Documente Academic
Documente Profesional
Documente Cultură
19
Abstract
Opera is the most complete form of theatrical representation, characterized by musical accompaniment, both instrumental and vocal. It has played an important role in sociocultural spheres,
affecting the various social strata and reflecting customs and ideas in different centuries. Composers have created pieces that have also shown the development of medicine. Since the birth
of opera in seventeenth century in Italy, neuroscience has played an important role in influencing the representation of madness and neurological aspects. From the Folly of the Renaissance,
a path toward a representation of madness was developed, initially linked to the myths of classical antiquity. In the seventeenth and eighteenth centuries, madness was represented as comical or funny, of a loving nature and influenced by the spread of the Commedia dellArte
(Comedy of Art). In the nineteenth century, with the rise of the first scientific theories of
the mind, insanity took more precise connotations and was separated from other psychiatric
and neurological diseases. The operas of the twentieth century depicted psychiatric and neurological diseases, taking into account newer medical and scientific discoveries.
Keywords
opera music, mesmerism, madness, stroke, epilepsy, headache, sleepwalking, dementia,
neuropsychiatry, neuroscience
1 INTRODUCTION
Historically, neurology and psychiatry were considered a single entity until the midnineteenth century when neurology became an autonomous field, thanks in part to
the French physician Jean-Martin Charcot (18251893). This change advanced medical and scientific knowledge in various fields, including psychiatry itself. The operatic representation of neuropsychiatric conditions reflected this chronological
development. Insanity, or madness, has been a recurrent theme in lyrical opera,
Progress in Brain Research, Volume 216, ISSN 0079-6123, http://dx.doi.org/10.1016/bs.pbr.2014.11.016
2015 Elsevier B.V. All rights reserved.
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one closely associated with an even more popular theme, that of women in love
(Fabbri, 2003; Sala, 1994).
The term madness and the many ways to represent it have varied with historical
periods, with different composers and also with the music itself (e.g., comical vs.
serious genres; Ropert, 2003; Pieri, 2006; Verdeau-Paille`s et al., 2005). According
to Brener Neil (1990), in his comment on a series of articles by Mark Jones, which
appeared in the 1990s and titled The Psychiatry of Opera, one can distinguish three
forms of representation of madness: the first is expressed in scenes of madness covering the period from the eighteenth century until the mid-nineteenth century, beginning with Orlando (1733) by Georg Friedrich Handel (16851759) and ending with
Lucia di Lammermoor (1835) by Gaetano Donizetti (17971848); the second type of
representation is that of physical suffering that can be seen in operas by Giuseppe
Verdi (18131901) in the late-nineteenth century, which shows a lack of depth in
their psychiatric aspects, because of how difficult it was to show this using Romantic
melodies; and third in the twentieth century, there is a psychoanalytic characterization that expresses itself in works including Richard Strausss (18641949) Elektra
(1909), Alban Bergs (18851935) Wozzeck (1925), and Igor Stravinskys
(18821971) Oedipus Rex (1927). These three composers deal with this subject from
different points of view, although all are influenced by Freudian theories and share a
common cultural origin (Brener, 1990; Jones, 1990a).
In contrast, Ropert (2003) emphasizes the social role of madness as a rebellion by
women against social prejudices. In the late-eighteenth century, this rebellion coincided
with the shift from the Classical to the Romantic Period, and from a social viewpoint,
there was an adaptation to the demands of the emerging middle class that represented
the new, replacing the noble and clerical classes (Raynor, 1976; Zaccaro, 1979).
The success of new operas is partly due to the ability of composers to satisfy the
changing tastes of their growing audiences. Over time, this made lyrical opera performances a form of entertainment, not just for the rich but also for the growing middle to lower classes, boosting its commercial success (Abbate and Parker, 2012;
Baia, 2011; Erfurth and Hoff, 2000; Sadie, 1992).
The combination of madness and older material continued in the eighteenth century by Handel. His Orlando was based on the Orlando Furioso (1532) (The Furious
Orlando) by Ludovico Ariosto (14741533). Here, the protagonist exhibits a loss of
reason when he discovers that Angelica, the woman he loves, prefers another man
(Dura`-Vila and Bentley, 2009).
During the same period, we can also see a different approach in depicting madness, in Nina o sia la Pazza per amore (Nina, or the Madwoman by Love) (1789) by
Giovanni Paisiello (17401816). This opera was based on the story of Nina, ou La
folle par amour (1786). The libretto was written by Marie Benoit-Joseph Marsollier
of Vivetie`res (17501817), and Nicolas Dalayrac (17531809) provided the music. It
presents madness as female amorous madness (Chiappini, 2006; Table 1).
This change was made possible by the spread of the representations of Commedia
dellarte, Italian comedy of the sixteenth to eighteenth century, improvised from
standardized situations and stock characters, which had already started in 1589 with
La pazzia di Isabella (The Madness of Isabella), then with La finta pazza (The False
Madwoman) (1641) with music by Francesco Sacrati (16051650) and the libretto
by Giulio Strozzi (15831652), which was first performed in Venice (Rosend, 2007;
Sala, 1994; Scala, 1976). These Baroque Period operas were characterized by grotesque or terrifying madness.
Another feature that enhanced the spread of the comic opera associated with madness was the emergence of folk dance, probably of Portuguese origin, during humanistic Renaissance Era. In this domain, the movements of the body are uncompounded
and do not follow the usual rules of courtesy. Musical motifs are instead repeated
and insistent, like those performed in fertility rituals in which everyone seems to lose
their reason. This constituted a melodic pattern that was the basis of gender Folia
(Follia), or its variants, Madness, Folias, or Folies. This pattern inspired composers
throughout the Renaissance, during the Baroque Era, and up until the middle of the
Romantic Period. It also involved the religious sphere.
