In 1817, at the asylum of La Salpêtrière in Paris, a long-term inhabitant died of pneumonia. Her malnourished, oedematous body was taken away for autopsy. For some years before her death she had been intractably and violently psychotic. She had crawled on the floor like an animal, eaten straw. She stripped off her clothes in freezing weather, and did not mind (her keepers noted) if men saw her naked. She threw icy water on her bedding and her person, and on the floor of her cell.

LRB 28 May 1992 | PDF Download