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
As to the tremophobia, this patient says “In the tramway or in the
subway, I perceive that people are looking at me, and that gives me a
terrible feeling. I feel that I am inspiring pity. Some excellent woman
offers me her seat. I am deeply touched; but if they look at me and say
nothing, what are they thinking of me? This anxiety makes me suffer a
good deal. If I am able to speak it is less painful to me, for then it
is obvious that, despite my trembling, I am not a coward. What a sad
situation this is!”
Meige remarks that therapeutics is not especially successful in these
cases of tremor. Sedative drugs, hyoscyamin, hyoscin, duboisin, and
scopolamin, do not last long and should be used cautiously. Static
electricity works well in some cases. Rest, isolation, and calm.
As for the military prognosis, a period of observation of some three to
four months may be necessary to learn the nature of the tremor. If the
tremor then fails to alter, a convalescent leave for one or two months
may be given. The patient should then be re-observed _by the same
physician_. Upon persistence of tremor, temporary invaliding. Tremors
may be wittingly cultivated for medicolegal purposes (Brissaud’s
sinistrosis.)
Letters of a German soldier about his shell-shock.
=Case 226.= (GAUPP, April, 1915.)
A volunteer, 21, who had been in civil life a lackey, wrote as follows
upon arrival in Gaupp’s clinic:
“On account of our privations and the various terrible scenes
that you have to see, my nerves went back on me. Like the rest
of the front, we too had to suffer terribly heavy artillery
fire from December 20 onwards. December 29 at eight o’clock
in the evening, when I was about to mount guard at the camp,
I was thrown down by a shell that unexpectedly struck near me
across the earth pushed out into a trench. I ran at once to
cover as some more shots followed directly. I couldn’t be made
to do anything on the thirtieth nor can I very clearly remember
the events of that day. There was a terrific cannonade again,
then cries of the wounded and the sight of the dead, etc. I was
told afterwards that I fell down, cried, struck about me, and
remained lying, dazed. The first that I can remember was that
I was lying on a floor. I was then carried into another house,
into a better room. Then I regained consciousness and could
hear again after the noise in the ears had stopped, but I could
not talk or walk. I was unconscious for two days. I got into
the hospital train at R. the next day but had to be carried
in as I could not walk. Travelling in the train made me quite
foolish in my head and gave me bad headaches; I could not form
any clear thoughts.”
Public-domain text, read in full here on John Shaqi.
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