You know the rules; here’s the quote. This week’s reading is from Robert Whitaker’s Mad in America again (see also Over My Shoulder #15, on the early modern English mad doctors). This passage was reading from the ride home from work and the walk home from the bus stop. I wish I had something to say, but it’s really too awful to bear comment. Here’s the quote:

For hospitals, the main drawback with insulin-coma therapy was that it was expensive and time-consuming. By one estimate, patients treated in this maner received 100 times the attention from medical staff as did other patients, and this greatly limited its use. In contrast, metrazol convulsive therapy, which was introduced into U.S. asylums shortly after Sakel’s insulin treatment arrived, could be administered quickly and easily, with one physician able to treat fifty or more patients in a single morning.

Although hailed as innovative in 1935, when Hungarian Ladislas von Meduna first announced its benefits, metrazol therapy was actually a remedy that could be traced back to the 1700s. European texts from that period tell of using camphor, an extract from the laurel bush, to induce seizures in the mad. Meduna was inspired to revisit this therapy by speculation, which wasn’t his alone, that epilepsy and schizophrenia were antagonistic to each other. One disease helped to drive out the other. Epileptics who developed schizophrenia appeared to have fewer seizures, while schizophrenics who suffered seizures saw their psychosis remit. If that was so, Meduna reasoned, perhaps he could deliberately induce epileptic seizures as a remedy for schizophrenia. With faint hope and trembling desire, he later recalled, the inexpressible feeling arose in me that perhaps I could use this antagonism, if not for curative purposes, at least to arrest or modify the course of schizophrenia.

After testing various poisons in animal experiments, Meduna settled on camphor as the seizure-inducing drug of choice. On January 23, 1934, he injected it into a catatonic schizophrenic, and soon Meduna, like Klaesi and Sakel, was telling a captivating story of a life reborn. After a series of camphor-induced seizures, L. Z., a thirty-three year old man who had been hospitalized for four years, suddenly rose from his bed, alive and lucid, and asked the doctors how long he had been sick. It was a story of a miraculous rebirth, with L. Z. soon sent on his way home. Five other patients treated with camphor also quickly recovered, filling Meduna with a sense of great hope: I feel elated and I knew I had discovered a new treatment. I felt happy beyond words.

As he honed his treatment, Meduna switched to metrazol, a synthetic preparation of camphor. His tally of successes rapidly grew: Of his first 110 patients, some who had been ill as long as ten years, metrazol-induced convulsions freed half from their psychosis.

Although metrazol treatment quickly spread throughout European and American asylums, it did so under a cloud of great controversy. As other physicians tried it, they published recovery rates that were wildly different. One would find that it helped 70 percent of schizophrenic patients. The next wouldfind that it didn’t appear to be an effective treatment for schizophrenia at all but was useful for treating manic-depressive psychosis. Others would find it helped almost no one. Rockland State Hospital in New York announced that it didn’t produce a single recovery among 275 psychotic patients, perhaps the poorest reported outcome in all of psychiatric literature to that time. Was it a totally dreadful drug, as some doctors argued? Or was it, as one physician wrote, the elixir of life to a hitherto doomed race?

A physician’s answer to that question depended, in large measure, on subjective values. Metrazol did change a person’s behavior and moods, and in fairly predictable ways. Physicians simply varied greatly in their beliefs about whether that change should be deemed an improvement. Their judgment was also colored by their own emotional response to administering it, as it involved forcing a violent treatment on utterly terrified patients.

Metrazol triggered an explosive seizure. About a minute after the injection, the patient would arch into a convulsion so severe it could fracture bones, tear muscles, and loosen teeth. In 1939, the New York State Psychiatric Institute found that 43 percent of state hospital patients treated with metrazol had suffered spinal fractures. Other complications included fractures of the humerus, femur, pelvic, scapula, and clavicle bones, dislocations of the shoulder and jaw, and broken teeth. Animal studies and autopsies revealed that metrazol-induced seizures caused hemorrhages in various organs, such as the lungs, kidney, and spleen, and in the brain, with the brain trauma leading to the waste of neurons in the cerebral cortex. Even Meduna acknowledged that his treatment, much like insulin-coma therapy, made brutal inroads into the organism.

