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Les démoniaques dans l'art: Charcot and the “hysterical saints”

Les démoniaques dans l'art: Charcot e os “santos histéricos”

Abstract

Professor Jean-Martin Charcot was the founder of clinical neurology and one of the prominent researchers in the field of hysteria in the 19th century. His bookLes démoniaques dans l'art is a representation of hysterical symptoms in religion and religious art. This paper aims to discuss Charcot's descriptions of hysteria in religion and his “hysterical saints”.

Keywords
Hysteria; History of Medicine; Religion and Medicine; Art; Epilepsy

Resumo

Professor Jean-Martin Charcot foi o fundador da neurologia clínica e um dos pesquisadores mais proeminentes no campo da histeria durante o século XIX. Seu livroLes démoniaques dans l'art é uma representação dos sintomas histéricos na religião e arte religiosa. Esse artigo objetiva discutir as descrições de Charcot de histeria na religião e seus “santos histéricos”.

Palavras-chave
Histeria; História da Medicina; Religião e Medicina; Arte; Epilepsia

INTRODUCTION

The term hysteria is derived from the Greek word Hysterikós, meaning “relative to the womb”. This correlation was established in ancient Greece because most cases of hysteria occurred in women, but only in the 16th century the term hysteria was regularly applied to designate such functional disorders.11 Trimble M, Reynolds EH. Chapter 1–A brief history of hysteria: From the ancient to the modern. In: Hallett M, Stone J, Carson A (Eds). Functional neurological disorders. Handb Clin Neurol. Amsterdam: Elsevier, 2016. V139, p. 3–10. Doi: 10.1016/B978-0-12-801772-2.000011-1
https://doi.org/10.1016/B978-0-12-801772...
44 Bogousslavsky J. The mysteries of hysteria: a historical perspective. Int Rev Psychiatry 2020;32(5-6):437–450

In the middle age, hysteria gained a religious connotation, and the hysterical phenomenology was attributed to demonic possession or witchcraft. A similar situation to the one experienced by patients with other neurological conditions, such as stroke and epilepsy.11 Trimble M, Reynolds EH. Chapter 1–A brief history of hysteria: From the ancient to the modern. In: Hallett M, Stone J, Carson A (Eds). Functional neurological disorders. Handb Clin Neurol. Amsterdam: Elsevier, 2016. V139, p. 3–10. Doi: 10.1016/B978-0-12-801772-2.000011-1
https://doi.org/10.1016/B978-0-12-801772...
44 Bogousslavsky J. The mysteries of hysteria: a historical perspective. Int Rev Psychiatry 2020;32(5-6):437–450

In the 19th century, Jean-Martin Charcot (1825–1893) (Figure. 1A) developed an interest in the subject of hysteria, becoming one of the major researchers in the field. Aside from its pathological roots, Charcot was also interested in the historical and cultural aspects of hysteria, particularly its relationship to religion and religious art.55 Gomes MdaM, Engelhardt E. Jean-Martin Charcot, father of modern neurology: an homage 120 years after his death. Arq Neuropsiquiatr 2013;71(10):815–817,66 Teive HAG, Germiniani FMB, Munhoz RP, Paola Ld. 126 hysterical years - the contribution of Charcot. Arq Neuropsiquiatr 2014;72 (08):636–639

Figure. 1
(A) Professor Jean-Martin Charcot (1825–1893). (B) Paul Richer (1849–1933). Source A: The Wellcome collection. Licensed under a public domain mark. Source B: Bibliothèques d'Université Paris Cité. Licensed under a public domain mark.

This interest motivated Charcot to publish a book in 1887, alongside his pupil Paul Richer (1849–1933) (Figure. 1B): Les démoniaques dans l'art. In this work, illustrated by Richer, they discussed how hysteria was represented in religious art, presenting works of art featuring some of the saints of the catholic church that were possibly presenting a hysterical event.77 Charcot JM, Richer P. Les démoniaques dans l'art. 1887 This paper discusses Les démoniaques dans l'art, emphasizing Charcot's “hysterical saints.”

