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Kate MooreA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
On June 18, 1860, Elizabeth Packard was dealt a crushing blow in the war her husband, the Reverend Theophilus Packard, was waging against her. Their conflict began four months before Theophilus directed their congregation to abandon its formerly abolitionist religious doctrine. A fierce abolitionist, Elizabeth rejected this unexplained change. She did not know that Theophilus was in debt, and his decision was motivated by funds promised by a pro-slavery church investor. Well-read in theology, Elizabeth began voicing her opinions in their home and at their church’s Bible study. Elizabeth was adamant that she had the right to hold opinions different from her husband’s. Intelligent, personable, and eloquent, Elizabeth was persuasive. Concerned about the influence she might wield, Theophilus began spreading rumors that her outspokenness was evidence of a mental health condition. As he mounted support against her, enlisting his congregation to sign a petition that declared her “insane,” Elizabeth refused to back down, leaving her husband’s Presbyterian church to become Methodist. Theophilus began to threaten to commit her to a psychiatric hospital, tensions escalating when he began locking her in their children’s nursery. On June 16, he held a mock hearing in their home to establish his wife’s “irrationality.”
Two days later, with coconspirators in tow, Theophilus confronted Elizabeth and informed her that he was taking her to the “asylum” at Jacksonville. Elizabeth knew reacting with rage against this injustice would only prove his allegations, so she remained passive and quiet, forcing her husband and his accomplices to physically carry her. At the train station, a throng of Elizabeth’s supporters, assembled by her son Isaac, had arrived to protest. No one physically intervened on Elizabeth’s behalf; one of Theophilus’s cronies claimed that the sheriff had promised to arrest interceders.
Elizabeth had been a supportive, deferential wife to her indifferent and often cruel husband for two decades. She bore Theophilus six children and had instilled in them her conviction that their faith was one of hope, joy, and comfort. In contrast, Theophilus habitually intimidated the children with his fear-driven fire and brimstone perspective, teaching them they were wicked and deserved punishment. Before publicly carting Elizabeth off to the “asylum” against her will, Theophilus had carefully arranged for the children to be away from home, the first of his many subsequent efforts to control the narrative around their mother’s mental health.
When Theophilus and Elizabeth Packard arrived at the State Hospital for the Insane at Jacksonville, Illinois, Elizabeth was immediately escorted to Seventh Ward while her husband was given guest accommodations. Seventh Ward housed exclusively middle-class women of genteel sensibilities, a designation intentionally made to prevent women of their status from the perceived harms of interacting with female patients whose behavior and crudeness might be upsetting to them. It was not the first time Elizabeth had been an inpatient at a state hospital. At age 19, while teaching in her home state of Massachusetts, she was placed in Worcester State Hospital. Her ailments were attributed to the overexertion of her mind with intellectual pursuits. However, Elizabeth had been suffering not from a “psychiatric disturbance” but from a brain infection, and she was discharged after six weeks once she had recovered. When she met Dr. Andrew McFarland, they spoke at length, and Elizabeth was certain that after the stimulating, pleasant nature of their conversation, he would decide that she should not be admitted to the “asylum.” Elizabeth was shocked when Theophilus came to say goodbye and told her she was not coming home with him. She also was stunned to see his look of satisfaction and triumph when he waved goodbye to her.
McFarland, whose therapeutic method was to engender affection and dependence from his patients, had earned Elizabeth’s admiration and respect during their initial conversation and her first few days at Jacksonville. She was crushed when after one week, she discovered that McFarland’s offer to discharge her was contingent upon the condition that she return home and submit to Theophilus’s will. Instead, devastated as she might be by her separation from her children, she decided to remain in the hospital until she could convince McFarland of her mental health. McFarland’s theoretical orientation held that “moral insanity”—the diagnosis under which he admitted Elizabeth—could not exist without accompanying intellectual impairment. McFarland had not yet found any evidence of it, Elizabeth’s eloquence, social graces, and comportment being unimpeachable, but her behavior as described by Theophilus indicated to McFarland that it must be present. Meanwhile, Elizabeth—friendly, charismatic, magnetic, and trusted with her own set of keys and the means to explore the grounds—began making friends throughout the hospital. Slowly, information delivered by attendants and fellow patients alike began to indict McFarland as a man lacking in integrity and actively causing harm to those he had sworn to protect.