We act with both methods as with dynamite, endeavoring to blow asunder the pathological sequences and restore the diseased organism to normal functioning … beyond all doubt, from biological and therapeutic points of view, we are undertaking a violent onslaught with either method we choose, because at present nothing less than such a shock to the organism is powerful enough to break the chain of noxious processes that leads to schizophrenia.

As with insulin, metrazol shock therapy needed to be administered multiple times to produce the desired lasting effect. A complete course of treatment might involve twenty, thirty, or forty or more injections of metrazol, which were typically given at a pace of two or three a week. To a certain degree, the trauma so inflicted also produced a change in behavior similar to that seen with insulin. As patients regained consciousness, they would be dazed and disoriented–Meduna described it as a confused twilight state. Vomiting and nausea were common. Many would beg doctors and nurses not to leave, calling for their mothers, wanting to be hugged, kissed and petted. Some would masturbate, some would become amorous toward the medical staff, and some would play with their own feces. All of this was seen as evidence of a desired regression to a childish level, of a loss of control of the higher centres of intelligence. Moreover, in this traumatized state, many showed much greater friendliness, accessibility, and willingness to cooperate, which was seen as evidence of their improvement. The hope was that with repeated treatments, such friendly, cooperative behavior would become more permanent.

The lifting in mood experienced by many patients, possibly resulting from the release of stress-fighting hormones like epinephrine, led some physicians to find metrazol therapy particularly useful for manic-depressive psychosis. However, as patients recovered from the brain trauma, they typically slid back into agitated, psychotic states. Relapse with metrazol was even more problematic than with insulin therapy, leading numerous physicians to conclude that metrazol shock therapy does not seem to produce permanent and lasting recovery.

Metrazol’s other shortcoming was that after a first injection, patients would invariably resist another and have to be forcibly treated. Asylum psychiatrists, writing in the American Journal of Psychiatry and other medical journals, described how patients would cry, plead that they didn’t want to die, and beg them in the name of humanity to stop the injections. Why, some patients would wail, did the hospital want to kill them? Doctor, one woman pitifully asked, is there no cure for this treatment? Even military men who had borne with comparative fortitude and bravery the brunt of enemy action were said to cower in terror at the prospect of a metrazol injection. One patient described it as akin to being roasted alive in a white-hot furnace; another as if the skull bones were about to be rent open and the brain on the point of bursting through them. The one theme common to nearly all patients, Katzenelbogen concluded in 1940, was a feeling of being excessively frightened, tortured, and overwhelmed by fear of impending death.

The patients’ terror was so palpable that it led to speculation whether fear, as in the days of old, was the therapeutic agent. Said one doctor:

No reasonable explanation of the action of hypoglycemic shock or of epileptic fits in the cure of schizophrenia is forthcoming, and I would suggest as a possibility that as with the surprise bath and the swinging bed, the modus operandi may be the bringing of the patient into touch with reality through the strong stimulation of the emotion of fear, and that the intense apprehension felt by the patient after an injection of cardiazol [metrazol] and so feared by the patient, may be akin to the apprehension of a patient threatened with the swinging bed. The exponents of the latter pointed out that fear of repetition was an important element in its success.

Advocates of metrazol were naturally eager to distinguish it from the old barbaric shock practices and even conducted studies to prove that fear was not the healing agent. In their search for a scientific explanation, many put a Freudian spin on the healing psychology at work. One popular notion, discussed by Chicago psychotherapist Roy Grinker at an American Psychiatric Association meeting in 1942, was that it put the mentally ill through a near-death experience that was strangely liberating. The patient, Grinker said, experiences the treatment as a sadistic punishing attack which satisfies his unconscious sense of guilt. Abram Bennett, a psychiatrist at the University of Nebraska, suggested that a mental patient, by undergoing the painful convulsive therapy, has proved himself willing to take punishment. His conscience is then freed, and he can allow himself to start life over again free from the compulsive pangs of conscience.

