No. 4234 September 8, 1942 MENTAL HEAL TH IN TIME OF WAR Sixth Yearbook of The Texas Society for Mental Hygiene Pablished in CoOperation with The Division of Extension of The University of Texas - PUBLISHED BY THE UNIVERSITY FOUR TIMES A MONTH AND ENTERED AS SECOND·CLASS MATTER AT THE POST OFFICE AT AUSTIN, TEXAS, UNDER THE ACT OF AUGUST 24, 1912 CONTENTS PAGE Foreword, T. H. ShelbY----------------------------------------------------------------------3 Editorial -----------------------------------------------------------------------------------------4 War Program of the National Committee for Mental Hygiene, George S. Stevenson ------------------------------------------------------------------5 Considerations for Adults if Problems in Children Are to Be Prevented, Lila McNutt ------------------------------------------------------------10 War and the Problems of Youth, Mrs. Beulah Temple Wild ________ 15 The Family Background of Some Wartime Problems Among Adolescents, Clara Bassett --------------------------------------------------------19 Mental Health Problems of School Children in Time of War, E. L. Aten ----------------------------------------------------------------------------------24 The Effect of War Conditions on Interest and Enrollment in Schools of Defense Areas, J. W. Edgar------------------------------------28 The War Psychology of Germany Compared with That of the United States, W. L. Allison ----------------------------------------------------33 Services the State Hospital Can Render the Community in War Times, Lewis Barbato ----------------------------------------------------------------37 Suggestions for Case Workers in Meeting Special Adjustment Problems Resulting from the War, Walter W. Whitson__________ 39 The Origin and Development of the Texas Society for Mental Hygiene, Mrs. Violet S. Greenhill --------------------------------------------42 Distinguished Service in Mental Hygiene ---------------------------------------45 Proceedings of the Ninth Annual Meeting ----------------------___________ 47 Standing Committees and County Societies ------------------------------------52 Constitution and By-Laws -------·---------------------------------···------------···-· 57 List of Members ------------------·---·--------------------------------·------·----···--------60 DIRECTORY Editor of YEARBOOK: H. T. Manuel. Dean of the Division of Extension: T. H. Shelby. Executive Committee of Society: Eugene L. Aten, M.D., President; T. W. Buford, M.D., First Vice-President; Robert L. Sutherland, Second Vice-President; Lucile Allen, Secretary-Treasurer; Mrs. Violet S. Greenhill and Paul L. White, M.D., Members. ADDITIONAL COPIES Additional copies of this publication may be secured from the Division of Extension, The University of Texas, Austin; or from the Secretary of the Texas Society for Mental Hygiene, Miss Lucile Allen, Highland Park High School, Dallas. Single copies, 20 cents, postpaid; 10 or more at 15 cents per copy. FOREWORD The Extension Division of The University of Texas is happy to cooperate for the sixth time in publishing the Yearbook of the Society. The purposes of the Society are intimately related to one of the aims of the Extension Divi­sion, viz., the promotion of better guidance for Texas children and youth, and the development of a program of physical fitness through the establishment of Physical Fitness Clubs in the public schools. What more appropriate title could one find than the one adopted by the Society for the year's program, "Mental Health in Time of War?" It should be read by all teachers and by all parents as well. T. H. SHELBY, Dean, Division of Extension The University of Texas EDITORIAL MENTAL HEALTH IN TIME OF WAR The first task of our people is to win the war. There can be no doubt of that. It is a life and death struggle. All of our activities must be organized in relation to the war effort. This inevitably means that some things which we have been doing must be omitted or at least greatly reduced for the duration of the war. In the light of these facts what can and should be our attitude toward the development of the mental hygiene program in Texas? Let us recall that in an emergency the disturbance of normal activities, like individual service, should be selective. Those that are least necessary must be curtailed first and restricted most. On the other hand, activities that are most vital should be maintained at an even higher level. It is not difficult to point out what some of these most vital activities are. Certainly, the maintenance of order and the feed­ing, clothing, and housing of our people are among the essentials. Education is another. The children of this generation must have their chance now, if at all. The neglect of education is an invita­tion to disaster. Health is another essential. When every ounce of strength is needed to meet an external foe of inconceivable physical might, there is no place for weakness within. The health program must not be simply a negative one, but must build up reserves of strength for new stresses and strains to be faced in the war and after. Although human problems are the same fundamental problems in war and in peace, the increased stress and strain in time of war brings new burdens. It is of the utmost importance that we pre­pare for them. As a small contribution to one phase of the war effort, this brief Bulletin is offered. Much of the material is taken from papers presented at the Fort Worth meeting. The Editor regrets that in the interest of economy it has been necessary to eliminate much interesting material and to abridge some of the papers. Many have assisted in the preparation of the Bulletin, and to all of these the Editor is grateful. WAR PROGRAM OF THE NATIONAL COMMITTEE FOR MENTAL HYGIENE GEORGES. STEVENSON, M.D., Medical Director A large part of the effort of The National Committee for Mental Hygiene has been re-directed to war work. Its program is in contrast with that of the first World War when the psychiatric aspects of the Army were without precedent and major effort had to be placed at this point. It might be said that the National Committee on this occasion is giving much more attention to the preventive and early diagnostic phases of the work, both at the point of cantonments and in civilian spheres that bear heavily upon the life of the soldier. MENTAL HYGIENE SOCIETIES Mental hygiene societies seem to be the most potent force through which advances in the local aspects may be initiated. Several meet­ings of state mental hygiene society representatives have been held to discuss these matters