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Shell-shock and other neuropsychiatric problems

Chapter 499: Case 470. (Marie, April, 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.

A fair exchange no robbery: France gets a simulator in an exchange with Germany of prisoners “unfit for service.”

Case 470. (Marie, April, 1915.)

A French soldier arrived in France from Germany in a reciprocal exchange of prisoners supposed to be incapable of bearing arms. The man showed a paraplegia with clonic movements of exaggerated degree. He was rapidly “cured” after being placed in a military hospital, and disciplined. He proved to be a vulgar simulator.

It was clear that the German physicians had made a gross error in diagnosis; but what, asks Marie, should be done with such a man, since he evidently should not be given a convalescent leave or a retirement? Should he be sent back to his dépôt?

If a year’s treatment yields no results, Grasset suggests discharge with suitable gratuity.