Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the communityHooker, Worthington
Science
Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the community
Hooker, Worthington
Medical ethics; Physician and patient; Physicians; Quacks and quackery
success, our lamentation over its failure, the common cause which we
make with the poor sufferer, tend to produce this effect.
In this connection I will notice an error which is very common.
Persons who are not accustomed to look at wounds, or witness scenes
of sufferings, are apt when they do so to have certain effects
produced upon the physical system, which are so well known, that I
need not describe them. The error consists in supposing them to be
evidences of feeling and sympathy, and the process of overcoming them
to be necessarily a hardening process. They are effects produced in
the nervous system, and have a mere incidental, and not an essential
connection with the moral sensibilities. It is well known that all
are not equally susceptible of these effects, and the degree of
susceptibility is far from being an index of the degree of sympathy
in each individual. I have known many men, who had little of true
tenderness and kindness of feeling, faint away at the sight of blood,
while others with hearts overflowing with tenderness, and a hand
ever extended in active sympathy to the needy and suffering, under
the same circumstances were entirely unaffected. The possession of
this susceptibility has therefore no necessary relation, to the
moral character. They who exhibit it are commonly spoken of as being
‘tender-hearted,’ and yet there is nothing in this quality which is
inconsistent with the most wanton cruelty, or the most abandoned
vice. Neither has this susceptibility any necessary relation to
physical courage; much less to moral courage. Many, who possess it
to a great degree, have nevertheless uncommon physical courage, so
that though they would turn pale at the sight of a cut finger, they
would face the cannon’s mouth without fear, and in the excitement of
battle, the flow of blood and the groans of the wounded, would be
unheeded. While on the contrary, there are many, who are unaffected
by the sight of blood and suffering, in whom the idea of personal
danger would at once blanch the face and make the knees to tremble.
It is the conquest which the physician obtains over this nervous
susceptibility, of which I have been speaking, that has given rise to
the erroneous impression, that the practice of medicine and surgery
necessarily subjects the heart to a hardening process. But you have
seen, that while he is acquiring this self-control, his sympathy
with suffering is becoming all the time deeper and livelier, by the
exercise of that active benevolence to which his profession calls
him. It is only the physician who refuses to yield to this call, and
pursues his profession as a mere trade for self-aggrandizement, that
blunts his sensibilities, and hardens his heart.
Public-domain text, read in full here on John Shaqi.
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