Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
With this experience may be contrasted another incident, this time
from our own country. Delegates from a certain Board of Guardians paid
a visit to the county asylum to inspect the arrangements made for the
comfort of the inmates from their own district. In the next week’s
local newspaper a report of the visit appeared in the form of the
chief delegate’s speech at the subsequent board meeting. This report
consisted of “funny” stories of the eccentricities of the patients the
visitors had seen, and of the delusions from which some of the victims
were suffering, with sufficient detail to enable many of the relatives,
and possibly some of the friends, of these “lunatics” to identify the
afflicted ones. The newspaper account of this humorous effort was
punctuated at suitable intervals with “laughter.”
It is obviously not claimed that these two accounts are typical either
of Germany or of England. But what is claimed is that of these two
public attitudes the clinic system promotes the one, the “lunatic”
asylum the other.
Before leaving the comparison of insanity with tuberculosis we must
remind the reader of some other facts that are important in this
connection. We have seen[56] that the scientific study of tuberculosis
has materially modified the earlier views concerning its hereditary
transmission. It is now held that tuberculosis is not inherited as
such; but that a child of tuberculous parentage may begin life with
a subnormal power of resistance to the disease and perhaps greater
risk of exposure to infection. If later he develops the disease, it is
traceable directly to his environment. The corollary is that if his
environment be improved, and his body’s power of resistance increased
meanwhile by all the means in our power, he has a considerable chance
of living a life free from the disease. Thus the old pessimistic view
is replaced by a distinctly optimistic one.
In the mental disorders that are indubitably traceable to organic
disease of the central nervous system, heredity doubtless plays a great
role. But two points should be remembered in this connection. First,
among asylum patients the number of mental disorders which cannot,
_post-mortem_, be traced to organic causes is very great as compared
with those that can be so related. For example, of 1,325 patients
received at the Burgholzi Central Asylum and University Psychiatric
Clinic, Zürich, Dr. C. G. Jung states:—
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