Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918Southard, Elmer Ernest
History
Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918
Southard, Elmer Ernest
War neuroses; World War, 1914-1918 -- Medical care; World War, 1914-1918 -- Psychological aspects
An unwilling conscript developed numerous fits on board ship coming
from Jersey, three days after enlisting. _Fifty_ more developed during
two days in hospital. He was sent to Netley.
On the hypothesis of hysteria or malingering, he was hypnotized. A fit
was suggested to him, but did not come off. The Sister was informed
in the patient’s hearing that the man was clearly shamming, as in all
genuine cases a fit would occur after this treatment. A fit with marked
opisthotonos immediately occurred. This fit immediately stopped when he
was ordered to stop it and to wake up.
The man after waking promised to have no more fits.
Epileptoid attacks, controllable by will.
=Case 79.= (RUSSEL, August, 1917.)
A man was received in No. 3, General Hospital: Diagnosis, epilepsy. He
was shortly sent to the convalescent camp and then returned, having had
two attacks. Russel watched for another attack, felt it was not genuine
and “put the situation up to” the soldier whose story was as follows:
He had been at the front without leave for twelve months since the
German retreat. Leave was due him. A sister’s letter said his brother
was severely wounded and his mother was praying for his return. When he
thought these things over an attack came. He could, however, control
the attacks. Russel told him, if he would play the game, he would be
sent to the base with a recommendation for leave. In ten days the man
was remarkably changed and had no further attacks.
Hereditary epileptic taint brought out by two years service with
eventual shell-shock and burial thrice in one day.
=Case 80.= (HURST, March, 1917.)
A private, 24, in the army from 16, never epileptic (sisters
epileptic), was wounded four times in the war from September, 1914.
Shell fire did not worry the man, but he gradually became depressed
after his father and five brothers had died in active service. He
was blown up and buried three times in one day in July, 1916. He was
unconscious for two hours after the second blowing up, but carried on
for two hours more until blown up for the third time.
After this, he became nervous and shaky, and began to sleep badly, and
a month later had a typical attack of major epilepsy. Fits occurred
with increasing frequency. As many as 19 occurred in a single day. Rest
and bromides caused the fits to cease, and there had been none for six
weeks at the time of his discharge.
_Re_ the extraordinary delay in the bringing out of this epileptic’s
taint, refer back to Case 76 of Bonhoeffer, with its discussion, and to
another case of Hurst (64).
_Re_ Shell-shock and its relations to epilepsy, see below, discussion
under Cases 82-84 of Ballard, who has erected a theory of Shell-shock
as in some sense epileptic.
Shell-shock: Epilepsia larvata.
=Case 81.= (JUQUELIER and QUELLIEN, May, 1917.)
Public-domain text, read in full here on John Shaqi.
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