MOTIVATIONS AND INFLUENCE FOR LES DÉMONIAQUES DANS L'ART

It is curious that Charcot took the burden of untangling the cloudy subject of hysteria since he had no prior interest in mental illnesses. His contact with the works of Pierre Janet and Briquet, besides the influence of Desirée Bourneville, one of the few of his pupils with experience with alienism, were determinants for his interest in hysteria.88 Goetz CG. Chapter 2–Charcot, hysteria, and simulated disorders. In: Hallett M, Stone J, Carson A (Eds). Functional Neurological disorders. Handb Clin Neurol. Amsterdam: Elsevier, 2016. V139, p.11–23. Doi: 10.1016/B978-0-12-801772-2.00002-3
https://doi.org/10.1016/B978-0-12-801772...
1010 Coutinho L, Walusinski O, Teive HAG. Désiré Bourneville: A Socialist in Charcot's Inner Circle. Eur Neurol 2022;85(01):79–84. Doi: 10.1159/000518846. Epub 2021 Sep 17. PMID: 34537765.
https://doi.org/10.1159/000518846...

Charcot had strong political and religious standpoints. An anti-clerical and fierce defendant of laicism in all scientific investigations, Charcot opposed religious intervention in scientifical affairs.55 Gomes MdaM, Engelhardt E. Jean-Martin Charcot, father of modern neurology: an homage 120 years after his death. Arq Neuropsiquiatr 2013;71(10):815–817

Charcot was very fond of art, with a predilection for the classics. A gifted artist himself, he produced numerous self-portraits, drawings, and sketches.55 Gomes MdaM, Engelhardt E. Jean-Martin Charcot, father of modern neurology: an homage 120 years after his death. Arq Neuropsiquiatr 2013;71(10):815–817 In 1874, Charcot participated as chair of the thesis Permanent deformations of the hand from the point of view of medical semiotics, by Henri Meillet with drawings of Richer. Impressed by the quality of his art, Charcot invited Richer to join his service at the Salpêtrière. Richer's artistical prowess also contributed to his own thesis, Études cliniques sur l'hystéro-épilepsie ou grande histérie.1111 Maranhão-Filho P. The art and neurology of Paul Richer. Arq Neuropsiquiatr 2017;75(07):484–487

Les démoniaques dans l'art was preceded by the start of Bourneville's work, the Bibliothèque diabolique, nine books, published between 1882 and 1902.1010 Coutinho L, Walusinski O, Teive HAG. Désiré Bourneville: A Socialist in Charcot's Inner Circle. Eur Neurol 2022;85(01):79–84. Doi: 10.1159/000518846. Epub 2021 Sep 17. PMID: 34537765.
https://doi.org/10.1159/000518846...
In the third volume of his collection, Bourneville published writings attributed to Johan Wier (1515–1588), the first to consider the victims as sick and to oppose the use of exorcism.1212 Wier J. Histoires, disputes et discours des illusions et impostures des diables, des magiciens infâmes, sorcières et empoisonneurs: des ensorcelés et démoniaques et de la guérison des iceux. Paris: Bibliothèque diabolique, Aux Bureaux du Progrès médical. 1885 Bourneville's initiative is possibly the first step of Charcot-Richer's work.

Another worthy contribution was Edward Jorden's publication A brief discourse of a disease called the suffocation of the mother, in 1603. This book is considered a turning point in the understanding of hysteria, presenting it as a disease instead of a religious event.1313 Westerink H. Demonic possession and the historical construction of melancholy and hysteria. Hist Psychiatry 2014;25(03):335–349

THE GRAND HYSTERICAL ATTACK AND THE “HYSTERICAL SAINTS”

In Les démoniaques dans l'art, Charcot presents his classical description of the grand hysterical attack, divided in four periods (Epileptoid, Clownism, Attitudes passionnelles and Final delirium).77 Charcot JM, Richer P. Les démoniaques dans l'art. 1887 Paul Regnard and Bourneville had previously documented the attack with photography, publishing with clinical observations in the Iconographie photographique de La Salpêtrière.1414 Bourneville DM, Regnard P. Iconographie photographique de la Salpêtrière. ParisDelahaye; Lecrosnier; 1878

Charcot describes a variant of the third period of the grand hysterical attack, with a predominance of the feeling and constant ecstatic facial expression. The patient is typically quiet, presenting a delusional speech, and might present negative sensorial symptoms, such as achromatopsia, blindness, and anesthesia. These sensorial symptoms are referred to as stigma. Hallucinations are common, often with a religious nature. This phenomenon is commonly described as an epiphanic, religious event, sometimes possessing an erotic connotation.77 Charcot JM, Richer P. Les démoniaques dans l'art. 1887

