In December, the strain of living with the difficult and antagonistic Gauguin reached a crisis after a violent argument. Vincent suffered a total mental collapse, experiencing auditory hallucinations and cutting off part of his left ear, possibly during an epileptic seizure while shaving. Vincent was taken to a hospital in Arles after presenting his severed ear to a prostitute at a local brothel as a gift–a last-ditch attempt at romance after so many failures and rejections. Vincent's "attacks" became fairly regular after this first major episode, and these fits of hallucinations, dementia, and seizures only increased in frequency until his suicide. In May 1889 Vincent left Arles for an asylum in St. Remy of his own accord. Vincent spent his time at the asylum (almost exactly one year) painting landscapes of the
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