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A traumatic neurosis, as commonly defined, is a psychoneurosis following trauma but presenting no organic neurologic background. The diagnosis is frequently made by elimination of organic causes, and the only psychic factors seriously considered are those of litigation and desire for compensation. Yet these cases on analysis often yield a surprising wealth of other adverse mental complexes and influences, among which may be mentioned mental shock or fear states, poverty, deformities, lack of occupation or interest, unfavorable suggestion of different sorts, including suggestion of serious disability because of continued compensation, combined with introspection and meditation, wrong diagnoses, improper or unskilled treatment, desire for redress against alleged negligence, marital difficulties, bereavements, unfavorable environmental influences, or return to arduous or unsuitable work. It is our purpose to emphasize the importance of the different adverse psychologic factors concerned, and to give them the same importance as they have in the investigation of any
JAMA – American Medical Association
Published: Sep 28, 1929
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