Elizabeth Blackwell
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Elizabeth Blackwell (3 February 182131 May 1910) was a British physician, notable as the first woman to receive a medical degree in the United States, and the first woman on the Medical Register of the
General Medical Council The General Medical Council (GMC) is a public body that maintains the official register of medical practitioners within the United Kingdom. Its chief responsibility is to "protect, promote and maintain the health and safety of the public" by ...
for the United Kingdom. Blackwell played an important role in both the United States and the United Kingdom as a social awareness and moral reformer, and pioneered in promoting education for women in medicine. Her contributions remain celebrated with the Elizabeth Blackwell Medal, awarded annually to a woman who has made a significant contribution to the promotion of women in medicine. Blackwell was initially uninterested in a career in medicine, especially after her schoolteacher brought in a bull's eye to use as a teaching tool for studying the anatomy enabling vision. Therefore, she became a schoolteacher in order to support her family. This occupation was seen as suitable for women during the 1800s; however, she soon found it unsuitable for her. Blackwell's interest in medicine was sparked after a friend fell ill and remarked that, had a female doctor cared for her, she might not have suffered so much. Blackwell began applying to medical schools and immediately began to endure the prejudice against her sex that would persist throughout her career. She was rejected from each medical school she applied to, except
Geneva Medical College Geneva Medical College was founded on September 15, 1834, in Geneva, New York, as a separate department (college) of Geneva College, currently known as Hobart and William Smith Colleges. In 1871, the medical school was transferred to Syracuse ...
, in which the male students voted for Blackwell's acceptance. Thus, in 1847, Blackwell became the first woman to attend medical school in the United States. Blackwell's inaugural
thesis A thesis ( : theses), or dissertation (abbreviated diss.), is a document submitted in support of candidature for an academic degree or professional qualification presenting the author's research and findings.International Standard ISO 7144 ...
on
typhoid fever Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over severa ...
, published in 1849 in the '' Buffalo Medical Journal'', shortly after she graduated, was the first medical article published by a female student from the United States. It portrayed a strong sense of
empathy Empathy is the capacity to understand or feel what another person is experiencing from within their frame of reference, that is, the capacity to place oneself in another's position. Definitions of empathy encompass a broad range of social, co ...
and sensitivity to human suffering, as well as strong advocacy for economic and
social justice Social justice is justice in terms of the distribution of wealth, opportunities, and privileges within a society. In Western and Asian cultures, the concept of social justice has often referred to the process of ensuring that individuals ...
. This perspective was deemed by the medical community as feminine. Blackwell also founded the New York Infirmary for Women and Children with her sister Emily Blackwell in 1857, and began giving lectures to female audiences on the importance of
educating girls Female education is a catch-all term of a complex set of issues and debates surrounding education (primary education, secondary education, tertiary education, and health education in particular) for girls and women. It is frequently called girl ...
. She also played a significant role during the
American Civil War The American Civil War (April 12, 1861 – May 26, 1865; also known by Names of the American Civil War, other names) was a civil war in the United States. It was fought between the Union (American Civil War), Union ("the North") and t ...
by organizing nurses.


Early life

Elizabeth was born on 3 February 1821, in
Bristol Bristol () is a City status in the United Kingdom, city, Ceremonial counties of England, ceremonial county and unitary authority in England. Situated on the River Avon, Bristol, River Avon, it is bordered by the ceremonial counties of Glouces ...
, England, to Samuel Blackwell, who was a sugar refiner, and his wife Hannah (Lane) Blackwell. She had two older siblings,
Anna Anna may refer to: People Surname and given name * Anna (name) Mononym * Anna the Prophetess, in the Gospel of Luke * Anna (wife of Artabasdos) (fl. 715–773) * Anna (daughter of Boris I) (9th–10th century) * Anna (Anisia) (fl. 1218 to 1221) ...
and Marian, and would eventually have six younger siblings:
Samuel Samuel ''Šəmūʾēl'', Tiberian: ''Šămūʾēl''; ar, شموئيل or صموئيل '; el, Σαμουήλ ''Samouḗl''; la, Samūēl is a figure who, in the narratives of the Hebrew Bible, plays a key role in the transition from the bib ...
(married Antoinette Brown), Henry (married
Lucy Stone Lucy Stone (August 13, 1818 – October 18, 1893) was an American orator, abolitionist and suffragist who was a vocal advocate for and organizer promoting rights for women. In 1847, Stone became the first woman from Massachusetts to earn a colle ...
),
Emily Emily may refer to: * Emily (given name), including a list of people with the name Music * "Emily" (1964 song), title song by Johnny Mandel and Johnny Mercer to the film ''The Americanization of Emily'' * "Emily" (Dave Koz song), a 1990 song ...
(second woman in the U.S. to get a medical degree), Sarah Ellen (a writer), John and George. She also had four maiden aunts: Barbara, Ann, Lucy, and Mary, who also lived with them. In 1832, the family emigrated from Bristol, England, to New York because Samuel Blackwell had lost their most profitable sugar refinery to a fire. In New York, Elizabeth's father became active in abolitionist work. Therefore, their dinnertime discussions often surrounded issues such as women's rights, slavery, and child labor. These liberal discussions reflected Hannah and Samuel's attitudes toward child rearing. For example, rather than beating the children for bad behavior, Barbara Blackwell recorded their trespasses in a black book. If the offenses accumulated, the children would be exiled to the attic during dinner. Samuel Blackwell was similarly liberal in his attitude towards the education of his children. Samuel Blackwell was a Congregationalist and exerted a strong influence over the religious and academic education of his children. He believed that each child, including his girls, should be given the opportunity for unlimited development of their talents and gifts. This perspective was rare during that time, as most people believed that the woman's place was in the home or as a schoolteacher. Blackwell had not only a governess, but private tutors to supplement her intellectual development. As a result, she was rather socially isolated from all but her family as she grew up.   The family moved to Cincinnati, Ohio a few years later. When Blackwell was 17, her father died, leaving the family with little money.


