Introductory Note: By 1856 Catharine Beecher was well known for her campaign to open the teaching profession to women, which had achieved a good deal of success by then, and for her best-selling Treatise on Domestic Economy, a work which detailed the "correct" way to do virtually everything connected with running a household. The Treatise not only contained instructions on how to wash and iron clothes, make candles and soap, and perform other chores but also recipes for home remedies for a variety of common ailments. It also contained floorplans for model kitchens, bedrooms, and parlors. Beecher, in short, was well-established in the trade of giving advice.

Her Letters to the People holds several claims on the historian's interest. First, it strikingly illustrates the widely-held conviction among middle-class Northerners at mid-century that they were not as physically robust as their ancestors. Many shared Beecher's fear that the decline was so sharp, especially the female half of the population, that Americans of British ancestry faced extinction unless drastic measures were taken. One way to see this is to explore the claims made on behalf of the innumerable water cure spas and other health establishments.

Beecher also intended the Letters to sound a different sort of warning -- to women about the dangers of sexual exploitation by their physicians. This was a delicate as well as an inflamatory issue, and Beecher sought the advice, she wrote in an introductory note, of a number of "ladies" noted for their discretion. All assured her that her book met the highest standards of propriety. What they meant was that women could safely read the book without fear that its sensational subject matter might itself undermine their morals or affront their sensibilities.

Beecher also sought the assistance of a female physician, the co-proprietor with her husband of a "water cure" spa in Elmira, New York. Mrs. Dr. Gleason -- and Beecher invariably used both titles in referring to her -- assured their readers in a "Note" that the "treatments" which exploitative doctors claimed to be providing had no medical validity. She also took up a second, equally controversial issue -- the "secret vice" practiced by too many children and youths. This, she and Beecher were both convinced, was increasing dramatically. Gleason blamed servants and students at boarding schools for teaching innocents this vice, but she also admitted that some children "accidentally" discovered it on their own.

Letters to the American People on Health and Happiness, in short, is a valuable guide to popular ideas about health, particularly among women, and to popular fears about sexual exploitation of women and about the seeming sexual precocity of the rising generation.


Catharine E. Beecher, Letters to The People on Health and Happiness (New York: Harper & Brothers, 1856)

P. 7: LETTER FIRST.

My Friends:

Will you let me come to you in your work-shop, or office, or store, or study? And you, my female friends, may I enter your nursery, your parlor, or your kitchen? I have matters of interest to present in which every one of you has a deep personal concern.

I have facts to communicate, that will prove that the American people are pursuing a course, in their own habits and practices, which is destroying health and happiness to an extent that is perfectly appalling. Nay more, I think I shall be able to show, that the majority of parents in this nation are systematically educating the rising generation to be feeble, deformed, homely, sickly, and miserable; as much so as if it were their express aim to commit so monstrous a folly.

I think I can show also, that if a plan for destroying female health, in all the ways in which it could be most effectively done, were drawn up, it would be exactly the course which is now pursued by a large portion of this nation, especially in the more wealthy classes.

. . . . . . . . . .

Letter fourteenth

Pp. 88-89: . . .A large majority of the mothers and daughters of the nation adopt a style of [p. 89] dress that is exactly calculated to produce disease and deformity.

In the first place, they dress the upper portion of the body so thin [sic], that the spine and chest are exposed to sudden and severe changes of temperature in passing from warm to cold rooms, and this tends to weaken that portion. Then they accumulate such loads of clothing around the lower parts of the body, as debililtates the spine and pelvic organs by excess of heat. At the same time, they bind the ribs so tight, that there is constant lateral pressure against one side of the spine, tending to produce a curvature that distorts one shoulder and one hip. At the same time the weight of clothing on the hips and abdomen presses down on the most delicate and important organs of life to move them from their proper positions, while pointed bodices, with whalebone pressure, co-operate as a lever in front, to accomplish the same shocking operation. The efforts of the Chinese mother in binding up her child's foot to distortion, is wisdom compared with the murderous folly thus perpetrated or tolerated by thousands of mothers and daughters in this Christian and enlightened age and nation. And the most terrible feature of this monstrous course is, that the evil thus achieved by a mother is often transmitted to her deformed offspring.

P. 90 [after discussing the importance of exercise] There is one mode of exercise that is very common, and is earnestly defended on the ground of its healthful tendencies, and that is the dance. There is no doubt that the Creator, when he implanted that strong love of measured exercise to the sound of music, intended that it should be gratified. . . .But how is the dance usually conducted?

