Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
I wish that there might be formed in large cities an establishment,
somewhat resembling those which charitable physicians and wise jurists
have formed in Paris, to remedy the evils both of the body and of
one’s fortunes; I mean councils for consolation, where an unfortunate,
sure of his secret being kept and even of his incognito, might bring
up the subject of his troubles. We have, it is true, confessors and
preachers to whom the sublime function of offering consolation to the
unfortunate seems to be reserved. But the confessors are not always
at the disposition of their penitents. As for the preachers, their
sermons serve more as nourishment for souls than as a remedy, for
they do not preach against boredom, or unhappiness, or scruples, or
melancholy, or vexation, or ever so many other evils which affect the
soul. It is not easy to find in a timid and depressed personality the
exact point about which he is grieving, and to pour balm into his
wounds with the hand of the Samaritan. It is an art known only to
sensitive and sympathetic souls.
Oh! if only men who knew the science of grief could give unfortunate
people the benefit of their experience and sympathy, many miserable
souls would come to seek from them the consolation which they cannot
get from preachers or all the books of philosophy in the world. Often,
to comfort the troubles of men, all that is necessary is to find out
from what they are suffering (_Etude de la Nature_, 1784).”
Déjerine and Gauckler add:—
“One could not express any better, or any more directly, what we never
cease to maintain, however lacking in science it may seem at the
first—namely, the real therapeutic action of kindness.
Liberated morally, and having regained consciousness of self,
and freed in addition from his functional manifestations by the
appropriate processes ... the patient is cured. He is cured from
his actual attack. But his mental foundation, his psychological
constitution, still remains in the same condition which permitted
him under emotional influences to become a neurasthenic. The rôle of
the physician is, therefore, not ended. He must still build up his
patient’s life, still practise prophylaxis, and get the patient into a
condition where his character will be established.”[36]
_Rational Treatment._ So far in this chapter we have been discussing
what may be described as general methods of treatment, which do not
_necessarily_ involve any attempt to probe into distinctive individual
symptoms and to discover the real fundamental cause or causes of the
trouble. The measures so far considered are empirical rather than
rational. But they are the only methods of treatment discussed in most
of the text-books.
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