Early adulthood

The Blackwells' financial situation was unfortunate. Pressed by financial need, the sisters Anna, Marian and Elizabeth started a school, ''The Cincinnati English and French Academy for Young Ladies'', which provided instruction in most, if not all, subjects and charged for tuition and room and board. The school was not terribly innovative in its education methods – it was merely a source of income for the Blackwell sisters.Elizabeth Blackwell, Diary, 19–21 December 1838 (Blackwell Family Papers, Library of Congress). Blackwell's abolition work took a back seat during these years, most likely due to the academy. In December 1838, Blackwell converted to
Episcopalianism Anglicanism is a Western Christian tradition that has developed from the practices, liturgy, and identity of the Church of England following the English Reformation, in the context of the Protestant Reformation in Europe. It is one of the ...
, probably due to her sister Anna's influence, becoming an active member of St. Paul's Episcopal Church. However,
William Henry Channing William Henry Channing (May 25, 1810 – December 23, 1884) was an American Unitarian clergyman, writer and philosopher. Biography William Henry Channing was born in Boston, Massachusetts. Channing's father, Francis Dana Channing, died when he wa ...
's arrival in 1839 to Cincinnati changed her mind. Channing, a charismatic Unitarian minister, introduced the ideas of transcendentalism to Blackwell, who started attending the Unitarian Church. A conservative backlash from the Cincinnati community ensued, and as a result, the academy lost many pupils and was abandoned in 1842. Blackwell began teaching private pupils. Channing's arrival renewed Blackwell's interests in education and reform. She worked at intellectual self-improvement: studying art, attending various lectures, writing short stories and attending various religious services in all denominations (
Quaker Quakers are people who belong to a historically Protestant Christian set of denominations known formally as the Religious Society of Friends. Members of these movements ("theFriends") are generally united by a belief in each human's abili ...
, Millerite,
Jewish Jews ( he, יְהוּדִים, , ) or Jewish people are an ethnoreligious group and nation originating from the Israelites Israelite origins and kingdom: "The first act in the long drama of Jewish history is the age of the Israelites""The ...
). In the early 1840s, she began to articulate thoughts about women's rights in her diaries and letters and participated in the Harrison political campaign of 1840. In 1844, with the help of her sister Anna, Blackwell procured a teaching job that paid $1,000 per year in Henderson, Kentucky. Although she was pleased with her class, she found the accommodations and schoolhouse lacking. What disturbed her most was that this was her first real encounter with the realities of slavery. "Kind as the people were to me personally, the sense of justice was continually outraged; and at the end of the first term of engagement I resigned the situation." She returned to Cincinnati only half a year later, resolved to find a more stimulating way to spend her life.Blackwell, Elizabeth, and Millicent Garrett Fawcett. ''Pioneer Work in Opening the Medical Profession to Women''. London: J. M. Dent & Sons, 1914. Print.
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Education


Pursuit of medical education

Once again, through her sister Anna, Blackwell procured a job, this time teaching music at an academy in
Asheville, North Carolina Asheville ( ) is a city in, and the county seat of, Buncombe County, North Carolina. Located at the confluence of the French Broad and Swannanoa rivers, it is the largest city in Western North Carolina, and the state's 11th-most populous cit ...
, with the goal of saving up the $3,000 necessary for her medical school expenses. In Asheville, Blackwell lodged with the respected Reverend John Dickson, who happened to have been a physician before he became a clergyman. Dickson approved of Blackwell's career aspirations and allowed her to use the medical books in his library to study. During this time, Blackwell soothed her own doubts about her choice and her loneliness with deep religious contemplation. She also renewed her antislavery interests, starting a slave Sunday school that was ultimately unsuccessful. Dickson's school closed down soon after, and Blackwell moved to the residence of Reverend Dickson's brother,
Samuel Henry Dickson Samuel Henry Dickson (September 20, 1798 - March 31, 1872) was an American poet, physician, writer and educator born in Charleston, South Carolina, Charleston, South Carolina. Dickson graduated from Yale and the University of Pennsylvania. He w ...
, a prominent Charleston physician. She started teaching in 1846 at a boarding school in Charleston run by a Mrs. Du Pré. With the help of Reverend Dickson's brother, Blackwell inquired into the possibility of medical study via letters, with no favorable responses. In 1847, Blackwell left Charleston for
Philadelphia Philadelphia, often called Philly, is the largest city in the Commonwealth of Pennsylvania, the sixth-largest city in the U.S., the second-largest city in both the Northeast megalopolis and Mid-Atlantic regions after New York City. Since ...
and New York, with the aim of personally investigating the opportunities for medical study. Blackwell's greatest wish was to be accepted into one of the Philadelphia medical schools. Upon reaching Philadelphia, Blackwell boarded with Dr. William Elder and studied anatomy privately with Dr. Jonathan M. Allen as she attempted to get her foot in the door at any medical school in Philadelphia. She was met with resistance almost everywhere. Most physicians recommended that she either go to
Paris Paris () is the capital and most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), making it the 30th most densely populated city in the world in 2020. Si ...
to study or take up a disguise as a man to study medicine. The main reasons offered for her rejection were that (1) she was a woman and therefore intellectually inferior, and (2) she might actually prove equal to the task, prove to be competition, and that she could not expect them to "furnish erwith a stick to break our heads with". Out of desperation, she applied to twelve "country schools".


