Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
Unfortunately there are serious defects in many of the works upon
general psychology which render them almost useless to the student of
psychological medicine. This may explain, if it does not excuse, the
quaint selection of subjects, often wholly irrelevant or inappropriate,
which form the contents of the psychological section of many English
books on mental disorders. But this deficiency is not a sufficient
excuse for the neglect of the kind of instruction that is of vital
importance for the proper understanding of such disorders. When books
such as those written by McDougall, Stout, Hart, Shand, and Déjerine
and Gauckler, are available, it is possible to use the facts of normal
psychology as the natural, rational and necessary means of explaining
and interpreting departures from the normal state.
We may summarise here some of the chief defects of our national system
of treating mental disorder. First and foremost is the serious waste
of time which almost invariably occurs before the mental sufferer
comes under medical care. This is due to a variety of causes—all of
them preventable. The chief is that, lying in the path of patients who
would _voluntarily_ seek help, there is the insurmountable obstacle of
the asylum system and its restrictions. The men in the asylum service,
who have the opportunity of acquiring an intimate knowledge of mental
diseases, are _forbidden_ to carry that knowledge into the outside
world for the benefit of the mental sufferer. If a patient, suffering
from a mental disorder in its earliest and easily curable stage, should
voluntarily go to an asylum and ask for advice, all that can be done
for him is to suggest that he should consult a medical man outside, or
to recommend him to call and see the relieving officer. Now, unless
the patient has considerable means, it is practically certain that he
will be able to consult no medical man who is conversant with—much
less expert in—the treatment of early mental disorder. And, though
the relieving officer’s intentions may be of the best, it is just his
‘help’ and all that it means, that the unfortunate is so desperately
striving to avoid. In short, all that the officials under our present
system can say to such a man is, “Go away and get very much worse, and
then we shall be allowed to look after you!” Can stupidity go farther
than this?
Even, however, if the doctor were allowed to help such a person in the
asylum, this would be far from an ideal solution of the difficulty.
Entry into such an institution, even if voluntary, would entail the
serious social stigma which has been so often mentioned. Furthermore,
the asylum, with its associations and implications, particularly the
assumption of the irresponsibility of the patients interned in it,
would destroy one of the chief therapeutic agents in the treatment
of such cases. We mean the conviction of the patient that he is
still responsible for his actions, and that he is still able, under
direction, to cure himself.
Public-domain text, read in full here on John Shaqi.
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