Museum of the History of the Moscow City Psychiatric Hospital named after. Museum of the History of the Moscow Psychiatric Hospital named after. N.A. Alekseeva

Have you ever been in a mental hospital? When you enter the territory of the psychiatric clinical hospital No. 1 named after N.A. Alekseeva, you involuntarily feel the calm, peace and comfort surrounding you. The area is quiet, clean, the lawns are evenly green, the walking paths meander beautifully, large rooks walk imposingly between the trees, the grapevine entwines the brick arches, the leaves have already fallen off, and no one has picked the grapes and the ripe clusters hang on the bare branches; In the garden where local patients work, some kind of multi-colored ornamental cabbage grows. The air seems thick, you catch yourself thinking that you want to stay here, like in a holiday home. We are going to the museum of the psychiatric hospital named after N.A. Alekseeva.

The door of the museum, located in one of the hospital buildings, is closed and to get inside you need to ring the bell. The museum is a museum, but the internal regulations of the psychiatric hospital dictate certain rules, for example: all doors must be locked. “Talk to patients as if they are healthy. But don’t forget that they are sick,” museum curator Alla Vasilievna quotes one of the doctors to us.



She doesn’t have a museum education, she doesn’t need it, she worked in this hospital for 50 years as a nurse, and later as the head nurse, and knows the history of this place firsthand. After she retired, she was invited to work at the museum. She refused for a long time, but eventually agreed, and now she got involved. Alla Vasilievna is very interesting person, she carefully jokes with us, then talks about what careless journalists came before us and what heresy they wrote. She monitors our reaction and throws out tests to see whether we are “bad” journalists and whether we will start asking her to show us straitjackets, handcuffs and other stereotypical “horrors”. We are very embarrassed about the reputation of the profession and we successfully pass the test, proving that we came here not for “yellow sensations”, but out of great interest.

The museum premises are small - 3 former chambers. Alla Vasilievna seats us at a round carved table in the first, largest hall, and begins her detailed story about the history of the hospital.

The mayor of Moscow in 1885-1893 was Nikolai Aleksandrovich Alekseev. Try to compare the efficiency and love for his city of this city manager with the mayor of the capital who recently “lost his trust.”

Thanks to Alekseev, water supply and sewerage appeared in Moscow (before that, the city of one and a half million people was dotted with stinking cesspools), the first slaughterhouses were built (the current Mikoyanovsky meat processing plant) and cattle were no longer slaughtered anywhere in the city, as in the wild Arab countries, on Red Square in 1890, the old shopping arcades were demolished and a prototype of the current GUM was built, a new city council building was built on Voskresenskaya Square, as well as several schools and vocational schools; Tretyakov Gallery and much more. Alekseev was a strong manager and did not fuss with officials; he demanded reports on all his decrees within a week, and did not engage in populist Saturday riding around the city criticizing other people’s work. With him, Moscow ceased to be a big village (although sometimes one has to doubt this).

One day, doctors from the oldest psychiatric hospital in Moscow - Preobrazhenskaya - S.S. came to see him. Korsakov and V.R. Butskei asked to build another clinic in the city, since the resources of one were not enough. Alekseev was inspired by the doctors’ idea and began collecting money to build a hospital.

Many philanthropists responded to his call to help solve this problem, sometimes with the stipulation that several beds would be assigned to their families for life. Alekseev used all possible methods for the benefit of the business; they say that in front of one merchant he even knelt right in the dirt when he answered his question about help in construction “as you ask, so I give.”

Not a single patron was forgotten. A list of the names of those who helped in the construction is kept in the museum and carved on a memorial on the hospital grounds. The list contains famous names Botkin and Tretyakov.

A plot of land was purchased for construction for Serpukhovskaya outpost from the merchant Kanatchikov (hence the name Kanatchikov's dacha), and with Ermakov's money the Ermakovsky building was later built.

Nikolai Alexandrovich considered the construction of this hospital his life’s work; he personally checked the quality of the bricks for construction, took one from each batch and threw it on the floor. If a brick broke, the entire batch was sent back. The red brick building in an eclectic style with 70 cm thick walls, high ceilings, rooms for 4-5 patients and special durable glass in the windows was built by 1894. March 9, 1893 in the evening after one of the receptions, Alekseev went to see off a visitor and at the door ran into a young man who shot him several times with a pistol. Ironically, the young man - Andrianov - turned out to be mentally ill, who believed that he had invented a cure for influenza (flu) and tried unsuccessfully to get an appointment with Alekseev. Where the psycho got the gun from is a complex question; one can suspect that it was a well-thought-out action by the mayor’s enemies. Sklifosovsky immediately arrived at the scene, sutured the wound, but peritonitis began from the bullet that hit the stomach, and medicine at that time was not yet so advanced (X-rays were invented only in 1895, and penicillin was discovered only in 1928). Before his death, Alekseev bequeathed to complete the construction of the hospital.

Alekseev was buried by the whole city. About 200,000 Muscovites attended the funeral procession.