The musicians dealing with madness also showed particular skills in the exercise
of extravagance, oddness, and caprice (Carrer, 2005a). The compositional basis, typical of the Renaissance and the early-seventeenth century, was to use short circular
harmonicrhythmic sequences related to dance steps called bassi ostinati (ground
basses or obstinate basses), which progressed with their hypnotic repetitions, improvisations, and variations (Carrer, 2005b). These obstinate basses were the backbone
not only of the Follia but also of the Romanesca, the Ruggiero, the Aria di Genova,
and the Neapolitan dance called Fedele or even Alta Regina, favored in the so-called
singing century. In the mid-seventeenth century, this continued as the popular offspring of the late Follia, in which writers and musicians identify the voice of musical
theater and a fertile ground for the application of novelty or the preservation of the
ancient. To define the singular and very recognizable profile of the Follia, we can
look to the Italian origin composer Jean Baptiste Lully (Giovanni Battista Lulli)
(16321687) and other famous musicians, such as Domenico Scarlatti
(16601725), Handel, and Antonio Vivaldi (16781741), all of whom composed
cantatas, sonatas, and concertos dedicated to madness and to operas, such as Orlando
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Opera
Year
La pazzia di Isabella
Il pazzo con la pazza
La finta pazza
Armida immaginaria
La pazza per amore
Nina, ou La folle par amour
Nina, o sia la pazza per amore
La folle de Wolfenstein
Jean Sbogar
Le belvede`re ou La vallee de LEtna
Les fre`res invisible
Jeanne dArc a` Orleans
La fiancee de Lammermoor
Il pirata
I pazzi per progetto
Anna Bolena
Gemma di Vergy
Lucia di Lammermoor
La pazza per amore
Ine`s de Castro
I puritani
La folle
Roberto Devereux
Maria di Rudenz
La vestale
Saffo
Linda di Chamonix
Jeanne la folle
Giovanna la pazza
Giovanna di Castiglia
Graziella
Le pardon de Ploermel
Celinda
Jolie fille de Perth
Hamlet
Edmea
La navarraise
Graziella
The Tsars Bride
Elektra
1589
1630
1641
1777
1785
1786
1789
1813
1818
1818
1819
1821
1826a
1827
1830
1830
1834
1835
1835
1835
1835
1836
1837
1838
1840
1840
1842
1848
1852
1852
1856
1859
1862
1867
1868
1886
1894
1894
1899
1909
a
Similar stages were performed by Carafa Michele (1829), Rieschi Luigi (1831), Beltrami Pietro
Mazzuccato Alberto (1834), and Donizetti Gaetano (1835).
Furioso and Orlando finto pazzo: Danziam signora, la follia dOrlando. Suonate!
Suonate! (Let us dance lady, the madness of Orlando. Play! Play!) (1727) (Carrer,
2005b; Powell, 2001).
In this context, before and during this period, it is clear that the fool was distinct
from the bulk of the poor, the sick, the plague victims, the lepers, or the possessed,
who are a homogeneous group left to their fate. The fools, including the curious and
the pathological, are a subject of separate interest. They constitute an iconographic
model of various artists of that time, e.g., the Nave dei Folli (Ship of Fools), but also a
social model, so that institutions reserved for the insane in Spain and Italy were
established and called casas de locos or Hospitali dei pazzi (Hospital for insane)
or, more simply, pazzarelli (Zanies). The first was built in Valencia, Spain, in
1409 and called the Hospital de los Innocentes on the initiative of wealthy merchants
solicited by a monk Fray Juan Gilabert Jofre (13501417) of the Order of Mercede
Friars (this Order was devoted to slaves redemption). Other hospitals followed in
Zaragoza (1425) and Seville (1436), and in Italy, the first hospital for the insane
was founded in Rome and called Hospitale della Pieta` de Pazzi (Mercy Hospital
for the Mad) in Piazza Colonna (1550). It was followed by the Pia Casa di Santa
Dorotea de Pazzerelli (Pious home of Saint Dorotea of Zanies) in Florence
(1647) and then a special Pazzeria (Madness) section at the Hospital of Santa Maria
Nuova (1688), a model subsequently followed by other cities, such as Naples,
Venice, and Milan.
In confirmation of a privileged interest in the topic, there are literary references in
the pages of Felix Lope de Vega y Carpio (15621635) (Los locos de Valencia) and
Miguel de Cervantes Saavedra (15471616) (Don Quixote), and joking, in literature
and music, makes the theme lighter, because the mad are protagonists in places and
times in which abnormal behavior has free reign, such as during a celebration or a
carnival. Several examples, such as Il pazzo con la pazza (The Madman with the
Madwoman), Il lamento della pazza: chi non mi conoscepazzia venuta da Napoli
(The Madwomans Lament: who does not know memadness comes from Naples),
and LHospitale per i pazzi (Hospital for the Insane) (1630) by the Neapolitan Pietro
Antonio Giramo (1619after 1630). This showed, with Neapolitan verve, a sense of
celebration of those who were locked up in this hospital and who suffer from excesses of passion, in the tradition of Orlando mad with love. His madness describes
a topsy-turvy world of triumph, laughter, play, and joy, but also the bitter realization
that, at celebrations end, he must return to reality.
