(12) Loss of functions ("conversion reactions" that impair the soldier's job).
(a) Sensory (eyes, ears, touch, and so forth).
Motor (paralysis, abnormal tics).
Speech (stuttering, mute, can't understand).
May mimic NBC, laser, or other hidden injury.
(13) Disorganization (impulsive, unpredictable behavior such as violent
outburst, panic, freeze, stupor, hallucinations of battle).
PRINCIPLES OF TREATMENT
a. Brevity, Immediacy, Centrality, Expectancy, Proximity, Simplicity. Brevity,
Immediacy, Centrality, Expectancy, Proximity, Simplicity (BICEPS) is used as a acronym for the
principles of treatment for soldiers suffering from combat stress reaction. Brevity, Immediacy,
Centrality, Expectancy, Proximity, Simplicity are explained below.
(1) Brevity. Treatment should be brief, lasting no more than three days. For
more extensive treatment, ship the casualty to the rear.
(2) Immediacy. Identify the need for care early. You should not wait for
consultant or evacuation to another facility.
(3) Centrality . Treat a casualty in one location separate from the hospital.
This is done to maintain military image and to decrease self identification as sick
(4) Expectancy. Thorough verbal and nonverbal messages from staff,
friends, and chain of command, the casualty should expect to return to duty after
several days. The casualty should understand that no illness or lack of character exists,
only normal stress reaction to combat exhaustion--recovery is assured.
(5) Proximity. Provide care as close as possible to casualty's unit of
assignment in order to maintain bonding with unit and maintain support from friends.
(6) Simplicity. The goal of treatment is to return the casualty to combat, not
to perform psychodynamic therapy.
b. Other. In addition to "BICEPS," the casualty should be provided with the
Rest. This may include sedation for one or two nights, if necessary.
Nourishing and appetizing food.