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
Upon investigation, it was found that the patient’s father was also an
epileptic and was alcoholic; that one paternal uncle had died in an
asylum; another of apoplexy; that two maternal uncles were chronic
alcoholics (one in an institution); that an alcoholic brother had been
six times convicted of assault and battery; that a sister had howling,
crying, and hair-pulling spells, throwing herself to the ground. The
patient himself had had an early Bright’s disease and had always been
an undisciplined, excitable, and impulsive boy, sometimes kept out of
school. His first conviction was at 18, for assaulting a policeman, and
he had been arrested four further times for assault and battery. He
stated that his convulsive attacks with the veil before the eyes came
on when he was irritated or had taken cold, or had drunk to excess, or
had over-exerted himself. He said he suffered from intense headache,
weariness, and sleepiness after an attack. He always bit his tongue at
the same period. Irritation and exertion sometimes caused attacks of
dizziness and vertigo without unconsciousness. Alcoholism; ulcer in an
inguinal gland. He had been confined in an asylum 40 days for epilepsy,
attacks of which had become more frequent after he had heard of his
father’s death.
_Re_ violence and epilepsy, Lépine remarks that a pure epilepsy
unclouded by alcoholism may occasionally give rise to acts of extreme
violence, but these pure epileptic violences are infinitely rarer than
the alcoholic ones. The Milanese was in point of fact alcoholic, and
in his ancestry were a number of alcoholics as well as epileptics.
According to Lépine, when subjects are “out for blood,” they are almost
always either, like this Milanese, hereditary alcoholics, or else
strongly predisposed subjects, or even the offspring of the insane.
A disciplinary case: Epileptic attacks with amnesia.
=Case 60.= (PELLACANI, March, 1917.)
A Veronese, 23, quarrelled with his comrades, and one day wounded one.
Another time, when reproved by a superior, he struck him with a shoe;
and at still another time, hurled himself upon his superior officer and
bore him to the ground. Yet he seemed to have a perfect amnesia for all
these violent acts. At other times, he had convulsive attacks with a
mental state which seemed to combine anger and depression, after which
he would fall to the ground, lose consciousness, go into clonic spasms,
spit bloody saliva, and cause wounds and abrasions upon his body. Once,
after such an attack, he passed into a brief excited spell. Finally
he was so insubordinate and violent to superior officers, that he was
brought under hospital observation, having been excited and confused
for a day.
Public-domain text, read in full here on John Shaqi.
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