The Woman Who Cleaned Up America’s Dirty Work

In 1906, the prominent psychologist James McKeen Cattell published the first American Men of Science: A Biographical Directory. The 364-page publication strove to be “a fairly complete survey of the scientific activity of a country at a given period” by listing more than 4,000 men who’d contributed to “natural and exact sciences.” But the names listed in his directory aren’t all men. There are a handful of women in the book, and among them is Alice Hamilton. Today is the 150th anniversary of her birth.

Hamilton is included because of her work with “pathology and embryology of the nervous system; development of elastic tissue; tumors; tuberculous ulcers of stomach” and other specific medical research, but that only tells part of her story. As a researcher, activist, and humanitarian, Hamilton championed safer conditions in industrial workplaces and became the most important American advocate of what is known as occupational medicine.

Hamilton earned her medical degree from the University of Michigan in 1893 and furthered her studies in Minneapolis, Boston, Munich, and, finally, Johns Hopkins Medical School in Baltimore. In 1897, she began teaching pathology at Northwestern University’s Women’s Medical School in Chicago.

Alice Hamilton in a classroom full of young women
Alice Hamilton in an anatomy class in 1893, Bentley Historical Library, University of Michigan

While in Chicago, Hamilton took residence at the famous Hull House, Jane Addams’ settlement house that welcomed immigrants, particularly women and children. She joined Addams as well as other social reformers like Florence Kelley, Julia Lathrop, and Alzina Stevens. Hamilton ran the house’s “well-baby clinic,” but she noted in her autobiography that conversations and camaraderie with the other women of the house shaped her work for the rest of her life. The women of Hull House were influential in promoting a minimum wage, fighting against child labor, and demanding social welfare at the turn of the century. Another important characteristic of Hamilton’s time at the house was her proximity to the working class of Chicago, where she began to help people beyond the confines of her distinguished medical training. She wrote of the changes she underwent during her 22-year stint at the Hull House:

“Life in a settlement does several things to you. Among others, it teaches you that education and culture have little to do with real wisdom, the wisdom that comes from life experience. You can never, thereafter, hear people speak of the ‘masses,’ the ‘ignorant voters,’ without feeling that if it were put up to you whether you would trust the fate of the country to ‘the classes’ or to ‘the masses,’ you would decide for the latter.”

Around 1910, Hamilton began to research the possibility of “industrial disease” in the U.S. While worksite accidents received some attention, she believed the dangers of various chemicals used in American plants and factories were going seriously underreported. Hamilton saw that European medical journals were brimming with research about industrial poisoning, while the U.S. had nothing to say about chemical dangers for workers.

From 1911-1920, Hamilton worked as a special investigator for the Bureau of Labor Statistics. She traveled from factory to factory, interviewing owners and managers in a sweeping, but informal, survey. Although she had little authority to assert herself, Hamilton credited American manufacturers for their openness in giving her tours. It wasn’t sufficient, however. She decided that, to get a more complete picture of the problems caused by white lead and lead oxide, she needed to go straight to the workers. Hamilton tracked down hospital records, interviewed workers who could scarcely speak English, and connected the dots of their health problems to lay the groundwork for sweeping reforms.

She went on to conduct similar studies for various arms of the government around the country, proving the risks involved with carbon monoxide, phosphorus, benzene, and many other chemicals used in myriad industries. Although she thought highly of many individual American industrialists, Hamilton maintained a deep distrust of the businessmen’s ability to self-regulate: “Perhaps it is our instinctive American lawlessness that prompts us to oppose all legal control, even when we are willing to do of our own accord what the law requires. But I believe it is more the survival in American industry of the feudalistic spirit, for democracy has never yet really penetrated into many of our greatest industries.”

