In the autumn of 1837, Miss Dix returned to America, and avoiding the New England climate, spent the winter in Washington, D. C., and its neighborhood. Apparently, it was not a wholly happy winter, chiefly because of her vain and tender longings for the paradise she had left across the sea. The Washington of 1837 seemed raw to her after the cultivated English home she had discovered. "I was not conscious," she writes a friend, "that so great a trial was to meet my return from England till the whole force of the contrast was laid before me.... I may be too craving of that rich gift, the power of sharing with other minds. I have drunk deeply, long, and Oh, how blissfully, at this fountain in a foreign clime. Hearts met hearts, minds joined with minds, and what were the secondary trials of pain to the enfeebled body when daily was administered the soul's medicine and food." Surely, that English experience was one upon which not every invalid from these shores could count, but when, a few years later, Miss Dix returned to England as a kind of angel of mercy, giving back much more than she had ever received, the Rathbone family must have been glad that they had befriended her in her obscurity and her need.
It was in 1841 at the age of thirty-nine that the second chapter in the life of Miss Dix began. Note that she had as little thought that she was beginning a great career as any one of us that he will date all his future from something he has done or experienced to-day. It happened that Dr. J. T. G. Nichols, so long the beloved pastor of the Unitarian parish in Saco, Maine, was then a student of Divinity at Cambridge. He had engaged to assist in a Sunday School in the East Cambridge jail, and all the women, twenty in number, had been assigned to him. The experience of one session with his class was enough to convince him that a young man was very much out of place in that position and that a woman, sensible if possible, but a woman certainly, was necessary. His mother advised him to consult Miss Dix. Not that her health would permit her to take the class, but she could advise. On hearing Mr. Nichols' statement, Miss Dix deliberated a moment and then said, "I will take the class myself." Mr. Nichols protested that this was not to be thought of, in the condition of her health, but we have heard of her iron will: "Fixed as fate we considered her," said one of her pupils; and she answered Mr. Nichols, "I shall be there next Sunday."
This was the beginning. "After the school was over," says Dr. Nichols, "Miss Dix went into the jail and found among the prisoners a few insane persons with whom she talked. She noticed that there was no stove in their rooms and no means of proper warmth." The date was the twenty-eighth of March and the climate was New England, from which Miss Dix had so often had to flee. "The jailer said that a fire for them was not needed, and would be unsafe. Her repeated solicitations were without success." The jailer must have thought he was dealing with a woman, not with destiny. "At that time the court was in session at East Cambridge, and she caused the case to be brought before it. Her request was granted. The cold rooms were warmed. Thus was her great work commenced."
Such is Dr. Nichols' brief statement, but the course of events did not run so smoothly as we are led to suppose. The case had to be fought through the newspapers as well as the court, and here Miss Dix showed the generalship which she exhibited on many another hard fought field. She never went into battle single-handed. She always managed to have at her side the best gunners when the real battle began. In the East Cambridge skirmish, she had Rev. Robert C. Waterston, Dr. Samuel G. Howe, and Charles Sumner. Dr. Howe visited the jail and wrote an account for the Boston Advertiser. When this statement was disputed, as it was, Mr. Sumner, who had accompanied Dr. Howe, confirmed his account and added details of his own. He said that the inmates "were cramped together in rooms poorly ventilated and noisome with filth;" that "in two cages or pens constructed of plank, within the four stone walls of the same room" were confined, and had been for months, a raving maniac and an interesting young woman whose mind was so slightly obscured that it seemed any moment as if the cloud would pass away; that "the whole prison echoed with the blasphemies of the poor old woman, while her young and gentle fellow in suffering seemed to shrink from her words as from blows;" that the situation was hardly less horrid than that of "tying the living to the dead."
Where was Miss Dix during this controversy? Why, she was preparing to investigate every jail and almshouse in the State of Massachusetts. If this was the way the insane were treated in the city of Cambridge, in a community distinguished for enlightenment and humanity, what might not be going on in more backward and less favored localities? Note-book in hand, going from city to city and from town to town, Miss Dix devoted the two following years to answering this question exhaustively.
Having gathered her facts, she presented them to the Legislature in a Memorial of thirty-two octavo pages, the first of a series of seventeen statements and appeals presented to the legislatures of different states, as far west as Illinois and as far south as Louisiana. "I shall be obliged," she said, "to speak with great plainness and to reveal many things revolting to the taste, and from which my woman's nature shrinks with peculiar sensitiveness.... I proceed, gentlemen, briefly to call your attention to the present state of insane persons within this Commonwealth, in cages, closets, cellars, stalls, pens, chained, naked, beaten with rods and lashed into obedience.... I give a few illustrations but description fades before reality." If we could dismiss the subject by saying she reports instance after instance where men and women were confined in the almshouses in Massachusetts in such conditions of inhumanity and neglect as no intelligent farmer would tolerate for his swine, we could avoid some unpleasant details; but the statement would be ineffective because it would seem incredible. At the almshouse in Danvers, confined in a remote, low, outbuilding, she found a young woman, once respectable, industrious and worthy, whose mind had been deranged by disappointments and trials. "There she stood," says Miss Dix, "clinging to or beating upon the bars of her caged apartment, the contracted size of which afforded space only for increasing accumulations of filth,—a foul spectacle; there she stood, with naked arms, dishevelled hair, the unwashed frame invested with fragments of unclean garments, the air so extremely offensive, though ventilation was afforded on all sides but one, that it was not possible to remain beyond a few moments without retreating for recovery to the outward air. Irritation of body, produced by utter filth and exposure, incited her to the horrid process of tearing off her skin by inches; her neck and person were thus disfigured to hideousness.... And who protects her," Miss Dix suggestively asks, "who protects her,—that worse than Pariah outcast,—from other wrongs and blacker outrages!" This question had more meaning for Miss Dix than we might suppose, for at the almshouse in Worcester she had found an insane Madonna and her babe: father unknown.
