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World War II saw the large-scale involvement of US psychiatrists in the selection, processing, assessment and treatment of soldiers.
This moved the focus away from mental institutions and traditional clinical perspectives.
A committee that was headed by psychiatrist Brigadier General William C. Menninger developed a new classification scheme called Medical 203 that was issued in 1943 as a War Department Technical Bulletin under the auspices of the Office of the Surgeon General.
The foreword to the DSM-I states the US Navy had itself made some minor revisions but " the Army established a much more sweeping revision, abandoning the basic outline of the Standard and attempting to express present day concepts of mental disturbance.
This nomenclature eventually was adopted by all Armed Forces ", and " assorted modifications of the Armed Forces nomenclature introduced into many clinics and hospitals by psychiatrists returning from military duty.
" The Veterans Administration also adopted a slightly modified version of Medical 203.

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