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Field Manual No. 22-51: Leaders' Manual for Combat Stress Control: Booklet 1
Preface
Headquarters, Department of the Army, Washington, DC
This field manual (FM) provides information for all leaders and staff on the control of
combat stressors and the prevention of stress casualties. It identifies the leaders'
responsibilities for controlling stress and recognizing the effects of stress on their
personnel. It reviews Army operational doctrine for war and operations other than war. It
identifies likely stressors and recommends actions for leaders to implement for the
prevention and management of stress. The manual describes the positive and negative combat
stress behavior associated with stress and provides leader actions to minimize battle
fatigue risk factors. It provides the many different military branches and disciplines
with a common conceptual framework, knowledge base, and vocabulary so they work together
toward controlling stress. It provides information on how stressors and the stress process
interact to improve or disrupt military performance. It identifies the supporting role of
special staffs such as the chaplain and the Judge Advocate General. This manual also
identifies the responsibilities of medical personnel for prevention, treatment, and
management of battle fatigue and stress-related casualties.
The proponent of this publication is the United States (US) Army Medical Department
Center and School (AMEDDC&S). Send comments and recommendations on Department of the
Army (DA) Form 2028 directly to Commander, AMEDDC&S, ATTN: HSMC-FCD, Fort Sam Houston,
Texas 78234-6123.
This publication contains copyrighted material.
Unless this publication states otherwise, masculine nouns and pronouns do not refer
exclusively to men.
The use of trade names in this publication does not imply endorsement by the US Army,
but is intended only to assist in the identification of a specific product.
Acknowledgment
American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders. Third Edition, Revised. Washington, D.C.: American Psychiatric Association,
1987.
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