Dorothea Dix

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Dorothea Dix

Dorothea Lynde Dix (April 4, 1802 – July 17, 1887) was an activist on behalf of the indigent insane who, through a vigorous program of lobbying state legislatures and the United States Congress, created the first generation of American mental asylums.

Growing up in Worcester, then in her wealthy grandmother's home in Boston, Dix struggled to find a career in traditional female occupations: schoolteacher, governess, writer. None of these pursuits satisfied her ambition, and in her mid-thirties she suffered a debilitating breakdown. In hopes of a cure, in 1836 she traveled to England, where she had the good fortune to meet the Rathbone family, who invited her to spend a year as their guest at Greenbank, their ancestral mansion in Liverpool. The Rathbones were Quakers and prominent social reformers, and at Greenbank Dix met men and women who believed that government should play a direct, active role in social welfare. She was also exposed to the British lunacy reform movement, whose methods involved detailed investigations of madhouses and asylums, the results of which were published in reports to the House of Commons.

After she returned to America, in 1840-41 Dix conducted a statewide investigation of how her home state of Massachusetts cared for the insane poor. She published the results in a fiery pamphlet, a Memorial, to the state legislature. "I proceed, Gentlemen, briefly to call your attention to the present state of Insane Persons confined within this Commonwealth, in cages, stalls, pens! Chained, naked, beaten with rods, and lashed into obedience." The outcome of her lobbying was a bill to expand the state's mental hospital. Henceforth, Dix traveled from New Hampshire to Louisiana, documenting the condition of pauper lunatics, publishing memorials to state legislatures, and devoting enormous personal energy to working with committees to draft the appropriations bills needed to build asylums. She was instrumental in the founding of the first public mental hospital in Pennsylvania, the Harrisburg State Hospital, and later in establishing its library and reading room in 1853. [1] The culmination of her work was legislation to set aside 10,000,000 acres of Federal land, with proceeds from its sale distributed to the states to build and maintain asylums. Dix's land bill passed both houses of congress, but in 1854 President Franklin Pierce vetoed it, arguing that the federal government should not involve itself in social welfare.

Stung by the defeat of her land bill, in 1854-55 Dix traveled to England and Europe, where she reconnected with the Rathbones and conducted investigations of Scotland's madhouses that precipitated the Scottish Lunacy Commission.

During the Civil War, Dix was appointed Superintendent of Army Nurses. Unfortunately the qualities that made her a successful crusader—independence, single-minded zeal—did not lend themselves to managing a large organization of nurses. She was gradually relieved of real responsibility and would consider this chapter in her career a failure.

She spent her last years living as a guest in the New Jersey State Hospital in Trenton.


Notes

  1. Historic Asylums article on Harrisburg State Hospital. The Dorothea Dix Museum and Library founded in 1853 is located at the Harrisburg State Hospital.

Recommended Reading

  • Gollaher, David: Voice for the Mad: The Life of Dorothea Dix, (The Free Press, 1995)

References
ISBN links support NWE through referral fees

  • Bumb, Jenn. "Dorothea Dix." Women's Intellectual Contributions to the Study of Mind and Society.


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