Benjamin Rush (April 19, 1813) was a
Founding Father of the United States
The Founding Fathers of the United States, known simply as the Founding Fathers or Founders, were a group of late-18th-century American revolutionary leaders who united the Thirteen Colonies, oversaw the war for independence from Great Britain ...
who signed the
United States Declaration of Independence
The United States Declaration of Independence, formally The unanimous Declaration of the thirteen States of America, is the pronouncement and founding document adopted by the Second Continental Congress meeting at Pennsylvania State House ...
, and a civic leader in
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. Sinc ...
, where he was a physician, politician, social reformer, humanitarian, educator, and the founder of
Dickinson College. Rush was a Pennsylvania delegate to the
Continental Congress
The Continental Congress was a series of legislative bodies, with some executive function, for thirteen of Britain's colonies in North America, and the newly declared United States just before, during, and after the American Revolutionary War. ...
.
[ His later self-description there was: "He aimed right." He served as surgeon general of the Continental Army and became a professor of chemistry, medical theory, and clinical practice at the ]University of Pennsylvania
The University of Pennsylvania (also known as Penn or UPenn) is a private research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universit ...
.
Rush was a leader of the American Enlightenment and an enthusiastic supporter of the American Revolution
The American Revolution was an ideological and political revolution that occurred in British America between 1765 and 1791. The Americans in the Thirteen Colonies formed independent states that defeated the British in the American Revolu ...
. He was a leader in Pennsylvania's ratification of the U.S. Constitution in 1788. He was prominent in many reforms, especially in the areas of medicine and education. He opposed slavery, advocated free public schools, and sought improved, but patriarchal, education for women, and a more enlightened penal system. As a leading physician, Rush had a major impact on the emerging medical profession. As an Enlightenment intellectual, he was committed to organizing all medical knowledge around explanatory theories, rather than rely on empirical methods
Empirical research is research using empirical evidence. It is also a way of gaining knowledge by means of direct and indirect observation or experience. Empiricism values some research more than other kinds. Empirical evidence (the record of ...
. Rush argued that illness was the result of imbalances in the body's physical system and was caused by malfunctions in the brain. His approach prepared the way for later medical research, but Rush undertook none of it. He promoted public health by advocating clean environment and stressing the importance of personal and military hygiene. His study of mental disorder made him one of the founders of American psychiatry
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry.
Initial p ...
. In 1965, the American Psychiatric Association
The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 37,000 members are invol ...
recognized Rush as the "father of American psychiatry".
Early life and career
Rush was born to John Rush and Susanna Hall on January 4, 1746 (December 24, 1745 O.S.). The family, of English descent, lived on a farm in the Township of Byberry in Philadelphia County, about 14 miles outside of Philadelphia (the township was incorporated into Philadelphia in 1854). Rush was the fourth of seven children. His father died in July 1751 at age 39, leaving his mother, who ran a country store, to care for the family. At age eight, Benjamin was sent to live with an aunt and uncle to receive an education. He and his older brother Jacob
Jacob (; ; ar, يَعْقُوب, Yaʿqūb; gr, Ἰακώβ, Iakṓb), later given the name Israel, is regarded as a patriarch of the Israelites and is an important figure in Abrahamic religions, such as Judaism, Christianity, and Islam ...
attended a school run by Reverend Samuel Finley
Samuel Finley (July 2, 1715 – July 17, 1766) was an Irish-born American Presbyterian minister and academic. He founded the West Nottingham Academy and was the fifth president and an original trustee of the College of New Jersey (later r ...
, which later became West Nottingham Academy.
In 1760, after further studies at the College of New Jersey (which in 1895 changed its name to its present name, Princeton University
Princeton University is a private research university in Princeton, New Jersey. Founded in 1746 in Elizabeth as the College of New Jersey, Princeton is the fourth-oldest institution of higher education in the United States and one of the n ...
), Rush graduated with a Bachelor of Arts
Bachelor of arts (BA or AB; from the Latin ', ', or ') is a bachelor's degree awarded for an undergraduate program in the arts, or, in some cases, other disciplines. A Bachelor of Arts degree course is generally completed in three or four yea ...
degree at age fourteen. From 1761 to 1766, Rush apprenticed under Dr. John Redman in Philadelphia. Redman encouraged him to further his studies at the University of Edinburgh
The University of Edinburgh ( sco, University o Edinburgh, gd, Oilthigh Dhùn Èideann; abbreviated as ''Edin.'' in post-nominals) is a public research university based in Edinburgh, Scotland. Granted a royal charter by King James VI in 15 ...
in Scotland, where Rush studied from 1766 to 1768 and earned an M. D. degree. Rush became fluent in French, Italian, and Spanish as a result of his studies and European tour. While at Edinburgh
Edinburgh ( ; gd, Dùn Èideann ) is the capital city of Scotland and one of its 32 Council areas of Scotland, council areas. Historically part of the county of Midlothian (interchangeably Edinburghshire before 1921), it is located in Lothian ...
, he became a friend of the Earl of Leven and his family, including William Leslie.
Returning to the Colonies
In modern parlance, a colony is a territory subject to a form of foreign rule. Though dominated by the foreign colonizers, colonies remain separate from the administration of the original country of the colonizers, the '' metropolitan state' ...
in 1769, Rush opened a medical practice in Philadelphia and became professor of chemistry at the College of Philadelphia
The Academy and College of Philadelphia (1749-1791) was a boys' school and men's college in Philadelphia, Colony of Pennsylvania.
