On the basis of his experiences in the southwest Pacific area, Rothschild gains the impression that psychoses and malingering of mental disease played a larger rôle there than in the Tunisian campaign as described by Grinker and Spiegel. He stresses the greater mental strain in the Pacific area, but it might also be added that the diagnosis of 'psychosis' often presented the only possibility for evacuating a soldier from a post in the Pacific.