Death mask of N.A. Alekseeva is kept in the museum.

He was 40 years old.

They have been planning to erect a monument to Nikolai Alexandrovich in Moscow for several years, but somehow there is no time for it yet.

A separate exhibition in the museum is dedicated to the Alekseev family. Cousin Nikolai Alexandrovich was the famous theater actor and director Konstantin Sergeevich Stanislavsky.

On May 12 (old style), 1894, a new city psychiatric hospital was opened at Kanatchikova Dacha. There was a chapel on the second floor of the hospital, and by order Alexandra III The hospital was named after Alekseev.

The first stage of the hospital was built according to the design of L.O. Vasilyeva. The second stage (opened in 1905) was built by A.F. Meissner. Butske was appointed chief physician.

Menu for patients in 1894: Polish borscht, sour cabbage soup, Schnell klops, Potato fight, Fried stellate sturgeon, Cranberry jelly, Lemon mousse, Razsolnik, Tubules - everything is so delicious.

Mostly peasants from neighboring villages worked in the hospital. The photo shows the apron worn by women from the medical staff.

Pyotr Petrovich Kashchenko was the head physician of the hospital for only 2 years and 7 months, but during this time he left the best memories of himself among the staff. Thanks to him, separate rooms were equipped for medical workers to live in; before that, they huddled in the basement, in conditions worse than those of the sick.

The photo shows the collective farewell to P.P. Kashchenko leaving for St. Petersburg (in the center with his wife) 1907.

From 1922 to 1994 Moscow Psychiatric Hospital No. 1 bore the name Kashchenko. Thanks to stories, anecdotes and songs, the word “Kashchenko” became a common noun, meaning a madhouse.

Questionnaire from 1926 for patient Sergei Kirillovich Sedov, who was diagnosed with alcoholic psychosis (blue fever), and was taken to the hospital by his wife. It contains a huge, detailed list of questions about the patient’s entire life from conception and childhood to the present, for example:

  • Didn’t the patient’s parents suffer from mental illness, were they weak-minded, strange in character and habits, were they habitual drunkards, criminals, or did they attempt suicide?
  • Did either parent drink wine or vodka and in what quantities?
  • How did the wine work and was there delirium tremens?
  • Did the patient’s conception coincide with the illness or intoxication of one or both parents?
  • Was the mother sick during pregnancy, did she have any moral shocks, did she lead a quiet life, did she indulge in excesses, did she drink vodka and wine, did she get bruises, did she work too much?
  • Is there any relationship between the parents?
  • What nationality did your parents belong to?
  • Which parent is the patient most like?
  • Were there any relatives suffering from hysteria, epilepsy, St. Witt, headaches, neuralgia, paralysis or other nervous diseases, as well as physical deformities and developmental disabilities, such as deaf-muteness, stuttering, etc.?
  • How was the patient fed: breastfed or artificially?
  • Have you had any brain seizures, convulsions, night screams or fears? Was there any sleepwalking or bedwetting?
  • Was the child not given early childhood wine or poppy seeds (for sleep, etc.)?
  • Did the child fall from a height and have any ear diseases?
  • Did he have sexual intercourse too early, did he have masturbation?
  • Was there any hypocrisy or prominent religiosity?
  • Was there an excessive predominance of fantasy?
  • What was it like social status sick? Was he pleased with him?
  • Were there constant quarrels at home, and what role did the patient play in them? Did he cause the quarrels or did they not depend on him?
  • Have you used holiday homes, sanatoriums, diet cafeterias, etc. Did you do physical education?
  • Did you abuse sexual intercourse excessively? was there any improper sexual intercourse?

Old restored table

Ilya Natanovich Kaganovich was the chief physician of the hospital from 1930 to 1950. In 1950, he was removed from his post as head physician of the hospital with a scandal.

Whistle, you can guess why. There are different cases.

During the Great Patriotic War The hospital housed a center for the treatment of wounded people with traumatic brain injuries. The main method of treating the mentally ill was Electroconvulsive therapy. A scientifically proven, although still highly controversial and controversial, treatment method in which a seizure is caused by passing an electrical current through the brain of a patient under general anesthesia in order to achieve a therapeutic effect. Medicines, as you understand, were tight during the war.

Doctors and nurses who worked during the war are remembered and honored

The album “From charity for mental patients to active methods of treatment”, made and donated by hospital staff I.N. Kaganovich. History of psychiatry in pictures.

Notice the medicine wheel. Hamsters in home cages run around in about the same ones.

Dead hour. It sounds very calming.

There have never been any barbaric methods of treatment in hospital No. 1. From day one, straitjackets have been banned, although one hangs as an exhibit in a corner of the history of psychiatry. To pacify violent patients, wrapping with wet sheets was usually used.

A brief excursion into the history of psychiatry in the Middle Ages.

The museum contains an extensive collection of scientific works on psychiatry

Including works of art. For example, the familiar book “One Flew Over the Cuckoo’s Nest” by the famous acid artist Ken Kesey.

