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
Musketeer. No faulty heredity, but was always somewhat nervous. On
October 26, a shell burst one meter in front of him, burying him under
the anterior wall of the trench. He was dug out and taken to the field
hospital, where he remained unconscious until the next morning. On
October 29, he was taken to the reserve hospital. Severe pain in the
head, entire scalp tender on pressure, especially in the left frontal
region, left side upper lip swollen, bluish and discolored. Left tenth
and sixth ribs broken. Fracture of skull(?). November 10, at eight
o’clock at night, sudden attack of vomiting, and the patient was found
in a faint in the water closet. Almost complete paralysis of speech
and all of the four extremities. Consciousness obscured; no sensory
disturbances. November 11, severe headache and vertigo. Speech somewhat
more intelligible. Pulse, 60 to 68. “Evidently secondary hemorrhage in
the brain.” November 12, to Augusta Hospital. November 20, admission
to nerve hospital. Typical aphonia. Limitation of motion in all four
extremities, but no paralysis--anergy. Reflexes normal. Unable to
stand and walk. Sensibility preserved. Under suggestive treatment,
curative gymnastics, as well as electrotherapeutics, the aphonia
and abasia disappeared in a few days, but the patient continued to
complain of headache and insomnia. December 16, an attack of nausea,
headache, vomiting, loss of consciousness, followed by epistaxis,
marked tachycardia. January 4, in his sleep he felt a prick in his left
upper arm, as if he had pushed a sewing needle into the arm. X-ray
examination showed a needle in the arm. This was extracted under local
anesthesia.
VIII.[5] SCHIZOPHRENOSES
(DEMENTIA PRAECOX GROUP)
[5] VII. Geriopsychoses (senile-senescent group) not
represented in war cases (see page).
The Sister’s ear boxed for blow to a German soldier’s pride: Diagnosis
PSYCHOPATHIC CONSTITUTION! A true psychosis develops: hate of Prussia
and the Junkertum: Diagnosis, DEMENTIA PRAECOX!!
=Case 147.= (BONHOEFFER.)
A sick soldier in a military hospital kept complaining of being waked
up too early, and of poor food. His reactions looked like the irritable
weakness of a psychopath. One day he went into a room where a woman
was being examined, without knocking. When ordered out, he boxed the
Sister’s ear.
He said himself, on transfer to the psychiatric clinic, that he had
always been quarrelsome as a child with his brothers and sisters,
subject to fainting spells, and poor and stubborn in military
service,--all of which seemed to clinch the diagnosis of psychopathic
constitution.
Public-domain text, read in full here on John Shaqi.
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