Charcot illustrates the ecstatic crisis with the case of Sainte Catherine de Sienne, providing a copied fragment of the fresco that decorates Saint-Dominique Church, in Sienna (Figure. 2A). The picture portrays Sainte Catherine in an attitude of ecstatic contemplation, with a facial expression of joy. Other representations of the “Hysterical saints” are mentioned by Charcot, such as “ Saint François recevant les stigmates” (Figure. 2B) “ Sainte Marguerite de Cordoue en extase” (Figure. 2C), and “Saint François en extase” (Figure. 2D), but the respective images were not provided by Charcot and Richer.77 Charcot JM, Richer P. Les démoniaques dans l'art. 1887

Figure. 2
(A) Sainte Catherine de Sienne en extase. (B) Saint Francis receives the stigmata, by Cigoli. (C) Ecstasy of Saint Margaret of Cortona, by Giovanni Lanfranco. (D) The ecstasy of Saint Francis of Assisi, by Bartolomé Esteban Murillo. (E) The ecstasy of Saint Teresa, by Gian Lorenzo Bernini. Source A: Les démoniaques dans l'art.77 Charcot JM, Richer P. Les démoniaques dans l'art. 1887 Licensed under a public domain mark. Source B: Le gallerie degli Uffizi. Licensed under a public domain mark. Source C: Web Gallery of art. Licensed under a public domain mark. Source D: Real Academia de Bellas Artes de San Fernando. Licensed under a public domain mark. Source E: From Prof. Francisco Cardoso's private archives.

A lacking honorable mention is Gian Lorenzo Bernini's sculpture “The Ecstasy of Saint Teresa” (Figure. 2E), the prototypical representation of an ecstatic posture. Years later, Bourneville published a book by Hippolyte Rouby (1860–1920), L'hystérie de Sainte-Thérèse, in his Bibliothèque diabolique, reinforcing the relevance of Bernini's work in depicting ecstatic phenomenology.1515 Galanopoulos P. La Bibliothèque diabolique du docteur Bourneville (1882-1902). Vesalius 2011;17(02):89–98 The sensations related to this ecstatic event were documented by the saint, who described the appearance of an angel, bearing a golden spear with a flaming point, piercing Teresa's heart several times, raising a sensation whose “sweetness […] is so extreme that one cannot possibly wish it to cease” 1616 Carrazana E, Cheng J. St Theresa's dart and a case of religious ecstatic epilepsy. Cogn Behav Neurol 2011;24(03):152–155. Doi: 10.1097/WNN.0b013e318230b1db
https://doi.org/10.1097/WNN.0b013e318230...
.

This sexual and orgasmic description is commonplace among the ecstatic religious events, as seen in the illustrations of Saint Catherine and Saint Francis. Charcot pointed this out, defining this uniformity as almost scientific, praising such artistic rigor.77 Charcot JM, Richer P. Les démoniaques dans l'art. 1887

In modern times, these ecstatic events were also related to epileptic activity, typically secondary to non-dominant temporal lobe abnormalities, sometimes with a sexual and orgasmic phenomenology, giving rise to the term “Orgasmic epilepsy” 1717 Arias M. Neurology of ecstatic religious and similar experiences: Ecstatic, orgasmic, and musicogenic seizures. Stendhal syndrome and autoscopic phenomena. Neurologia (Engl Ed) 2019;34(01): 55–61. Doi: 10.1016/j.nrleng.2016.04.012
https://doi.org/10.1016/j.nrleng.2016.04...
.

Charcot and Richer also present examples of religious art illustrating the other periods of the grand hysterical attack, such as the limb circumduction movements of the epileptoid period in a fragment of Deodat Delmont's La transfiguration, the opisthotonos of the clownism period in an image of Jesus performing an exorcism from La Bible de Picart, and the bizarre dystonic postures of the final delirium in a tableau from Saint-Ambroise church, at Genoa.77 Charcot JM, Richer P. Les démoniaques dans l'art. 1887

In conclusion, the depiction of religious events as a possible manifestation of functional disorders was unusual to the conservative 19th-century Parisian society, despite prior contributions in the literature. Charcot's publication of Les démoniaques dans l'art is a tribute to laicism in science, demonstrating his unswerving respect for neurology.

