Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
There is nowadays a general conviction, not only amongst the medical
profession but also amongst a large proportion of the educated public,
that tuberculosis is a curable disease. It may exist in a mild and
incipient form in many persons regarded as healthy, and, if properly
treated in its early stages, with due regard not only to the actual
disease in the bodily organism, but also to the healthy environment of
the individual, it is almost certainly conquerable. Not many years ago,
however, this happy belief did not obtain. A person “in consumption,”
especially if “consumption was in the family,” was regarded as
being in a very serious and almost hopeless condition. The patient,
shielded from fresh air, inappropriately and insufficiently fed, often
succumbed, supplying one more example to support the unscientific
conception then prevalent of the inheritance of the disease. But such
conditions are passing away. In our medical schools and hospitals
special attention is paid to the diagnosis and treatment of early forms
of tuberculosis; the importance of preventive measures is emphasised;
the influence of the patient’s environment in favouring or combating
the disease is explained; and the future medical practitioner
is afforded frequent opportunities for personal investigation
of tubercular patients. The old ideas about the “inheritance of
consumption” are greatly modified. No longer is a patient’s disease
explained as “in the family” and left at that. Preventive measures,
early treatment, an attempt justly to appreciate the relative influence
of heredity and environment are the watchwords of the modern medical
attack upon tuberculosis.
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