As many scholars have shown, regardless of its popularity today, the ‘mad scene’ of Lucia di Lammermoor was not popular in the several years that followed the premiere in 1835. In fact, audiences, critics and publishers of opera selections for the salon preferred the love duet of act 1 or the final scene of the opera when Edgardo kills himself upon hearing the news that Lucia is dead. In this article, I explore early nineteenth-century notions of hysteria, a disease that manifested with both physical and emotional symptoms. If undiagnosed, the individual suffering from the disease would experience muscle contractions, pupil dilations, delusions, cardiac arrest and eventual death. One of the seminal studies of hysteria in the first half of the nineteenth century was written by the French physician and medical historian Frédéric Dubois d'Amiens (1799–1873), who published in 1833 Histoire philosophique de l'hypochondrie et de l'hystérie, a 500-plus page investigation into the cause and cure of hysterics and hypochondriacs. Through an investigation of the diagnosis of hysteria in d'Amiens's work and the sound and look of hysteria in Donizetti's opera, now made more acute through familiarity with the newly invented stethoscope (1816, René Laennec) and its ability to deliver the internal sounds of the body, we can see how close the opera comes to mirroring the look and sound of the disease, which may explain the lack of enthusiasm and in some cases outright hostility to Lucia's fall into madness in the early reception of the work in France.
