Shell Shock during World War One

Page 4 of 5

• 1. Battlefield breaking points
• 2. Medical symptoms
• 3. Defining trauma
• 4. Possible Cures
• 5. Find out more
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Possible Cures

Nevertheless, how were these men to be cured of their painful afflictions? From the start, the purpose of treatment was to restore the maximum number of men to duty as quickly as possible. During World War One, four-fifths of men who had entered hospital suffering shell shock were never able to return to military duty: it was imperative that such high levels of 'permanent ineffectives' were reduced. However, the shift from regarding breakdown as 'organic' (that is, an injury to the nerves) to viewing it as psychological had inevitable consequences in terms of treatment. If breakdown was a 'paralysis of the nerves', then massage, rest, dietary regimes and electric shock treatment were invoked. If a psychological source was indicated, the 'talking cure', hypnosis, and rest would speed recovery. In all instances, occupational training and the inculcation of 'masculinity' were highly recommended. As the medical superintendent at one military hospital in York put it, although the medical officer must show sympathy, the patient 'must be induced to face his illness in a manly way'.

'...their reputations as soldiers and men had been dealt a severe blow.'

Sympathy was only rarely forthcoming. Sufferers had no choice but to acknowledge that their reputations as soldiers and men had been dealt a severe blow. After a major bombardment or particularly bloody attack, if the combatant had acquitted himself adequately, signs of emotional 'weakness' could be overlooked, but in the midst of the fray, the attitude was much less sympathetic. 'Go 'ide yerself, you bloody little coward!', cursed one Tommy at a frightened soldier. When the shell shocked men returned home, things were not much better. Men arriving at Netley Hospital (for servicemen suffering shell shock) were greeted with silence: people were described as hanging their heads in 'inexplicable shame'. No-one better described the mix of shame and anger experienced by the war-damaged than the poet, Siegfried Sassoon. In October 1917, while he was at Craiglockhart, one of the most famous hospitals for curing officers with war neuroses, he wrote a poem, simply called 'Survivors':

No doubt they'll soon get well; the shock and strain / Have caused their stammering, disconnected talk. / Of course they're 'longing to go out again', - / These boys with old, scared faces, learning to walk. / They'll soon forget their haunted nights; their cowed / Subjection to the ghosts of friends who died, - / Their dreams that drip with murder; and they'll be proud / Of glorious war that shatter'd their pride... / Men who went out to battle, grim and glad; / Children, with eyes that hate you, broken and mad.

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Published: 2002-03-01