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Shell-shock and other neuropsychiatric problems

Chapter 322: Case 297. (Forsyth, December, 1915.)
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About This Book

The work assembles nearly six hundred clinical case histories drawn from wartime medical literature to document combat-related neuropsychiatric disorders. It presents concise case protocols illustrating varied symptom patterns, diagnostic dilemmas, malingering and simulation, therapeutic interventions, and treatment outcomes, and includes bibliographic references and introductory commentary. Sections juxtapose cases to illuminate contested diagnoses and to inform postwar rehabilitation and mental-hygiene efforts, aiming to provide clinicians and reconstruction workers with detailed clinical material for recognizing, classifying, and managing neuropsychiatric consequences of war.

Anticipation of warfare: Hysterical blindness.

Case 297. (Forsyth, December, 1915.)

Anticipation of warfare may provoke a neurosis as in a case of Forsyth’s. The man went blind training in England.

It seems that four months before, while mounting sentry at night, marauding gypsies had felled him by a blow on the head from behind. He had returned to duty after a day or two and was now expecting to be moved to France. He said that while sitting with a friend, he began to feel giddy, turned a somersault, and fell unconscious; and that on coming to, his mind was clear but everything was dark. For ten days he had been blind, although once he could see his parents, who visited him in hospital, almost clearly. His appearance under examination strongly recalled that of a blind man. He was induced to read some large print, then smaller print, and finally very small print. He then lapsed into blindness.

He remembered that before enlisting, he had trained in a smithy, and heard that blacksmiths often went blind at the forge.