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Shell-shock and other neuropsychiatric problems

Chapter 581: Case 548. (Hurst, 1917.)
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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.

Agoraphobia: Cure by hypnosis.

Case 548. (Hurst, 1917.)

A captain was (with one lieutenant) the sole survivor among his battalion officers at Ypres. The captain received the D. S. O. for his gallant conduct in saving the remnant of his battalion. He now felt he could never face responsibility again and that he would disgrace himself if he ever got into danger. He developed a terrible dread of open places and became more and more depressed. When he heard that there was going to be an attack at Neuve Chapelle, he broke down but managed to get through the first day of the battle. He was worse off than ever in the evening, felt that he could not face another day’s fighting, was invalided home, and arrived in a condition of exhaustion and feeling of disgrace. He had bad dreams at night. Rest was insufficient to restore confidence. Hypnosis was followed by rapid improvement, and the man was soon able to get back to duty.

Re agoraphobia, see Section A, XI, Psychopathoses, and also Steiner’s case (182) of claustrophobia, in which shells were preferred to safety in a tunnel.