Elizabeth received sympathy from her fellow residents of Seventh Ward, discovering that many of them were women like herself who appeared mentally sound but had become somehow inconvenient for their families. Attendants discouraged them from speaking about how much they missed their children or expressing their hopelessness and sorrow; Elizabeth realized that her fellow residents were being conditioned to adopt behaviors that would be expected of them should they ever be allowed to return home and suppress those deemed undesirable. Despite being housed in one of the most privileged wards at Jacksonville, Elizabeth witnessed and heard reports of indifference, cruelty, and abuse being endured by patients.
Elizabeth was frustrated that she had not heard from her friends, who promised to intervene to secure her release. When her 18-year-old son Toffy visited, he confirmed they had been advocating for her. They tried to secure a hearing under habeas corpus, but because Elizabeth was a married woman and her husband agreed to her being committed to a psychiatric hospital, her circumstances were exempt from the rule. Elizabeth’s positive perception of McFarland was tainted when she saw an opened letter to her from Toffy on his desk. When she demanded to know what it said, McFarland dismissed her. She observed that he couldn’t be trusted anymore. As in her approach to theology, Elizabeth decided writing was the best way to advocate for herself and those around her, for whom she had developed great affection and felt called to help. She wrote two documents. One was a personal statement outlining her case for her mental health, culminating in a request that McFarland allow her to be released from the “asylum” as a legally independent entity, citing abuse and Theophilus’s dereliction of duty as her husband and protector. The second document was an indictment of McFarland and how he ran the hospital. She withheld the document indicting him and presented her self-defense to him. In so doing, she provided McFarland with all of the evidence he had been waiting for to fully confirm her “insanity.” Elizabeth’s frustration with Theophilus was so palpable and forceful that McFarland was offended and astonished that a woman could express such hatred and anger. He considered it unnatural, confirmation that she was “insane.” When he did not release her, she presented her second document, threatening McFarland with exposure. She framed her piece as an opportunity for him to repent and change, an insult he could not bear.
Elizabeth Packard’s behavior was consistent with the virtues and values expected of an educated middle-class woman of the mid-19th century. Theophilus acknowledged that he had no complaints about her as a wife until she began to disagree with his dictates for their church. For Theophilus, it was evidence of her “insanity” that she had maintained her composure and serenity in their household and had appeared to turn on him without warning. In his conversations with McFarland, Theophilus even attempted to paint himself as a victim, claiming that he did not anticipate the risks he incurred in marrying someone who had once been considered “insane.” He would have been privy to the knowledge of her stay in Worcester State Hospital, as he had known Elizabeth’s family since she was 10. As a minister’s wife, higher expectations would have been placed on Elizabeth to live a godly life and set an example for their parishioners, and it was likely that the support that Theophilus managed to muster for his petition for her “insanity” had to do with judgments leveled against her based on that criteria. Moore does not mention whether or not those who supported Theophilus in his petition to send Elizabeth to a psychiatric hospital were also aware that the money being provided for a new church was attached to the promise that Theophilus encourage his congregation to abandon abolition.
When Elizabeth began asserting her views, her extensive knowledge of the Bible and her deep familiarity with the respected theological scholarship of the time posed a threat to her husband because he was not in a position to justify the changes he had made to their church doctrine or to debate with her at the same level. What he and his supporters attacked, instead, was Elizabeth’s assertion of her human rights through her identity as a child of God. Elizabeth’s unwillingness to follow her husband’s instruction and abandon abolition would have meant rejecting the essential concept in which she so deeply believed—that all of God’s children are equal in his eyes and that progression toward equality of rights in society should be made to reflect what God had taught his followers about how to view and treat one another.
