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A War of Nerves: Soldiers and Psychiatrists in the Twentieth Century Paperback – Illustrated, March 30, 2003

4.7 4.7 out of 5 stars 19 ratings

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A War of Nerves is a history of military psychiatry in the twentieth century―an authoritative, accessible account drawing on a vast range of diaries, interviews, medical papers, and official records, from doctors as well as ordinary soldiers. It reaches back to the moment when the technologies of modern warfare and the disciplines of psychological medicine first confronted each other on the Western Front, and traces their uneasy relationship through the eras of shell-shock, combat fatigue, and post-traumatic stress disorder.

At once absorbing historical narrative and intellectual detective story,
A War of Nerves weaves together the literary, medical, and military lore to give us a fascinating history of war neuroses and their treatment, from the World Wars through Vietnam and up to the Gulf War. Ben Shephard answers recurring questions about the effects of war. Why do some men crack and others not? Are the limits of resistance determined by character, heredity, upbringing, ideology, or simple biochemistry?

Military psychiatry has long been shrouded in misconception, and haunted by the competing demands of battle and of recovery. Now, for the first time, we have a definitive history of this vital art and science, which illuminates the bumpy efforts to understand the ravages of war on the human mind, and points towards the true lessons to be learned from treating the aftermath of war.

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Editorial Reviews

Review

“Has the American counseling industry actually amplified the difficulties of the Vietnam veterans?… By pulling more and more terrified men away from the front during the first world war, did the army only confirm to them the seriousness and irrevocable nature of their hysterical conversion syndromes? These and many others are the questions that are unflinchingly addressed in this disturbing and original book. Ben Shephard, a historian and producer of war documentaries, explores the psychic traumas and dramas created during the two world wars and since… [His book is] provocative, deeply shocking, moving and always compelling… This reviewer, at least, hopes that it is widely read.”The Economist

“Shephard’s engaging and impressively researched study offers a detailed survey of psychiatric―and to a lesser extent, social and cultural―responses to war trauma from the First World War to the Gulf War of 1991… He ranges freely through British and American material and manages to incorporate useful discussions of German and French psychiatry as well… [Shepard] covers the medical dimension with equal mastery and introduces a rich panoply of psychiatric characters and movements.”
Paul Lerner, Times Literary Supplement

“Shephard didn’t write
A War of Nerves with Iraq in mind; the bulk of it focuses on the two world wars and Vietnam, with a short section on the Falklands and the 1991 Gulf War at the end. But its unflinching look at the awkward intersection of psychiatry and the military offers a fascinating left-field perspective on war and its hidden costs. Weaving together a panoramic array of source materials (official reports, soldiers’ diaries, interviews with doctors, Pentagon memos, snatches from novels and academic treatises), he catalogs 20th-century attempts to lessen the agony of war, at least for the troops―an unenviable task.”Joy Press, Village Voice

A War of Nerves is magnificent: expertly researched, richly textured, nuanced where the nuances matter, brutally clear where that helps… [T]his book will stand for what it is: an instant classic. In the United States, there’s a saga, well embedded in popular consciousness, of the nexus between soldiers, psychiatrists and war-induced mental conditions… Mr. Shephard tells the story brilliantly, this tale of mass insanity and petty personal rivalries, of colliding morals and contending philosophies, and their still incalculable effects.”Philip Gold, Washington Times

“Both a historian of psychiatry and a producer of documentary films, Shephard brings finely honed skills from both fields to his book. He matches his meticulously documented historical research with a journalist/producer’s trained eye for the single detail, the precise anecdote, the appropriate quote that tells a story. The combination produces a fascinating and compelling exploration of a complex and still-controversial topic that could easily be ponderous and dull.”
Mary Hager, National Journal

A War of Nerves is a fascinating and harrowing book. It is a history of what in the First World War was called ‘shell shock,’ that easy name for the complete ‘moral’ and physical collapse of an individual soldier, and its reception by the military. [The military was] apt to treat it with an accusation of cowardice…prison or sometimes a firing squad… But Ben Shephard shows that most of the twentieth century saw a campaign to find out what causes soldiers to break down and to develop ways to help them recover.”New Scientist

