The discovery of the antipsychotic properties of chlorpromazine in the 1950s was a fundamental event for the practice of psychiatry and for the genesis of the so-called "psychopharmacological revolution."

Distribution électronique Cairn.info pour Médecine & Hygiène. © Médecine & Hygiène. Tous droits réservés pour tous pays.La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.

During the 20th century, the management of war-related psychological trauma shifted from neurology to psychiatry. After September 11, 2001, the French forces participated in a multinational force deployed in Afghanistan to fight against terrorism. Post-traumatic stress disorder (PTSD) became a priority. We report the daily work of the psychiatrists involved in this mission and the organization developed to psychologically support wounded military personnel. The doctrine of early intervention psychiatrization and the technique of collective debriefing are the key points of this procedure. The psychiatrist is also responsible for the healthcare community, particularly vulnerable when confronted with severe ballistic injuries. One aim of this organization is also to screen PTSD in soldiers returning from Afghanistan. The military general practitioner is a pivotal point of this procedure built to detect PTSD, anxiety, depressive reaction and behavioral problems. The French health service has developed a genuine care strategy aimed at identifying patients, accompanying them in the formalities for recognition and compensation, and offering them treatment locally by arranging clinical psychology consultations near their home.

Whether or not PTSD is an occupational hazard in submariners, this report highlights the difficulties in conducting behavioral health follow-up after serious accidents.

Please cite this article as: Gheorghiev C, de Montleau F, Clervoy P, Dangerosité et milieu militaire, Annales medio-psychologiques (2008), doi:10.1016/j.amp.2009.06.021 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Methods. -The concept of dangerousness refers to the uncertain eventuality of a threat, by implying potential realization of a danger which can express himself according to multiple modalities, the common denominator of which articulates around a dimension of violence. The explicitation of the diverse notions which are frequently associated with it in a partial semantic stepping was a preliminary exercise necessary for the study of this complex phenomenon, by distinguishing what is of the register of the subject, its environment and the present situation.From these preliminary data, our study of the dangerousness was limited to that of a dangerousness applied to a given environment, the military environment, going from theoretical general points to a more restricted expression of the dangerousness. This transition finds its relevance in the absence of specificity a priori of the military population in comparison with the general population, where only the function here comes to particularize the subject. Peculiarities of expression of the dangerousness due to the dimension of constraints that the military environment implies, but also because of specificities organized around two essential coordinates, that liking the question of the weapons the availability of which appears to the foundation of the exercise of the function of serviceman and that bound to the question of the group within which evolves the subject the interrelations of which modulate and sometimes condition the emergence of a potential dangerousness. Thus was described a particular dangerous collective phenomenon, the panic, whose emergence can deeply disorganize the group by representing a serious danger for its timelessness. The importance of the figure of the chief was emphasized by creating the unity of the group and giving sense to action; his lapse especially during time of war can be the source of important failures in the collective working leading to severe damages.Conclusions. -Dangerousness seems to be connected with army for intrinsic reasons, as the use of weapons which is correlative to its missions and the interrelations between a subject and a group whose disorganization can induce grave consequences. Military constraints due to its strict rules and discipline can participate to an appearance of dangerousness in particular during operational situations, whereas training and preparation enable to reduce the...