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The shell-shock cases were the worst to see and the worst to cure. At first shell-shock was regarded as damn nonsense and sheer cowardice by Generals who had not themselves witnessed its effects. They had not seen, as I did, strongly, sturdy, men shaking with ague, mouthing like madman, figures of dreadful terror, speechless and uncontrollable. It was a physical as well as a moral shock which had reduced them to this quivering state.Philip Gibbs, journalist on the Western Front