Founded in 1749 by a group of local notables that included Benjamin Franklin, the Academy of Philadelphia began as ...
(which in 1791 changed its name to its present name, University of Pennsylvania
The University of Pennsylvania (also known as Penn or UPenn) is a private research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universit ...
). After his election to the revived American Philosophical Society
The American Philosophical Society (APS), founded in 1743 in Philadelphia, is a scholarly organization that promotes knowledge in the sciences and humanities through research, professional meetings, publications, library resources, and communi ...
in 1768, Rush served as the society's curator from 1770 to 1773, as secretary from 1773 to 1773, and vice president from 1797 to 1801. Rush ultimately published the first American textbook on chemistry and several volumes on medical student education and wrote influential patriotic essays.
Revolutionary period
Rush was active in the Sons of Liberty and was elected to attend the provincial conference to send delegates to the Continental Congress
The Continental Congress was a series of legislative bodies, with some executive function, for thirteen of Britain's colonies in North America, and the newly declared United States just before, during, and after the American Revolutionary War. ...
. Thomas Paine
Thomas Paine (born Thomas Pain; – In the contemporary record as noted by Conway, Paine's birth date is given as January 29, 1736–37. Common practice was to use a dash or a slash to separate the old-style year from the new-style year. In th ...
consulted Rush when writing the profoundly influential pro-independence pamphlet ''Common Sense
''Common Sense'' is a 47-page pamphlet written by Thomas Paine in 1775–1776 advocating independence from Great Britain to people in the Thirteen Colonies. Writing in clear and persuasive prose, Paine collected various moral and political arg ...
''. Starting in 1776, Rush represented Pennsylvania and signed the Declaration of Independence. He also represented Philadelphia at Pennsylvania's own Constitutional Convention.[
In an 1811 letter to John Adams, Rush recounted in stark fashion the signing of the Declaration of Independence. He described it as a scene of "pensive and awful silence". Rush said the delegates were called up, one after another, and then filed forward somberly to subscribe what each thought was their ensuing death warrant.] He related that the "gloom of the morning" was briefly interrupted when the rotund Benjamin Harrison
Benjamin Harrison (August 20, 1833March 13, 1901) was an American lawyer and politician who served as the 23rd president of the United States from 1889 to 1893. He was a member of the Harrison family of Virginia–a grandson of the ninth pr ...
of Virginia said to a diminutive Elbridge Gerry
Elbridge Gerry (; July 17, 1744 – November 23, 1814) was an American Founding Father, merchant, politician, and diplomat who served as the fifth vice president of the United States under President James Madison from 1813 until his death in 1 ...
of Massachusetts, at the signing table, "I shall have a great advantage over you, Mr. Gerry, when we are all hung for what we are now doing. From the size and weight of my body I shall die in a few minutes and be with the Angels, but from the lightness of your body you will dance in the air an hour or two before you are dead."[ According to Rush, Harrison's remark "procured a transient smile, but it was soon succeeded by the Solemnity with which the whole business was conducted."][
]
While Rush was representing Pennsylvania in the Continental Congress (and serving on its medical committee), he also used his medical skills in the field. Rush accompanied the Philadelphia militia during the battles after which the British occupied Philadelphia and most of New Jersey. He was depicted serving in the Battle of Princeton
The Battle of Princeton was a battle of the American Revolutionary War, fought near Princeton, New Jersey on January 3, 1777, and ending in a small victory for the Colonials. General Lord Cornwallis had left 1,400 British troops under the comm ...
in the painting '' The Death of General Mercer at the Battle of Princeton, January 3, 1777'' by the American artist John Trumbull.
The Army Medical Service was in disarray, between the military casualties, extremely high losses from typhoid
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 several ...
, yellow fever
Yellow fever is a viral disease of typically short duration. In most cases, symptoms include fever, chills, loss of appetite, nausea, muscle pains – particularly in the back – and headaches. Symptoms typically improve within five days. In ...
and other camp illnesses, political conflicts between Dr. John Morgan and Dr. William Shippen, Jr., and inadequate supplies and guidance from the medical committee. Nonetheless, Rush accepted an appointment as surgeon-general of the middle department of the Continental Army. Rush's order "Directions for preserving the health of soldiers" became one of the foundations of preventive military medicine and was repeatedly republished, including as late as 1908. However, Rush's reporting of Dr. Shippen's misappropriation of food and wine supplies intended to comfort hospitalized soldiers, under-reporting of patient deaths, and failure to visit the hospitals under his command, ultimately led to Rush's resignation in 1778.
