Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
As has been pointed out, however, the state of “mechanical mixture” is
utterly alien to the normal mind, which tends rapidly to interpret, in
the light of its own experience, and to integrate as far as possible,
its events, however incongruous they may be. The mind cannot, for any
length of time, allow a new experience to remain strange or undigested.
It must gather in and assimilate that event to the systematised complex
which we call its own past experience. It follows that the ultimate
result upon any particular mind of a new experience, if it be of a
personally significant nature, will depend almost entirely upon the
past history of that mind.
Thus for example the question whether the patient can or cannot
satisfactorily stand up to his new troubles will be determined not only
by his disposition, temperament and character, but also by his previous
personal experience.
It is thus obvious to anyone who gives the matter any serious
consideration, that the manifestation of a severe psychical shock must
necessarily be determined in a large measure by the nature of the mind
upon which the injury falls. It would be idle to pretend therefore,
that, in diagnosis, the story of the patient’s past experience can be
left out of account, for the manifestation of the injury will obviously
depend largely upon the individual patient’s “mental make-up.”
Faced by the existence of a number of unusual mental phenomena the
patient will inevitably succeed in time in inventing for himself,
explanations of their co-existence. This “rationalisation,”[15] as it
is called, is a perfectly normal process which is constantly going on
in every individual, yet it plays a great part in complicating the
mental disorders of the middle stage, and thereby intensifying the
patient’s ultimate distress. For instance, he may not be more than
temporarily disturbed by the unusual experiences we have mentioned[16]
if they assail him separately. But, given time, he will soon begin
to connect their appearances, and will argue to himself that these
phenomena can have only one meaning: that he is mad or rapidly becoming
so. And in this completely erroneous procedure he will be aided and
abetted, not only by his own ignorance of the relation of mental
normality to abnormality, but also by the general tendency of the
uneducated to class everything unusual in the mental sphere as “mad.”
Once he is convinced that he is in this state he may easily lose all
hope of getting better, thereby increasing enormously the gravity
of his case. Completely illogical, but to him entirely satisfactory
explanations of his condition will then multiply.
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