Dorothea Dix

Dorothea Dix (born April 4, 1802, Hampden, District of Maine, Massachusetts [now in Maine], U.S.—died July 17, 1887, Trenton, New Jersey) was an American educator, social reformer, and humanitarian whose devotion to the welfare of the mentally ill led to widespread reforms in the United States and abroad.

Dix left her unhappy home at age 12 to live and study in Boston with her grandmother. By age 14 she was teaching in a school for young girls in Worcester, Massachusetts, employing a curriculum of her own devising that stressed the natural sciences and the responsibilities of ethical living. In 1821 she opened a school for girls in Boston, where until the mid-1830s periods of intensive teaching were interrupted by periods of ill health. She eventually abandoned teaching and left Boston.

After nearly two years in England Dix returned to Boston, still a semi-invalid, and found to her amazement that she had inherited a sum of money sufficient to support her comfortably for life. But her Calvinist beliefs enjoined her from inactivity. Thus in 1841, when a young clergyman asked her to begin a Sunday school class in the East Cambridge House of Correction in Massachusetts, she accepted the challenge. In the prison she first observed the inhumane treatment of insane and mentally disturbed persons, who were incarcerated with criminals, irrespective of age or sex. They were left unclothed, in darkness, without heat or sanitary facilities; some were chained to the walls and flogged. Profoundly shocked, Dix traveled for nearly two years throughout the state, observing similar conditions in each institution she examined. In January 1843 she submitted to the Massachusetts legislature a detailed report of her thoroughly documented findings. Her dignity, compassion, and determination were effective in helping to pass a bill for the enlargement of the Worcester Insane Asylum. Dix then moved on to Rhode Island and later New York.

In the next 40 years Dix inspired legislators in 15 U.S. states and in Canada to establish state hospitals for the mentally ill. Her unflagging efforts directly effected the building of 32 institutions in the United States. She carried on her work even while on a convalescent tour of Europe in 1854–56, notably in Italy, where she prevailed upon Pope Pius IX to inspect personally the atrocious conditions she had discovered. Where new institutions were not required, she fostered the reorganization, enlargement, and restaffing—with well-trained, intelligent personnel—of already existing hospitals.

In 1845 Dix published Remarks on Prisons and Prison Discipline in the United States to advocate reforms in the treatment of ordinary prisoners. In 1861 she was appointed superintendent of army nurses for Civil War service. She was ill-suited to administration, however, and had great difficulty with the post. After the war she returned to her work with hospitals. When she died, it was in a hospital that she had founded.