“An impressive history of mental illness and its treatment during wartime. Drawing on almost 100 years of medical records from Britain, France, Germany, and the US, the author shows how military commands consistently downplayed soldiers’ psychiatric problems… An invaluable resource for doctors, scholars of war literature, and military leaders.”
Kirkus Reviews

“[In his] ambitious study, bolstered by an impressive array of sources…Shephard melds contemporary literary, military, and medical documentation by offering a panorama of war neuroses with conflicting schools of treatment. He suggests qualified answers as to why combatants react differently to stress and discusses the appropriate roles and investments of the military, government, and society in the rehabilitation of those psychologically crippled by war… This fine study should appeal to all readers.”
John Carver Edwards, Library Journal

“Shephard emphasizes the importance of social and cultural, as opposed to medical, responses to war stress: immediate local help, given by those who understand concepts of military group bonding, is crucial, underpinned by leadership and comradeship, dissociation and displacement… It is an argument currently unfashionable, but meriting correspondingly wide circulation and discussion.”
Publishers Weekly

“Ben Shephard’s study of how war wounds men’s minds, and of medicine’s efforts to heal the damage done, is based on years of dedicated research. It is the best book I have read on the subject and it will endure.”
Sir John Keegan, author of The First World War

About the Author

Ben Shephard writes widely on psychiatry and its history. He was a producer on Thames Television's The World at War.

Product details

  • Publisher ‏ : ‎ Harvard University Press; Revised ed. edition (March 30, 2003)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 512 pages
  • ISBN-10 ‏ : ‎ 0674011198
  • ISBN-13 ‏ : ‎ 978-0674011199
  • Item Weight ‏ : ‎ 1.45 pounds
  • Dimensions ‏ : ‎ 5.75 x 1.5 x 9 inches
  • Customer Reviews:
    4.7 4.7 out of 5 stars 19 ratings

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Customer reviews

4.7 out of 5 stars
4.7 out of 5
19 global ratings

Top reviews from the United States

Reviewed in the United States on April 14, 2010
This book is remarkable for many reasons: for its erudition, for its sweeping historical analysis, for its careful attention to detail, for its excellent writing, and perhaps most of all, for its humanity. This is a book we cannot afford to ignore; our soldiers are still fighting--and still, very often, without the benefit of the knowledge and wisdom contained in the history and experience Ben Shephard collects in this volume. Within and behind the information in this book hover profound moral questions which go right to the baffling core of human reality: what happens to our psyches when we participate in mass, government-sanctioned/organized mass murder of each other? How do we understand the very concept of "our humanity" when to be human has, through the ages, involved warfare, and on a huge scale? Shepherd's work is a magnificent contribution to these sadly age-old and ongoing questions.

The following takes up some of the same questions, in novelistic form: 
The Listener: A Novel
5 people found this helpful
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Reviewed in the United States on July 19, 2020
This was a very well written book, easy to follow and not diluted with too many technical terms or tangents. A greatly under-studied topic.
Reviewed in the United States on February 29, 2004
Any person interested in traumatic neurosis should read this book. It is meticulously researched, clearly written, and presents a balanced report of the struggles of the military psychiatrists of the 20th century to deal with the dilemma of war and its impact on soldiers. Any therapist, soldier, or veteran will finish much the wiser. Thanks, Ben Shephard!
15 people found this helpful
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Reviewed in the United States on September 25, 2016
Gut wrenching - very good book.
Reviewed in the United States on July 21, 2015
Helped with my college course in Military History.
Reviewed in the United States on June 22, 2011
The War of Nerves focuses on Psychiatry, a study and treatment of brain and mental damaged soldiers: Past Trauma Syndrome Disorder effecting people engaged in warfare. Ben Shephard manifests scholarly dedication to the sources (65 pages of Notes) depicting how damaging PTSD is, soon after the injury, or later on. It would be worthwhile to mention how PTSD affects those who had sustained injuries or lived in constant fear under circumstances other than in wars. Many victims affected by civil wars, ethnic cleansing, natural disasters, terrorist attacks etc, are prone to PTSD not less severe than those on the battle fronts between nations. A shell fell in front of some British soldiers at a trench in France in WWI. Some of those soldiers were not wounded, yet they could neither see, nor smell or taste properly. Some soldiers were unable to stand up, speak, urinate or defecate. This phenomenon is characterized as The Shock of the Shell. When German soldiers knocked at the door of our apartment to pick me up for deportation my nerves were shattered; I was trembling and stammering. I had experienced similar symptoms as the soldiers being exposed to an explosive artillery shell that landed a few feet away from them. At the front-line some soldiers broke down. At the selection-line, when German soldiers - on the selection line - ripped off babies from their mothers arms, all mothers broke down, inevitable casualties.

