The Casa was patterned after a model already existing in Europe, particularily in Paris, where several institutions of this type had been founded in recent years, but the architecture was inspired by the convent or béguinage, the philosopher’s retreat, vaguely reminiscent of the Academy and the Garden of Epicurus, rejecting the otherwise typical chains, jail, and dungeon: The result was an ideal hospital for the provision of rest and care which, unfortunately, by its very nature, only the ailing rich would be able to enjoy. But Dr. Weiss intended to look after the poor as well, elsewhere and by other means, for even if the poor proved indifferent (which of course was not the case), his scientific interests demanded it. For him, mental illness was sometimes due to concomitant causes from different parts of the body, but the better part of the illnesses began in the mind itself, along with other external causes from the surrounding world: climate, family, status, race, strain. That the rich alone were able to afford treatment offers a sense of its meticulous complexity: Each patient was considered a unique case, treated gently and appropriately over the course of a lengthy regime that required not just time but space, labor, and expertise. Sensible of the fact that rich families did not know what to do with the mad, and that, to protect their reputations, they desired a place to take in their madmen, as they refused to let them wander the streets like the poor did with their own, the doctor had the idea to open his Casa de Salud, providing a surrogate home for what the sick had lost: It was perhaps the first of its kind in all the American territories.
Before its inauguration, the number of applicant families was surprisingly high, and though they were all from Buenos Aires, pleading letters began to arrive from the provinces within a few months of operation—from Paraguay, Peru, and Brazil, each one underscoring the great need in America for a place to treat phrenitis, mania, melancholia, and other more or less familiar mental ailments with the very latest scientific advances. To tell the truth, it was almost as though such diseases did not exist in the American upper classes until Dr. Weiss and I arrived to treat them; one might infer from the silence prevailing across the continent that those infirmities, at least without the existence of a science able to identify them, had been taken to be standard personality traits, which might explain all those incomprehensible deeds in our history. What is known is that the Casa was nearly full shortly after opening, and in the following year the doctor began to draw up plans for the construction of a supplementary wing.
This warm reception is easily explained: For those who do not know how to manage them, the mad rarely prove dangerous, but are always tiring. Even when families endure them with goodwill and, above all, lots of patience, at a certain point they exhaust themselves. Trying to make a madman behave like everyone else is like turning the course of a river: I do not mean that it is impossible, but rather that only a good engineer, lacking any prior assurance of his success, can try to set the water running the other way. For the general populace, the madman’s outlandish behavior is stubbornness, pure and simple, or even a fabrication. Impervious to common sense and reason, those who insist too much on trying to redeem the mad are the very persons who find their own minds disturbed. Take into account, also, that the stricter the principles of their environment, the more the lunatics’ peculiarities will stand out and the more ridiculous their eccentricities will seem. Among the poor, bound by survival to display more tolerant principles, madness seems more natural, as if it contrasts less with the senselessness of their misery. But one of the oldest wishes of the mighty, precisely the one upon which they would base their power, is to embody reason; madness in their midst, then, poses a real problem. A madman endangers a house of rank from ceiling to cellar, costing the occupants their respectability, and so they almost always hide mental illness like a scandal. There must be many families over there, too, that do not know what to do with their mad, Dr. Weiss said to me one day in Madrid, as we waited for the Court’s authorization to open our house in the Viceroyalty. For the science that makes them its object, the mad are an enigma, but for the families who keep them in their homes, they are nuisances. Obviously, complications arise when the external signs of insanity become too obvious. In the cases that go unnoticed, though, which are far more frequent than one might believe, that same insanity can rise through the ranks by general consensus, to hold the world on a string.
As I realize many of my words today still reflect the influence of my revered teacher, I believe it is advisable to evoke him in greater detail. Of his appearance, suffice to say that at first glance he betrayed himself as a man of science: tall, a little heavy; a deeply receding hairline that left graying blond hair permanently disheveled around a reddened brow. This exposed the ongoing activity within his head, which was rather larger than normal and well situated atop strong shoulders. Bright blue eyes shone behind gold-rimmed glasses, which danced against his chest on a fine gold chain around his neck (when they were not creeping up his nose)—roving and perceptive eyes, slightly ironic, and, in moments of great concentration, they disappeared behind half-closed lids, betraying his mind’s utmost occupation. His frank, ruddy face darkened slightly when he examined a patient, but at the dinner hour, after a day of hard work, wine and conversation were his chief pleasures. Nearly ten years after his death, I betray no secret in writing of his passion for the female sex; it was exaggerated even at his advanced age, and, as occurs often in northerners, his predilection was for the darker races. Brothels did not frighten him; on the contrary, they exercised too great a draw, and married women seemed to emanate further and unfathomable charm for his sensual appetites. As I was his principal interlocutor, his assistant, and his faithful disciple, and I found myself so often at his side as to be mistaken for his shadow, I became, for obvious reasons, his confidante. So I consider myself with all clarity of conscience to be the person who, at least in the final third of his life, knew him best. When Casa de Salud no longer stood and, for reasons beyond our control, we had to separate upon our return to Europe, he went back to Amsterdam while I began as an intern at the hospital in Rennes, of which I am currently the deputy director; until the day of his death we continued to write each other, mingling the scientific with the personal in our correspondence with fluency and good cheer. He was scrupulous about hygiene and, when the weather was hot, he liked to dress impeccably in white; on summer nights in Buenos Aires, when he left after dinner to pursue his fondest pastime, it was not uncommon, on seeing him pass by from darkened thresholds, from half-lit bedrooms, through wide-open windows seeking to catch a phantom breeze, to hear a male voice murmur in the darkness, mocking yet understanding, There goes the blond doctor, looking for whores. I believe the best way to describe Dr. Weiss is by that capacity he possessed for practicing his vices freely, for all to see, without loss of respectability. This was likely because he never mixed business with pleasure and was a man of his word: I never heard him tell a lie nor promise something he was not prepared to carry out. His immoderate and mysterious love of married women forced him to perform the odd moral balancing act, and on two or three occasions, forced by circumstance into inevitable duplicity, I saw him give up, resignedly, the pleasures he had already been assured. From these proclivities he fashioned a way of life, a discipline of knowledge and