Weir Mitchell Quotes

Show me the books he loves and I shall know the man far better than through mortal friends.

The failed deal crushed McClure, precipitating a nervous breakdown in April 1900 that propelled him to Europe to undergo the celebrated “rest-cure” devised by an American physician, S. Weir Mitchell. Prescribed for a range of nervous disorders, the rest cure required that patients remain isolated for weeks or even months at a time, forbidden to read or write, rigidly adhering to a milk-only diet. Underlying this regimen was the assumption that “raw milk is a food the body easily turns into good blood,” which would restore positive energy when pumped through the body.

During her time at Miss Porter’s School in Farmington she had often become depressed and was hobbled by fatigue. In 1887, when she was twenty, she wrote in her diary, “Tears come without any provocation. Headache all day.” The school’s headmistress and founder, Sarah Porter, offered therapeutic counsel. “Cheer up,” she told Theodate. “Always be happy.” It did not work. The next year, in March 1888, her parents sent her to Philadelphia, to be examined and cared for by Dr. Silas Weir Mitchell, a physician famous for treating patients, mainly women, suffering from neurasthenia, or nervous exhaustion. Mitchell’s solution for Theodate was his then-famous “Rest Cure,” a period of forced inactivity lasting up to two months. “At first, and in some cases for four or five weeks, I do not permit the patient to sit up or to sew or write or read,” Mitchell wrote, in his book Fat and Blood. “The only action allowed is that needed to clean the teeth.” He forbade some patients from rolling over on their own, insisting they do so only with the help of a nurse. “In such cases I arrange to have the bowels and water passed while lying down, and the patient is lifted on to a lounge at bedtime and sponged, and then lifted back again into the newly-made bed.” For stubborn cases, he reserved mild electrical shock, delivered while the patient was in a filled bathtub. His method reflected his own dim view of women. In his book Wear and Tear; or, Hints for the Overworked, he wrote that women “would do far better if the brain were very lightly tasked.

The next year, in March 1888, her parents sent her to Philadelphia, to be examined and cared for by Dr. Silas Weir Mitchell, a physician famous for treating patients, mainly women, suffering from neurasthenia, or nervous exhaustion. Mitchell’s solution for Theodate was his then-famous “Rest Cure,” a period of forced inactivity lasting up to two months. “At first, and in some cases for four or five weeks, I do not permit the patient to sit up or to sew or write or read,” Mitchell wrote, in his book Fat and Blood. “The only action allowed is that needed to clean the teeth.” He forbade some patients from rolling over on their own, insisting they do so only with the help of a nurse. “In such cases I arrange to have the bowels and water passed while lying down, and the patient is lifted on to a lounge at bedtime and sponged, and then lifted back again into the newly-made bed.” For stubborn cases, he reserved mild electrical shock, delivered while the patient was in a filled bathtub. His method reflected his own dim view of women. In his book Wear and Tear; or, Hints for the Overworked, he wrote that women “would do far better if the brain were very lightly tasked.

This is a work of fiction incorporating episodes from the lives of the historic J. Marion Sims, M.D. (1813–1883), “the Father of Modern Gynecology”; Silas Weir Mitchell, M.D. (1829–1914), “the Father of Medical Neurology”; and Henry Cotton, M.D. (1876–1933), the director of the New Jersey Lunatic Asylum from 1907 to 1930. Several passages, scattered through the text, have been adapted from passages in Sims’s The Story of My Life (1888). Particular thanks are due to Andrew Scull’s Madhouse: A Tragic Tale of Megalomania and Modern Medicine (Yale University Press, 2005), a chronicle of the life and career of Henry Cotton; and Elaine Showalter’s The Female Malady: Women, Madness, and English Culture (1830–1980) (Pantheon Books, 1985).

Professor Weir-Mitchell, the leading nerve specialist of America, with whom I had already had some dealings in my Paris days continued to send me his surplus of dilapidated millionaires and their unstrung wives. Their exuberant daughters who had invested their vanity in the first available Roman prince, also began to send for me in their sombre old palaces to consult me about their various symptoms of disillusion. The rest of the vast crowd of Americans followed like a flock of sheep.