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46 pages 1 hour read

Nellie Bly

Ten Days In A Mad-House

Nonfiction | Book | Adult | Published in 1887

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Important Quotes

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Content Warning: This section discusses violence and abusive behavior toward, and mistreatment of, women and people with disabilities and mental health conditions.

“I am happy to be able to state as a result of my visit to the asylum and the exposures consequent thereon, that the City of New York has appropriated $1,000,000 more per annum than ever before for the care of the insane. So I have at least the satisfaction of knowing that the poor unfortunates will be the better cared for because of my work.”


(Introduction, Page n/a)

Bly emphasizes the tangible impact of her investigative journalism, introducing The Power of the Written Word to Effect Social Change. By revealing the hidden suffering of people with mental health conditions, Bly’s work compelled systemic change, illustrating the power of journalism to hold institutions accountable. Her satisfaction in improving conditions highlights the journalist’s potential to advocate for vulnerable populations and drive meaningful reform.

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“Could I pass a week in the insane ward at Blackwell’s Island? I said I could and I would. And I did.”


(Chapter 1, Page 5)

Bly uses hypophora, posing a question and immediately answering it, to establish a confident, no-nonsense tone. By revealing upfront that she successfully completed her mission, Bly increases her credibility, signaling to readers that she has nothing to hide and is not using suspense as a narrative trick. Her straightforward, matter-of-fact style reinforces the authenticity of her account, fostering trust and emphasizing the gravity of the experience she’s about to share.

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“The weather was not cold; but, nevertheless, when I thought of what was to come, wintery chills ran races up and down my back in very mockery of the perspiration which was slowly but surely taking the curl out of my bangs.”


(Chapter 2, Page 9)

In this quote, Bly employs vivid figurative language to draw readers into her experience, even in a nonfiction narrative. Phrases like “wintery chills ran races up and down my back” and the imagery of perspiration “taking the curl out of [her] bangs” create a palpable sense of her physical and emotional anxiety. By engaging the senses, Bly invites readers to feel the tension and apprehension she faced, encouraging active empathy. This immersive style invites readers to connect with the gravity of her mission through shared, visceral sensations.

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“One incident, if never so trifling, is but a link more to chain us to our unchangeable fate.”


(Chapter 3, Page 19)

This remark reflects Bly’s contemplation of fate and the impact of seemingly insignificant moments. By describing even the smallest incident as a “link” in a chain, she emphasizes how every experience contributes to the trajectory of one’s life, binding a person to an inevitable path. The metaphor of a chain suggests that fate is inescapable and cumulative, with each event strengthening its hold. This perspective adds philosophical depth to Bly’s narrative, highlighting the gravity of her mission and suggesting that her daring undercover work is one such link that has led her to face her own destiny head-on.

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“It is only after one is in trouble that one realizes how little sympathy and kindness there is in the world.”


(Chapter 3, Pages 20-21)

Bly reveals a harsh truth about societal neglect, emphasizing that genuine compassion is often lacking for those who are most in need. Her observation highlights how society tends to disregard or mistreat its most vulnerable members, only paying attention when it is convenient or self-serving. The deeper message suggests that people in positions of distress or disadvantage—such as people who are poor, mentally unwell, or marginalized—often face a world indifferent to their suffering. Bly’s firsthand experience of feeling isolated and mistreated during her undercover investigation serves as an indictment of society’s failure to extend empathy and kindness to those who need it most.

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“‘If she don’t come along quietly,’ responded one of the men, ‘I will drag her through the streets.’”


(Chapter 4, Page 22)

This statement from one of the officers that came for Bly at the boardinghouse reveals the harsh, uncompassionate attitude of the police toward those perceived as mentally unwell. The willingness to use force underscores a lack of empathy and an assumption that such individuals are inherently unruly, justifying physical control. This response reflects The Societal and Systemic Mistreatment of Mentally Ill Individuals, emphasizing the absence of human treatment or understanding for those seen as different.

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“It was an old story with them. One more unfortunate added to a long list which had long since ceased to be of any interest or concern to them.”


(Chapter 4, Page 25)

Here, Bly highlights the complacency of the officers, who had become desensitized to the struggles of marginalized individuals. Seeing so many cases of poverty and mental illness, they no longer seemed to feel empathy or concern. This detachment underscores how systemic neglect and routine exposure to suffering can erode compassion, leaving those in need without any genuine support.

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“I thought I might as well be truthful when I could without injuring my case, so I told him I was near-sighted, that I was not in the least ill, had never been sick, and that no one had a right to detain me when I wanted to find my trunks.”


