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
One of Meige’s victims of shell-shock tremors was an artist. He stood
the hardest sort of trench life for many months without disorder. Under
particularly sharp fire, “the machine went off the track,” as the
artist said, and he began to tremble. Both arms and head trembled, but
especially the head, which was subject to small sidewise oscillations,
variable in degree, and almost permanent,--a sort of vibration which
the patient could diminish somewhat by stiffening his neck muscles. His
manual tremor was not exaggerated by voluntary movements. Superficially
he resembled a Parkinsonian case. He presented a curious appearance of
combined vibrations and stiffness.
There was no doubt that this tremor had an emotional origin. In fact,
the psychopathic status of the patient was described by the artist
himself. “My nervous state, which I thought ought to last not more
than a fortnight, still persists more than three, or almost four,
months after being evacuated, although the trembling is a little
less. I am calmer and palpitate less, and my hands perspire less when
I am emotional or making an effort. At first, the slightest shock
immediately ran through me, followed by an uncontrollable trembling.
Now there is an appreciable delay between the shock and the trembling;
I can control it for a few seconds but not longer. The subway gate
noises, a flaring light, a locomotive whistle, the barking of a dog,
or some boyish prank is enough to set off the trembling; going to the
theater, listening to music, reading a poem, or being present at a
religious ceremony, acts the same way. Recently when a flag was being
raised at the Invalides, I thought at first that I was going to be
cured by so moving a spectacle, but then I suddenly began to tremble so
violently that I had to cry out, and I had to sit down, weeping like a
child. Sometimes the trembling comes on suddenly without any cause. I
went to a novelty shop to do some errands with my wife. The crowd, the
lights, the rustling of the silk, the colors of the goods--everything
was a delight to me to look upon,--a contrast to our trench misery. I
was happy and chatted merrily, like a schoolboy on a vacation. All of
a sudden I felt that my strength was leaving me. I stopped talking;
I felt a bad sensation in my back; I felt my cheeks hollowing in. I
began to stare, and the trembling came on again, together with a great
feeling of discomfort. If I can lean against something, sit down, or
better, lie down, the trembling gets better and pretty soon stops.
There are three conditions in which I feel well: first, upon waking
after 11 or 12 hours’ sleep; next, after a meal, especially if it is a
good one; and lastly, and above all, when I get the electric douche.
Then, as if by magic, my ideas get clear, cheerful, and regain color; I
feel myself again. That lasts for an hour or so; then I relapse into my
sad state.”
Public-domain text, read in full here on John Shaqi.
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