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
A further inspection of this grouping of mental diseases shows not
only that it contains many conditions not usually termed “insanity”
(such as, e.g., feeblemindedness, epilepsy, alcoholism, sundry somatic
diseases, psychoneuroses), but that these conditions are presented for
practical purposes in a certain seemingly arbitrary order. Without
attempting to justify this selection of scope (not too wide for modern
psychiatry, most would readily acknowledge), I shall draw out a little
further what I consider to be the virtues of the order selected. In
the first place, all will concede, _some_ order of consideration of
collected data is a prime necessity to the tyro. Without an order of
consideration the diagnostic tyro is but too apt to find in the best
textbooks of psychiatry (even more easily the better the textbook)
all he needs to prove that the case in hand is--almost anything he
selects to make his case conform to! And how much more dangerous this
debating-society method of diagnosis (by choice of a side and matching
a textbook type) may become in the fluid and elastic conditions
of psychopathic hospital practice, can readily be observed by one
who contemplates the _formes frustes_ and entity-sketches that the
“incipient, acute, and curable” group of cases presents.
CHART 1
PRACTICAL GROUPING OF MENTAL DISEASES
The order adopted for these groups (which roughly correspond
to botanical or zoological orders) is a pragmatic order for
successive exclusion on the basis of available tests, criteria,
or information: the actual diagnosis is a product of still
further differentiation within the several groups.
The case-histories of this book will show that
(_a_) most shell-shock is in group X, Psychoneuroses,
(_b_) the diagnostic delimitation problem is chiefly against I.
Syphilopsychoses, III. Epileptoses, VI. Somatopsychoses,
(_c_) the finer differentiation problem is between X.
Psychoneuroses and V. Encephalopsychoses. (See Epicrisis,
propositions 9-12, 40-43, 72-73.)
I. Syphilitic Psychoses SYPHILOPSYCHOSES
II. Feeblemindedness HYPOPHRENOSES
III. Epilepsy EPILEPTOSES
IV. Alcoholic, Drug, and Poison
Psychoses PHARMACOPSYCHOSES
V. Focal Brain Lesion Psychoses ENCEPHALOPSYCHOSES
VI. Symptomatic (Somatic) Psychoses SOMATOPSYCHOSES
VII. Presenile-Senile Psychoses GERIOPSYCHOSES
VIII. Dementia Praecox and Allied
Psychoses SCHIZOPHRENOSES
IX. Manic-Depressive and Allied
Psychoses CYCLOTHYMOSES
X. Psychoneuroses PSYCHONEUROSES
XI. Other Forms of Psychopathia PSYCHOPATHOSES
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