350:
system did not bring economic benefits to the institution; on the contrary, it was a major expense undertaken for the sake of moral instruction and reform. However, the administration of the
General Hospital unsuccessfully tried on many occasions to make the establishment more profitable by turning buildings such as PitiĂ© and BicĂȘtre into factories for tasks such as lace manufacturing and mirror polishing.
272:
its inhabitants were voluntary inmates such as orphaned children, the elderly, or the sick. Even these voluntary inmates, however, were subject to a level of coercion. As for involuntary inmates, the hospital only had room to confine a few hundred particularly persistent beggars. This would become a lasting trend in the hospital's demographics: even though one of the hospital's primary aims was to imprison
260:
expenses associated with the increase of inmates from the surrounding area. In order to save money, these nearby towns and cities were sending their indigent residents to their capital. To help reduce strain on the capital, a royal edict was issued instructing all French towns and villages to create their own general hospitals. In 1676, a similar edict aimed at all cities and large towns was issued.
97:, started relief efforts centered around the development of a charitable storehouse. However, after the wars' conclusion, the company decided to advocate for a policy of confinement, a more long-term solution to the city's poverty and mendicancy. The company had taken an interest in confining the Parisian poor ever since 1633, impressed by apparent successes of the first General Hospital in
203:, Paris' other major hospital. The board's membership consisted of key governmental figures ranging from the President of the Parliament and the Archbishop of Paris to the Lieutenant General of Police. Beneath this board was another committee (specifically for the General Hospital) consisting of layman. The hospital's day-to-day oversight, however, was undertaken by
182:
capacity as the royally-appointed inspector of hospitals and prisons. He created facilities staffed with medical personnel at SalpĂȘtriĂšre and BicĂȘtre. Beginning at an earlier time, the
General Hospital also contributed to medical research by a confidential arrangement whereby dead prisoners from SalpĂȘtriĂšre could by used by researchers at the
105:âan early attempt at building a Parisian general hospitalâlocked up local beggars and subjected them to a system of forced labor. However, this effort was short-lived due to financial difficulties, political conflicts, and a sharp increase in the refugee population, among other challenges. Later on, in 1632, the
292:
By the early eighteenth century, the population of the
General Hospital usually numbered around 8,000 to 9,000 people. By the latter half of that century, the population had grown substantially: in 1786, the hospital's constituent institutions held 12,000 individuals, and oversaw an additional 15,000
112:
Consequently, the idea of confinement had already been introduced when
Christophe du Plessis-Montbard, a devoted member of the Company of the Blessed Sacrament, began to work with the Parliament in 1653 on developing plans for a new Parisian general hospital. Also instrumental in shaping these plans
328:
Children also composed a significant portion of the hospital's population, even apart from the 15,000 foundlings housed outside of it. By 1786, four of the hospital's institutions were populated entirely by orphans and foundlings. Beginning in 1680, disobedient or licentious children were also sent
231:
It was initially decided that the hospital would be financed in large part by donations. This budgeting structure would later cause financial problems during the seventeenth and the eighteenth centuries, as the hospital's increasing population of inmates generated increasing expenses. This reliance
198:
Although the project of the
General Hospital had been developed by the Parliament, in practice the hospital was much more closely tied with royal power. The Company of the Blessed Sacrament was also instrumental in the running of the General Hospital: twelve out of the twenty-six directors for life
271:
Incarceration began on Monday, May 14, 1657, when the militiaâpopularly referred to as the "archers of the poor"âbegan arresting beggars and delivering them to the
General Hospital. By its first year, the Hospital General held 6,000 poor, which made up around one percent of the population. Most of
77:
beginning in the sixteenth century. This increase fueled anxiety about maintaining social stability and motivated the creation of more severe penalties for begging, such as branding, whipping, and forced labor. In the years prior to the establishment of the
General Hospital, the devastation of the
353:
The young foundlings living outside of the hospital's walls worked as well, many of them living on farms in rural areas. Once they got older, they either continued with farm work or returned to the hospital until adulthood. If they returned, girls would learn housekeeping skills and boys would be
349:
Work was a key component of everyday life at the
General Hospital for both punitive and reformative reasons. Inmates were made to labor in workshops, participating in tasks such as knitting, spinning, and weaving. Refusal to work resulted in physically intensive labor assignments at BicĂȘtre. This
