The Salpêtrière was originally a gunpowder factory (“salpêtre” being a constituent of gunpowder), but was converted to a dumping ground for the poor of Paris. It served as a prison for prostitutes, and a holding place for the mentally disabled, criminally insane, epileptics, and the poor; it was also notable for its population of rats.
In 1656, Louis XIV charged the architect Libéral Bruant to build a hospital on the location of the factory, founding the Hospice de la Salpêtrière. The building was expanded in 1684.
By the eve of the Revolution, it had become the world’s largest hospital, with a capacity of 10,000 patients plus 300 prisoners, largely prostitutes swept from the streets of Paris. From La Salpêtrière they were paired with convicts and forcibly expatriated to New France.
In the first half of the 19th century, the first humanitarian reforms in the treatment of the violently insane were initiated here by Philippe Pinel, friend of the Encyclopédistes; his sculptural monument stands before the main entrance in Place Marie-Curie, Boulevard de L’Hôpital. Later, when Dr. Jean-Martin Charcot took over the department, the Salpêtrière became known as a psychiatriccentre. Charcot is often credited as the founder of modern neurology. His teaching activities on the Salpêtrière’s wards helped to elucidate the natural history and pathophysiology of many human illnesses including neurosyphilis, epilepsy, and stroke. Students came from all over Europe to listen to Charcot’s lectures. Among them was a young Sigmund Freud.
The Hôpital de la Pitié, founded about 1612, was moved next to the Salpêtrière in 1911 and fused with it in 1964 to form the Groupe Hospitalier Pitié-Salpêtrière. The Pitié-Salpêtrière is now a general teaching hospital with departments focusing on most major medical specialities.
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