and individual collaborations between the state and national organizations have been frequent. The National Committee is now contemplating the engagement of a full-time person to be assigned to field work for state societies and to focus especially upon the needs of Selective Service. SELECTIVE SERVICE Early in 1941 the National Committee conducted four experi­ments in Selective Service designed to bring to evidence for psychiatric diagnosis the public record and knowledge of regis­trants at four different stages of selection and in four different types of communities. These experiments showed that the process was both productive and practical on the basis of volunteer as­sistance. In Hartford, Connecticut, which was one of the four communities, the experiment immediately expanded into a routine clearance of all Class 1 men through the state files for mental disease, police records and mental deficiency. These experiments also clarified the resistances existing in Selective Service Boards to utilization of such records and to cooperation in securing them. Later in 1941 in cooperation with the New York State Depart· ment of Mental Hygiene and the New York State and City Com­mittees on Mental Hygiene we presented a proposal for the inclusion of investigators' reports in the induction examinations in the Second Corps Area. This met with wholehearted welcome. Such reports, however, can be obtained only by Selective Service, and consequently the matter was taken up with Selective Service Headquarters, it being pointed out that unless investigations could be made at the Selective Service level they could not be made available to the induction board. Instructions issued December 15, 1941, revealed that this is in line with their desire, and plans were worked out for putting into effect the utilization of volunteer investigators first of all in New York, since arrangements had already been made there. At present this New York effort, which is just getting into its stride, is being watched, and suggestions will be made as to other states that might undertake such a program. In view of the fact that many psychiatric cases that come up for selective service are known to psychiatrists in private practice a letter was sent to practically all psychiatrists in private practice in the country giving suggestions for transmitting such knowledge to the board. TREATMENT OF REJECTEES The National Committee has not done very much in this respect itself except through the New York City Committee for Mental Hygiene, which is now conducting an experiment in the rehabilita­tion of men rejected by Selective Service for neuropsychiatric reasons. VOCATIONAL REHABILITATION From two standpoints vocational rehabilitation is of special interest. From the humanitarian side it is an important aspect of the total rehabilitation of men discharged from the Army, but from the more immediate and practical side it is a serious element in our effort to conserve man power. The traditions of vocational rehabilitation are limited pretty exclusively to the matters of physical repair and prosthetic devices. A large part of the failure of physical rehabilitation has been due to the neglect of the psycho­logical elements, and there has been practically complete neglect of the vocational rehabilitation of those who have been or are mentally handicapped, except as psychiatrists have done a little along this line as a part of their treatment effort. This matter has been presented to numerous persons in key positions in Washing· ton, all of whom appreciate its seriousness. However, the tradi­tions are so strongly of the other sort that much support will he necessary in order to have these important elements provided for in legislation. The National Committee has added to its facilities a Vocational Adjustment Division, in collaboration with which an experiment is to he conducted in New York looking to the clarifies· tion of the techniques of vocational rehabilitation on the mental side and an estimation of the extent of the problem and its cost. PSYCHIATRIC FUNCTIONS OF THE ARMED FORCES An effort has been made through various contacts to discover the functions being performed by psychiatrists in the Army and to secure advice as to how the National Committee or other civilian agencies might he of assistance to the psychiatric function. A very considerable number of facts and suggestions have been gathered in this way. Among other things, the psychiatrists in the Army have a definite feeling of isolation. At our request, Dr. C. C. Burlingame and Dr. Karl Menninger have kindly consented to help in this situation. PSYCHIATRIC CASUALTIES IN THE ARMY A retrospective study has also been made of psychiatric casualties, mostly dementia praecox, in one camp. The purpose of these investigations was to discover methods of better history-taking, and what is even more important, to answer in each case the question, "What might have been done to prevent the entrance of this man into the Army or to forestall his breakdown?" Out of these investigations definite leads appear, which, if followed, will forestall some cases. They show that if the mentally unfit are to he caught in time, many of the cases must he spotted by early in-service diagnosis. Early in-service diagnosis is possible at several points­at the Red Cross, which provides recreational services for hospi· talized cases, particularly the psychosomatic group, which are im­portant in this respect; at the regular Army life level with morale The University of Texas Publication officers, company officers, chaplains and dispensary workers, and through USO. The National Committee has given special attention and support recently to a classification clinic established at Fort Monmouth. This clinic is in a position to receive mental patients from chap· lains, company officers, hospitals and dispensaries, in fact from any unit within the Army and from Red Cross and USO, to help out with personality problems without waiting breakdown sufficient to require their hospitalization. This is such an important step in early diagnosis and treatment that every effort is being made to foster it and bring about its extension. Our studies show that the station hospitals in the camps are being unduly taxed by the failure of the home states to act as promptly as they might in arranging admissions to civilian hospitals. Both states and families tend to try to throw responsibility hack on the Army and so delay discharge from the Army of the mentally disabled. This matter has been placed before the mental hygiene societies and appeals