Medical education in the United States

In October 1847, Blackwell was accepted as a medical student by
Geneva Medical College Geneva Medical College was founded on September 15, 1834, in Geneva, New York, as a separate department (college) of Geneva College, currently known as Hobart and William Smith Colleges. In 1871, the medical school was transferred to Syracuse ...
, located in
Geneva, New York Geneva is a city in Ontario and Seneca counties in the U.S. state of New York. It is at the northern end of Seneca Lake; all land portions of the city are within Ontario County; the water portions are in Seneca County. The population was 13, ...
. The dean and faculty, usually responsible for evaluating an applicant for matriculation were not able to make a decision due to the special nature of Blackwell's case. They put the issue up to a vote by the 150 male students of the class with the stipulation that if one student objected, Blackwell would be turned away. The young men voted unanimously to accept her.Smith, Stephen. Letter. “The Medical Co-education of the Sexes”. ''New York Church Union''. 1892. When Blackwell arrived at the college, she was rather nervous. Nothing was familiar – the surroundings, the students, and the faculty. She did not even know where to get her books. However, she soon found herself at home in medical school. While she was at school, she was looked upon as an oddity by the townspeople of Geneva. She also rejected suitors and friends alike, preferring to isolate herself. In the summer between her two terms at Geneva, she returned to Philadelphia, stayed with Dr. Elder, and applied for medical positions in the area to gain clinical experience. The Guardians of the Poor, the city commission that ran
Blockley Almshouse The Blockley Almshouse, later known as Philadelphia General Hospital, was a charity hospital and poorhouse located in West Philadelphia. It originally opened in 1732/33 in a different part of the city as the Philadelphia Almshouse (not to be conf ...
, granted her permission to work there, albeit not without some struggle. Blackwell slowly gained acceptance at Blockley, although some young resident physicians still would walk out and refuse to assist her in diagnosing and treating her patients. During her time there, Blackwell gained valuable clinical experience but was appalled by the syphilitic ward and those afflicted with
typhus Typhus, also known as typhus fever, is a group of infectious diseases that include epidemic typhus, scrub typhus, and murine typhus. Common symptoms include fever, headache, and a rash. Typically these begin one to two weeks after exposure. ...
. Her graduating thesis at Geneva Medical College was on the topic of typhus. The conclusion of this thesis linked physical health with socio-moral stability – a link that foreshadows her later reform work. On 23 January 1849, Blackwell became the first woman to achieve a medical degree in the United States. The local press reported her graduation favorably, and when the dean, Dr. Charles Lee, conferred her degree, he stood up and bowed to her.


Medical education in Europe

In April 1849, Blackwell made the decision to continue her studies in Europe. She visited a few hospitals in Britain and then headed to Paris. Her experience there was similar to her experience in America; she was rejected by many hospitals because of her sex. In June, Blackwell enrolled at La Maternité; a " lying-in" hospital, under the condition that she would be treated as a student midwife, not a physician. She made the acquaintance of Hippolyte Blot, a young resident physician at ''La Maternité''. She gained much medical experience through his mentoring and training. By the end of the year, Paul Dubois, the foremost obstetrician in his day, had voiced his opinion that she would make the best obstetrician in the United States, male or female. On 4 November 1849, when Blackwell was treating an infant with
ophthalmia neonatorum Ophthalmia (also called ophthalmitis) is inflammation of the eye. It results in congestion of the eyeball, often eye-watering, redness and swelling, itching and burning, and a general feeling of irritation under the eyelids. Ophthalmia can have d ...
, she accidentally squirted some contaminated fluid into her own eye and contracted the infection. She lost sight in her left eye, requiring its surgical extraction and leaving her without hope of becoming a surgeon. After a period of recovery, she enrolled at
St Bartholomew's Hospital St Bartholomew's Hospital, commonly known as Barts, is a teaching hospital located in the City of London. It was founded in 1123 and is currently run by Barts Health NHS Trust. History Early history Barts was founded in 1123 by Rahere (die ...
in London in 1850. She regularly attended
James Paget Sir James Paget, 1st Baronet FRS HFRSE (11 January 1814 – 30 December 1899) (, rhymes with "gadget") was an English surgeon and pathologist who is best remembered for naming Paget's disease and who is considered, together with Rudolf Virch ...
's lectures. She made a positive impression there, although she did meet opposition when she tried to observe the wards. Feeling that the prejudice against women in medicine was not as strong there, Blackwell returned to New York City in 1851 with the hope of establishing her own practice.


