I mean war always has been a part of our life since the first civilizations was established. I’m sure “shellshock” wasn’t only caused by artilery shots.
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It was the first war with that *phrase.*
But one can find it in the hellscape of the American Civil War.
>[[R]ecent studies have uncovered ample evidence that psychological injuries among Civil War soldiers and veterans were common.](https://www.civilwarmed.org/ptsd/)
Consider the difference between 18c warfare and mid 19c warfare.
Muskets were inaccurate and slow loading. Injuries were more likely to be fatal thanks to a lack of medical care.
Contrast with rifles and machine guns. Rapid fire. Much louder. Much bloodier. And with combat medicine, much higher survival rate with permanent, life altering injuries.
War got mechanized and it got so much worse.
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