Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
An important contribution to the discussion as to the etiology of war
neuroses was the statement made by Major General Ireland[104] to the
Senate Committee on Military Affairs, that of the twenty-five hundred
cases of shell shock awaiting transportation to the United States,
twenty-one hundred recovered within a day or two after the armistice
was declared. He gave the incidence of mental and nervous diseases
in the forces in camps in this country as 2.5 per thousand and ten
per thousand overseas. Another interesting phase of shell shock was
the surprising results which various German observers obtained by the
so-called "Kaufmann" treatment, the sudden application of a strong
faradic current. One of the most significant contributions to the
psychiatric history of the war as far as this country is concerned
is the statement made by Col. Salmon[105] that in the latter part
of December, 1920, of the beneficiaries of the War Risk Insurance
thirty-two per cent were suffering from general diseases; forty-one
per cent from tuberculosis; and twenty-seven per cent from various
neuropsychiatric disorders. "The vague idea that all these men are
suffering from "shell shock" or other mysterious maladies developed
under the stress of modern warfare was replaced by the realization
that more than two-thirds of all neuropsychiatric patients have one or
another type of insanity." Of these cases sixty-six per cent had well
developed psychoses; nineteen per cent psychoneuroses; five per cent
epilepsy; two per cent mental deficiency; and eight per cent organic
nervous diseases or injuries. On December 16, 1920, there were five
thousand five hundred cases receiving hospital treatment.
CHAPTER XII
ENDOCRINOLOGY AND PSYCHIATRY
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