As can be seen by the physicians’ comments, metrazol created a new emotional tenor within asylum medicine. Physicians may have reasoned that terror, punishment, and physical pain were good for the mentally ill, but the mentally ill, unschooled in Freudian theories, saw it quite less abstractly. They now perceived themselves as confined in hospitals where doctors, rather than trying to comfort them, physically assaulted them in the most awful way. Doctors, in their eyes, became their torturers. Hospitals became places of torment. This was the beginning of a profound rift in the doctor-patient relationship in American psychiatry, one that put the severely mentally ill ever more at odds with society.

Even though studies didn’t provide evidence of any long-term benefit, metrazol quickly became a staple of American medicine, with 70 percent of the nation’s hospitals using it by 1939. From 1936 to 1941, nearly 37,000 mentally ill patients underwent this treatment, which meant that they received multiple injections of the drug. Brain-damaging therapeutics–a term coined in 1941 by a proponent of such treatments–were now being regularly administered to the hospitalized mentally ill, and being done so against their will.

–Robert Whitaker, Mad in America: Bad Science, Bad Medicine, and the Enduring Mistreatment of the Mentally Ill (2002), pp. 91–96.

It’s revealed in a footnote (and mentioned later in the book) that the proponent who coined the term brain-damaging therapeutics was none other than Walter Freeman, the pioneer of the icepick lobotomy, in Brain-Damaging Therapeutics, Diseases of the Nervous System 2 (1940): 83.

You could also call this How Government Solved the Health Care Crisis, Part II; Part I being Roderick’s excellent article from 1993, on the government’s deliberate obstruction of mutual aid societies (in order to raise medical costs), and the havoc that it’s wreaked on the medical insurance system ever since.

As a follow-up in a similar vein, here’s an interesting bit I stumbled across in Robert Whitaker’s Mad in America (2002); the topic came up in the course of explaining how neuroleptics, and thorazine in particular — first marketed as chemical lobotomies, later repackaged as antipsychotics — took American psychiatry by storm during the 1950s. An essential part of the process was the destruction of private, independent oversight over the therapeutic value of drugs — a medical watchdog system that worked, until government fixed it.

After World War II, global leadership in drug development began to shift from Germany to the United States, and it did so because the financial opportunities in the United States were so much greater. Drug manufacturers in the United States could get FDA approval for their new medications with relative ease, since at that time they did not have to prove that their drugs were effective, only that they weren’t too toxic. They could also charge much higher prices for their drugs in the United States than in other countries because of strong patent-protection laws that limited competition. Finally, they could count on the support of the influential American Medical Association, which, as a result of a new law, had begun cozying up to the pharmaceutical industry.

Prior to 1951, the AMA had acted as a watchdog of the drug industry. In the absence of government regulations requiring pharmaceutical companies to prove that their medications had therepeutic merit, the AMA, for nearly fifty years, had assumed the responsibility of distinguishing good drugs from the bad. It had its own drug-testing laboratory, with drugs deemed worthwhile given the AMA seal of approval. Each year it published a book listing the medications it found useful. Drug companies were not even allowed to advertise in the Journal of the American Medical Association unless their products had been found worthy of the AMA seal. At that time, however, patients could obtain most drugs without a doctor’s prescription. Drug companies primarily sold their goods directly to the public or through pharmacists. Physicians were not, in essence, drug vendors. But in 1951, Minnesota senator Hubert Humphrey cosponsored a bill, which became the Durham-Humphrey Amendment to the Federal Food, Drug, and Cosmetics Act of 1938, that greatly expanded the list of medications that could be obtained only with a doctor’s prescription. While the amendment was designed to protect the public by allowing only the safest of drugs to be sold over the counter, it also provided doctors with a much more privileged status within society. The selling of nearly all potent medications now ran directly through them. As a result, drug companies began showering them, and their professional organizations, with their marketing dollars, and that flow of money changed the AMA almost overnight.

