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 the man relied on the opinion of the two physicians
and discounted that of the third. He thought himself the victim of
an injustice, and not knowing how to get on, it occurred to him that
he would abandon the regiment and get out of the difficulty. It was
without resistance, however, that he gave himself up as a prisoner.
This fugue was neither unconscious nor amnestic, nor was it due to
an irresistible impulse; nor can we say that it was due to a genuine
intellectual disorder. It was an emotional fugue, and partly due to
the man’s long-standing depression. It seems that he had inherited
this character from his father. He was below normal intelligence,
had a very poor education, lost his wife, and grew more and more
sombre. He married again, but this time a neuropath. He began to be
preoccupied with his health and he had even some ideas of suicide. At
the time of his leaving the regiment, he had passed through a phase of
depression of about 6 months’ duration, and at this time had a number
of hypochondriacal ideas with poor appetite and loss of weight.
Diagnostic dispute between regimental surgeon and alienist.
=Case 44.= (KASTAN, January, 1916.)
Julius Q. was sent on guard April 14, 1915, with orders to remain
there. While on guard he made a noise and made a movement as if to take
a knife from his pocket. Ordered to empty his pockets, he attacked the
other guards. The witnesses said that he was drunk.
Upon examination, it appeared that he had recognized and called by name
those present in the guardhouse, despite his supposed intoxication.
There were red spots on the skin and a certain amount of analgesia. His
powers of computation and reasoning were poor. He was unable to explain
the meaning of a picture shown him. He maintained that he had an
indomitable desire for drink. A diagnostic draught of alcohol yielded
no reaction. Upon dismissal, he got drunk at once again, and had again
to be imprisoned in a state of excitement. What the outcome in this
case was is not stated by Kastan.
The previous history seems important. Julius Q. had been a state ward.
He had escaped several times from the institution but had always to be
brought back again because he could not be trained at home. He had once
attacked a supervisor in the state institution with a knife. It seems
that he had at this time been drunk, having been brought back drunk to
the institution.
Two years before the war he had been taken to the Breslau Hospital
for the Insane on account of fits of insanity. In 1913 he had been a
patient in Wuhlgarten on similar grounds. The diagnosis there had been
epileptoid degeneration, psychopathic constitution, imbecility, or
epilepsy(?). He had been convicted of crimes a number of times and put
to labor. He had been given to cruelty in childhood.
Despite this, he was _declared perfectly healthy in mind and body by
the regimental surgeon_.
Public-domain text, read in full here on John Shaqi.
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