have been made to various groups to help keep beds of station hospitals open. UNITED SERVICE ORGANIZATIONS (USO) Since USO agencies meet the soldier on an unauthoritative basis when outside the regimentation of the Army and when he is faced with the necessity of making his own decisions, they are in a favorable position to sense problems and guide the soldier to help. This matter has been discussed with headquarters of USO and has received a most favorable response. Serious attention is being given to this possibility in a way that promises to make the whole USO more effective in its counseling function. AMERICAN RED CROSS Reference has been made to the potential role of the Red Cross in early in-service diagnosis. The Red Cross has already a very definite work to do in the mental hygiene field. They are partici­pating in the Navy screening process and in the rehabilitation of neuropsychiatric casualties. Because of these functions, they have called on the National Committee for advisory service, and at our suggestion, have taken on a mental hygiene advisory committee with National Committee representation on it. Through it, stand· ards of personnel have been formulated and functions discussed. We are assisting them in securing a psychiatric social work staff and in recruiting persons to fill vacancies thereby created. The Home Service of the Red Cross provides unparalleled opportunities for mental hygiene education and service throughout the country. Some of these opportunities are now being formulated in anticipa· tion of a program of action. MORALE Assistance has been given to the Children's Bureau of the Depart· ment of Labor in Washington in formulating and participating in a radio program, "Children in War Time," offered each Tuesday over the Blue Network. Assistance was given this Bureau also in organizing a mental hygiene advisory committee of which Dr. Stevenson is Chairman. This committee has prepared pamphlet material directed to lay and professional people, and the first of these pamphlets entitled "To Parents in Wartime" has already achieved a large circulation. CIVILIAN SERVICES One of the worrisome by-products of the war is the curtailment of civilian services, especially the staffs and budgets of hospitals and clinics. It is inescapable that a trend toward regression from treatment to custodial care should occur. The important thing is to prevent complacency from developing which will permit the regression to continue longer than necessary. Every effort is being made to keep this danger before the public. A recent threat to eliminate the data on mental diseases from the vital statistics of the Federal Census Bureau was the subject of a matter of concern to us, and much effort was placed on retention of these important facts. Fortunately the collection of these data will be continued. The attention of the National Committee to the post-war activities of civilian life has, of course, been greatly curtailed by the trans· ference of our effort to war needs and also by the turning of attention and effort of the public away from some of these matters toward war interest at the present time. There are many mental hygiene matters, both civilian and military, that need attention. For some the time is not ripe. For others limitations of time and facili· ties are the only restrictions. CONSIDERATIONS FOR ADULTS IF PROBLEMS IN CHILDREN ARE TO BE PREVENTED LILA McNuTT Psychiatric Social Worker, El Paso Public Schools My discussion is based on three major precepts: ( 1) Life is a biological progression from the time of conception through infancy, latency, adolescence to adulthood with each period having its own peculiar and immediate fundamental needs. The value of one period is dependent upon the successful development of the one before. A child is not a small adult. (2) Every child, to grow to an adulthood representing maturity, must have security, recognition, and response with experience grad­uated to his stage of development. This means, further, that each child must he recognized as an individual who has an end in him­self. ( 3) The family is the basic unit of society, and is played upon by the ideas growing out of experiences of combinations of like units (society) ; i.e., the church, school, recreative units, employ­ment, housing, health agencies. (At this point Miss McNutt proposed two "major questions." On account of the limitations of space, her discussion of the first has been omitted.) My second major question concerns deficiencies, material and affectional. As you all know, there are two great kinds of diseases attacked by medicine. The first is germ diseases: measles, diphtheria, typhoid, whooping cough, etc. Much progress has been made in overcoming these. The second, the deficiency diseases: beriberi, rickets, pel­lagra, types of neuritis, some easy irritabilities, stomach ulcers. Medicine is being challenged by these now. In mental health we can parallel these two areas: The germ diseases may he likened to wrong or conflicting ideas and social ideals, misinformation, false rumors, manufactured propaganda inciting hate. In war time all of these are rampant. The insecuri­ties, instabilities, and uncertainties, the griefs and excitements of war time keep adults from weighing and appraising these germs or ideas; and finally, of interpreting them in a rational, stabilizing way for children of the varying ages mentioned to digest. What, in this war just beginning are the prospects for good mental health of children from the imitative age through adolescence, when social ideals are being formed? But something more insidious than these idea ailments are the deficiency diseases, perhaps because they are less aggressive, hence less easily noticed until in an advanced stage. These in the mental-health field fall into two general areas; the aff ectional deficiencies and the material and privilege deficiencies. This is a world of men and women, boys and girls. The need for each other has been preserved in an old, old tune, the words of which are at first teasing, then completely capitulating: Reuben and Rachel . ••. The interrelationship in the family unit is built into our lives, and all the crisscross relationships of men and women, boys and girls, men and boys, women and girls, women and boys, men and girls represented by mothers and fathers, brothers and sisters, aunts and uncles, grandparents, perhaps, and cousins. Suddenly in war, it is a family of a woman and younger boys and girls--no father, no uncles, no older brothers. Think of the deficiency in the lives of these boys and