Camp Hospital No. 4. Memory for events during this time was vague, being similar to that of a dream state. He was irritable and easily startled by sudden and unexpected noise. He was slightly depressed and inclined to be lacrimose. He had a slightly furtive attitude. His judgment was not good. His train of thought was not well connected. There was no paranoid trend, no hallucinations nor delusions. He did not know who his physician was at the hospital. There were tremor of the fingers and tongue, slight photophobia, and conjuctival injection. Other physical findings were negative.Extract from Conversation.-"Damned if I know what I did in Paris. Those fellows (provost marshal) know, I sup¬ pose.""How did you get your pay check?" "By God, that is why I came to Paris ; you said something there.""My ideas are hazy. The last two or three weeks I was up there I was not all right, I would raise hell with a man for nothing." CONCLUSIONS 1. Feigned amnesia has assumed a place of impor¬ tance in psychiatry because of the tendency of many examiners to classify it as amnesia due to hysteria.2. The condition is a defense reaction to escape punishment. It is not unfamiliar to civil practitioners engaged in medicolegal work.3. Amnesia, when alleged in industrial circles, may be of similar feigned character, for the purpose of gain. It is encountered in accident litigation, being in this case due to the expectation of compensation.4. The dissemination of misinformation about "war neuroses" under the title of "shell shock" is to be regretted. The popular idea regarding this condition is erroneous, owing to the premature and inaccurate descriptions published. This has in turn been respon¬ sible for a larger incidence of the disease in the army than is justified, and has also enabled men to seize on it as an excuse for misdemeanors.
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