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 sergeant, aged 23, evacuated from the front to a hospital for the
insane, had been mute, though not deaf, since February 28, 1915. If
asked to cry out he grew black in the face and could utter only a
raucous scream which made everyone jump. He wrote very frequently,
stating in February that as he was still a sergeant and had no hope
of advancement, he cared nothing more for life. “The idea of death
got anchored in my head.” In this state of mind, on the afternoon of
the 27th two bombs came. “I saw the first one coming and cried out
a warning. Coming back I saw the second one. The bombs were coming
rather softly. From this moment on and up to the time when they burst,
I thought I had gone, that I had been carried off and crushed. I was
quite astounded at finding myself covered with earth and stones … but
I could not talk any more, I could just say in a low voice ‘Papa,’ and
the next day in an ambulance I could not talk at all.”
There was complete pharyngeal anesthesia. The man had been a foundling
and was clearly a degenerate. He had always been of a depressed
disposition and given to thoughts about his misfortunes. Over and
above the mutism gradually ideas of persecution and revindication
developed (such as that he merited adjutant’s rank and was being mocked
and treated as a simulator). He drew up a long letter to the War
Ministry in which he stated his desire to be sent back to the front.
He complained to the police about a hospital sergeant and offered a
duel in an elaborate and inflammatory style, “with whatever weapons
shall please you, either sabre of 1845, revolver of 1902 or bayonet of
1886 or the _chassepot_. One of us two must disappear.” He had become
dangerous enough to be interned and in hospital remained mute with the
same ideas of persecution and revindication, the same alternate phases
of calmness and excitation. According to Dumesnil: hysterical mutism
with persecutory delusional psychosis.
A peasant’s psychopathic inferiority brought out by the war.
=Case 186.= (BENNATI, October, 1916.)
An Italian peasant began to feel sick on being called to arms.
Antebellum he had been an even-tempered, good-natured man, according
to his own story, satisfied even with stale food, and always enjoying
his sleep. He had been in the war about a month, doing construction
work, sentry duty, and chores. Though he lived in the trenches under
damp conditions, there had really not been much excessive war strain.
He shortly developed migraine and war-weariness, as well as middle-ear
disease.
A number of times he heard shooting nearby, and was subject in his
sentry duty to a good deal of anxiety and painful associations. On
sentry duty he had digestive disorder, vomited, and became intolerably
weary; in point of fact, a fever, regarded as malarial, then developed,
together with diarrhea.
Public-domain text, read in full here on John Shaqi.
Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918 — John Shaqi
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