In the first place, it is commonly in the night season, when quiet is better than exercise. Next, it is in rooms where the air is vitiated by many lights and many breaths, and where quiet is far better than a quickened circulation. Next, the clothing of the female portion of the performers is usually the very worst that could be selected for such an occasion -- too thin about the chest and too heavy below it. Then, before the night is passed, the stomach, which should rest when the muscles are exercised, is loaded with the most unhealthful of all kinds of foods, condiments, and drinks.

Pp. 90-91: When another generation has been trained to understand and obey [p. 91] the laws of health, the beautiful and health-giving dance will be rescued from its profanation and abuse. But in its present state of degradation, entire abstinence is probably the safest rule; for those who venture only a few steps will probably soon be drawn far beyond their first intentions, while their views of right and expediency will gradually sink . . . .

Pp. 93-94 [after discussing the impurity of the air in workplaces and elsewhere]: To add to the mischief of vitiated air, young women are generally girt so tight around the body, that the lower part of the lungs, where the air-cells most abound, are rarely used. Abdominal breathing has ceased among probably a majority of American women. The ribs are also girt so tight, in many cases, that even the full inspiration at the top of the lungs is impossible. And this custom has operated so, from parent to child, that a large portion of the female children now born have a deformed thorax, that has [p. 94] room only for imperfectly formed lungs. The full round chest of perfect womanhood is a specimen rarely seen, and every day diminishing in frequency.

. . . . .

LETTER SIXTEENTH.

P. 106: . . .The man of study or of business sleeps all night in bad air; then he goes to his office, store, or shop, with uncleansed skin to breathe bad air all day; then at his meals he takes meat, which is the most stimulating food, and condiments to stimulate appetite. These make him eat more than he needs, or he has such a variety as tempts to an overloaded stomach. Then he drinks tea, coffee, and perhaps alcohol, to stimulate the brain and nerves to increased action. Then he keeps tobacco in his mouth, to stimulate another portion of his brain. Then he stimulates the brain with anxiety, or business cares, or study, or deep thought all day long, without the relaxation of amusement or the refreshment of muscular exercise. And then at night he returns, exhausted, to sleep again in bad air, and next day renews the same exhausting process. Thus it is stimulate, stimulate, stimulate the brain, from year's end to year's end, till disease interrupts or death ends the career. Or, in other cases, the man becomes a pale, delicate, infirm being, every function and organ ministering feebly to a half-living man. Thus it is that an active, vigorous, well-formed, healthy manhood is so rarely seen in this nation.

At the same time, a vast portion of the women of our nation are pursuing a course equally abusive of the brain and nervous system. As a general rule, woman originally is organized more delicately than the other sex, have a constitution that can not bear either labor or long or strong mental excitement as can the more vigorous sex. Then all her physical training is less invigorating that that of man. Then her pursuits, as a wife, mother, and housekeeper, are more complicated, less systematized, and less provided with well-trained assistants than the professions of men. American women have inherited from the English nation the notions [p. 107] of thrift, economy, industry, system, thoroughness, and comfort, which show strongly in contrast to the habits of the lower classes of the Irish, German, and African races. And yet all their plans and efforts must be carried out mainly by poorly-trained menials of these nations.

P. 108: The great majority of American women have their brain and nervous system exhausted by too much care and too much mental excitement in their daily duties; while another class, who lilve to be waited on and amused, are as great sufferers for want of some worthy object in life, or from excesses in seeking amusement.

P. 109: Little girls are especial sufferers in all that appertains to health. They must be housed most of the time in heated and impure air, and then when allowed to go abroad, they must wear thin slippers, and must not romp and run like the boys. And then, as they come to the most trying and critical period of life, the stimulation of the brain increases, the exercise diminishes, and the onstrous fashions that bring distortion and disease are assumed.

LETTER EIGHTEENTH.

Statistics of Female Health.

P. 121: During my extensive tours in all portions of the Free States, I was brought into most intimate communion, not only with my widely-diffused circle of relatives, but with very many of my former pupils who had become wives and mothers. From such, I learned the secret domestic history . . . . And oh! What heartaches were the result of these years of quiet observation of the experiences of my sex in domestic life. How many young hearts have revealed the fact, that what they had been trained to imagine the highest earthly felicity, was but the beginning of care, disappointment, and sorrow, and often led to the extremity of mental and physical suffering. Why was it that I was so often told that "young girls little imagined what was before them when they entered married life?" Why did I so often find those united to the most congenial and most devoted husbands expressing the hope that their daughters would never marry?

