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Problems, politics and personalities in the treatment of mental and nervous casualties in the British Army 1914-1918. Incorporating a statistical and analytical study of 500 case histories.

By John Reginald Hopkins

Abstract

The Great War of 1914-1918 continues to attract scholarly attention, not least\ud in the field of neuropsychiatric medicine. The term 'shell shock' is firmly\ud cemented into the language, such that it represents for many the entire",\ud neuropsychiatrical experience of the war. This thesis challenges that view,\ud seeking to establish a new point of departure for the study of Great War\ud neuropsychiatrical medicine.\ud Based on a major study of previously unresearched medical case\ud histories, a much less central role is assigned to shell shock and 'war neuroses'\ud generally. Novel aspects such as the effects of mental disorder on the smallest\ud military social unit - what is called here the 'comradely group' - are explored.\ud By maintaining throughout a clear distinction between functional nervous\ud disorders and the ubiquitous exhaustion syndrome of 'neurasthenia'.. a radically\ud altered view of their relative importance emerges. At the same time, much of\ud the confusion and conflation of previous studies is avoided.\ud The British Army's approach to these problems depended crucially on the\ud availability of appropriately skilled medical practitioners. This thesis maintains\ud that the historical hiatus between the public asylum medical service and the\ud medical profession as a whole constituted an influential and previously\ud unrecognised factor in the evolution of these policies and practices. As war\ud approached, the growing influence of Freudian psychology raised questions as\ud to where the legitimate authority on mental health matters should lie. When\ud circumstances forced the Government to seek help from the asylums in coping\ud with the rising tide of casualties of all kinds, the weight of advantage in this\ud controversy swung decisively in favour of the asylum doctors. This, it is\ud suggested, constituted a major factor in the developmental pattern of, mental\ud health services in post-war Britain, a factor which has up to now been largely\ud overlooked

Publisher: University of Leicester
Year: 2002
OAI identifier: oai:lra.le.ac.uk:2381/7975

