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Shell shock at Queen Square: Lewis Yealland 100 years on
Stefanie C Linden1, Edgar Jones, Andrew J Lees
1Institute of Psychiatry, Department of Psychological Medicine, and Centre for Humanities and Health, King's College London, London WC2R 2LS, UK. stefanie.linden@kcl.ac.uk
Brain : a Journal of Neurology
|February 7, 2013
Summary
Lewis Yealland pioneered electrical treatments for functional neurological symptoms in WWI soldiers. His methods, combining electrical stimulation with suggestion, echo modern therapies for these challenging conditions.
Area of Science:
- Neurology
- Psychiatry
- Medical History
Background:
- Review of Lewis Yealland's treatment of 196 soldiers with functional neurological symptoms during World War I.
- Yealland's innovative use of electrical stimulation for shell shock at the National Hospital for the Paralysed and Epileptic.
- Analysis based on original case records detailing treatments for motor/sensory symptoms, seizures, and somatoform disorders.
Discussion:
- Yealland's integrated approach combined peripheral and central electrical stimulation with psychological and physical interventions.
- Hallmark of his method: electrical stimulation of affected muscles coupled with suggestion of improvement.
- High reported success rates, though lacking formal follow-up.
Key Insights:
- Treatment principles like suggestion, demonstrating preserved function, and a physiological illness model are relevant to current functional neurological symptom therapies.
- Historical criticism of Yealland's methods (electrical stimulation, disciplinary procedures) reflects evolving views on patient autonomy and medical ethics.
- Understanding historical approaches to functional neurological syndromes can inform current etiological models and treatment strategies.
Outlook:
- Historical analysis of Yealland's treatments offers valuable insights into the evolution of managing functional neurological symptoms.
- The ethical debates surrounding suggestive therapies and patient autonomy continue to be relevant.
- Further research into historical case studies can refine contemporary understanding and treatment of these complex neurological conditions.
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