Abstract
Students of European cultural history have long characterized the late nineteenth century and the years leading up to the Great War as a period of pronounced public and private anxieties. In the late 1950s the American historian H. Stuart Hughes chronicled the ‘social disorder, economic crisis, and institutional malfunctioning’ that helped to effect an ‘intellectual revolution’ against the era’s ‘self-satisfied cult of material progress’ and the optimistic positivism on which it rested. No historian has done more than Robert A. Nye to extend this insight to France, the nation that had long enjoyed cultural dominance over its neighbors but that, with the currents of the fin de siècle, entered a period of broad-spectrum cultural anxieties. Nye traced the pessimism and fearfulness of the era to the wrenching shock of France’s defeat in the Franco-Prussian War of 1870–71, and meticulously traced French fears of national degeneration and decline. Chief among Nye’s contributions is his demonstration of the leading role played by physicians and biological scientists in diagnosing the nation’s cultural pathologies with the help of what he called a ‘medical model of cultural crisis.’2 Prominent among the physicians and life scientists who turned their sights on France’s cultural maladies were the diagnosticians of mental pathology, the ‘alienists,’ who, from the moment when ‘mental medicine’ first emerged amid the turmoil of the French Revolution, had claimed special understanding of intellectual, emotional, and behavioral aberration.
Everything which is eaten is the food of power.
(Elias Canetti, Crowds and Power1)
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Notes
Elias Canetti, Crowds and Power, trans. Carol Stewart (New York: Continuum, 1978 [1960]), p. 219.
H. Stuart Hughes, Consciousness and Society: the Reorientation of European Social Thought,1890–1930 (New York: Vintage, 1958 ), p. 41;
Robert A. Nye, Crime, Madness, and Politics in Modern France: the Medical Concept of National Decline ( Princeton: Princeton University Press, 1984 ).
Robert A. Nye, Masculinity and Male Codes of Honor in Modern France (New York: Oxford University Press, 1993 ).
Michelle Perrot, ‘The New Eve and the Old Adam: Changes in French Women’s Condition at the Turn of the Century,’ in Behind the Lines: Gender and the Two World Wars, ed. Margaret Randolph Higonnet and Jane Jenson (New Haven: Yale University Press, 1987), pp. 51–60; on the misogyny of the influential occultist and medical popularizer‘Papus’ (Gérard Encausse), see Chapter 5 of this volume by James Smith Allen.
Vitalist physicians of the University of Medicine of Montpellier, especially the late Enlightenment theoretician of women’s nature Pierre Roussel, took the lead; see Pierre Roussel, Système physique et moral de la femme (Paris: Vincent, 1775);
on Roussel and the Montpellier school, see Elizabeth A. Williams, A Cultural History of Medical Vitalism in Enlightenment Montpellier ( Aldershot: Ashgate, 2003 ), pp. 238–47.
Thomas Neville Bonner, To the Ends of the Earth: Women’s Search for Medical Education ( Cambridge, MA: Harvard University Press, 1992 ).
For a characterization of gastronomy as‘France’s most enduring empire,’ see Albert Sonnenfeld, ‘Foreword,’ in Jean Robert Pitte, French Gastronomy: the History and Geography of a Passion (New York: Columbia University Press, 2002), p. ix.
Brenda Parry -Jones, ‘Historical Terminology of Eating Disorders,’ Psychological Medicine, 21 (1991): 21–8.
Philippe Pinel, Traité médico-philosophique sur l’aliénation mentale, 2nd edn ( Paris: Brosson, 1809 ), pp. 296–7.
Elizabeth A. Williams, ‘Neuroses of the Stomach: Eating, Gender, and Psychopathology in French Medicine, 1800–1870,’ Isis, 98 (2007): 54–79.
L.-V. Marcé, ‘Note sur une forme de délire hypochondriaque consécutive aux dyspepsies et caractérisée principalement par le refus d’aliments,’ Annales médicopsychologiques, 3(6) (1860): 15–28;
Charles Lasègue, ‘De l’anorexie hystérique,’ Archives générales de médecine, 6th series, 21 (1873): 385–403;
William Withey Gull, ‘Anorexia nervosa (Apepsia Hysterica, Anorexia Hysterica),’ Transactions of the Clinical Society of London, 7 (1874): 22–8.
Tilmann Habermas, ‘The Role of Psychiatric and Medical Traditions in the Discovery and Description of Anorexia Nervosa in France, Germany, and Italy, 1873–1918,’ Journal of Nervous and Mental Disease, 179(6) (1991): 360–5;
Habermas proposes that the disease itself has remained constant since the late nineteenth century and that seeming disparities in its prevalence should be attributed to‘differences in national currents in medical thinking’; for an opposing view that draws attention to the ‘great confusion and disagreement about the nomenclature and associated views on cause and therapy’ in early French investigations, see Walter Vandereycken and Ron Van Deth, From Fasting Saints to Anorexic Girls: the History of Self-Starvation ( New York: New York University Press, 1994 ), p. 170.