In the same vein, we have La pazzia senile. Ragionamenti vaghi et dilettevoli
(The Senile Insanity. Delectable and Vague Reasoning) (1598) by Andrea Banchieri
(15681634), La finta pazza by Sacrati, and the aforementioned famous comedy,
La pazzia di Isabella, by the comic authors Francesco (ca. 15481624) and
Isabella Andreini (15621604). This last story is built around a thwarted love affair,
which ends in madness from disappointment in love and that sinks into the black
mood of melancholy and sorrow; a model for the representation of many follies
and extravagances of love. The story was inspired by the Trattato sulla follia
(Treatise on Madness) by Girolamo Fracastoro (14781553) and was represented
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See also Dedalo played in December 26, 1817; Il Conte dEssex played in October 24, 1818; Le
sabine in Roma played in December 26, 1820.
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396
the two lovers, Fernando and Guglielmo, who had taken arsenic in a desperate act of
love (Carmody, 1991; Goldovsky, 1986; Norio, 2007; Worth, 1993). Imitating and
making fun of Mesmer, the doctor moves this piece of magnet. The stone which
the great Mesmer discovered over their bodies, while trying to pull out the arsenic in
this farcical scene. After this action, Despina and Don Alfonso affirm: In poche ore,
lo vedrete, per virtu` del magnetismo/finira` quel parossismo, torneranno al primo
umor (Very soon now youll see, by virtue of magnetisms power/The end of this
paroxysm, and theyll be as they were before).
In 1784, in France, Mesmerism was repudiated by a royal commission headed by
Benjamin Franklin (17061790), but his doctrine remained widespread in Central
Europe (Finger and Gallo, 2004; Worth, 1993), where it continued to influence some
composers even to today.2 The ability of Mozart to create absurd situations is also
witnessed in the scene of the trio Soave sia il vento (Gentle is the Wind). It includes a
comical situation in which Don Alfonso, along with Fiordiligi and Dorabella, prays
that the wind will gently lift the ladies clothes, while Guglielmo and Ferrando are
hidden and Don Alfonso exclaims, Non son cattivo comico (I am not a bad actor).
This is done with a musical background that makes the atmosphere light, and it is
not seen as a cynical representation of the character.
Another example of the use of ambiguous characters can be found in Don
Giovanni, presented first in 1787 in Prague. The central character is framed as an
antisocial individual with little respect for rules, a man incapable of feeling guilt.
Yet Mozarts music is effective enough to perceive his charisma and his ability to
manipulate and attract others in seductive scenes, including in the duet La` ci darem
la mano (There, with your hand in mine) and in the aria Deh, vieni alla finestra
(Come to the window). Don Giovannis behavior is considered insane by his servant
Leporello, who, in the 15th scene of the first act, says: Io deggio ad ogni patto per
sempre abbandonar questo bel matto. . . (In any case, I must leave this madmans
service). Don Giovanni himself agrees with Leporello, at the end of the first act
remarking: E confusa la mia testa, non so piu` quel chio mi faccia, e unorribile
tempesta minacciando, oddio! Mi va! (My thoughts are whirling! The situation is
out of control. O God what a horrible tempest threatens) (Dura`-Vila and Bentley,
2009; Jones, 1990c; Rusbridger, 2008).
The technical capabilities of Mozarts musical orchestrations are enhanced by
incorporating physiological functions, such as the heartbeat. This is done in an
amorous situation in Don Giovanni, when Masetto places his ear on the chest of
Zerlina, and again in a scene with Guglielmo and Dorabella in Cos` fan tutte
Thomas Manns (18751955) story Mario und der Zauberere (Mario and the Magician) (1929) had
different operatic stages, the first with the Hungarian composer Janos Vajda and the libretto by Gabor
Bokkon in 1989; and 3 years later by the Canadian composer Harry Somers (19251999) with the
libretto by Rod Anderson and the last adaptation in 2005 by the American composer Francis Thorne
with the librettist Joseph Donald McClatchy. The story is about the character, Cipolla, a hypnotist who
uses his mental powers to control his audience during the Fascist Period. Cipolla represents the
mesmerizing power of authoritarian leaders in Europe before the Second World War.
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(Goldovsky, 1986). This almost hypnotic aspect of Mozarts music, from a technical
and contextual point of view, is expressed in a more sublime way in the Singspiel,
Die Zauberflote (The Magic Flute), which debuted in 1791 in Vienna.
Thus, Mozart represented some of his characters, both in comic and opera seria,
in ways that drew upon current thinking, such as Mesmers pseudoscientific theory of
animal magnetism. These roles will take on more precise psychological connotations, especially in women, in the next century in opera seria, reflecting changing
medical approaches to psychiatric issues.
stratagem or an abnormal situation, such as we find in Baroque operas with the involvement of both sexes, but a very sad pathological condition, a real personality
disorder. This marks a transition from Romantic era psychiatry to brain
psychiatry, one which will have features of irreversibility (Table 2) (Chiappini,
2006; Erfurth and Hoff, 2000).
Female madness will have its special mode of scenic representation. It will be
characterized by an unsteady and slow walk, a pale complexion, staring eyes, disheveled clothing, and so on.
This can be seen and heard in the second act of Vincenzo Bellinis (18011835)
opera Il Pirata (The Pirate), which debuted in Milan in 1827. Here, we find Imogene
entering, raving, while the English choir sings: Ella e` delirante. Si inoltra a lenti
passi, guardando intorno smarrita. Ella piange (She is delusional. She is walking
slowly forwards, looking around bewildered. She cries) (Chiappini, 2006; Sala,
1994). The protagonist Imogene is in love with the pirate Gualtiero and her mad
scene ends with the words E` giorno o sera? Son io nelle mie case o son sepolta?
