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
A farmer, 30, was mobilized August 2, 1914, and was wounded in the
hand September 27. He went back to his dépôt in December and stayed
there until March, 1915, when he was sent to Dunkirk. Before leaving
the dépôt he said that he had heard soldiers declaring that he was not
doing his duty, that he was going to be court-martialed, that life was
at an end for him. At Dunkirk he said these same soldiers continued to
say the same things about him, forming a band about him, led off by a
subaltern officer who meant to frighten him and to make him talk. One
night sulphur was thrown at him for poisoning purposes; he complained
of this to a sergeant and declared he did not understand why he should
be thus pursued. After the bombardment of Dunkirk the hallucinations
grew more intense. He was sent to hospital and was so harried by the
voices that he wanted to throw himself down a staircase but was caught
in time. At the hospital for the insane he complained that his thoughts
were being heard and loudly repeated; he was made to make incoördinate
movements; was treated as a spy. He thought he must be a German or they
would not treat him so. He waited for death as he wanted to be executed
at once.
This man’s father was alcoholic. He himself at the age of fourteen had
had a period of neurasthenia with some sort of nervous seizure for a
period of five months. At 28 he had a rheumatic seizure which kept him
in bed fifty days. A daughter born to his wife had died a few days
after birth.
Dumesnil’s analysis is melancholia with delusions of persecution, due
to war stress in a predisposed person.
_Re_ melancholia and the war stress, see remarks under Case 167. _Re_
manic-depressive psychosis in the Russians, Khoroshko found 9.4 per
cent of manic-depressive cases, the same percentage of epilepsies, 10
per cent of paretics, and 20.4 per cent of schizophrenic cases amongst
a group of 318 neuro-psychiatric cases. Almost all his manic-depressive
cases had been patently so antebellum.
Depression; low blood pressure. Pituitrin.
=Case 169.= (GREEN, 1917.)
A private, 22, was sent back from Germany as insane. He had been in the
asylum at Giessen seven months, and a prisoner in all fifteen months.
August 16, 1916, he was admitted to Mott’s wards at Maudsley in a
markedly depressed and lethargic condition. He had improved somewhat
in October, but still had periods of depression. He was put on thyroid
extract (Green’s treatment was in doses measuring from gr. ¼ to gr.
1, t.d.s.; according to Green, the effect of thyroid extract is more
rapid when coupled with pituitrin). In December he was given pituitrin
extract gr. 2, t.d.s. In January, 1917, he was no longer depressed or
lethargic. He complained of pain in his back, found to be due to a
bullet. This was removed.
Public-domain text, read in full here on John Shaqi.
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