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December 1919

PSYCHOSES OF THE WAR, INCLUDING NEURASTHENIA AND SHELL SHOCK.

Arch NeurPsych. 1919;2(6):717-718. doi:10.1001/archneurpsyc.1919.02180120115012

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Abstract

In reading this work for review a sympathetic attitude becomes more and more difficult because, as one proceeds, evidence accumulates of a fine opportunity lost and of much valuable clinical material gone to waste. Having made this somewhat caustic declaration, the reviewer feels obligated at least to indicate his justification.

Discontent begins with the Introduction, which is a loosely written mixture of anatomy, physiology, pathology and clinical psychiatry, in which the known is not well discriminated from the hypothetical and relative values are not in accord with modern medicine. Under "Means of Observation of Mental Phenomena," the author stresses almost exclusively facial expression, a sort of sublimated physiognomy, properly and decently buried years ago.

In Chapter 2 the author indicates that shell shock and neurasthenia are the same thing, a subhead being "Neurasthenia (Shell Shock)," and states that "hysteria is in reality a symptom complex of neurasthenia." Having agreed with

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