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
Dismissing the hypothesis of a syphilitic dementia, we might
cling to that of alcoholic dementia more or less punctuated
by acute alcoholism. Yet it is also possible that the patient
was actually somewhat feeble-minded; this would be consistent
with his own statement. The question might arise whether
this soldier could have been excluded by careful psychiatric
examination before entering service. It would seem that a
knowledge of the insanity of the mother and grandmother, and an
inspection of school records, if available,--to say nothing of
the episodes which may or may not have been accurately related,
between himself and his afterwards divorced wife--would have
sufficed to throw doubt upon the military effectiveness of
this man. We know also that he had already been convicted of
drunkenness on military service before the episodes mentioned.
Desertion by alcoholic. Contributory factors.
=Case 92.= (KASTAN, January, 1916.)
Carl B. was a soldier about whom the captain thought that his
intellectual power had been weakened by drink. An inquiry after
arrest showed that he had been odd also at home. He had once been
sued for perjury, but the suit had been stopped for lack of evidence.
He had been several times convicted of drunkenness. It appears that
on March 30, 1915, after mounting guard, he said nothing and went
home, remaining at home until the next day and then returned to
the guardhouse in the street-car. He declared, this time, that the
non-commissioned officer had given him permission to leave, although
this statement was not correct.
Again, on April 6, B. was about to leave the quarters, but the surgeon,
finding him drunk, kept him back. He did not go home that night, and
the next day when he was wanted at the hearing, he could be found only
in the afternoon. He replied confusedly and somewhat irrelevantly to
the questions asked. On arrival at the clinic he was in tears and much
depressed. Given 50 grams of alcohol, he became somewhat livelier.
Upon examination, his perceptions were found diminished; he felt, he
stated, a cracking and crackling in his neck. In his cell he had felt
as if sparrows were roosting in his face; he had heard voices and
seen pictures, and had not known what he was doing. He asserted his
innocence, blaming his imprisonment for all his troubles. He had been
in the habit of drinking three liqueurs and two glasses of beer a day.
He had been drawing a pension since a fall from a scaffold.
A sister had suffered from continual headaches. The patient himself had
three sickly children and ten of his children were dead; there were
also two premature births.
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