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Shell-shock and other neuropsychiatric problems

Chapter 605: Case 573. (Claude, July, 1916.)
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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.

Brachial monoplegia, hysterical (or feigned?). Found able to descend ladder with arms only.

Case 573. (Claude, July, 1916.)

Claude had a case of a soldier with right-sided brachial monoplegia, which had lasted for 18 months and defied efforts to cure. There was a question of simulation, and Claude handed the case over to Vincent.

The case came on service, June 20, and was seen June 21. He was then treated and found able to descend a ladder applied to a wall with the help of his arms only. On June 24, he was found able to lift a weight of 10 kilos, and could now write with the right hand, although he had been writing only with his left. This man had looked like a simulator to many physicians. He may have been a simulator or an hysteric. In any case, he was cured.