P. 121: . . .the more I traveled, and the more I resided in health establishments, the more the conviction pressed on my attention that there was a terrible decay of female health all over the land, and that this evil was bringing with it an incredible amount of individual, domestic, and social suffering that was increasing in a most alarming ratio.

P. 122 [so Beecher determined to take a survey of female health]: I requested each lady first to write the initals of ten of the married ladies with whom she was best acquainted in her place of residence. Then she was requested to write at each name, her impressions as to the health of each lady. In this way, during the past year, I obtained statistics from about two hundred different places in almost all the Free States.

Before giving any of these, I will state some facts to show how far they are reliable: In the first plalce, the standard of health among American women is so low that few have a correct idea of what a healthy woman is. . . .A woman who has tolerable health finds herself so much above the great mass of her friends in this respect, that she feels herself prodigy of good health.

In the next place, I have found that women who enjoy universal health are seldom well informed as to the infirmities of their friends. Repeatedly I have taken accounts from such persons, that seemed singularly favorable, when, on more particular inquiry, it was found that the greater part, who were set down as perfectly healthy women, were habitual sufferers from serious ailments. The delicate and infirm go for sympathy, not to the well and bouyant, but to those who have suffered like themselves.

P. 123: It must be remembered, that in regard to those marked as "sickly," "delicate," or "feeble," there can be no mistke, the knowledge being in all cases positive, while those marked as "well" may have ailments that are not known. For multitudes of American women, with their strict notions of propriety, and their patient and energetic spirit, often are performing every duty entirely silent as to any suffering or infirmities they may be enduring.

. . . . . . .

A "perfectly healthy" or "a vigorous and healthy woman" is one of whom there are specimens remaining in almost every place; such as used to abound when all worked, and worked in pure air.

Such a woman is one who can through the whole day be actively employed on her feet in all kinds of domestic duties without injury, and constantly and habitually has a feeling of perfect health and perfect freedom from pain. Not that she never has a fit of sicknesss, or takes a cold that interrupts the feeling of health, but that these are out of her ordinary experience.

A woman is marked "well" who usually has good health, but can not bear exposures, or long and great fatigue, without consequent illness.

A woman is marked "delicate" who, though she may be about and attend to most of her domestic employments, has a frail constitution that either has been undermined by ill health, or which easily and frequently yields to fatigue, or exposure, or excitement.

P. 129: I will now add my personal observation. First, in my own family connection: I have nine married sisters and sisters-in-law, all of them either delicate or invalids, except two. I have fourteen married cousins, and not one of them but is either delicate, often ailing, or an invalid. In my wide circle of friends and acquaintance all over the land out of my family circle, the same impression is made. In Boston I can not remember but one married female who is perfectly healthy. . . .I am not able to recall, in my immense circle of friends and acquaintance all over the Union, so many as ten married ladies born in this century and country, who are perfectly sound, healthy, and vigorous.

Pp. 132-133: Let these considerations now be taken into account. The generation represented in these statistics, by universal consent, is a feebler one than that which immediately preceded. Knowing the changes in habits of living, in habits of activity, and in respect to pure air, we properly infer that it must be so, while universal testimony corroborates the inference.

The present generation of parents, then, have given their children, so far as the mother has hereditary influence,1 feebler constitutions than the former generation received, so that most of our young girls have started in life with a more delicate organization than their mothers. Add to this the sad picture given in a former letter of all the abuses of [p. 133] health suffered by the young during their early education, and what are the present prospects of the young women who are now entering married life?

This view of the case, in connection with some dreadful developments which will soon be indicated, proved so oppressive and exciting that it has been too painful and exhausting to attempt any investigation as to the state of health among young girls.

LETTER NINETEENTH.

Abuses of Medical Treatment.

P. 136: In my travels I have met persons of both sexes, of the highest cultivation and refinement, whose conduct was every way reputable, and whose morals were never in any way impeached, who freely advocated the doctrine that there was no true marriage but the union of persons who were in love; that such union needed not legal or religious rites, and that it was only held together by such restraints, who, having ceased to love each other, were guilty of adultry in the only proper sense of the word. I have seen books and papers freely circulated that advocate the same view by the most plausible arguments.