Controversy
Rush criticized General George Washington in two handwritten but unsigned letters while still serving under the surgeon general. One, to Virginia Governor Patrick Henry
Patrick Henry (May 29, 1736June 6, 1799) was an American attorney, planter, politician and orator known for declaring to the Second Virginia Convention (1775): " Give me liberty, or give me death!" A Founding Father, he served as the first ...
dated October 12, 1778, quotes General Thomas Conway saying that if not for God's grace the ongoing war would have been lost by Washington and his weak counselors. Henry forwarded the letter to Washington, despite Rush's request that the criticism be conveyed orally, and Washington recognized the handwriting. At the time, the supposed Conway Cabal was reportedly trying to replace Washington with Horatio Gates
Horatio Lloyd Gates (July 26, 1727April 10, 1806) was a British-born American army officer who served as a general in the Continental Army during the early years of the Revolutionary War. He took credit for the American victory in the Battles ...
as commander-in-chief. Rush's letter relayed General John Sullivan's criticism that forces directly under Washington were undisciplined and mob-like, and contrasted Gates' army as "a well-regulated family". Ten days later, Rush wrote to John Adams
John Adams (October 30, 1735 – July 4, 1826) was an American statesman, attorney, diplomat, writer, and Founding Fathers of the United States, Founding Father who served as the second president of the United States from 1797 to 1801. Befor ...
relaying complaints inside Washington's army, including about "bad bread, no order, universal disgust" and praising Conway, who had been appointed to inspector general.
Dr. Shippen sought Rush's resignation and received it by the end of the month after Continental Congress delegate John Witherspoon, chairman of a committee to investigate Morgan's and Rush's charges of misappropriation and mismanagement against Shippen, told Rush his complaints would not produce reform. Rush later expressed regret for his gossip against Washington. In a letter to John Adams in 1812, Rush wrote, "He ashingtonwas the highly favored instrument whose patriotism and name contributed greatly to the establishment of the independence of the United States." Rush also successfully pleaded with Washington's biographers Justice Bushrod Washington and Chief Justice John Marshall to delete his association with those stinging words.
In his 2005 book '' 1776'', David McCullough
David Gaub McCullough (; July 7, 1933 – August 7, 2022) was an American popular historian. He was a two-time winner of the Pulitzer Prize and the National Book Award. In 2006, he was given the Presidential Medal of Freedom, the United Stat ...
quotes Rush, referring to George Washington:
Post-Revolution
In 1783, he was appointed to the staff of Pennsylvania Hospital, and he remained a member until his death. He was elected to the Pennsylvania convention which adopted the Federal constitution and was appointed treasurer of the United States Mint, serving from 1797 to 1813.[ He was elected a fellow of the ]American Academy of Arts and Sciences
The American Academy of Arts and Sciences (abbreviation: AAA&S) is one of the oldest learned societies in the United States. It was founded in 1780 during the American Revolution by John Adams, John Hancock, James Bowdoin, Andrew Oliver, ...
in 1788.
He became a professor of medical theory and clinical practice at the University of Pennsylvania
The University of Pennsylvania (also known as Penn or UPenn) is a private research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universit ...
in 1791, though the quality of his medicine was quite primitive even for the time: he advocated bloodletting
Bloodletting (or blood-letting) is the withdrawal of blood from a patient to prevent or cure illness and disease. Bloodletting, whether by a physician or by leeches, was based on an ancient system of medicine in which blood and other bodily flu ...
for almost any illness, long after its practice had declined. While teaching at the University of Pennsylvania, one of his students was future president William Henry Harrison
William Henry Harrison (February 9, 1773April 4, 1841) was an American military officer and politician who served as the ninth president of the United States. Harrison died just 31 days after his inauguration in 1841, and had the shortest pres ...
, who took a chemistry class from Rush. He became a social activist and an abolitionist and was the most well-known physician in America at the time of his death.
He was also founder of Dickinson College in Carlisle, Pennsylvania. In 1794, he was elected a foreign member of the Royal Swedish Academy of Sciences. In the 1793 Philadelphia yellow fever epidemic
During the 1793 yellow fever epidemic in Philadelphia, 5,000 or more people were listed in the official register of deaths between August 1 and November 9. The vast majority of them died of yellow fever, making the epidemic in the city of 50,000 ...
, Rush treated patients with bleeding, calomel, and other early medicinal techniques that often were ineffective and actually brought many patients closer to their deathbeds. Rush's ideas on yellow fever treatments differed from those of many experienced French doctors, who came from the West Indies
The West Indies is a subregion of North America, surrounded by the North Atlantic Ocean and the Caribbean Sea that includes 13 independent island countries and 18 dependencies and other territories in three major archipelagos: the Great ...
where they had yellow fever outbreaks every year.
Rush was a founding member of the Philadelphia Society for Alleviating the Miseries of Public Prisons (known today as the Pennsylvania Prison Society), which greatly influenced the construction of Eastern State Penitentiary in Philadelphia. He supported Thomas Jefferson
Thomas Jefferson (April 13, 1743 – July 4, 1826) was an American statesman, diplomat, lawyer, architect, philosopher, and Founding Father who served as the third president of the United States from 1801 to 1809. He was previously the nati ...
for president in 1796
Events
January–March
* January 16 – The first Dutch (and general) elections are held for the National Assembly of the Batavian Republic. (The next Dutch general elections are held in 1888.)
* February 1 – The capital ...
over the eventual winner, John Adams.
Corps of Discovery
In 1803, Jefferson sent Meriwether Lewis to Philadelphia to prepare for the Lewis and Clark Expedition
The Lewis and Clark Expedition, also known as the Corps of Discovery Expedition, was the United States expedition to cross the newly acquired western portion of the country after the Louisiana Purchase. The Corps of Discovery was a select gr ...
under the tutelage of Rush, who taught Lewis about frontier illnesses and the performance of bloodletting. Rush provided the corps with a medical kit that included:
* Turkish opium
Opium (or poppy tears, scientific name: ''Lachryma papaveris'') is dried latex obtained from the seed capsules of the opium poppy '' Papaver somniferum''. Approximately 12 percent of opium is made up of the analgesic alkaloid morphine, which ...
for nervousness
* emetics to induce vomiting
* medicinal wine
* fifty dozen of ''Dr. Rush's Bilious Pills,'' laxatives containing more than 50% mercury, which have since colloquially been referred to as "thunderclappers." Their meat-rich diet and lack of clean water during the expedition gave the men cause to use them frequently. Although their efficacy is questionable, their high mercury content provided an excellent tracer by which archaeologists have been able to track the corps' actual route to the Pacific.
