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
had taken for a distance of 150 yards, the other 100 yards you
had to come across the open. We got into our trench all right,
and I got this box on my back and started back to the trench.
I was just stepping out of the trench when a shell burst just
over my head and I went down. When I came to my senses I was
lying in our support trench where I had been carried by two
of the men of the 4th Black Watch. One of them said something
but I could not hear him and I tried to tell him so, then I
discovered that I could not speak.
Shell-shock by windage: Hysterical crural monoplegia, of gradual
development beginning four days after accident. Recovery by suggestion.
=Case 228.= (LÉRI, February, 1915.)
A number of chasseurs were doing the “tortoise-shell” under
bombardment, when the last chasseur in the line was blown forward
above his comrades by a shell bursting about a meter behind him. He
was projected some four or five meters, got up, walked four or five
kilometers, found an automobile, and was carried to Nancy. He passed,
according to his story, red urine three or four times. He was six days
at Nancy, where a slight abrasion of the side was treated. He began to
feel heavy in his left leg on the fourth day. At Vendôme, the paralysis
got worse, and by November 17 he had apparently a complete paralysis
of the left lower extremity, called “spinal contusion.” He walked upon
two canes, dragging left leg behind and had to be carried upstairs on
a stretcher. The reflexes were normal except that there might have
been a very slight excess of the left knee-jerk. There was a slight
hypesthesia of the left leg, sharply limited above.
These phenomena were strikingly modified, at a single sitting, by
verbal suggestion and faradism, but the man was one of those with
_mauvaise volonté_. He did not want to get well so quickly, so that his
complete cure was delayed a while.
NATURE OF SHELL-SHOCK: At the nerve clinic the patient presents,
_e.g._, sundry CONTRACTURES, of such a nature that they may be caused
to DISAPPEAR BY SUGGESTION, _e.g._, by mental influences during
recovery from chloroform narcosis (note battle-dreams). PAINS and
ANESTHESIAS disappear PARI PASSU with the contractures. The history
is of shell explosion so near as to burn patient’s clothing, fall
with nosebleed, eight hours unconsciousness, crural monoplegia with
anesthesia (crawled 3 meters, however).
=Case 229.= (BINSWANGER, July, 1915.)
The treatment of a German private, 22, for contracture of the left
leg and other phenomena, culminated in narcosis. Binswanger lays
stress upon the mental influence to be exerted upon the patient at
the conclusion of narcosis, at the moment in which the patient is
particularly accessible to verbal suggestion. Treatment (see diagnostic
details below) was carried out as follows:
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