Showing posts with label Jean-Martin Charcot. Show all posts
Showing posts with label Jean-Martin Charcot. Show all posts

Invention of Hysteria: Charcot and the Photographic Iconography of the Salpêtrière




In this classic of French cultural studies, Georges Didi-Huberman traces the intimate and reciprocal relationship between the disciplines of psychiatry and photography in the late nineteenth century. Focusing on the immense photographic output of the Salpetriere hospital, the notorious Parisian asylum for insane and incurable women, Didi-Huberman shows the crucial role played by photography in the invention of the category of hysteria. Under the direction of the medical teacher and clinician Jean-Martin Charcot, the inmates of Salpetriere identified as hysterics were methodically photographed, providing skeptical colleagues with visual proof of hysteria's specific form. These images, many of which appear in this book, provided the materials for the multivolume album Iconographie photographique de la Salpetriere:



As Didi-Huberman shows, these photographs were far from simply objective documentation. The subjects were required to portray their hysterical "type"—they performed their own hysteria. Bribed by the special status they enjoyed in the purgatory of experimentation and threatened with transfer back to the inferno of the incurables, the women patiently posed for the photographs and submitted to presentations of hysterical attacks before the crowds that gathered for Charcot's "Tuesday Lectures."


Charcot did not stop at voyeuristic observation. Through techniques such as hypnosis, electroshock therapy, and genital manipulation, he instigated the hysterical symptoms in his patients, eventually giving rise to hatred and resistance on their part. Didi-Huberman follows this path from complicity to antipathy in one of Charcot's favorite "cases," that of Augustine, whose image crops up again and again in the Iconographie. Augustine's virtuosic performance of hysteria ultimately became one of self-sacrifice, seen in pictures of ecstasy, crucifixion, and silent cries.





A Clinical Lesson at the Salpêtrière

A Clinical Lesson at the Salpêtrière ("Une leçon clinique à la Salpêtrière"), a group tableau portrait painted by the genre artist Pierre Aristide André Brouillet (1857-1914), is one of the best known paintings in the history of medicine. It hangs in a corridor of the Descartes University in Paris.

André Brouillet's 1887 A Clinical Lesson at the Salpêtrière depicting a Charcot demonstration. Freud had a lithograph of this painting placed over the couch in his consulting rooms.

In October 1885, Freud went to Paris on a fellowship to study with Jean-Martin Charcot, a renowned neurologist who was conducting scientific research into hypnosis. He was later to recall the experience of this stay as catalytic in turning him toward the practice of medical psychopathology and away from a less financially promising career in neurology research. Charcot specialized in the study of hysteria and susceptibility to hypnosis, which he frequently demonstrated with patients on stage in front of an audience.

The painting represents an imaginary scene of a contemporary scientific demonstration, based on real life, and depicts the eminent French neurologist Jean-Martin Charcot (1825-1893) delivering a clinical lecture and demonstration at the Pitié-Salpêtrière Hospital in Paris (the room in which these sorts of lesson took place no longer exists at the Salpêtrière).

 Jean-Martin Charcot

Entitled Periode de contortions ("During the contortions"), it depicts "a woman convulsing and assuming the arc-in-circle" posture: the arc en circle, or Opisthotonus, "the hysteric's classic posture".

Sigmund Freud had a small (38.5 cm x 54 cm) lithographic version of the painting, created by Eugène Pirodon (1824-1908), framed and hung on the wall of his Vienna rooms from 1886 to 1938.

Once Freud reached England, it was immediately placed directly over the analytical couch in his London rooms.

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