Reforms
Anti-slavery
In 1766, when Rush set out for his studies in Edinburgh, he was outraged by the sight of 100 slave ships in Liverpool
Liverpool is a City status in the United Kingdom, city and metropolitan borough in Merseyside, England. With a population of in 2019, it is the List of English districts by population, 10th largest English district by population and its E ...
harbor. As a prominent Presbyterian doctor and professor of chemistry in Philadelphia, he provided a bold and respected voice against the slave trade. He warmly praised the ministry of "Black Harry" Hosier, the freedman
A freedman or freedwoman is a formerly enslaved person who has been released from slavery, usually by legal means. Historically, enslaved people were freed by manumission (granted freedom by their captor-owners), emancipation (granted freedom ...
circuit rider who accompanied Bishop Francis Asbury during the establishment of the Methodist Church in America, but the highlight of his involvement was the pamphlet he wrote in 1773 entitled "An Address to the Inhabitants of the British Settlements in America, upon Slave-Keeping." In this first of his many attacks on the social evils of his day, he assailed the slave trade as well as the entire institution of slavery. Rush argued scientifically that Negroes were not by nature intellectually or morally inferior. Any apparent evidence to the contrary was only the perverted expression of slavery, which "is so foreign to the human mind, that the moral faculties, as well as those of the understanding are debased, and rendered torpid by it."
Anti-capital punishment
Rush deemed public punishments such as putting a person on display in stocks
Stocks are feet restraining devices that were used as a form of corporal punishment and public humiliation. The use of stocks is seen as early as Ancient Greece, where they are described as being in use in Solon's law code. The law describing ...
, common at the time, to be counterproductive. Instead, he proposed private confinement, labor, solitude, and religious instruction for criminals, and he opposed the death penalty. His outspoken opposition to capital punishment
Capital punishment, also known as the death penalty, is the state-sanctioned practice of deliberately killing a person as a punishment for an actual or supposed crime, usually following an authorized, rule-governed process to conclude that ...
pushed the Pennsylvania legislature to abolish the death penalty for all crimes other than first-degree murder. He authored a 1792 treatise on punishing murder by death in which he made three principal arguments:
:I. Every man possesses an absolute power over his own liberty and property, but not over his own life...
:II. The punishment of murder by death, is contrary to reason, and to the order and happiness of society...
:III. The punishment of murder by death, is contrary to divine revelation.
Rush led the state of Pennsylvania to establish the first state penitentiary, the Walnut Street Prison, in 1790. Rush campaigned for long-term imprisonment, the denial of liberty, as both the most humane but severe punishment. This 1792 treatise was preceded by comments on the efficacy of the death penalty that he self-references and which, evidently, appeared in the second volume of the ''American Museum''.
Status of women
After the Revolution, Rush proposed a new model of education for elite women that included English language, vocal music, dancing, sciences, bookkeeping, history, and moral philosophy. He was instrumental to the founding of the Young Ladies' Academy of Philadelphia, the first chartered women's institution of higher education in Philadelphia. Rush saw little need for training women in metaphysics, logic, mathematics, or advanced science; rather he wanted the emphasis on guiding women toward moral essays, poetry, history, and religious writings. This type of education for elite women grew dramatically during the post-revolutionary period, as women claimed a role in creating the Republic. And so, the ideal of Republican motherhood emerged, lauding women's responsibility of instructing the young in the obligations of patriotism, the blessings of liberty and the true meaning of Republicanism
Republicanism is a political ideology centered on citizenship in a state organized as a republic. Historically, it emphasises the idea of self-rule and ranges from the rule of a representative minority or oligarchy to popular sovereignty. It ...
. He opposed coeducational classrooms and insisted on the need to instruct all youth in the Christian religion.
Medical contributions
Physical medicine
Rush was a leading proponent of heroic medicine
Heroic medicine, also referred to as heroic depletion theory, was a therapeutic method advocating for rigorous treatment of bloodletting, purging, and sweating to shock the body back to health after an illness caused by a humoral imbalance. Risi ...
. He firmly believed in such practices as bloodletting
Bloodletting (or blood-letting) is the withdrawal of blood from a patient to prevent or cure illness and disease. Bloodletting, whether by a physician or by leeches, was based on an ancient system of medicine in which blood and other bodily flu ...
patients (a practice now known to be generally harmful, but at the time common practice), as well as purges using calomel and other toxic substances. In his report on the Philadelphia yellow fever epidemic of 1793, Rush wrote: "I have found bleeding to be useful, not only in cases where the pulse was full and quick but where it was slow and tense. I have bled twice in many and in one acute case four times, with the happiest effect. I consider intrepidity in the use of the lancet, at present, to be necessary, as it is in the use of mercury and jalap, in this insidious and ferocious disease." During that epidemic, Rush gained acclaim for remaining in town and treating sometimes 100 patients per day (some through freed black volunteers coordinated by Richard Allen), but many died. Even Rush acknowledged the failure of two treatments, sweats in vinegar-wrapped blankets accompanied by mercury rubs, and cold baths.
