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January 1945

PSYCHIC TRAUMA OF OPERATIONS IN CHILDRENAND A NOTE ON COMBAT NEUROSIS

Am J Dis Child. 1945;69(1):7-25. doi:10.1001/archpedi.1945.02020130014003
Abstract

Impressed by the number of cases in which fears, anxieties and other symptoms closely followed an operative procedure, I reviewed my records for some years past in order to determine how frequently such difficulties arose.

The findings are given in table 1. Only such patients as revealed manifest symptoms are included. Certain patients in whom it appeared that after. an operation some anxiety remained to flare up into acute symptoms later are considered separately (see Reports of Cases, section B). All operative procedures, regardless of form, are included in table 1. They include

inoculations, treatments of small cuts and the like. However, the vast majority of operations were tonsillectomies. Only first operative procedures are included.1 The effects of cumulative operations are given in the appended case studies. No major operative procedures were recorded for the group under 12 months of age, and evidently the vaccinations and inoculations given in

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