Remember a few rules just in case.

Sports awards of hospital employees won in various sports and other competitions.

At the moment, exclusively humane and effective methods of treating mentally ill people are used for treatment.

Drug treatment

Occupational therapy

Occupational therapy was used from the first days of the hospital in special rooms in departments and in outdoor work. The first occupational doctor was S.S. Stupin. Previously, the hospital even had its own country farm, where patients raised livestock to supply the hospital.

The beauty of the hospital grounds is the result of painstaking work experienced agronomist Rostislav Stepanovich Medvedyuk. The gladioli he bred more than once occupied prizes at exhibitions. This man is a true enthusiast of his business. He turned down a better paying job because he couldn't leave the hospital.

In the greenhouse and garden, he and the sick plant flowers and various ornamental plants, and in 1980, for Victory Day and the Olympics, on his initiative, 8 silver spruce trees were planted. Rostislav Stepanovich's dream is to grow a cedar grove. Just listen, the entire history of the hospital (and, more broadly, of our entire country) rests solely on enthusiasts.

Probably the only remaining pioneer camp in the country still operates for the hospital’s young patients.

Non-standard methods of treatment coexist with great religiosity.

Russian Orthodox Church is paying more and more attention to medical institutions. The temple in honor of the icon of the Mother of God “Joy of All Who Sorrow” at the hospital was consecrated on October 25, 1896.

IN Soviet period, when the hospital church was closed, it was used for administrative purposes. And only on May 25, 1994, the temple was restored and consecrated again. In 1996, on the territory of the clinic, in memory of its founder Nikolai Alekseev, a chapel was built and consecrated in the name of St. Nicholas the Wonderworker.

Cultural therapy

It is no secret that many generally recognized geniuses did not always have impeccable mental health, to put it mildly. And some even ended their days within the walls of psychiatric hospitals. The museum also houses several collections literary works doctors who worked in the hospital. An extremely entertaining read.

One of the poems features the psycho Marx.

A poem about renovations in a hospital lobby. Comparing such things with the works of the same beloved Kharms, you involuntarily draw analogies and think about diagnoses in absentia.

The artistic works of patients deserve a separate discussion.

Selected paintings by schizophrenics are also carefully studied and published in separate catalogues.

Altered facial proportions, as in Modigliani's paintings, are usually characteristic of works by people with schizophrenia.

A whole vernissage was held at the club on the hospital grounds best works patients. The curator of the collection, Eduard Konstantinovich, can talk for a long time about each work separately, about the general style of the disease, about the typical themes of the works.

Looking at these pictures, you experience some kind of mixture of deep understanding and fear, from how accurately some hidden experiences are artistically reflected and how understandable they are to you. Unfortunately (because we didn't see them that day) and fortunately (because everyone will be able to see them), the most interesting works Now we have gone to an exhibition that will soon be held in Moscow.

On the day of our visit, there were several police vehicles, ambulances, a bomb disposal department, and a fire service on the hospital grounds. Surely someone called and said that there was a bomb planted on the premises. Maybe crazy, who knows.

Unfortunately, the museum is not open to the general public. Alla Vasilievna and her young assistant Marina (also an enthusiast, a girl with great interest in studying the history of medicine) conduct 2-3 excursions a week for patients, medical students and new hospital employees. To get into the museum without being a representative of one of these groups, you need to get permission from the head physician, and he already has enough to do, so I won’t leave any contacts or phone numbers here. Anyone who really wants it can easily find them on the Internet. It's all so exciting.

“Our main exhibit is the hospital”: Kashchenko Museum of the History of Psychiatry (PKB No. 1 named after N.A. Alekseev)

Popularly known as “Kanatchikova Dacha,” the hospital 21 years ago regained the name of its main philanthropist and founder, the merchant Alekseev.

It is usually remembered in the press in connection with the real or imagined horrors of psychiatry, and in social networks bloggers often sarcastically wish each other to visit this establishment or use haloperidol, used in domestic psychiatry.

However, the hospital museum is not at all like a torture chamber from a horror film. In several bright rooms, exhibits devoted to the history of Russian psychiatry, which is not at all as gloomy as one might think, are lovingly collected. Many of them are made by the hands of the patients themselves – many of them creative people: artists, publicists, sculptors.

At the entrance, the visitor is greeted with the expected straitjacket for such a place. “It was specially sewn by the patients to illustrate the era of the 19th century in our exhibition,” laughs Marina Kokorina, head of the museum. This is the only straitjacket in the entire hospital - since the founding of the clinic in 1894, such means of restraining people have been prohibited as inhumane.

The development of psychiatry in Russia began later than in the West, but thanks to this it was possible to avoid the brutality of the early stages of treating the mentally ill. “In late Middle Ages Europe, hundreds of our patients were burned at the stake as minions of the devil. In the first houses of restraint they were chained next to ordinary criminals. Ordinary people were allowed into Bedlam (the most famous psychiatric clinic in England - LJJ) for a fee, so that they could watch the patients as if in a menagerie,” says Kokorina.

