Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
Among the laity, before the war, the justification of an attitude of
inertia towards the treatment of mental disorder (more particularly
of the psychoneuroses) was often based upon two statements. The first
was that many of the phenomena reported were not real, but were the
imaginings of hysterical women. If to this it was objected that men
were not immune to hysteria[65] one was met by the retort: “But
they are ‘neuropaths.’” This war has, however, removed from honest
people’s minds the possibility of regarding these phenomena in such
a shamelessly unscientific light. In the military hospitals there
have been hundreds of patients suffering from psychoneuroses, who are
demonstrably neither women nor neuropaths, in any of the legitimate
senses of these terms. And many of these men have suffered intensely.
Their fears and other emotional troubles are such as they usually
conceal as long as possible, until further endurance is intolerable.
Their troubles are real enough to them. “But they are unreasonable,”
the healthy philistine may object. Some (by no means all) of the fears
_are_ unreasonable, if by that is meant that the actual danger (as
the healthy man estimates it) and the emotion which it evokes in the
patient are entirely disproportionate. But who among us has “sized
up” life’s dangers so accurately that he can say he knows the precise
degree of fear which each one _ought_ to evoke?
In some country places the inhabitants to-day are more afraid of the
presence in their houses of peacock’s feathers or of hawthorn blossom
than of scarlet fever. Their fears are unreasonable. But we do not call
these people neurasthenics. As a matter of fact, neurasthenia is one
of the last diseases likely to attack these rustics. If they vouchsafe
any reason for their fear, it is safe to assert that it will be a
rationalisation, for its real sources are hidden from them. And if we
really wish to discover the cause of their fear we turn for help to
the records of folk-lore and ethnology. In other words, we investigate
the history of the fear. This history may go back many centuries and
the process of recovering it from a series of clues will prove a task
of infinite fascination. Now the history of the neurasthenic’s fear is
likewise obtainable and much more easily, for it is of much more recent
date. Its discovery often means the freeing of a mind from torment,
the restoration of a useful member to society, and the enrichment of
the science whereby other similar liberations may become possible. But
how few investigators, as yet, have been attracted by this tremendous
unfilled field of knowledge!
However, our philistine, while agreeing to this, may, and often does,
change his ground. He may add: “When I said that the phenomena were not
real I had in mind rather the pains and the paralyses from which the
hysteric and neurasthenic suffer—or say they suffer.” To this we may
answer in the words of Dr. Purves Stewart:—
Public-domain text, read in full here on John Shaqi.
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