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Abstract
A importância da seleção do ponto de vista psiquiátrico torna-se óbvia ao examinar os dados do exército norte-americano referentes à segunda guerra mundial. Entretanto, apesar da cuidadosa seleção, todos os indivíduos recrutados são passíveis de sofrerem reações de combate. O reconhecimento precoce dessas reações e o seu tratamento intensivo permitem a recuperação da quase totalidade dêsses pacientes. As seqüelas das reações de combate representam a incapacidade do ego em ajustar-se à situação decorrente da ausência do estresse de combate e, especialmente, em readaptar-se à vida civil. Ao lado dêste fator, o de ganhos secundários associados tem uma grande importância na cronificação dessas reações. Em indivíduos com impulsos agressivos fortemente reprimidos, a situação bélica pode proporcionar uma gratificação intensa dêsses impulsos. Essa gratificação irá prejudicar o ajustamento dêsses indivíduos na rotina civil. Nos três casos apresentados êstes fatôres colaboraram para a manutenção de uma reação psiconeurótica crônica.
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