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Chapters (32)
  1. The Alienist by Machado de Assis
  2. Title page
  3. I. How Itaguai Acquired a Madhouse
  4. II. A Torrent of Madmen
  5. III. God Knows What He is Doing
  6. IV. A New Theory
  7. V. The Terror
  8. VI. The Rebellion
  9. VII. The Unexpected
  10. VIII. The Druggist’s Dilemma
  11. IX. Two Beautiful Cases
  12. X. The Restoration
  13. XI. Release and Joy
  14. XII. The Last Part of the Fourth Item
  15. XIII. Plus Ultra
  16. Notes
  17. Illuminations for The Alienist by Machado de Assis
  18. Title page
  19. Machado de Assis’ Rio de Janeiro
  20. The Bay of Rio by Fannie E. Coe
  21. The City and Its Institutionsby A.J. Lamoureux
  22. Photograph
  23. Photograph
  24. Reading I
  25. Photograph
  26. Art and Insanity in the 19th century
  27. Genius and Insanityby Dr. William Hirsch
  28. Reading II
  29. Illustration
  30. Illustration
  31. Reading III
  32. Photograph

The cases of modesty may serve as examples. In some, a wig, a fine coat, or a cane would suffice to restore reason to the madman. In more difficult cases the alienist resorted to diamonds, honorary degrees, and the like. The illness of one modest lunatic, a poet, resisted every sort of therapy. Bacamarte had almost given up, when an idea occurred to him: he would have the crier with the noisemaker proclaim the patient to be as great as Garcão or Pindar.

“It was like a miracle,” said the poet’s mother to one of her friends. “My boy is entirely well now. A miracle . . . ”

Another patient, also in the modest class, seemed incurable. The specific remedy used for the poet would not work, for this patient was not a writer; indeed, he could barely sign his name. But Dr. Bacamarte proved equal to the challenge. He decided to have the patient made Secretary to the Itaguai branch of the Royal Academy. The Secretary and the President of each branch were appointed by the Crown. They enjoyed the privileges of being addressed as Excellency and of wearing a gold medallion. The government at Lisbon refused Bacamarte’s request at first; but after the alienist explained that he did not ask the appointment as a real honor for his patient but merely as a therapeutic device to cure a difficult case, and after the Minister of Overseas Possessions (a cousin of the patient) intervened, the government finally granted the request. The consequent cure was hailed as another miracle.

“Wonderful, really wonderful!” said everybody upon seeing the healthy, prideful expression on the faces of the two ex-madmen.

Bacamarte’s method was ultimately successful in every case, although in a few the patient’s dominant quality proved impregnable. In these cases the alienist won out by attacking at another point, like a good military strategist.

By the end of five months all the patients had been cured. The Green House was empty. Councilman Galvão, so cruelly afflicted with fairness and moderation, had the good fortune to lose an uncle; I say good fortune, for the uncle’s will was ambiguous and Galvão obtained a favorable interpretation of it by bribing two judges. With customary integrity, the doctor admitted that the cure had been effected not by him but by nature’s vis medicatrix. It was quite otherwise in the case of Father Lopes. Bacamarte knew that the priest was utterly ignorant of Greek, and therefore asked him to make a critical analysis of the Septuagint. Father Lopes accepted the task. In two months he had written a book on the subject and was released from the Green House. As for the druggist’s wife, she remained there only a short time.

“Why doesn’t Crispim come to visit me?” she asked every day.