« 103. Instructional Aids 1C, D Discussion of some of the instructional aids available for use in supplementing lecture material. Particular emphasis is placed upon aids furnished by the Army, especially those listed in FM 21-8, FM's 21-5, pars 81-87; 21-8; TM»s 1-1000, pars 19, 20; 21- 250, pars 22, 24, Instructional Aids (Celluloids) 1C, D Presenting the various visual aids available to Army instructors emphasizing the cellu- loids, their value in instruction, where they can be obtained and their proper use. FM's 21-5, pars 78-80; 21-7, pars 1-12; TM1s 21-250, pars 1-1000, pars 20 (f) 25~ 29 0 Mechanism of Instruction 1C, D An explanation and demonstration of the mechanism of instruction. FM 21-5, pars 64™76, 66