William Cobbett
William Cobbett (9 March 1763 – 18 June 1835) was an English pamphleteer, journalist, politician, and farmer born in Farnham, Surrey. He was one of an agrarian faction seeking to reform Parliament, abolish " rotten boroughs", restrain forei ...
vociferously objected to Rush's extreme use of bloodletting, and even in Rush's day and location, many physicians had abandoned on scientific grounds this favorite remedy of Rush's former teachers Thomas Sydenham and Hermann Boerhaave
Herman Boerhaave (, 31 December 1668 – 23 September 1738Underwood, E. Ashworth. "Boerhaave After Three Hundred Years." ''The British Medical Journal'' 4, no. 5634 (1968): 820–25. https://www.jstor.org/stable/20395297.) was a Dutch botanist, ...
. Cobbett accused Rush of killing more patients than he had saved. Rush ultimately sued Cobbett for libel
Defamation is the act of communicating to a third party false statements about a person, place or thing that results in damage to its reputation. It can be spoken (slander) or written (libel). It constitutes a tort or a crime. The legal defi ...
, winning a judgment of $5,000 and $3,000 in court costs, which was only partially paid before Cobbett returned to England. Nonetheless, Rush's practice waned as he continued to advocate bloodletting and purges, much to the chagrin of his friend Thomas Jefferson. Some even blamed Rush's bleeding for hastening the death of Benjamin Franklin
Benjamin Franklin ( April 17, 1790) was an American polymath who was active as a writer, scientist, inventor
An invention is a unique or novel device, method, composition, idea or process. An invention may be an improvement upon a m ...
, as well as George Washington (although the only one of Washington's medics who opposed the bleeding was Rush's former student), and Rush insisted upon being bled himself shortly before his death (as he had during the yellow fever epidemic two decades earlier).
Rush also wrote the first case report on dengue fever (published in 1789 on a case from 1780). Perhaps his greatest contributions to physical medicine were his establishment of a public dispensary for low income patients, and public works associated with draining and rerouting Dock Creek (eliminating mosquito breeding grounds, which greatly decreased 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. ...
, typhoid and cholera outbreaks).
Another of Rush's medical views that now draws criticism is his analysis of race. In reviewing the case of Henry Moss, a slave who lost his dark skin color (probably through vitiligo
Vitiligo is a disorder that causes the skin to lose its color. Specific causes are unknown but studies suggest a link to immune system changes.
Signs and symptoms
The only sign of vitiligo is the presence of pale patchy areas of depigmen ...
), Rush characterized being black as a hereditary and curable skin disease. Rush wrote that the "disease, instead of inviting us hitesto tyrannise over them lacks it should entitle them to a double portion of our humanity." He added that this "should teach white people the necessity of keeping up that prejudice against iscegenation as it would tend to infect posterity with … their disorder" and called for an "endeavour to discover a remedy for it."
Rush was interested in Native American health. He wanted to find out why Native Americans were susceptible to certain illnesses and whether they had higher mortality rates as compared to other people. Other questions that he raised were whether they dreamed more and if their hair turned gray as they got older. His fascination with these people came from his interest in the theory that social scientists can better study the history of their own civilization by studying cultures in earlier stages of development, "primitive men". In his autobiography, he writes "From a review of the three different species of settlers, it appears that there are certain regular stages which mark the progress from the savage to civilized life. The first settler is nearly related to an Indian in his manners. In the second, the Indian manners are more diluted. It is in the third species only that we behold civilization completed. It is to the third species of settlers only that it is proper to apply the term of farmers. While we record the voices of the first and second settlers, it is but just to mention their virtues likewise. Their mutual wants to produce mutual dependence; hence they are kind and friendly to each other. Their solitary situation makes visitors agreeable to them; hence they are hospitable to a stranger."
Mental health
Rush published one of the first descriptions and treatments for psychiatric disorders in American medicine, ''Medical Inquiries and Observations, Upon the Diseases of the Mind'' (1812). He undertook to classify different forms of mental illness and to theorize as to their causes and possible cures. Rush believed (incorrectly) that many mental illnesses were caused by disruptions of blood circulation or by sensory overload and treated them with devices meant to improve circulation to the brain such as a centrifugal
Centrifugal (a key concept in rotating systems) may refer to:
*Centrifugal casting (industrial), Centrifugal casting (silversmithing), and Spin casting (centrifugal rubber mold casting), forms of centrifigual casting
*Centrifugal clutch
*Centrifug ...
spinning board, and inactivity/sensory deprivation via a restraining chair with a sensory-deprivation head enclosure ("tranquilizer chair"). After seeing mental patients in appalling conditions in Pennsylvania Hospital, Rush led a successful campaign in 1792 for the state to build a separate mental ward where the patients could be kept in more humane conditions.
