Sir John found him without desire to get well, hysterical, and suffering “from pensionitis, a self-made neurasthenic for medico-legal purposes.” He was placed for four months in a nerve hospital. On leaving this hospital he was still in the bent-back position, and went into a pantomime display when asked to touch his toes. Four weeks in the convalescent home found the following: The attending physician now suggested locomotor ataxia as the correct diagnosis! Sir John Collie was asked to report finally as to the fitness for work. Well assured that the patient was really a malingerer, Sir John nevertheless certified him as permanently unfit for further service as a case of traumatic neurasthenia, venturing to predict that after receiving the pension, he would be at work within six months. He received the pension (25 s. a week for life), and Sir John Collie’s ability at prediction was justified by his return to work, at the end of exactly six months.
Re malingerers, Glueck remarks that a malingerer, besides being a malingerer, is a worthless sort of person in any event, and calls attention to the fact that special stresses may reduce men to lower cultural levels, to which lying and deceit may be more appropriate. Glueck remarks that the lay mind does not readily appreciate that a man with mental disease may at the same time be a malingerer of additional mental symptoms. It may be added that the professional mind is sometimes equally slow to appreciate the fact.
Chart 14
SHELL-SHOCK
- GROUP I. EXHAUSTION
- (Alcoholism perturbs treatment)
- GROUP II. HEREDITY
- (Certain poor recruits)
- GROUP III. MARTIAL MISFITS
- (Wrong attitude of mind)
After Farquhar Buzzard
Chart 15
NEUROSES AND PSYCHOSES OF WAR
- 1. NEUROSES
- Motor
- Sensory
- 2. NEUROSES
- Special Sensory
- Speech
- 3. NEURASTHENIA
- Hemichorea
- Exophthalmic Goitre
- Trench Spine
- 4. PSYCHOSES
- Minor
- Gun-shy, Insomnia, Dreams, Phobias, Psychasthenia, Hypochondria
- Stupor, Anergia, Acute Dementia
- Psychoses (Civilian Forms)
After A. W. Campbell