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  1. (1999). The Discharge of Pauper Lunatics from County Asylums In Mid-Victorian England',
  2. (1940). Shell Shock in France, doi
  3. (1916). A Contribution to the Etiology of Shell ShocIC, The Lancet, Mune doi
  4. (1917). The Care and Treatment of Mental Diseases and War Neuroses ("Shell Shock") in the British Army', Typescript: produced for internal circulation, National Committee for Mental Hygiene,
  5. (1918). the Ashhurst War hospital, doi
  6. See also Manual of Military Low.,
  7. (1923). Diseases of the
  8. (1920). History of the Asylum War Hospitals Scheme, doi
  9. (1995). under the Asylum War Hospitals Scheme.
  10. The Early Treatment of Mental Disorders:
  11. The early treatment of Mental Disorders':
  12. (1917). Malingering, or the simulation of disease,
  13. (1960). Politicians and the War 1914-1916., Oldbourne Book Co.
  14. (1999). History of Clinical Psychiatry., doi
  15. (1988). Carr W., A Time to Leave the Ploughshares., Robert Hate,
  16. (1987). Freud: The Man and the Cause, doi
  17. (1920). A Manual of Neurasthenia (Nervous Exhaustion) Bailliere, Tindall and Cox,
  18. 2 Pysychological Medicine,
  19. (1934). A History of the Great War, doi
  20. (1920). Psychoneuroses of War and Peace, doi
  21. (1882). Concussion of the Spine, Longmans,
  22. (1985). I Firing Line,
  23. (1978). Introduction to Psychology., Harper Et Row,
  24. (1918). of the War (Second Edn.
  25. (1921). Shell-shock and Freud's theory of the Neuroses,
  26. (1960). y Mental Health and Social Policy 1845-1959, Routledge Et Kegan Paul, doi
  27. (1979). Man's ILand,
  28. (1919). Mental Disorders of War,
  29. (1919). y Shell Shock: Commotional and Emotional Aspects, doi
  30. (1973). History of the First World War, Book Club Associates,
  31. (1991). The Roses of No Man's Land.,
  32. (1923). A Psychological Retrospective of the Great War, Geo. Allen Et Unwin,
  33. Lunacy Low for Medical Men,
  34. (1905). A Text-book of Insanity., Swan Sonnenschein, doi
  35. (1945). The Anatomy of Courage,
  36. (1990). I Personality: An Introduction to the Theories of Psychology, Penguin,
  37. (1956). Historical Introduction to Modern Psychology, (5th Edn. ), Routledge Kegan Paul,
  38. (1983). A History of Westem Psychology, Prentice Halt,
  39. (1987). The Old Lie: The Great War and the Public School Ethos,
  40. (1905). Psychiatry: a Text-book for Students doi
  41. (1996). Shot at Down, Leo Cooper,
  42. (1920). Military Psychiatry in Peace doi
  43. (1920). Instinct and the Unconscious, doi
  44. (1979). and Lhermitte J-ý The Nychoneuroses of War,
  45. (1995). Wounds of War: Psychological Effects of Warfare, Secker and Warburg,
  46. (1983). Handbook of Psychiatry: Volume 1, General Psychopathology doi
  47. (1917). and its Lessons doi
  48. (1914). Shell shock and other neuropsychiatric problems doi
  49. (1984). British Society 1914-45, doi
  50. (1910). A Handbook of Nervous Diseases., doi
  51. (1918). A Plea for the Insane,
  52. (1993). Medicine in Society: Historical Essays, doi
  53. (1999). Doctors in the Great War, Leo Cooper,
  54. (1998). The British Army in Italy 1917-1918,
  55. (1979). Death's Men: Soldiers of the Great
  56. (1918). Hysterical Disorders of War,
  57. (1957). Reference works Harnmerton
  58. (1934). World War 1914-1918: A Pictured doi
  59. (1993). The Penguin Encyclopedia of Weapons and
  60. (1985). The Penguin Dictionary of doi
  61. y History of the Asylum War Hospitals doi
  62. Report of the War Office Committee of Enquiry into "Shell-Shock", (The Southborough Committee),,
  63. History of the Great War based on Official Documents Military Operations: France and doi
  64. (1996). Facsimile Reprint: Imperial War Museum and The Battery Press,,
  65. History of the Great War based on Official Documents Medical Services: Casualties and doi
  66. (1997). Facsimile reprint: Imperial War Museum and The Battery Press,
  67. (1995). Leicester's Great War Hospital: The 5th. Northern General Military Hospital Leicester 1914-1919'
  68. (1989). A Social and Cultural History of Shettshock: With particular reference to the experience of British soldiers during and after the Great War,
  69. (1977). The Exploitation of Courage: psychiatric care in the British Army 1914-1918',
  70. (1986). One History of Shellshock'
  71. (1993). Medical Officers and the British Army during the First World War',
  72. (1993). British Casuatties on the Waestern Front 1914-1918'
  73. (1917). The Care and Treatment of Mental Diseases and War Neuroses in the British Army'
  74. (1921). Wellcome Institute, London. Ministry of Pensions Internal Report, 'Location of Hospitals and Casualty Clearing Stations' Typescript, 8pp. plus corresp. Imperial War Museum.
