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
The analysis of this case would clearly show the benefit of
considering, first, the hypothesis of syphilis. Not only is the history
of his children suggestive, but the impairment of mind noted by the
captain as due to alcohol may very possibly be syphilitic in origin.
Examples in division he could not solve, and it is a question whether
his leaving guardmount is not in part related to disorientation for
time. There appears to be no evidence of feeblemindedness and none of
epilepsy (though a sister suffered from continual headaches). Alcohol
may account possibly for the entire picture and is particularly
consistent with the false voices and figures, the sparrows in the
face, and the sensations in neck and the tickling in the ears. It is
possible, also, that intolerance to alcohol had set in since the fall
from the scaffolding for which a pension was being received. It does
not appear necessary to consider any further of the groups of mental
disease. Syphilis, alcohol, and a post-traumatic brain condition, all
may play a part. Alcohol is able probably by itself to produce a number
of these symptoms, and these alcoholic symptoms would be probably the
more readily produced in virtue of the post-traumatic intolerance that
we may assume.
A disciplinary case: Alcoholism.
=Case 93.= (KASTAN, January, 1916.)
A German soldier, brought up for examination for disobedience and
insubordination with intoxication, was found already to have been
convicted 33 times of a variety of crimes. Once he had drunk a bottle
of shoemaker’s polish, evidently with suicidal intent.
In the canteen he had assaulted superior officers and tried to strike a
sergeant. He said he had been attacked by the sergeant and pushed into
a cell, whereupon he had lost his mind.
He came from a family of drunkards, and had been himself very alcoholic
formerly. On the day in question, however, he had drunk very little.
According to his account, he had fits of this sort if any one injured
him. He was amnestic and had forgotten his previous convictions.
Anything he might have done, he said, had happened a long time ago, in
his youth. For example, concerning a theft, he said that it was merely
that he had fallen into some Christmas trees and stuck fast there, and
no one wanted to be paid. Tremors of hands, feet, head. Analgesia of
thorax.
Public-domain text, read in full here on John Shaqi.
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