Men working with lead machinery
Lead pasters working in the battery manufacturing sector of Maryland, Public Health Image Library

In 1919, Hamilton was appointed as the first female professor at Harvard University, causing headlines around the country. She admitted that her breakthrough was long overdue, but, throughout her career, Hamilton expressed a belief that her gender helped her cause instead of hindering it. In speaking with factory managers and doctors, she said it likely seemed sensible that a woman would care for the welfare of workers: “It seemed natural and right that a woman should put the care of the producing workman ahead of the value of the thing he was producing; in a man it would have been sentimentality or radicalism.”

As a scientist, social welfare advocate, and pacifist, Hamilton remained active for the rest of her life. She lived to be 101 years old. Three months after her death, in 1970, the Occupational Safety and Health Act was passed in the U.S. The next year, the journal American Men of Science was changed to American Men and Women of Science.



Exploring the Dangerous Trades: The Autobiography of Alice Hamilton, M.D. by Alice Hamilton, 1942

Image Credit: Library of Congress

Is the Sexual Revolution Over Yet?

The sexual revolution — or at least some version of it — was televised.

In the 1970 film Zabriskie Point, Italian director Michelangelo Antonioni attempted to capture the collective U.S. sex drive in a series of striking and surreal images: young people engaging in an orgy in the Death Valley dust, explosions of branded domestic items set to Pink Floyd. The film was an utter failure, but it gained cult status and a recent DVD re-release. In hindsight, Zabriskie Point rendered the countercultural zeitgeist of the ’60s boldly and accurately, or, at least, how many have come to imagine the “free love” mythology of the period.

Whether or not dazed hippies frequently made love on mountainsides might be immaterial, because, as it turned out, the revolutionary part was just getting started.

At the time, it seemed as though the whole country might become a bastion of free love and the Pill, with stoned coeds and university feminists declaring a new age (the Age of Aquarius?) in which — perhaps — writhing naked bodies would cover the land from sea to shining sea. But the sexual revolution wasn’t a one-way magic bus ticket to the orgiastic bacchanal portrayed in pop culture and feared by mid-century pearl clutchers. Its effects were actually much more profound.

“The revolutionary part wasn’t necessarily the frequency of sex, but that the factors undergirding sexual activity changed.”

Anyone who was conscious during the ’60s would tell you that the times were a-changin’. The new availability of birth control, reshaping of gender roles, and a burgeoning gay rights movement gave many Americans the idea that the term “revolution,” preceded by the qualifier “sexual,” was an apt characterization of what they saw around them, for better or worse. But it was never about everyone having sex all the time. If that was your goal, then the revolution fell short. At least that’s what future Penthouse editor Arno Karlen thought.

In December of 1968, Karlen took to the pages of The Saturday Evening Post to voice his incredulity of the so-called sexual revolution. Karlen claimed that mounting scientific evidence refuted the existence of a grand American sexual awakening, and he backed it up with studies and statistics.

Karlen’s argument centered on the idea that “four-letter words and mini-skirts don’t mean people act very differently in bed.” In his 1968 article “‘The Sexual Revolution’ Is a Myth,” he cites the humble rise in sexual activity during the sixties (some five percent more of college women were non-virgins), and he poo-poos the effect of the birth control pill, stating that “new contraceptives didn’t change sexual behavior in the past and probably aren’t doing so now.” He also speculates on the unchanging nature of homosexual activity and non-monogamy, or swinging. “I object not to the idea of sexual revolution but to the illusion it has taken place,” Karlen writes. “We need one badly — a real one that will allow people to live healthy, expressive sexual lives without legal penalties and social obstacle courses.”

Karlen believed the sexual revolution was a superficial, media-created non-event of nothing more than slutty outfits and dirty words. The problem is that Karlen came to the party just a bit too early. In 1968, the revolution was just getting started, and mini-skirts were just the beginning.

In his cultural analysis, Karlen might have benefitted from just a few more years of perspective. Six months after the article, the Stonewall riots took place in Greenwich Village. Then, the National Center for Health Statistics found that premarital sex among women had gone from 52 percent occurrence in the early sixties to 72 percent in the early seventies. By 2003, a public health report stated plainly that “Almost all Americans have sex before marrying.”

