“A dear, and nothing else:” the death of the actual Beth March

In May of 2022, I presented on Lizzie Alcott via zoom to a symposium known as “Bearing Untold Stories.” Dr. Azelina Flint, co-editor of The Forgotten Alcott: Essays on the Artistic Legacy and Literary Life of May Alcott Nieriker hosted the symposium. The following is my presentation. I apologize for the lack of citations.

“A dear, and nothing else:” the death of the actual Beth March

The deeper meaning of Elizabeth Sewall Alcott’s terminal illnessand why it matters today

reisen bookWhy would the demise of a shadowy young woman in 1858 matter to anyone? No one would have known she existed if not for Louisa May Alcott’s semi-autobiographical classic, Little Women. Through Beth March, Alcott immortalized her younger sister Lizzie. Saintly Beth was perfected through death, ascending to greatness denied her in temporal existence. She became Jo’s spiritual guide, transforming her older sister’s life. Beth reflects the transfigured Lizzie in Louisa’s life.
Some scholars dismiss Lizzie as weak and insignificant. Biographer Harriet Reisen writes, “Lizzie (as well as her fictional counterpart Beth) was so lacking in blood, spirit, and will that [women today] find her alternately pathetic and infuriating.” I object to Reisen’s statement because of her focus on what was seen. Louisa probed the unseen, revealing her sister’s fortifying inner strength and courage, inspired by faith in something greater than herself. Louisa’s spiritual beliefs with their promise of an afterlife formed her core—and Lizzie’s. Through such a lens, Beth’s demise is a victory.

march sisters bookEssayist Carmen Maria Machado believes Alcott does a disservice to Lizzie by fashioning Beth into someone without faults or complexity—“A dear, and nothing else.” Machado maintains that Lizzie, “a woman who lived and had thoughts and made art and was snarky and strange and funny and kind and suffered tremendously,” never had a chance to belong to herself. The hagiographic narratives established by her father, Bronson (though his unpublished work, “Psyche”), and Louisa (through Little Women) confined Lizzie. For Machado, a woman with lifelong health problems, Lizzie emerges from behind the saintly veil with a compelling story worthy of our attention.

Previous scholarship has viewed Lizzie as a peripheral figure in Alcott studies. My research brings Lizzie’s life to the forefront for the first time. Her story is not of Transcendental philosophy or education reform, writing best-selling books or creating renowned art. Instead, Lizzie’s value lies in her account of the invalid female experience in the nineteenth century and how it translates to the chronically ill today. The ninety-one family correspondences provide a detailed historical chronicle of Lizzie’s symptoms, state of mind, and courage in the final days. Her narrative is universal.
Lizzie’s story undoes what Machado had lamented, Beth being a dear and nothing else. Lizzie was “cheerful’ and “shy” like Beth. Sometimes that behavior was genuine. But she also donned that demeanor as a mask to “hide [her] feelings in silence,” as her father would say. Beth showed no signs of anger; Lizzie’s outbursts a few months before she died demonstrated the depth of emotion she had smothered over a lifetime.

Letter from Lizzie Alcott to Bronson Alcott
ESA to ABA December 13, 1857, Houghton Library MS Am 1130.9 (25-27)

Like Beth, Lizzie was christened a saint by her family. Sainthood implies an impossible standard of perfection that Lizzie strove to achieve. She suffered from low self-esteem, never living up to her high expectations. Beth called herself “stupid,” “little,” and useless.” In a December 1857 letter, Lizzie admits: “I don’t speak of my troubles they seem so common, every day, things to me, and seeming not of interest to any-one around. “One month later, Bronson asked his daughter, “Have you thoughts of your not recovering sometimes?” She answered, “Yes; nor have I believed otherwise for a long while past … I can best be spared of the four.”

Lizzie’s fatalism represents the shared feelings of many of the chronically ill. Pain, depression, and anger are pressing issues for the invalid, but family and friends tire of hearing it because of their inability to help. Lizzie needed most to be taken seriously and listened to in the present moment, as evidenced by her letter. The hagiographic version Louisa created in Beth glosses over the whole truth. Scholarship must not ignore Lizzie’s voice—her life expresses the day-to-day convalescent experience. My research gives Lizzie the public platform she deserves.

