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
It seems that this volunteer had not been quite up to the hardships
of the war from the beginning; always a weakling, he had to be spared
on the marches. In fact, he had been refused by the army at the first
examination as unfit. He had been a nervous, tender, somewhat anxious
fellow since childhood.
At the clinic there was an astasia and an abasia without any signs of
organic disease. The striking feature was mutism. He could understand
things spoken and written, but he was entirely mute, nodding and
shaking his head properly for affirmatives and negatives. He carried
with him a few slips of paper with written requests, like: “Please,
can I have salt; otherwise I can’t eat the soup;” “Are we going to ride
farther, I have such a bad headache. The doctor must not come. The one
who wanted to shoot me if I couldn’t speak. They are all bad.”
Treatment by suggestion (laryngeal faradization, lively verbal
suggestion to pronounce single vowels, syllables, and whole words and
sentences with enunciation of them) removed the mutism in a few days.
At first the man’s speech was low and somewhat retarded, but later it
became entirely normal. Within ten days the abasia cleared up and the
patient became lively and cheerful. He was depressed on finding that he
had lice, but after losing them became happy and childlike again.
February 1, however, on learning that he would be able to do garrison
duty again, he took the news very soberly, and grew more quiet,
trembled and seemed anxious.
February 7, he was sent to the garrison, increasingly excited. His own
account of it in a letter written to a hospital nurse, runs as follows:
Public-domain text, read in full here on John Shaqi.
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