337:
Seeing as the
General Hospital had authority over all the poor of Paris, the hospitalâs directors were endowed with punitive powers paralleling the courts: according to the founding edict, directors had the power to utilize âstakes, irons, prisons, and dungeons in the said HĂŽpital GĂ©nĂ©ral and the
259:
Another financing challenge originated in the fact thatâunlike French general hospitalsâthe
Parisian General Hospital was obligated to confine many "foreign" inmates who were not from the city itself. For example, after a 1662 famine, the hospital was forced to double its debt to accommodate the
341:
Within the General Hospital, the daily lives of the poor were meticulously regulated. There was a dress code of assigned grey robes and caps, and their daily routines of work, prayer, and meals were tightly scheduled. By the eighteenth century, the General Hospital employed a permanent staff of
181:
Although the General Hospital was not a medical facility, a resident physician was hired to make regular visits to the various constituent institutions. Eventually, beginning in 1780, physician Jean Colombier began to introduce a substantial expansion to the hospital's medical apparatus in his
222:
charged relevant governmental departments with the oversight of Parisian hospitals, charitable houses, prisons, and related institutions, consolidating their administrations under a single authority. In April 1791, the Paris hospitals (including the General Hospital) were all placed under the
342:
roughly five hundred. Although everyday life was orderly, living conditions could be unsanitary. A 1790 committee from the National Constituent Assembly found SalpĂȘtriĂšre and PitiĂ© to be overcrowded and foul-smelling, with many inmates suffering from conditions such as
82:
resulted in a particularly large influx of beggars into Paris. The growing population of beggars was approximately 40,000 people, many of whom were refugees impoverished during the wars. This amount would have constituted roughly 10% of the Parisian population.
300:
SalpĂȘtriĂšre housed 1,460 a population of women and young children four years after the hospital's founding. Over time the population significantly increased, with a census from May 1713 counting a population of 4,079 inmates. This population was around 80%
121:. The General Hospital of Paris was ultimately established three years later in 1656 by a royal edict of Louis XIV. The hospital was endowed not just with authority on its own premises, but also with jurisdiction over all the poor residents of the city.
309:
such as female beggars or vagrants. Before the revolution, SalpĂȘtriĂšre's population had grown to 10,000, divided among fifteen separate buildings including prisons for criminals and prostitutes, a madhouse, a girl's reformatory, and a poorhouse.
288:
were housed at SalpĂȘtriĂšre and BicĂȘtre, although eventually these areas for criminals were done away with: in 1795 at the former institution, and in 1836 at the latter. There was also a small number of political prisoners held at the hospital.
251:
tax on wine and liquors generated substantial revenues for the General Hospital and the Foundling Hospital (whose finances were kept separate from the rest of the General Hospital). Revenues raised from fines on rule violations at the Parisian
124:
Michel Foucault identifies the founding of the Parisian General Hospital as a key moment in the continent-wide trend towards confining the poor. Similar establishments were founded during the same time period in modern-day
244:) were guaranteed placements at the hospital. Even though the founding committee was opposed to involving religious orders in the hospital's administration, ultimately the Daughters of Charity received their positions.
178:. By 1680, the General Hospital had expanded to encompass a total of nine different institutions. Many of the hospital's constituent institutions had previously served as charities for different indigent groups.
247:
Another notable source of funding was various fines and taxes, many of which were established as revenue streams from the time of the hospital's founding. For instance, until the revolution an
232:
on donations also meant that the hospital's policies were sometimes shaped by the will of its donors, especially in areas of religion. For example, during the institution's founding, the
174:, La Savonnerie, and Scipion. However, Maison du Saint-Esprit and the Enfants-Trouvés were soon added and Savonnerie dropped. In 1670, a royal edict also added the Foundling Hospital,
162:
The Parisian General Hospital was structured as a consolidation of a number of existing institutions under shared mission and management. These establishments initially included the
1486:
1373:
Engebretsen, Eivind (2013). "The Catholic Counter-Reformation and the Idea of Hunger. A Close Reading of Two Appeals for Alms from the Paris Area in the Year 1662".
1335:
Engebretsen, Eivind (2013). "The Catholic Counter-Reformation and the Idea of Hunger. A Close Reading of Two Appeals for Alms from the Paris Area in the Year 1662".
263:
The administrative re-structuring after the French Revolution eliminated some of the hospital's important revenue streams, beginning a period of financial decline.
