FAÇADE OF THE MAIN BUILDINGS, SALPÊTRIÈRE.
It was not, however, until 1838 that Charenton became a lunatic asylum and nothing else. Bicêtre and La Salpêtrière remained hybrid institutions, half hospitals, half asylums; receptacles alike for madness and old age. The inmates of Charenton are treated with the greatest kindness. Cases of insubordination must of course be dealt with; and they are treated by the withdrawal of some favour or (less humanely, as it would seem to the lay reader) by the shower-bath. A strait-jacket, with long sewn-up sleeves, is the only means of coercion employed with violent and dangerous madmen, so as to preserve them against the excesses of their own fury and to render it impossible for them to injure their companions. The wards of the unruly patients—broad and lofty, well lighted, well ventilated, with waxed floors—present no resemblance whatever to the cages of former days.
All patients without exception, peaceful or unruly, are in the enjoyment of fresh air, sunlight, space, and as much liberty as can be prudently allowed them. They correspond with their relatives and receive visits from their family and their friends. Once a month they are officially visited by a magistrate, whose duty it is to question them and listen to their complaints. For the men there are workshops of all kinds, for the women workrooms. The dormitories are well kept, the dining rooms are exquisitely clean, and for the recreation of the patients there are billiard rooms, drawing rooms, and libraries. Music, too, and drawing may be cultivated. During the summer there are excursions to the country, during the winter evening parties,[{209}] concerts, and dramatic representations. Among the inmates persons of every age, every rank, and every profession are to be found: some of them monomaniacs, harmless dreamers after an impossible chimera or vain hope; or it may be obstinately attached to some wild idea which they cannot refer to without expressions of violence. The liberal professions are largely represented at Charenton, and, due numerical proportion being observed, furnish more lunatics than any other class. “Paris,” says Dr. Linas, “the great rendezvous of every kind of ambition, every kind of vanity, every presumption, every passion, every pleasure, and every form of misery, furnishes a larger contingent than any other part of France.” While the proportion of lunatics for the other departments is one to from 1,500 to 2,000 inhabitants, it is in the ratio of one to 500 for the department of the Seine. In 1801 this department had 946 lunatics to support, in 1845 2,595, in 1851 3,060, and in 1865 4,388. Happily, however, largely as the numbers will be seen to have swelled, a great many cures are yearly effected. In the year last-named 389 patients (154 men and 224 women) were discharged sane from Bicêtre and the Salpêtrière.
There are two modes of admission to these asylums. The Prefect of the Seine authorises the admission of harmless patients on the demand of those patients’ friends; but lunatics who are considered dangerous to the community—and these form by far the greater proportion—are shut up by order of the Prefect of Police.
Let us take a leisurely glance at the two great French lunatic asylums. To begin with La Salpêtrière. It is situated on the 13th arrondissement, almost at the entrance to the Boulevard de l’Hôpital, and not far from the Jardin des Plantes and the Bridge of Austerlitz. On the pediment of its portal is this inscription: “Hospital for old age—Women.” Such has been the official title of the institution since 1823, but the more ancient and popular name, that of La Salpêtrière, has prevailed in common use.
THE MAZARIN WARD, SALPÊTRIÈRE.