Rush believed, as did so many physicians of the time, that bleeding and active purging with mercury(I) chloride (calomel) were the preferable medical treatments for insanity, a fact evidenced by his statement that, "It is sometimes difficult to prevail upon patients in this state of madness, or even to compel them, to take mercury in any of the ways in which it is usually administered. In these cases I have succeeded, by sprinkling a few grains of calomel daily upon a piece of bread, and afterwards spreading over it, a thin covering of butter." Rush followed the standard procedures of bleeding and treatment with mercury, he did believe that "coercion" and "restraint", the physical punishment, chains and dungeons, which were the practice of the time, were the answer as proven by his invention of the restraint chair and other devices. For this reason, some aspects of his approach could be seen as similar to ''Moral Therapy
Moral treatment was an approach to mental disorder based on humane psychosocial care or moral discipline that emerged in the 18th century and came to the fore for much of the 19th century, deriving partly from psychiatry or psychology and partly fr ...
,'' which would soon rise to prominence in at least the wealthier institutions of Europe and the United States.
Rush is sometimes considered a pioneer of occupational therapy particularly as it pertains to the institutionalized. In ''Diseases of the Mind'' (1812), Rush wrote:
Furthermore, Rush was one of the first people to describe Savant Syndrome. In 1789, he described the abilities of Thomas Fuller
Thomas Fuller (baptised 19 June 1608 – 16 August 1661) was an English churchman and historian. He is now remembered for his writings, particularly his ''Worthies of England'', published in 1662, after his death. He was a prolific author, and ...
, an enslaved African who was a lightning calculator
Human calculator is a term to describe a person with a prodigious ability in some area of mental calculation (such as adding, subtracting, multiplying or dividing large numbers).
The world's best mental calculators are invited every two yea ...
. His observation would later be described in other individuals by notable scientists like John Langdon Down
John Langdon Haydon Down (18 November 1828 – 7 October 1896) was a British physician best known for his description of the genetic condition now known as Down syndrome, which he originally classified in 1862. He is also noted for his work in ...
.
Rush pioneered the therapeutic approach to addiction
Addiction is a neuropsychological disorder characterized by a persistent and intense urge to engage in certain behaviors, one of which is the usage of a drug, despite substantial harm and other negative consequences. Repetitive drug use oft ...
. Prior to his work, drunkenness was viewed as being sinful and a matter of choice. Rush believed that the alcoholic loses control over himself and identified the properties of alcohol, rather than the alcoholic's choice, as the causal agent. He developed the conception of alcoholism
Alcoholism is, broadly, any drinking of alcohol that results in significant mental or physical health problems. Because there is disagreement on the definition of the word ''alcoholism'', it is not a recognized diagnostic entity. Predomina ...
as a form of medical disease and proposed that alcoholics should be weaned from their addiction via less potent substances.
Rush advocated for more humane mental institutions and perpetuated the idea that people with mental illness are people who have an illness, rather than inhuman animals. He is quoted to have said, "Terror acts powerfully upon the body, through the medium of the mind, and should be employed in the cure of madness." He also championed the idea of "partial madness," or that people could have varying degrees of mental illness.
The American Psychiatric Association
The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 37,000 members are invol ...
's seal bears an image of Rush's purported profile at its center. The outer ring of the seal contains the words "American Psychiatric Association 1844".[ The Association's history of the seal states:
]
Educational legacy
During his career, he educated over 3,000 medical students, and several of these established Rush Medical College in Chicago
(''City in a Garden''); I Will
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, map_caption = Interactive Map of Chicago
, coordinates =
, coordinates_footnotes =
, subdivision_type = List of sovereign states, Count ...
in his honor after his death. His students included Valentine Seaman, who mapped yellow fever mortality patterns in New York and introduced the smallpox vaccine to the United States in 1799. One of his last apprentices was Samuel A. Cartwright, later a Confederate States of America
The Confederate States of America (CSA), commonly referred to as the Confederate States or the Confederacy was an unrecognized breakaway republic in the Southern United States that existed from February 8, 1861, to May 9, 1865. The Confede ...
surgeon charged with improving sanitary conditions in the camps around Vicksburg, Mississippi
Vicksburg is a historic city in Warren County, Mississippi, United States. It is the county seat, and the population at the 2010 census was 23,856.
Located on a high bluff on the east bank of the Mississippi River across from Louisiana, Vic ...
, and Port Hudson, Louisiana
Port Hudson is an unincorporated community in East Baton Rouge Parish, Louisiana, United States. Located about northwest of Baton Rouge, it is known primarily as the location of an American Civil War battle, the siege of Port Hudson, in 1863.
...
. Rush University Medical Center
Rush University Medical Center (Rush) is an academic medical center in the Illinois Medical District neighborhood of Chicago, Illinois. It is the flagship hospital for the Rush University System for Health, which includes Rush Oak Park Hospital a ...
in Chicago, formerly Rush-Presbyterian-St. Luke's Medical Center, was named in his honor.
Religious views and vision
Rush advocated Christianity in public life and in education and sometimes compared himself to the prophet Jeremiah. Rush regularly attended Christ Church in Philadelphia and counted William White among his closest friends (and neighbors). Ever the controversialist, Rush became involved in internal disputes over the revised Book of Common Prayer
The ''Book of Common Prayer'' (BCP) is the name given to a number of related prayer books used in the Anglican Communion and by other Christianity, Christian churches historically related to Anglicanism. The original book, published in 1549 ...
and the splitting of the Episcopal Church from the Church of England
The Church of England (C of E) is the established Christian church in England and the mother church of the international Anglican Communion. It traces its history to the Christian church recorded as existing in the Roman province of Britai ...