girls. Then, sometimes the mother is out at work to take advantage of high wages due to labor shortage or to supply family needs because the father or wage-earning brothers are at war. How does this square with the normal family unit necessary to meet the needs of children at different ages? We know now some· thing of the need for affection and cuddling for small children: the first sympathetic and affectional extension of the socializing process from the mother to the father, then to brothers and sisters. Here the deficiency is most dangerous for future mental health but one that appears harmless, because the baby cannot be vocal on that point. He grows up with a vague feeling of not belonging, of insecurity, the basis for which he does not know. Jumping to adolescent years, the inherent need of a girl for her father presents one problem. But all her natural social activities are awry. Girls mature faster and are apt to go with boys older than themselves. But the older boys are away in training or at war. This period will never come again. Suppose the war lasts five years, the seventeen year old will then he twenty-two. She, too, will have vague feelings of dissatisfaction-of something missed out of her life. Then there are the griefs due to casualties of the war (which we can expect in increasing numbers) . One of the first comments I heard on Tuesday, December 9, was that one of our girls had lost two brothers on a battleship sunk in Pearl Harbor. It is useless to say she is as well off as many other girls who had had no brothers. Her brothers are a part of her experience. They are in her plan of life. Consider the deficiency in the adolescent hoy who is trying to establish masculinity, yet has mainly feminine companionship. Along with affectional deficiencies, there are material deficiencies which have their psychological accompanimen~ars, for instance. Young people have always had a means of transportation. Auto­mobiles are the current means. It is motility in widening areas­a deep-seated characteristic of American freedom which has re­verberations in the individual. The denial of this one war necessity goes deeper than just the need for rubber. There is the possibility of being overtaken by the psychology of "the last chance." A radio advertiser has an announcer say at intervals, "Don't wait-next week may he too late." Think what that does to long-time family planning. The pressure to he patriotic on a nationalistic basis is throwing many a family plan out of focus. The hope to buy a home or a farm or to lay aside money for a son's or daughter's college education is suspended. Fading privileges, opportunities, personal vanities, represent deficiencies which strike at the very heart of planning which helps hind families together and effects personal security. The displacement of families to defense areas means the break· ing of ties of friendship--a serious matter to children under ten unless there is an unusual sense of security in the home. Small children have an undeveloped sense of time. A promised return in one month or three may contain little comfort because of a lack of ability to appraise time limits. Separation within the home as well as from friends is hard for very small children to understand at any time. To step in our thinking from the home to the school; there we find hysterical planning. It extends from the day nursery through the college years. To meet war crises, a director suggests, out of generosity, an extension of accommodations in a day nursery from 30 to 100. It is hard to imagine the social confusion that the demand for adaptation among so many would bring to the lives of nursery­school-age children with their undeveloped nervous systems. The need for parental care and individual attention so necessary in this period is lost sight of; as is the forward look to adulthood when there will be the flowering of any seeds planted in the nursery years, or the failure to flower if proper plantings are not made. Shall high school and college students withdraw from school to help directly in the war effort? Or shall subjects be chosen which have a direct bearing on present war needs? Predictions are that this will be a long war-one of five or six years. This is an important time in a student's life. Most of his life will not be lived under war conditions. Shall he not better prepare for the life he is to live in his adulthood? If this is to be a long war, had he better not stay in school getting whatever of preparation he can for adulthood, then go to war? If it is a long enough war he will still be needed. If not, he will at least have such preparation for life as school affords. The circumstance of war brings many basically conflicting ideas for the church to ponder. I should not like to be considered lack­ing in reverence by mentioning particularly the prayers. These are addressed to God, but also fall upon childish ears. The content dealing with conflict and the, at times, morbid tone may require explanation if the child is to maintain his faith in people. How are we to meet these problems? There, of course, can be only a partial answer. We are not completely without remedies. 1. Use tested experience. Crisis conditions may be used to effect changes we already know, because of tested experience, need to be made; accelerated educa­tion for promising students, increased vocational opportunities for the less academic minded could be incorporated now. These arc Ion~ felt needs. A crisis makes changes in school programs pos­ sible. 2. Exaggerate the unity brought by war itself. We can emphasize our faith in youth and children to carry extra loads. They are resilient and have untapped reserves if they can feel our confidence in them. For children, a sharing of responsi­bility is a wholesome thing. 3. Emphasize positive aspects. Instead of emphasizing the denials brought by war, we can think of what we still retain and still can give, then give it freely. We can find new values in everyday experience. There are ways of finding new experience with old materials. There is a challenge to test ingenuity and to provoke new ideas. 4. Present alternatives. In a time of war it is important that the country's needs be presented frankly and forcefully. To the sensitive this may be overstimulating and arouse a patriotic fervor beyond the point of wisdom. To these, alternatives need be presented. The mother may be as patriotic in staying at home to care for her family as to spend her energies in actual war work or in industry, at the same time over-crowding day nurseries. The already loaded teacher may be as patriotic in doing a good teaching job as in spending energies in war knitting-unless it is a recreation to her. Many, of course, have energy for both and will be happier for participation in war work. 5. Since unhappy surprises are troubling to children, there is special need to prepare them for what is bound to happen. Terror in blackouts can be reduced by suitable explanations and trials before the real thing occurs. 