“Among the first methods of treatment was mechanotherapy: rotating cages and rotating beds. With their help, they tried to disperse the heaviness that patients with melancholia complained about; in addition, torsion and spinning caused vomiting, which was considered a way of liberation from mental illness through the outpouring of fluids from the body. Hydrotherapy was used - pouring 10 to 50 buckets of water on the patient's head was considered a normal procedure. Devices were used to shock the patient into a pool of ice water,” she lists.

The people who played a decisive role in the creation of the main Moscow mental hospital - the founder Nikolai Aleksandrovich Alekseev, the first chief physician Viktor Romanovich Butske, the famous Pyotr Petrovich Kashchenko - were convinced humanists. WITH late XIX century, Viktor Romanovich actively introduced the “non-restraint” system into psychiatry, creating for patients the maximum comfortable conditions, and calling to treat patients with comfort, friendly attitude and constant employment.

Kashchenko, who headed the hospital in 1904-1907, a socialist by conviction, fought not only for the rights of patients, but also of staff. He achieved a reduction in working hours, increased wages, and built workers' housing.

Alekseev paid the ultimate price for his humanistic views. The mayor was mortally wounded by a mentally ill man suffering from delusional disorder. He believed that he was being irradiated with magnetic rays by a gang of villains. Allegedly, a “random lot fell” on Alekseev, but most likely the killer was helped in choosing a victim - the energetic reformer in Moscow interfered with many. On his deathbed, Alekseev forgave the killer precisely because he suffered from mental illness.

Despite the tragic death of Alekseev, the patients were treated humanely from the very beginning, and any rudeness towards them was prohibited. In the museum you can look at the interiors of the old hospital, study the programs of amateur performances and concerts, and get acquainted with the hospital menu - truffles and lemon mousse in our time, perhaps, will only cause envy.

IN Soviet years Psychopharmacotherapy began to be used more actively, and by the 1940s, electroconvulsive and insulin shock therapies began to be used. Electrocution is the most frightening treatment practice known. Journalists often compare it with horror to the electric chair.

“The first attempts at such treatment were back in ancient times when electric stingrays were used. By the mid-20th century, electroconvulsive therapy had become a common treatment method. Each method in medicine has its own indications and contraindications, but as for possible side effects, the probability of complications is 0.003%. When worked by experienced specialists, this is a practically safe method of treatment, allowing you to reduce the dose or completely abandon the drugs. Now it is used only for health reasons,” the museum curator reassures, showing one of the first electric shock devices. Assembled during the Great Patriotic War from captured parts, it was better than some production models.

The room reserved for patients’ creativity requires special attention: paintings here are interspersed with elegant figurines, toys and other products made during art therapy. The naked eye can see how many creative people are within the walls of the famous hospital, some even by court order.

- Why is genius sometimes synonymous with madness?

LJJ asked this first question to the head of the museum, Marina Kokorina:

Remember, for example, the history of painting. Mikhail Vrubel, Alexander Ivanov, Pavel Fedotov, Mikalojus Ciurlionis, Vincent Van Gogh and a number of others greatest artists had mental pathology. Let's put Francisco Goya's paintings in chronological order and see how personality disintegrates. Often mental characteristics are also found among writers; let’s take the biographies of major scientists and see that many of them experienced mental suffering.

The nakedness of the soul allows you to perceive the world around you more clearly, go beyond the ordinary, create masterpieces and make discoveries that are beyond the control of a person with a normal psyche. Let's admit that people with mental disabilities often become the engine of progress and culture.

- Does your museum help change attitudes towards such people?

Any museum is, first of all, a repository of history, but we consider psychoeducation to be one of the most important tasks. According to the World Health Organization (WHO), 450 million people in the world suffer from mental illness, in addition, every fourth person needs the help of a psychiatrist at least once during their lifetime.

Unfortunately, we often forget about this, and in society there is a terrible stigmatization of the mentally ill and psychiatric hospitals. Using the example of our hospital, we talk about the evolution of attitudes towards the mentally ill, methods of treatment and rehabilitation in the past and present.

Mental illnesses are an integral part of our lives, as well as somatic diseases. Mental illness must be treated, but you also need to accept it and understand how to live with it. For people with disabilities due to mental illness, socialization and the possibility of professional and creative realization are especially important, without which no drug treatment will be sufficiently effective.

- What type of visitor are you targeting?

First of all, these are, of course, our patients and their relatives. The patient’s knowledge about the disease and psychiatry in general makes the treatment process easier, and relatives need to treat the disease correctly and not be afraid of it.

The other group is students, high school students, any young people; their attitude towards psychiatry must be developed in a timely manner. You can start studying the topic virtually, from the sites: Radio Through the Looking Glass, Labyrinths of the Mind and Psychiatrists Club. On the website “Labyrinths of the Mind,” experts talk about mental illness, treatment methods, discuss the relationship between illness and creativity, and present a collection of films. On the website of the Psychiatrists Club you can see documentaries about the festival of creativity of people with mental disabilities “Ariadne’s Threads”.

