Old and New Paris: Its History, Its People, and Its Places, v. 2

by H. Sutherland Edwards

To the joyous reign of M. de Coulmier succeeded, in 1814, the severe administration of Roulhac du Maupas. No more singing and dancing now! Comedies and ballets gave place to useful reforms, and the substitution of a new medical organisation for the former choregraphic system. Royer-Collard had suppressed the iron girdles, the fetters, the handcuffs, and the collars, by which the ungovernable madmen used to be restrained, and the melancholy ones driven to suicide. Esquirol did away with the human figures in wicker-work, in which violent maniacs used sometimes to be enclosed. The new programme met with the full approbation of the Government. A credit of 2,720,000 francs was voted by the Chamber of Deputies in July, 1838; and soon afterwards M. de Montalivet, then Minister of the Interior, laid with due solemnity the first stone of the new edifice. The memory of this important ceremony is consecrated by an inscription placed beneath the vestibule of the principal building.

At the back of the building is the wood of Vincennes, from which it is separated only by a wall, with a gate for the inmates of the asylum. In front the landscape comprises the immense and fertile plain of Maisons Alfort, Ivry, and Choisy-le-Roi. The panorama is one of the finest offered by the environs of Paris. The capricious meanderings of the Marne, with its green banks and its flower-clad islands, the picturesque hill of Alfort, the interesting domain of Charentonneau; villages sparkling beneath the sun in the midst of fields and meadows: on the horizon the smiling slopes of Saint-Maur, Créteil, Champigny, Chenevières, and [{224}]Boissy-Saint-Lèger; the forest of Sénart, Villeneuve-St.-Georges—which, deserted by its inhabitants, was occupied, during the last war, in every house and every room by German troops, who left behind them sad proofs of their destructiveness; and, finally, the majestic course of the Seine, and its union with the Marne. The new establishment has been so built that from nearly every room the patients can gladden their eyes and refresh their minds by contemplating the enchanting scenery.

The patients are grouped together, not with reference to their social rank, but according to the medical peculiarities of each particular case. In the first division are patients who have reached the convalescent stage, and who are quiet. In the second are the lunatics who know how to behave themselves, but are still subject to fits of insanity. The third class consists of incurable lunatics, who are nevertheless capable of obeying orders. The fourth is reserved for incurable lunatics, difficult to govern; the fifth for paralytic lunatics; the sixth for lunatics who have been attacked by some ordinary malady; the seventh for epileptic patients; and the eighth for violent uncontrolable maniacs.

DINNER TIME AT BICÊTRE.

ENTRANCE TO BICÊTRE.

During the last twenty or thirty years a hydropathic establishment has been added to the asylum, together with workshops for the occupation and amusement of the convalescent.

On the 2nd of February, 1866, the Empress paid a visit to Charenton, and took the institution under her special patronage. She began by proposing the construction of a department for women on the same system and the same scale as the well-organised department for men; and, adopting the Empress’s idea, the legislative body voted an important sum towards carrying it out.

Charenton receives about 600 patients, 300 men and 300 women; but the number would be much larger were there sufficient accommodation. The terms for the paying patients are 1,500 francs for the first class, 1,200 for the second, and 900 for the third, while for those who have a separate room 900 francs extra, as the wages of a servant, are charged. Needless to add that the patients, paying or non-paying, are all on an equality as regards medical treatment. The quality and variety of the cooking vary with the different classes. The chief elements of the population of Charenton are furnished by officials and clerks, artists and men of letters, merchants, dealers in wine and spirits, officers and soldiers. Every type of madness may there be studied, from dementia and melancholia to mania. Many of the patients owe their malady to hereditary[{225}] predisposition, alcoholic excesses, and other abuses, domestic calamities, reverses of fortune, and intellectual labour unduly prolonged.