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Honored in the nursing profession as an American scholar, educator, and crusader, Dorothea
Lynde Dix earned universal renown for her interest, activity, and pioneer work for reform of
mental institutions and psychiatric care. Dix began her drive for improvement in the care of the
mentally ill in Massachusetts in 1841. During the next 20 years, she carried the crusade to
Rhode Island, New Jersey, Pennsylvania, and into the south and west. Although she had no
formal nurses training, Dix established such an impressive record of organizational skill in her
humanitarian crusade that she was appointed superintendent of the female nurses of the Army by
secretary of war, Simon Cameron, in 1861. Her tireless efforts led to the recruitment of more
than 2,000 women to serve in the Union Army during the Civil War. At the end of the war, she
returned to her lifelong crusade in psychiatric reform.
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