In his 1998 review of Shook Over Hell: Post-Traumatic Stress, Vietnam, and the Civil War (by Eric T. Dean, Jr.), James M. McPherson declared that the work “breaks new ground in its analysis of the psychiatric casualties of battle.” Yet since the book’s publishing it has been vastly overlooked by social historians. When researching Civil War historiography one rarely finds Shook Over Hell mentioned when assessing the soldier. Though McPherson…

As noted in Part I, during the Civil War conditions such as “melancholy” and “nostalgia” first appeared as a medical condition in the military surgeon’s reports. According to at least one study, “three cases of nostalgia per 1,000 troops per year were reported among Union soldiers” and most of the soldiers were less than 20 years of age. This led to Surgeon General William A. Hammond in 1862 recommending that…

PART I During and after the Civil War surgeons began looking closely at a medical condition that affected some soldiers; what we today know as PTSD (post traumatic stress disorder). It was sometimes first referred to as “melancholy” or “nostalgia” during the war. Then when surgeon Jacob Mendes Da Costa observed symptoms that he classified as a heart issue, which came be to known as “Da Costa’s syndrome,” an idiom…