eden's outcastsBeth never embraced adulthood; neither did Lizzie. She died at twenty-three of a wasting disease, weighing less than 84 pounds. Biographer John Matteson noted how family and friends referred to the young woman as a “child.” While Beth’s symptoms were ambiguous, Lizzie’s included severe gastric distress, weight loss, depression, confusion, erratic behavior, coughing, fever, feebleness, and hair loss. For Beth, “the ‘tide went out easily;” Lizzie endured acute pain, finding little relief from wine, ether, or morphine. Beth’s face was placid, while Lizzie’s betrayed her suffering, appearing as “a woman of forty … with all her pretty hair gone,” according to Louisa.

meg jo beth amy anne boyd riouxThe standard theory among Alcott experts is that death resulted from congestive heart failure, brought on by rheumatic fever, a complication of scarlet fever from which Lizzie suffered in May 1856. Scholar Anne Boyd Rioux contends that neither Beth nor Lizzie showed any symptoms of heart trouble. None of the several physicians who attended Lizzie mentioned rheumatic fever, a known disease in the mid-1800s. One suggested consumption, a typical wasting disease, while another diagnosed hysteria, “maladies in women with psychological causes that male doctors couldn’t explain,” according to Rioux. Lizzie’s actions and psychological profile suggest Anorexia Nervosa, first revealed in 1873 as Hysterical Anorexia.

Descriptions of Lizzie’s decline, which began three years before she caught scarlet fever, verify a psychological component. Bronson, Abba, and oldest daughter Anna recount incidents that illustrate a strong connection between physical and psychological symptoms

  • “collapse of the brain, “immovable, almost senseless for a time.” (Abba, November 1853)
  • “out of sorts bodily and thin as a rail.” (Anna, March 1857)
  • “Lizzy …is very miserably, extreme absence of animal spirits – dreadfully dyspesic (sic)– has long spells of quiet weeping and unexpressed misery.” (Abba, April 1857)
  • “She is … refusing all stimulating meats and drinks, and at the cost, we think, of her general health … she is acutely sensitive to everything about her … She sleeps far too little … nor do I see any chances for her immediate restoration till these lurking causes are removed.” (Bronson, June 1857)
  • “She tried her leaf tea again and as it made her cross, it brought on her “hunger pang” so that I found her down stairs one night stealing gold ‘vittles’ … However she caught her hair afire which frightened her so she has staid [sic] guilty in her bed ever since.” (Anna, November 1857)
  • She weighs 84 – and when you couple how much clothing this cold weather requires – it leaves a final … for flesh and bones. Her condition is most peculiar, I should think most precarious.” (Abba, December 1857)
  • “She seems much of the time … variable and nervous – eats some days voraciously and then repents on simple things for a week.” (Abba, January 1858)

Lizzie’s downturn began in 1853 with two events involving her mother, resulting in a nervous breakdown—the aforementioned “collapse of the brain.” The first consisted of her inability to go to the Normal, a teacher training school for secondary school students. As Abba meant for her daughters to learn trades, she prepared eighteen-year-old Lizzie to attend in January. No record exists of Lizzie enrolling despite three mentions in Abba’s letters that she would go. The only other reference comes from Louisa, writing that her sister was in “fear and trembling preparing for the Normal.” Going to school would have provided an opportunity to enter the wider world. Had Lizzie gone, she would have been the only sister to receive a formal higher education. But following through with Abba’s wishes presented a dilemma: while Lizzie lived to please her parents, she could not muster the courage. Lizzie likely suffered punishing guilt for disappointing Abba and herself. Secretly, she could have resented her mother for placing her in such an untenable situation.
That same year Louisa wrote, “Betty [Lizzie] … had a little romance with C.” All that is known is biographer Katharine Anthony’s assertion that “C” was the son of a family friend who lived in their Beacon Hill neighborhood. Sometime after, Lizzie had her breakdown, suffering nausea, vomiting, and debilitating depression.

Why did Lizzie respond this way? Biographer Sandford Mettik Salyer suggests that Abba disapproved of the romance and sent the boy away. A typical teenage reaction would have been to rebel against the parent in favor of the boy. Instead, Lizzie again hid her feelings in silence, her body expressing her anguish. Abba could not discern her daughter’s trouble, writing that “there is a great struggle going on in her mind about something. I try not to be curious.” That struggle represented Lizzie’s existential conflict: repressed anger towards her mother for thwarting the romance and self-condemnation for feeling that way. Bronson had forbidden expressions of anger, calling out Louisa for her inability to manage her temper while praising Lizzie for her self-control. With nowhere else for her feelings to go, Lizzie turned them inward, causing depression and physical illness.

