The S's Flashcards

1
Q

What is the definition of Shell Shock?

A

there is no definition for shell shock.

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2
Q

How did the Report of the War Office Committee of Enquiry into ‘Shell-Shock’ summarized the disorder?

A

The Report of the War Office Committee of Enquiry into ‘Shell-Shock’, published in 1922, came the closest to summarising the disorder. The committee under the chairmanship of Lord Southborough concluded that the term ‘was born of the necessity for finding at the moment some designation thought to be suitable for the number of cases of functional nervous incapacity which were continually occurring among fighting units’ (p. 4).

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3
Q

When did the Report of the War Office Committee of Enquiry into ‘Shell-Shock’ was published?

A

1922

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4
Q

Who first wrote about the term Shell Shock?

A

Shell shock had first been used in a UK medical publication on 13 February 1915 by Charles Myers (1915, p. 316).

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5
Q

Did Charles Myers invent Shell Shock?

A

However, Myers offered no definition and later admitted that he had not been responsible for devising the term.

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6
Q

What came before Shell Shock?

A

‘cerebromedullary shock’, resulting in torpor and functional paralysis, had been described by Dr Octave Laurent in the Balkan Wars of 1912–13.

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7
Q

What is the difference between ‘shell shock (W)’ and ‘shell shock (S)’?

A

During 1916, before it had become apparent that shell shock was a functional disorder caused by the stress of combat, regimental medical officers were instructed to decide whether the symptoms were a result of proximity to an exploding shell (and therefore a wound) or simply the general rigours of military service (sickness). The two diagnoses were represented on field medical cards as ‘shell shock (W)’ and ‘shell shock (S)’.

‘shell shock (W)’ entitled the sufferer to a wound stripe.

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8
Q

Is Shell Shock the same as PTSD?

A

In practice, cases of shell shock recorded during World War One exhibited somatic symptoms, loss of voice, contractures, paralysis and functional deafness but they also had neuropsychiatric symptoms such as exhaustion, impaired memory and poor concentration. Shell shock is not PTSD by another name.

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9
Q

When was it first identified, the soldier’s heart/irritable heart/disordered action of the heart or DAH?

A

identified in the American Civil War and subsequently renamed Da Costa’s Syndrome

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10
Q

What characterize the soldier’s heart/irritable heart/disordered action of the heart or DAH?

A

is characterised by rapid or irregular heartbeat, shortness of breath, chest pain and fatigue. Sufferers do not have organic heart disease. It is therefore a somatic response to the stress of warfare and one of the earliest post-combat disorders to be identified. Symptoms often become chronic even in those veterans awarded a disability pension.

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11
Q

What is another disorder that is similar to DAH?

A

A similar disorder, termed ‘palpitation’, was identified in British troops who had fought in the various late Victorian campaigns, such as Afghanistan, Egypt, Sudan and India.

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12
Q

When did the DAH became the official name?

A

Renamed ‘disordered action of the heart’ (DAH) from the 1890s onwards

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13
Q

What were the consequences of having a DAH diagnoses becoming accepted?

A

large numbers of British troops were invalided from the Boer War with it. During World War One, it rose to almost epidemic proportions and the military were forced to open special hospitals to treat DAH in Hampstead and Colchester.

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14
Q

What came after to replace the DAH?

A

Research undertaken by [Sir] Thomas Lewis in 1917 led to a new term, effort syndrome.

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