The reasons which call for, or privilege a soldier to expect, his discharge, are chronic and incurable rather than acute diseases. It is natural, therefore, to find the malingerers most expert in simulating the former, though, at the same time, the more acute diseases have not been less faithfully represented, when the object in view was only a temporary evasion of duty.
This practice has prevailed to a greater or less extent at different periods of our medical-military history; and it is gratifying to learn, from authentic sources, that in the present period of highly improved discipline in the British army, there are not probably two malingerers for ten who were found in the military hospitals thirty or forty years since. It also occurs more or less according to the manner of forming a regiment. In some of the cavalry regiments, and some of the Highland and other distinguished infantry battalions, in which, along with a mild but exact discipline, there is a strong attachment to the service, and remarkable esprit du corps, there is scarcely an instance of any of those disgraceful attempts to deceive the surgeon; while in regiments which have been hastily recruited, and under circumstances unfavourable to progressive and complete discipline, the system of imposition is perfectly understood. Among those who counterfeit diseases, it has been observed that the Irish are the most numerous, the Scotsmen less so, but malingering seems least of all the vice of English soldiers.
There appears to be a species of free-masonry among soldiers, and thus these methods of imposture have been systematized, and handed down for the common benefit. A case occurred of a man having a rupture, which on inspection was found to be artificially formed from some written directions, “How to make a rupture,” which were produced. The man was discharged by his commanding officer, but the discharge not being backed by the surgeon’s recommendatory certificate, he lost his pension; the commanding officer after his return from Corunna met this man perfectly well, following the laborious occupation of a porter.
In the year 1804, the great increase of ophthalmia in the 50th regiment, and the reported detection of frauds in other regiments, led to a suspicion in the mind of the surgeon of that corps, and a consequent investigation, by which a regular correspondence was detected between the men under medical treatment and their parents or friends. Those suffering from ophthalmia, within the walls of the hospital, requested that those without would forward to them corrosive sublimate, lime, and blue-stone; and by the application of these acrid substances to their eyes, they hoped to get them into such a state of disease, as would enable them to procure their discharge, with a pension. And they mentioned the names of men who had been successful by similar means. Proofs of guilt having been established, the delinquents were tried by a court-martial, convicted, and punished.
It is hardly possible to believe, that men would endure not only the inconvenience of a severe ophthalmia, than which, perhaps, nothing is more painful, but would even risk the total loss of sight, for the uncertain prospect of a trifling pension, and with the conviction, that even if they gained it, they reduced themselves to a helpless dependence on others through life. But it is nevertheless certain, that whole wards have been filled with soldiers labouring under this artificially excited disease; this inflammation of the eye having been produced, and maintained, by quicklime, strong infusions of tobacco, Spanish flies, nitrate of silver, and other metallic salts. The inflammation thus caused is most painful, yet it has been kept up under every privation which can make life miserable.
Wonderful indeed is the obstinacy some malingerers evince; night and day, they will remain, with the endurance of a fakir, in positions most irksome, for weeks and months; nay, many men for the same period have, with surprising resolution and recollection, sat and walked with their bodies bent double, without forgetting for one moment the character of their assumed infirmity.
These impostors are most easily discovered by a retaliating deception on the part of the surgeon; he should conceal his suspicions, and appear to give credit to all that is related to him of the history of the disease, and propose some sort of treatment accordingly.
The nervous disorders that are simulated are such as to require a constant and unceasing watchfulness on the part of the impostor, lest he should betray himself.
Paralysis of one arm was feigned, with great perseverance and consistency, for months; the soldier pretending that he had fallen asleep in the open air, and awoke with his arm benumbed and powerless. This farce he kept up with such boldness, that, being suspected, a court-martial was held on him, and he was even tied up to the halberts to be punished; but the commanding officer thought the evidence not sufficiently convincing. Having, however, subsequently undergone very severe treatment, and there being no prospect of a pension, he at last gave in.
The unprincipled obstinacy of some individuals even triumphs openly in the success of their imposture. A trooper in the 12th pretended that he had lost the use of his right arm; and, after resisting for a great length of time severe hospital discipline, he procured his discharge. When he was leaving the regiment, and fairly on the top of the coach, at starting, he waved his paralytic arm in triumph, and cheered at the success of his plan. Another soldier, who pretended that he had lost the use of his lower extremities, was reported unfit for service, and was discharged. When his discharge was obtained, he caused himself, on a field day, to be taken in a cart to the Phœnix park, and in front of the regiment, drawn up in a line, he had the cart driven under a tree; he then leaped out of the cart, springing up three times, insulted the regiment, and scampered off at full speed.