The patient has been diagnosed as a psychoneurotic epileptic and treated for glandular insufficiency The physical examination was negative, excepting that the X-ray examination revealed what appeared some infringement the pituitary the clinoid processes. The patient has been examined a great many physicians. He takes a rather keen interest in the fact that his condition has not been diagnosed. He has considerable anxiety about his compensation, very anxious get a total permanent disability from the government, and lays more stress this aspect his case than does being cured. When asked come the hospital for observation, best custom essay writing states that will come in, but wants understood definitely that the last time that enter a hospital.
His general attitude friendly and semrcooperative. One feels that rather passive in his attitude toward getting better. On the other hand, makes the necessary formal concessions for We are here dealing with a condition that psychogenic in origin and that fulfills a very large extent the requirements the neuroses the active group.
There no evidence any organic disturbance account for the convulsive phenomena, neither are there any clinical manifestations make feel that belongs the group idiopathic epilepsies.
There no evidence any mental deterioration whatsoever, consciousness never completely lost, and there no reason believe that other than the higher levels the nervous system are affected. The man has been examined and reexamined various specialists and has received almost every drug in the pharmacopeia, although admits that they have been absolutely no benefit him.
One can conceive the patient's primary neurosis as having been the anticipatory type and the preservation and exaggeration the symptoms a compensatory nature.
It rather frequently found that men who developed an anticipatory neurosis in the camps and their way overseas are at the present time returning the hospitals and clinics There should ever borne in mind the possibility even the probability that a very considerable proportion the so-called war neuroses or mental conditions not definitely psychotic belong what are commonly called the anxiety states rather than the actual neuroses. These men are quite assignment essay help conscious the what english literature essay help does a dissertation need pathogenic factors that are producing both their objective and their subjective symptoms.
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This fact has been strikingly demonstrated, both in this country and in England, the tremendous increase in the number men applying for treatment and compensation during the recent months economic depression, and the complete cessation symptoms following the alleviation financial stress either the securing employment or the obtaining compensation. Domestic difficulties, failure in vocational training, disappointment regarding compensation, are commonly met with as exciting factors, producing a state anxiety that not out relation the stimuli producing and invariably the patient quite cognizant what his real difficulty These situations, course, are very largely social and economic and must treated as such. Since the signing the Armistice, has been necessary make some radical changes in our treatment the functional nervous disorders that have been produced mobilization, war activities, demobilization, and all the problems arising in this most critical period, which may termed the transition the soldier civilian. At first thought, one would naturally presume that the results treatment in these disorders would decidedly satisfactory, more rapid, complete, and lasting. In fact, was reported, shortly after the cessation hostilities, that that event in itself would sufficient cure all the neurotic cases.
But regrettable as may the fact remains that are still concerned with a problem that not only no small magnitude at present, but that far from having reached its maximum, either in the number cases treated or in the resistance that these cases are During the hostilities had face, in many instances, what appeared an insurmountable difficulty. We not only had cure the man his functional disability deafness, best resume writing services mutism, paralysis, etc. or help him assimilate and accept the reality some terrifying experience, but were also concerned with the problem getting these men ready return the very environment that produced their original difficulties. In civil life considered wise and judicious, whenever feasible, remove the patient from the environmental factors that produce his symptoms, but during the hostilities, the value our work was measured the number men were able return the field battle. This difficulty a large extent, removed in dealing with cases at the present time, yet, the other hand, during hostilities were dealing with the soldier and not with the prospective pensioner. We could appeal his patriotism, the traditions his company, his desire get back bis comrades, and in many other ways stimulate his gregarious instinct activity.
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