Abstract
Traumatic war neuroses emerged as a new phenomenon during the First World War. While soldiers in earlier wars had been diagnosed as insane or suffering from nostalgia, or homesickness, these diagnoses were not thought to have been caused by the trauma of warfare (1). In contrast, the prevalence of war neuroses during World War I has been linked specifically to the circumstances of the fighting. As late as 1977, for example, a noted historian of military psychiatry commented that, in World War I, warfare had reached new heights of destruction and terror. In the early phases, optimum conditions were presented for the emergence of psychiatric casualties in that new troops were locked in intense prolonged combat with heavy concentrations of artillery fire and a high incidence of battle losses (2).
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Notes
George Rosen, “Nostalgia: A ‘Forgotten’ Psychological Disorder,” Psychological Medicine 5 (1975), 340–354.
Albert J. Glass, “Military Psychiatry,” in The International Encyclopedia of Psychiatry, Psychology, and Neurology ( New York: Aesculapius Publishers, 1977 ), p. 218.
Martin Stone, “Shellshock and the Psychologists,” in William F. Bynum, Roy Porter, and Michael Shepherd (eds.), The Anatomy of Madness ( London and New York: Tavistock Publications, 1985 ), pp. 242–271.
John C. Burnham, Psychoanalysis and American Medicine, 1894–1918: Medicine, Science, and Culture ( New York: International Universities Press, 1967 ), p. 44.
José López Pinero, Historical Origins of the Concept of Neurosis ( Cambridge: Cambridge University Press, 1983 ).
Kenneth Levin, Freud’s Early Psychology of the Neuroses ( Pittsburgh: University of Pittsburgh Press, 1978 ).
Ibid.,p. 43.
William R. Gowers, A Manual of Disease of the Nervous System ( London: J. & A. Churchill, 1893 ), p. 985.
Levin, op. cit.,1978 (6), p. 44.
Ibid.,p. 43.
Charles Rosenberg, “The Place of George Miller Beard in American Psychiatry,” Bulletin of the History of Medicine 36 (May—June 1962), 245–259.
Gowers, op. cit.,1893 (8), p. 1045.
Edward M. Brown, “The Influence of Neurology on Psychiatry: 1865–1915,” in John Gach and Edwin Wallace (eds.), The Handbook of the History of Psychiatry (in press).
Michael R. Trimble, Post-Traumatic Neurosis: From Railway Spine to Whiplash ( New York: John Wiley and Sons, 1981 ).
Lawrence M. Friedman, A History of American Law ( New York: Simon and Schuster, 1985 ), p. 468.
John Eric Erichsen, On Railway and Other Injuries of the Nervous System ( Philadelphia: Henry C. Lea, 1867 ), pp. 72–91.
James Syme, “Compensation for Railway Injuries,” Lancet, January 5, 1867.
George P. Voorheis, A Treatise on the Law of the Measure of Damages for Personal Injuries ( Norwalk, Ohio: The Laning Co., 1903 ), pp. 174–183.
Mabel W. Brown, Neuropsychiatty and the War: A Bibliography with Abstracts ( New York: National Committee for Mental Hygiene, 1918 ).
Charles L. Dana, “The Traumatic Neuroses,” in Allan M. Hamilton and Lawrence Godkin (eds.), A System of Legal Medicine ( New York: E. B. Treat, 1895 ), pp. 352–361.
William F. Bynum, “The Nervous Patient in Eighteenth and Nineteenth-Century Britain: The Psychiatric Origins of British Neurology,” in Bynum, Porter, and Shepherd, op. cit.,1985 (3), pp. 89–102.
William McDougall, Outline of Abnormal Psychology ( New York: Charles Scribner’s Sons, 1923 ), p. 2.
For one such study see Tom E. Brown, “Shell Shock in the Canadian Expeditionary Force: Canadian Psychiatry and the Great War,” in Charles Roland (ed.), Health, Disease, and Medicine: Essays in Canadian History ( Toronto: Clark Irwin, 1984 ), pp. 308–332.
Charles S. Myers, “Contributions to the Study of Shell Shock,” Lancet, February 13, 1915, pp. 316–320.
Ibid.
Frederick W. Mott, “Effects of High Explosives upon the Central Nervous System,” Lancet, February 12, 1916, pp$1331–338; February 26, 1916, pp. 441449; March 11, 1916, pp. 545–553.
Ibid,February 12, 1916, p. 336.
Culpin noted that “as late as the summer of 1916… [he[was the only member of the staff of a large base hospital in France who believed that shell-shock did not depend on anatomical lesions of the brain” (Millais Culpin, Recent Advances in the Study of the Psychoneuroses [London: J. & A. Churchill, 1931], p. 15).
Corelli Barnett, Britain and Her Army: 1509–1970, ( New York: William Morrow, 1970 ), pp. 240–24L
William Moore, The Thin Yellow Line ( London: Leo Cooper, 1974 ).
John Keegan, The Face of Battle ( London: Penguin Books, 1976 ), pp. 219–229.
Anthony Babington, For the Sake of Example ( New York: St Martins Press, 1983 ), p. 189.
Hansard Parliamentary Debates, House of Lords,vol. 39, no. 29 (April 28, 1920), pp. 1094–1109.
Frank Richardson, “Postscript,” in Babington, op. cit.,1983 (32), p. 214.
