Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
A view endorsed by some well-known physicians is that all psychotherapy
should be addressed to the functions of consciousness, and that
hypnosis, which is addressed to the functions of automatism, is
therefore undesirable. As a general statement this is undoubtedly true
of a great number of cases, but there occur instances in which it seems
that this sensible rule may be wisely and judiciously broken. In some
cases hypnosis helps in more quickly breaking down resistances, which
occur in patients too beset by their own auto-suggestion and false
beliefs to be able easily to grasp the arguments and persuasions which
the physician may have spent days and weeks in vainly endeavouring
to get accepted. Thus assistance may be sought without in any way
interfering with subsequent treatment of the patient by psychological
analysis and re-education.
The following instance illustrates the use of hypnotic suggestion in
the manner described above.
The case was one of violent spasmodic tremor in the right arm of a
soldier. When in a state of convalescence from a wound and shell-shock
he suddenly encountered his company officer, to whom he was greatly
attached. This officer had lost his right arm since he was last seen
in France by the patient. The shock of suddenly meeting the officer
in this condition set up the man’s tremor. The case came under
psychotherapeutic treatment some weeks later, when the patient, who was
an extremely emotional individual, had lost all hope of recovery. Any
attempt at purposive movements of the right hand and arm threw all the
muscles of the right side of the body into a violent state of jerky
tremor.
Long continued treatment by persuasion failed to effect any improvement
whatsoever. The medical officer in charge of the case therefore decided
to try hypnotic suggestion. This was easily carried out; the hypnotic
state being moderately deep, though the patient was still in touch with
his environment. Hope, courage and assurance of recovery _following
his own effort_, together with determination to make every endeavour,
were suggested to him. The patient was assured at each sitting that
his nerves and muscles would every day respond more and more to his
efforts at self-control. After a very few short sittings the man’s
hopeless attitude became changed to one of hope, effort and attention
in the waking stage, and there was a slight but decided improvement
in his voluntary power. Hypnotic suggestion was then given up, and
the treatment was continued by means of encouragement, exercises and
explanation of his trouble, with the result that two months later he
was fit for discharge from the hospital.
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