In 1950, the AMA received $5 million from member dues and journal subscriptions but only $2.6 million from drug-company advertisements in its journals. A decade later, its revenue from dues and subscriptions was still about the same ($6 million), but the money received from drug companies had leaped to $10 million–$8 million from journal advertisements and another $2 million from the sale of mailing lists. As this change occurred, the AMA dropped its critical stance toward the industry. It stopped publishing its book on useful drugs, abandoned its seal-of-approval program, and eliminated its requirement that pharmaceutical companies provide proof of their advertising claims. In 1961, the AMA even opposed a proposal by Tennessee senator Estes Kefauver to require drugmakers to prove to the Food and Drug Administration (FDA) that their new drugs were effective. As one frustrated physician told Kefauver, the AMA had become a sissy to the industry.

–Robert Whitaker, Mad in America (2002), pp.148–149

State Leftists who write on the medical industry routinely — rightly — talk up the corrupting effects that drug industry money and favors have had on the practice of medicine. But what they need to realize is that this is not some kind of disease endemic to a free market in medicine, or caused by the inevitable contamination from filthy lucre. Until 1951, there was no problem with drug companies bribing doctors to serve as drug-pushers; physicians’ organizations served as a system of voluntary, independent oversight on the claims of the drug industry — until, that is, the government shoved its way in to fix the problem of overhyped medication. What we found out is what we should have known all along: cartelization corrupts, and absolute cartelization corrupts absolutely.

Just a quick reminder, for those who have forgotten the logic of our language.

Killing a bunch of hostile soldiers in the field, in response to an attack they launched on your encampent, is not appropriately described as a massacre. On the other hand, charging into village in the middle of the night and indiscriminately cutting down men and women, from infants to elders, is.

This is, admittedly, a minor point, more or less completely unrelated to the actual topic or thrust of the article in question. Reason being that I’m in no condition tonight to face that kind of a logical or moral trainwreck head-on.

Cf. also Hopelessly Midwestern (2006-04-05), for your train-wreck-facing needs.

This happened 95 years ago today, on 25 March 1911.

Near closing time on Saturday afternoon, March 25, 1911, a fire broke out on the top floors of the Asch Building in the Triangle Waist Company. Within minutes, the quiet spring afternoon erupted into madness, a terrifying moment in time, disrupting forever the lives of young workers. By the time the fire was over, 146 of the 500 employees had died. The survivors were left to live and relive those agonizing moments. …

— UNITE! and Cornell School of Industrial and Labor Relations : The Story of the Trangle Factory Fire, Part 3

At 4:40 o’clock, nearly five hours after the employes in the rest of the building had gone home, the fire broke out. The one little fire escape in the interior was resorted to by any of the doomed victims. Some of them escaped by running down the stairs, but in a moment or two this avenue was cut off by flame. The girls rushed to the windows and looked down at Greene Street, 100 feet below them. Then one poor, little creature jumped. There was a plate glass protection over part of the sidewalk, but she crashed through it, wrecking it and breaking her body into a thousand pieces.

Then they all began to drop. The crowd yelled Don’t jump! but it was jump or be burned the proof of which is found in the fact that fifty burned bodies were taken from the ninth floor alone.

… Messrs. Harris and Blanck were in the building, but the escaped. They carried with the Mr. Blanck’s children and a governess, and they fled over the roofs. Their employes did not know the way, because they had been in the habit of using the two freight elevators, and one of these elevators was not in service when the fire broke out.

— New York Times (26 March 1911): 141 Men and Girls Die in Waist Factory Fire; Trapped High Up in Washington Place Building; Street Strewn with Bodies; Piles of Dead Inside

Survivors recounted the horrors they had to endure, and passers-by and reporters also told stories of pain and terror they had witnessed. The images of death were seared deeply in their mind’s eyes.