1950:
237:
338:
places thereto appertaining so much as they deem necessary, no appeal will be accepted from the regulations they establish within the said hospital.â
219:
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952:
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BicĂȘtre held 1,313 inmates at the time of the May 1713 census. The division was similar to that of SalpĂȘtriĂšre: 74% of inmates were
1169:
Baker, Charles Richard (2016). "From Care of the Poor to the Great Confinement: An Exploration of Hospital Accounting in France".
87:
118:
1945:
1233:
Hospitals and Asylums of the World: Their Origin, History, Construction, Administration, Management, and Legislation
1146:
Hospitals and Asylums of the World: Their Origin, History, Construction, Administration, Management, and Legislation
945:
Hospitals and Asylums of the World: Their Origin, History, Construction, Administration, Management, and Legislation
253:
101:. However, this proposed solution also had precedents within the city itself. For instance, from 1612 to 1618, the
354:
afforded apprenticeships with Paris' guilds and corporations, an arrangement dating from the hospital's founding.
305:
such as children, insane women, elderly married couples, mothers, pregnant women, and sick women. Around 20% were
199:
appointed by a May 4, 1656 royal edict were members of the company. The administrative board was shared with the
91:
371:
61:
1676:"Political Prisoners in French Mental Institutions Before 1789, During the Revolution, and Under Napoleon I"
1617:"Political Prisoners in French Mental Institutions Before 1789, During the Revolution, and Under Napoleon I"
1480:
35:
institution intended as a place of confinement of the poor. Formed by a royal edict during the reign of
276:
immoral or mendicant poor people nonetheless capable of workâmost of its space would be used to house
200:
778:
1001:
Weiner, Dora B.; Sauter, Michael J. (2003). "The City of Paris and the Rise of Clinical Medicine".
167:
36:
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106:
109:
again began to apprehend beggars, this time using them as forced laborers for the city sewers.
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41:
1465:"'Caritas Christi Urget Nos': The Urgent Challenges of Charity in Seventeenth Century France"
1911:
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1344:
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1083:
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889:
726:
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601:
557:
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32:
1220:. VII(1): 28 – via Society for Interdisciplinary French Seventeenth-Century Studies.
1128:. VII(1): 29 – via Society for Interdisciplinary French Seventeenth-Century Studies.
785:. VII(1): 25 – via Society for Interdisciplinary French Seventeenth-Century Studies.
366:
56:
48:
The General Hospital's authority stretched beyond its premises to include all the poor in
24:
632:"The SalpĂȘtriĂšre Hospital in Paris and Its Role in the Beginnings of Modern Rheumatology"
1074:
Richmond, Phyllis Allen (1961). "The HĂŽtel-Dieu of Paris on the Eve of the Revolution".
1708:
1675:
1651:
1616:
130:
94:
1939:
223:
management of a five-member committee, abolishing their individual administrations.
1210:
1118:
1464:
1182:
1386:
1348:
126:
1902:
Chill, Emanuel (1962). "Religion and Mendicity in Seventeenth-Century France".
1811:
Chill, Emanuel (1962). "Religion and Mendicity in Seventeenth-Century France".
1507:
Chill, Emanuel (1962). "Religion and Mendicity in Seventeenth-Century France".
880:
Chill, Emanuel (1962). "Religion and Mendicity in Seventeenth-Century France".
717:
Chill, Emanuel (1962). "Religion and Mendicity in Seventeenth-Century France".
679:
Chill, Emanuel (1962). "Religion and Mendicity in Seventeenth-Century France".
592:
Chill, Emanuel (1962). "Religion and Mendicity in Seventeenth-Century France".
548:
Chill, Emanuel (1962). "Religion and Mendicity in Seventeenth-Century France".
513:
Chill, Emanuel (1962). "Religion and Mendicity in Seventeenth-Century France".