. He dabbled with Presbyterianism
Presbyterianism is a part of the Reformed tradition within Protestantism that broke from the Roman Catholic Church in Scotland by John Knox, who was a priest at St. Giles Cathedral (Church of Scotland). Presbyterian churches derive their na ...
, Methodism
Methodism, also called the Methodist movement, is a group of historically related Christian denomination, denominations of Protestantism, Protestant Christianity whose origins, doctrine and practice derive from the life and teachings of John W ...
(which split from Anglicanism in those years), and Unitarianism
Unitarianism (from Latin ''unitas'' "unity, oneness", from ''unus'' "one") is a nontrinitarian branch of Christian theology. Most other branches of Christianity and the major Churches accept the doctrine of the Trinity which states that there ...
. In a letter to John Adams
John Adams (October 30, 1735 – July 4, 1826) was an American statesman, attorney, diplomat, writer, and Founding Fathers of the United States, Founding Father who served as the second president of the United States from 1797 to 1801. Befor ...
, Rush describes his religious views as "a compound of the orthodoxy and heterodoxy of most of our Christian churches." Christian Universalists
Christian universalism is a school of Christian theology focused around the doctrine of universal reconciliation – the view that all human beings will ultimately be saved and restored to a right relationship with God. "Christian universalism ...
consider him one of their founders, although Rush stopped attending that church after the death of his friend, former Baptist
Baptists form a major branch of Protestantism distinguished by baptizing professing Christianity, Christian believers only (believer's baptism), and doing so by complete Immersion baptism, immersion. Baptist churches also generally subscribe ...
pastor Elhanan Winchester, in 1797.
Rush fought for temperance and both public and Sunday schools. He helped found the Bible Society at Philadelphia (now known as th
Pennsylvania Bible Society
and promoted the American Sunday School Union. When many public schools stopped using the Bible as a textbook, Rush proposed that the U.S. government require such use, as well as furnish an American Bible to every family at public expense. In 1806, Rush proposed inscribing "The Son of Man Came into the World, Not To Destroy Men's Lives, But To Save Them." above the doors of courthouses and other public buildings. Earlier, on July 16, 1776, Rush had complained to Patrick Henry about a provision in Virginia's constitution of 1776 which forbade clergymen from serving in the legislature.
Rush felt that the United States was the work of God: "I do not believe that the Constitution was the offspring of inspiration, but I am as perfectly satisfied that the Union of the United States in its form and adoption is as much the work of a Divine Providence as any of the miracles recorded in the Old and New Testament". In 1798, after the Constitution's adoption, Rush declared: "The only foundation for a useful education in a republic is to be laid in Religion. Without this there can be no virtue, and without virtue there can be no liberty, and liberty is the object and life of all republican governments."[''America's God and Country Encyclopedia of Quotations,'' by William Federer, 1999, , p. 543] One quote popularly assigned to Rush, however, which portrays him as a medical libertarian: "Unless we put medical freedoms into the Constitution, the time will come when medicine will organize into an undercover dictatorship . .To restrict the art of healing to one class of men and deny equal privileges to others will constitute the Bastille of medical science. All such laws are un-American and despotic and have no place in a republic . .The Constitution of this republic should make special privilege for medical freedom as well as religious freedom," is likely a misattribution. No primary source for it has been found, and the words "un-American" and "undercover" are anachronisms, as their usage as such did not appear until after Rush's death.
Before 1779, Rush's religious views were influenced by what he described as "Fletcher's controversy with the Calvinists in favor of the Universality of the atonement." After hearing Elhanan Winchester preach, Rush indicated that this theology "embraced and reconciled my ancient calvinistical, and my newly adopted (Arminian
Arminianism is a branch of Protestantism based on the theological ideas of the Dutch Reformed theologian Jacobus Arminius (1560–1609) and his historic supporters known as Remonstrants. Dutch Arminianism was originally articulated in the ''Re ...
) principles. From that time on I have never doubted upon the subject of the salvation of all men." To simplify, both believed in punishment after death for the wicked. His wife, Julia Rush, thought her husband like Martin Luther
Martin Luther (; ; 10 November 1483 – 18 February 1546) was a German priest, theologian, author, hymnwriter, and professor, and Augustinian friar. He is the seminal figure of the Protestant Reformation and the namesake of Luther ...
for his ardent passions, fearless attacks on old prejudices, and quick tongue against perceived enemies.
Rush helped Richard Allen found the African Methodist Episcopal Church
The African Methodist Episcopal Church, usually called the AME Church or AME, is a predominantly African American Methodist denomination. It adheres to Wesleyan-Arminian theology and has a connexional polity. The African Methodist Episcopal ...
. In his autobiography, Allen wrote:
Personal life
On January 11, 1776, Rush married Julia Stockton (1759–1848), daughter of Richard Stockton, another signer of the Declaration of Independence, and his wife Annis Boudinot Stockton. They had 13 children, 9 of whom survived their first year: John, Ann Emily, Richard
Richard is a male given name. It originates, via Old French, from Old Frankish and is a compound of the words descending from Proto-Germanic ''*rīk-'' 'ruler, leader, king' and ''*hardu-'' 'strong, brave, hardy', and it therefore means 'stro ...