Many of the Triangle factory workers were women, some as young as 15 years old. They were, for the most part, recent Italian and European Jewish immigrants who had come to the United States with their families to seek a better life. Instead, they faced lives of grinding poverty and horrifying working conditions. As recent immigrants struggling with a new language and culture, the working poor were ready victims for the factory owners. For these workers, speaking out could end with the loss of desperately needed jobs, a prospect that forced them to endure personal indignities and severe exploitation. Some turned to labor unions to speak for them; many more struggled alone. The Triangle Factory was a non-union shop, although some of its workers had joined the International Ladies’ Garment Workers’ Union.

New York City, with its tenements and loft factories, had witnessed a growing concern for issues of health and safety in the early years of the 20th century. Groups such as the International Ladies’ Garment Workers’ Union (ILGWU) and the Womens’ Trade Union League (WTUL) fought for better working conditions and protective legislation. The Triangle Fire tragically illustrated that fire inspections and precautions were woefully inadequate at the time. Workers recounted their helpless efforts to open the ninth floor doors to the Washington Place stairs. They and many others afterwards believed they were deliberately locked– owners had frequently locked the exit doors in the past, claiming that workers stole materials. For all practical purposes, the ninth floor fire escape in the Asch Building led nowhere, certainly not to safety, and it bent under the weight of the factory workers trying to escape the inferno. Others waited at the windows for the rescue workers only to discover that the firefighters’ ladders were several stories too short and the water from the hoses could not reach the top floors. Many chose to jump to their deaths rather than to burn alive.

— UNITE! and Cornell School of Industrial and Labor Relations: The Story of the Trangle Factory Fire, Part 3

But the truth is that they had already been forgotten, all of them, until that terrible day 95 years ago. They were treated as the living dead: their lives, their dignity, and their precious humanity all forgotten by bosses who lived off their work while imprisoning them and leaving them to burn. By a predatory State that defended the bosses’ Law and the bosses’ Order by mercilessly attacking every attempt to challenge and resist. By the self-proclaimed progressives, by the comfortable and philanthropic, the good citizens who reacted with a shrug of killing indifference until it was far, far too late.

Our duty is to remember, or more precisely, not to forget them anymore. Never to forget them. Never again. Neither them, nor any of our other fellow workers.

Mural by Ernest Fiene (1938) for the International Ladies Garment Workers Union

I would be a traitor to these poor burned bodies if I came here to talk good fellowship. We have tried you good people of the public and we have found you wanting. …This is not the first time girls have been burned alive in the city. Every week I must learn of the untimely death of one of my sister workers. Every year thousands of us are maimed. The life of men and women is so cheap and property is so sacred. There are so many of us for one job it matters little if 146 of us are burned to death.

We have tried you citizens; we are trying you now, and you have a couple of dollars for the sorrowing mothers, brothers and sisters by way of a charity gift. But every time the workers come out in the only way they know to protest against conditions which are unbearable the strong hand of the law is allowed to press down heavily upon us.

Public officials have only words of warning to us–warning that we must be intensely peaceable, and they have the workhouse just back of all their warnings. The strong hand of the law beats us back, when we rise, into the conditions that make life unbearable.

I can’t talk fellowship to you who are gathered here. Too much blood has been spilled. I know from my experience it is up to the working people to save themselves. The only way they can save themselves is by a strong working-class movement.

— Rose Schneiderman, speaking at a memorial meeting held in the Metropolitan Opera House on April 2, 1911. Reprinted in The Survey, 8 April 1911.