The “Ariadne’s Threads” festivals are held in biennale mode. Last Festival was held at 13 venues in Moscow, attended by more than 1,000 guests from 30 regions of Russia, and delegations from 13 countries. There were art exhibitions and a theatrical and concert program at the Meyerhold Theater, the Moon Theater, the Armen Dzhigarkhanyan Theater and many others. People who were accustomed to have a negative attitude towards the mentally ill came to our events and saw very bright, beautiful works of creative people.

- What exhibit do you recommend starting a tour of your museum with?

Our most important exhibit is the hospital itself. It was built according to the design of doctor Viktor Romanovich Butske, who had many years of experience. He did it in such a way that the walls of the hospital themselves would heal, would have a psychotherapeutic effect - simply by being here, the patient would already be treated.

- Then what exhibit would you like to add to your collection?

As for technology, an electronic museum cube would be useful, on which scanned documents can be displayed.

In general, the history of psychiatry is not as material as the history of surgery, for example. The main tool of a psychiatrist is his own brain and the pen with which he writes case histories, and the main object of effort is human soul. Therefore, we try to show our history through the stories of the people who worked here and through the work of patients.

We talked about the humanity of Russian psychiatry, but we cannot help but recall its “punitive” element. IN Soviet era psychiatry was often used for political purposes?

We have already said that large number people have psychopathology, many seemingly normal citizens experience borderline states. Among these there are many people with active political position- those who are ready to go beyond the ordinary, who are not afraid. Such activists often suffer from pathologies. Many of the people who visited Soviet hospitals continued to be seen by psychiatrists abroad after emigration. There is a question about such measures as hospitalization - indeed, in Soviet times people were often hospitalized instead of receiving outpatient treatment.

- What is the role of religion in the treatment of patients today?

There are two churches in our hospital, both of which have existed since the very beginning of the hospital and were closed during the Soviet period, but their activities were revived in the 1990s. Father Alexander Tserkovnikov has been working for us for many years and, in addition to all the required requirements, he spends a lot of time in the departments. When a patient asks him whether it is worth taking pills or whether it is better to pray, he answers: “Both.” It is no coincidence that in old times The parish priest performed the functions of a psychologist and social worker in the village. And today, for many of our patients, church is important.

We have a prayer room for Muslims. Some time ago, volunteers from the Baptist community helped care for our patients, especially the elderly.

It’s hard not to notice that among the exhibits there is a letter from a patient to the satirist Viktor Shenderovich with a caricature by Andrei Bilzho.

Andrey Georgievich Bilzho worked for many years as a doctor in our hospital, including in the sanatorium department. He wrote wonderful memoirs about this building, famous in Soviet times and now lying in ruins.

It was a mixed-gender department, with interiors decorated with antique furniture and paintings. Bilzho recalled how in the evening, he, tired after filling large quantity illness, went down to the hall day stay. There, patients played music, recited poetry and acted out their favorite scenes from plays in the magnificent interiors of an ancient estate, while the park roared outside the windows. This is psychotherapy in action!

- Tell me interesting story associated with Kashchenko.

In the early 1980s, a three-volume set of “ Figurative language schizophrenia”, where the work of our patients is analyzed from the point of view of psychiatrists. The first volume is published abroad, it is received with a bang by local specialists, and suddenly an article appears in the local press: “Soviet psychiatrists diagnosed a French communist.”

erupted loud scandal, representatives of the special services came to the hospital to find out how they “came to this life.” It turned out that one of the patients made a copy of a little-known abstract work French artist. And the artist, in turn, turned out to be one of the members of the French Communist Party. The doctor who commented on this work did not know about this, he simply relied on the personality of the patient who made the copy! However, since then all our art publications have been carefully checked by art critics.

Here is an example of how invisible the line between health and illness is in art and how difficult it is to understand who can draw it.

Have you ever been in a mental hospital? I've never had this happen before. When you enter the territory of the psychiatric clinical hospital No. 1 named after N.A. Alekseeva, you involuntarily feel the calm, peace and comfort surrounding you. The area is quiet, clean, the lawns are evenly green, the walking paths meander beautifully, large rooks walk imposingly between the trees, the grapevine entwines the brick arches, the leaves have already fallen off, and no one has picked the grapes and the ripe clusters hang on the bare branches; In the garden where local patients work, some kind of multi-colored ornamental cabbage grows. The air seems thick, you catch yourself thinking that you want to stay here, like in a holiday home. We are going to the museum of the psychiatric hospital named after N.A. Alekseeva.

The door of the museum, located in one of the hospital buildings, is closed and to get inside you need to ring the bell. The museum is a museum, but the internal regulations of the psychiatric hospital dictate certain rules, for example: all doors must be locked. “Talk to patients as if they are healthy. But don’t forget that they are sick,” museum curator Alla Vasilievna quotes one of the doctors to us.

