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In an attempt to bring some clarity to the vexing medical and forensic problems of post-accident neuroses, Kamman distinguishes and describes traumatic neuroses, compensation neuroses, and then adds a third middle condition, 'attitudinal pathoses'. The first he considers an uncommon condition, due to a narcissistic regression, occurring in people who have previously been well adjusted but who, after a trifling injury, manifest a set of variegated symptoms involving their psyche in all its ramifications. In the compensation neuroses, where most of the cases fall, there is a 'volitional factor' for compensative gain. They are to be distinguished, however, from malingerers since the 'volitional integrant is at least foreconscious, and it may even be unconscious'. The attitudinal pathoses Kamman considers maladjustments related to a morbid attitude, more limited, circumscribed and voluntary than the psychoneuroses. The patient believes that he is 'right', and there is a consonance between what he believes and what he feels.
His differentiations are artificial and strained, with enough overlapping and inconsistencies to render them of little help. While he recognizes that there exists here a spectrum of disease rather than absolutes, his divisions fail to add clarity to this confused group of cases.