(Chapter 5, Page 32)

In this excerpt, Bly states that she spoke the truth about her health, insisting that she wasn’t sick, yet her statement was dismissed entirely. Her honesty was perceived as further evidence of her supposed instability, reflecting the era’s inclination to doubt women’s self-awareness and rationality. This dismissal contributes to The Role of Gender in the Perception and Treatment of Mental Health, revealing a societal tendency to ignore women’s voices, particularly in matters of mental wellness, and to substitute the judgments of male authority figures in their place. Bly’s experience illustrates how women could easily be silenced or overridden in institutional settings, reinforcing their vulnerability.

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“With all my bravery I felt a chill at the prospect of being shut up with a fellow-creature who was really insane.”


(Chapter 6, Page 35)

This remark reveals Bly’s initial bias against those with mental illness, as she assumed that being near someone who was genuinely unwell was inherently dangerous or disturbing. Despite her intention to advocate for better treatment, Bly’s language suggests an ingrained fear or mistrust of people with a mental illness, reflecting the broader social stigma.

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“It could not have been colder had it been cooked the week before, and it had no chance to make acquaintance with salt or pepper.”


(Chapter 6, Page 37)

Bly uses exaggeration, personification, and humor to convey the poor quality of the food at Bellevue. By claiming that the food hadn’t “made acquaintance with salt or pepper,” she personifies the ingredients, implying that they were strangers to flavor, which humorously emphasizes the tastelessness of the meal. This witty tone lightens the text momentarily and adds a layer of irony to Bly’s experience, as she endured indignities that collectively reinforce her critique of the institution.

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“‘We know all we want to on that score,’ said the doctor, and he left the poor girl condemned to an insane asylum, probably for life, without giving her one feeble chance to prove her sanity.”


(Chapter 7, Page 45)

This statement, made by the doctor to Miss Tillie Mayard, reveals the institutional apathy and gender bias embedded in mental health care at the time. Despite her pleas, Mayard’s concerns were dismissed outright. This interaction highlights The Role of Gender in the Perception and Treatment of Mental Health, as women’s assertions of their own mental stability were often doubted, overridden by the authority of male doctors. The ease with which the doctor condemned her reflects the systematic power imbalance that led to unjust and lifelong consequences for those deemed “mad.”

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“Blackwell’s Island, an insane place, where you’ll never get out of.”


(Chapter 7, Page 48)

This ominous remark captures the grim reality of asylums in Bly’s time, where entry often meant indefinite confinement. The attendant’s words imply that Blackwell’s Island functioned as a final, inescapable place, trapping patients within a bureaucratic system with little regard for their eventual release. This line underscores the bleak reality of asylums as isolating environments where patients were stripped of agency and forgotten by society.

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“In comparison, how much easier it would be to walk to the gallows than to this tomb of living horrors!”


(Chapter 8, Page 49)

Bly uses the metaphor of a “tomb of living horrors” to emphasize the sense of entrapment and despair associated with the asylum. Comparing the institution to the gallows, she suggests that the asylum was a fate worse than death, symbolizing not only physical confinement but also the psychological suffering and isolation that its patients endured. This stark comparison highlights the oppressive, dehumanizing nature of the institution, inviting sympathy for the women committed there without any hope of freedom.

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“In a few days after how I laughed at my own stupidity to think the nurses would work.”


(Chapter 9, Page 56)

Bly reflects on her initial naivety in assuming that the nurses were responsible for the asylum’s cleanliness. Her realization that the nurses didn’t actually do the work themselves highlights the institutional hypocrisy, where the appearance of care is prioritized over genuine involvement. By laughing at her own “stupidity,” Bly critiques the system’s façade, exposing the neglect and lack of accountability among staff who maintained control without truly serving the needs of the patients.

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“You must force the food down […] else you will be sick, and who knows but what, with these surroundings, you may go crazy.”


(Chapter 10, Page 58)

Miss Neville’s advice to Bly was steeped in irony. She warned that neglecting her physical health in such harsh surroundings could lead to mental instability—a grimly ironic suggestion given that they were already confined within an asylum. Miss Neville’s comment underscores the absurdity of the institution’s conditions, where supposed care became a source of harm.

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“Did I protest? Well, I never grew so earnest in my life as when I tried to beg off.”


(Chapter 11, Page 59)

Bly’s use of hypophora enhances the tone of exasperation and frustration in this moment. The phrase “never grew so earnest” emphasizes the intensity of her protest, conveying her genuine distress at the humiliating and invasive forced bath. Her choice of words reflects her attempt to maintain composure despite a deeply unsettling experience, adding a layer of resilience to her tone as she describes facing the increasingly dehumanizing treatment.