Fair and beautiful Newton finds a place in this chapter of dishonor, with a woman chained, nearly nude, and filthy beyond measure: "Sick, horror-struck, and almost incapable of retreating, I gained the outward air." A case in Groton attained infamous celebrity, not because the shame was without parallel but because the overseers of the poor tried to discredit the statements of Miss Dix. The fact was that she had understated the case. Dr. Bell of the McLean Asylum, confirmed her report and added details. In an outbuilding at the almshouse, a young man, slightly deranged but entirely inoffensive, was confined by a heavy iron collar to which was attached a chain six feet in length, the limit of his possible movements. His hands were fastened together by heavy clavises secured by iron bolts. There was no window in his dungeon, but for ventilation there was an opening, half the size of a sash, closed in cold weather by a board shutter. From this cell, he had been taken to the McLean Asylum, where his irons had been knocked off, his swollen limbs chafed gently, and finding himself comfortable, he exclaimed, "My good man, I must kiss you." He showed no violence, ate at the common table, slept in the common bedroom, and seemed in a fair way to recovery when, to save the expense of three dollars a week for his board and care, the thrifty Groton officials took him away. He could be boarded at the almshouse for nothing, and, chained in an outbuilding, he would not require any care.
We can follow Miss Dix in her career through a dozen states of this Union, into the British Provinces, to Scotland and England, thence across to the Continent, without repeating these details, if we bear in mind that such as we have seen was the condition of the pauper insane at that period. Her memorial was presented by Dr. S. G. Howe, then happily a member of the Legislature, and a bill was passed, not without opposition, but finally passed, enlarging the asylum at Worcester to accommodate two hundred additional patients. The provision was inadequate, but a reform of old abuses had begun. It was her first victory.
Grateful for what had been accomplished in Massachusetts, Miss Dix turned to Rhode Island, whose borders she had often approached and sometimes crossed in her investigations in the adjoining state. Rhode Island was perhaps not less civilized than her neighbor, but Rhode Island furnished the prize case of horrors in the mistreatment of insanity, a case which in a letter introducing the discoverer, Mr. Thomas G. Hazard said went beyond anything he supposed to exist in the civilized world. The case was this: Abraham Simmons, a man whose name ought to go on the roll of martyrdom, was confined in the town of Little Compton, in a cell seven feet square, stone-built, stone-roofed, and stone-floored, the entrance double-walled, double-doored and double-locked, "excluding both light and fresh air, and without accommodation of any description for warming and ventilation." When this dungeon was discovered, the walls were covered by frost a half inch in thickness; the bed was provided with two comfortables, both wet and the outer one stiffly frozen, or, as Miss Dix puts it, "only wet straw to lie upon and a sheet of ice for his covering." Lest two locks should not be enough to hold this dangerous man, his leg was tethered to the stone floor by an ox-chain. "My husband," said the mistress, "in winter, sometimes of a morning rakes out half a bushel of frost, and yet he never freezes; sometimes he screams dreadfully and that is the reason we had the double wall and two doors in place of one; his cries disturb us in the house." "How long has he been here?" "Oh, above three years." Nothing in the traditions of the Bastile could exceed these horrors, and yet they were not the product of intentional cruelty, but of unfathomable stupidity.
Disregarding the well-meant warnings of her attendant that he would kill her, Miss Dix took his hands, tried to warm them in her own, spoke to him of liberty, care and kindness, and for answer "a tear stole over his hollow cheeks, but no words answered my importunities." Her next step was to publish the terrible story in the Providence Journal, not with a shriek, as might have been expected and justified, but with the affected coolness of a naturalist. With grim humor, she headed her article, "Astonishing Tenacity of Life," as if it had only a scientific interest for anybody. If you doubted the statements, you might go and see for yourself: "Should any persons in this philanthropic age be disposed from motives of curiosity to visit the place, they may rest assured that travelling is considered quite safe in that part of the country, however improbable it may seem. The people of that region profess the Christian religion, and it is even said that they have adopted some forms and ceremonies which they call worship. It is not probable, however, that they address themselves to poor Simmons' God." Their prayers and his shrieks would make a strange discord, she thinks, if they entered the ear of the same deity.