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
No conclusions are intended to be drawn in these introductory pages.
Such conclusions as are risked are placed in the Epicrisis (see
Section E). But so much can be said: If we are ever to surround the
problem of Shell-shock (_intra bellum_ or _post bellum_), we must
approach it with no artificial and _à priori_ limitations of its scope.
We must not even agree beforehand that Shell-shock is nothing but
psychoneurosis: that would be a deductive decision unworthy of modern
science. In the collection of these cases, I have tried to place the
topic upon the broadest clinical base. Samples of virtually every sort
of mental disease and of several sorts of nervous disease have been
laid down, some obviously not instances of Shell-shock, some mixed with
clinical phenomena of Shell-shock, others hard to tell offhand from
Shell-shock--the whole on the basis that we shall earliest learn what
Shell-shock, the pathological event, is by studying what it is not. As
the sequel may show, we are perhaps not entitled to regard Shell-shock,
the pathological event, as always associated with shell-shock, the
physical event. We shall, therefore, find in Section A (see tables on
pages 6 and 7).
(1) Cases without either physical shell-shock, or pathological
Shell-shock--psychoses of various kinds incidental in the war (--+).
(2) Cases with physical shell-shock but without pathological
Shell-shock--psychoses of various kinds seemingly liberated by,
aggravated by, or accelerated by the physical factor of shell-shock
(+-+).
(3) Cases without physical shell-shock but with both symptoms of
pathological Shell-shock as well as of other psychosis (-++).
(4) Cases with physical shell-shock, with clinical phenomena of
Shell-shock, as well as of other psychosis (+++).
At the end of Section A, accordingly, we shall be left with two more
formulae for discussion in Sections B, C, and D, viz:
(5) Cases without physical shell-shock but with symptoms of
pathological Shell-shock (-+-).
(6) Cases with physical shell-shock and pathological Shell-shock (++-).
The data of Section A will solidly prove that Shell-shock, however
picturesque the term for laymen or in the _argot_ of the clinic, is
medically most intriguing. As we cannot get rid of the term (even by
suppressing it in parentheses or by condemning it to the limbo of the
_so-called_), we must make the best of it by calling Shell-shock just
the ore in the clinical mine. To say the least, the _term_ is harmless:
it merely stimulates the lay hearer to questions. These questions he
must ask of the expert. But every time that the expert suavely states
that Shell-shock is nothing but psychoneurosis, that expert runs the
risk of hurting some patient who may or not have a psychoneurosis but
has been _called_ psychoneurotic. All the while, of course, the suave
expert is perfectly right--_statistically_. In fine, the man you have
called a victim of Shell-shock is probably a victim of psychoneurosis,
_but only probably_!
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account