Career


Medical career in the United States

Stateside, Blackwell was faced with adversity, but did manage to get some media support from entities such as the ''
New-York Tribune The ''New-York Tribune'' was an American newspaper founded in 1841 by editor Horace Greeley. It bore the moniker ''New-York Daily Tribune'' from 1842 to 1866 before returning to its original name. From the 1840s through the 1860s it was the domi ...
''. Her practice floundered at first, a situation some attribute to false accusations that all women doctors were abortion care providers. In 1852, she began delivering lectures and published ''The Laws of Life with Special Reference to the Physical Education of Girls'', her first work, a volume about the physical and mental development of girls that concerned itself with the preparation of young women for motherhood. In 1853, Blackwell established a small dispensary near Tompkins Square. She also took
Marie Zakrzewska Marie Elisabeth Zakrzewska (6 September 1829 – 12 May 1902) was a Polish-American physician who made her name as a pioneering female doctor in the United States. As a Berlin native, she found great interest in medicine after assisting her moth ...
, a Polish woman pursuing a medical education, under her wing, serving as her preceptor in her pre-medical studies. In 1857, Dr. Marie Zakrzewska, along with Blackwell and her sister Emily, who had also obtained a medical degree, expanded Blackwell's original dispensary into the New York Infirmary for Indigent Women and Children. Women served on the board of trustees, on the executive committee and as attending physicians. The institution accepted both in- and outpatients and served as a nurse's training facility. The patient load doubled in the second year.


Civil War efforts

When the
American Civil War The American Civil War (April 12, 1861 – May 26, 1865; also known by Names of the American Civil War, other names) was a civil war in the United States. It was fought between the Union (American Civil War), Union ("the North") and t ...
broke out, the Blackwell sisters aided in nursing efforts. Blackwell sympathized heavily with the North due to her abolitionist roots, and even went so far as to say she would have left the country if the North had compromised on the subject of slavery.Elizabeth Blackwell. Blackwell, along with Emily Blackwell and Mary Livermore, played an important role in the development of the United States Sanitary Commission. Letters to Barbara Bodichon. 29 January 1859. 25 November 1860. 5 June 1861 (Elizabeth Blackwell Collection, Special Collections, Columbia University Library). However, Blackwell did meet with some resistance on the part of the male-dominated
United States Sanitary Commission The United States Sanitary Commission (USSC) was a private relief agency created by federal legislation on June 18, 1861, to support sick and wounded soldiers of the United States Army (Federal / Northern / Union Army) during the American Civil ...
(USSC). The male physicians refused to help with the nurse education plan if it involved the Blackwells. In response to the USSC, Blackwell organized with the Woman's Central Relief Association (WCRA). The WCRA worked against the problem of uncoordinated benevolence, but ultimately was absorbed by the USSC. Still, the New York Infirmary managed to work with Dorothea Dix to train nurses for the Union effort.


Medical career at home and abroad

Blackwell made several trips back to Britain to raise funds and to try to establish a parallel infirmary project there. In 1858, under a clause in the Medical Act of 1858 that recognised doctors with foreign degrees practicing in Britain before 1858, she was able to become the first woman to have her name entered on the General Medical Council's medical register (1 January 1859). She also became a mentor to Elizabeth Garrett Anderson during this time. By 1866, nearly 7,000 patients were being treated per year at the New York Infirmary, and Blackwell was needed back in the United States. The parallel project fell through, but in 1868, a medical college for women adjunct to the infirmary was established. It incorporated Blackwell's innovative ideas about medical education – a four-year training period with much more extensive clinical training than previously required. At this point, a rift occurred between Emily and Elizabeth Blackwell. Both were extremely headstrong, and a power struggle over the management of the infirmary and medical college ensued. Elizabeth, feeling slightly alienated by the United States women's medical movement, left for Britain to try to establish medical education for women there. In July 1869, she sailed for Britain. In 1874, Blackwell established a women's medical school in
London London is the capital and List of urban areas in the United Kingdom, largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary dow ...
with
Sophia Jex-Blake Sophia Louisa Jex-Blake (21 January 1840 – 7 January 1912) was an English physician, teacher and feminist. She led the campaign to secure women access to a University education when she and six other women, collectively known as the E ...
, who had been a student at the New York Infirmary years earlier. Blackwell had doubts about Jex-Blake and thought that she was dangerous, belligerent, and tactless. Nonetheless, Blackwell became deeply involved with the school, and it opened in 1874 as the London School of Medicine for Women, with the primary goal of preparing women for the licensing exam of Apothecaries Hall. Blackwell vehemently opposed the use of
vivisection Vivisection () is surgery conducted for experimental purposes on a living organism, typically animals with a central nervous system, to view living internal structure. The word is, more broadly, used as a pejorative catch-all term for experiment ...
s in the laboratory of the school. After the establishment of the school, Blackwell lost much of her authority to Jex-Blake and was elected as a lecturer in midwifery. She resigned this position in 1877, officially retiring from her medical career. While Blackwell viewed medicine as a means for social and moral reform, her student
Mary Putnam Jacobi Mary Corinna Putnam Jacobi (August 31, 1842 – June 10, 1906) was an esteemed American medical physician, teacher, scientist, writer, and suffragist. She was the first woman to study medicine at the University of Paris, and had a long career ...
focused on curing disease. At a deeper level of disagreement, Blackwell felt that women would succeed in medicine because of their humane female values, but Jacobi believed that women should participate as the equals of men in all medical specialties.