The failed romance with “C” was the turning point. For a moment, Lizzie exercised self-determination in daring to form an attachment outside of the insular family dynamic. The breakdown crushed any further attempts, and she regressed. There is no mention of a full recovery, but Abba noticed the fragility of her daughter’s ego, writing that “Lizzy lives so much in the success of her sisters that any defeat would most kill her.”

In May 1856, Lizzie contracted scarlet fever. After hovering near death for a week, her father reported improvement though she was “greatly spent” by the fever. Anna and her youngest sister May also sickened as Lizzie recovered but had light cases. Was the severity of Lizzie’s scarlet fever related to the nervous breakdown three years prior? As her coping mechanism was to stifle negative feelings without resolving them, lingering depression would have weakened her immunity.

10 king's beach red rock 1898
King’s Beach, near where Lizzie and Abba stayed during August of 1857.

From that time onward, Lizzie declined precipitously. That summer, the attending physician suggested Lizzie and Abba visit the shore, where a change of scenery and the ocean air could prove restorative. Lizzie described how she relished having their mother to herself in long letters back home. Although plentiful, food did not add flesh to her bones. She called herself “your little skeleton” to her sisters in a dark joke. Abba described her as “thinner than ever … the incarnation of frailty – her smile is sweet but ghastly – and at times she is dreadfully distressed.”

P1090262 cropped - house where E diedAfter a month at the shore with no improvement, Lizzie and Abba reunited with the rest of the family. Bronson made arrangements to return to Concord, Massachusetts, partly because of Lizzie’s fond memories of living there as a child. Surrounded by her kin and concerned neighbors, Lizzie’s spirits lifted, but her physical condition did not improve. Abba and Bronson brought in a Boston doctor, and for a time, his potions eased her pain and calmed her anxiety.

By December 1857, Lizzie had reached a crisis point. Anna reports, “It is evident to us all that Lizzie is failing … She has for a month been nervous, cross, & pretty much disliked us all, & being wholly unlike herself … Lizzy’s memory & mind seem weakened, & her body is a perfect skeleton … she doesn’t care for any of us, & doesn’t want mother near her, thinks I am horrid, & only wants to be let alone & do her sewing.”

martha saxton paperbackBiographer Martha Saxton writes, “Lizzie … [revealed] for the first time in her life her resentments and desires. She had been passive, undemanding, and therefore, in family terms, blameless. In dying, she was angry, frightened, and complaining.” What constituted those resentments and desires?

  • Lizzie felt crushed at times by her family’s poverty and the turmoil that ensued; Abba had written, “I think Anna and Lizzie are a good deal oppressed with this [economic] uncertainty ….”
  • She felt the great weight of responsibility for the housework. As much as she appreciated her father’s praise, she also needed his support; Abba reminded Bronson to “remember that Lizzy must be cared for in many little ways or the work will oppress her.” His response? “Elizabeth’s part comes off to the quietest perfection in whole and detail … So please spare all anxieties ….”
  • Lizzie pined for her father. Short letters to Bronson revealed her craving for his company:
    “We live along here without you, but I am sure miss you very much … I wish we heard as often from the dear father; but I suppose you are very busy tho, am sure, do not forget us.
    “I can see your face now as I write above me, but I wish twas your own dear self, whom we miss so much amongst such quiet days! Your coming will indeed create quite a stir. When will it be?”
  • Although Bronson loved his daughters, he was a narcissistic man, often far away physically and emotionally. Lizzie buried her feelings, but the hurt and disappointment festered as these excerpts show.
  • Lizzie’s ambivalence towards her mother for her insistence on attending the Normal and opposing her romance with “C” 1853 remained unresolved.
  • At twenty-two, Lizzie grieved at the prospect of dying rather than growing up like her sisters. Beth confided to Jo, “But when I saw you all so well and strong and full of happy plans, it was hard to feel that I could never be like you, and then I was miserable, Jo.”

The reality of her terminal illness and the constant pain plunged Lizzie into despair, stripping away the mask of tranquility she had worn all her life. Such hopelessness can take over if not warded off; fighting it takes inner strength and courage. Lizzie, frail and sickly, found that strength. Anna wrote that after a month of struggle, Lizzie regained her composure, having full knowledge and acceptance that she would die. “[She] is glad it is to be so as she is ready & willing to go anytime,” noted Anna.

