To clear the decks for action re the differentiation problem, let us dismiss the major troubles of the delimitation problem as shown in groups I (syphilitic), III (epileptic), VI (somatic) and thereafter very briefly refer to the residue of the delimitation problem. For convenience of reference, a few out-standing remarks concerning the general relations of these divisions to war and peace conditions are inserted here. We dealt in the diagnostic order of exclusion with 190 cases, distributed as in the table below (bear in mind that the method of this book precludes attaching great statistical weight to the comparative figures, since the various authors published their cases for their special rather than their typical interest).
| I. | Syphilopsychoses | 34 | |
| II. | Hypophrenoses (feeble-mindedness and imbecility) | 18 | |
| III. | Epileptoses | 33 | |
| VI. | Pharmacopsychoses (alcohol; morphine) | 17 | |
| V. | Encephalopsychoses (focal brain lesion cases) | 15 | [9] |
| VI. | Somatopsychoses | 29 | |
| VII. | Geriopsychoses (senile—a null class) | 0 | |
| VIII. | Schizophrenoses | 16 | |
| IX. | Cyclothymoses | 7 | |
| X. | Psychoneuroses | 12 | [9] |
| XI. | Psychopathoses | 15 | |
| 196 |
[9] The numbers of focal brain lesion cases and of psychoneuroses must naturally be considered in relation to the great groups of these cases in Sections [B] and [C].
13. The neuropsychiatric side of syphilis in the war is presented in 34 cases (Cases [1 to 34]). The syphilitic basis of sundry military difficulties, quite unsuspected by the laity and probably not too well understood by service men, is suggested by [Case 1], a case of desertion by a French officer of high rank. Nor is [Case 2], in which visions of submarines proved syphilitic, without its warning. Such cases point only too obvious a moral:
14. Neurosyphilitics have no place in the army or navy.
Eight cases ([Cases 3-10]) follow in which the aggravation or acceleration or liberation of neurosyphilis has come about under the conditions of war. Some of these cases suggest the gravity of the problems of compensation, allowance and pension that may arise. We might ask,
15. Should not a government which enlists a syphilitic pay full allowances to him when under war conditions he becomes a neurosyphilitic?
For the government was theoretically able to learn at the start (within a small margin of error by means of the serum test) whether the man was syphilitic. If a one-eyed man loses his remaining eye in an industrial accident in civil life, his damages are often fixed at damages for total blindness; for the industrial firm should not have employed a one-eyed man in an industry dangerous to eyes. The principle cannot differ with a man hired in a spirochete-bearing state: The company has hired a man who may under traumatic conditions become an incompetent neurosyphilitic, and should pay damages accordingly when the aggravation begins.
16. What are the responsibilities of government if the neurosyphilis is due to a syphilis acquired during the war?