Salpêtrière: where art & science meet

Reference bookPERFORMING NEUROLOGY The Dramaturgy of Dr Jean-Martin Charcot, Jonathan W. Marshal




1. INTRODUCTION

  • What was it? History.

After being the first gunpowder factory, the building was used for an institution for mad women in the last few decades of the 19th century.
Considered a reference in the French hospital system, it has made scientific contributions with worldwide repercussions and figures such as Dominique Laplane, who studied obsessive-compulsive changes.

XVII century – Luis XIV orders to build hospitals for poor people, because the city is full of them. This building was converted into a hospice for the poor woman: mentally ill woman, epileptic, prostitutes, alcoholic, girls born on adultery, witches, orphans, criminals, crazies, lesbians, girls with suicidal tendencies, bohemians...

XVIII - During the September massacres of 1792, the working-class district tried to release the woman: 134 prostitutes were released, 25 madwomen were murdered.

XIX – Alfred Vulpin, Jean- Martin Charcot = father of modern neurology, he developed several studies on hypnosis and hysteria. He creates a neurology school in La Salpêtrière, where he starts teaching. Georges Gilles Tourette was his disciple and studied what is now known as "Tourette's disease". Freud was also a disciple – Charcot's said to be the precursor of psychoanalysis.

XX - Gradually, the neurological specialty of the institution is consolidated thanks to doctors such as Édouard Brissaud, Raymond Garcin and Pierre Marri.

Diana, princess of Wales, died here.
  • Such a Wagner
A columnist from the French newspaper Le Figaro, Félix Platel, likened Charcot to the fashionable German opera composer, Richard Wagner, claiming that Charcot:
    monopolized hysteria. He astonished men. He frightened women. He practiced in sum scientific cabotinage. His success has been enormous. Oh the great allure of hamming it up! It has profited Charcot, but science also. He advanced science in the manner of Wagner, the great musical cabotin.Charcot and Wagner seem to me to be of the same race.
It was horrible to say this for the doctor, as it was comparing him to an artist rather than to a scientist. And he was such a nationalist man.Wagner was famous for championing the total art work, in which all of the senses were simultaneously assaulted by different elements of performance: sound, music, voice, acting, lighting, spectacle, and design. Charcot and his acolytes warned against the potential ill effects of such intense neuro-affective stimulation, claiming that it could bring on hysteria or other diseases.

Guiding the gaze is an art. Like a stage director without intervening. Whilst Charcot placed the patient upon the stage and focused the spotlight, he refused to be seen as a choreographer or conventional stage director. He staged what he saw without intervening.
  • Linguistics. Butler and performativity
Her model derives from linguistic theory. All language has some performative character: By saying “I pronounce you man and wife,” those addressed actually become a married couple. Equally important is that this classifies them as individuals. A performative not only does something, it names and defines the subject who is addressed. Even if the man addressed was not previously known as a man, from this point onwards he will be seen, in social terms at least, as a heterosexual husband.
Derrida explains this by reference to language itself. For any word to make sense, it must have been said before, and the association of this word with a particular object or concept have been recognized. Every time this word is subsequently said, it becomes more clearly associated with the object it names—the more one is called “man,” the more this designation becomes, in Butler’s phrasing, “sedimented” and “concretized” in social, physical, and subjective terms. One “becomes” a man through such performances. This raises, however, the possibility that the subject was not a man at some time or other, and hence that it was always possible that another designation could have been applied.
All language has some performative character. Charcot starts to name things and actions, so he's creating the knowledge, but it could have been different.


“There is nothing outside the text”- Derrida. So, knowledge is something human-made.

This is related to the concept of “mad women”, very present in today's society. I had a teacher who told me when her daughter was kind of rebel she was called “a bad girl”, while if it was her son who adopted that attitude, he was seen as “a boy with a lot of personality” and intelligence. The use of the language. “Stop being so hysterical!” - It is always said to women who just want to be heard. It was not only a big influence in arts, but in society and in the meaning of the word “woman”.

