Do Vietnam Veterans Suffer from Toxic Neurasthenia?

Abstract

This paper evaluates the claim that Vietnam veterans with psychiatric disorders are suffering from toxic neurasthenia — a neurasthenic syndrome caused by exposure to pesticides while serving in Vietnam.

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual, Third Edition. American Psychiatric Association, Washington.

Andreasen

N. C.

(1980) Posttraumatic stress disorders. In Comprehensive Textbook of Psychiatry, Third Edition, Volume 2. ( Kaplan

H. I.

Freedman

A. M.

Sadock

B. J.

Eds.) Williams and Wilkins, Baltimore.

Andrews

Schonell

Tennant

(1977) The relation between physical, psychological and social morbidity in a suburban community. American Journal of Epidemiology, 105, 324–329.

Andrews

Tennant

Brodaty

(1981) The need for psychiatric care. Medical Journal of Australia, 1, 593–594.

Archibald

H. C.

Long

D. M.

Miller

(1962) Gross stress reaction in combat: a 15-year follow-up. American Journal of Psychiatry, 119, 317–322.

Archibald

H. C.

Tuddenham

R. D.

(1965) Persistent stress reaction after combat: a 20-year follow-up. Archives of General Psychiatry, 12, 475–481.

Australian Veterans Health Studies. (1983) Pilot Study Report, Volume I: A Report into the Feasibility of an Epidemiological Investigation of Morbidity in Vietnam Veterans. Australian Government Publishing Service, Canberra.

Bashirov

A. A.

(1969) English language abstract in JRB Associates, Review of Literature on Herbicides, Including Phenoxy Herbicides and Associated Dioxins, Volume 2. A report prepared for the U.S. Veterans Administration, Washington, D.C., 1981.

Bauer

(1961) English language abstract in JRB Associates, Review of Literature on Herbicides, Including Phenoxy Herbicides and Associated Dioxins, Volume 2. A report prepared for the U.S. Veterans Administration, Washington, D.C., 1981.

10.

Bishop

(1982) Quoted in The Herald, 18 June, p14.

11.

Boman

(1982) The Vietnam veteran ten years on. Australian and New Zealand Journal of Psychiatry, 16, 107–127.

12.

Borus

J. F.

(1974) Incidence of maladjustment in Vietnamese returnees. Archives of General Psychiatry, 30, 554–557.

13.

Bruhn

Arlien-Soborg

Gyldensted

(1981) Prognosis in chronic toxic encephalopathy: a two year follow-up study in 26 house painters with occupational encephalopathy. Acta Neurologica Scandinavica, 64, 259–272.

14.

Butler

A. G.

(1943) The Australian Army Medical Services in the War of 1914–1918, Vol. III. Australian War Memorial, Canberra.

15.

Chodoff

(1963) The late effects of the concentration camp syndrome. Archives of General Psychiatry, 8, 323–328.

16.

Damstra

(1978) Environmental chemicals and nervous system dysfunction. Yale Journal of Biology and Medicine, 51, 457–468.

17.

Department Of Veterans Affairs. (1981) Submission to the Senate Standing Committee on Science and the Environment. Reference: Pesticides Inquiry, Volume 1. The Senate, Canberra.

18.

Dux

Young

P. J.

(1980) Agent Orange: The Bitter Harvest. Hodder and Stoughton, Lane Cove.

19.

Eitinger

(1961) Pathology of the concentration camp syndrome. Archives of General Psychiatry, 5, 371–379.

20.

Figley

C. R.

(1978) (Ed.) Stress Disorders Among Vietnam Veterans: Theory, Research and Treatment. Brunner-Mazel, New York.

21.

Friedlander

B. F.

Hearne

F. T.

(1980) Epidemiologic considerations in studying neurotoxic disorders. In Experimental and Clinical Neurotoxicology. ( Spencer

P. S.

Schaumberg

H. H.

Eds.) Williams and Wilkins, Baltimore.

22.

Futterman

Pumpian-Mindlin

(1951) Traumatic war neuroses five years later. American Journal of Psychiatry, 108, 401–408.

23.

Gershon

Shaw

F. H.

(1961) Psychiatric sequelae of chronic exposure to organophosphorus insecticides. Lancet, 1, 1371–1373.

24.

Goldberg

Huxley

(1980) Mental Illness in the Community: The Pathway to Psychiatric Care. Tavistock, London.

25.

Hall

Sellinger

(1982) Submission to the Senate Standing Committee on Science and the Environment. Reference: Pesticides Inquiry, Volume 1. The Senate, Canberra.

26.

Hall

(1982) A critical review of psychological approaches to the evaluation of chronic pain patients. Australian and New Zealand Journal of Psychiatry, 16, 3–9.

27.

Helzer

J. E.

Robins

L. N.

Davis

D. H.

(1976) Depressive disorders in Vietnam returnees. Journal of Nervous and Mental Disease, 163, 177–185.

28.

Henderson

Duncan-Jones

Byrne

(1979) Psychiatric disorder in Canberra: a standardised study of prevalence. Acta Psychiatrica Scandinavica, 60, 355–372.

29.

Horowitz

M. J.

Wilner

Kaltreider

(1980) Signs and symptoms of posttraumatic stress disorder. Archives of General Psychiatry, 37, 85–92.

30.

Jacobs

Gossman

M. D.

(1980) Three primitive reflexes in normal adults. Neurology, 30, 184–188.

