**
After WW1 ended in Britain, tragedy continued for a lifetime for those who never saw their husbands, sons or fathers again. Even for those soldiers who managed to return home alive, the armistice offered little consolation to those who were indelibly marked by war, with their missing legs and their horribly scared faces. But in Britain and elsewhere, the misery couldn't be avoided - those physically damaged by the fighting could not be locked away in asylums or prisons. Somehow those young men had to get civilian jobs, find a wife, have babies and run normal homes.
Ex-serviceman wearing a prosthetic plate attached to spectacles.
Photo credit: Gillies Archives, Queen Mary's Hospital Sidcup.
In discussing the public rhetoric of bodily and facial reconstruction, Suzannah Biernoff concentrated on the written evidence - newspapers, magazines and the records of medical staff. The response to facial disfigurement was defined by an anxiety that was specifically visual. Patients refused to see their families and fiancés; children reportedly fled at the sight of their fathers; nurses and orderlies struggled to look their patients in the face. Some soldiers were so severely mutilated that passengers got out of their train seats and moved to other carriages.
How many soldiers were physically devastated as a result of the war? Joanna Bourke (BBC History 4, 14, April 2013) says 41,300 British soldiers had one or more of their limbs amputated. That number did not include Australians, New Zealanders, Canadians, South Africans, Indians or anyone else who came to the rescue of the motherland. Nor does it include injuries other than limb amputations.
One New Zealand plastic surgeon, Dr Harold Gillies, was a man who had worked in France during the war with the Red Cross. With a team of artists and sculptors back in post-war Britain, he developed many techniques of plastic surgery on 5,000+ soldiers with facial injuries. Dr Gillies slowly and carefully rebuilt the human wrecks he met in his Queen Mary’s Hospital in Roehampton, and gave them new lives.
The limbless men were also treated at Queen Mary’s Hospital where most were fitted with artificial limbs. With convalescence and physiotherapy, the men could walk again and rejoin the land of the living as equals. I am assuming the government agreed to paying the enormous and endless health care costs for two important reasons: a] to honour the soldiers' sacrifice in war and b] to make them productive members of an integrated, post-war society. The quid pro quo, as Professor Bourke noted, was that the limbless men had to take responsibility to practise endlessly with their artificial limbs and to "pass" as able-bodied citizens.
The Royal Pavilion in Brighton was converted into The Pavilion Hospital for Limbless Men, quickly opened in 1916 to accommodate this sudden flux of devastating wounds and modelled on the Roehampton House hospital. A workshop was built on the grounds of the Pavilion so that patients could learn new skills in carpentry and engineering, to help in their future careers. Open spaces allowed the men to play team sports.
A plaster cast is made in order that the eventual mask will perfectly cover all facial injuries
General Hospital, Wandsworth
Photo credit: Imperial War Miuseum
Photo credit: Imperial War Miuseum
Fiona Reid, in Broken Men: Shell Shock, Treatment and Recovery in Britain 1914-30, found that the men suffering shell-shock had the most difficult recovery, because their wounds were impossible to see. Many military commanders believed the shell-shocked soldiers were simply malingering, while civilians back at home thought the wide eyed, jittery men were lunatic. After the war, the situation was made worse because many of the shell-shocked struggled with a pension system that failed to give them security. Thus the conflict between the political rhetoric and the lived experience of many wounded ex servicemen continued for 20 years. How could the nation memorialise the war and remember the unending sacrifice made by the men, while at the same time forgetting the shell-shocked?
Professor Bourke believed that the absent limbs of amputees came to exert a special patriotic power, to the extent that the disabled soldier could be hailed as ‘not less but more of a man’. Facially injured men were horrific to look at and were avoided by civilians at all cost, but those men were also recognised for their sacrifice. In fact almost all the physically wounded bore the visible proof of their valour and sacrifice. Only those who were mentally disturbed by war had to live with the suspicion of malingering.