Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
We are concerned at present with the facts of shell-shock, but this
is perhaps a suitable place in which to deal with an opinion about
this set of phenomena, which is not uncommon, especially perhaps in
people above military age. That judgment, expressed sometimes bluntly,
but oftener in a more subtle fashion, is that shock or neurasthenia
are polite names for nothing else but “funk.” It is not easy to take
a dispassionate view of this question, but to persons holding this
opinion the following points are worthy of consideration.
First, the most severe and distressing symptoms occur to a surprising
extent in the case of those patients whose past history shows that,
far from possessing even the normal quota of timidity, they had been
noted for their “dare-devilry” and had been specially chosen as
despatch-riders, snipers and stretcher-bearers in the firing line.
Secondly, it is not uncommon for patients to ask to be sent back to
duty because they feel that they have been too long with nothing to
do, while it is quite obvious to the doctor that they are as yet unfit
to bear any great strain. Thirdly, the seasoned regular, officer or
N.C.O.,[20] as well as the young soldier of only a few months’ service
may display precisely the same symptoms as those we have described.
Such men have frequently been in the army for many years, and have
fought on previous occasions with great success. Their strength of
mind and body has been demonstrated over and over again, yet at last
they have broken down. And they manifest the greatest concern at their
unusual symptoms.
It will be readily granted, of course, that there exist among the nerve
patients returned from the front cases in which there is genuine fear
of the war, arising from memories of the experiences which they have
undergone. Even this state of mind, however, is usually expressed by
the patient in some such phrase as “I don’t want to go back, but I’ll
go quite willingly if I’m ordered to.” It should not be forgotten,
moreover, that not a small number of instances are known in which these
men prove to have made repeated attempts at enlistment after having
been rejected several times, or even discharged from the army, changing
their medical examiner until they have succeeded. One case, presenting
a great number of the symptoms of shell-shock in a very intense form,
including, beside the ordinary neurasthenic troubles, blindness,
deafness, and mutism at successive times, was that of a man who had
been discharged from the army as medically unfit and had re-enlisted.
Two cases may be quoted here in illustration of some of these
assertions:
Public-domain text, read in full here on John Shaqi.
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