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such as physically or mentally disabled men, blind beggars, and sufferers of
74:
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1740:
1449:
1426:
1288:
1265:
1103:
1030:
665:
1717:
1660:
648:
631:
343:
318:
73:
Like the other western European states, France dealt with an increase in
1211:"Les Dames de la Charité and the Creation of the Paris General Hospital"
1119:"Les Dames de la Charité and the Creation of the Paris General Hospital"
1095:
779:"Les Dames de la Charité and the Creation of the Paris General Hospital"
146:
138:
1304:
The Classical Foundations of Population Thought From Plato to Quesnay
452:
The Classical Foundations of Population Thought From Plato to Quesnay
248:
142:
134:
79:
1871:
Madness and Civilization: A History of Insanity in the Age of Reason
1781:
Madness and Civilization: A History of Insanity in the Age of Reason
1756:
Madness and Civilization: A History of Insanity in the Age of Reason
1544:
Madness and Civilization: A History of Insanity in the Age of Reason
1046:
Madness and Civilization: A History of Insanity in the Age of Reason
917:
Madness and Civilization: A History of Insanity in the Age of Reason
848:
Madness and Civilization: A History of Insanity in the Age of Reason
823:
Madness and Civilization: A History of Insanity in the Age of Reason
798:
Madness and Civilization: A History of Insanity in the Age of Reason
754:
Madness and Civilization: A History of Insanity in the Age of Reason
490:
Madness and Civilization: A History of Insanity in the Age of Reason
422:
Madness and Civilization: A History of Insanity in the Age of Reason
397:
Madness and Civilization: A History of Insanity in the Age of Reason
372:
Madness and Civilization: A History of Insanity in the Age of Reason
329:
by their parents to live in reformaries at SalpĂȘtriĂšre and BicĂȘtre.
1014:
357:
By the eighteenth century, however, the workshops were in decline.
49:
98:
55:
The hospital serves as a major point of analysis in philosopher
39:, it aimed to address the recurring problem of begging and the
365:
The General Hospital of Paris is a major point of analysis in
947:. Vol. III. London: J. & A. Churchill. p. 455.
236:
threatened to withhold their donations unless members of the
1235:. Vol. III. London: J. and A. Churchill. p. 453.
1148:. Vol. III. London: J. and A. Churchill. p. 456.
117:, an organization of wealthy lay women led at the time by
1735:. Durham, N.C.: Duke University Press. pp. 211â212.
938:
936:
1076:
Journal of the History of Medicine and Allied Sciences
1850:. Durham, N.C.: Duke University Press. p. 216.
1444:. Durham, N.C.: Duke University Press. p. 237.
1421:. Durham, N.C.: Duke University Press. p. 213.
1283:. Durham, N.C.: Duke University Press. p. 193.
1260:. Durham, N.C.: Duke University Press. p. 252.
970:
Mending Bodies, Saving Souls: A History of Hospitals
280:
those too old, young, or sick to support themselves
1848:Government Assistance in Eighteenth-Century France
1733:Government Assistance in Eighteenth-Century France
1442:Government Assistance in Eighteenth-Century France
1419:Government Assistance in Eighteenth-Century France
1281:Government Assistance in Eighteenth-Century France
1258:Government Assistance in Eighteenth-Century France
390:
388:
325:such as male beggars, criminals, and vagrants.
1584:Policing the Poor in Eighteenth-Century France
8:
1485:: CS1 maint: multiple names: authors list (
825:. New York: Vintage Books. pp. 50, 54.
256:also contributed to the hospital's funding.
1873:. New York: Vintage Books. pp. 64â65.
1783:. New York: Vintage Books. pp. 51â52.
86:To alleviate such destitution, in 1652 the
1577:
1575:
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1567:
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1563:
1707:
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1632:
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209:Marie Bonneau de Rubelle, Mme de Miramion
972:. Oxford University Press. p. 296.
919:. New York: Vintage Books. p. 303.
875:
873:
871:
869:
867:
1806:
1804:
1802:
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1758:. New York: Vintage Books. p. 60.
1546:. New York: Vintage Books. p. 56.
1502:
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1496:
1048:. New York: Vintage Books. p. 52.
850:. New York: Vintage Books. p. 65.
800:. New York: Vintage Books. p. 50.
756:. New York: Vintage Books. p. 58.
492:. New York: Vintage Books. p. 51.
424:. New York: Vintage Books. p. 39.
399:. New York: Vintage Books. p. 51.
384:
1904:International Review of Social History
1813:International Review of Social History
1586:. University of North Carolina Press.
1509:International Review of Social History
1478:
1463:Udovic, Edward R. C.M., Ph.D. (1991).
1368:
1366:
882:International Review of Social History
719:International Review of Social History
681:International Review of Social History
625:
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594:International Review of Social History
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550:International Review of Social History
515:International Review of Social History
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1951:17th-century establishments in France
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218:begun, a December 1789 decree of the
7:
1306:. Springer Netherlands. p. 78.
