Bogousslavsky Julien
Center for Brain and Nervous System Diseases, GSMN Neurocenter, Clinique Valmont, Glion/Montreux, Switzerland.
Front Neurol Neurosci. 2013;31:245-54. doi: 10.1159/000343240. Epub 2013 Mar 5.
Marcel Proust (1875-1922), the son and brother of famous physicians, had close and continuous contact with medicine and doctors in connection with chronic asthma, neurasthenia, medical 'tourism', and self-medication. This proximity to medical issues is obvious in his work, particularly his novel In Search of Lost Time, which today is still considered one of the most important literary works ever. In this novel, medicine, patients, and doctors are everywhere, and it can be claimed that while it is often considered to be the great novel of memory, medicine in itself also can be seen as a true character of the story, in which Proust displays surprisingly extensive knowledge. Neurasthenia and asthma (i.e. Proust's diseases), as well as specific neurological disorders, such as stroke, migraine, epilepsy, and dementia, appear in the novel. The disease of the narrator's grandmother remains a piece of anthology, and probably remains the best literary report of a progressive stroke leading to death. Proust also quoted neurological conditions which were virtually unreported in his time, such as phantom limb syndrome and poststroke depression associated with aphasia in Baron Charlus. Doctors are nearly systematically depicted as incompetent and superficial, characteristics which appear to increase with academic titles and glory. The main physician of the novel, Professor Cottard, even ends up writing fake certificates for his rich friend Mrs. Verdurin during World War I so that she can obtain fresh croissants for breakfast, while poor people around her are starving. When called to examine a dying patient, one of the real doctors of the novel, Professor Dieulafoy, says and does nothing except ask for his fees. This defiance and criticism of physicians were indeed those of Proust in real life.
马塞尔·普鲁斯特(1875 - 1922)是著名医生之子、兄弟,因慢性哮喘、神经衰弱、医疗“旅行”和自我用药等与医学及医生有着密切且持续的接触。这种与医学问题的亲近在他的作品中显而易见,尤其是他的小说《追忆似水年华》,这部作品至今仍被视为有史以来最重要的文学作品之一。在这部小说中,医学、患者和医生无处不在,可以说,虽然它常被认为是关于记忆的伟大小说,但医学本身也可被视为故事中的一个真实角色,在其中普鲁斯特展现出了惊人的广博知识。神经衰弱和哮喘(即普鲁斯特的病症),以及特定的神经系统疾病,如中风、偏头痛、癫痫和痴呆,都出现在了小说中。叙述者祖母的病症仍是一篇选集,可能也是关于导致死亡的渐进性中风的最佳文学报道。普鲁斯特还引用了他那个时代几乎未被报道过的神经病症,比如幻肢综合征以及夏吕斯男爵中风后伴有失语的抑郁症。医生几乎总是被刻画成无能和肤浅的形象,这些特征似乎随着学术头衔和声誉的增加而愈发明显。小说中的主要医生科塔尔教授,甚至在第一次世界大战期间为他富有的朋友韦尔迪兰夫人开具假证明,以便她能买到新鲜的羊角面包当早餐,而她周围的穷人却在挨饿。当被叫来检查一位濒死患者时,小说中的一位真正的医生迪厄拉富瓦教授除了索要诊费外什么也没说也没做。对医生的这种蔑视和批评确实是普鲁斯特在现实生活中的态度。