(Is it day or night? Am I in my house, or am I buried?) (Willier, 1989).
The introduction of the mad scene helped change the musical structure of the opera seria. The recitative was now typically accompanied by music that would best
express the sudden changes of the atmosphere, the emotions, and the characteristics
of a disturbed personality, i.e., mental alienation. This is sometimes accomplished
with a full orchestra, but sometimes with just a few instruments or even one musical
instrument, such as the glass armonica or (when armonica players could not be
found) the flute, as in Donizettis 1839 masterpiece, Lucia di Lammermoor (see
Chapter Benjamin Franklin and His Glass Armonica: From Music as Therapeutic
to Pathological by Finger and Zeitler).
The three most famous Romantic composers of Italian opera, namely Bellini,
Donizetti, and Verdi, succeeded, through a process of rhythmic and melodic fragmentation, to express the disordered thoughts and extreme emotions of the female
protagonists, tragically separated from the men they love. For example, Bellinis
I Puritani (The Puritans), first presented in Paris in 1835, can be described as an alternating melodic deployment of the various scenes of madness between the singer
Elvira and the orchestra (Rosen, 1995; Sala, 1994).
Nineteenth century
Female
Upper class or aristocracy
Pathological condition
Irreversible condition
Needs institution
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In addition, Donizetti portrayed madness with its pathological variants, that is,
with the presence of well-defined neuropsychiatric features, in Anna Bolena (first
performed in Milan in 1830). Anna exhibits full-blown hallucinations before Percy
in this opera, where we hear: Al dolce guidami/castel natio/ai verdi platani/al queto
rio. . . (Guide me to the sweet/mansion of my birth/to the green plane trees/to the
quiet river). The ravings of Anna appear in last two scenes (12 and 13), in which
the protagonist goes from moments of sadness to the rapid, sardonic, quickly flashing
smiles of madness (Chiappini, 2006).
The most famous and well-analyzed scene of madness, briefly mentioned earlier,
is of course the final scene of Donizettis Lucia di Lammermoor, with its libretto
written by Salvatore Cammarano (18011852). Interestingly, prior to Lucia,
Cammarano had written a scene depicting madness for the 1835 opera, Ines de
Castro by Giuseppe Persiani (17991869). Returning to Lucia, the heroine fully expresses a delirious madness that is out of control. She has been forced by her brother
to marry another man, whom she does not love, for reasons of political and financial
expediency. Her heart broken, she stabs the imposed groom before appearing before
the guests with her blood-stained bridal dress. The guests are shocked: Par dalla
tomba uscita! (She is as if risen from the grave!) (Chiappini, 2006; Jones, 1990b;
Nagel, 2008; Poris, 2001; Sala, 1994; Smart, 1992). The soprano now quickly
switches from high to low notes with changes between major and minor tonalities.
As noted, the singing is accompanied by a single woodwind instrument (usually a
flute). The sound of the flute adds to the internal dialog, even though it is a fill-in
for the glass armonica, which during the Romantic Era was closely associated with
nerve disorders (Chiappini, 2006; Finger and Gallo, 2004; Lorusso et al., 2011;
Nagel, 2008; Pugliese, 2004; see Chapter Benjamin Franklin and His Glass
Armonica: From Music as Therapeutic to Pathological by Finger and Zeitler). It
has been suggested that the representation of the madness scene, with its colorful
features, may be an expression of Donizettis own suffering (Fig. 1). He died of paralytic dementia due to syphilis, which he contracted before marrying Virginia Vasselli (18111837) (Lorusso et al., 2010; Nagel, 2008; Oliaro, 1938; Peschel and
Peschel, 1992).
Nonetheless, madness procured a certain attraction in society, especially among
artists, many of whom were affected by it. The list is long and, in addition
to Donizetti, one can find Niccolo` Paganini (17821840), Robert Schumann
(18101856), and Bedrich Smetana (18241884), to name but three famous composers (Bazner and Hennerici, 2010; Erfurth and Hoff, 2000; OShea, 1988, 1990;
Wintersgill, 1992).
The madness expressed by Verdis Lady Macbeth faithfully reflects that of
William Shakespeares (15641616) play, in terms of witchcraft, demons, etc. Verdi,
however, gives major psychological features to the characters with the support of
music. He probably knew something about madness, because he suffered from
depression, and because one of the few friends and admirers who followed him
was psychiatrist Cesare Vigna (18191892), director of the Saint Clemente female
asylum of Venice (Riva et al., 2014).
FIGURE 1
Gaetano Donizetti, on the right, affected by paralytic dementia, and his nephew Andrea
Donizetti (Daguerreotype performed on August 3, 1847, in Paris).
Courtesy by Fondazione Bergamo nella storia onlus, Museo DonizettianoBergamo.
In Macbeth (first presented in Florence in 1847), there are also other neurological
abnormalities, such as Lady Macbeths sleepwalking, which is different from that of
Amina in Bellinis La Sonnambula, where the afflicted person is an innocent girl, not
a guilty and crazed murderer (this opera opened in Milan in 1831) (for details, see
Chapter by Somnambulism in Verdis Macbeth and Bellinis La Sonnambula:
Opera, Sleepwalking, and Medicine Finger, Sironi, and Riva). Verdi shows greater
psychological insight and character development but is less melodic than his predecessor. Verdis musical characterization influenced the opera The Tsars Bride
(1899), by the Russian composer Nikolai Rimsky-Korsakov (18441908), which
represents the character Marfa, who became insane. This opera was a reaction against
Richard Wagners (18131883) musical style.
