Dorothea Lynde Dix
Born	(1802-04-04)April 4, 1802 Hampden, Maine, U.S.
Died	July 17, 1887(1887-07-17) (aged 85) Trenton, New Jersey, U.S.
Occupation	Social reformer
Parents	Joseph Dix Mary Bigelow

Dorothea Lynde Dix (April 4, 1802 – July 17, 1887) was an American 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. During the Civil War, she served as Superintendent of Army Nurses.

Early life[link]

She was born in the town of Hampden, Maine, and grew up first in Worcester, Massachusetts, and then in her wealthy grandmother's home in Boston. She fled there at the age of twelve, to get away from her alcoholic family and abusive father. She was the first child of three born to Joseph Dix and Mary Bigelow. Her father was an itinerant worker.^[1][a] About 1821 she opened a school in Boston, which was patronized by the well-to-do families. Soon afterwards she also began teaching poor and neglected children at home. But her health broke down, and from 1824 to 1830 she was chiefly occupied with the writing of books of devotion and stories for children. Her Conversations on Common Things (1824) had reached its sixtieth edition by 1869. In 1831 she established in Boston a model school for girls, and conducted this successfully until 1836, when her health again failed.^[2] 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.

Antebellum career[link]

Dix circa 1850-55

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. In most cases, towns contracted with local individuals to care for people with mental disorders who could not care for themselves, and who lacked family and friends to provide for them. Unregulated and underfunded, this system produced widespread abuse. After her survey, Dix published the results in a fiery report, 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."^[3] The outcome of her lobbying was a bill to expand the state's mental hospital in Worcester.

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 enabling legislation and appropriations bills needed to build asylums. In 1846, Dix travelled to Illinois to study its treatment of mental illness. She became ill and spent the winter of 1846 in Springfield, Illinois recovering, but her report was ready for the January 1847 legislative session, which promptly adopted legislation establishing Illinois' first state mental hospital.^[4] In 1848, Dorothea Dix visited North Carolina and called for reform in the care of mentally ill patients. In 1849, when the North Carolina State Medical Society was formed, the construction of an institution in the capital, Raleigh, for the care of mentally ill patients was authorized. The hospital, named in honor of Dorothea Dix, opened in 1856.^[5] The Dorothea Dix Hospital is threatened to close because of budget shortfalls as of October 2010^[update].^[6] 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.^[7]

The culmination of her work was the Bill for the Benefit of the Indigent Insane, legislation to set aside 12,225,000 acres (49,473 km²) of Federal land (10,000,000 acres (40,000 km²) for the benefit of the insane and the remainder for the "blind, deaf, and dumb"), 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 commit itself to social welfare, which was properly the responsibility of the states. Stung by the defeat of her land bill, in 1854 and 1855 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.^[8]

"Fountain for thirsty horses Dix gave to the city of Boston to honor the MSPCA

The Civil War[link]

During the American Civil War, Dix was appointed Superintendent of Army Nurses by the Union Army, beating out Dr. Elizabeth Blackwell. Unfortunately, the qualities that made her a successful crusader—independence, single-minded zeal—did not lend themselves to managing a large organization of female nurses.

Dix set guidelines for nurse candidates. Volunteers had to be between the ages of 35 and 50 and had to be plain-looking. They also had to wear drab and unhooped black or brown dresses and were forbidden to wear jewelry or cosmetics. Dix did this to avoid sending vulnerable, attractive young women into the hospitals, where she feared they would be exploited by the men there (doctors as well as patients). Dix would often fire volunteer nurses she hadn't personally trained or hired (earning the ire of supporting groups like the United States Sanitary Commission).

At odds with Army doctors, Dix feuded with them over control of medical facilities and the hiring and firing of nurses. She also had to deal with doctors and surgeons who did not want female nurses in their hospitals. To solve the impasse, the War Department introduced Order No.351 in October 1863.^[9] It granted both the Surgeon General (Joseph K. Barnes) and the Superintendent of Army Nurses (Dix) the power to appoint female nurses. However, it gave doctors the power of assigning employees and volunteers to hospitals. This relieved Dix of real responsibility and made her a figurehead. Meanwhile, her fame and influence was being eclipsed by other prominent women like Dr. Mary Edwards Walker and Clara Barton. She submitted her resignation in August 1865^[9] and would later consider this "episode" in her career a failure.

