Das Narrenhaus and the Faces of Mental Illness (P4-3.012)

Abstract

<h3>Objective:</h3> Expound the faces of mental illness engraved in Wilhelm von Kaulbauch’s work, Das Narrenhaus <h3>Background:</h3> Kaulbach engraved Das Narrenhaus (“fools house”) in 1834. It depicts mentally ill patients in the garden of an asylum with a warden lurking in the background. A reproduction of this engraving hangs in the Indiana Medical History Museum Library. It is a vivid representation of multiple mental illnesses. Kaulbach was a German painter and muralist who lived in the 1800s. It was noted by his daughter that he suffered from deep melancholy, and art provided a source of therapy. He specifically spoke of this engraving as a work that helped him recover. <h3>Design/Methods:</h3> Literature review, visual analysis, PowerPoint presentation <h3>Results:</h3> The engraving can be grossly divided into a seated group in the foreground and a standing group in the background all surrounding a central figure. They are huddled in the bleak courthouse of an asylum. The core group is flanked to the right by a warden and the left by a mysterious figure. In the upper right quadrant, the faces of different delusions appear which conjure thoughts of schizophrenia and delirium. Proceeding in a clockwise fashion, the next character’s skin rash and bizarre appearance raise suspicion for neurosyphilis which can present with disturbances in personality, affect, sensorium, and intellect. Next, we see sufferers of presumed post-partum psychosis, adjustment disorder, and depression. The distraught woman holds tight to a log swaddled in cloth as though she were cradling her child. On the left side, angry scowls and provocative urges depict the behaviors commonly seen in mania, intoxication, withdrawal, or personality disorders. <h3>Conclusions:</h3> Wilhelm von Kaulbach’s engraving, Das Narrenhaus, evinces a sympathetic response to the signs and symptoms of mental illness, and his work highlights the utility of art as a form of therapy. <b>Disclosure:</b> Russell Reed has nothing to disclose. Dr. Pascuzzi has nothing to disclose.