Psychopathological conditions, dictated by the new cognitive approaches to hysteria and mental illness by Charcot in Paris, also influenced operas (Finger, 1994;
Pugliese, 2004). Two are Parsifal (debuting in Bayreuth in 1882) by Wagner and
Pelleas et Melisande (in Paris, 1902) by Claude Debussy (18621918) (Atfield,
2011; Charcot, 1880; Dunn, 2006; Hyer, 2007).
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migraine headaches, has a dialog with Elizabeth in which he says: Son sonnambulo
perfetto/che dormendo vo a girar. Sogno poi, se son a letto/Di dar calci e di pugnar
(I am a perfect sleepwalker/I go around in my sleep. Dream on, if I am in bed/I kick
and punch) (Bertati and Cimarosa, 1893). Another is provided by Michele Antonio
Carafa (17871872) with a drama called Il sonnambulo (The Sleepwalker) (1824). In
it, the character Duke Ernest is a sleepwalker.
The historical study of this disorder reveals how it has evolved from a phenomenon of demonic possession to a mental disorder and now as a specific disorder of
deep sleep. In Verdis Macbeth, the sleepwalking scene in the fourth act takes place
in the presence of a physician, and the psychological elements are enhanced through
Verdis music. In Bellinis opera, the sleepwalking has a more Romantic context, and
takes place twice in the first act: Dorme/E sonnambula (She sleeps/She is a sleepwalker). It occurs again in the second act, where there is an explanation of Aminas
state by count Rodolfo to her lover, Elvino: E chiamati son sonnambuli/Dallandar e
dal dormire (They are called sleepwalkers/Because they sleep walk around)
(Romani, 1990). The representation of sleepwalking in Macbeth is more complex
and is classified in a more of a medical context than that of Amina, who lives in
a small Swiss village and is not attended by a physician, in La Sonnambula. Verdi
provides us with a real appreciation of what physician believed about Somnambulism in Shakespeares time, whereas this is more subtle and indirect in Bellinis opera
(Paciaroni and Bogousslavsky, 2013; Riva et al., 2014).
In other Verdi operas, we can recognize characters for whom there is psychological development coupled with deformities due to neurological diseases. One is
Rigoletto, who remarks: Oh rabbia! Esser difforme! (Oh what to do! To be deformed!). Rigoletto has a kypho scoliosis, a form of spinal deformation with various
origins: genetic, traumatic, or suggestive of neuromuscular diseases (Fardon, 2002;
Matthews, 2010a,b) (Fig. 2). This deformity also has an influence on Rigolettos personality. He is paranoid, and not only of those who attend the Court of the Duke of
Mantua, remarking in the second act, Cortigiani, vil razza dannata (Courtiers, vile
cursed kind), but also of his family, including his daughter Gilda and her guardian
Giovanna (Bergstein, 2003; Grier, 2011).
In Othello, the protagonist has an epileptic seizure at the end of the third act in the
original Shakespeare play. In 1887, in Milan, in their production of opera Otello,
Arrigo Boito (18421918) and Verdi did not highlight it in the libretto, possibly because of the difficulty of representing it. They instead left it to later directors to emphasize this neurological sign when Iago, seeing Otello stretched on the ground
unconscious, stands erect, with a loathsome gesture of triumph, pointing to the inert
Otello and says: Ecco il Leone! (Behold the Lion!) (Boito and Verdi, 1887;
Matthews, 2010a,b). Otello also suffers from headaches, and in the third act, he says
to Desdemona: Ancor lambascia del mio morbo massale, tu la fronte mi fascia
(I have that pain again; bind you my forehead) (Paciaroni and Bogousslavsky, 2013).
The different diseases in later operas by other authors continue to show the progress of medical science, as in the expressionistic opera Wozzeck by the Viennese
composer Berg. In the second scene of the second act, a doctor stopped by the captain
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FIGURE 2
RigolettoAct 3 (Season 19911992). Gilda (Ruth Ann Swenson) and Rigoletto (Matteo
Manuguerra). Rigoletto reveals his kypho scoliosis.
Courtesy by The Metropolitan Opera Archives New York.
points out that the captain himself has physical traits that have the stigmata of risk
factors for cerebrovascular disease: Und Sie selbst! Hm!/Aufgedunsen, fett, dicker
Hals/Ja, Herr Hauptmann/apoplektische Konstitution!/Konnen Sie eine apoplexia
cerebri kriegen (You yourself! Hm!/Bloated, fat, thick neck/apoplectic constitution!/Yes, Captain/You can be affected by apoplexia cerebri). The opera tells the
story of a soldier, Franz Woyezeck, who becomes a laboratory animal for the
captains experiments in order to earn needed money. He becomes jealous of his girlfriend, who he discovered with a rival, and suffers from hallucinatory phenomena
that lead him to kill her (Steinberg et al., 2007) (Table 3).
The ongoing discussions about psychoanalytic theories and the role of the individual in society, which were spreading at the beginning of the twentieth century, can
be found in other expressionistic operas. Here we can point to Strauss Elektra, first
presented in Dresden in 1909. Strauss addressed the murderous madness of the main
character, Elektrathe dramatic theme of Oedipus (Chessick, 1988).
Another example is Peter Grimes, which opened in London in 1945, and was
composed by Benjamin Britten (19131976). The protagonist, Grimes, has a weak
personality and is unable to face the challenges of mid-twentieth society. In the third
act, second scene, he exhibits a transient psychotic episode: Do you hear them all
shouting my name?/Dyou hear them? (Dura`-Vila and Bentley, 2009).