6. Plan for peace time. To be human is to hope and dream. We can utilize this trait-the highest one-one which sets us apart from other animal life. To plan ahead for a more hopeful period may make present hardships and denials easier. 7. To make up for deficiencies in human relations with men, perhaps we can indulge in what Albert Spalding in The Pause Tlwt Refreshes calls "an adventure in compassion." Men who are left will need to spread themselves to be big brothers to adolescents and uncles to younger boys and girls. WAR AND THE PROBLEMS OF YOUTH MRS. BEULAH TEMPLE WILD Bureau of Mental Hygiene, Houston With the mention of war one immediately thinks of ties that are severed or broken: brothers or fathers who leave for service or defense work and leave without being able to take their family responsibilities with them. These must be left behind, and usually these responsibilities fall to the oldest son. It is this shifting of duties into the hands of the oldest youth in the family that gives him an added feeling of importance, but it also makes him the more aware that one of his sources of security is gone. Perhaps he is not yet emotionally mature enough to stand alone. Defense jobs call the wage earners of the family. Perhaps the father goes to the job first and leaves the family in the care of the oldest girl. Once established and with the prospects of two rooms or a small house, the telegram is sent. In a whirlwind of enthu­siasm, but with speed geared not to wear off too much rubber, they are off~ff to new sights, new experiences, new money-sacri­ficing the feeling of security that comes with being able to know the honk of the boy friend's car or the bark of the neighbor's dog. The migratory families these days aren't the Joads or the Oakies but, like them, they take along all the children, and the boy has only struck up a speaking acquaintance with the girl across the street when they move on to another defense job. One girl in a migrant family had met some nice young people in Detroit and others in Baltimore, and she had written them at first, but then she moved four times in as many months-"and what's the use trying to make friends? You only leave them." I spoke a minute ago about new money. Perhaps you won't agree that that may be a problem for youth. Or maybe you'll say, "I'll take a lot of problems like that one." But I wonder if it isn't an important problem when the newspaper boy who earned $30 a month at the most goes to work as a supply boy at the munitions plant and gets SS.00 a day; or when the young man who has been making $125.00 per month as a draftsman goes into the ship build­ing industry and earns $130.00 per week. Coupled with the problem of sudden wealth comes the problem of what to do with the money. After debts, and mortgages, and iraternity pledges are paid off there will still be more than the individual can comfortably manage. There won't be cars or radios, or motor boats, and there's a limit on how much money a man should spend on his date, war time or no war time, so what will happen with the rest? In the similar situation in the last war some of it went into Liberty Bonds but a great deal of it went into frivolous buying. We may well keep in mind too, that the very fact that jobs are open to youths is a jolt of no mean proportion. As suggested by Dr. Stevenson in a recent article, in the depression years we kept our youth in school and college. Labor laws and limitations in industry pushed him further from the doors of the shop. He was kept there for the simple reason that there weren't enough jobs for all. What happened to him may not have been all on the red side of the ledger for it did give him a fuller opportunity toward development. Unfortunately, this elongated period of protection in the life of the boy or girl tended to leave him or her a less emancipated (emotionally) individual than we now are expecting him to be. Not only is he fearful of not being able to "measure up" but he finds difficulty in deciding his own worth. Next to the feeling of being wanted, comes the feeling of being needed. Industry wants him and needs him, but in times like these he may get warped ideas about his own value. It seems to me that since December 7 the "Four Little Words" in the English language have become: "What can I do?" Has your campus been punctuated with little groups in the corners discussing Red Cross activities? But wasn't there a period at first when you thought of such drastic action as blowing up the nearest Japanese embassy? We all felt like that; adults as well as youths. A psy­chiatrist recently likened our national feeling to the experiences of the psychoneurotic individual: the precipitating cause relative to the arousing of our national emotional feelings came, perhaps, at the time of the Munich affair. We were angry. We were panicky, we wanted action yet were told, "There is nothing you can do now­nothing now." The emotional drives were wanting an outlet, were wanting to discharge themselves. Conflicts arose because there were no legitimate outlets-"nothing yet, nothing you can do now." I'm wondering if that isn't part of the reason that we think Red Cross work is drab and why one woman refused to go to a defense meeting because she knew all they'd tell her was just to go on home and be a better mother. She didn't want that-she wanted excitement. And what about the boy who, because of patriotism, or a feeling of duty, or to jump the gun on his draft number, what about him, if the armed forces turn him down; if they send him back into his home community labeled "Unwanted"? I talked to one such boy yesterday. He had been given a medical discharge from the Army because of a bad ear condition. He had tried to reenlist. They turned him down again. Now, he and a friend (who has a medical discharge from the Navy) plan to "see about them merchant marines. The other guys are in the fight and we want in, too." The rejectee who is turned out with a card in his pocket saying, "Psychoneurotic, anxiety and compulsion," has a still greater prob­lem. His condition is looked on with suspicion. His problem is far less simple than if he had received