However, her even-handed caring for Union and Confederate wounded alike, which may not have endeared her to Radical Republicans, assured her memory in the South. Her nurses provided what was often the only care available in the field to Confederate wounded. Georgeanna Woolsey, a Dix nurse, said, "The surgeon in charge of our camp...looked after all their wounds, which were often in a most shocking state, particularly among the rebels. Every evening and morning they were dressed." Another Dix nurse, Julia Susan Wheelock, said, "Many of these were Rebels. I could not pass them by neglected. Though enemies, they were nevertheless helpless, suffering human beings." When Robert E. Lee retreated from Gettysburg, over 5000 wounded Confederate soldiers were left behind which were then treated by Dix's nurses, like Cornelia Hancock who wrote about what she saw—"There are no words in the English language to express the suffering I witnessed today...."^[10]

Postwar life[link]

Following the war, she resumed her crusade to improve the care of prisoners, the disabled, and the mentally ill. Her first step was to review the asylums and prisons in the South to evaluate the damage done to their facilities.

In 1881, Dix moved into the New Jersey State Hospital, Morris Plains, where the state legislature designated a suite for her private use as long as she lived. Although an invalid, she still managed to correspond with people from England to Japan. Dix died on July 17, 1887. and was buried in Mount Auburn Cemetery in Cambridge, Massachusetts.

Honors[link]

Dix was elected President for Life of the Army Nurses' Association (a social club for Civil War Volunteer Nurses), but had little to do with the organization. She even opposed its efforts to get military pensions for its members.^[9]

In 1983^[11] the United States Postal Service honored her life of charity and service by issuing a 1¢ Dorothea Dix Great Americans series postage stamp.

See also[link]

• Kirkbride Plan
• Dorothea Dix Hospital
• Other nurses of the American Civil War
  • Addie L. Ballou
  • Louisa Hawkins Canby
  • Helen L. Gilson

Works[link]

• . (1829), The Garland of Flora, Boston: S.G. Goodrich & Co., and Carter & Hendee, http://books.google.com/books?id=qoAuAAAAYAAJ&printsec=frontcover&dq=The+Garland+of+Flora&hl=en&ei=LrzdTLqyLoTsuAOQnZzpDg&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCkQ6AEwAA#v=onepage&q&f=false, retrieved 12 November 2010  Published anonymously 
• . (1845), Remarks on Prisons and Prison Discipline in the United States, 2nd edition, from the 1st Boston edition, Philadelphia: Joseph Kite & Co, http://www.archive.org/stream/remarksonprison00dixgoog#page/n4/mode/1up, retrieved 12 November 2010 
• . (February 1847), Memorial of Miss D. L. Dix in Relation to the Illinois Penitentiary, http://www.archive.org/stream/memorialofmissdl00dixd#page/n5/mode/2up, retrieved 12 November 2010 
• . (March 5, 1852), Memorial of Miss D. L. Dix to the Hon. The General Assembly in Behalf of the Insane of Maryland, http://www.archive.org/stream/memorialofmissdl1852dixd#page/n1/mode/2up, retrieved 12 November 2010 

She wrote a variety of other tracts on prisoners. She is also the author of many memorials to legislative bodies on the subject of lunatic asylums and reports on philanthropic subjects.

For young readers[link]

• . (1828. First published 1824), Conversations on Common Things, or, Guide to Knowledge, with Questions (3rd ed.), Boston: Monroe & Francis, http://www.archive.org/stream/conversationson00dixgoog#page/n6/mode/1up, retrieved 12 November 2010  Also Google Books. Note: other replications of this book are also available via Google Books.
• Alice and Ruth
• Evening Hours

and other books.