References

  • 1
    Trimble M, Reynolds EH. Chapter 1–A brief history of hysteria: From the ancient to the modern. In: Hallett M, Stone J, Carson A (Eds). Functional neurological disorders. Handb Clin Neurol. Amsterdam: Elsevier, 2016. V139, p. 3–10. Doi: 10.1016/B978-0-12-801772-2.000011-1
    » https://doi.org/10.1016/B978-0-12-801772-2.000011-1
  • 2
    Mota Gomes Md, Engelhardt E. A neurological bias in the history of hysteria: from the womb to the nervous system and Charcot. Arq Neuropsiquiatr 2014;72(12):972–975
  • 3
    Dmytriw AA. Gender and sex manifestations in hysteria across medicine and the arts. Eur Neurol 2015;73(1-2):44–50
  • 4
    Bogousslavsky J. The mysteries of hysteria: a historical perspective. Int Rev Psychiatry 2020;32(5-6):437–450
  • 5
    Gomes MdaM, Engelhardt E. Jean-Martin Charcot, father of modern neurology: an homage 120 years after his death. Arq Neuropsiquiatr 2013;71(10):815–817
  • 6
    Teive HAG, Germiniani FMB, Munhoz RP, Paola Ld. 126 hysterical years - the contribution of Charcot. Arq Neuropsiquiatr 2014;72 (08):636–639
  • 7
    Charcot JM, Richer P. Les démoniaques dans l'art. 1887
  • 8
    Goetz CG. Chapter 2–Charcot, hysteria, and simulated disorders. In: Hallett M, Stone J, Carson A (Eds). Functional Neurological disorders. Handb Clin Neurol. Amsterdam: Elsevier, 2016. V139, p.11–23. Doi: 10.1016/B978-0-12-801772-2.00002-3
    » https://doi.org/10.1016/B978-0-12-801772-2.00002-3
  • 9
    Bogousslavsky J. Jean-Martin Charcot and his legacy. In: Bogousslavsky J (Ed). Hysteria: The rise of an enigma. Front Neurol Neurosci. Basel: Karger, 2014. V35, p. 44–55. Doi: 10.1159/000359991
    » https://doi.org/10.1159/000359991
  • 10
    Coutinho L, Walusinski O, Teive HAG. Désiré Bourneville: A Socialist in Charcot's Inner Circle. Eur Neurol 2022;85(01):79–84. Doi: 10.1159/000518846. Epub 2021 Sep 17. PMID: 34537765.
    » https://doi.org/10.1159/000518846
  • 11
    Maranhão-Filho P. The art and neurology of Paul Richer. Arq Neuropsiquiatr 2017;75(07):484–487
  • 12
    Wier J. Histoires, disputes et discours des illusions et impostures des diables, des magiciens infâmes, sorcières et empoisonneurs: des ensorcelés et démoniaques et de la guérison des iceux. Paris: Bibliothèque diabolique, Aux Bureaux du Progrès médical. 1885
  • 13
    Westerink H. Demonic possession and the historical construction of melancholy and hysteria. Hist Psychiatry 2014;25(03):335–349
  • 14
    Bourneville DM, Regnard P. Iconographie photographique de la Salpêtrière. ParisDelahaye; Lecrosnier; 1878
  • 15
    Galanopoulos P. La Bibliothèque diabolique du docteur Bourneville (1882-1902). Vesalius 2011;17(02):89–98
  • 16
    Carrazana E, Cheng J. St Theresa's dart and a case of religious ecstatic epilepsy. Cogn Behav Neurol 2011;24(03):152–155. Doi: 10.1097/WNN.0b013e318230b1db
    » https://doi.org/10.1097/WNN.0b013e318230b1db
  • 17
    Arias M. Neurology of ecstatic religious and similar experiences: Ecstatic, orgasmic, and musicogenic seizures. Stendhal syndrome and autoscopic phenomena. Neurologia (Engl Ed) 2019;34(01): 55–61. Doi: 10.1016/j.nrleng.2016.04.012
    » https://doi.org/10.1016/j.nrleng.2016.04.012

Publication Dates

  • Publication in this collection
    28 Apr 2023
  • Date of issue
    2022

History

  • Received
    23 May 2022
  • Accepted
    26 July 2022
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