Great emphasis on issues involving social conflicts that can affect human behavior appear in Hans Werner Henzes (19262012) operas. Two are Elegie f
ur junge
References
Composer
Dementia
Re Lear (2009)
Lions Face (2010)
Otello (1887)
Otello (1887)
Il matrimonio segreto (1792)
Il matrimonio segreto (1792)
Il sonnambulo (1824)
La sonnambula (1831)
Macbeth (1847)
Rigoletto (1851)
Wozzeck (1925)
Cagnoni Antonio
Langer Elena
Verdi Giuseppe
Verdi Giuseppe
Cimarosa Domenico
Cimarosa Domenico
Carafa Michele
Bellini Vincenzo
Verdi Giuseppe
Verdi Giuseppe
Berg Alban
Epilepsy
Headache
Migraine
Sleep disorder
Spinal deformation
Stroke
Liebende (Elegy for Young Lovers), performed in Schwetzinger in 1961, and Wir
erreichen den Fluss (We Come to the River), which opened in London in 1976.
The latter opera is a denunciation of the effects of war, a tragedy of the human mind.
6 CONCLUSIONS
We have tried to describe how what was known about neurology and psychiatry, and
more broadly, the neurosciences, have been portrayed operas, demonstrating how
various composers were able to express the ideas and medical theories of their times.
We have shown that the librettist was often a faithful interpreter of the sociocultural
phenomena and medicine. We have also seen that what we now consider neuropsychiatric disorders played various roles in operas, revealing complex relationships between the sufferings of the soul and those of the body mediated by the mind, as well
as between the afflicted and changing societal conditions.
ACKNOWLEDGMENTS
Our thanks to Stan Finger for his precious comments and discussion on different aspects of this
chapter. Our appreciation for the revision as experts of music by Matteo Sartorio and Mario
Armellini. Our gratitude to Adriana Bartolotti for her kind collaboration on the figure on
Geatano Donizetti and to John Pennino for the figure on Rigoletto.
REFERENCES
Abbate, C., Parker, R., 2012. A History of Opera. The Last 400 Years. Allen Lane, Penguin
Group, London.
Atfield, N., 2011. A study on hysteria: reinterpreting the heroine of Debussys Pelleas et
Melisande. Opera Quart. 26, 499525.
405
406
Baia, Curioni S., 2011. Mercanti dellopera. Storie di Casa Ricordi. Il Saggiatore, Milano.
Baldrini, Y., 1988. Donizetti e il melodrame francese. Studi donizettiani 4, 183186,
Bergamo.
Bazner, H., Hennerici, M.G., 2010. Syphilis in German-speaking composerExamination
results are confidential. In: Bogousslavsky, J., Hennerici, M.G., Bazner, H.,
Bassetti, C. (Eds.), Neurological Disorders in Famous Artists. In: Bogousslavsky, J.
(Ed.), Part 3. Frontiers of Neurology and Neuroscience, vol. 27. Karger, Basel, pp. 6183.
Bergstein, M., 2003. Verdis Rigoletto: the dialectic interplay of the psychic position in seemingly mindless violence. Inter. J. Psychoanal. 84, 12951313.
Bertati, G., Cimarosa, D., 1893. Il matrimonio segreto. Melodramma giocoso in due atti.
R. Stabilimento Tito di Gio. Ricordi e Francesco Lucca, Milano.
Boito, A., Verdi, G., 1887. Otello. R. Stabilimento Musicale Ricordi, Milano.
Brener, N., 1990. Madness in opera. Psychiatr. Bull. 14, 563.
Capone, S., 2007. Lopera comica napoletana (17091749). Teorie, autori, libretti e documenti
di un genere del teatro italiano. Liguori Editore, Napoli.
Carmody, J., 1991. Doctors and opera. Med. J. Aust. 155, 783784.
Carrer, P., 2005a. La follia e la sua fortuna artistica. Irruente e disonesto. In: Follie, bizzarrie e
stravaganze in musica dal 500 all800. Speciale Amadeus, De Agostini-Rizzoli Periodici,
2, 612.
Carrer, P., 2005b. La forza dellimmaginazione. In: Follie, bizzarrie e stravaganze in musica
dal 500 all800. Speciale Amadeus, De Agostini-Rizzoli Periodici, 2, 45.
Carrer, P., 2005c. Lhospitale per i pazzi. In: Follie, bizzarrie e stravaganze in musica dal 500
all800. Speciale Amadeus, De Agostini-Rizzoli Periodici, 2, 1820.
Cesa-Bianchi, M., Forabosco, G., Cristini, C., Cesa-Bianchi, G., Porro, A., 2013. Umorismo,
creativita` e invecchiamento. Aracne, Roma.
Charcot, J.M., 1880. Lecons sur le maladies du syste`me nerveux fait a` la Salpetrie`re. Delahaye
et Lecrosnier, Paris.
Chessick, R.D., 1988. On the unique impact of Richard Strausss Elektra. Am. J. Psychother.
42, 585596.
Chiappini, S., 2006. Folli, sonnambule, sartine. La voce femminile nellOttocento italiano. Le
Lettere, Firenze.
Cornaro, L., 1558. Trattato de la vita sobria. Padova, appresso Gratioso Porchacino.
Della, Seta F., 2012. Not without Madness. Perspectives on Opera. The University of Chicago
Press, Chicago.
