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Post-traumatic Neurosis: From Railway Spine to the Whiplash (A Wiley medical publication)
by Michael R. Trimble
Product Group: Book
Publisher: John Wiley & Sons Ltd (1981-11-04)
ISBN: 0471099759
EAN: 9780471099758
Hardcover: 166 pages
SKU: S070110-0214
Condition: Very Good
Comments: Very good overall condition. No writing, very tight binding. Ex-library (usual marks). No dustcover. Withdrawn stamps on spine. Ships same day or next in a bubble mailer. Enjoy.
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Customer Reviews
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Did I read the same book?
Rating  (3)
Date: 2000-10-31
While this book is not the last word on post-traumatic neurosis, the previous reviewers seem to have drawn very different points from it. What Trimble seems to say, at some length, is that "neurosis" and "neurotic" are not medical codes for "mad, bad, making it up, mallingering, trying it on, looking for cash etc". I am an orthopaedic surgeon, and have no particular axe to grind. Patients with whiplash often present with symptomatology that cannot be borne out either by examination or investigations. That is not to say that they are not very real, neither am I suggesting that all of these patients are making it up for financial gain. The sooner litigants and their lawyers get out a medical/psychiatric dictionary and look up neurosis, the better. Then we can remove the prejudice that goes with it, and accept that the accident can cause psychological as well as physical trauma, and that both can be very disabling. I think that Trimble makes many of these points, and when talking litigation neurosis (for which there is a great deal of good research), he is clearly seperating it from malingering, which is conscious and deliberate.
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Debunked!
Rating  (1)
Date: 2000-10-25
1 out of 2 customers found this reveiw helpful
The views in this book will be used by some crackpot defense attorney in court to help win a case against a whiplash-injured person.Sad. "Litigation neurosis" is an idea straight out of the insurance industry's policy manual of how to avoid paying legitimate claims. It is a concept that has been debunked over and over again in the medical literature.
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Completely Nonsensical
Rating (1)
Date: 2000-01-19
2 out of 2 customers found this reveiw helpful
I found a copy of this book at an attorney's office, of all places. It was an attorney who used to settle cases for an automobile insurance company. After he was severely injured in a low-speed rear-end collision, his beliefs were seriously challenged. He could no longer work for that insurance company, and he became a plaintiff lawyer, representing persons injured in whiplash accidents, now very real to him.I asked him why he kept this book. He said, "So that I know what the enemy is going to come after me with". He continued, "I used to believe this stuff. Now I know it's B.S.". Indeed, there is ABSOLUTELY no evidence in the medical literature to support the notion of "litigation neurosis" after whiplash injuries. They are all too real, with an estimated 3 million persons injured in low-speed rear-impact collisions each year (National Safety Council, Insurance Institute for Highway Safety, National Highway Traffic and Safety Administration, National Auto Crash Sampling System). Most injuries occur at speeds of 6-12 mph. It is interesting that damage thresholds to vehicles occur at 8-12 mph (delta V of struck vehicle). That means that in the vast majority of cases, people are injured with little or no damage to their cars. Surprised? Then the auto insurance lawyers have done an excellent job fooling you. If you're on a jury for one of these cases, be fooled no longer. Don't assume you're an expert if you haven't read the literature. Yet that's what this silly little book has done, feigning expertise, avoiding the medical research on the topic. Does the author really want to say that traumatic brain-injured patients from whiplash accidents are simply "neurotic"? What a shameful thing to promote. And shameful that the auto insurance industry lawyers still use this book in court.
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