As a result of psychotic crises, Vincent van Gogh was hospitalized sev
eral times during a period of about a year and a half from December 18
88 to May 1890. The author focuses on van Gogh's intense intrapsychic
struggle during this relatively brief but critical time. He discusses
how van Gogh's painting not only reflected his struggles but also enab
led him, for a time, to stave off the hopelessness and despair that ev
entually overwhelmed him, culminating in his suicide. After reviewing
possible factors in the artist's illness, the author agrees with other
s that the most persuasive explanation involves epileptic underpinning
s.