Time in Europe – social and moral reform

After leaving for Britain in 1869, Blackwell diversified her interests, and was active both in social reform and authorship. She co-founded the National Health Society in 1871. She perceived herself as a wealthy gentlewoman who had the leisure to dabble in reform and in intellectual activities – the income from her American investments supported her. She was rather occupied with her social status, and her friend,
Barbara Bodichon Barbara Leigh Smith Bodichon (born Barbara Leigh Smith; 8 April 1827 – 11 June 1891) was an English educationalist and artist, and a leading mid-19th-century feminist and women's rights activist. She published her influential ''Brief Summary ...
helped introduce Blackwell into her circles. She traveled across Europe many times during these years, in England, France, Wales, Switzerland and Italy. Her greatest period of reform activity was after her retirement from the medical profession, from 1880 to 1895. Blackwell was interested in a great number of reform movements – mainly moral reform, sexual purity, hygiene and medical education, but also preventive medicine, sanitation,
eugenics Eugenics ( ; ) is a fringe set of beliefs and practices that aim to improve the genetic quality of a human population. Historically, eugenicists have attempted to alter human gene pools by excluding people and groups judged to be inferior o ...
, family planning, women's rights, associationism,
Christian socialism Christian socialism is a religious and political philosophy that blends Christianity and socialism, endorsing left-wing politics and socialist economics on the basis of the Bible and the teachings of Jesus. Many Christian socialists believe ca ...
, medical ethics and
antivivisection Animal rights is the philosophy according to which many or all sentient animals have moral worth that is independent of their utility for humans, and that their most basic interests—such as avoiding suffering—should be afforded the sam ...
 – none of which ever came to real fruition. She switched back and forth between many different reform organisations, trying to maintain a position of power in each. Blackwell had a lofty, elusive and ultimately unattainable goal: evangelical moral perfection. All of her reform work was along this thread. She even contributed heavily to the founding of two utopian communities: Starnthwaite and Hadleigh in the 1880s. She believed that the Christian morality ought to play as large a role as scientific inquiry in medicine and that medical schools ought to instruct students in this basic truth. She also was antimaterialist and did not believe in vivisections. She did not see the value of
inoculation Inoculation is the act of implanting a pathogen or other microorganism. It may refer to methods of artificially inducing immunity against various infectious diseases, or it may be used to describe the spreading of disease, as in "self-inoculati ...
and thought it dangerous. She believed that bacteria were not the only important cause of disease and felt their importance was being exaggerated. She campaigned heavily against licentiousness,
prostitution Prostitution is the business or practice of engaging in Sex work, sexual activity in exchange for payment. The definition of "sexual activity" varies, and is often defined as an activity requiring physical contact (e.g., sexual intercourse, n ...
and
contraceptives Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent unwanted pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth cont ...
, arguing instead for the
rhythm method Calendar-based methods are various methods of estimating a woman's likelihood of fertility, based on a record of the length of previous menstrual cycles. Various methods are known as the Knaus–Ogino method and the rhythm method. The standard day ...
. She campaigned against the
Contagious Diseases Acts The Contagious Diseases Acts (CD Acts) were originally passed by the Parliament of the United Kingdom in 1864 (27 & 28 Vict. c. 85), with alterations and additions made in 1866 (29 & 30 Vict. c. 35) and 1869 (32 & 33 Vict. c. 96). In 1862, a com ...
, arguing that it was a pseudo-legalisation of prostitution. Her 1878 ''Counsel to Parents on the Moral Education of their Children'' was an essay on prostitution and
marriage Marriage, also called matrimony or wedlock, is a culturally and often legally recognized union between people called spouses. It establishes rights and obligations between them, as well as between them and their children, and between ...
arguing against the Contagious Diseases Acts. She was conservative in all senses except that she believed women to have sexual passions equal to those of men, and that men and women were equally responsible for controlling those passions. Others of her time believed women to have little if any sexual passion, and placed the responsibility of moral policing squarely on the shoulders of the woman. The book was controversial, being rejected by 12 publishers, before being printed by Hatchard and Company. The
proofs Proof most often refers to: * Proof (truth), argument or sufficient evidence for the truth of a proposition * Alcohol proof, a measure of an alcoholic drink's strength Proof may also refer to: Mathematics and formal logic * Formal proof, a co ...
for the original edition were destroyed by a member of the publisher's board and a change of title was required for a new edition to be printed.


Personal life


Friends and family

Blackwell was well connected, both in the United States and in the United Kingdom. She exchanged letters with
Lady Byron Anne Isabella Noel Byron, 11th Baroness Wentworth and Baroness Byron (''née'' Milbanke; 17 May 1792 – 16 May 1860), nicknamed Annabella and commonly known as Lady Byron, was wife of poet George Gordon Byron, more commonly known as Lord Byro ...
about women's rights issues and became very close friends with
Florence Nightingale Florence Nightingale (; 12 May 1820 – 13 August 1910) was an English social reformer, statistician and the founder of modern nursing. Nightingale came to prominence while serving as a manager and trainer of nurses during the Crimean War ...
, with whom she discussed opening and running a hospital together. She remained lifelong friends with Barbara Bodichon and met
Elizabeth Cady Stanton Elizabeth Cady Stanton (November 12, 1815 – October 26, 1902) was an American writer and activist who was a leader of the women's rights movement in the U.S. during the mid- to late-19th century. She was the main force behind the 1848 Seneca ...
in 1883. She was close with her family and visited her brothers and sisters whenever she could during her travels. However, Blackwell had a very strong personality and was often quite acerbic in her criticism of others, especially other women. Blackwell had a falling out with Florence Nightingale after Nightingale returned from the
Crimean War The Crimean War, , was fought from October 1853 to February 1856 between Russia and an ultimately victorious alliance of the Ottoman Empire, France, the United Kingdom and Piedmont-Sardinia. Geopolitical causes of the war included the ...
. Nightingale wanted Blackwell to turn her focus to training nurses and could not see the legitimacy of training female physicians. After that, Blackwell's comments upon Florence Nightingale's publications were often highly critical. She was also highly critical of many of the women's reform and hospital organisations in which she played no role, calling some of them "quack auspices". Blackwell also did not get along well with her more stubborn sisters Anna and Emily, or with the women physicians she mentored after they established themselves (
Marie Zakrzewska Marie Elisabeth Zakrzewska (6 September 1829 – 12 May 1902) was a Polish-American physician who made her name as a pioneering female doctor in the United States. As a Berlin native, she found great interest in medicine after assisting her moth ...
,
Sophia Jex-Blake Sophia Louisa Jex-Blake (21 January 1840 – 7 January 1912) was an English physician, teacher and feminist. She led the campaign to secure women access to a University education when she and six other women, collectively known as the E ...
and Elizabeth Garrett Anderson). Among women at least, Blackwell was very assertive and found it difficult to play a subordinate role.