Beyond linguistics
The choreography of hysterioepilepsy was so violently chaotic as to be not just pathological, but to exist beyond the logical structures of language itself. Hysteria’s status as a pre- linguistic, somatic language has since become a truism of feminist psychoanalysis. What is often overlooked, however, is that the alinguistic character of nineteenth century hysteria meant that the disease could only be fully represented through the force of physical performance, and not through written or verbal description, or even the static images of photography.

  • Later influences
    - LEÇONS DU MARDI: his students write the notes and then he reviews them and creates a book out of them. His work was inseparable to the work of his acolytes. Aesthetic values in his school: some pupils were professors of artistic anatomy. His work was very influential in arts. Neuropatologhy as entertainment.

    - DANCE
            a) End of the XIX – beginning of the XX century: Loïe Fuller, “trance dancers”. 
            b) Inability of the language and logic speech acts. 
            c) Marta Graham used muscle tension and relaxation as motor energy.
    - 1893: Charcot's death. Following years: significant literary and aesthetic works
      • SURREALIST ESSAY by Louis Aragon and André Breton, “The Fiftieth Anniversary of Hysteria”, 1928
      • ARCH OF HYSTERIA, Louise Bourguois
      • Per Olov Enquist’s fictional book of Charcot’s patients BLANCHE AND MARIE, 2007
      • UNITED COLORS OF BENETTON, Oliviero Toscani and Isabelle Caro
      • AUGUSTINE Alice Winocour’s film, 2012

- REFLECTION OF THE AUTHOR:
Didi-Huberman concludes that: Charcot rediscovered hysteria. I attempt to retrace how he did so, amidst all the various clinical and experimental procedures, through hypnosis and the spectacular presentations of patients having hysterical attacks in the amphitheater where he held his famous Tuesday Lectures. With Charcot we discover the capacity of the hysterical body, which is, in fact, prodigious. It is prodigious; it surpasses the imagination, surpasses “all hopes,” as they say. Invention of Hysteria (2003)
For Didi-Huberman, the collection of photographs published within the Iconographie photographique de la Salpêtrière “contains everything: poses, attacks, cries, ‘passionate attitudes,’ ‘crucifixions,’ ‘ecstasy,’ and all the postures of delirium” or what might be called “theatricalized bodies.” one of Didi-Huberman’s most significant observations: hysterics became art objects. the diseased neurological body is therefore a kind of fiction , very close to theatre.




2. CHARCOT Diagnosis of hysteria

  • Key words = ART & SCIENCE
Hysterioepilepsy and hypnosis = theatrical diseases
  • Process of study
BODY MOVEMENT
He was known to explore illnesses by focusing on the body movement. He even produced, together with other people, proto-cinematic stop-motion analyses of the moving body, just when the cinema was about to start. We worried more about the plastic manifestations of hysteria than about his nature or causes, having as an important tool a visual archive he impulsed: Iconographie Photographique de la SalpêtrièreHe was more focus on the body reactions and impulses than on psyche, sexuality or psychology, this means, on the choreographic patterning of the body.
In the film, the movements are very sexual-related, with Augustine touching her sexual organs and breast while convulsing. But Charcot always stated that the sexual wasn't part of the disease, it was just delirium, and the disease starts in the brain.

RAPPROCHEMENT (relationship) BETWEEN THEATRE AND MEDICINE
At the Théâtre du Grand Guignol and in the work of Munthe and Daudet (french dramaturgues), a Charcot-figure is depicted as a diseased performer or histrionic actor. It helps in the medical practice.He made a distinction: 
Performance of medical knowledge in the lectures / pathological performativity of patients
Controversial. Even though, criticism of Platel: faced with the problem of differentiating between illness and the mere performance of illness; between outward theatrical display and essence, which in turn implicitly raised the question of whether illness was itself a kind of performance.