Carmen Machado believes Lizzie died an angry woman; I maintain that she overcame it. A touching gesture toward her mother indicates healing of any enmity she harbored. In January 1858, Abba wrote, “[LIzzie] copied for me the psalm of aspiration [“Nearer My God to Thee”]… she wept while doing it but went on to the end.” Lizzie wrote all eight versions with perfect penmanship in her mother’s journal. She persevered through her pain for hours to complete it.

Louisa watched as Lizzie wiled away the sleepless hours without trying to trouble anyone, singing to herself, sewing, and reading her New Testament. “So sweet and patient and so worn,” Louisa wrote. Lizzie did not surrender to self-absorption and despondency but focused outward, striving to remain cheerful, writing notes to friends, and making trinkets for neighborhood children. Such small gestures seem insignificant, but to Louisa, they represent the goodness she longs to emulate: “I shall be better all my life for these sad hours with you,” she concludes in her journal. Louisa recognizes the transformative power of Lizzie’s life. She wants her readers to know it: “There are many Beths in the world, shy and quiet, sitting in corners till needed, and living for others so cheerfully that no one sees the sacrifices till the little cricket on the hearth stops chirping, and the sweet, sunshiny presence vanishes, leaving silence and shadow behind.”

The end came in March, but not without several days of searing pain and no relief. After bidding her family farewell, Lizzie drifted into a coma and passed away on March 14, 1858. Louisa and her mother witnessed “a light mist ris[ing] from the body, and float[ing] up and vanish[ing] in the air.” The doctor explained that this mist was a visible departure of life from the body. This incident solidified Lizzie’s saintly position in the family.

Louisa perceived her sister’s death as a life lesson: “So, the first break comes, and I know what death means — a liberator for her, a teacher for us.” She called death “beautiful,” no longer fearing it but finding it “friendly and wonderful.” Because she believed in a loving and Divine presence, she felt assured Lizzie was happy and safe from pain.

lizzie colorizedFamily and friends cherished Lizzie, but she never understood how deeply. Louisa told the world with Beth March. Knowing Lizzie’s story puts Beth in sharper focus, providing readers of Little Women with a sense of Beth that goes well beyond her being “a dear, and nothing else.” The historical account provided by the Alcotts raises Lizzie to a level of importance beyond that of Beth March. Lizzie Alcott’s death and life matter.

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13 thoughts on ““A dear, and nothing else:” the death of the actual Beth March

  1. Harriet Reisen’s assessment of Lizzie, as well as some of the things Rioux wrote about Beth/Lizzie were what sent me scrambling around until I found your website. I was so blown away by Beth, especially in Part 1 of L.W., that I looked to see what other books about L.W. would say,
    You told me you were also unhappy about the way Beth/Lizzie was disrespected, and how you “cried copious tears when Beth got her piano”, and then I saw your little vignette about Louy & Lizzie. But what
    really, really helped me get it together was when you explained what Anna said in her memoir on the 3rd
    anniversary of Lizzie’s death where she said she could hardly bear to never again see Lizzie’s “sweet, kind face or hear again her gentle voice never raised in anger against a living soul,… and home has never seemed quite like home since she left it…” For a long time I failed to realize the power of that last part of her statement—“Home’s just NOT HOME WITHOUT LIZZIE.” I don’t think anyone should underestimate the power of just pure love (that’s what I cherished so much about L.W.)
    I know that Lizzie and May were inseparable when May was such a little girl, as you, yourself said in your
    chapter of “The Forgotten Alcott”, and that Lizzie’s companionship and; love helped keep May stable. Who knows how she would have turned out without that? And I also think that Lizzie’s love for her family
    helped to also stabilize her other sisters and the whole family.
    I don’t have room here to cite all the examples, and there are even more from “The Forgotten Alcott, but
    in short, I think Louisa did just right when she had Meg tell Beth, “You’re a dear and nothing else”.
    Hope I didn’t ramble too much.
    Best Regards to You Susan, and You too Elizabeth, if you’re reading this.-Alex


    1. I agree with most of your thoughts but I still think that calling Beth a “dear and nothing else” narrows the character. I highly recommend reading “Marmee: A Novel of Little Women” by Sarah Miller – she offers some wonderful insight into Beth which makes her more than just a “dear.”