  75. (1915). Physician to the Special Hospital for Utticers, Kensington Palace Green. 'A Case of Hysterical Paraplegia'
  76. (1915). p-250 Letter: " Hospital Treatment v. Lunacy Treatment' (Sir) George H,
  77. (1940). Comments on previous correspondence (see entry for 24 July above) from
  78. (1918). Report of lecture: 'Remarks on the Pathology of War Neuroses' An Address given to the officers at the Lord Derby War Hospital,
  79. (1918). Article: 'Gunshot Wounds of the Peripheral Nerves' doi
  80. (1915). Gives details of 364 cases of title wounds admitted between
  81. (1918). Article: 7he "I nstinct- Distortion" or "War Neurosis"'. Donald
  82. (1918). Editorial note: 'A Year's Work at a Mental Section'. doi
  83. (1916). Refers to an article in The Journal of Mental Science written by
  84. (1918). Article: 7he treatment of cases of sheU shock in an advanced neurological centre'
  85. (1918). Letter: Thomas Lumsden 7reatment of War Neuroses' Congratulates Hurst and Symns on the results obtained. (See item above dated 3
  86. (1918). p. 242 Book review: Hystericol Disorders of Worfore Macmillan (London
  87. (1918). p. 328 Book review: A Plea for the Insane
  88. Broad review of the current state of care under the 1890 Lunacy Act: identifies many disadvantages and abuses and makes recommendations for reform.
  89. (1918). Symns Seale Hayne Military Hospital,
  90. (1918). Attacks Lumsden's 'Country Host' scheme mainly on the grounds of its L.
  91. (1918). p. 471 Letter: 'Hypnosis in Hysteria' doi
  92. (1918). Delivered before the Royat College of Physicians of London,
  93. (1915). Article: 'Cases of nervous and mental shocW William Aldren
  94. (1916). Article: 'Practical tests on functional disorders' doi
  95. (1916). p. 631 Parliament: 'Uncertifiable discharged soldiers, 'Mr. Forster stated on October 25th that the total number of men discharged from the army owing to the effects of uncertifiable loss of balance was 396, excluding cases in no way due to war service.
  96. (1917). Article: "The etiology and treatment of war neuroses' doi
  97. (1917). Neurasthenia and allied conditions' At the Autumn meeting of the Dorset and West Hants.
  98. (1917). p. 665 Parliament: 'Shell shock and neurasthenia' doi
  99. (1918). Lumsden complains of the War Office's rejection of his 'Country Host Institution' Scheme under which he proposes that the 'nerve-shattered ' men BMJ.
  100. (1918). p. 193 Editorial: ý Medical newsý 7he London County Council has determined that the London Lunatic asylums shall in future be mental hospitals, except in legal documents, where an alteration in the name would require an Act of Parliament.
  101. (1918). Article: 'Observation on sheU shock and neurasthenia in the Western Command' Ernest doi
  102. (1918). Article: 'War psychoses occurring in cases with a definite history of sheU shocw doi
  103. (1881). Article: 'The Study of Insanity' Charles
  104. (1910). Article: The Significance of Heredity and the Neuro-insane factors in the Production of Mental Pisease, with History of 100 Consecutive Cases. doi
  105. (1913). very detailed examination of the many disadvantages under which junior medical staff in asylums laboured. Spence (untypically for a medical Superintendent) sympathetic to their plight and was influential in the move towards reform at this time JMS.
  106. (1914). The Biological Conception of Insanity' doi
  107. (1916). Article: 'Mental Disabilities for War Service' Sir George
  108. (1917). Article: The PSYCINPtogy of Fear and the Effects of Panic Fear in War Time. Sir Robert Armstrong-Jones
  109. (1917). Article: 'Mental Hygiene in SheII-Shock, during and after the War
  110. (1917). The Chadwick Lecture, given before the Medico- Psychological Association
  111. (1918). War PsychdM : an analysis of 202 Cases of Mental Disorder occurring in Home Troops% doi
  112. (1918). A Record of Admissions to the Mental Section of the Lord Derby War Hospital, Lancs., doi
  113. (1918). See also a brief and approving summary of this article in The lancet of 10
  114. (1918). The Psychoneurotic Temperament and its Reaction to Military Service' doi
  115. (1919). Mental Wards with the British Expeditionary Force: a Review of Ten Months' Experience' doi
  116. (1918). when the author was working as Mental Specialist in charge of the mental wards at Boulogne Base.
  117. (1915). Cases of Nervous and Mental Shock observed in the Base Hospitals in France' William Aldren doi
  118. (1915). Article: 'A Case of Hysterical Paraplegia'
  119. (1916). Neurasthenia: what it costs the State' Hon. and Temporary Lieut.

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