THE THEATRE OF THE ATHLETIC NUDE
CHAPTER 5: The Grotesque Body and the Living Nude

This concept led to some violent tendencies, such as Martin McDonagh's and Sara Kane's“In-yer-face”.(Blasted)
French theatre at the time very academic, following the Greek rules: Aristoteles' model of the three unities: time, space, character, Rules of Classicism. Therefore, Charcot preferred Molière than Wagner or Aurélien Lugné-Poe. For the ancients, the admiration of beautiful forms was in some sense the dogma of a religion, and the science of the nude became the catechism. Both painters and physicians must know the nude. Art and science.
Health vs. Disease: symmetry of classical male young bodies vs disorder, grotesque, carnival. The work of Richer, Meige, and Duval on the healthy moving body acted as an instructive complement to Charcot’s own focus on diseased movement.
Marcel Duchamp’s Futurist painting of Nude Descending a Staircase (1912) explicitly references the lectures on the body in movement of Richer.

MUSIC AND RHYTHM OF THE BODY
The work of Richer, Meige, and Duval on the healthy moving body acted as an instructive complement to Charcot’s own focus on diseased movement. As Richer observed, it was above all the “music” or “rhythm” of the body, its uniquely sequential or choreographic action, which defined the body as healthy or diseased.
Richer claimed that every age was characterized by a particular art form, in “modern times” however it was “music.” Marey and his collaborators, such as Londe, had indeed experimented with forms of musical and choreographic notation to record movement patterns, heartbeat, and other physiological phenomena, and Richer reproduced illustrations of Marey’s semi-musical “notation of movement” throughout his course-books. Scientists had moved from listening for the music of the spheres, to listening to and watching for the rhythms of anatomyological movement.

DATA
Iconographie was full of statistical data on the patients: the frequency and duration of their fits; the volume and quality of their urinary and fecal excretions, as well as notes on foaming at the mouth, saliva, menstruation, and other “vaginal secretions”; skin and mucosal sensitivity; rectal, vaginal, and skin temperatures before, after, and during fits, as well as across the body; dynamometric measurements of muscular force, the relative weakness and atrophy of limbs; measurements of bodily proportions; transcriptions of patients’ delirious ramblings; electrostimulation readings; ...

O. indeed claimed that during his seizures:
“There seem to be two persons in me … I am at once the actor and the spectator; and the worst of it is, the exuberance of the one [the pathological actor] is not to be thwarted by the just recriminations of the other”. // others feel like the sky was splitting in two parts, etc

Patients frequently raged and gnashed their teeth in postures which Bourneville and Richer identified as being closely akin to those which Catholics had formerly designated as being the result of demonic possession.
These radically disordered movements could only be described as “illogical attitudes,” a phrase also used to describe Tourette’s syndrome. Such poses were “illogical” because of “their non-correspondence to any [identifiable] emotional states” or other narrative or contextual justification.
Charcot said that hypnosis was only possible with people with hysteria (he was wrong), while whilst Bernheim argued others attacked him saying this was not truth, and even that hypnosis could be a curative method for them.

