Tag: PTSD
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The rise and fall of railway spine
Lenny GrantSyracuse, New York, United States By 1864, British railways were responsible for 36 deaths and 700 injuries annually.1,2 Yet the most perplexing cases were not the visibly wounded, but those passengers who walked away apparently unharmed, only to develop debilitating symptoms days or weeks later. These survivors experienced what the Lancet described as “disturbed and diminished…
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Kipling’s books
Rudyard Kipling (1865–1936) is best known for his adventure stories and poems centered on India, empire, and childhood. However, his works also contain rich medical implications—both in their depictions of disease and healing and in their reflection of medical attitudes during the height of British colonialism. From tales of tropical illness to narratives involving surgery,…
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Mrs. Dalloway and shell shock
Cristóbal S. Berry-CabánFort Liberty, North Carolina, United States The casualties suffered by the participants in World War I surpassed those of previous conflicts, as some 8.5 million soldiers died from wounds or disease.1,2 Artillery caused most of the casualties, followed by small arms and poison gas. However, the war’s signature injury became known as shell…
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Past, present, and future of psychedelic medicine
Jennifer KeehnBaja California, Mexico While there are now more clinical trials than ever before on the therapeutic applications of psychedelics, the medicinal use of such substances is not new. Indigenous cultures worldwide have used plants, roots, vines, and fungi that produce altered states of consciousness in healing rituals for thousands of years. The contemporary study…
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Prisoners on leave: Vietnam veterans and the Golden Age Western
Edward Harvey Missoula, Montana, United States “I think we all died a little in that damn war.”—The Outlaw Josey Wales “So…what have you been up to?” When screening combat Vietnam veterans for post-traumatic stress disorder, I will often ask them about their hobbies or interests, since PTSD often manifests as an inability to find pleasure in…
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Climate trauma in Monique Roffey’s Archipelago
Lucille MiaoNew Jersey, United States In recent years, the idea of ecological catastrophe has captured the artistic imagination and infiltrated popular culture through novels such as Paolo Bacigalupi’s The Water Knife and television series like teen drama The 100 (2014–). These stories often tell of a post-apocalyptic future in which human-induced climate change has devastated…
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“Mental Cases” by Wilfred Owen: The suffering of soldiers in World War I
Alice MacNeillOxford, United Kingdom Who are these? Why sit they here in twilight?Wherefore rock they, purgatorial shadows,Drooping tongues from jaws that slob their relish,Baring teeth that leer like skulls’ tongues wicked?Stroke on stroke of pain, — but what slow panic,Gouged these chasms round their fretted sockets?Ever from their hair and through their hand palmsMisery swelters.…
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Which weighs upon the heart
Murad KhanKarachi, Pakistan I seldom see patients without an appointment, which for an initial patient can take up to an hour, often longer. Fortunately for this couple, the booked patient rang in to say he could not come because of some transport problem, so I was able to see them. “Doctor saheb- we have come…