Further reading:

• GT 2001-08-22: The Labor Movement and Women’s Organizing
• Elayne Riggs (2006-03-25): 95 years ago today
• UNITE! and Cornell School of Industrial and Labor Relations: Trangle Factory Fire online exhibit

You know the rules. Here’s the quote. This is another passage from from Chapter 4 (Race and Slavery) of Michael Fellman's The Making of Robert E. Lee (2000) (see also GT 2006-02-24: Over My Shoulder #12). Here’s some more on the Lees, slavery, and the slaves at Arlington. It’s mostly about Robert E. Lee’s wife Mary, but be sure to note Robert’s sanctimonious attempts to dissuade her from even taking the modest step of ransoming a slave from an especially cruel slave-driver. (In this matter is everything to be yielded to the servant, & nothing allowed to the master? Well…) It would be interesting to know whether the two white strangers were connected at all with the Norrises’ attempted escape the following year or the anonymous letters to the New York Tribune about their capture (which were, like most 19th century letters to the editor, published anonymously). In any case:

Lee’s views on slavery were considerably influenced by the opinions and activities of his wife and his mother-in-law, both of whom were deeply involved in the American Colonization Society, an early form of ambiguous antislavery activism, which sought to free the slaves by sending them back [sic] to Africa. As a young married woman, this project was a commitment of Mary’s heart and nost just her head. She wished to nurture, educate, and catechize the family slaves right away, in preparationfor eventual manumission and export. She wrote her mother in 1831, I hope that we may be able to do something in time for the spiritual benefit of those neglected slaves and for their eventual freedom. Because on these terms liberty meant expulsion of the entire inferior black race with whom whites could never imagine cohabiting on an equal footing, such colonizationism was racist antislavery doctrine.

In her diary for the 1850s, Mary frequently discussed the project. She joined her mother, she wrote, in the hope that one day all their slaves would be able to emigrate to Africa, so that they could carry light & Christianity to that dark heathen country. Nevertheless, admitting to a presentiment that she would not live long enough to carry out this grand scheme, she proposed to try it gradually. She picked her slave William and his family to act as pioneers, a kind of pilot project. And then she stated the larger purpose of the heart that lay behind her social project: What is life worth unless you can accomplish in it something for the benefit of others, especially of those so entirely dependent upon one’s will and pleasure.

Mary’s body servant, Eliza, was another pet project. I have always promised Eliza her freedom to emigrate to Africa in a few years. … If she will go to Africa she can have her freedom, Mary Lee wrote in her diary in 1853. She feared, however, that Eliza might marry here and be unwilling to go, especially if she should marry a free man. In the event, Mary Lee noted in 1860 that Eliza had her freedom and that she now lived in Newport with her husband. Somehow, Eliza had secured her freedom while avoiding being shipped back [sic] to Afirca. Such was the outcome favored by the vast majority of manumitted slaves, whatever the desires of their former masters.

As an interim measure on her slaves’ path to freedom and repatriation, Mary Lee, with the help of her daughters, set up a school for slaves, almost certainly a Sunday school, on the Arlington plantation. This was an unusual move, because the overwhelming majority of slave owners feared rightly that literacy would give slaves acces to seditious abolitionist materials, which would lead them to demand or seize their freedom. In 1819, this concern had led the Virginia legislature to outlaw education for blacks, but several of Virginia’s clergymen continued to encourage Sunday schools, arguing that the gentry class would answer to God, not to the legislature. It is not clear how many slaveholders in addition to the Lees followed this path of circumspect lawbreaking.

At least occasionally, Agnes Lee taught in this school for slaves in the mid-1850s. In her journal, she expressed her attitude and that of her father toward her students. I must put down my pen … & go teach my little scholars. We have a considerable number of ebony mites as Papa calls them & as no one knows as much as another it makes their instruction very tedious. Off to school she went, only to find an empty room. Well! I have gone down, I insist upon teaching them in classes & yet only one of my class ever arrived [in] time so I have employed this odd moment in writing.