, Susannah (died as an infant), Elizabeth Graeme (died as an infant), Mary B, James, William (died as an infant), Benjamin (died as an infant), Richard, Julia, Samuel, and William. Richard
Richard is a male given name. It originates, via Old French, from Old Frankish and is a compound of the words descending from Proto-Germanic ''*rīk-'' 'ruler, leader, king' and ''*hardu-'' 'strong, brave, hardy', and it therefore means 'stro ...
later became a member of the cabinets of James Madison, James Monroe, John Quincy Adams, Andrew Jackson, James K. Polk, and Zachary Taylor
Zachary Taylor (November 24, 1784 – July 9, 1850) was an American military leader who served as the 12th president of the United States from 1849 until his death in 1850. Taylor was a career officer in the United States Army, rising to th ...
(at one point during each of their presidencies).
In 1812, Rush helped reconcile the friendship of Jefferson and Adams by encouraging the two former presidents to resume writing to each other.
Death
After dying of typhus fever
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.
...
, he was buried (in Section N67) along with his wife Julia in the Christ Church Burial Ground in Philadelphia, not far from where Benjamin Franklin
Benjamin Franklin ( April 17, 1790) was an American polymath who was active as a writer, scientist, inventor
An invention is a unique or novel device, method, composition, idea or process. An invention may be an improvement upon a m ...
is buried. At the site, a small plaque honoring Benjamin Rush has been placed. However, the box marker is next to the plaque on the right, with inscriptions on the top. The inscription reads,
In memory of
Benjamin Rush MD
he died on the 19th of April
in the year of our Lord 1813
Aged 68 years
Well done good and faithful servant
enter thou into the joy of the Lord
Mrs Julia Rush
consort of
Benjamin Rush MD
Born March 2, 1759
Died July 7, 1848
For as in Adam, all die, even so in Christ
Shall all be made alive
Legacy
Benjamin Rush Elementary School in Redmond, Washington was named by its students for him. The Arts Academy at Benjamin Rush magnet high school in Philadelphia was established in 2008. Rush County, Indiana, is named for him as is its county seat, Rushville. Rush University Medical Center
Rush University Medical Center (Rush) is an academic medical center in the Illinois Medical District neighborhood of Chicago, Illinois. It is the flagship hospital for the Rush University System for Health, which includes Rush Oak Park Hospital a ...
in Chicago is named after Rush. Benjamin Rush State Park in Philadelphia is named after Rush. The eponymous conservative Benjamin Rush Institute is an associate member of the State Policy Network.
Controversy regarding quotations
George Seldes includes in his widely recognized 1960 book ''The Great Quotations'' a quote by Rush: The book includes a detailed depiction of sources and methodologies used by Seldes to gather the quotes. However Thomas Szasz in recent years has claimed to believe this is a false attribution, while avoiding to mention Seldes' book: "...Not a single author supplies a verifiable source for it. Hence, I believe this false attribution, depicting Rush as a medical libertarian, needs to be exposed as bogus."
Writings
*
*
*
* 1989 reprint: Syracuse University Press,
*
*
*
* Rush, Benjamin (1812) ''Medical Inquiries And Observations Upon The Diseases Of The Mind'', 2006 reprint: Kessinger Publishing, . Free digital copies of original published in 1812 at http://deila.dickinson.edu/theirownwords/title/0034. or https://web.archive.org/web/20121024024628/http://collections.nlm.nih.gov/muradora/objectView.action?pid=nlm%3Anlmuid-2569036R-bk
*
*
*
*
*
*
* ''The Spur of Fame: Dialogues of John Adams and Benjamin Rush, 1805–1813'' (2001), Liberty Fund,
*
*
Archival collections
The Presbyterian Historical Society in 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. Sinc ...
, Pennsylvania
Pennsylvania (; (Pennsylvania Dutch: )), officially the Commonwealth of Pennsylvania, is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States. It borders Delaware to its southeast, Ma ...
, has a collection o
Benjamin Rush's original manuscripts
See also
* List of abolitionist forerunners
Thomas Clarkson (1760–1846), the pioneering English abolitionist, prepared a "map" of the "streams" of "forerunners and coadjutors" of the abolitionist movement, which he published in his work, ''The History of the Rise, Progress, and Accompl ...
* Memorial to the 56 Signers of the Declaration of Independence
The Memorial to the 56 Signers of the Declaration of Independence is a memorial depicting the signatures of the 56 signatories to the United States Declaration of Independence. It is located in the Constitution Gardens on the National Mall in ...
Notes
Further reading
*
*
*
*
*
*
*
*
*
*
* Unger, Harlow Giles. ''Dr. Benjamin Rush: The Founding Father Who Healed a Wounded Nation'' (Da Capo Press, 2018). 320 pp
online review
*
External links
*
*
Article and portrait at "Discovering Lewis & Clark"
"Benjamin Rush: The Revolution's Doctor of Medicine and Universal Humanitarian" – excerpts from his writings
"An oration, delivered before the American Philosophical Society, held in Philadelphia on the 27th of February, 1786; containing an enquiry into the influence of physical causes upon the moral faculty."
*
Papers
from the Historic Psychiatry Collection, Menninger Archives, Kansas Historical Society
*
Guide to the Benjamin Rush Lectures circa 1775–1825
at th
University of Chicago Special Collections Research Center
Guide to Benjamin Rush, On the Influence of Physical Causes on the Moral Faculty 1786
at th
University of Chicago Special Collections Research Center
{{DEFAULTSORT:Rush, Benjamin
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