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Charenton was first under monastic rule, then Sisters of Charity of St. Vincent de Paul took over the asylum after their founding. Although the town itself was the location of the headquarters of the French Huguenots in the 1500s and 1600s, the founders of Charenton were Catholic. At the time, many hospitals and asylums were Catholic institutions after the Council of Trent and the counter reformation.
Charenton was known for its humanitarian treatment of patients, especially under its director the Abbé de Coulmier in the early 19th century. He showed a remarkable aptitude for understanding Psychoanalytic theory. He used the technique of art therapy to help patients manifest their madness through physical art forms.
Now permanently closed, the psychiatric hospital is known as the Esquirol Hospital (French: l'Hôpital Esquirol or Établissement public de santé Esquirol), after Jean-Étienne Dominique Esquirol who directed the institution in the 19th century. The 1845 structure's architect was Émile Gilbert.
Charenton was founded as a hospital for the poor in 13 September 1641 by the Frères de la Charité after receiving a donation from Sébastien Leblanc, an advisor to Louis XIII. Initially the hospital consisted of a single house containing 5 beds. Starting September 1660 the mentally ill were required to be cared for in hospitals as per a government mandate. Care at Charenton shifted to reflect this change, prioritizing care for more privileged members of the population with mental symptoms. Demand for care grew throughout the 18th century and the Frères de la Charité acquired additional land, including the area of Charenton Saint-Maurice, to ensure there was sufficient space for more patients.
In 1804 François Simonnet de Coulmiers became the director of the asylum, which was named the "Maison Nationale de Charenton" at the time. Jean-Étienne Dominique Esquirol became the chief physician of the hospital in 1826.
Later on in the 18th century, hospitals and asylums shifted away from brutal treatments to more humane solutions, later including psychotherapy.
In 1804, after Marquis de Sade was transferred from the Bastille, director François Simonnet de Coulmier, a Catholic priest, employed the use of psycho-drama therapy by allowing patients to organize and act in their own plays. Coulmier was known for using this and other forms of psychotherapy rather than the inhumane treatments exhibited at other facilities to encourage alternative forms of expression. However, his psychodrama therapy came under fire by Esquirol and others who criticized him for employing a fruitless treatment and turning the patients into an exhibit to the public.
Despite the tendency to use more humane therapies, not all patients necessarily lived pleasant lives in the asylum. Hersilie Rouy, a thirty-nine-year old French musician, was admitted to Charenton and complained of the subpar living conditions and "tortuous therapy" that also made women more vulnerable to the mismanagement by the institution.
Famous prisoners were held in the Charenton asylum including Latude, the Comte de Sanois and the Marquis de Sade (from 1801 until his death in 1814 at the age of 74). De Sade was arrested for his works Justine and Juliette, and was later transferred to Charenton without a trial after his opponents declared him insane.[A]
The noted Belgian-born musicologist and composer Jérôme-Joseph de Momigny also died at the Charenton asylum, in 1842. The caricaturist André Gill died there in 1885. Poet Paul Verlaine was interned in 1887 and again in 1890. Artist Charles Méryon died at the asylum in 1868. Composer François Devienne died in the asylum in 1803. The mathematician André Bloch spent the last three decades of his life there, and mathematician Joseph-Émile Barbier also stayed there before being found and brought back into academia by Bertrand. Pierre Gaveaux was a French operatic tenor and composer who was also sent to Charenton. At the time, many believed that with a degree of insanity came the ability to be more creative and have "access to greater truths."
Significant Physicians of Charenton
Antoine Laurent Jessé Bayle, a French physician who practiced at Charenton, researched using postmortem evidence which concluded in 1822 that general paresis of the insane, or GPI, resulted from chronic inflammation of a brain area. This challenged the established belief at the time that the mental and physical symptoms, such as paralysis, were present before the inflammation, not as a result of a larger disease.
The physician Jean-Étienne Dominique Esquirol used leeches, tepid baths, emetic purging, laxatives, and exercise at Charenton, in addition to psychotherapy. Louis-Florentin Calmeil, who succeeded Esquirol as director, also used leeching as a way to treat monomania.
The Persecution and Assassination of Jean-Paul Marat as Performed by the Inmates of Charenton Under the Direction of the Marquis Sade, which is usually simplified to Marat/Sade, is a play written by Peter Weiss in which de Sade directs a play featuring the inmates as actors. During his time at Charenton, de Sade did direct plays at the facility. Marat/Sade depicted the controversy surrounding de Sade, in which French officials criticized the asylum for giving him an elevated status as a lunatic and prisoner. These plays were considered a form of treatment thought to help patients get better by learning new ways to express suppressed feelings.
The play has been reprised in many forms and forums. The 1967 film adaptation featured many of the original players, and utilized the long version of the play's name in its opening credits, although this was frequently shortened to Marat/Sade in publicity materials. The screenplay was written by Adrian Mitchell. Peter Brook directed a cast that included Ian Richardson, Patrick Magee, Glenda Jackson, Michael Williams, Freddie Jones and Clifford Rose.
- Quills, a film set at Charenton and featuring Coulmier and de Sade.
- Despite being a subject of controversy, the practice of using theater productions as therapy spread from Charenton to other asylums in Europe.
- Lindemann, Mary (2010). Medicine and Society in Early Modern Europe. Cambridge, United Kingdom: Cambridge University Press. ISBN 9780521732567.
- Bender, Douglas (15 November 2010). "De Sade and The Insane Beauty of Charenton". Charenton Macerations. Retrieved 17 February 2017.
- "The Esquirol Hospital". Retrieved 24 March 2017.
- Beleyme, Marie (5 November 2016). "François Simmonet de Coulmiers (1741-1818) – D51 (tombe disparue)". Père-Lachaise 1804-1824 – Naissance Du Cimetière Moderne (in French). Retrieved 25 March 2017.
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- De Saussure, Raymond. "Journal of the History of Medicine and Allied Sciences." Journal of the History of Medicine and Allied Sciences, vol. 3, no. 3, 1948, pp. 452–452.
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- O'Connor, John J.; Robertson, Edmund F., "Joseph Émile Barbier", MacTutor History of Mathematics archive, University of St Andrews.
- De Young, Mary (2015). Encyclopedia of Asylum Therapeutics, 1750-1950s. Jefferson, North Carolina: McFarland & Company. ISBN 978-0786468973.
- Nitrini, Ricardo. "The Cure of One of the Most Frequent Types of Dementia: A Historical Parallel." Ovid. N.p., July 2005. Web. 1 March 2017.
- Esquirol, Etienne (1838). Des maladies mentales considérées sous les rapports médical, hygiénique et médico-légal (in French). 2. J.-B. Baillière. pp. 159, 818, 849.
- Quétel, Claude (2014). Histoire de la folie, de l'antiquité à nos jours (in French). Tallandier. p. 242. ISBN 9791021002265. Retrieved 24 March 2017.
- White, John (1968). "History and Cruelty in Peter Weiss's "Marat/Sade"". The Modern Language Review. 63: 437–448. JSTOR 3723254.
- "Variety review of the film". Allbusiness.com. 20 February 2007. Retrieved 1 February 2012.