The First World War ended with the deaths of a generation of young men. But the devastation of the  conflict didn’t end with that last blast of a howitzer. Thousands of soldiers went home still re-living their horrific experiences of the battlefields for many years. Their lives were damaged by shell shock, a condition many had suffered from during their military service. And, throughout Britain, doctors were baffled by this unknown illness. Soldiers were returning from the trenches paralysed, blind, deaf. Some were unable to speak. Many had bouts of dizziness, hysteria, anxiety, Families reported that their returned husbands, sons, brothers, were often unable to sleep. And, if they did, had horrendous nightmares that resulted in depression, refusal to eat, erratic behaviour.  Many so-called lunatic asylums and private mental institutions were assigned as hospitals for mental diseases and war neurosis.

Many men felt shame; often they  were unable to return to military duty and on their return home, they were viewed as being emotionally weak or cowards. Bewildered by the changes seen in shell shocked soldiers, people had little sympathy; there was little understanding for them. Even worse,  many families felt only the disgrace and humiliation that one of their own had been charged with desertion and executed by a firing squad of their fellow soldiers. It would be many decades before they would be given posthumous pardons.

In the first years of the war, shell shock was assumed to be a physical injury to the nervous system, a result of soldiers facing heavy bombardment from exploding shells. Victims were at the mercy of the armed forces’ medical officers. Determined to ‘cure’ the soldier, the treatments given by them were cruel and humiliating: extreme physical instruction, shaming and severe discipline in front of their fellow soldiers, solitary confinement, electric shock treatment.

By the second year of the war almost half of the casualties in fighting regions were victims of the condition and military hospitals were unable to cope; the unexpected numbers of soldiers suffering from the condition meant that there was a drastic shortage of beds. And medical staff discovered that many men suffered the symptoms of shell shock without having even been in the front lines. More so, it was noticed that many officers, desperate to hide their emotions and to set an example for their men, became psychotic, suffering from some of the worst symptoms of shell shock..

But it wasn’t until 1917 that the condition of shell shock was identified by a Medical Officer called Charles Myers as combat stress, today also known as Post Traumatic Stress Disorder (PTSD).

So, the thousands of soldiers who went home still re-living their horrific experiences of the battlefields had a name for the condition they were living with. Many had lost their ability to walk or, speak. Some regressed to a baby-like state. It seemed there was no expectation of recovery.

But then one man, an army major and general physician, Arthur Hurst, despite much cynicism and opposition established a hospital at Seale Hayne, Newton Abbott, Devon. (now part of Plymouth University). The men who arrived there, ostensibly destroyed by their horrendous experiences of war were given hope.

Hurst’s innovative method had never been witnessed before. Psychiatrists who, after the disorder was identified towards the end of the war, were adamant that a process of mental rehabilitation was needed; that the shell-shocked soldier was trying to cope with harrowing experiences by repressing any memories. They thought that the symptoms revealed involuntary detachment from events lived through and the man could only be cured by the traditional method of reviving memories, a process that could require a number of psychiatric therapy sessions.

As a general physician, Arthur Hurst believed that there was a simpler treatment;  that humane understanding and sympathetic persuasion was the way to into the ex-soldiers’ awareness of the new life now around them.  He thought that during a terrifying bombardment, a soldier might experience tremor, be unable to move or speak. So, sometimes, the power of suggestion could cause the symptoms to survive once that intense reaction had passed. The cure, as far as he was concerned was the re-education of the mind and his methods  were what was needed to resolve the lingering symptoms of the trauma endured.

He used hypnosis and patience, giving them work to do on the land around Seale Hayne; a revolutionary occupational therapy. The tranquillity of the Devon countryside, the encouragement given to the men was thought to be a place where the men could get over their hysteria. They were urged to use inventive and resourceful ways to work.

Then, In a ground-breaking move, he ordered the reconstruction of the battlefields of Flanders on Dartmoor even encouraged his patients to shoot. to help the men relive and come to terms with their experiences.

Hurst also believed it important for the men to express themselves creatively and persuaded some to write and publish a magazine with a gossip column called Ward Whispers.

He made the only film in existence about how shell shock victims were treated in Britain. This gives an insight into his treatments. Though upsetting initially to watch, they also reveal the dramatic recovery Arthur Hurst’s methods produced. It was indeed pioneering and gives a mark of respect to the men who survived the terrors of the First World War. Arthur Hurst proved his methods were truly effective but I have been unable to find any studies of what happened to any of the men who had therapy at Seale Hayne. However I did find this fascinating programme on Radio Four’s Homefront: https://bbc.in/36SmD1J.

I have two books set against the background of WW1

A Hundred Tiny Threads – the prequel to the Haworth trilogy

It’s 1911 and Winifred Duffy is a determined young woman eager for new experiences, for a life beyond the grocer’s shop counter ruled over by her domineering mother. The scars of Bill Howarth’s troubled childhood linger. The only light in his life comes from a chance encounter with Winifred, the girl he determines to make his wife. Meeting her friend Honora’s silver-tongued brother turns Winifred’s heart upside down. But Honora and Conal disappear, after a suffrage rally turns into a riot, and abandoned Winifred has nowhere to turn but home. The Great War intervenes, sending Bill abroad to be hardened in a furnace of carnage and loss. When he returns his dream is still of Winifred and the life they might have had… Back in Lancashire, worn down by work and the barbed comments of narrow-minded townsfolk, Winifred faces difficult choices in love and life.

The Heart Stone

1914. Everything changes for Jessie on a day trip to Blackpool. She realises her feelings for Arthur are far more than friendship. And just as they are travelling home, war is declared.

Arthur lies about his age to join his Pals’ Regiment. Jessie’s widowed mother is so frightened, she agrees to marry Amos Morgan. Only Jessie can see how vicious he is. When he turns on her, Arthur’s mother is the only person to help her, the two women drawn together by Jessie’s deepest secret.

Facing a desperate choice between love and safety, will Jessie trust the right people? Can she learn to trust herself?

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