This study investigated the systems of Minnesota Multiphasic Personality Inventory (MMPI) configural interpretation of Skinner and Jackson (1978) and Kunce (1979) with Vietnam veterans with posttraumatic stress disorder (PTSD). MMPI profiles of four groups differing in combat exposure were compared on four MMPI configural variables from Kunce (1979) and Skinner and Jackson (1978). The four groups were (a) PTSD sufferers, (b) Vietnam combat veterans without PTSD, (c) Vietnam noncombat veterans, and (d) Vietnam era veterans. All groups were further divided into hospitalized versus nonhospitalized subgroups. Dependent variables were Skinner and Jackson's (a) sociopathic modal profile, (b) neurotic profile, (c) psychotic profile, and (d) Kunce's emotional expression (enthusiastic-reserved) dimension. Results indicated that hospitalized PTSD subjects had significantly higher scores on Skinner and Jackson's neurotic profile; both hospitalized and nonhospitalized PTSD subjects had higher scores on the psychotic profile and were more "reserved" on Kunce's emotional expression dimension. Results were interpreted in terms of configural MMPI interpretation systems and the adjustment of Vietnam veterans with PTSD. PTSD was viewed as exhibiting cognitive, somatic, and affective features.
In the past years Environmental Medicine has established itself in the departments of community medicine. The clients of these health offices as well as those attending other Environmental Outpatient Departments and who suffer from anxiety in connection with environmental pollution show increasingly psychomatic and even psychiatric disturbances. This paper demonstrates, from the psychiatrists as well as the environmental physicians point of view, the relationship between psychological disturbances and environmental pollution in a typical case-history. The differentiation between possibly toxically induced symptoms and psychologically caused symptoms will be made clear. The aim of this interdisciplinary paper is to contribute towards reducing contact anxiety between Psychiatry und Environmental Medicine also to reduce the clients' fears of psychiatrisation and thus to facilitate therapeutic intervention.
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