brendan kelly - shell shock and its treatment at dublin’s richmond war hospital, 1916-1919’

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Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-19 Brendan Kelly University College Dublin

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Page 1: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-19

Brendan Kelly

University College Dublin

Page 2: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 3: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

1. The Richmond Asylum (1814)

2. Shell shock

3. The Richmond War Hospital (1916)

4. Cases of shell shock

5. Treating shell shock

6. Legacy of the Richmond War Hospital

Page 4: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

1. The Richmond Asylum (1814)

2. Shell shock

3. The Richmond War Hospital (1916)

4. Cases of shell shock

5. Treating shell shock

6. Legacy of the Richmond War Hospital

Page 5: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Hallaran’s 1810 textbook, along with evidence of increasing rates of insanity, prompted authorities to build the Richmond Asylum, 1814

Page 6: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

1851.00 1861.00 1871.00 1881.00 1891.00

Year

4000.00

6000.00

8000.00

10000.00

12000.00

14000.00

16000.00

Number

Mental illness

Intellectual disability

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Page 8: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 9: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 10: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 11: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 12: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 13: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Dr Richard Leper at St Patrick’s Hospital, reported that two admissions during ‘the height of the rebellion’ were ‘produced by shock and terror caused by the insurrection’ In one case, the army ambulance ‘was fired on whilst conveying the patient to the Hospital’

Page 14: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

1. The Richmond Asylum (1814)

2. Shell shock

3. The Richmond War Hospital (1916)

4. Cases of shell shock

5. Treating shell shock

6. Legacy of the Richmond War Hospital

Page 15: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Battle of the SommeJuly – November 19161 million killed or seriously wounded

Page 16: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Major CS MyersCBR, FRS

1873-1946

Popularised the term ‘shell shock’

Lancet, 1915 

Page 17: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 18: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 19: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

1. The Richmond Asylum (1814)

2. Shell shock

3. The Richmond War Hospital (1916)

4. Cases of shell shock

5. Treating shell shock

6. Legacy of the Richmond War Hospital

Page 20: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Base Hospital No. 26France

Page 21: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Injured servicemen with nurses in the village hall in Shepreth, South Cambridgesshire, used as military hospital, 1915-19

Page 22: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Croydon

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Page 24: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 25: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Discharged, ‘quite rational’, after five weeks

Page 26: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

`Spent eight months as a prisoner of war

Page 27: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Craiglockart War Hospital, Edinburgh (1916-19)

Page 28: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Siegfried Sassoon, 1886-1967 Wilfred Owen, 1893-1918

Page 29: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Dr WHR Rivers, 1863-1922

Page 30: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 31: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

1. The Richmond Asylum (1814)

2. Shell shock

3. The Richmond War Hospital (1916)

4. Cases of shell shock

5. Treating shell shock

6. Legacy of the Richmond War Hospital

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Page 33: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Journal of Mental Science 1925; 71: 219-24

0.5% returned to military duty

Page 34: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

1. The Richmond Asylum (1814)

2. Shell shock

3. The Richmond War Hospital (1916)

4. Cases of shell shock

5. Treating shell shock

6. Legacy of the Richmond War Hospital

Page 35: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

War Neuroses: Netley Hospital (1917), part 4 of 5https://www.youtube.com/watch?v=Ah2f9VabEYE

Page 36: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Journal of Mental Science 1917; 63: 297-9

Page 37: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 38: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Shower bath, Pennsylvania Hospital for the Insane, 1868

Page 39: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

HydrotherapySt Elizabeth’s Asylum Washington DC

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Page 41: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
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Page 43: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Ludwig Knorr 

Antipyrine (pheanzone)

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Page 45: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 46: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 47: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 48: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 49: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 50: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

1. The Richmond Asylum (1814)

2. Shell shock

3. The Richmond War Hospital (1916)

4. Cases of shell shock

5. Treating shell shock

6. Legacy of the Richmond War Hospital

Page 51: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

The legacy of the Richmond War Hospital to the Irishasylum system and efforts at reform during the 1900s

Page 52: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

1 High discharge rates2 Better conditions

3 Patients not certified ‘insane’; RMS Donelan:

Page 53: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

The legacy of the Richmond War Hospital to the Irishasylum system and efforts at reform during the 1900s

The broader effects of the network of war hospitalsthroughout Great Britain and Ireland, including theRichmond, on the identity and practice of psychiatry

Page 54: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’
Page 55: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

The legacy of the Richmond War Hospital to the Irishasylum system and efforts at reform during the 1900s

The broader effects of the network of war hospitalsthroughout Great Britain and Ireland, including theRichmond, on the identity and practice of psychiatry

The legacy of the Richmond War Hospital to Ireland’smemory and commemoration of the First World War,and its psychological effect on Irish soldiers

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1929

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14 April 2014

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Byrne says his abiding memory of growing up on Rialto Street was his father waking, screaming, in the middle of the night – terror that his son believes was caused by the trauma of the war

Irish Times, 5 April 2014

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Page 60: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Great grandfatherSylvester Cummins

1914Royal Dublin Fusiliers 

1916Battle of the Somme

‘Survived the war, but not its consequences’

‘Suicide by gas poisoning, there being no evidence to showstate of mind’

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Page 62: Brendan Kelly - Shell Shock and its Treatment at Dublin’s Richmond War Hospital, 1916-1919’

Shell Shock and its Treatment

at Dublin’s Richmond War Hospital,

1916-19

[email protected]