Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
The methods of treatment which have been described in the foregoing
pages: sympathy, firmness, isolation, suggestion in its various forms,
and hypnosis; while all useful in their proper place, often prove to be
of no avail in cases of psychoneurosis. Where the distressing symptoms
lie on the surface so that both they and their causes are easily
discoverable by the physician—if, indeed, they have not been known
from the beginning, to the patient himself—it is sometimes possible
to bring about a complete cure without any very penetrating analysis
by the doctor of the mental antecedents of the patient’s present
condition. Thus, for example, a courageous and keen soldier who,
suffering from loss of sleep and from the harassing experiences of the
battlefield, eventually breaks down, the precipitating cause perhaps
being shell-shock, may need little more to set him on his legs than the
comfort, assiduous attention, and pleasant distractions of a Red Cross
hospital. For the civilian whose chief trouble is the irritability
caused by a multiplicity of minor business worries, or family jars, a
few days of isolation, giving perhaps, among the other benefits which
we have mentioned, the opportunity to think things out, may have
excellent results. The beneficent action of hypnosis in removing the
acute disturbances caused by shell-shock has already been illustrated.
But a large number of cases fall into none of these categories.
Sympathy merely annoys them, isolation tortures them, for besides
letting them think—usually in a very unwise way—it helps to confirm
their impression that they are seriously ill, just because it involves
the treatment of them as special cases. Suggestive measures may be to
them like water on a duck’s back, and hypnosis may prove of no avail.
Firmness may have merely the effect of proving to the doctor that
there exist patients firmer than himself. But, fortunately, psychical
methods are not exhausted. There still remains at least one—that of
psychological analysis and re-education.
The employment of psychological analysis in medicine means the
resolution of the patient’s mental condition into its essential
elements, just as by chemical analysis it is possible to determine
that water, for example, is composed of certain definite proportions
of oxygen and hydrogen combined in a particular way. Re-education is
the helping of the patient, by means of the new knowledge gained by
analysis, to face life’s difficulties anew.
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