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PSYCHOLOGICAL
TRAUMA AND THE
LEGACIES OF THE
FIRST WORLD WAR
Edited by
Jason Crouthamel
and Peter Leese
Psychological Trauma and the Legacies
of the First World War
Jason Crouthamel • Peter Leese
Editors
Psychological Trauma
and the Legacies of
the First World War
Editors
Jason Crouthamel Peter Leese
Grand Valley State University University of Copenhagen
Allendale, USA Copenhagen, Denmark
v
vi ACKNOWLEDGMENTS
1 Introduction 1
Jason Crouthamel and Peter Leese
vii
viii CONTENTS
Bibliography 311
Index 329
LIST OF FIGURES
xi
xii LIST OF FIGURES
xiii
xiv NOTES ON CONTRIBUTORS
The Hidden History of Male Nervous Illness (Harvard University Press, 2008). He is
the editor of The Mind of Modernism: Medicine, Psychology, and the Cultural Arts in
Europe and America, 1880–1940 (Stanford University Press, 2003) and, with Paul
Lerner, he is the co-editor of Traumatic Pasts: History, Psychiatry and Trauma in
the Modern Age, 1870–1930 (Cambridge University Press, 2001).
Livia Prüll is Lecturer at the Medical Faculty of the University of Mainz. Her
work focuses on the social and cultural history of 19th- and 20th-century medi-
cine, including the history of pathology and pharmacology, the history of military
medicine, and the relationship of medicine and the public in West Germany after
1945. Her publications include “The exhausted Nation—Psychiatry and the medi-
cal Homefront 1914–1918: The Case of Robert Sommer and the City of Gießen,”
in Hans-Georg Hofer, Cay-Rüdiger Prüll, Wolfgang U. Eckart, eds, War, Trauma
and Medicine in Germany and Central Europe (1914–1939) (Freiburg: Centaurus,
2011), and (with Philipp Rauh) “Other Fronts, Other Diseases? Comparisons of
Front-specific Practices in Medical Treatment,” in Joachim Bürgschwentner,
Matthias Egger, Gunda Barth-Scalmani, eds, Other Fronts, Other Wars? First World
War Studies on the Eve of the Centennial (Boston: Brill, 2014).
Philipp Rauh is a research associate at the Institute for the History and Ethics
of Medicine, University of Erlangen-Nuremberg. His specialties include medi-
cine and war, history of psychiatry and medicine, and National Socialism.
Currently he is working on a DFG-funded project about concentration-camp
physicians. His publications include (as co-editor with Livia Prüll) Krieg und
medikale Kultur. Patientenschicksale und ärztliches Handeln in der Zeit der
Weltkriege, 1914–1945 (Göttingen: Wallstein, 2014) and (as co-editor with
Babette Quinkert and Ulrike Winkler), Krieg und Psychiatrie, 1914–1950
(Göttingen: Wallstein, 2010).
Fiona Reid is a historian at the University of South Wales where she teaches mod-
ern European history. She has previously published on the history of shell shock
and on PTSD and is the author of Broken Men: Shell Shock, Treatment and Recovery
in Britain, 1914–1930 (London: Continuum, 2010). Her current interests include
humanitarian relief and medical pacifism, and she is currently working on a social
history of medicine in Europe throughout the First World War.
Michael Roper is a Professor of Sociology at the University of Essex. He has pub-
lished extensively on family life, emotions, and the transmission of trauma across
generations in modern Britain. His book The Secret Battle: Emotional Survival in
the Great War (Manchester, Manchester University Press, 2009) explores letters
and diaries of British soldiers and their emotional experiences on the Western
front. He is also undertaking a personal history of the long-term aftermath of the
Great War, looking across the twentieth century and three generations of family
life in Australia as part of the Arts & Humanities Research Council/Heritage
xvi NOTES ON CONTRIBUTORS
Lottery Fund First World War Engagement Centre project, “Everyday Lives in
War—Experience and Memory of the First World War.”
Justin Dolan Stover is Assistant Professor of transnational history at Idaho State
University where he teaches on modern Europe, nationalism, war, and conflict. He
was conferred with a Ph.D. from Trinity College Dublin and has held distinct
research fellowships in Dublin, New York, and Paris. His research examines the
formation and interpretations of loyalty and allegiance in Irish society, as well as
the broader social and environmental impacts of the Irish Revolution. His recent
publications include “Redefining Allegiance: Loyalty, Treason and the Foundation
of the Irish Free State 1922–32” in Mel Farrell, Jason Knirck, and Ciara Meehan,
eds, A Formative Decade: Ireland in the 1920s (Kildare: Irish Academic Press,
2015) and “Irish Political Prisoner Culture, 1916–1923” in Crosscurrents, 64:1
(2014). He is currently working on a history of environmental damage during the
Irish Revolution.