Notes[link]

References[link]

•  "Dix, Dorothea Lynde". Appletons' Cyclopædia of American Biography. 1900. 

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Further reading[link]

• Baker, Rachel. Angel of Mercy; The Story of Dorothea Lynde Dix. New York: Messner, 1955.
• Brown, Thomas J. Dorothea Dix: New England Reformer. Cambridge, Mass: Harvard University Press, 1998.
• Dix, Dorothea Lynde, and David L. Lightner. Asylum, Prison, and Poorhouse: The Writings and Reform Work of Dorothea Dix in Illinois. Carbondale, Ill: Southern Illinois University Press, 1999.
• Gollaher, David (1995), Voice for the Mad: The Life of Dorothea Dix, New York: Free Press, ISBN 978-0-02-912399-7  Alternative ISBN 0-02-912399-2 
• Lowe, Corinne. The Gentle Warrior, A Story of Dorothea Lynde Dix. New York: Harcourt, Brace, 1948.
• Marshall, Helen E. Dorothea Dix: Forgotten Samaritan. Chapel Hill: The University of North Carolina press, 1937.
• Norman, Gertrude. Dorothea Lynde Dix. Lives to remember. New York: Putnam, 1959.
• Rothman, David J; Marcus, Steven; Kiceluk, Stephanie A (editors) (2003), "Dorothea L. Dix (1802-1887): On Behalf of the Insane Poor", in ., Medicine and Western Civilization, New Brunswick, New Jersey: Rutgers University Press, pp. 352–359, ISBN 0-8135-2189-0, http://books.google.com/books?id=leFb693EivwC&pg=PA352&dq=%22Dorothea+L.+Dix%22+granddaughter&hl=en&ei=54_dTMepO4excYLb9NgL&sa=X&oi=book_result&ct=result&resnum=4&ved=0CDIQ6AEwAw#v=onepage&q=%22Dorothea%20L.%20Dix%22%20granddaughter&f=false, retrieved 12 November 2010  Paperback ISBN 0-8135-2190-4 
• Schlaifer, Charles, and Lucy Freeman. Heart's Work: Civil War Heroine and Champion of the Mentally Ill, Dorothea Lynde Dix. New York: Paragon House, 1991.
• Tiffany, Francis (1890), The Life of Dorothea Lynde Dix, Boston & New York: Houghton, Mifflin & Co, http://www.archive.org/stream/lifedorothealyn00tiffgoog#page/n12/mode/2up, retrieved 12 November 2010  See Internet Archive for other listings of this book 
• Wilson, Dorothy Clarke. Stranger and Traveler: The Story of Dorothea Dix, American Reformer. Boston: Little, Brown, 1975.
• Wood, Alice Davis. Dorothea Dix and Dr. Francis T. Stribling: An Intense Friendship, Letters 1849-1874. [S.l.]: Xlibris, 2008.

For young readers[link]

• Colman, Penny. Breaking the Chains: The Crusade of Dorothea Lynde Dix. White Hall, Va: Shoe Tree Press, 1992.
• Herstek, Amy Paulson. Dorothea Dix: Crusader for the Mentally Ill. Historical American biographies. Berkeley Heights, NJ: Enslow Publishers, 2001.
• Malone, Mary, and Katharine Sampson. Dorothea L. Dix: Hospital Founder. A Discovery biography. New York: Chelsea Juniors, 1991.
• Muckenhoupt, Margaret. Dorothea Dix: Advocate for Mental Health Care. Oxford portraits. New York: Oxford University Press, 2003.
• Schleichert, Elizabeth, and Antonio Castro. The Life of Dorothea Dix. Pioneers in health and medicine. Frederick, Md: Twenty-First Century Books, 1992.
• Witteman, Barbara. Dorothea Dix: Social Reformer. Let freedom ring. Mankato, Minn: Bridgestone Books, 2003.

External links[link]

• Descendants of Thomas Hastings website
• Descendants of Thomas Hastings on Facebook