The Korean War and Psychoanalysis: Temporary Reconciliation or Therapy?

Jungmin Lee
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Abstract

This study critically examines the reception of psychoanalysis during the Korean War, which has previously been explored primarily through contextual evidence. In 1949, the U.S. military institutionalized lessons from military psychiatry extracted from past wars. Psychoanalysis, as a dominant psychiatric approach at the time, wielded significant influence in the formulation of these lessons, and the impact of “therapy” within the U.S. military was remarkable. The probability of soldiers returning to the frontlines increased significantly compared to before the implementation of therapy, and frontline commanders could better manage combat readiness. With the outbreak of the Korean War, the U.S. military extended these methods to Korean military officers, marking the inception of psychoanalysis in Korean psychiatry.BR However, the situation in the Korean military was not smooth. Whether officers or soldiers, very few had access to mental treatment, and suffering was largely left to individual service members. While measures were taken on the frontlines to prevent mental breakdown among soldiers following the established protocols, many continued to suffer in the aftermath of the war. While efforts were made by Korean military psychiatrists and officers, their options were limited in the Korea of that era, which was essentially a barren land for psychiatry. It is clear that Korean military officers contributed significantly to the post-war development of psychiatry in Korea. However, it’s important to remember that many soldiers endured mental anguish without receiving any help.BR Therefore, psychoanalysis as a form of military psychiatry during that era could be evaluated as a temporary reconciliation strategy that aimed to sustain soldiers’ combat readiness on the frontlines rather than a complete therapeutic solution. Its effects were short-term, and thus, it couldn’t prevent veterans from suffering mental anguish until their deaths. The presence of individuals haunted by trauma lies beneath the broader progress of Korean society, and their contribution to shaping today’s Korea despite their suffering provides substantial insights for our reflections on Korea today.
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朝鲜战争与精神分析:暂时的和解还是治疗?
本研究批判性地考察了朝鲜战争期间精神分析的接受情况,此前主要通过背景证据进行了探索。1949年,美国军方将从过去战争中提取的军事精神病学经验制度化。精神分析作为当时占主导地位的精神病学方法,对这些课程的制定产生了重大影响,“治疗”在美国军队中的影响是显著的。与实施治疗前相比,士兵返回前线的可能性显著增加,前线指挥官可以更好地管理战备状态。随着朝鲜战争的爆发,美军将这些方法推广到韩国军官身上,这标志着韩国精神病学中精神分析的开始。BR然而,韩国军队的情况并不顺利。无论是军官还是士兵,很少有人能得到精神治疗,痛苦大多留给了个别服役人员。虽然在前线采取了措施,以防止士兵按照既定的议定书精神崩溃,但许多人在战争结束后继续遭受痛苦。虽然军队精神科医生和军官们做出了努力,但当时的韩国基本上是精神科的贫瘠之地,他们的选择非常有限。很明显,韩国军官对韩国战后精神病学的发展做出了重大贡献。然而,重要的是要记住,许多士兵在没有得到任何帮助的情况下忍受着精神痛苦。BR因此,在那个时代,精神分析作为军事精神病学的一种形式,可以被评价为一种临时的和解策略,旨在维持士兵在前线的战备状态,而不是一种完整的治疗方案。它的作用是短期的,因此,它不能防止退伍军人遭受精神痛苦,直到他们死亡。被创伤困扰的个人的存在隐藏在韩国社会更广泛的进步之下,他们尽管遭受痛苦,但对塑造今天的韩国做出了贡献,这为我们反思今天的韩国提供了实质性的见解。
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