http://exhibits.library.stonybrook.edu/mfp/files/original/dec35b8d426b8672cc7376925015bc6f.pdf 8cdcf99aab5f23eb5319c52a73b28897 PDF Text Text August 27 , 1969 TOWITWCORW: Fonmingtherequestofl‘b. J. W. StanciloftheBoard of Veterans Appeals to Dean J. P. Eagle, Nov York Medical College, the record of T. B. anday, C-‘W62879 was received for review on 8/21/69. The record consists of depositions, military record and letters to w: and has V.A. claims offices. at the age of 30. visual acuity defect, correctable to 20/1“). Ming military service training, he claims to have suffered a. fall on 5122/“, breddng his glasses, He was di in June, 19m, A pension was wood, which on review 19“? it» Exaninat on showed Monday enlis- ted 3/11/Im a. wasdeenedtobeinemcr, andmscirded,asthedisability not service-mooted. was viewed as Claim: Progressive visual defect, aggravated by military service, and yielding a state now of virtual "blindness". ions: Mpsyohistricquestions misedbytimmfiner, Wmfimbasisofthemcord,mz to and 1. Does the veteran have a functional visual defect? Diagnosis? g3. Data: status. Be probable that it advanced during military itservice (19%)? 5. Is u. Istheoowseofthedisozfiermthanwmld beacpected? The record is is alleged to have managed a fwnily type Only one sparse with regard to psychiatric have completed hiya school; and retail store prior to service. psychiatric emiration was found, dated to 3/25/69, from the V.A. Center, Mountain Hone. Johnson City, Tennessee: "...except for the possibility of fmctional visual defect, he shows no recognizable evidence of mumsis at this time." �-2The depositions present a mixed picture - loyal friends citizens alleging severe interfermce with vision since 191m; entertainers finding a dissociation between his behavior (in store, street, daily affairs) and the mninations, which and severe show bilateral acuity loss. inion. The record presents no evidence for a hysterical ’ dissoEEEE’ state, and lends itself to the interpretation that acting-out ("malingering") for secondary gain is likely. of a detailed psychiatric exanination which such supports a diagnosis takes the following opinions temnus. The absence l. 'Iheclaimantmyhaveafmctionaldisorder20 wiflxcm: its rapid onset in lean and persistence for years outward evidence of organic progressim are supporting evidence. 2. A psychiatric diagnosis is not possible on this record; altlwugm psychosis, as camrticnnlly defined, is mlikely. The absmce of evidence of neurosis, makes malingerdng as well as an organic state more likely. psychiatric state could have been precipitated daring military service. 'Ihe very natme of the stresses of service, the unconscious wishes to escape, the acceptance by society of physical disorder as justification for military failure, 3. A andcoupensaticnlmsermanceandsupportthedevelcpmntof corzversim pimmena and malingering. In addition, the culture franwhioh Mr. Norway derives, may invest such in a credible, aggressive military service; and Mr. Monday's apparent "failure" could be excised, if it were mdically derived. detemination of the presence of a conversion reaction or "nialjngering" shmld be made by a psychiatric eminatim dedicated to such a determination. The record by P. A. Vesey (3—25-69) is béirtcaxplete for this determination, and a more detailed study may A advisable. 1+. Thecomsecfthedisorderismtmusualfor conversion reactions or mslingsring. , occurring in situations where secondary gains are derived fron the confirmation of the disorder ~ as is possible in this instance. I an Professor of Psychiatry, New York Medical College, York University College of Medicine, 19%; mediated from the licensed to practice medicine in New York and Missouri; and a diplomats in neurology and psychiatry of the American Board of New Psychiatry and Neurology. Sincerely yours , Max Fink, M.D. Professor of Psychiatry Mszp a as; � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence to: none Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-023-4-325 Date A point or period of time associated with an event in the lifecycle of the resource 1969 Creator An entity primarily responsible for making the resource <a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank">Fink, Max, 1923-</a> Subject The topic of the resource Correspondence -- Correspondence Relation A related resource The Max Fink Collection Description An account of the resource Rights Information about rights held in and over the resource <a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a> Source A related resource from which the described resource is derived Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York). Language A language of the resource en-US Format The file format, physical medium, or dimensions of the resource application/pdf Publisher An entity responsible for making the resource available Contributor An entity responsible for making contributions to the resource Correspondence