Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
This is clear evidence of the fact that his trauma was psychical. His
previous history perhaps contains the clue explaining why, in his case,
it was his voice which was affected. The application of the faradic
current was suggestion pure and simple.
In emphasising the limited usefulness and possible danger of suggestive
therapeutics in many cases that are not quite recent, we have not been
referring to that method of suggestion which is involved to a greater
or less degree in all successful treatment of disease—the process of
gaining the patient’s confidence and impressing him with the idea that
he is going to recover.
“The conversational attitude, the familiar manner of talking things
over, the heart-to-heart discussion, where the physician must
exert his good sense and feeling, and the patient be willing to be
confidential” is the method which Déjerine calls ‘psychotherapy
by _persuasion_.’ “It consists in explaining to the patient the
true reasons for his condition, and [for] the different functional
manifestations which he presents, and above all, in establishing
the patient’s confidence in himself and awakening the different
elements of his personality, so as to make them capable of becoming
the starting-point of the effort which will enable him to regain
his self-control. The exact comprehension of the phenomena which
he presents must be gained by the patient by means of his own
reasoning.... The part that the physician plays is simply to recall,
awaken, and direct....”[35]
No one who has not had the experience of guiding mental patients in the
way so lucidly expounded by the French physicians can form any adequate
conception of the remarkable efficacy of these common-sense methods
in restoring to those who are afflicted a normal attitude of mind. It
is certainly saving considerable numbers of soldiers from the fate of
insanity. These methods are not novel, even if the fuller comprehension
of their mode of operation is only dawning upon us now. This point has
been admirably expounded by Déjerine and Gauckler, from whose book we
must quote once more:—
“May we be permitted to quote a few lines in which Bernardin de St.
Pierre has defined, more exactly and better perhaps than we could do,
and with a sort of prescience of what is needed, the very rôle that we
would like to [see our physicians adopt towards their patients].
Public-domain text, read in full here on John Shaqi.
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