Bogousslavsky Julien
Department of Neurology, Genolier Swiss Medical Network, Clinique Valmont, Glion-sur-Montreux, Switzerland.
Eur Neurol. 2007;57(3):129-36. doi: 10.1159/000098463. Epub 2007 Jan 10.
In Search of Lost Time, the main novel of Marcel Proust (1871-1922) gives prominence to medicine, especially to neurology. Proust possessed excellent medical knowledge and maintained lifelong contact with neurologists. From 1881 onward, he experienced recurrent attacks of asthma, a condition which, at the time, was considered belonging to 'neurasthenia'. Marcel's father, Adrien Proust, was a famous physician who had written papers on stroke, aphasia, hysteria and neurasthenia, and who introduced his son to Charcot's pupil, Edouard Brissaud, the founder of the Revue Neurologique. Three years later, Brissaud published a landmark book on asthma with a preface by Adrien Proust. In 1905, when Proust intended to undergo a 'cure' in order to improve his asthma and other symptoms, he first considered treatment by Jules Dejerine, who was to become Charcot's second successor. He also considered two Swiss physicians who had studied with Charcot and Vulpian: Henry Auguste Widmer, founder of the Clinique Valmont above Montreux, and Paul Dubois, a schoolmate of Dejerine, who practiced in Berne. Brissaud recommended Paul Sollier, under whose care Proust followed a 6-week 'isolation cure'; Sollier, along with Babinski, was considered the cleverest of Charcot's followers. He had studied memory extensively, in particular affective memory, which caused him to reject Bergson's theories and now makes his work a major precursor. Sollier attempted to trigger 'emotional revivals' (reviviscences), 'reproducing the entire state of the personality of the subject at the time of the initial experience'. This concept was integrated by Proust into his novel, with emphasis on 'involuntary memory'. Proust's last neurologist was Joseph Babinski, whom he consulted repeatedly because he feared becoming aphasic, like his mother. Proust's unusual life journey with the most celebrated neurologists of his time highlights aspects of his literary work and also provides a unique perspective on the neurological intelligentsia at the turn of the 19th century.
马塞尔·普鲁斯特(1871 - 1922)的主要小说《追忆似水年华》突出了医学内容,尤其是神经学。普鲁斯特拥有出色的医学知识,并与神经学家保持着终生联系。从1881年起,他反复发作哮喘,在当时,这种病症被认为属于“神经衰弱”。马塞尔的父亲阿德里安·普鲁斯特是一位著名医生,他撰写过关于中风、失语症、癔症和神经衰弱的论文,并将儿子介绍给了夏科的学生爱德华·布里索,后者是《神经学评论》的创办者。三年后,布里索出版了一本关于哮喘的具有里程碑意义的书,阿德里安·普鲁斯特为其作序。1905年,当普鲁斯特打算接受“治疗”以改善他的哮喘及其他症状时,他首先考虑由朱尔斯·德热里纳进行治疗,德热里纳后来成为了夏科的第二任继任者。他还考虑过两位曾与夏科和维尔皮安一同学习的瑞士医生:亨利·奥古斯特·维德默,他是蒙特勒上方瓦尔蒙特诊所的创办者;以及保罗·迪布瓦,他是德热里纳的校友,在伯尔尼行医。布里索推荐了保罗·索利耶,在其照料下,普鲁斯特接受了为期6周的“隔离治疗”;索利耶与巴宾斯基一道,被认为是夏科最聪慧的追随者。他广泛研究了记忆,尤其是情感记忆,这使他摒弃了柏格森的理论,如今他的著作成为了这一领域的主要先驱之作。索利耶试图引发“情感复苏”(回忆重现),“重现主体在最初经历时的整个个性状态”。这一概念被普鲁斯特融入到了他的小说中,重点强调“不由自主的记忆”。普鲁斯特的最后一位神经科医生是约瑟夫·巴宾斯基,由于他担心自己会像母亲那样患上失语症,所以多次向巴宾斯基咨询。普鲁斯特与他那个时代最著名的神经学家之间不同寻常的人生旅程,既凸显了他文学作品的某些方面,也为19世纪之交的神经学界知识分子提供了一个独特视角。