Then, again, there are articles on physiology circulated freely, that maintain that the exercise of all the functions of body and mind is necessary to health, and that no perfectly-developed man or woman is possible, so long as any of the functions and propensities are held in habitual constraint. With these creeds is usually combined an entire want of reverence for the Bible as authoritative in teaching truth or regulating morals.

Let us now suppose the case of a physician, neither better nor worse than the majority of that honorable profession. He has read the writings of the semi-infidel school, till he has lost all reverence for the Bible as authoritative in faith or practice. Of course he has no guide left but his own feelings and notions. Then he gradually adopts the above views in physiology and social life, and really believes them to be founded on the nature of things, and the intuitive teachings of his own mind. Next he has patients of interesting person and character put under his care, and he very naturally takes the means, which these books and papers in his reach afford, to lead them to adopt his views of truth and right on these subjects. Then he daily has all the opportunities indicated [to prey sexually upon his patients]. Does any one need more than to hear these facts to know what the not infrequent results must be?

P. 137: So numerous and unsought, and from so many different and unsuspected directions, and these cases involved so many guilty perpetrators, not only of those connected with health establishments but in private practice, that a most difficult and painful responsibility became apparent.

After extensive consultation as to what should be done, it has been decided that these intimations and an article from a medical source prepared for the purpose [Note I. Communication From Mrs. Dr. R. B. Gleason, pp. 1*-16*], would furnish sufficient warning without any details.

A terrific feature of these developments has been the entire helplessness of my sex, amidst present customs and feelings, as to any redress for such wrongs, and the reckless and conscious impunity felt by the wrong-doers on this ac-[p. 138]count. What can a refined, delicate, sensitive woman do when thus insulted? The dreadful fear of publicity shuts her lips and restrains every friend.

P. 138: Another alarming feature has been the character of several of the physicians implicated. After intimate acquaintance with several of them, I was impressed with the belief that they were, at least, men of benevolence and professional honor, while in some cases their conversation and deportment led to the hope they were persons of consistent piety.


Some initial reflections:

Despite the inadequacy of Beecher's survey, her "findings" reflect the common perception of the day that middle- and upper-class women were less healthy than their mothers and grandmothers. A quick way of seeing how pervasive this view was is to look at some of the advertisements of the period. Here are several from Frederick Douglass' North Star. This belief, reinforced by the new sentimentality about death, especially the death of young women, helped create a cultural ambiance in which Cora Hatch could flourish.

Beecher also sought to raise the alarm about doctors who sexually exploited female patients. Her explanation centered, perhaps surprisingly, not on the character of the doctors, but on more general developments in medicine and in religion. Indeed she concluded:

After intimate acquaintance with several of them, I was impressed with the belief that they were, at least, men of benevolence and professional honor, while in some cases their conversation and deportment led to the hope they were persons of consistent piety.

A few pages earlier she wrote:

Let us now suppose the case of a physician, neither better nor worse than the majority of that honorable profession. He has read the writings of the semi-infidel school, till he has lost all reverence for the Bible as authoritative in faith or practice. Of course he has no guide left but his own feelings and notions. Then he gradually adopts the above views in physiology and social life, and really believes them to be founded on the nature of things, and the intuitive teachings of his own mind. Next he has patients of interesting person and character put under his care, and he very naturally takes the means, which these books and papers in his reach afford, to lead them to adopt his views of truth and right on these subjects. Then he daily has all the opportunities indicated [to prey sexually upon his patients]. Does any one need more than to hear these facts to know what the not infrequent results must be?

However exaggerated her view of female health, Beecher's notion that the sexual exploitation of women by their doctors was "not infrequent" was well-founded. The view of physiology she pointed to, that every bodily function required exercise to maintain overall health, was wide-spread. It is our stereotyped view of Victorian America which leads us to believe, against the available evidence, that contemporaries did not discuss sex or sexuality. Spiritualism, as the Hatch Divorce Case illustrates, achieved significant notoreity precisely because its adherents allegedly practiced "Free Love."

There was a good deal of sexual experimentation during the period, ranging from John Humphrey Noyes' Oneida community (which practiced a kind of controlled polygamy called "sexual communion") to the celibate Shaker Villages to the Mormons. As a result, while the supposed licentiousness of spiritualists undoubtedly frigthened and horrified many, it attracted others.