Transcriber’s Note Italic text displayed as: _italic_ SHELL SHOCK Published by the University of Manchester at THE UNIVERSITY PRESS (H. M. MCKECHNIE, Secretary) 12, Lime Grove, Oxford Road, Manchester. LONGMANS, GREEN & CO. London: 39, Paternoster Row New York: 443-449, Fourth Avenue and Thirtieth Street Chicago: Prairie Avenue and Twenty-fifth Street Bombay: Hornby Road Calcutta: 6, Old Court House Street Madras: 167, Mount Road SHELL SHOCK AND ITS LESSONS BY G. ELLIOT SMITH, M.A., M.D., F.R.C.P., F.R.S. _Dean of the Faculty of Medicine and Professor of Anatomy_ AND T. H. PEAR, B.Sc. _Lecturer in Experimental Psychology_ MANCHESTER AT THE UNIVERSITY PRESS 12, LIME GROVE, OXFORD ROAD LONGMANS, GREEN & CO. LONDON, NEW YORK, BOMBAY, ETC. 1917 PUBLICATIONS OF THE UNIVERSITY OF MANCHESTER No. CXI. To MAJOR R. G. ROWS, M.D., R.A.M.C. Contents. _Page_ PREFACE vii INTRODUCTION ix CHAPTER I. THE NATURE OF SHELL-SHOCK 1 CHAPTER II. TREATMENT 27 CHAPTER III. PSYCHOLOGICAL ANALYSIS AND RE-EDUCATION 53 CHAPTER IV. SOME GENERAL CONSIDERATIONS 77 CHAPTER V. SOME LESSONS OF THE WAR 105 INDEX 133 Preface. Our reasons for writing this book will be explained by the book itself. We desire here gratefully to acknowledge the help of several friends who have considerably facilitated our task. Our thanks are due to Major R. G. ROWS, M.D., R.A.M.C., for his unfailing interest, encouragement and help; to Captains W. H. R. RIVERS, M.D., F.R.C.P., F.R.S., and J. W. ASTLEY COOPER of the R.A.M.C., and Mr. E. GLEAVES, M.Sc., for their valuable suggestions and assistance in the preparation of the manuscript; to Captain W. E. SAWERS SCOTT, M.D., R.A.M.C., Dr. ALBERT HOPKINSON and Mr. W. PERCY STOCKS, F.R.C.S., of Manchester, for help in other ways; and to our colleague, Professor H. BOMPAS SMITH, for reading the proofs and helping us to eliminate some of the more glaring literary defects. To the Editor of the _Lancet_ we are indebted for permission to use part of an article written by one of us. The stream of requests for fuller information and explanation that poured in upon the author of that article made the writing of this book an unavoidable duty. G. E. S. T. H. P. THE MEDICAL SCHOOL, THE UNIVERSITY, MANCHESTER. _20th April, 1917._ Introduction.