She doesn’t have a museum education, she doesn’t need it, she worked in this hospital for 50 years as a nurse, and later as the head nurse, and knows the history of this place firsthand. After she retired, she was invited to work at the museum. She refused for a long time, but eventually agreed, and now she got involved. Alla Vasilyevna is a very interesting person, she carefully jokes with us, then talks about what careless journalists came before us and what heresy they wrote. She monitors our reaction and throws out tests to see whether we are “bad” journalists and whether we will start asking her to show us straitjackets, handcuffs and other stereotypical “horrors”. We are very embarrassed about the reputation of the profession and we successfully pass the test, proving that we came here not for “yellow sensations”, but out of great interest.

The museum premises are small - 3 former chambers. Alla Vasilievna seats us at a round carved table in the first, largest hall, and begins her detailed story about the history of the hospital.

The mayor of Moscow in 1885-1893 was Nikolai Aleksandrovich Alekseev. Try to compare the efficiency and love for his city of this city manager with the mayor of the capital who recently “lost his trust.”

Thanks to Alekseev, water supply and sewerage appeared in Moscow (before that, the city of one and a half million people was dotted with fetid cesspools), the first slaughterhouses were built (the current Mikoyanovsky meat processing plant) and cattle were no longer slaughtered anywhere in the city, as in wild Arab countries, on Red Square in 1890- In 2006, the old shopping arcades were demolished and a prototype of the current GUM was built, a new city council building was built on Voskresenskaya Square, as well as several schools and vocational schools, the Tretyakov Gallery was opened there, and much more. Alekseev was a strong manager and did not fuss with officials; he demanded reports on all his decrees within a week, and did not engage in populist Saturday riding around the city criticizing other people’s work. With him, Moscow ceased to be a big village (although sometimes one has to doubt this).

One day, doctors from the oldest psychiatric hospital in Moscow - Preobrazhenskaya - S.S. came to see him. Korsakov and V.R. Butskei asked to build another clinic in the city, since the resources of one were not enough. Alekseev was inspired by the doctors’ idea and began collecting money to build a hospital.

Many philanthropists responded to his call to help solve this problem, sometimes with the stipulation that several beds would be assigned to their families for life. Alekseev used all possible methods for the benefit of the business; they say that in front of one merchant he even knelt right in the dirt when he answered his question about help in construction “as you ask, so I give.”

Not a single patron was forgotten. A list of the names of those who helped in the construction is kept in the museum and carved on a memorial on the hospital grounds. The list contains the famous names of Botkin and Tretyakov.

A plot of land was purchased for construction for Serpukhovskaya outpost from the merchant Kanatchikov (hence the name Kanatchikov's dacha), and with Ermakov's money the Ermakovsky building was later built.

Nikolai Alexandrovich considered the construction of this hospital his life’s work; he personally checked the quality of the bricks for construction, took one from each batch and threw it on the floor. If a brick broke, the entire batch was sent back. The red brick building in an eclectic style with 70 cm thick walls, high ceilings, rooms for 4-5 patients and special durable glass in the windows was built by 1894. March 9, 1893 in the evening after one of the receptions, Alekseev went to see off a visitor and at the door ran into a young man who shot him several times with a pistol. Ironically, the young man - Andrianov - turned out to be mentally ill, who believed that he had invented a cure for influenza (flu) and tried unsuccessfully to get an appointment with Alekseev. Where the psycho got the gun from is a complex question; one can suspect that it was a well-thought-out action by the mayor’s enemies. Sklifosovsky immediately arrived at the scene, sutured the wound, but peritonitis began from the bullet that hit the stomach, and medicine at that time was not yet so advanced (X-rays were invented only in 1895, and penicillin was discovered only in 1928). Before his death, Alekseev bequeathed to complete the construction of the hospital.

Alekseev was buried by the whole city. About 200,000 Muscovites attended the funeral procession.

Death mask of N.A. Alekseeva is kept in the museum.

He was 40 years old.

They have been planning to erect a monument to Nikolai Alexandrovich in Moscow for several years, but somehow there is no time for it yet.

A separate exhibition in the museum is dedicated to the Alekseev family. Nikolai Alexandrovich’s cousin was the famous theater actor and director Konstantin Sergeevich Stanislavsky.

On May 12 (old style), 1894, a new city psychiatric hospital was opened at Kanatchikova Dacha. There was a chapel on the second floor of the hospital, and by order of Alexander III, the hospital was named after Alekseev.

The first stage of the hospital was built according to the design of L.O. Vasilyeva. The second stage (opened in 1905) was built by A.F. Meissner. Butske was appointed chief physician.

Menu for patients in 1894: Polish borscht, sour cabbage soup, Schnell klops, Potato fight, Fried stellate sturgeon, Cranberry jelly, Lemon mousse, Razsolnik, Tubules - everything is so delicious.