any other kind of label. As one boy said, he cannot return to the university and go on with his education; his friends would ask him how he stood with the Army. He couldn't tell them he was let out because of his eyes, because they would know that there were plenty of boys in the Army who wore thicker glasses than he did. He couldn't tell them it was because of flat feet, for they could look at his feet and see they weren't flat. The only thing left for him to do is to go into industry until the rest of the boys come back from war and then trust to luck no one will want to discuss his service record. How to help such individuals--that is a real problem. And now what of youth and marriages--war marriages, I mean. Do they constitute a problem? One did, to a friend of mine. (She spends a great deal of time meditating on just how Congress can cut down on its expenditures and thereby reduce her taxes.) She told of a girl who was a none too reliable waitress but was adept at repartee, and who after a short two weeks' friendship with a boy in training, married him. He was killed last Monday. They had been married two months. My friend's reaction was, "Now just look at that. He had two government insurance policies and now Congress will have to pay her $10,000, and she's not worth it." Marriage rates are jumping. They did in the last war. One girl we know of at the Bureau has set out as her little defense effort a plan whereby she tries to influence every girl she knows to marry a service man. She seems to have the conviction that every boy deserves at least one happy honeymoon before giving his all to his country, and furthermore, that it is every girl's patriotic duty to marry now. Thus far three girls have succumbed. Another girl remarked, "Yes, the boys want you, but they don't want to marry you." These are indications, I take it, of a change in real values. A business man who employed 150 girls in his office during the last war is at the present employing approximately the same num­ber. He says the rate of war marriages is about the same in the two groups. But the alarming remark he made was to the effect that following the last war not one of those marriages lasted. Will that be true this time? And would it mean that we have made little progress in rearing individuals who can keep their balance during periods of stress-individuals who quickly throw into the discard all sense of values? Now as to the problems of the youth in college. Let me read you what one boy wrote: "Naturally no one, and particularly the men students, can feel nonchalant about the whole thing. A lot of things begin to look different. Your paper for Psychology 201 doesn't seem so significant if you know that you might not be around to take 202. Any number of fellows will want to get married now; so that they don't in any case, die a bachelor's death. But as for anyone sitting down now and thinking out his future for the next twenty years, no sir. Too many fogs ahead." In that same magazine appeared an article written by the presi­dent of the university the boy was attending. Part of it could well be taken as a reply to the boy's comments. "From the universities should come the men and women who can make a decisive contribu­tion to the solution of the problems of terrific readjustment that we and all other nations will have to make when peace has come, the most difficult perhaps the world has ever had to face. The responsibilities of the universities and of educated men and women extend far beyond the immediate crisis to those dark and unknown horizons which conceal the shape of things to come." THE FAMILY BACKGROUND OF SOME WARTIME PROBLEMS AMONG ADOLESCENTS CLARA BASSETT Instructor in Neuropsychiatry Medical Branch, The University of Texas Surgeon-General Thomas Parran recently reported that the "largest cause of non-effectiveness" in the American military service is the prevalence of the venereal diseases and he requested an additional appropriation of $2,500,000 for use in the control of these conditions in communities adjacent to cantonments. In San Francisco, there was a reduction of 50 per cent in the number of infections when commercial centers were closed, but the greatest difficulties the authorities faced were in connection with two other large groups of girls and young women. One of these groups was called "B-girls," hangers-on at cocktail lounges, bars and taverns. The second, more widely scattered group of about 2,500 or more, was termed "sea gulls," who follow the fleet in search of facile friendships, good times with boy-friends in Army and Navy and some easy money. In addition, of course, were all those girls living at home, who readily succumbed to the first pressing invitation. Only a most elaborate program of prophylaxis and speed and thoroughness in the latest types of medical treatment aid in keeping these serious dangers to the health of the armed forces at a minimum. This picture is hardly a pleasant one to contemplate when one thinks of it in terms of personality development and of family life in the future. It means that we have hordes of adolescents and young people of both sexes, who feel no responsibility whatever for any possible immediate or remote results of their behavior, however serious in character, or for personal and social health and whose ideals of personal relationships do not rise above those of casual promiscuity and the pleasures they can grasp from moment to moment. One reason, perhaps, for this widespread immaturity is the pro­longed state of irresponsibility which modern life has encouraged in the last several generations of children. In earlier generations, children were expected to perform duties and assume some responsi­bilities when fairly young. Because of the marked changes in the modes of family living which have occurred within recent decades, children in many families have been relieved of all work, effort and responsibility and parents are satisfied if they will only exert themselves sufficiently to pass in their school work. Even though the number of work experiences and home responsibilities which modern living afford are frequently quite limited, children are often not encouraged or trained to do those which are available. Many impatient and critical parents frankly say it is much easier for them to do all the work and home management themselves than it is to train their children to participate. But these same parents often become so harrassed and overwhelmed with their parental work and responsibilities that they have no time for personal rela­tionships with their children. After describing in detail the extreme selfishness, irresponsibility and refusal to do any work of her six spoiled children, one such mother recently said that as she looked back she could see that she had been so busy and worn out doing just the necessary work around the home that she had been more of a servant than a mother or companion. She had never found time to play with her children or to cultivate pleasant relationships with them and she now thought there "must have been something the matter with her head" to make her do this. As her irresponsible children had grown older, she had unfortunately evolved from the stage of being their devoted servant to that of a constant, petulant nagger. Early training in mutual participation and sharing of work, plans, and responsibilities in all the various aspects of home life are valuable means for the development of discipline and maturity in children. One of the fantastic aspects of human life is the fact that no pro­vision is man.