454:. Springer Netherlands. p. 77.
188:Jardin royal des plantes médicinales
184:Royal Garden of the Medicinal Plants
164:Maison de Saint-Louis de SalpĂȘtriĂšre
207:through a lay sisterhood headed by
14:
88:Company of the Blessed Sacrament
168:Maison de Saint-Jean de BicĂȘtre
45:, as well as to house invalids.
1674:Ackerknecht, Erwin H. (1975).
1:
1615:Ackerknecht, Erwin H (1975).
1183:10.1080/21552851.2016.1235316
297:not housed within its walls.
220:National Constituent Assembly
1582:Schwartz, Robert M. (2017).
1387:10.1080/03071022.2013.846993
1349:10.1080/03071022.2013.846993
103:HÎpital des Pauvres Enfermés
1469:Vincentian Heritage Journal
1117:Gude, Marie Louise (1997).
636:The Journal of Rheumatology
176:to house abandoned children
119:Marie Madeleine dâAiguillon
1967:
1846:McCloy, Shelby T. (1946).
1731:McCloy, Shelby T. (1946).
1440:McCloy, Shelby T. (1946).
1417:McCloy, Shelby T. (1946).
1279:McCloy, Shelby T. (1946).
1256:McCloy, Shelby T. (1946).
1231:Burdett, Henry C. (1893).
1209:Gude, Mary Louise (1997).
1144:Burdett, Henry C. (1893).
943:Burdett, Henry C. (1893).
777:Gude, Mary Louise (1997).
1916:10.1017/s0020859000002133
1869:Foucault, Michel (1965).
1825:10.1017/s0020859000002133
1779:Foucault, Michel (1965).
1754:Foucault, Michel (1965).
1692:10.1017/s0025727300020263
1634:10.1017/s0025727300020263
1542:Foucault, Michel (1965).
1521:10.1017/s0020859000002133
1171:Accounting History Review
1044:Foucault, Michel (1965).
968:Risse, Guenter B (2011).
915:Foucault, Michel (1965).
894:10.1017/s0020859000002133
846:Foucault, Michel (1965).
821:Foucault, Michel (1965).
796:Foucault, Michel (1965).
752:Foucault, Michel (1965).
731:10.1017/s0020859000002133
693:10.1017/s0020859000002133
606:10.1017/s0020859000002133
562:10.1017/s0020859000002133
527:10.1017/s0020859000002133
488:Michel, Foucault (1965).
420:Foucault, Michel (1965).
395:Foucault, Michel (1965).
21:General Hospital of Paris
16:Former hospital in France
630:Kushner, Irving (2011).
62:Madness and Civilization
29:HÎpital général de Paris
1088:10.1093/jhmas/xvi.4.335
450:Charbit, Yves. (2011).
234:Les Dames de la Charité
205:Les Dames de la Charité
115:Les Dames de la Charité
1302:Charbit, Yves (2011).
172:Notre Dame de La Pitié
28:
649:10.3899/jrheum.101320
186:as cadavers (French:
242:Filles de la Charité
238:Daughters of Charity
1218:Early Modern France
1126:Early Modern France
783:Early Modern France
361:Cultural References
1946:Hospitals in Paris
278:pauvres invalidesâ
107:Parlement of Paris
1880:978-0-307-83310-5
1790:978-0-307-83310-5
1765:978-0-307-83310-5
1593:978-1-4696-3988-8
1553:978-0-307-83310-5
1313:978-90-481-9298-4
1055:978-0-307-83310-5
979:978-0-19-505523-8
926:978-0-307-83310-5
857:978-0-307-83310-5
832:978-0-307-83310-5
807:978-0-307-83310-5
763:978-0-307-83310-5
499:978-0-307-83310-5
461:978-90-481-9298-4
431:978-0-307-83310-5
406:978-0-307-83310-5
315:pauvres invalides
303:pauvres invalides
216:French Revolution
59:'s seminal work,
42:Cour des miracles
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30:
26:
22:
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127:Switzerland
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600:(3): 413.
379:References
346:and itch.
333:Operations
295:foundlings
267:Population
214:After the
201:HĂŽtel-Dieu
194:Management
158:Facilities
153:Operations
75:mendicancy
1924:0020-8590
1889:646721287
1833:0020-8590
1700:0025-7273
1643:0025-7273
1529:0020-8590
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344:ringworm
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