Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
Those physicians who look upon such milder psychoses as varieties of
simulation should be reminded that the methods we have just mentioned
are not often likely to be effective in cases of real malingering.
In discussing the therapeutic use of “firmness” we have not thought it
necessary to mention those applications of this method which at times
are practised by combatant officers at the front. The use of military
authority to suppress the minor manifestations of nervousness, or the
resort to such expedients as unexpectedly firing off a gun alongside
a man afflicted with functional deafness, are merely examples of the
application of “suggestion.” They are akin to the use of “firmness”
by the physician who has not investigated the cause of the patient’s
trouble. The results of such expedients are as erratic in the one case
as in the other. But there is no need for us to discuss this practice
further, except to add that the knowledge that such “treatment by
military authority” has been tried before, still further diminishes the
justification for resorting to such measures when the patient reaches
the home hospital.
_Isolation._ Many physicians regard isolation as an appropriate
method of treatment for soldiers suffering from shock, and they urge
in justification of such a procedure the success which often attends
its use in civil cases. We do not deny the utility of isolation for
suitable cases, and success has attended its use when the patient’s
condition obviously required it. But the circumstances which were
responsible for causing the mental disturbance in the soldier may be of
a totally different nature from those which have upset the civilian;
and therapeutic measures which may be appropriate in eliminating the
civilian’s sources of irritation might be wholly unsuitable, if not
positively harmful, in the case of soldiers.
Public-domain text, read in full here on John Shaqi.
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