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Emily Mudd: Celebrating the Founder of Council for Relationships

March 12, 2025
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As we celebrate Women’s History Month, let us reflect on the work of Dr. Emily Hartshorne Mudd. She was a visionary in women’s mental health who championed relationship equity when women’s voices were often dismissed.

In 1932, Dr. Mudd established the Marriage Council of Philadelphia, now known as the Council for Relationships. This was one of the first organizations in the country to offer marriage counseling. She believed healthy relationships were essential to women’s empowerment and therapy could help couples build mutual respect, communication, and shared decision-making. At a time when women were expected to be silent partners in marriage, she advocated for their right to have an equal say in their relationships and futures.

Dr. Mudd’s commitment to advocacy wasn’t limited to her clinical work. During her pregnancy, she challenged social norms and advanced her career. She even risked arrest. She continued working at a time when society expected pregnant women to withdraw from public life.

Her fearless dedication set the stage for modern couples and family therapy, ensuring that women’s mental health and relational health remained a priority.

Read on for the first installment in our series celebrating our founder, Dr. Emily Mudd.


Dr. Emily Mudd’s Birth Control Center: Providing Essential Care & Education

Dr. Emily Mudd’s Birth Control Center offered essential reproductive healthcare services. This was particularly important during a period when access to contraception was often restricted and challenging to secure. The center operated in defiance of social and legal barriers, offering women education, counseling, and access to contraceptive methods in a safe, medically supervised environment.

Services offered by Dr. Emily Mudd

Dr. Mudd’s Birth Control Center provided various services that benefited women’s mental health. The following are just some of these services:

  • Access to Contraceptives – The center primarily offered diaphragms. At that time, diaphragms were among the most effective methods of birth control available. Trained staff, often midwives or nurses, helped women learn how to use them properly.
  • Reproductive Health Education – Women received information on fertility, menstrual cycles, and pregnancy prevention. This was crucial, as many had little to no formal education about their own reproductive systems.
  • Counseling and Support – Many women came to the center seeking advice about family planning, spacing pregnancies, and navigating relationships where they had little control over their reproductive choices.
  • Medical Exams – Basic gynecological exams were offered to ensure that women received appropriate medical care related to contraception and reproductive health.

How Women Found Dr. Emily Mudd’s Center & How Fear Kept Them Away

Because birth control advocacy was still controversial, advertising had to be discreet. The following are some ways that women learned about Dr. Emily Mudd’s center:

  • Word of Mouth – Many women shared information within trusted social circles, including friends, sisters, and neighbors.
  • Social Reform and Feminist Networks – Progressive women’s groups and social workers quietly directed women to the center.
  • Physician Referrals – Some supportive doctors believed in family planning. However, they faced legal and ethical challenges. As a result, they quietly referred patients to the center.
  • Community Health Organizations – Some midwives and public health nurses linked women to the center. This was especially true for those from working-class or immigrant backgrounds.

For many women, though, visiting the center was an act of courage and necessity. A mix of hope and secrecy shaped the experience, and sometimes fear due to the stigma surrounding contraception. The center’s staff took their role seriously, ensuring that birth control methods were administered safely and professionally.

The fear of judgment and arrest often kept women away from the services provided at Dr. Emily Mudd’s center. Women worried about being seen entering a birth control center, as contraception was still viewed as immoral by some religious and social groups. They often used back entrances or scheduled visits carefully.

However, for those who faced this fear, many women experienced deep relief from gaining control over their reproductive choices. This was particularly true for those who already had multiple children and were struggling to provide for them.


Diversity & Discrimination in Women’s Mental Health & Reproductive Health

Most clients at Dr. Emily Mudd’s Birth Control Center were predominantly white women, mostly from middle-class and working-class backgrounds. This was partly due to the center’s location and the social context of the time.

Dr. Mudd’s center aimed to provide accessible reproductive health services to many women, including Black women and immigrants. However, social, racial, and economic barriers often limit these groups’ access to these services.

As Philadelphia was racially segregated, Black women faced more obstacles in accessing healthcare services, including reproductive health. Discrimination in healthcare settings and everyday life has posed significant challenges for Black women. Additionally, limited access to transportation further complicated their ability to utilize center services.

Furthermore, many Black women felt hesitant to use services from a white-run institution. This wariness stemmed from a history of exploitation and abuse in medical systems affecting Black individuals.

Immigrant women, particularly those from Eastern Europe, Italy, and Ireland, also faced significant structural and language barriers. Many individuals were not familiar with the healthcare system in the United States. They also lacked the resources to access family planning services.

Dr. Emily Mudd’s center helped many women. It became an important resource for communities often excluded from regular healthcare. The center’s discreet approach allowed women from different socioeconomic and cultural backgrounds to access necessary care. This empowered them to take control of their reproductive choices and improved their mental health.


About Philadelphia Therapist Amy Jones, MSW, MFT, LCSW

Amy Jones, MFT, MSW, LCSW, is a therapist at the Council for Relationships and the Director of CFR’s Women’s Psychological Health Services. She specializes in supporting women’s mental health, relationship issues, and trauma recovery. With a background in both clinical social work and marriage and family therapy, Amy brings a compassionate and integrative approach to her work. She is committed to helping individuals navigate complex emotions, improve their overall health, and build fulfilling relationships.

To learn more about Amy or to schedule an appointment, visit her CFR profile.

About CFR’s Women’s Psychological Health Services

Council for Relationships’ Women’s Psychological Health Services (WPHS) continues Dr. Emily Mudd’s legacy by providing specialized mental health care tailored to women’s unique experiences. Our expert therapists support clients in navigating reproductive health concerns, the side effects of hormonal methods, family planning decisions, and the emotional impact of sexually transmitted infections (STIs). Our goal is to ensure clients feel empowered in their choices.

Learn about how CFR’s services can support your well-being by visiting WPHS.


More from CFR

CFR is dedicated to making high-quality mental health care accessible to all. Our services go beyond women’s psychological health. We also offer support for veterans, couples counseling, and therapy for individuals of all ages. Whether you seek care for relationship challenges, stress management, or reproductive health concerns, our team of experts is here to help.

Explore our latest blogs for insights on mental wellness, relationships, and public health issues, or find a therapist who meets your needs today.

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