0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Art and Images in Psychiatry |

A Clinical Lesson at the Salpêtrière

James C. Harris, MD
Arch Gen Psychiatry. 2005;62(5):470-472. doi:10.1001/archpsyc.62.5.470.
Text Size: A A A
Published online

Extract

In June 1870, Jean-Martin Charcot (1825-1893) delivered his first lecture on hysteria, a lesson on hysterical contractures, at the Salpêtrière in Paris, France.2 His lecture emphasized a scientific approach to hysteria and focused on not only the physical features but also the psychological aspects. Thus, he expressed doubt about reports of miraculous religious cures and likened them to the sudden recovery of hysterical patients. Charcot was influenced by the work of Pierre Briquet (1776-1881),3,4 who in 1859, based on clinical assessments, published a systematic epidemiologic study describing 430 cases of hysteria seen over a 10-year period. Briquet considered “hysteria as the product of suffering of the part of the brain destined to receive affective impressions and feelings,”4(p60)suggested a role for heredity, proposed a predisposing temperament, and identified male cases but noted that they were far less common than female cases. The previous July, Charcot attended the British Medical Society meeting in Leeds, England, where Russell Reynolds delivered a paper that had intrigued him, “Paralysis, and other disorders of motion and sensation, dependent on idea.”5 Reynolds wrote “that some of the most serious disorders of the nervous system, such as paralysis, spasm, pain, and otherwise altered sensations, may depend upon a morbid condition of emotion, of idea and emotion, or of idea alone . . . they sometimes associate themselves with distinct and definite diseases of the nervous centres, so that it becomes very important to know how much a given case is due to an organic lesion, and how much to morbid ideation.”5(p483)

Figures in this Article

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption

Pierre Andre Brouillet (1857-1914), French. Cover: A Clinical Lesson at the Salpêtrière, 1887. Oil on canvas. 300 × 125 cm. Musée d’Histoire de la Médicine, Paris, France. Photo credit: Erich Lessing, Art Resource, New York, NY.

Graphic Jump Location
Place holder to copy figure label and caption
Figure.

A Clinical Lesson at the Salpêtrière is a large group portrait that hung in the salon de Paris in 1887. The following individuals are shown: Jean-Martin Charcot, Professor, Diseases of the Nervous System; Marie (Blanche) Wittman, patient; Joseph Babinski (1857-1933), chief house officer; Marguerite Bottard, nursing director; Mlle Ecary, nurse; Paul Richer (1849-1933), medical artist and physician; Charles Samson Féré (1852-1907), psychiatrist and Charcot’s assistant and secretary; Pierre Marie (1853-1940), assumed Charcot permanent chair in 1917; Alix Joffroy (1844-1908), anatomical pathologist; Edouard Brissaud (1852-1909), interim professor for one year after Charcot’s death; Paul Berbez, physician and student of Charcot; Jean-Baptiste Charcot (1867-1936), son and medical student; Gilbert Ballet (1853-1917), Charcot’s last chief resident; Mathias Duval (1844-1907), professor of anatomy; Maurice Debove (1845-1920), eventual dean of the medical school; Philippe Burty (1830-1890), art collector and writer; Victor Cornil (1837-1908), politician; Georges Gilles de la Tourette (1857-1904), assistant neurologist, described Tourette syndrome; Romain Vigouroux, chief of electrodiagnostics; Henri Parinaud (1844-1905), ophthalmologist who described oculoglandular syndrome; Henry Berbez, extern; Désiré-Magloire Bourneville (1840-1909), Charcot publisher, physician who described tuberous sclerosis complex; Alfred Joseph Naquet (1834-1916), physician and politician; Jules Claretie (1840-1913), journalist and writer; Paul Arène (1843-1896), novelist; Albert Gombault (1844-1904), anatomist; Léon le Bas, chief hospital administrator; Georges Guignon (1859-1932), Charcot’s last chief resident; Théodule Ribot (1838-1916), psychologist; Albert Londe (1858-1917), chief medical photographer.

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 8

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Collections
Jobs
brightcove.createExperiences();