-To promote the study of the conditions that contribute to wholesome mental activity, and to spread the knowledge of the conditions that foster normal mental development and health. To obtain and disseminate information as to the nature, origin, and effects of mental disease and mental defect, and the mental elements in anti· and asocial behavior. To encourage the recognition of the prevalance of these defects in the community, of their relation to other social problems in the community, and the spread of the knowledge of effective methods of combating them. (2) Constructive Seroice.-The promotion of facilities for the prevention, diagnosis, treatment, and care of individuals whose behavior or personality difficulties lie within the field of mental hygiene. The encouragement of any necessary legislation to achievement of these ends. (3) Professional Training.-To encourage and promote the inclusion of the principles of mental hygiene in the professional preparation of doctors, teach· ers, nurses, social workers and other professional groups whose work necessi· tates their dealing with problems of mental hygiene. (4) Such other specific purposes as the society may adopt from time to time provided they fall within the general purpose of this organization. ARTICLE III Amendment of the Constitution SECTION 1. This constitution may be amended by a two-thirds vote of mem· hers present and voting at any regular or special meeting of the Society, or by referendum provided such an amendment has been submitted to the mem­bership thirty days in advance. BY-LAWS OF THE TEXAS SOCIETY FOR MENTAL HYGIENE ARTICLE I Membership SECTION 1. Members.-This society shall consist of persons interested in the purpose of the society who have paid an annual membership fee of one of the following classes: (a) Regular member, Sl.00. (b) Sustaining member, $5.00. (c) Contributing member, $25.00-$50.00. Memberships may be on a family basis, one membership fee including both husband and wife. SEC. 2. Honorary Members.-Any person who has rendered distinguished service in the cause advocated by this Society, may be elected to Honorary Membership by a majority vote of those present at any regular meeting of the Board of Directors. SEc. 3. Local Societies.-Local societies organized and maintained with the approval of the Executive Committee shall be component parts of the Texas Society for Mental Hygiene. If state dues are paid through a local society, fifty cents may be retained by the local unit. ARTICLE II Directors and Officers SECTION 1. Board of Directors.-The Board of Directors shall include the Presidents of the county societies and twenty-four or more Directors who shall be chosen to represent the following geographical and educational interests: (a) The following general areas in Texas shall be represented by one or more members on the Board: North Texas, Central Texas, East Texas, South Texas, and West Texas. (b) The following educational or professional interests shall be represented by one or more members on the Board of Directors; psychiatry, adult educa· tion, social work, elementary and higher education, general medicine, law, the church, and the lay public. SEc. 2. Olficers.-The officers of the Board of Directors and of the Society shall consist of a President, First Vice-President, Second Vice-President, and Secretary-Treasurer, whose duties shall be the customary duties of those officers. SEc. 3. Executive Committee.-The Executive Committee shall consist of the officers, the Editor of the Yearbook, and two other members of the Board of Directors. ARTICLE III Duties SECTION 1. The care, management and control of the affairs of the Society shall be under the charge and direction of the Board of Directors subject to the will of the Society. SEC. 2. Subject to the final approval of the Board of Directors, the Execu­tive Committee is empowered to conduct any of the affairs of the Society that are delegated to the Board of Directors. SEC. 3. The Executive Committee shall report to the Board of Directors at each meeting. SEC. 4. The Board of Directors shall report to the Society at each annual meeting. Sec. 5. The Board of Directors may elect directors to fill unexpired vacancies on the Board; shall appoint and discharge committees; receive their reports; may appoint or discharge a full-time executive officer, if the finances and affairs of the Society warrant such appointment or discharge; determine the duties of the officers and employees rf the Society; may call special meetings of the Board or the Society, provided a notice of one week has been given to members of the Board, and two weeks' notice to the members of the Society; ehall adopt procedures to carry out the purpose of the Society. SEC, 6. The Executive Committee may call special meetings provided n<>tice of one week is given to members. SEc. 7. The Board of Directors shall appoint the following standing com· mittees, the chairmen of which shall be members of the Board of Directors: Publicity Committee, Membership Committee, Committee on Adult Education, Committee on Standards of Care in Mental Hospitals, Committee on Mental Hygiene Oinics, Committee on Professional Education, Legislative Committee, Committee on Mental Hygiene in the Church, and Committee on Mental Hygiene in the Schools. SEc. 8. The Board of Directors may appoint special committees whose members may or may not be members of the Board of Directors. ARTICLE IV Meetings SECTION 1. The Annual Meeting of the Society shall be held at such time and place as may be fixed by the Executive Committee, at which time the Society shall