DRAWINGS AND PHOTOGRAPHY. CINEMA
Images. Draws and pics. They let the images speak for themselves: medicine and photography. As photographic techniques improved, Salpêtrière physicians such as Richer increasingly commended the camera for its superiority over the physical eye, enabling one to capture the “most fugitive” or subtle of bodily expressions for further investigation.  The phrase “made after nature” which Charcot evoked in his lecture above was crucial here.
Charcot was a fair illustrator, and several of his schematic drawings adorned his published lectures. As Charcot’s secretary of 1889–1893, George Guinon, observed:
He himself drew like a true artist, and this talent often served him well in fixing on paper a patient’s attitude, a deformation, which he immediately [then] knew how to define with a characteristic word.
Charcot recognized in Richer, however, a superior gift. As a young intern, Richer stayed overnight in the wards so as to capture the transitory fits and seizures of hysterics and other patients.
They both two major iconographic studies on illness in art, Les démoniaques dans l’art (1886) and Les difformes et les malades dans l’art (1889), with their drawings.Art as realism. The “love of truth,” of nature, and of “ exact imitation,” formed the basis for all true art, theatre and science. The ideal medical theatre was rather the literally spartan aesthetic of the classical athletic stadium.
The reader was encouraged to read across the images, and reconstruct patient behaviour in all its chaotic totality. The Iconographie resembled in this sense a flip-book of cinematic stills more than it did a collection of self-contained, static images. The performances represented in these texts were pathological because of how such dramas transgressed the rules of classical theatre and Aristotelian drama. Instead of being representations of real events, they acted as corporeal manifestations of a compulsion to perform itself. Hysterioepilepsy was a disease because, in the final analysis, it depicted nothing other than itself; it was pure performance, or as Charcot observed, “art for art’s sake.
  • Postmodernity. Taoism. VARIABILITY. TRANSFORMATION
Complexity of our body, very postdramatic, always changing: As Richer observed: the volume of the diverse parts of our body are not constantly the same, it [the body] is, on the contrary, in a perpetual state of instability. That is to say that it changes from moment to moment, with our stances, with our actions, our feelings, our emotions, even our thoughts. One of the features of life is the incessant changes in the volume of the limbs and as a result in their form. From this it follows that, in Nature, the form itself is variable, transitory and ever-changing.
  • Complexity in every field: postmodernism is not only a philosophical tendency, but it is expressed in several fields: architecture, literature, sociology... “Less is a bore”. Very baroque.
  • I think he was kind of a visionary, as he didn't focus on searching for the causes of hysteria and the sense of it (as modernisms did, all of them were focused on the meaning of life), but on exploring and enjoying the performativity of the body in such a state. Postmodernity doesn't intend to raise new ideas, there is not a truth, but subjective impressions of it.
  • Self-contradiction
Past: ancient Greeks. Body and soul were one, impossible to separate. With the mask, body was very important. There was no concept of an independent mind functioning outside the body. They didn't regard the naked body as sinful or corrupt, but they celebrated in the gymnasium.
Postmodernism goes back to the past, modernism wanted to differientate form the past.
Modernity: industrialization, free market, rationalism, material life... Modern society is mainly about destruction, about the change. Initiated by nihilism.
Postdramatic theatre totally breaks with the Aristotelian structure of the plot: the theatre is defined by the staging. It doesn't destroy the structure of the drama, but it overcomes it. There is an absolutization of the body. This is way I'm studying physical theatre, because I think it is the future and I somehow don't find an inner meaning to other theatrical forms at the moment.
  • Artistic way of description. Charcot and Bourneville
The Iconographie offered not only a transcription of the dramaturgy which Charcot and his associates described, but also an attempt to translate this living, performative material from the stages of the Salpêtrière into a published, textual form. Photography was enlisted to aid in this task of bodily transcription. A tension existed between the alogical, pathological body of hysterioepilepsy and its rational, medical description. This conflict between medical diagnosis and its irrationally disordered object was reflected in a similar opposition between performance and its textual documentation.
It is significant in this context that Bourneville’s project of somatic description was contemporary with not only the work of Marey, Londe, and Richer in finding ways to record and analyse movement, but also with attempts to carefully notate and examine choreography by dance theorists such as Maurice Emmanuel of the Paris Conservatoire, or the founder of Eurhythmics, Émile Jaques- Dalcroze, both of whom drew on advances in chronophotography.
Ways of linguistically describing and transcribing both the poetic, and the poetically deranged, medical body were of widespread concern in the arts and science throughout the 1880s through the 1930s.
Choreographic patterns:
  1. coprolalia” (vocal expletives)
  2. echolalia” (repeating of phrases and nonsense)
  3. illogical movements” such as “salutations” (swipes of the hand over the cranium)
- choretic movements: rhythmic movements, like continuous movement of the feet. They counted the number of oscillations per minute of the movement
- Charcot claimed that “It was there,” in these rhythmic patterns, that one discovered “as is said in Hamlet , ‘there is method , though this be madness.
- All happens in a non-speaking body, no words are issued during the seizure

Film called Hysteria, 2011: Two doctors in Victorian England use manual stimulation in the female genitals to cure the diseases of their patients, causing the invention of the vibrator.