Van Gogh had no recollection of the event, suggesting that he may have suffered an acute mental breakdown. The hospital diagnosis was "acute mania with generalised delirium", and within a few days the local police ordered that he be placed in hospital care. Gauguin immediately notified Theo, who on 24 December had proposed marriage to his old friend Andries Bonger's sister Johanna. That evening Theo rushed to the station to board a night train to Arles. He arrived on Christmas Day and comforted Vincent, who seemed to be semi-lucid. That evening he left Arles for the return trip to Paris.
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Albert Aurier praised his work in the Mercure de France in January 1890, and described him as "a genius". In February Van Gogh painted five versions of L'Arlésienne (Madame Ginoux), based on a charcoal sketch Gauguin had produced when she sat for both artists in November 1888.[note 10] Also in February, Van Gogh was invited by Les XX, a society of avant-garde painters in Brussels, to participate in their annual exhibition. At the opening dinner a Les XX member, Henry de Groux, insulted Van Gogh's work. Toulouse-Lautrec demanded satisfaction, and Signac declared he would continue to fight for Van Gogh's honour if Lautrec surrendered. De Groux apologised for the slight and left the group. Later, while Van Gogh's exhibit was on display with the Artistes Indépendants in Paris, Claude Monet said that his work was the best in the show. After the birth of his nephew, Van Gogh wrote, "I started right away to make a picture for him, to hang in their bedroom, branches of white almond blossom against a blue sky."
The most comprehensive primary source on Van Gogh is the correspondence between him and his younger brother, Theo. Their lifelong friendship, and most of what is known of Vincent's thoughts and theories of art, are recorded in the hundreds of letters they exchanged from 1872 until 1890. Theo van Gogh was an art dealer and provided his brother with financial and emotional support, and access to influential people on the contemporary art scene.
Van Gogh returned home a fortnight later and resumed painting, producing a mirror-image Self-Portrait with Bandaged Ear and Pipe, several still lifes, and La Berceuse (Woman Rocking a Cradle; Augustine-Alix Pellicot Roulin, 1851–1930). Several weeks later, he again showed symptoms of mental disturbance severe enough to cause him to be sent back to the hospital. At the end of April 1889, fearful of losing his renewed capacity for work, which he regarded as a guarantee of his sanity, he asked to be temporarily shut up in the asylum at Saint-Rémy-de-Provence in order to be under medical supervision.