31.

Jefferson

J. W.

Marshall

J. P.

(1981) Neuropsychiatric Features of Medical Disorders. Plenum Medical Book Company, New York.

32.

Jrb Associates. (1981) Review of Literature on Herbicides, Including Phenoxy Herbicides and Associated Dioxins, Vol. 1. A report prepared for the U.S. Veterans Administration, Washington D.C.

33.

Kadushin

Boulanger

Martin

(1981) Long term stress reactions. Some causes, consequences and naturally occurring support systems. Legacies of Vietnam: Comparative Adjustment of Veterans and Their Peers, Volume 4. United States Government Publications Office, Washington.

34.

Kardiner

(1959) Traumatic neuroses of war. American Handbook of Psychiatry, Volume 1. ( Arieti

Ed.) Basic Books, New York.

35.

Kormos

H. R.

(1978) The nature of combat stress. Stress Disorders Among Vietnam Veterans: Theory, Research and Treatment. ( Figley

C. R.

Ed.) Brunner-Mazel, New York.

36.

Lanthrop

G. D.

Wolfle

W. H.

Albanese

R. A.

(1984) An epidemiologic investigation of health effects in Air Force personnel following exposure to herbicides. Air Force Morbidity Study Results. USAF School of Aerospace Medicine, Aerospace Medical Division (AFSC) 24 February, 1984.

37.

Lindstrom

Wickstrom

(1983) Psychological function changes among maintenance house painters exposed to low levels of organic solvent mixtures. Acta Psychiatrica Scandinavica, 67, Supplement number 303, 81–91.

38.

Lishman

W. A.

(1978) Organic Psychiatry: The Psychological Consequence of Cerebral Disorder. Blackwell Scientific Publications, Oxford.

39.

McDonald

J. K.

Kelley

J. J.

Brock

L. D.

(1963) Variability of the palmomental reflex. Journal of Nervous and Mental Disease, 136, 207–215.

40.

MacPhee

Hall

(1984) The Concept of Minimal Damage and Its Importance in Assessing the Long Term Hazards of Exposure to Environmental Chemicals. Paper presented at Annual Conference of Australian and New Zealand Association for the Advancement of Science, Canberra, May, 1984.

41.

Merskey

(1978) The Analysis of Hysteria. Balliere-Tindall, London.

42.

Miller

(1961) Accident neurosis. British Medical Journal, 1, 919–925.

43.

Pope

(1981) Submission to the Senate Standing Committee on Science and the Environment. Reference: Pesticides Inquiry, Volume 1, The Senate, Canberra.

44.

Rose

(1982) Submission to the Senate Standing Committee on Science and the Environment. Reference: Pesticides Inquiry, Volume 3, The Senate, Canberra.

45.

Senate Standing Committee On Science And The Environment. (1982) Pesticides and the Health of Australian Vietnam Veterans. Australian Government Printer, Canberra.

46.

Senate Standing Committee On Science And The Environment. (1983) Reference: Pesticides Inquiry. 3 Volumes. The Senate, Canberra.

47.

Siemensma

N. P.

(1982) Submission to the Senate Standing Committee on Science and the Environment. Reference: Pesticides Inquiry, Volume 1. The Senate, Canberra.

48.

Spragg

G. S.

(1982) Vietnam and the Post Traumatic Stress Disorder. Paper presented to the Annual Conference of the Royal Australian College of Psychiatrists, Perth, October, 1982.

49.

Stanley

O. T.

(1982) Submission to the Senate Standing Committee on Science and the Environment. Reference: Pesticides Inquiry, Volume 2. The Senate, Canberra.

50.

Streimer

(1982) Psychiatric Disorders among Vietnam Veterans. Paper presented at Annual Conference of Royal Australian and New Zealand College of Psychiatrists, October, 1982.

51.

Struwe

Knave

Mindus

(1983) Neuropsychiatric symptoms in workers occupationally exposed to jet fuel—a combined epidemiological and casuistic study. Acta Psychiatrica Scandinavica, 67, Supplement number 303, 55–67.

52.

Thygesen

Herman

Willanger

(1970) Concentration Camp survivors in Denmark, persecution, disease, disability, compensation: A 23 year follow up. Danish Medical Bulletin, 17, 65–108.

53.

Tsubaki

Irukayama

Eds (1977) Minimata Disease: Methylmercury Poisoning in Minimata and Niigata Japan. Kodansha, Tokyo.

54.

van Tiggelen

(1982) Submission to the Senate Standing Committee on Science and the Environment. Reference: Pesticides Inquiry, Volume 2. The Senate, Canberra.

55.

Vietnam Veterans Association Of Australia. (1981) Submission to the Senate Standing Committee on Science and the Environment. Reference: Pesticides Inquiry, Volume 1. The Senate, Canberra.

56.

Waller

The victors and the vanquished (1944) Abstracted in Strangers At Home: Vietnam Veterans Since The War ( Figley

C. R.

Leventman

Eds.) Praeger, New York, 1980.

57.

Wecter

When Johnny comes marching home: Veterans “benefits” in historic perspective (1944) abstracted in Strangers At Home: Vietnam Veterans Since the War ( Figley

C. R.

Leventman

Eds.) Praeger, New York, 1980.

58.

Wilson

(1982) War disabled begin a long, lonely battle. Weekend Australian, October 9–10, p15.