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
At the outset of Dr. Southard’s book, for more than two hundred and
fifty pages, the author considers under ten subdivisions the acquired
diseases and constitutional defects which may predispose the soldier
to functional and reflex nervous disease. Neurosyphilis, on which Dr.
Southard and Dr. Solomon have already given us a valuable treatise,
the pharmacopsychoses, especially alcoholism, and the somatopsychoses
covering fevers like typhoid and paratyphoid, are considered in
numerous carefully chosen case reports. The reader needs only to look
closely into the case records of the first quarter of the volume to
get a knowledge of the affections chiefly predisposing the soldier or
civilian to functional and reflex nervous diseases. To those familiar
with the medical history of the war it is well known that one of the
reasons for the efficiency of the American Expeditionary Force resided
in the fact that the preliminary examinations of the recruits received
the fullest attention not only from the points of view of acquired and
inherited disease, but also from those of special psychiatric and even
psychological deficiencies. Our country, however, had for its guidance
the experience of nations which were fighting for three years before we
entered the arena and in addition had a large surplus of material from
which to cull out the weaklings.
Among the predispositional affections considered--besides syphilis,
alcohol, and other drug habits, and the somatopsychoses--are the
feeble-mindednesses or hypophrenoses, the epilepsies, the psychoses
due to focal brain lesions, the presenile and senile disorders, the
schizophrenoses including dementia præcox and allied affections, the
cyclothymoses like manic depressive insanity, the psychoneuroses, and
the psychopathoses. The last two subjects indicated, considered in
special chapters, seem to some extent to be receptacles for affections
which cannot well be otherwise placed,--hallucinoses, hysteria,
neurasthenia, and psychasthenia,--and under the psychopathoses,
pathological lying, Bolshevism, delinquencies of various sorts,
homosexuality, suicide and self-mutilation, nosophobia, and even
claustrophobia with its exemplar who preferred exposure to shell-fire
to remaining in a tunnel.
Under the encephalopsychoses are found interesting illustrations of
focal lesions and the general effects of infection and toxemia. Cases
of brain abscess, of spinal focal lesions, and meningeal hemorrhage
are in evidence, aphasias, monoplegias, Jacksonian spasm, and thalamic
disease receiving consideration.
Public-domain text, read in full here on John Shaqi.
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