Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, Weston Education Centre, London, SE 9RJ, UK, Email:
Centre for Clinical Brain Sciences, University of Edinburgh, Royal Infirmary, Edinburghm EH16 4SB, UK.
J R Coll Physicians Edinb. 2020 Dec;50(4):436-443. doi: 10.4997/JRCPE.2020.420.
Arthur Hurst was a British First World War physician, best known for his films of shell shock, 'War Neuroses'. He has often been portrayed an innovative pioneer of somewhat mysterious 'suggestion' techniques for functional motor disorders but also as an ambitious clinician who exaggerated the effectiveness of his treatments and failed to address psychological factors. His use of suggestion, persuasion and re-education together with occupational therapy, for chronic or severe cases of shell shock stirred controversy at the time because of the dramatic nature of some of his treatment responses and lack of outcome data. In part, this was a turf war between neurologists and psychiatrists for a dominant therapeutic model. A re-evaluation of his publications and new research into soldiers treated at Seale Hayne in Devon show that Hurst pioneered multidisciplinary and empathetic treatments for functional motor disorders with good short-term outcomes, though insufficient data survives to assess longer term outcomes.
亚瑟·赫斯特是一位英国一战军医，以其关于炮弹休克的电影《战争神经症》而闻名。他通常被描绘成一位具有创新精神的先驱，使用某种神秘的“暗示”技术来治疗功能性运动障碍，但也被描绘成一位野心勃勃的临床医生，夸大了自己治疗方法的效果，而没有解决心理因素。他在慢性或严重的炮弹休克病例中使用暗示、说服和再教育以及职业疗法，引起了当时的争议，因为他的一些治疗反应具有戏剧性，而且缺乏结果数据。在某种程度上，这是神经学家和精神科医生为一种主导治疗模式而进行的地盘之争。对他的出版物进行重新评估，以及对德文郡西利海恩（Seale Hayne）治疗的士兵进行新的研究表明，赫斯特开创了对功能性运动障碍进行多学科和富有同理心的治疗方法，取得了良好的短期效果，但没有足够的数据来评估长期效果。