CHAPTER 1
Introduction
J. Crouthamel ( )
Department of History, Grand Valley State University,
MAK D-1-160, 1 Campus Drive, 49401 Allendale, MI, USA
P. Leese
Institute of English, Germanic and Romance Studies,
University of Copenhagen, Njalsgade 128, 2300 Copenhagen S, Denmark
I am so relieved that this ordeal is now over and I can be content knowing
that my father’s memory is intact. I have always argued that my father’s
refusal to rejoin the frontline, described in the court martial as resulting
from cowardice, was in fact the result of shell shock, and I believe that many
other soldiers suffered from this, not just my father.
The popular British newspaper The Guardian reported that lawyers for
Farr’s family suggested that today the private would have been given much
greater empathy, as he was “obviously suffering from a condition we now
would have no problem in diagnosing as post-traumatic stress disorder or
shell shock as it was known in 1916.” Defense Secretary Browne observed
that the execution of soldiers as “cowards” was an injustice and that these
306 men should be regarded as victims of the First World War.2
The revelation in today’s popular media that descendants of trauma-
tized men were still fighting to rectify the memory of the war highlighted
the long-term aftershocks of the war on not only soldiers, but also women
and children who still lived in the shadow of stigmatization from psycho-
logical trauma. Further, the official pardon of soldiers like Private Farr
highlights how mental trauma was a contested illness, as military authori-
ties, doctors, soldiers themselves and their dependents fought to define it,
explain its origins and cope with its effects. Though Private Farr’s lawyers
argued that in today’s society soldiers would have been recognized as war
victims rather than criminals, modern diagnoses like Post Traumatic Stress
Disorder (PTSD) still fall short in describing the complex nature of psy-
chological wounds and, as psychologists have asserted, still stigmatizes
men and women with the term ‘disorder’ when psychological trauma is
arguably a natural response to the horrific violence encountered in mod-
ern war.3
Even a century after the Great War, which first saw terms like ‘shell
shock’, ‘war neurosis’ and ‘war hysteria’ to describe the symptoms of
trench warfare, there is much that needs to be investigated about how
modern industrialized war shattered human minds and bodies. Traumatic
responses to war are complex and they often elude state and medical
attempts to define and control psychological wounds. There is still a need
INTRODUCTION 3
evidence from a wide range of contexts that trauma was not only an event,
but also the act of remembering that event through the prism of social,
medical and military interests.16
Building on the significance of Micale and Lerner’s seminal volume, we
aim to utilize scholarship from the last ten years that has expanded the field
to include subjective experiences of diverse traumatized groups, further
source bases reflecting war victims’ agency and perspectives, and new theo-
ries on the history of emotions and cultural representations of trauma. One
of the pioneers of medical history ‘from below,’ Roy Porter, emphasized
the importance of looking at the history of medicine from the point of view
of patients, but uncovering and analyzing their perspectives is still challeng-
ing for historians.17 Even more challenging is uncovering the traumatic
impact of the war on civilians, including women and children who had to
cope with the emotional impact of not only home front deprivation, but
also the ongoing psychological problems of their fathers and husbands who
returned from the trenches. This volume is influenced by psychologist Ruth
Leys’ scholarship on trauma (especially in the context of the Holocaust),
which emphasizes ‘secondary trauma’ experienced during the return from
traumatic experiences.18 Sources dealing with the long-term impact of the
war, especially narratives by families who had to deal with problems of
reintegration, reveal the degree to which the trench experience was only
the epicenter of ongoing traumas that included stigmatization and margin-
alization in postwar society. The voices of war victims, including children
of traumatized men, and women shattered by grief, mourning and socio-
economic upheaval, are challenging. They reveal that traumatized soldiers
who witnessed the trenches are only one population mentally scarred by
the war experience. The voices of war victims also highlight the subjectiv-
ity of ‘shell shock’ or ‘war neurosis,’ as trauma victims contested medical
and military efforts to conceal the reality of the war’s horrific effects. The
agency of war victims in trying to shape the diagnosis and meaning of men-
tal wounds suffered by men, women and children is evident as we examine
post-1918 battles over the traumatic legacy of the war.