With a little more time, Karlen might have seen that the revolution did deliver — or at least the social obstacle course of sex before marriage was partly dismantled.

Harvard teacher and history scholar Dr. Nancy Cott says that it’s impossible to discuss the sexual revolution without noting its impact on the concept of marriage in American life. Cott, who has written extensively about issues around gender, relationships, and feminism, and remembers the sexual revolution firsthand, says, “The sexual revolution erased marriage as the bright line between sex that is okay and sex that isn’t okay. It did that legally and socially. That was a major change.”

In the mid-twentieth century, most people would not dare live with a partner out of wedlock. Today, such arrangements are much more common (if not always approved of). “Maybe it’s hard to see how important the presence of marriage was as a social institution, but it was,” Cott says. “Now, maybe you do or don’t marry, or you divorce, and that happens all of the time.” Just around half of U.S. adults are married in recent years, compared with 72 percent in 1960.

Ironically, the same revolution that freed some people from the shackles of marriage allowed other people to put them on for the first time. Dr. Cott wrote several amicus briefs for court cases regarding the same-sex marriage question in the 2000s. While many actors in the sexual revolution deemed the constraints of marriage to be oppressive, Cott says the marriage equality movement was more about civil rights: “You have to be able to opt in to say ‘I am opting out.’”

Another accomplishment of the sexual revolution, according to Cott, was reversing a set of Victorian beliefs that women were sexually dormant until they fell in love with a man who “awakened” their sex drive. “It’s striking to me how long-lasting and deep interpretations have been that women are not as sexually-driven as men.” she says.

Questions surrounding sexuality have long been the focus of Indiana University’s Kinsey Institute, where Dr. Justin Garcia works as an evolutionary biologist and sex researcher. He agrees that the sexual revolution changed the way people approach copulation, saying, “My guess is that more heterosexual couples today are having more conversations about mutual pleasure and consent than 60 years ago. The revolutionary part wasn’t necessarily the frequency of sex, but that the factors undergirding sexual activity changed.”

Garcia, who serves as an advisor to’s Singles in America study, says that more sex may or may not make people happier, but more consensual, safe, pleasurable sex does.

While we have widespread availability of birth control pills, tacit approval of sex before marriage, and the trend toward communication and mutual pleasure, confoundingly, people seem to be having less sex. Garcia, however, wouldn’t consider it a departure from the arc of the sexual revolution: “In a real sexual revolution, you would expect, perhaps, that sex will only happen when both partners desire it. You might even predict a decrease in frequency if other things are going on, like positive changes in gender egalitarianism,” he says.

The Kinsey Institute researcher claims that one could argue that we’re still in a sexual revolution, since issues around sexual and gender diversity, contraceptives, abortion, and women’s rights are still relevant. “There was a historical moment that we often refer to as the sexual revolution, but, in practical terms we’re still in one. We’re still looking at major shifts in how we understand issues around sexuality and people’s sexual lives and behaviors and how society deals with that,” Garcia says.

To get to the heart of what the sexual revolution means, we need look past the psychedelic-fueled mountainside ménage à trois and into the common sexual desires of everyday people. Non-monogamy and homosexuality existed in America long before the ’60s, and women did experience orgasms prior to the Vietnam War. Our willingness to allow “people to live healthy, expressive sexual lives” is an ongoing national project with unclear beginnings, yet decidedly evident results.

First page of the article, "The Sexual Revolution is a Myth" by Arno Karlen as it appeared in the Saturday Evening Post
Read “The Sexual Revolution is a Myth” from the December 28, 1968, issue of The Saturday Evening Post. Become a subscriber to gain access to all of the issues of The Saturday Evening Post dating back to 1821.


Featured image: Zabriskie Point (1970), Metro-Goldwyn-Mayer