Mostly peasants from neighboring villages worked in the hospital. The photo shows the apron worn by women from the medical staff.

Pyotr Petrovich Kashchenko was the head physician of the hospital for only 2 years and 7 months, but during this time he left the best memories of himself among the staff. Thanks to him, separate rooms were equipped for medical workers to live in; before that, they huddled in the basement, in conditions worse than those of the sick.

The photo shows the collective farewell to P.P. Kashchenko leaving for St. Petersburg (in the center with his wife) 1907.

From 1922 to 1994 Moscow Psychiatric Hospital No. 1 bore the name Kashchenko. Thanks to stories, anecdotes and songs, the word “Kashchenko” became a common noun, meaning a madhouse.

Questionnaire from 1926 for patient Sergei Kirillovich Sedov, who was diagnosed with alcoholic psychosis (blue fever), and was taken to the hospital by his wife. It contains a huge, detailed list of questions about the patient’s entire life from conception and childhood to the present, for example:

  • Didn’t the patient’s parents suffer from mental illness, were they weak-minded, strange in character and habits, were they habitual drunkards, criminals, or did they attempt suicide?
  • Did either parent drink wine or vodka and in what quantities?
  • How did the wine work and was there delirium tremens?
  • Did the patient’s conception coincide with the illness or intoxication of one or both parents?
  • Was the mother sick during pregnancy, did she have any moral shocks, did she lead a quiet life, did she indulge in excesses, did she drink vodka and wine, did she get bruises, did she work too much?
  • Is there any relationship between the parents?
  • What nationality did your parents belong to?
  • Which parent is the patient most like?
  • Were there any relatives suffering from hysteria, epilepsy, St. Witt, headaches, neuralgia, paralysis or other nervous diseases, as well as physical deformities and developmental disabilities, such as deaf-muteness, stuttering, etc.?
  • How was the patient fed: breastfed or artificially?
  • Have you had any brain seizures, convulsions, night screams or fears? Was there any sleepwalking or bedwetting?
  • Was the child given wine or poppy seeds in early childhood (for sleep, etc.)?
  • Did the child fall from a height and have any ear diseases?
  • Did he have sexual intercourse too early, did he have masturbation?
  • Was there any hypocrisy or outstanding religiosity?
  • Was there an excessive predominance of fantasy?
  • What was the patient's social status? Was he pleased with him?
  • Were there constant quarrels at home, and what role did the patient play in them? Did he cause the quarrels or did they not depend on him?
  • Have you used holiday homes, sanatoriums, diet cafeterias, etc. Did you do physical education?
  • Did you abuse sexual intercourse excessively? was there any improper sexual intercourse?

Old restored table

Ilya Natanovich Kaganovich was the chief physician of the hospital from 1930 to 1950. In 1950, he was removed from his post as head physician of the hospital with a scandal.

Whistle, you can guess why. There are different cases.

During the Great Patriotic War, the hospital housed a center for the treatment of wounded with traumatic brain injuries. The main method of treatment for the mentally ill was Electroconvulsive therapy. A scientifically proven, although still highly controversial and controversial, treatment method in which a seizure is caused by passing an electrical current through the brain of a patient under general anesthesia in order to achieve a therapeutic effect. Medicines, as you understand, were tight during the war.

Doctors and nurses who worked during the war are remembered and honored

The album “From charity for mental patients to active methods of treatment”, made and donated by hospital staff I.N. Kaganovich. History of psychiatry in pictures.

Notice the medicine wheel. Hamsters in home cages run around in about the same ones.

Dead hour. It sounds very calming.

There have never been any barbaric methods of treatment in hospital No. 1. From day one, straitjackets have been banned, although one hangs as an exhibit in a corner of the history of psychiatry. To pacify violent patients, wrapping with wet sheets was usually used.

A brief excursion into the history of psychiatry in the Middle Ages.

The museum contains an extensive collection of scientific works on psychiatry

Including works of art. For example, the familiar book “One Flew Over the Cuckoo’s Nest” by the famous acid artist Ken Kesey.

Remember a few rules just in case.

Sports awards of hospital employees won in various sports and other competitions.

At the moment, exclusively humane and effective methods of treating mentally ill people are used for treatment.

Drug treatment

Occupational therapy

Occupational therapy was used from the first days of the hospital in special rooms in departments and in outdoor work. The first occupational doctor was S.S. Stupin. Previously, the hospital even had its own country farm, where patients raised livestock to supply the hospital.

The beauty of the hospital territory is the result of the painstaking work of the experienced agronomist Rostislav Stepanovich Medvedyuk. The gladioli he bred more than once took prizes at exhibitions. This man is a true enthusiast of his business. He turned down a better paying job because he couldn't leave the hospital.

In the greenhouse and garden, he and the sick plant flowers and various ornamental plants, and in 1980, for Victory Day and the Olympics, on his initiative, 8 silver spruce trees were planted. Rostislav Stepanovich's dream is to grow a cedar grove. Just listen, the entire history of the hospital (and, more broadly, of our entire country) rests solely on enthusiasts.

