The conventional historiography of the treatment of war neurosis in Canada is limited and suggests that shell shocked soldiers were diagnosed and assigned treatment based on their rank and social class. According to the literature this meant that officers and soldiers from the upper classes were diagnosed with neurasthenia and given rest and spa treatments while soldiers from the other ranks and lower classes were diagnosed with hysteria and treated with punitive therapies designed to convince them to return to the front lines. However, these conclusions were based on contemporary medical journals and have been formed with very little archival research. The author, using archival documents and statistical analysis, suggests that soldiers from the other ranks who were treated in England for war neurosis were rarely diagnosed with hysteria and were instead labelled with one or more of several diagnostic terms, the most prevalent of which were neurasthenia and/or shell shock . These solders were also typically treated with rest and spa therapies; punitive therapies were by far the exception to this type of treatment. The author posits that the pre-war understanding of the nervous disorders heavily influenced both diagnosis and treatment