Kitty Barry

In 1856, when Blackwell was establishing the New York Infirmary, she adopted Katherine "Kitty" Barry (1848–1936), an Irish orphan from the House of Refuge on
Randall's Island Randalls Island (sometimes called Randall's Island) and Wards Island are conjoined islands, collectively called Randalls and Wards Islands, in New York County, New York City, Some time after the rail bridge was built, a long, 3 span, steel ar ...
. Diary entries at the time show that she adopted Barry half out of loneliness and a feeling of obligation, and half out of a utilitarian need for domestic help. Barry was brought up as a half-servant, half-daughter. Blackwell did provide for Barry's education. She even instructed Barry in gymnastics as a trial for the theories outlined in her publication, ''The Laws of Life with Special Reference to the Physical Education of Girls''. However, Blackwell never permitted Barry to develop her own interests. She made no effort to introduce Barry to young men or women her own age. Barry herself was rather shy, awkward and self-conscious about her slight deafness. Barry followed Blackwell during her many trans-Atlantic moves, during her furious house hunt between 1874 and 1875, during which they moved six times, and finally to Blackwell's final home, Rock House, a small house off Exmouth Place in Hastings, Sussex, in 1879. Barry stayed with Blackwell all her life. After Blackwell's death, Barry stayed at Rock House, and then moved to
Kilmun Kilmun ( gd, Cill Mhunna) is a linear settlement on the north shore of the Holy Loch, on the Cowal peninsula in Argyll and Bute, Scottish Highlands.It takes its name from the 7th century monastic community founded by an Irish monk, St Munn (Fin ...
in
Argyllshire Argyll (; archaically Argyle, in modern Gaelic, ), sometimes called Argyllshire, is a historic county and registration county of western Scotland. Argyll is of ancient origin, and corresponds to most of the part of the ancient kingdom of ...
, Scotland, where Blackwell was buried in the churchyard of St Munn's Parish Church. In 1920, she moved in with the Blackwells and took the Blackwell name. On her deathbed, in 1936, Barry called Blackwell her "true love", and requested that her ashes be buried with those of Elizabeth.


Private life

None of the five Blackwell sisters ever married. Elizabeth thought courtship games were foolish early in her life, and prized her independence. When commenting on the young men trying to court her during her time in
Kentucky Kentucky ( , ), officially the Commonwealth of Kentucky, is a state in the Southeastern region of the United States and one of the states of the Upper South. It borders Illinois, Indiana, and Ohio to the north; West Virginia and Virginia ...
, she said: "...do not imagine I am going to make myself a whole just at present; the fact is I cannot find my other half here, but only about a sixth, which would not do." Even during her time at Geneva Medical College, she rejected advances from a few suitors. There was one slight controversy, however, in Blackwell's life related to her relationship with Alfred Sachs, a 26-year-old man from
Virginia Virginia, officially the Commonwealth of Virginia, is a state in the Mid-Atlantic and Southeastern regions of the United States, between the Atlantic Coast and the Appalachian Mountains. The geography and climate of the Commonwealth are ...
. He was very close with both Kitty Barry and Blackwell, and it was widely believed in 1876 that he was a suitor for Barry, who was 29 at the time. The reality was that Blackwell and Sachs were very close, so much so that Barry felt uncomfortable being around the two of them. Sachs was very interested in Blackwell, then 55 years old. Barry was in love with Sachs and was mildly jealous of Blackwell. Blackwell thought that Sachs lived a life of dissipation and believed that she could reform him. In fact, the majority of her 1878 publication ''Counsel to Parents on the Moral Education of the Children'' was based on her conversations with Sachs. Blackwell stopped correspondence with Alfred Sachs after the publication of her book.


Last years and death

Blackwell, in her later years, was still relatively active. In 1895, she published her autobiography, ''Pioneer Work in Opening the Medical Profession to Women''. It was not very successful, selling fewer than 500 copies. After this publication, Blackwell slowly relinquished her public reform presence, and spent more time traveling. She visited the United States in 1906 and took her first and last car ride. Blackwell's old age was beginning to limit her activities. In 1907, while holidaying in
Kilmun Kilmun ( gd, Cill Mhunna) is a linear settlement on the north shore of the Holy Loch, on the Cowal peninsula in Argyll and Bute, Scottish Highlands.It takes its name from the 7th century monastic community founded by an Irish monk, St Munn (Fin ...
, Scotland, Blackwell fell down a flight of stairs, and was left almost completely mentally and physically disabled. On 31 May 1910, she died at her home in Hastings, Sussex, after suffering a stroke that paralyzed half her body. Her ashes were buried in the graveyard of St Munn's Parish Church, Kilmun, and obituaries honouring her appeared in publications such as ''
The Lancet ''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles ...
'' and ''
The British Medical Journal ''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origina ...
''.


