"I, the undersigned, doctor of Medicine, Director of the Saint-Remy mental home, certify that the man, named Vincent van Gogh,.. ..at present domiciled in Arles.. ..suffered an attack of acute mania with visual and auditorial hallucinations that led him to mutilate himself by cutting off his ear. Today he appears to have regained his reasons but he does not feel he has the strength or the courage to live independently.."