Marcé, ‘Note sur une forme de délire hypochondriaque’; Lasègue, ‘Anorexie hystérique’; J.-M. Charcot, Leçons du mardi à la Salpêtrière. Policliniques,1887–1888 (Paris: Progrès médical, 1887), pp. 354–6;
Paul Sollier, ‘Anorexie hystérique (sitiergie hystérique): Formes pathogéniques—Traitement moral,’ Revue de médecine, 11 (1891): 625–50; idem., ‘L’anorexie mentale,’ Journal de médecine de Bordeaux, 25 (1895): 429–32;
E. Brissaud and A. Souques, ‘“Délire de maigreur” chez une hystérique,’ Nouvelle iconographie de la Salpêtrière, 7 (1894): 327–37;
Georges Gilles de la Tourette, Traité clinique et thérapeutique de l’hystérie, vol. 3, Hystérie paroxystique (Paris: E. Plon, Nourrit, 1895), pp. 282–95;
Edgar Bérillon, ‘L’anorexie des adolescents,’ Revue de l’hypnotisme et de la psychologie physiologique, 24 (1909–10): 46–9;
Gilbert Ballet’s use of the term ‘anorexie dyscénésthésique’ in an article in La médecine moderne (6 November 1907) is cited in Jules Comby, ‘Anorexie nerveuse,’ Archives de médecine des enfants, 11 (1908): 562–66 at 564 (Comby’s term ‘anorexie des nourrissons’ appears at 566);
Sollier’s use of the term ‘psychopathies gastriques’ is in ‘Les anorexies nerveuses,’ Journal de neurologie, 15 (1910): 201–10.
The modern diagnosis rests on: (1) refusal to maintain body weight; (2) fear of gaining weight or becoming fat; (3) disturbance of body-image; and (4) amenorrhea; see Ulrike Schmidt, ‘Eating Disorders,’ in Women and Mental Health, ed. Dora Kohen (London: Routledge, 2000), pp. 174–97, at p. 176.
Fear of excessive weight is mentioned, for example, in Brissaud and Souques, ‘“Délire de maigreur”’, and in Sollier, ‘Les anorexies nerveuses,’ but not in Maurice Debove, ‘L’anorexie,’ Le Progrès medical, 3 (2) (1895): 241–2
or Georges Gasne, ‘Un cas d’anorexie hystérique,’ Nouvelle iconographie de la Salpêtrière, 13 (1) (1900): 51–6.
Explicit statements about the disease afflicting girls and women exclusively or nearly so are made in Marcé, ‘Note sur une forme de délire hypochondriaque,’ p. 15; Sollier, ‘Anorexie hystérique,’ p. 627; Bérillon, ‘L’anorexie des adolescents,’ p. 47; Comby, ‘Anorexie nerveuse,’ p. 562; Hutinel, ‘L’anorexie mentale,’ p. 358. A typical statement is that of the neurologist Max Wallet: ‘L’anorexie hystérique est une affection qui ne s’observe que chez les jeunes filles, en général de quinze à vingt ans; je ne l’ai du moins jamais rencontrée chez un garçon’; Wallet, ‘Deux cas d’anorexie hystérique,’ Nouvelle iconographie de la Salpêtrière, 5 (1892): 276–8; in other sources no explicit statement is made, but all the observations presented are female; see Lasègue, ‘De l’anorexie hystérique’ (eight cases); Brissaud and A. Souques, ‘“Délire de maigreur”’ (two cases); Gasne, ‘Un cas d’anorexie hystérique’ (one main case, two others cited).
On sitophobia, see Gabriel Dromard, ‘Considérations pathogéniques sur le mutisme et la sitiophobie des déments précoces,’ Annales médico-psychologiques, 9(2) (1905): 374–92; obsessive behavior was a special concern of Pierre Janet, who discussed anorexia in connection with obsessions characterized by shame at the body (‘honte du corps’);
see Pierre Janet, Les obsessions et la psychasthénie, 2 vols (Paris: Félix Alcan, 1903), 1, pp. 33–50.
