The July 2012 issue of the Journal of the History of Medicine and Allied Sciences is now online. Included in this issue are two articles that tackle the history of mental health. The first article describes the work of Arthur Hurst who filmed soldiers suffering from shell shock post World War I. Further films by Hurst were used to convey the message that these soldiers could be “cured” with relative ease. The second mental health related article in this issue explores the relationship between mentally ill smokers and the tobacco industry, including efforts to cast smoking as an activity with positive effects for the mentally ill. Full titles, authors, and abstracts follow below.
“War Neuroses and Arthur Hurst: A Pioneering Medical Film about the Treatment of Psychiatric Battle Casualties,” by Edgar Jones. The abstract reads,
From 1917 to 1918, Major Arthur Hurst filmed shell-shocked patients home from the war in France. Funded by the Medical Research Committee, and using Pathé cameramen, he recorded soldiers who suffered from intractable movement disorders as they underwent treatment at the Royal Victoria Hospital in Netley and undertook programs of occupational therapy at Seale Hayne in Devon. As one of the earliest UK medical films, Hurst’s efforts may have drawn inspiration from the official documentary of the Battle of the Somme and films made in 1916 by French Army neurologists. Although initially motivated to make use of a novel medium to illustrate lectures, Hurst was alert to the wider appeal of the motion picture and saw an opportunity to position himself in the postwar medical hierarchy. Some “before treatment” shots were reenacted for the camera. Hurst, like some other shell shock doctors, openly used deception as a therapeutic measure. On the basis that the ends justified the means, they defended this procedure as ethical. Clinicians also took advantage of changes in military regulations to address functional symptoms. Claims made of “cures” in the film and associated publications by Hurst were challenged by other doctors treating shell shock. The absence of follow-up data and evidence from war pension files suggested that Hurst may have overstated the effectiveness of his methods. Nevertheless, the message conveyed in the film that chronic cases could be treated in a single session had a powerful resonance for ambitious or charismatic doctors and was revived in World War II.
“Scientific Research and Corporate Influence: Smoking, Mental Illness, and the Tobacco Industry,” by Laura Hirschbein. The abstract reads, Continue reading Shell Shock Films & Mentally Ill Smokers