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August 3, 1918


Author Affiliations


JAMA. 1918;71(5):338-347. doi:10.1001/jama.1918.02600310016006

Opinions regarding the outlook for recovery in accident neuroses, commonly known as "traumatic neuroses," vary widely by the writers on this subject. Formerly this question of prognosis was studied in the subsequent medical history of persons injured in railway accidents, and afterward developing a neurosis. In this connection, the often quoted and striking statistics of Braun are interesting. This investigator studied the relative frequency of the neuroses following railway accidents in the ten years preceding and the ten years following the Austrian accident insurance law of 1895. Whereas in the period preceding the enactment of the law no case of disability was noted attributable to a purely nervous state, in the ten years following forty-six such cases were observed. From this investigation, traumatic neurosis and accident compensation appeared to be very intimately related. Pearce Bailey1 cites Page, who studied the proportion of recoveries in 234 persons injured on the