Agnes’s pen dripped racial condescension even as she earnestly broke the law. Her view on her pupils’ tardiness reflected the Southern white contempt for slaves’ perceived lack of punctuality (although it must be noted that Northern factory managers had the same complaints about their workers, who also thus resisted discipline and set their own work schedules). The amused phrase ebony mites also demonstrated her father’s doubts about a project in which he disbelieved, although he did nothing to stop it, probably regarding it as harmless. While influenced by Mary’s colonizationist project, he was generally rather skeptical of its value, and sometimes he doubted whether Mary’s do-goodism was a very wise course. In one rather complex case in 1841, Robert attempted to dissuade Mary’s project of buying a slave off an unkind master in order to free him. In judging of results you must endeavour to lay aside your feelings & prejudices & examine the question as thus exposed. In this matter is everything to be yielded to the servant, & nothing allowed to the master? What will the effect of the precedent be on the rest [of the slaves and on] your father and his authority? Lee promised that he would comply with her wishes, but he urged her to consider well upon the matter & act for yourself.

After her father’s slaves became hers and Robert’s, Mary hardened her attitude toward them. On February 10, 1858, when Robert was trying to sort out the chaos on the other Custis plantations, Mary wrote an old friend about his efforts in trying to reduce these very complicated affairs into some order: It is very unsatisfactory work for the servants here have been so long accustomed to do little or nothing that they cannot be convinced of the necessity now of exerting themselves, in order to speed up the accomplishment of the promise of freedom in the will. Actually, Mary was being illogical, as the promise had been given unconditionally, albeit for five years down the line. Then Mary continued, unless there is a mighty change wrought in them I do not know what good they will do themselves, but at any rate we shall be relieved from the care of them which will be an immense burden taken from our shoulders. Actual experience in manumission was hardly proving to be the fulfillment of the colonizationist dreams of years past.

Over the next week, Mary continued to brood. On February 17, she wrote to W. G. Webster that two white men had been constantly lurking about with the servants & telling them that they had a right to their freedom immediately & that if they would unite & demand it they would obtain it. Only the merciful hand of a kind Providence … prevented an outbreak. Their freedom is a very questionable advantage to any but ourselves who will be relieved from a host of idle & their useless dependents. Of course, colonization had always promised masters relief from their slaves, but here Mary Lee dropped the charitable aspect of the project–the rationalization that it was intended for the good of blacks–and treated manumission as a racial safety valve for white masters.

Not colonization but her father’s will had freed these slaves, and Mary was retrospectively exasperated with him. My dear father in his usual entire ignorance of the state of his affairs has left provision in his will which it will be almost impossible to fulfill even in double 5 years. Just sending them out of the state, which Virginians freeing their slaves were required to do, would be prohibitively expensive, she believed. She then drew the sarcastic conclusion that we should be most deeply indebted to their kind friends the abolitionists if they would come forward [and purchase their] freedom at once.

It even gave Mary Lee a certain perverse satisfaction to note the virulent racism in Canada, that land of freedom to which thousands of slaves had fled, when she visited some hot springs there in 1860. There are a great number of runaways here, but I have not met with any acquaintances, Mary Lee wrote her daughter Annie. The white people say that before long they will be obliged to make laws to send them all out of Canada, so I see no place for them but Africa. I am told they suffer a great deal here in the long cold winters. After enticing them over here the white people will not let their children go to the same schools or treat them as equals in any way. Amalgamation–interracial marriage–is out of the question tho occasionally a very low white woman marries a black man. Either blacks had to be dominated by kind masters within slavery, or else they had to be returned to Africa. They could never live in equality with whites anywhere in North America, and freedom would bring them only into a condition worse than slavery. The Canadian racism she observed confirmed Mary’s beliefs in white supremacy and black degradation.

As the Civil War approached, given their experiences, both the Lees were disgusted with slavery. At the same time, they were prepared to defend it as the only viable safeguard of white control over blacks until that distant day when the South might be whitened through complete African repatriation [sic].

–Michael Fellman (2000), The Making of Robert E. Lee. New York: Random House, ISBN 0679456503. 67–72.