The asylum at Saint-Remy was run by Dr Theophile Peyron, a former physician of the Navy, who appears to have been of minimal help medically to Van Gogh. The artist had formed a close relationship with an intern at the hospital in Aries, Dr Felix Rey, and had olso been friendly with the pastor in Aries, Reverend Salles, but on arrival at Saint-Remy he found himself isolated from any form of warm contact. He was unable to relate, intellectually or personally to the staff at the asylum, and this increased his sense of isolation.
Though the asylum offered him a framework for his life, removing the pressures of daily living, providing his meals and a network of supervisors, he was without friends. His paintings, that were always a reflection of the artist himself, for the most port became subdued in tone, as seen in The Road Menders made in the winter of November 1889, The overall yellow tonality pervading every aspect of the composition lends the whole a disquieting, sulphurous feel, while the dark outlined trees block the natural view into the scene and appear surreal. As Van Gogh's letter to his brother Theo in Paris On December 7 explain:
The last study I have done is a view of the village, where they were at work - under some enormous plane trees - repairing the pavements. So there are heaps of sand, stones and gigantic trunks - the leaves yellowing and here and there you get a glimpse of a house front and small figures."