Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
It cannot be too strongly emphasised in connection with this subject
that most of the theory and practice of treating hysteria by isolation
has been developed in civil life, and in very many cases with reference
to well-to-do women living in the lap of luxury. When such persons
develop hysterical symptoms, some sources of irritation in the home
or the social environment are often responsible. By isolation the
patient is removed from the noxious influence of both domestic worries
and mistaken sympathy; his or her whims and fancies are compulsorily
subordinated by self-discipline and consideration for others. At
home it is impossible satisfactorily to enforce such measures and
the attempt to do so will almost inevitably fail, because sympathy,
curiosity and anxiety on the part of various relatives hinder the
attainment of these objects. By isolation the patient is removed from
these unfavourable psychical influences. Through the freedom from
such disturbing stimuli, the abnormally intense reaction of the mind
is reduced. And in many patients of this class the desire to be cured
or to be active, which is produced by the boredom of isolation, works
favourably.[28]
But in most soldiers the circumstances are altogether different. In
the first place, the patient secures the change of surroundings by his
removal from the trenches to the hospital. Isolation, therefore, can
hardly be justified on that score. At the same time, the removal to a
military hospital at any rate should obviate all danger of his being
pestered by foolish relatives and friends with their mistaken sympathy
or excessive attention. And as regards the importance of discipline
and routine, the soldier is in a position very different from that of
the wealthy society lady, for he has already been subjected to such
training.
Public-domain text, read in full here on John Shaqi.
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