      Liked by 1 person

      1. I don’t think that Meg meant literally that there was nothing more to Beth than “a dear and nothing else”. What I thought she actually meant (and I’m sure she said it quite emphatically) was that Beth was a total sweetheart and that Meg loved and adored her. I do know that in the “Little Faithful” chapter of “L.W.”, it was revealed that when Marmee was away that Beth had the best work ethic of any of the sisters, and in the “Confidential” chapter, Amy wanted to reshape her character to be more unselfish like Beth. I would love to see what else Ms. Miller has to say about Beth’s character. That said, I still don’t think the “dear” part of Beth should ever be ignored or minimalized or demeaned or disrespected. In the “Dark Days” chapter, Jo learned to see “the beauty and sweetness of Beth’s nature, to feel how deep and tender a place she filled in all hearts….”


      2. Beth wanted to be a part of the group in asking about her faults. She did not want to be separated from the others because she was deemed to be so good. She wanted to be a regular girl, not a saint,. Meg undoubtedly did not mean to diminish her sister with that comment; in fact she meant to elevate her. But in doing so, she inadvertently excluded Beth from the group.

        Liked by 1 person

      3. I remember that “if Jo is a Tomboy & Amy is a goose, what am I please? as Beth wanted to be included in the lecture. I know I’m not as much of an expert on “L.W.” as you are Susan, but I believe all through “L.W.”, Beth always tried to elevate and cheer up her sisters, and thought they were splendid, and she continued to be beloved by all of her sisters, even before she got sick.
        I can’t think of any heroine in fictiton that I like better than Beth. I hope you are feeling well Susan. Best Regards to You! (and also to Elizabeth if she’s reading this.)


  2. Re: Your Presentation: “A dear and nothing else”-the Death of the Actual Beth March”— I think it was beautifully written, and I appreciate it very much. P.S. I think those “small gestures” while she was in such pain, and aware that she was dying—I agree with Louisa… they do show Lizzie’s enate goodness!! And I agree with you than not only her DEATH, but her LIFE mattered.
    Thank you so much for sharing Susan!
    Best Regards–Alex

    Liked by 1 person

  3. I came across this comment re Jean Parker, who played Beth in the 1933 version of “L.W.”, and thought you
    or your readers might enjoy seeing it
    In 1933, MGM loaned Parker to Columbia Pictures, who provided her with larger parts in their films, beginning with a major supporting role in Frank Capra’s comedy-drama Lady for a Day, playing the estranged daughter of an indigent saleswoman in New York City.[2] The same year, Parker was loaned to RKO Pictures to appear in George Cukor’s film adaptation of Little Women, portraying Elizabeth March opposite Katharine Hepburn, Joan Bennett, and Frances Dee.[2] She later reflected: “Playing Beth was the hardest thing I ever did. I was scared stiff, for I had no real training in acting. To make it harder still, I was only 16 while the others were all over 24. I was terribly shy then… but all the girls did everything they could to help me, particularly Miss Hepburn.””
    Hope you will enjoy reading it.
    Best Regards-Alex


      1. I agree 200% Susan. I really liked this version of “L.W.” Even though none of the movies were 100% true to the book, I thought that in this version, some of the times, the actresses & the way they portrayed their roles really made Ms. Alcott’s beautiful prose really come alive. Also, I thought this version best showed the devotion and the sisterhood of all the sisters. In addition to Katherine Hepburn, Frances Dee who played Meg and Joan Bennett who played Amy had long distinguished careers. And (even though this sentence has been much discussed) I loved the intensity Frances Dee, as Meg, showed when she clasped Beth’s shoulder and looked her right in the eye and said with real feeling, “You’re a dear and nothing else!” I also particularly like the part when Ms. Hepburn , as Jo, praying to the lord with tears in her eyes, just after Laurie left for the train station to bring “Marmee” home said, “if you really want Bethie please wait until Marmee comes, but Oh lord please don’t because she’s sooo ……. well please don’t.” Hope I didn’t ramble too much Susan. Speaking of Beth, I wonder how your “Lizzie” book is coming??? Best Regards-Alex


      2. I think Jean Parker was ADORABLE as Beth, and she’s how I always picture Beth/Lizzie. I also have a crazy question Susan: in real life, was there ever a time where May destroyed one of Louisa’s scripts, and Louisa responded by shaking her? Thanks Susan. All my Very Best Regards-Alex


      3. As an aftermath- I thought I learned by reading “The Forgotten Alcott” [What an Amazing Book that is !!), and reading especially Your Chapter & Mr. Shealy’s Chapter, & Ms. Turnquist’s Chapter; that, whatever scrapes May & Lu may have had while growing up, they became, in my opinion, better than best friends– Truly Awesome Sisters!!!
        Wonder if you agree with me on this Susan??
        Best Regards-Alex


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