Contexts of the Vietnam war and army psychiatry: a debilitating war fought a long way from home -- Overview of the army's accelerating psychiatric and behavioral challenges : from halcyon to heroin -- Organization of army psychiatry, I. Psychiatric services in the combat divisions -- Organization of army psychiatry, II. Hospital-based services and the theater psychiatric leadership -- The Walter Reed Army Institute of research survey of army psychiatrists who served in Vietnam -- Combat stress and its effects : combat's bloodless casualties -- Treatment of combat reaction casualties : providing humanitarian care while protecting peace in Southeast Asia -- Deployment stress, inverted morale, and psychiatric attrition : we are the unwilling, led by the unqualified, doing the unnecessary, for the ungrateful -- Substance abuse in the theatre : the big story -- Preventive social psychiatry and command consultation : who is the patient, the soldier or his military unit? -- Operational frustrations and ethical strain for army psychiatrists : crushing burdens and painful memories -- Lessons learned in linking the long, controversial war to unsustainable psychiatric and behavioral losses.