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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

On the patient’s arrival at the asylum they are first put into a bath. This is necessary and perfectly right, if done in a proper way. In a most inhuman manner I was plunged into a bath, the water of which was not quite boiling hot, and held down by a strong grip on my throat, until I felt a strange sensation, and everything began to turn black. Just at this time I heard a person say to the unnatural brute who was acting as attendant: “Oh, my! Let her up, quick; she is black in the face.” (The person who made this remark, I afterwards learned was the matron of the institution.) When I became conscious I found myself being jerked from one side to the other, with my hands confined in the stocks, or “ muff,” as it is termed at the asylum, and a stout leather belt attached to an iron buckle, was around -me. This belt is sufficiently long to fasten at the back, so as to let the patient walk, but closely confined; or to fasten to a seat, or bench, thus keeping the patient in a sitting position, which is very tiresome, especially when one is obliged to remain in that position any length of time. At this particular time I was not fastened in a seat, but was taken (or rather jerked) into a small division off from the main hall, and thrown into a “crib.” This is a square box, on which is a cover, made to close and lock, and has huge round posts, separated so as to leave a small space between for ventilation. The strap attached to the “muff” was fastened to the “crib” in such a manner as to tighten around my waist, and across the pit of my stomach, with such a pressure that it actually seemed to me that I could not breathe. My feet were fastened to the foot of the “crib” so tight, and remained there so long, that when they did unfasten them they were swollen so that it was impossible for me to stand upon them. A short time after I was placed in this “delightful” position, this same inhuman monster (the attendant) came to me with a cup in one hand and a wedge in the other. This wedge was five or six inches long, one inch thick at one end, and tapered down to an eighth of an inch in thickness, and was used to force the mouth open, so that medicine, etc., could be poured down the throat of the patient. I soon felt the weight of the attendant on me, with one knee pressing directly on my stomach, and one hand, like the grip of a tiger, on my head. The wedge was then forced into one side of my mouth, crowding out a tooth in its progress—a tooth which had been filled not long before —causing the most excruciating pain. I cannot tell why, unless it was convulsions, caused by the great pressure on my stomach, but my teeth were set, my lips seemed glued together, and I could not have opened my mouth, even had I known what they wanted me to do. Crash! crash! went another of my teeth, and another, until five were either knocked out or broken off. I lay in a pool of blood that night. Not content with knocking my teeth out and forcing the medicine down me, which I would have willingly taken had I known what they wanted me to do, the attendant, after giving me the medicine, which was all that was required of her, clinched my throat, while her teeth grated together with rage for the trouble I had given her. The grip on my throat was not a gentle touch by any means, neither were the raps which came thick and fast on both sides of my head and face, meant for tokens of love. The cover of the “crib” was then shut down with a slam, and this unnatural specimen of humanity flouted herself out of the narrow space, locked the door, and I was left alone in this awful condition.