Legacy

The British artist
Edith Holden Edith Blackwell Holden (26 September 1871 – 15 March 1920) was a British artist and art teacher. She was born in Kings Norton, Birmingham. She became famous following the posthumous publication of her ''Nature Notes for 1906'', in facsimile ...
, whose Unitarian family were Blackwell's relatives, was given the middle name "Blackwell" in her honor.


Influence

After Blackwell graduated in 1849, her thesis on typhoid fever was published in the '' Buffalo Medical Journal.'' In 1857, Blackwell opened the New York Infirmary for Women with her younger sister Emily. At the same time, she gave lectures to women in the United States and England about the importance of educating women and the profession of medicine for women. In the audience at one of her lectures in England, was a woman named Elizabeth Garrett Anderson, who later became the first woman doctor in England, in 1865. In 1874, Blackwell worked together with
Florence Nightingale Florence Nightingale (; 12 May 1820 – 13 August 1910) was an English social reformer, statistician and the founder of modern nursing. Nightingale came to prominence while serving as a manager and trainer of nurses during the Crimean War ...
,
Sophia Jex-Blake Sophia Louisa Jex-Blake (21 January 1840 – 7 January 1912) was an English physician, teacher and feminist. She led the campaign to secure women access to a University education when she and six other women, collectively known as the E ...
, Elizabeth Garrett Anderson, Emily Blackwell, and
Thomas Henry Huxley Thomas Henry Huxley (4 May 1825 – 29 June 1895) was an English biologist and anthropologist specialising in comparative anatomy. He has become known as "Darwin's Bulldog" for his advocacy of Charles Darwin's theory of evolution. The stori ...
to create the first medical school for women in England, London School of Medicine for Women, for which she acted as the Chair of Hygiene. Blackwell settled in England in the 1870s and continued working on expanding the profession of medicine for women, influencing as many as 476 women to become registered medical professionals in England alone. Up until her death, Blackwell worked in an active practice in Hastings, England, and continued to lecture at the School of Medicine for Women.


Honors

Two institutions honour Elizabeth Blackwell as an alumna: *
Hobart and William Smith Colleges Hobart and William Smith Colleges are Private college, private Liberal arts colleges in the United States, liberal arts colleges in Geneva, New York. They trace their origins to Geneva Academy established in 1797. Students can choose from 45 maj ...
, the current name of Geneva College, the founding institution of Geneva Medical College. *The
State University of New York Upstate Medical University The State University of New York Upstate Medical University (SUNY Upstate) is a public medical school in Syracuse, New York. Founded in 1834, Upstate is the 15th oldest medical school in the United States and is the only medical school in Centra ...
, which took over Geneva Medical College in 1871 and was acquired in 1950 by the
State University of New York The State University of New York (SUNY, , ) is a system of public colleges and universities in the State of New York. It is one of the largest comprehensive system of universities, colleges, and community colleges in the United States. Led by ...
Since 1949, the American Medical Women's Association has awarded the Elizabeth Blackwell Medal annually to a female physician.
Hobart and William Smith Colleges Hobart and William Smith Colleges are Private college, private Liberal arts colleges in the United States, liberal arts colleges in Geneva, New York. They trace their origins to Geneva Academy established in 1797. Students can choose from 45 maj ...
awards an annual Elizabeth Blackwell Award to women who have demonstrated "outstanding service to humankind." In 1973, Elizabeth Blackwell was inducted into the
National Women's Hall of Fame The National Women's Hall of Fame (NWHF) is an American institution incorporated in 1969 by a group of men and women in Seneca Falls, New York, although it did not induct its first enshrinees until 1973. As of 2021, it had 303 inductees. Induc ...
. The artwork '' The Dinner Party'' features a place setting for Elizabeth Blackwell. In 2013 the
University of Bristol , mottoeng = earningpromotes one's innate power (from Horace, ''Ode 4.4'') , established = 1595 – Merchant Venturers School1876 – University College, Bristol1909 – received royal charter , type ...
launched the Elizabeth Blackwell Institute for Health Research. On 3 February 2016, National Women Physicians Day was declared a National Holiday championed by Physician Moms Group ww.Mypmg.comafter publishing a study in JAMA exposing that the majority of women physicians report still facing discrimination due to their gender and/or being a mother. The National Holiday pays tribute to Dr. Blackwell of the role she has played influencing women physicians in present-day and their strive for equity and equality. On 3 February 2018,
Google Google LLC () is an American Multinational corporation, multinational technology company focusing on Search Engine, search engine technology, online advertising, cloud computing, software, computer software, quantum computing, e-commerce, ar ...
honoured her as a doodle in recognition of her 197th birth anniversary. In May 2018, a commemorative plaque was unveiled at the former location of the New York Infirmary for Indigent Women and Children, which Elizabeth Blackwell and her sister Emily Blackwell founded. For the event, Jill Platner, a jewelry designer, designed a Blackwell Collection of jewelry inspired by Elizabeth Blackwell.
Hobart and William Smith Colleges Hobart and William Smith Colleges are Private college, private Liberal arts colleges in the United States, liberal arts colleges in Geneva, New York. They trace their origins to Geneva Academy established in 1797. Students can choose from 45 maj ...
erected a statue on their campus honoring Blackwell. A 2021 book by Janice P. Nimura, ''
The Doctors Blackwell ''The Doctors Blackwell: How Two Pioneering Sisters Brought Medicine to Women and Women to Medicine'' is a 2021 book by Janice P. Nimura that examines Elizabeth and Emily Blackwell. The book has eight "positive" reviews, eleven "rave" reviews, ...
'', chronicles the life story of Elizabeth Blackwell and her sister Emily Blackwell.