Didone, 1821. Ballo eroico in sei atti incominciato da Salvatore Vigano` e terminato da suo
fratello Giulio per rappresentarsi nellI. R. Teatro Alla Scala lautunno dellanno 1821.
Pirola, Milano.
du Parc Poulain Saint-Foix, G., Wyzewa, T.W.A., 19121946. Mozart. Sa vie musicale et son
ouevre. Essai de biographie critique. vol. 7. Perrin, Desclee De Bouwer, Paris.
Dunn, K.L., 2006. Sickness, healing, and opera: Wagner Parsifal. Med. Humanit. 32, 710.
Dura`-Vila, G., Bentley, D., 2009. Opera and madness: Brittens Peter Grimesa case study.
Med. Humanit. 35, 106109.
Erfurth, A., Hoff, P., 2000. Mad scenes in early 19th-century opera. Acta Psychiatr. Scand.
102, 310313.
Esquirol, J.E.D., 1805. Les passions considerees comme causes, symptomes, et moyens curatifs de lalienation mentale, Didot jeune, Paris.
Fabbri, P., 2003. Alle origini di un topos operistico: la scena di follia. In: Fabbri, P. (Ed.), Il
secolo cantante. Per una storia del libretto dopera in Italia nel Seicento. Bulzoni Editore,
Roma.
References
Falconi, B., 2008. Musica e medicina nella Milano di primo Ottocento: lesempio di Peter
Lichtenthal (17801853). In: Cristini, C., Porro, A. (Eds.), Medicina e Musica. GAM,
Rudiano, pp. 2633.
Fardon, D., 2002. Spine in the arts. Spine J. 2, 158.
Feggetter, G., 1980. Suicide in opera. Br. J. Psychiatry 136, 552557.
Finger, S., 1994. Origins of Neuroscience: A History of Exploration into Brain Function.
Oxford University Press, Oxford/New York.
Finger, S., Gallo, D.A., 2004. The music of madness: Franklins armonica and the vulnerable
nervous system. In: Clifford, Rose F. (Ed.), Neurology of the Arts. Painting-Music-Literature. Imperial College Press, London, pp. 207235.
Fogan, L., 1989. The neurology in Shakespeare. Arch. Neurol. 46, 922924.
Fuller, D., 2012. Dementia at the opera: the lions face. Opera Quart. 27, 509521.
Furman, Y., Wolf, S.M., Rosenfeld, D.S., 1997. Shakespeare and sleep disorders. Neurology
49, 11711172.
Ghidetti, E., 1987. Il sogno della ragione: dal racconto fantastico al romanzo popolare. Editori
Riuniti, Roma.
Goldovsky, B., 1986. Some medical matters in operatic literature. Cleve. Clin. Quart. 53, 3943.
Grandi, R., 2013. Adattamenti, riscritture, burlesques (16811860). King Lear dopo Shakespeare. Aracne, Roma.
Grier, F., 2011. Thoughts on Rigoletto. Inter. J. Psychoanal. 92, 15411559.
Hibberd, S., 2004. Dormeze donc, mes chers amours: Herolds La Somnambule (1827) and
dream phenomena on the Parisian lyric stage*. Cambridge Opera J. 16, 107132.
Hibberd, S., 2009. French Grand Opera and the Historical Imagination. Cambridge University
Press, Cambridge.
Hyer, B., 2007. Parsifal hysterique. Opera Quart. 22, 269320.
Jones, M., 1990a. The psychiatry of opera. A personal view. Psych. Bull. 14, 306307.
Jones, M., 1990b. The psychiatry of opera. Lucia di Lammermoor. Psych. Bull.
14, 556557.
Jones, M., 1990c. The psychiatry of opera. Don Giovanni. Psych. Bull. 14, 417421.
Osterreichischen
Akademie der Wissenschaften, Wien, p. 188.
Lorusso, L., Lucci, B., Boito, L., Capitanio, F., 2010. Gaetano Donizettis neurobiological illness. J. Hist. Neurosci. 19, 396397.
Lorusso, L., Falconi, B., Porro, A., Franchini, A.F., 2011. Flute and madness. In: Stanish, F.
(Ed.), ISHN and Cheiron Joint International Conference University of Calgary/Banf
Centre for the Arts, Alberta, Canada, June 1623, 2011. University of Calgary,
Calgary, pp. 9192.
Matthews, B.R., 2010a. Bravo! neurology at the opera. In: Bogousslavsky, J., Hennerici, M.G.,
Bazner, H., Bassetti, C. (Eds.), Neurological Disorders in Famous Artists.
In: Bogousslavsky, J. (Ed.), Part 3. Frontiers of Neurology and Neuroscience, vol. 27.
Karger, Basel, pp. 119129.
Matthews, B.R., 2010b. Portrayal of neurological illness and physician in the works of
Shakespeare. In: Bogousslavsky, J., Hennerici, M.G., Bazner, H., Bassetti, C. (Eds.),
Neurological Disorders in Famous Artists. In: Bogousslavsky, J. (Ed.), Part 3. Frontiers
of Neurology and Neuroscience, vol. 27. Karger, Basel, pp. 216226.
Mesmer, F.A., 1766. Fredericus Antonius Mesmer de planetarium influx in corpus hamunum.
Dissertatio Physico-Medica. Typis Ghelenanis, Vindobonae.
Molinari, C., 1983. Laltra faccia del 1589: Isabella Andreini e la sua pazzia. In: Firenze
e la Toscana dei Medici nel 500. Olschki, Firenze, pp. 565573.
