Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
In discussing the question of treatment we do not propose to deal with
general therapeutic measures which every physician in charge of nervous
or mental patients is hardly likely to neglect.[24] The importance of a
generous and easily digested dietary is generally recognised: as also
is the need for quiet and congenial surroundings, and for shielding
patients from disturbances, such as noises and the sight of wounded,
which are likely to evoke painful emotions and vivid memories of their
experiences at the front. It is also obviously important that the
physician should deal promptly and discreetly with any bodily ailments
from which the patient is suffering, being careful neither to minimise
their gravity and so give him any reason for the grievance that he
is not receiving proper attention, nor by exaggerating them to add
this anxiety to his other troubles.[25] These are questions which may
confidently be left to the discretion of the physician in charge.
_Firmness and Sympathy._
But there are certain other therapeutic measures commonly recommended
in text-books for application in the cases of patients suffering from
neurasthenic and hysterical troubles, which cannot be thus summarily
dismissed. As many of these patients are irritable and childishly
peevish, it is necessary that they should be treated with sympathetic
firmness, tact and insight. But, unfortunately, the words “firmness”
and “sympathy” are interpreted in a great variety of ways. While it is
important, for purely therapeutic reasons, that discipline should be
maintained, and that when the physician has decided what he considers
the proper treatment for the patient this should be rigorously carried
out, it is manifestly disturbing and injurious in many cases for the
officer to insist upon all the exacting details of military rules and
regulations. For the mentally healthy soldier, obedience to stern and
even harshly rigid regulations is often vitally important; but an
attempt by a medical officer to treat a ward of neurasthenic patients
in this way usually has disastrous results.
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