Abstract
Shell shock includes such a large proportion of the in trench warfare that the advantage that would accrue from its prevention, if possible, needs no argument. It has been said that it causes the greatest percentage of disabling casualties outside of wounds. The exact number of cases probably has never been determined, for the question becomes largely one of diagnosis and classification. The personal equation of the surgeon who makes the diagnosis is a large factor. The neurasthenic type, for instance, is often classified as general exhaustion and breakdown instead of being ascribed to its true cause, shell shock. The plan which I propose for its prevention is based (1) on quite extensive personal studies of cases made at the front and in the base hospitals in France and England, where I became familiar with the disease as it occurs in the present war, and (2) on my general
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