Probably the only remaining pioneer camp in the country still operates for the hospital’s young patients.

Non-standard methods of treatment coexist with great religiosity.

The Russian Orthodox Church is paying more and more attention to medical institutions. The temple in honor of the icon of the Mother of God “Joy of All Who Sorrow” at the hospital was consecrated on October 25, 1896.

During the Soviet period, when the hospital church was closed, it was used for administrative purposes. And only on May 25, 1994, the temple was restored and consecrated again. In 1996, on the territory of the clinic, in memory of its founder Nikolai Alekseev, a chapel was built and consecrated in the name of St. Nicholas the Wonderworker.

Cultural therapy

It is no secret that many generally recognized geniuses did not always have impeccable mental health, to put it mildly. And some even ended their days within the walls of psychiatric hospitals. The museum also houses several collections of literary works by doctors who worked at the hospital. An extremely entertaining read.

One of the poems features the psycho Marx.

A poem about renovations in a hospital lobby. Comparing such things with the works of the same beloved Kharms, you involuntarily draw analogies and think about diagnoses in absentia.

The artistic works of patients deserve a separate discussion.

Selected paintings by schizophrenics are also carefully studied and published in separate catalogues.

Altered facial proportions, as in Modigliani's paintings, are usually characteristic of works by people with schizophrenia.

The club on the hospital grounds contains a vernissage of the patients’ best works. The curator of the collection, Eduard Konstantinovich, can talk for a long time about each work separately, about the general style of the disease, about the typical themes of the works.

Looking at these pictures, you experience some kind of mixture of deep understanding and fear, from how accurately some hidden experiences are artistically reflected and how understandable they are to you. Unfortunately (because we didn’t see them that day) and fortunately (because everyone will be able to see them), the most interesting works have now gone to an exhibition that will soon be held in Moscow.

On the day of our visit, there were several police vehicles, ambulances, a bomb disposal department, and a fire service on the hospital grounds. Surely someone called and said that there was a bomb planted on the premises. Maybe crazy, who knows.

Unfortunately, the museum is not open to the general public. Alla Vasilievna and her young assistant Marina (also an enthusiast, a girl with great interest in studying the history of medicine) conduct 2-3 excursions a week for patients, medical students and new hospital employees. To get into the museum without being a representative of one of these groups, you need to get permission from the head physician, and he already has enough to do, so I won’t leave any contacts or phone numbers here. Anyone who really wants it can easily find them on the Internet. It's all so exciting.

The girl is 10 years old. Doesn't attend school. She is inaccessible to productive contact, talks to herself all the time, cannot stay in place, is restless, does not answer questions, and actively gesticulates. Experiences massive verbal hallucinosis: argues, talks, obeys instructions from “voices.” A girl's attention can only be attracted during the drawing process. Draws non-existent animals.

David Nebreda - David Nebreda

David Nebreda de Nicolás(David Nebreda) was born on 08/01/1952 in Madrid. Spanish self-taught photographer. An artist who became famous for photographs of his body.

Graduated from the academy fine arts in Madrid. In 1971, at the age of 19, he distanced himself from his parents and stopped talking. From June to September 1972, he was for the first time undergoing compulsory treatment in a psychiatric hospital with a diagnosis of “paranoid schizophrenia, continuous type” (a total of 5 hospitalizations).

As he says, his life is pain. And this main topic his paintings.
From 1983 to 1989, David Nebreda painted a series of self-portraits that visually depicted his physical suffering.

From May to October 1989 and from June to October 1990, the first series of color photographs was created (the process was interrupted by two involuntary hospitalizations). This is a period of intense photographic activity and acute preoccupation with death. David Nebreda calls this the period of “brain invasion.”

After a while, David Nebreda covers the mirrors in his house with paper so that he can only look at himself “through self-portraits.”

Yes, I observed and studied the stranger who appeared in it [the mirror]. This was the period of the first series of color photographs. And from then on, when that hole opened up in my head, I decided that I would never look in the mirror again [. . .]

From 1992 to 1997, when David Nebreda emerges from the worst crisis of his life (nine months in prison), he lives in a state of isolation, “physical and mental quasi-paralysis.” In the second series of color photographs, the geometry is much clearer.

Audio recordings of conversations with a patient with schizophrenia, the patient explains his drawing.

Speech is replete with complex semantic constructions and terms, often used without understanding them. true meaning. The patient is interested in the process of thinking itself, and not the final thought. Reasonable thinking is devoid of clear content. The patient expresses himself inconsistently, floridly, and considers problems from the point of view of the most abstract positions (cosmology, religion, philosophy).

Sick broadcasts, wanting to “tell the world something.” Special vocabulary, special turns of phrase, a special position of the speaker, a special pathos intonation in the content of the monologue appear against the background of affective preoccupation, an increased tendency to make value judgments.