Huysmans’ À rebours is a medical novel. All the data from the “clinical case” of des Esseintes draw a complex symptomatology. His neurosis seems to conceal another disease: syphilis. There is in the novel an encrypted medical discourse that can redraw its architecture. This clinical and literary examination of the novel is an opportunity to sketch a picture of medicine in the second half of the nineteenth century, in two disciplines in full development: psychiatry and syphilligraphy.
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