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“As I say, in case of fire, not a dozen women could escape. All would be left to roast to death.”


(Chapter 11, Page 63)

This line underscores the horrifying conditions that Bly exposes as part of The Societal and Systemic Mistreatment of Mentally Ill Individuals. The institution’s structure was designed with more concern for control than for patient safety or well-being. The imagery here is both shocking and illuminating, serving as a powerful critique of the asylum’s oppressive, life-threatening policies.

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“Several of the patients would sit on one foot or sideways to make a change, but they were always reproved and told to sit up straight. If they talked they were scolded and told to shut up; if they wanted to walk around in order to take the stiffness out of them, they were told to sit down and be still. What, excepting torture, would produce insanity quicker than this treatment?”


(Chapter 12, Page 71)

This excerpt highlights the psychological torment inflicted on the patients at Blackwell’s Island. Bly critiques the inhumanity of forcing women to remain seated in rigid positions for hours, a practice that stifled any small comfort they might find. Her rhetorical question exposes the irony of a mental health institution using methods that could drive anyone to despair, implying that such conditions would worsen mental health rather than aid it.

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“Insane? Yes, insane; and as I watched the insanity slowly creep over the mind that had appeared to be all right I secretly cursed the doctors, the nurses and all public institutions.”


(Chapter 13, Page 76)

Bly’s compassion for Miss Tillie Mayard is evident as she describes how she lamented the impact of the asylum’s harsh conditions on her fellow patient’s physical and mental state. Watching Mayard’s health erode due to mistreatment, Bly’s sympathy turned to anger toward the doctors, nurses, and the institutions that had failed to provide humane care. Her intense response highlights her frustration at a system that seemed to induce mental health conditions rather than relieve them, deepening her commitment to exposing its injustices.

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“They said her name is Sarah Fishbaum, and that her husband put her in the asylum because she had a fondness for other men than himself.”


(Chapter 14, Page 80)

This line highlights the gendered power dynamics at play in the treatment of women’s mental health during Bly’s time, reinforcing The Role of Gender in the Perception and Treatment of Mental Health. Sarah’s alleged infidelity—a moral rather than psychological issue—served as a basis for her institutionalization, underscoring how women could be declared “insane” for behaviors that challenged male authority or expectations. This reflects societal norms where men wielded control over women’s lives and autonomy, showing how social expectations influenced perceptions of mental health.

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“I smelt it and it smelt like laudanum, and it was a horrible dose.”


(Chapter 14, Page 84)

The sensory language here, especially Bly’s description of the “horrible dose” of laudanum, evokes the dread and distaste surrounding forced medication practices in asylums. Bly’s awareness of the drug’s smell and her reaction illustrate the asylum’s harsh methods and the physical and psychological impact of forced sedation on patients.

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“Her agony seemed like a glimpse of the inferno.”


(Chapter 15, Page 89)

In describing the suffering of the Irish woman who believed herself damned, words like “agony” and “inferno” convey the intense, visceral nature of the woman’s torment. These words evoke images of unbearable suffering and hellish conditions, painting a vivid picture of the mental and emotional anguish endured by patients in the asylum.

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“I felt a Quixotic desire to help them by sympathy and presence. But only for a moment. The bars were down and freedom was sweeter to me than ever.”


(Chapter 16, Page 94)

Bly’s reference to “a Quixotic desire” is a literary allusion to the character Don Quixote from Cervantes’s Don Quixote. Known for his idealistic but impractical pursuits, Don Quixote embodies a noble yet often misguided desire to right the world’s wrongs. By invoking this allusion, Bly highlights the noble but ultimately futile wish to stay and support her fellow patients through her presence and sympathy.

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“Strange to say, ever since Miss Brown has been taken away everything is different.”


(Chapter 17, Page 96)

Miss Neville’s observation underscores the asylum’s deliberate efforts to improve conditions temporarily for the jury’s inspection. Her remark suggests that the kindness of the staff and improved conditions were just for show, adding credibility to Bly’s claims about the typical cruelty and neglect.

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“I have one consolation for my work—on the strength of my story the committee appropriation provides $1,000,000 more than ever before given, for the benefit of the insane.”


(Chapter 17, Page 98)

Bly concludes her narrative with this achievement, emphasizing the impact of her journalism and The Power of the Written Word to Effect Social Change. The substantial increase in funding signifies the tangible power of her exposé to effect social change, validating her struggles and risks in bringing the truth to light.

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