Report of the War Office Committee of Enquiry into `Shell Shock,“’ House of Commons Sessional Papers,vol. 12 (London, 1922), pp. 43–44.
Alan P. Herbert, The Secret Battle ( London: Methuen, 1919 ), p. 208.
Charles S. Myers, Shell Shock in France (Cambridge: Cambridge University Press, 1940); Carl Murchison, The History of Psychology in Autobiography ( Worcester, Mass.: Clark University Press, 1936 ), p. 223.
Report of the War Office Committee“ (35), pp. 4–8.
Charles S. Myers, “Contributions to the Study of Shell Shock,” Journal of the Royal Army Medical Corps 27 (1916), p. 557.
Ibid.
William W Keen, S. Weir Mitchell, and George R. Morehouse, “On Malingering, Especially in Regard to Simulation of Disease of the Nervous System,” American Journal of Medical Science 48 (1864), 367–394.
Eugene C. Murdock, Patriotism Limited 1862–1865: The Civil War Draft and the Bounty System (Kent, Ohio: Kent State University Press, 1967 ).
Keen, Mitchell, and Morehouse, op. cit.,1864 (41), pp.367–368.
John Williams, The Home Fronts: Britain, France, and Germany, 1914–1918 ( London: Constable, 1972 ).
Moore, op. cit.,1974 (30), p. x.
John Ellis, Eye-Deep in Hell ( London: Croom Helm, 1976 ).
Sigmund Freud, “Introduction,” in S. Ferenczi et al. Psychoanalysis and the War Neuroses ( London: The International Psycho-analytic Press, 1921 ), p. 3.
Neurasthenia and Shell Shock,“ Lancet,March 18, 1916, p. 627.
Thomas W. Salmon, The Care and Treatment of Mental Diseases and War Neuroses (“Shell Shock”) in the British Army ( London: The War Work Committee of the National Committee for Mental Hygiene, 1917 ), p. 34.
W. Aldren Turner, “Cases of Nervous and Mental Shock Observed in Base Hospitals in France,” British Medical Journal, May 15, 1915, pp. 833–835; W. Aldren Turner, “Arrangements for the Care of Cases of Nervous and Mental Shock Coming from Overseas,” Lancet, May 27, 1916, pp. 1073–75.
Report of the War Office Committee“ (35), pp. 120–126.
Elaine Showalter, “Male Hysteria: W. H. R. Rivers and the Lessons of Shell Shock,” in The Female Malady: Women, Madness, and English Culture, 18301980 ( New York: Pantheon Books, 1985 ), pp. 167–194.
W. H. R. Rivers, “War Neurosis and Military Training,” Mental Hygiene 2 (1918), 513–533.
Salmon gives the proportion of officers to men in the field as 1:30 and the proportion suffering from traumatic neuroses as 1:6 (Salmon, op. cit.,1917 [49[, p. 29). Moore says that in all, “ten officers and 531 men were tried for cowardice, and 21 officers and 7,361 men for desertion while on active service”; both of these figures give ratios of greater than 1:30 (Moore, op. cit.,1974130], p. 189).
John T. MacCurdy, War Neuroses (Cambridge: Cambridge University Press, 1918), pp. 80–87; “Report of the War Office Committee” (35), pp. 39–40.
MacCurdy, op. cit.,1918 (55), p. 85.
Report of the War Office Committee“ (35), pp. 17–18.
Gowers, op. cit.,1893 (8), p. 1027.
Culpin, op. cit.,1931 (28), p. 23.
Eric J. Leed, No Man’s Land: Combat and Identity in World War I (Cambridge: Cambridge University Press, 1979 ); Leed makes the useful distinction between “disciplinary therapy” and “analytic therapy.” The examples used here are not taken from Leed.
W. H. R. Rivers, “Freud’s Psychology of the Unconscious,” Lancet June 16, 1916, pp. 912–914.
R. G. Rows, “Mental Conditions Following Strain and Nerve Shock,” British Medical Journal, March 25, 1916, pp. 441–442.
Salmon, op. cit., 1917 (49), p. 41.
Robert Graves, Good-bye to All That ( New York: Blue Ribbon Books, 1950 ), pp. 308–314.
C. Stanford Read, “A Survey of War Neuro-psychiatry,” Mental Hygiene 2 (1918), 360.
Report of the War Office Committee“ (35), pp. 112–113.
Ibid.,p. 15.
Bernadotte E. Schmidt and Harold C. Vedler, The World in the Crucible ( New York: Harper and Row, 1984 ), p. 136.
Moore, op. cit.,1974 (30), p. 98.
Sir W. G. MacPherson, History of the Great War Based on Official Documents ( London: His Majesty’s Stationery Office, 1924 ), p. 49.
Report of the War Office Committee“ (35), p. 41.
Myers, op. cit.,1940 (37), p. 101.
Hansard Parliamentary Debates (33), pp. 1094–1109.
Report of the War Office Committee“ (35), p. 138.
David Armstrong, Political Anatomy of the Body ( Cambridge: Cambridge University Press, 1983 ), pp. 19–32.
Stone, op. cit.,1985 (3), pp. 243–244.
Ibid.,p. 265.
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Brown, E.M. (1988). Between Cowardice and Insanity: Shell Shock and the Legitimation of the Neuroses in Great Britain. In: Mendelsohn, E., Smith, M.R., Weingart, P. (eds) Science, Technology and the Military. Sociology of the Sciences, vol 12/1/2. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-2958-1_3
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