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