Early heat stroke.
True laser blindness.
(10) Personality disorders.
METHODS OF TREATING SEVERE REACTIONS TO THE STRESS OF
a. Basic Treatment Principles. The basic treatment principles are:
The expression "Easy as PIE" is a useful memory aid.
b. Proximity/Immediacy/Expectancy. In order to treat soldiers experiencing
combat stress reactions effectively, treatment must take place as close to the unit as
possible--treatment in the "proximity" of combat. It is best to treat them within their own
units if their condition and the tactical situation permit. It has been consistently found
that the further a soldier is removed from his unit, the less likely he is to return to full
duty. The soldier should be treated as soon as possible--"immediacy." The longer the
reactions last, the harder it is for the soldier to give them up. Finally, the soldier is
treated with the clear expectation that he will recover fully after rest and replenishment
(food and liquids)--"expectancy."
c. Rest/Sleep. Treatment consists of rest, replenishment (sleep, food, water,
hygiene), reassurance, and activities to restore confidence. The soldier should have a
minimum of four hours sleep, six to eight hours would be better. If necessary, he could
sleep two three-hour periods with light work in between. The soldier should be told at
the beginning that this treatment will be short and simple. He should be reassured that
this is not a weakness but quite normal, a condition experienced by others. Give the
soldier a chance to talk about how he feels. Listen attentively without interrupting, do
not argue, and emphasize to him his natural coping skills.