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PENSIONS

AND THE PRINCIPLES

OF THEIR EVALUATION

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Universal Medical Record: "By virtue of sheer merit takes its place as THE classical treatise."

The Lancet: "A searching study of one of the most difficult spheres of clinical medicine." Indian Medical Gazette:

Should take a place in the select

band of classics." British Medical Journal: "The appearance of so full and authoritative an account. . . is a most welcome event. Should be widely read, not only for the good sense and novelty of its contents, but also because it contains a mine of information."

Medical Press: "The appearance of this exhaustive treatise at this juncture is singularly opportune, for while rheumatism . . . is always with us, its prevalence among our troops makes a matter of national concern.'

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MALINGERING, OR THE SIMULATION OF DISEASE

BY A. BASSETT JONES, M.B., AND LLEWELLYN J. LLEWELLYN, M.B.

MEDICAL OPINIONS

British Medical Journal: "We believe that this will come to be regarded as a standard medico-legal textbook on the subject of Malingering."

The Lancet: "This genuine achievement deserves the widest recognition and appreciation."

British Journal of Surgery: . . marked by wealth of detail, a high degree of critical judgment, and scholarly finish, and it will prove a most valuable work of reference."

LAY OPINIONS

The Law Times: ". invaluable to those interested in the subject of pensions, assurance, and compensation."

The Scotsman: "This learned and thoroughgoing treatise. A study not unworthy to rank with the well-known treatise by same authors on nervous and rheumatic affections."

WILLIAM HEINEMANN

(MEDICAL BOOKS), LTD.

LONDON

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ACTING OPHTHALMIC SURGEON TO THE BATH WAR HOSPITAL;
AUTHOR OF "INJURIES OF THE EYES OF THE EMPLOYED, PROBLEMS IN PROGNOSIS,'

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ETC.

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London; William Heinemann (Medical Books) Ltd., 1919

1983 L79 1919

PREFACE

As the fog of War recedes, the insensate havoc wrought stands forth in bleak relentless clarity—" the abomination of desolation." Its aftermath of human suffering, that "vast dumb heap" of anguish inarticulate, how sense, much less compute, the sum thereof? How, too, approach the lesser task-wherewith mete out the measure of the individual sacrifice? For "in the fell clutch of circumstance" to this are we as a profession committed, and this, too, without hope of evasion. Onerous alike our responsibilities to State and soldier-to defend the one from imposition, to secure to the other his lawful rights. What, too, of our debt to the fatherless and the widow, most poignant of war's victims ?—bequeathed to us in solemn trust, price of that greater love" unpaid and unpayable.

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It is, we repeat, with the more limited sphere the Individual sacrifice the measure thereof-that we are concerned, and to which our purview is delimited. Even so a task of consummate difficulty-one such that the mere essayal thereof savours almost of temerity, if not arrogance. To appraise and forsooth assess the malign effects of disease or injury, of bodies maimed and marred, of minds distraught, of hopes forgone, of lives forsworn!

To be candid, our enterprise is even more pretentious-involves none less than interpretation of these same in arithmetical terms-in percentage grades of incapacity. Grades of incapacity, aye, but what of grades of sensibility-individual aptitudes of suffering-how evaluate these things oft "more sensible than visible"?

Let us be frank-recognize clear-eyed our limitations-our inability to appraise even approximately the full consequences of disease or injury. The problem is in truth as yet too recondite, the field of inquiry a terra incognita, bristling with obstacles to o'ercome, pitfalls to avoid and withal gravid with potentialities for good or ill!

Herein lies the raison d'être of this work, which took origin in the feeling of bewilderment that o'erwhelmed us, and as we apprehend others also, when first charged with the duty of evaluating incapacities, of allocating arithmetical equivalents

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