The book "Ten Days in a Madhouse", which was also made into a movie in 2015, should be evaluated based on the period in which it was published. Because it can be considered that the work, which made an impact in the region where it was published, contributed to social transformation. The perception created by the adjectives attributed to women in society is that she should only be concerned with housework and that she is obliged to take care of her children.

In this way, a woman, who is a pacified individual, can be locked up in an asylum by the male hegemony with the label "'mentally ill'" and cannot even prove to anyone that she is not actually ill. However, by exposing this grave situation in her book, Nellie Bly - in a way - helped women to be accepted as individuals, to be freed from the adjectives attributed to them in society and to take a free stance.

However, this book should not be evaluated only in terms of its possible contribution to the women's movement. Because there is another very important issue at stake. The author draws a grave picture of corruption in public institutions, violations of patients' rights, and contradictions to Hippocratic ethics, and discusses the necessity for the social structure to "'transform itself'" and improve itself.