As a teenager, I saw the Germans, torturing, beating, shooting, hanging, and other unimaginable acts of extreme wickedness carried out against innocent people. Experiencing or just witnessing such atrocities may lead to desperation and despondency; spiraling downward into deep psychosis. Referring to the Holocaust, p.359 Shephard writes: "Immediately after the war, everyone had wanted to forget, to get on with building a new life" I could agree that most Holocausts survivors wished to build a new life, but I could not agree with Shephard's assertion that Holocaust survivors were inclined to forget. It would be a relief for me not to suffer from nightmares, flashbacks and other PTSD symptoms, 66 years after the Holocaust. I have no control to hold back those unwelcome thoughts from popping up. Some of my physical scars are still visible; they will never fade away. Sharing my life story with life audiences, at schools or churches, horrifying images are appearing in front of my eyes. It is not freeing or eliminating repressed emotions; it is not a cathartic. In trench warfare a cannonade could dull a soldier's senses. Daily torture in concentration camps might have had the same effects. A Nazi guard's blows were not just physically harmful but also psychologically. I do not have to live with the past, the Holocaust lives within me. The reader learns (p.359) that "the West German government offered reparations to Holocausts survivors, if and only, a causal link could be established between their current ill-health and the traumatic experiences they had undergone." As a recipient of that reparation, named Wiedergutmachung (do good again), I am able to attest that my PTSD will only leave me when I leave this planet. In his book The Long Road Home, Shephard corroborates the lingering effects sustained by Holocaust survivors. A WWI veteran was inclined to rush out of the doors when the children were noisy (p.186). I had to run out of the house whenever my children were noisy. Psychohistory that explores the psychological motives and impact on individuals in war settings intrinsically envelopes individuals in all menacing circumstances.
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Reviewed in the United States on July 28, 2006
A fine, well researched history of military psychological practices in the 20th century and easily comprehensible by the layman. As an American, I found the English spelling and punctuation annoying (honourable British writers reverse the use of single and double quotations, don't you know, Love), but you can get past that. I'm sure the British have similiar feelings about the American writing style. I can best compliment War of Nerves by telling you that I am citing it in a book on mental disorders during the American Civil War. Aside from that, I was intrigued by Shephard's thoughts on the creation of Post-Traumatic Stress Disorder as a recognized mental condition, i.e., that it came into the lexicon as much or more from social and political reaction to Vietnam as a step forward in mental evaluation.
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Top reviews from other countries

Keith Binding
5.0 out of 5 stars Superb - a fascinating and surprisingly accessible read
Reviewed in the United Kingdom on August 13, 2014
A superbly researched and eminently readable book about a subject which is clearly important but which I suspect has not received the attention that it deserves in the mainstream media.
My interest in the topic was piqued by having read Pat Barker's Regeneration trilogy which is a set text for my elder daughter's English Lit GCSE. That book, along with the 100th anniversary of the start of WW1, made me want to find out more about the ways in which the military have developed their approaches to handling shell-shock and other manifestations of mental illness and nervous trauma induced by warfare.
A War Of Nerves provides a masterful account of the backdrop to and development of military psychiatry from the late 19th century (it didn't really exist then) through to the Vietnam War. It combines highly accessible descriptions of the main academic/research approaches to treating these harrowing and complex conditions with rich anecdotes that describe individual case histories.
This is not a book that I would ever have imagined buying, giving that I have no more than a passing interest in military history and no knowledge of psychiatry, but I am very glad that I did. It is one of the most engrossing and enlightening books that I have read in a long while. A sequel bringing the story fully up-to-date, covering the continuing development of treatments for Post-Traumatic Stress Disorder since the Gulf War and Iraq and Afghanistan and other conflicts since the end of the Vietnam War, would be the icing on the cake.