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
_Re_ poisoning by certain German asphyxiating gases, Sereysky reports
in 1917 that these gases contained, among other poisons, a nerve
poison. He found that poor heredity was a favorable soil for the action
of this nerve poison. The clinical pictures in the gassed soldiers
rather suggested cerebral arteriosclerosis. He remarks that the logical
distance between the “exogenous” and “endogenous” is greatly reduced
in these gassed cases, as the syndrome of “exogenous” gassing closely
approximates that of various “endogenous” disorders.
Hysterical speech disorder related to mechanical disorder of auditory
apparatus.
=Case 217.= (BINSWANGER, July, 1915.)
Whenever a German officer’s servant, 23 years, was addressed on the
ward in the Jena Nerve Hospital, his hands would tremble and the
muscles of his face would fall into grimacing associated movements. He
had a peculiar infantile type of speech, talking with a fixed glance
and an anxious mien. He would carefully utter, as a rule, separate
words, chiefly only nouns or infinitives. He would gesticulate with
both hands to make what he said understood. Thus (freely translating
the German) runs his description of a battle:
“Well--because--I--we had--no artillery and so many losses--then got
in position again, then we--laid down a long time--perhaps until four
o’clock in the afternoon--five--and--and it happened that--lay in
Rübenfeld--couldn’t go back--then shell near me--fell in and I right
near, how--how far--I don’t know and--grown better. Comrade said--10
meters--don’t know--un--unconscious.”
Long compound German words could not be repeated, since after the first
or second syllable there was a severe emotional excitement; syllable
articulation and phonation ceased. Finally, however, the patient
could be gotten to pronounce the whole word. Reading aloud was very
difficult: syllable sounding and omission of difficult syllables; after
a time, weeping.
The patient was a somewhat small, muscular, well-nourished man, with
a murmur at the apex, a somewhat rapid pulse, increased reflexes,
especially skin reflexes, painful supra- and infra-orbital points,
temples painful to percussion, pressure over spine painful from
second thoracic to third lumbar vertebrae. There was an increased
sensitiveness to touch and pain over the whole body. There was a
bilateral, somewhat marked tremor, more marked on the left side than on
the right. Swaying in Romberg position was slight. Tremor of tongue.
Public-domain text, read in full here on John Shaqi.
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