QUOTE (Paul Hederer @ Jul 23 2006, 05:08 AM)

Thank God it's not like that now. I throw that out as you make your statement in the present tense. The pilot is the aircraft commander, and he has the final authority if he goes up or not. He may be standing tall in front of the CO the next morning, but it's the pilot's final decision--period.
Paul
I think we have to differentiate the problem. If a pilot refused to fly for a valid/rational reason (e.g. airplane in bad condition, pilot ill, weather too bad), that was accepted and nothing more was said about it.
If, however, a pilot showed "loss of nerve for flying", and refused to fly certain types of missions, or refused to fly at all, this was normally (at least after the UK instituted the "care of the flyer " program in about 1916, treated as a medical condition. The US publication "Air Service Medical-1919", based in large part on UK practice, differentiates various types/reasons for refusals, and gives a prognosis. Those who were "technically" inefficient (i.e. poor pilots) were not dealt with by medical personnel, and were distinguished from those who were "tempermentally inefficient", who were seen as medical problems. Loss of nerve in the air was categorised in this book as 1) loss of nerve for flying any machine-- permanent; 2) loss of nerve for "stunting"-- usually temporary and often associated with short-term vertigo; 3) loss of nerve for fighting in the air-- may be temporary or permanent-- often associated with fatigue; 4) Loss of nerve for anti-aircraft shells-- generally permanent-- seemingly this was a diagnosis used for pilots with "shell-shock"; 5) Loss of nerve due to crashes-- often associated with concussion and fatigue-- often permanent.
Bottom line answer, cases were in most instances dealt with on an individual basis, and at least later in the war were seen as primarily a medical problem. After institution of the "care of the flyer" program, in which
Flight Surgeons were assigned to flying units, the incidence of these incidents went down, incipient problems were dealt with early, and pilots were returned to duty at a high rate. Aviation psychology was in its infancy, but these pilots were dealt with medically, frequently in separate aviation hospitals, not as behavior problems. Doc2