On this struggle, see Mark S. Micale, ‘Charcot and the Idea of Hysteria in the Male: Gender, Mental Science, and Medical Diagnosis in Late Nineteenth-Century France,’ Medical History, 34(4) (1990): 363–411; idem., ‘Hysteria Male/Hysteria Female: Reflections on Comparative Gender Construction in Nineteenth-Century France and Britain,’
in Marina Benjamin (ed.), Science and Sensibility: Gender and Scientific Enquiry,1780–1945 ( Oxford: Blackwell, 1991 ), pp. 200–39.
Paul Sollier, ‘Les anorexies nerveuses,’ Journal de neurologie, 15 (1910): 201–10;
Sollier’s two male cases, both seen in overworked professionals (one a lawyer and one a physician), represented an adaptation of new terminology to gastric ills once thought especially to afflict ‘hommes de lettres’; see on this theme, Anne C. Vila, ‘The Philosophe’s Stomach: Hedonism, Hypochondria, and the Intellectual in Enlightenment France,’ in Cultures of the Abdomen: Diet, Digestion, and Fat in the Modern World, ed. Christopher E. Forth and Ana Carden-Coyne ( New York: Palgrave, 2005 ), pp. 89–104.
For an overview, see Lucien Cornil, Les maigreurs: Etude clinique et physiopathologique ( Paris: Masson, 1945 ).
For an extensive bibliography of sources on gastronomy, see Priscilla Parkhurst Ferguson, Accounting for Taste: the Triumph of French Cuisine ( Chicago: University of Chicago Press, 2004 ).
For a discussion of Canetti’s anthropological method that emphasizes not structuralist but evolutionary and symbolic antecedents, see Ritchie Robertson, ‘Canetti as Anthropologist,’ in Critical Essays on Elias Canetti, ed. David Darby (New York: G. K. Hall, 2000 ), pp. 158–70.
Alexandre-Balthazar-Laurent Grimod de la Reynière. Almanach des Gourmands servant deguide dans les moyens de faire excellente chère par un vieil amateur, 8 vols (Paris: Valmer, 1984 [1803–12]);
cited in Priscilla Parkhurst Ferguson, ‘A Cultural Field in the Making: Gastronomy in Nineteenth-Century France,’ in French Food on the Table, on the Page, and in French Culture, ed. Lawrence R. Schehr and Allen S. Weiss (New York: Routledge, 2001), pp. 5–50, at p. 44, n. 6.
Cited in Jean-Paul Aron, The Art of Eating in France: Manners and Menus in the Nineteenth Century, trans. Nina Rootes (New York: Harper and Row, 1973 ), p. 62.
Cited in Robert Courtine, La vie parisienne: Cafés et restaurants des Boulevards,1814–1914 ( Paris: Perrin, 1984 ), p. 12.
On the influential formulations of the philosopher Victor Cousin, who excluded adolescent girls from the ‘training’ of the will promoted in the lycées, see Jan E. Goldstein, ‘Mutations of the Self in Old Regime and Postrevolutionary France: From Ame to Moi to Le Moi,’ in Biographies of Scientific Objects, ed. Lorraine Daston (Chicago: University of Chicago Press, 2000), pp. 86–116, esp. 111 n. 63, 114.
Eugène Briffault, Paris à table (Paris: J. Hetzel, 1846), pp. 21, 53–4.
M. Plastira-Valkanou, ‘Medicine and Fine Cuisine in Plato’s Gorgias,’ L’Antiquité classique, 67 (1998): 195–201.
See, for example, Lucien Pron, Influence de l’estomac et du régime alimentaire sur l’état mental et les fonctions psychiques (Paris: Rousset, 1901), a work that extols insights into the brain-stomach connection drawn by Ancient philosophers and physicians.
Jean-Louis Flandrin, ‘From Dietetics to Gastronomy: the Liberation of the Gourmet,’ in Food: a Culinary History, ed. Jean-Louis Flandrin and Massimo Montanari, English edn A. Sonnenfeld, trans. C. Botsford et al. (New York: Columbia University Press, 1999), pp. 418–32, at 424.
Emma Spary, ‘Making a Science of Taste: the Revolution, the Learned Life and the Invention of “Gastronomie,”’ in Consumers and Luxury: Consumer Culture in Europe,1650–1850, ed. Maxine Berg and Helen Clifford ( Manchester: Manchester University Press, 1999 ), pp. 170–82.
Manuel Leven, La névrose: Etude clinique et thérapeutique (Paris: G. Masson, 1887);
see also A.-F. Chomel, Des dyspepsies ( Paris: Victor Masson, 1857 ).
Jean-Baptiste Louyer-Villermay, ‘Hystérie,’ in Dictionnaire des sciences médicales, 60 vols, ed. N.-P. Adelon et al. (Paris: C.L.F. Panckoucke, 1812–22), 23, pp. 226–72, at p. 232.
