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
At first the situation seemed probably one of hysterical delusion,
for which the Gurkha experience served as material. In point of fact,
further observation in the clinic showed that the diagnosis of hysteria
was wrong. He was induced to write out his experience in a style
quite like his conversation; and there was a queer tendency in his
writing to the use of foreign words, somewhat improperly used. After
a time he began to sit about dully and at times to run about and throw
himself into and out of bed, or strike rhythmically with his shoes on
the floor, or draw his shoulders together, making grimaces, rolling
his eyes and breathing deeply. He said he had to make these movements
involuntarily if he were in some way excited. But the peculiar conduct
also often occurred without any emotional prod. His emotions were
variable, but on the whole indifferent and not always quite suitable.
He frequently said he wanted to get into the field again, giving vent
to superficial phrases, such as “atrocities, concrete and abstract,”
and “this damned war that is so vulgar.” Yet a few minutes later he
would say he wanted to go to war at Amsterdam as Amsterdam had pleased
him very much. He said he now had a good many thoughts and ideas which
formerly he had not had. He had not been promoted, he said, because he
had once angered an officer in another company.
His field hospital history told of certain oddities, such as his lying
stiffly in bed heedless of what was going on about him, falling into
causeless depression, failing to sleep, and wandering about.
As to previous life, only his own data were available. He had been a
moderate scholar, had been rather irritable and thought a peculiar
character. In the ward, he showed baseless antipathy to certain
patients and said they were well. He seemed to have no insight into his
condition, yet wrote in a letter that the insane state in which he was
had very much “augmented his mental organism.” The diagnosis of early
hebephrenic disorder could now be considered established.
Occipital trauma. Mystical visual hallucinations and explanatory
delusions.
=Case 159.= (CLAUDE, LHERMITTE, VIGOUROUX, 1917.)
A soldier, 33, single, was wounded in the right occipital region by a
shell burst September 25, 1915. There was no sign of focal lesion, but
a trephining operation was done, which healed perfectly. No disturbance
of vision ensued. The soldier was sent to convalesce two months after
having been examined by P. Marie at the Salpêtrière. He went back to
his regimental station and was put into the auxiliary service April 26,
1916.
Public-domain text, read in full here on John Shaqi.
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