Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
Now the happiness and welfare of such men obviously is bound up to no
small extent with the character of the hospital or hospitals (for the
plural number is commonly to be used in writing the history of these
patients) to which they are sent. In the general military hospitals the
medical officers have neither the time nor, in many cases, the special
knowledge, necessary to deal with cases of this kind. Such patients
may recover of themselves without any treatment, but a large number
of them tend to get worse, and if they are left without attention
their symptoms are apt to become stereotyped into definite delusions
and hallucinations. Moreover, in a general ward such men may become
a constant source of disturbance and annoyance to other patients
and to the nurses. One of the symptoms of their illness is a morbid
irritability; they tend to become upset and to take offence at the
merest trifles[13]—and this leads to trouble with patients, nurses,
and the medical officers responsible for discipline. But if special
consideration is shown them by the nurses the other patients are apt to
misunderstand it and even to complain of favouritism. In other words,
when mixed with wound-cases in a general hospital, these nervous
patients are apt to be regarded as a nuisance—which is bad for them and
for the proper working of the hospital. Another consideration, too,
is that the subjection of such men to irksome regulations of military
discipline, and the usual penalties for infringing them, is often so
potent a factor in producing disturbances as to be quite fatal to any
hope of amelioration.
These considerations have led the military authorities to establish
special hospitals for nerve-cases.[14] In such institutions the
patients can be nursed and attended to by a staff which, being used to
the idiosyncrasies of such illnesses can make conditions more suitable
to them.
A man’s particular nervous malady is likely to be of common occurrence
in the nerve-hospital; it does not render him conspicuous, and
therefore an object of fussy solicitude, galling pity, or suspicious
contempt, as is too often the case in other institutions. If unwounded,
he need not suffer the taunt of “having nothing to show” as his reason
for staying in hospital. Further, while in the special hospital,
more importance is attached to some of the patient’s symptoms, less
disturbance is produced by others. The occurrence of a “fit” is
viewed by the rest of the men in this class of hospital in a truer
perspective, and the patient does not find himself a nine-days’
wonder, as he so easily may do in a small auxiliary hospital full of
straightforward wound cases.
Public-domain text, read in full here on John Shaqi.
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