On the democratization of gastronomy in the late nineteenth century, see Aron, The Art of Eating, pp. 71–9; on political uses of banquets during the Third Republic, see the essays by Olivier IhI and Jocelyne George in Les usages politiques des fêtes aux XIXe etXXe siècles, ed. Alain Corbin et al. ( Paris: Publications de la Sorbonne, 1994 ).
Robert A. Nye, ‘Honor Codes and Medical Ethics in Modern France,’ Bulletin of the History of Medicine, 69 (1995): 99–111; idem., ‘Medicine and Science as Masculine “Fields of Honor,”’ Osiris, 12 (1997): 60–79.
Pierre Darmon, La vie quotidienne du médecin parisienne en1900 ( Paris: Hachette, 1988 ), p. 88.
Nye, ‘Honor Codes,’ pp. 109–10; idem., ‘Medicine and Science,’ pp. 75–76; the intensely male world of neurological and psychiatric medicine is discussed in Toby Gelfand, ‘Sigmund-sur-Seine: Fathers and Brothers in Charcot’s Paris,’ in Freud and the History of Psychoanalysis, ed. T. Gelfand and John Kerr ( Hillsdale, NJ: Analytic Press, 1992 ), p. 50.
The ‘Freethinker’s Dinner’ is discussed in Jennifer Michael Hecht, The End of the Soul: Scientific Modernity, Atheism, and Anthropology in France (New York: Columbia University Press, 2003), pp. 86–90.
Charles Lasègue, ‘De l’appétit en général et de l’appétit digestif en particulier,’ Gazette des hôpitaux civils et militaires, 54 (2) (1881): 10–11.
Gregory Zilboorg, A History of Medical Psychology ( reprinted, New York: W. W. Norton, 1967 ), p. 398.
Georges Gilles de la Tourette and H. Cathelinau, La nutrition dans l’hystérie (Paris: Aux Bureaux du Progrès medical, 1890 ), p. 92.
For comment on a patient of sixteen who had ‘arrived at ‘l’âge par excellence de la coquetterie,’ see Brissaud and Souques, ‘Délire de maigrir,’ p. 336; Debove, by contrast, traced instances of the disease to ‘quelque chagrin’ such as that of a woman who had lost her son; see Debove, ‘L’anorexie,’ p. 241. The theme of coquetry had already been sounded in the 1850s by the physician turned man-about-town L. Véron, who attributed it to the influence of Lamartine; L. Véron, Mémoires d’un bourgeois de Paris, 6 vols (Paris: Gabriel de Gonet, 1853), 1, pp. 210–11;
for an argument that in France anorexic behavior was first documented in works of fiction rather than medicine, see Patricia A. McEachern, Deprivation and Power: the Emergence of Anorexia Nervosa in Nineteenth-Century Literature (Westport, CN: Greenwood Press, 1998).
On women’s tendency to lack of appetite, see Emile Desportes, ‘Du refus de manger chez les aliénés,’ thesis, Faculté de Médecine de Paris, 1864, p. 10; Constantin Empereur, Essai sur la nutrition dans l’hystérie (Paris: Coccoz, 1876), cited in Gilles de la Tourette and Cathelinau, La nutrition dans l’hystérie, pp. 2–3.
Jules-Bernard Luys, Le cerveau et ses fonctions (Paris: Germer Baillière, 1876);
cited in F. Gallouin and J. Le Magnen, ‘Evolution historique des concepts de faim, satiété et appétits,’ Reproduction, Nutrition, Dévéloppement, 27 (1987): 109–28; the quotation appears at p. 123.
Edward Shorter, From the Mind into the Body: the Cultural Origins of Psychosomatic Symptoms ( New York: Free Press, 1994 ).
Brumberg, Fasting Girls; McEachern, Deprivation and Power; for an approach that links anorexia to literary creativity, see Marie Perrin, Renée Vivien, Le corps exsangue: De l’anorexie mentale à la création littéraire ( Paris: L’Harmattan, 2003 ).
On gender and famine, see Sharman Apt Russell, Hunger: an Unnatural History ( New York: Basic Books, 2005 ), pp. 137–56.
On the rising incidence of anorexia in boys and men in the West, see the Preface to the new edition of Brumberg’s 1988 study: Fasting Girls: the History of Anorexia Nervosa (revised edn, New York: Vintage Books, 2000), p. xvi.
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Williams, E.A. (2010). Gastronomy and the Diagnosis of Anorexia in Fin-de-Siècle France. In: Forth, C.E., Accampo, E. (eds) Confronting Modernity in Fin-de-Siècle France. Genders and Sexualities in History. Palgrave Macmillan, London. https://doi.org/10.1057/9780230246843_5
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