The emotional effects of the war are difficult to evaluate. Recent schol-
arship on the history of emotions has influenced our approach, as sources
by traumatized individuals reveal complex layers of anxiety, resentment,
anger and other responses to trauma that require nuanced interpretations
of subjective feelings and experiences. The new layers of sources utilized
INTRODUCTION 7
violence, but also in the context of street fighting, hunger strikes, sexual
violence and poverty. Thus, while traumatic experiences were layered and
diverse, they also became part of a collective memory, albeit fragmented,
constructed by soldiers and civilians, combatants and revolutionaries,
under the rubric of loyalty to Irish independence. The dominant nar-
rative of shell shock constructed by British doctors and politicians, who
stigmatized weak men as malingerers in the face of war, was replaced by
Irish soldiers and civilians who embraced narratives of victimhood in the
face of British colonial oppression.
Experiences with trauma, and memories of its meaning, were also
subjective and fragmented along experiential lines. Traumatic experi-
ences shattered soldiers in the trenches, but civilians on the home front
were also traumatized by economic crisis, deprivation and bereavement.
Trauma was ‘collective’ in that it was a national experience, but compet-
ing social groups fought over how it was to be remembered and who
would be included in trauma narratives, memorials and sites of mem-
ory. This is explored by Silke Fehlemann and Nils Löffelbein in Chap.
6, as they trace how Germany in the 1920s wrestled with the meaning
of psychological trauma that overshadowed Weimar society. Fehlemann
and Löffelbein demonstrate that there was no consensus on trauma as
a collective experience in interwar Germany. Rather, trauma was hier-
archized and its meaning was fractured along social and political lines.
Fehlemann and Löffelbein move beyond studies of battles between doc-
tors and traumatized men that have dominated existing scholarship, and
they expand their study beyond ‘war neurosis’ to look at psychological
trauma in terms of mourning and bereavement through the perspectives
of psychologically stressed widows, mothers of soldiers and other civilians
who were largely ignored in the public sphere of commemorations and
remembrance. In this context, gender was more significant than politics
in fragmenting memory, as men and women battled over whose wounds
were more exceptional and worthy of remembrance.
The experiences of civilians traumatized by war are a ‘hidden history,’
but scholars are developing new methods for approaching the complex
psychological effects of war on civilians. One of the most underrepre-
sented groups in trauma studies is children. As the ‘second generation’ of
traumatized individuals, children had to cope with the psychological and
physical disabilities of their fathers, as well as the socio-economic disloca-
tion caused by war.28 Because sources by children are so scarce, historians
have often had to rely on evidence that provided a glimpse into children’s
12 J. CROUTHAMEL AND P. LEESE
At the same time, like Michael Roper, she examines reintegration from the
point of view of families who had to cope with these stigmatized veter-
ans. Family archives and interviews with descendants of disabled veterans
enhance our knowledge of the emotional stress experienced by caregivers,
providing a glimpse into secondary trauma as well as trauma experienced
by the second generation.
In examining interwar experiences with trauma and memory, there is
another site that has been largely overlooked and yet deserves attention:
silence. Despite the presence of shell-shocked men in postwar societies,
there was a tendency to conceal their existence by not recognizing the
reality of their wounds. This is explored by Heike Karge in a regional con-
text, Yugoslavia, that has not yet been analyzed by historians. In Chap. 9,
Karge examines the sociological and cultural framework of Yugoslavian
mental medicine and tries to uncover the reason why the war’s psycho-
logical impact was not recognized by military, medical and political insti-
tutions. Building on scholarship that examines different cultural forms
for expressing war injuries,32 Karge argues that there was a huge gap in
how social welfare legislators, doctors and soldiers defined mental trauma.
While war neurotics were largely absent from military psychiatric discourse
on the war, mentally traumatized men did finally begin to appear in 1920s’
medical journals when they served a purpose in nationalist debates, partic-
ularly in the wake of the Balkan Wars, where debates over Serbian national
values began to see the appropriation of traumatized men as tools in social
and political battles over identity, victimhood and history.
As historians examine the long-term impact of trauma on culture and
society, there is a population that has been largely overlooked: the trau-
matic effects of the war on doctors. Historians have explored in depth doc-
tors’ theories on mental illness, and their assumptions about gender, class
and the politics of welfare. However, the war also brutalized psychiatrists
themselves. Historians need to consider trauma not only as a phenomenon
that inflicted injuries on soldiers, but also as an event that damaged those
involved with ‘processing’ traumatic wounds. Livia Prüll offers in Chap.
10 a fresh angle on the ways in which wartime trauma shattered caregiv-
ers whose ethics, morals and assumptions about human life were altered
by the seismic trauma of war.33 As a result of not only the war, but also
the humiliation of defeat and revolution, ‘traumatized’ German physicians
began to see themselves as more than just healers of mentally disabled sol-
diers. German doctors also saw themselves as combatants against civilians
and those they saw as responsible for defeat (the ‘stab-in-the-back’) on
14 J. CROUTHAMEL AND P. LEESE