Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
One of the most dangerous and misleading terms in our language is the
word “neuropathic;” for it is made to signify so many things that it
ends by meaning nothing. Etymologically, it should mean “afflicted with
disease of the nerves,” a conception the precision of which we shall
discuss below. Yet on the return from the front of patients afflicted
with “shock” one heard the opinion at first that the cases were those
of “neuropathic” men: that the soldiers who became affected by shock
were weaklings or were descended from mentally afflicted or nervous
parents. It is, of course, unquestionable that in a large army there
must be many soldiers with tainted family histories; and it is probably
equally certain that such factors play some part in determining the
greater susceptibility of certain men to shock. But it would be a gross
misrepresentation of the facts to label all the soldiers who suffer
from mental troubles as weaklings. The strongest man when exposed to
sufficiently intense and frequent stimuli may become subject to mental
derangement. It is quite common to find among the patients suffering
from shock senior non-commissioned officers who have been in the army
fifteen or twenty years (much of which time has been spent in foreign
service under trying circumstances, such, for example, as the South
African War), and have stood this severe strain. Such men can hardly be
called weaklings or “neuropathic.”
Even in those cases where there is a definite history of a neurotic
parent, it would be a mistake hastily to conclude that when the son
of such a man or woman becomes a victim of shell-shock it is due to
heredity. For when the detailed history of such patients is obtained
the fact comes out quite clearly that the social disturbances in the
household of such a nervous person may be amply sufficient to inflict
severe psychical injuries upon young children.
Further, in many cases the histories themselves clearly and definitely
reveal the real etiology of the mental condition, and point to
emotional disturbances in children, due to the cruelty of drunken
parents, a rankling sense of injustice, a terrifying experience, which
may have been an accident or deliberate maltreatment by some human
being, or again, to the appalling conditions created in some of these
homes by nervous and irritable parents, as the real trauma which the
“shock” has served to re-awaken.
Public-domain text, read in full here on John Shaqi.
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