407
408
Nagel, J.J., 2008. Psychoanalytic and musical perspective on shame in Donizettis Lucia di
Lammermoor. J. Am. Psychoanal. Assoc. 56, 551563.
Norio, R., 2007. Medical profession in opera. In: Klockars, M., Peltoma, M. (Eds.), Music
Meets Medicine. Acta Gyllenbergiana. The Signe and Ane Gyllenberg Foundation,
Helsinky, pp. 192203.
OShea, J.G., 1988. The death of Paganini. J. R. Coll. Physicians Lond. 22, 104.
OShea, J.C., 1990. Music and Medicine. Dent, London.
Oliaro, T., 1938. La malattia ed i medici di Gaetano Donizetti. Minerva Med. 29, 430.
Paciaroni, M., Bogousslavsky, J., 2013. William Shakespeares neurology. Prog. Brain Res.
206, 318.
Peri, G., 1986. La folie dans lopera romantique italienne de la premie`re moitie du XIXe`me
sie`cle. The`se de 3e`me cycle, Universite de Paris, La Sorbonne Nouvelle U.E.R. dItalien et
de Roumain, June, Paris.
Peri, G., 1988. Nina ossia la pazza per amore, tra la comedie larmoyante francese e opera
romantica italiana. In: Muraro, M.T. (Ed.), Lopera tra Venezia e Parigi. Olschki, Firenze.
Peschel, E., Peschel, R., 1992. Donizetti and music of mental derangement: Anna Bolena,
Lucia di Lammermoor, and the composers neurobiological illness. Yale J. Biol. Med.
65, 189200.
Piave, F.M., Maffei, A., Verdi, G., 1847. Macbeth. Regio Stabilimento Tito di Gio. Ricordi,
Milano.
Pieri, M., 2006. Ossessioni, deliri e trance: la recita della pazzia nel treatro borghese italiano.
In: Profeti, M.G. (Ed.), Follia, follie. Alinea Editrice, Firenze, pp. 345369.
Pinel, P., 1846. Nosografia medica e filosofica. Abbate, Palermo.
Poris, H., 2001. A madwomans choice: aria substitution in Lucia di Lammermoor. Cambridge
Opera J. 13, 128.
Porro, A., Cristini, C., 2012. Histoire des evolutions dementielles. In: Arfeux-Vaucher, G.,
Ploton, L. (Eds.), Les demences au croisement des non-savoirs. Chemins de la complexite.
Press d lEHESP, Rennes, pp. 197208.
Powell, J.S., 2001. The opera parodies of Florent Carton Dancourt. Cambridge Opera J.
13, 87114.
Pugliese, R.M., 2004. The origins of Lucia di Lammermoors cadenza. Cambridge Opera J.
16, 2342.
Raynor, H., 1976. Music and Society Since 1815. Barrie & Jenkins Ltd., London.
Riva, M.A., Sironi, V.A., Tremolizzo, L., et al., 2010. Sleepwalking in Italian opera: a
window on popular and scientific knowledge on sleep disorders in the 19th century.
Eur. Neurol. 63, 116121.
Riva, M., Lorusso, L., Sironi, A.V., 2014. Cesare Vigna (18191892). J. Neurol. 26, 449450.
Romani, F., 1990. Sonnambula: melodramma in due atti. Testi a cura di Eduardo Rescigno.
Ricordi, Milano.
` propos de la folie a` lope`ra. About madenss and opera. Ann. Med. Psychol.
Ropert, R., 2003. A
161, 213214.
Rosen, C., 1995. The Romantic Generation. Harvard University Press, Cambridge, MA.
Rosend, E., 2007. La finta pazza: a mirror of an audience. In: Rosend, E. (Ed.), Opera in
Seventeenth-Century Venice. The Creation of a Genre, University of Califoria Press,
Oakland.
Rusbridger, R., 2008. The internal world of Don Giovanni. Inter. J. Psychoanal. 89, 181194.
Sadie, S., 1992. The New Grove Dictionary of Opera. Maximilian Press, London.
References
Sala, E., 1994. Women crazed by love. An aspect of Romantic opera. Opera Quart. 10, 1941.
Scala, F., 1976. La pazzia di Isabella. In: Marotti, F. (Eds), Il teatro delle favole rappresentative, vol. 2 ristampa del 1611, Roma, Il Polifilo, pp. 385396.
Schmidgall, G., 1990. Shakspeare & Opera. Oxford University of Press, New York.
Smart, M.A., 1992. The silencing of Lucia. Cambridge Opera J. 4, 119141.
Steinberg, H., Schmidt-Recia, A., Schmideler, S., 2007. Forensic psychiatry in nineteenthscentory Saxony: the case of Woyezeck. Harv. Rev. Psychiatry 15, 169180.
Verdeau-Paille`s, J., Laxenaire, M., Stoecklin, H., 2005. La folie a` lopera. Buchet/Chastel,
Paris.
Wells, S., Taylor, G., 1998. The Oxford Shakespeare. The complete works. Oxford University
Press, Oxford/New York.
Willier, S., 1989. Madness, the Gothic, and Bellinis Il pirata. Opera Quart. 6, 723.
Wintersgill, P., 1992. Composition and decomposition: the illness of som great composers. Br.
J. Gen. Pract. 42, 536537.
Worth, Estes J., 1993. The changing role of the physician in opera. Opera Quart. 10, 143156.
Zaccaro, G., 1979. Storia sociale della musica. Newton Compton Editore, Roma.
Zanetti, R., 1978. La musica italiana nel settecento. Bramante editore, Busto Arsizio.
409