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JAMA 100 Years Ago
August 6, 2003

DEATH BY LIGHTNING.

JAMA. 2003;290(5):678. doi:10.1001/jama.290.5.678-a

CURRENT MEDICAL LITERATURE.—Richardson does not recognize any special symptomatology of mental disturbances from trauma, though he describes a certain class of cases that may be the result. Many of the symptoms, however, belong to the neurotic rather than the psychic type, and these are intermingled in nearly all cases. Even in the purely functional neuroses there is a psychic disturbance, the relation of the ego to the environment is disturbed, the judgment is at fault, the emotions are deranged and the mental strength somewhat diminished. In the great majority of cases, moreover, there is a complication of a prospective damage suit which in some cases is the principal cause of the disorder, though the patient may be perfectly honest. Settlement of the suit will sometimes entirely remove the trouble without any evidences of intentional malingering. (1903;41:808)

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