Abolitionist Christian doctrines held an enormous following, and the holiness to be found in advocating for the eradication of enslavement was a core tenet of many religious denominations. Elizabeth and Theophilus were from Massachusetts, a state with an overwhelmingly religious, philosophical, and political adherence to abolition as a moral tenet. Abolitionism was entwined with religion and intellect. Like Elizabeth, many were called to it because they felt that all human beings were equal in the sight of God and therefore deserving of liberty. It should not be assumed that their desire to ensure the legal equality of their fellow human beings can be extrapolated to include all human rights, as beliefs varied among those who counted themselves in favor of the cause. While many abolitionists believed that emancipated people of color should be granted certain legal rights, they may not all have personally supported complete social equality. Legal positions did not necessitate moral positions, but the abandonment of abolition would have, to a true abolitionist, been seen as a definite character flaw. Elizabeth was the one who did not waver in her beliefs. Theophilus was unable to accept any criticism of himself or his conduct, claiming “sectarian prejudice,” in which he asserted that those whose denominational differences of belief were at the root of their failure to support everything he thought and did. He did not feel compelled to answer for his decision to change the church’s trajectory, but the incendiary methods employed by Elizabeth in attempting to make the issue a subject of debate and discourse among the congregation was a hindrance and an insult he could not endure. The idea of ending the practice of enslavement of human beings in the United States also contained great political implications, just as Elizabeth was finding her voice with the earliest rumblings of division that would escalate into the Civil War while she was inside the hospital.
Theophilus’s calculated campaign to declare Elizabeth “insane” introduces the theme of Hypocrisy, Vengeance, Vindication, and Abuse of Power Versus Duty, Moral Obligation, Righteousness, and Advocacy for Others. Using his influence as a pastor to encourage his congregation to sign a petition against Elizabeth is a blatant abuse of power. It also speaks to his hypocrisy since he changed his views on slavery not for any theological reason but because he was accommodating a donor’s request. By contrast, Elizabeth speaks out against Theophilus’s changed stance on abolition out of duty and a moral obligation to remain true to her beliefs, which she can explain and articulate because they are based on a sure foundation of her faith, unlike Theophilus’s position which is based on convenience and opportunism. Because Elizabeth’s vocal opposition was embarrassing and counter-productive to his goals, he grew angry with her, which led him to act with vengeance, locking her in the nursery and staging a mock trial. By admitting her to the psychiatric hospital, he sought vindication for his assertion that she was “insane”: He expected to be proved right, which would allow him to save face before his congregation and remove the impediment she had become in changing his church’s stance on abolition.
Elizabeth expected that her introduction to McFarland would be a proper evaluation. The suggestion on McFarland’s part that Elizabeth could return home if she wished so long as she complied with what her husband expected of her is ironic—by presuming that she would be able to control her behavior at home, he is indicating a belief in her mental health. If she had truly been “insane,” her actions and beliefs would have been far outside her control. Moore does not attempt to delve as deeply into Theophilus’s perspective on Elizabeth’s “sanity” as she does with McFarland’s. Still, Theophilus had long used the “asylum” as a threat. He possibly thought that a brief period inside Jacksonville would be enough to force her into complying with his wishes, which suggests that Theophilus himself may not have thought she was truly “insane” but had simply been seeking reinforcements from a more influential authority to impress upon her the importance of behaving as she was supposed to in his home. He knew how much Elizabeth loved her children and the pain that it caused her to be away from them, and it seems that he also knew of their respect and love for her. His eldest sons were in open opposition to his decision to institutionalize her, and Theophilus probably realized that if he were going to establish the kind of control that he wanted to wield in the household, he must wear his children down in the same way that he hoped McFarland would wear Elizabeth down. As long as their children were willing to listen to Elizabeth and remained open to absorbing her ideas and thoughts, he was not going to achieve the totalitarian authority he expected and which he was certain he deserved. There is little doubt that Theophilus thought that Elizabeth was irrational, incorrect, and insubordinate for defying him, but the matter of whether or not he believed that she was irrevocably detached from reality is difficult to isolate from his reactive responses to her and what he stood to gain from claiming that she was “insane.”
In the behavior of Theophilus and McFarland, the theme of “Insanity” as a Prejudicial, Weaponized Label Difficult to Refute or Retract is revealed. Even if Theophilus believed Elizabeth was in control of her faculties—and thus, “sane”—he weaponizes the label of “insanity,” using it as leverage for behavior modification and submission from Elizabeth and his children. Similarly, the way McFarland links Elizabeth’s “sanity” with submission to Theophilus shows the weaponization of the diagnosis as a way to ensure male dominance and subjugate women. Rather than evaluating Elizabeth’s “sanity” from any medical or psychological standpoint, McFarland appears to gauge it based on expected standards of behavior for women as defined by society and their husbands.
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