Works

*1849 ''The Causes and Treatment of Typhus, or Shipfever'' (thesis) *1852 ''The Laws of Life with Special Reference to the Physical Education of Girls'' (brochure, compilation of lecture series) pub. by George Putnam *1856 ''An appeal in behalf of the medical education of women'' *1860 '' Medicine as a Profession for Women'' (lecture published by the trustees of the New York Infirmary for Women) *1864 '' Address on the Medical Education of Women'' *1878 ''Counsel to Parents on the Moral Education of their Children in Relation to Sex'' (eight editions, republished as ''The Moral Education of the Young in Relation to Sex'') *188
"Medicine and Morality"
(published in ''Modern Review'') *1887 ''Purchase of Women: the Great Economic Blunder'' *1871 ''The Religion of Health'' (compilation of lecture series to the Sunday Lecture Society, three editions) *1883 ''Wrong and Right Methods of Dealing with Social Evil, as shown by English Parliamentary Evidence'' *1888 ''On the Decay of Municipal Representative Government – A Chapter of Personal Experience'' (Moral Reform League) *1890 ''The Influence of Women in the Profession of Medicine'' *1891 ''Erroneous Method in Medical Education etc.'' ( Women's Printing Society) *1892 ''Why Hygienic Congresses Fail'' *1895 ''Pioneer Work in Opening the Medical Profession to Women – Autobiographical Sketches'' (Longmans, reprinted New York: Schocken Books, 1977) *1898 ''Scientific Method in Biology'' *1902 ''Essays in Medical Sociology'', 2 vols (Ernest Bell)


See also

* Elizabeth Garrett Anderson, first woman to gain a medical qualification in Britain * Emily Blackwell, Sister Emily Blackwell, physician * James Barry, possibly the first female bodied doctor (assigned female at birth but living as a man) * List of first female physicians by country *
Rebecca Lee Crumpler Rebecca Lee Crumpler, born Rebecca Davis, (February 8, 1831March 9, 1895), was an American physician, nurse and author. After studying at the New England Female Medical College, in 1864 she became the first African-American woman to become a ...
, first African American female physician *
State University of New York Upstate Medical University The State University of New York Upstate Medical University (SUNY Upstate) is a public medical school in Syracuse, New York. Founded in 1834, Upstate is the 15th oldest medical school in the United States and is the only medical school in Centra ...


References


Further reading

* * Baker, Rachel (1944). ''The first woman doctor: the story of Elizabeth Blackwell, M.D.'' J. Messner, Inc., New York
OCLC 848388
*Howard, Carol (2018).

''Dictionary of Unitarian Universalist Biography''. * *Morantz, Regina. "Feminism, Professionalism and Germs: The Thought of Mary Putnam Jacobi and Elizabeth Blackwell," ''American Quarterly'' (1982) 34:461–478
in JSTOR
* Morantz-Sanchez, Regina. "Feminist theory and historical practice: Rereading Elizabeth Blackwell," ''History & Theory'' (1992) 31#4 pp 51–6
in JSTOR
* * Ross, Ishbel (1944). ''Child of Destiny''. New York: Harper. * Wilson, Dorothy Clarke (1970). ''Lone woman: the story of Elizabeth Blackwell, the first woman doctor''. Little Brown, Boston
OCLC 56257


External links


Elizabeth Blackwell Collection on New York Heritage Digital Collections

Women in Science

An online history
at the
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the lat ...
, including copies of historical documents
An online biography
of Elizabeth Blackwell, with links to more articles on Blackwell and others in her famous family, plus links to many resources on the Net

from the
National Institute of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...

Elizabeth Blackwell at the Hobart and William Smith Colleges Archives

Elizabeth Blackwell Resources Available in Hobart and William Smith Colleges Archives

Chronological Bibliography of Selected Scholarly Works by Dr. Elizabeth Blackwell



Papers, 1835–1960.Schlesinger Library
Radcliffe Institute, Harvard University. * Michals, Debra.
"Elizabeth Blackwell"
National Women's History Museum. 2015. * * * *
Finding aid to Elizabeth Blackwell letters at Columbia University. Rare Book & Manuscript Library.
{{DEFAULTSORT:Blackwell, Elizabeth 1821 births 1910 deaths American abolitionists 19th-century American women physicians 19th-century American physicians American women's rights activists Anti-contraception activists Anti-vivisectionists Blackwell family Burials at Kilmun Parish Church Christian abolitionists English emigrants to the United States Geneva Medical College alumni Medical doctors from Bristol People from Hastings Physicians from Cincinnati Physicians from New York City Sex educators American socialist feminists Women in the American Civil War Women medical researchers Women of the Victorian era Physicians from Rochester, New York Anti-prostitution activists American Christian socialists American eugenicists Education activists Female Christian socialists British socialist feminists