In 2025, international neurology celebrates the bicentenary of J.-M. Charcot's birth. As a major medical scientist in Paris and the founder of modern clinical neurology, Charcot became friends with the celebrated literary figure Alphonse Daudet. Discord subsequently intervened, as Daudet, afflicted with tabes dorsalis, was treated by Charcot without success and even underwent suspension therapy that led to serious side effects. Daudet's son, Léon, blamed Charcot for his own failure in medical school and became a bitter social critic of the French medical system, condemning the hospital hierarchy, including Charcot. Further family discord occurred when Léon married the granddaughter of Victor Hugo, instead of Charcot's own daughter. Within this background, after Charcot's death in 1893, Alphonse Daudet incorporated Charcot into a fictional account, A la Salpêtrière, one of 3 short stories in his Trois Souvenirs (3 Recollections). This study dissects Daudet's Charcot depiction where he presents Charcot as mostly silent, passive, and distant within a circus-like atmosphere of disruptive patients, foreign visitors, and interns. The portrait is a striking contrast to the many other first-hand descriptions of Charcot's domineering, autocratic, and patronizing manner. However, the depiction of a quiet and distantly bland master in the fictional office consultation setting is historically anchored in Daudet's life experiences, which included visits to the Salpêtrière, first-hand knowledge of Charcot over many years, and the experience of being a patient with unremitting neurologic disease. The veracity of the actual events is questionable, given the personal antagonism that colored the last years of their lives, but it is also conceivable to see in Charcot a Janus-like figure of dominance and theatrical authority in the teaching amphitheater interfaced with a more passive, reflective observer in the intimacy of an office setting.
Bogousslavsky et al. (Tue,) studied this question.