hear the report of the Board of Directors, and elect a Board of Directors and officers for the succeeding year. SEC. 2. Eleven members shall form a quorum of the Board of Directors and five members shall form a quorun of the Executive Committee. SEC. 3. The Executive Committee shall arrange for the program to be given at the annual meeting of the Society. ARTICLE V Amendments SECTION 1. The By-Laws may be amended by two-thirds vote of the members present and voting at any regular or special meeting of the Society, or they may be amended by the Board of Directors, provided such an amendment has been submitted in writing at a previous meeting and notice given to all the members of the Board. LIST OF MEMBERS* July, 1942 ABILENE BURLESON Frances Shambaugh William S. Rosamond AUSTIN D. K. Brace C. E. Brinsdon Mrs. H. P. Bybee Grace D. Buzzell Mrs. Clark Campbell C. W. Castner Percy M. Dawson Josephine Dunlop Mrs. Marie M. Green Mrs. Violet Greenhill Nellie M. Hall D. B. Harmon Mrs. R. D. Henderson James Knight Helen LeLacheur H. T. Manuel Mrs. S. M. N. Marrs Ellis Nelson Pansy Nichols Jeanie Pinckney Mrs. Virginia W. Sharborough Mrs. Noyes D. Smith J. G. Springer C. H. Standifer R. L. Sutherland Sister Vincent Paul L. White Mrs. Jean Williams BEAUMONT Lorna D. Kloster BIARDSTOWN Charley Biard Mrs. Charley Biard BIG SPRING George T. McMahan BLOSSOM Mary Ellen Johnston CELESTE Mrs. W. Rankin Roach CHICOTA J. G. Brunson Mrs. J. G. Brunson CISCO Theo Burkett CLEBURNE Mary Shipp Sanders COLEMAN Marie Maxfield COLLEGE STATION Dosca Hale C. H. Winkler COMMERCE G. G. Allen Mrs. Mary Bowen Mrs. Vertie Buchanan Eddie M. Burson Adele Clark J. M. Connally Mrs. Myrtice P. Cornelius Bertha K. Duncan Kenneth Evans Robbie Finch J. E. Franklin W.W. Fre<;rnan Julea Hubbell J. K. Johnson Jewel D. Kennimer Corine Lamm Frank H. Morgan Frances E. Potts Mrs. J. G. Smith Ruth Wailing Hoyt Williams Mrs. Etta Carvell Wright C. L. Y arhorough Frank Young *This list includes some persons who were delinquent in payment of dues. It is likely also that there are errors of one kind or another. Members of the Society are requested to assist the Secretary, Miss Lucile Allen, 6126 Bryan Parkway, Dallas, in revising and correcting the list. CORPUS CHRISTI Mrs. F. T. Elrick CUNNINGHAM Volley Coyle F. E. McGahan Mrs. F. E. McGahan DALLAS Mrs. Lucille Adkisson Lucile Allen Nell Anders Eugene L. Aten Mrs. Glen Carson Mary DeBow Kate Dinsmore Ruth L. Flater T. M. Harwell Gaynell Hawkins John F. Henson David Lefkowitz Mrs. Elva G. Lloyd Mary Lou Logan Mrs. I. 0. Miller L. W. Neatherlin James H. Newett H. L. Pritchett Mrs. Helen Robinson A. J. Schwenkenberg Elmer Scott Leland C. Spurrier L. V. Stockard J. Shirley Sweeney R. F. Voyer Mrs. R. F. Voyer Helen Whitten Guy F. Witt DENTON W. B. Broomall Mrs. W. B. Broomall L. H. Moore Ruth F. Steidinger M. E. Bonney Evelyn M. Carrington Elizabeth A. Taylor Marion F. Williamson EL PASO A. Louise Dietrich Lila McNutt Wendell A. Phillips Mrs. Lucille Pillow Mrs. Maurice Schwarz FORT WORTH Elsie Aiton Mrs. Bernice Apetz Wilmer L. Allison Mrs. Wilmer L. Allison Bill Arms Mrs. Bill Arms Shelton Barcus I. P. Barrett G. Herbert Beavers, Jr. Mrs. G. Herbert Beavers, Jr. Minnie M. Behrens Witt Blair A. J. Brachman Desdemonia Brazil Olga Buresh Patricia Burleson Mrs. Virginia N. Cain Mrs. R. K. Campbell George T. Cope Mrs. George T. Cope M. U. Cowditt Denneth A. Cosell Lena C. Cox B. A. Crouch Mrs. W. J. Danforth Mrs. W. H. Davidson Giles Day Mrs. Giles Day D. D. Eggert R. D. Evans Alfred M. Ewing Mrs. Alfred M. Ewing C. G. Fairchild Mrs. James Farmer Mrs. Susie Farrow Bess Ferris Mrs. Edna Gladney S. 0. Godley Ruby Gordon Juanita Greer E. Perry Gresham The University of Texas Publication John Calvin Grier Mrs. John Calvin Grier Don Hayward Mrs. Fred D. Henderson Mrs. C. V. Herron Eugene Hess Mrs. Eugene Hess Mrs. Agie Mae Howell Clara Jones Mrs. Louise Kiersted Hazel Leigh Lilian Layton Harry H. Lipkowitz Mrs. Harry H. Lipkowitz Philip B. Marquart Mrs. Mary McClure Ann McGee Robert E. Miller Mrs. Robert E. Miller Mrs. W. A. Miller Mrs. Lucile Morris Frances Murrell F. Warren O'Reilly Mrs. Ruby Owings Mrs. G. C. Pearson Gladys Pittenger A. L. Porterfield L. H. Reeves Mrs. Beulah W. Robertson Naomi B. Robertson Frank S. Schoonover Mrs. Frank S. Schoonover S. J. Schreiner Edwin Schwartz B. C. Shulkey Samuel Sibulkin Hattie M. Sidebottom Lottie B. Smith Mrs. Karl Spock C. 0. Terrell F. V. Thomson Hazel L. Tucker W. P. Weeks -Wheeler, Jr. Roy Whisenhunt Harold M. Williams N. M. Wilson R. B. Wolford Margaret Yates GALVESTON Clara Bassett Mrs. Fred W. Catterall L. R. Brown Henry Cohen H. E. Davidson Titus H. Harris Mrs. Mathilde C. Maier John W. Spies Hamilton Ford Harry Germer GLADEWATER F. C. McConnell GRANDPRAIRIE Mrs. Agnes G. Baldwin GREENVILLE Aaron K. Farmer HELOTIS Mrs. A. I. Scroggin HOUSTON Sadie Aaron Mrs. Cornelia Durling M. B. Durfee Oden Green A. Hauser Mrs. A. Hauser Ima Hogg Jacob B. Lightman Viola Meuzemer James P. Molloy Lavinia Namendorf E. E. Oberholtzer Mrs. Arline Shine Mrs. Maurice Schwartz Mrs. Nettie W. Weems Walter W. Whitson Mrs. Beulah Temple Wild HUNTSVILLE J. H. Aydelotte T. H. Etheridge James Gilliam Gee R. B. Melton S. E. Smith KINGSVILLE J. DeWitt Davis LUBBOCK Bonnie K. Dysart LUFKIN Mary P. Clark MARLIN N. D. Buie NEW YORK Lucille O'Reilly ORANGE J. W. Edgar PALESTINE Lucy B. Woods PARIS Mrs. Morgan Alexander Jess Alford J. E. Armstrong Mrs. J. E. Armstrong Lillian Crumley Mrs. Hattie E. Dancer Mildred Eudaly Clarence Gilmore P. F. Herndon Mr. and Mrs. Humphrey T. E. Hunt John F. P. Stanley Travis White, Jr. Mrs. Travis White, Jr. PATTONVILLE T. W. Buford Mrs. T. W. Buford PETTY D. D. Cunningham RUSK M. S. Wheeler SAN ANTONIO Rose Davis Alberts Lewis Barbato Mrs. Lilly Broaddus Mrs. A. A. Brown Mrs. Imogene Calloway Jean Head Cooper Melbourne J. Cooper Helen Doyle Urban H. Fleece R. Paul Fowler Rabbi Frisch Herman Hirsh Mrs. Jo B. Jones Fred J. Junker Mrs. Frances R. Kallison Val M. Keating Oeta Kelly Mrs. R. C. Hugman Pearl V. Matthaci J. A. Mcintosh Mamie F. McLean Mrs. Frank M. Montague Mrs. Katherine Holman Myers Dorothy S. McCampbell Ema P. Neals Octavia D. Smith Willis Tate Mrs. Agnes Vass H. S. Von Roeder SAN MARCOS Bert Brown Mrs. Bert Brown Mrs. Olive C. Dearing E. 0. Wiley SEAGOVILLE Margaret C. Jones Chloris King SOUR LAKE Mrs. F. H. Carpenter TYLER S. Pledger Burke James G. Ulmer WACO Margaret Cunningham Hubert Johnson Iva Cox Gardner Mrs. Pauline Littlefield Lloyd W. Rowland Jerry Wilson WAXAHACHIE Berta Curlin WICHITA FALLS George M. Crutsinger Madge Davis Richard 0. Jonas