and conditions of labor, are, after all, secondary. The problem
primarily roots in the fact that the mediating science does not connect
with his _consciousness_, but merely with his outward actions. He does
not appreciate the significance and bearing of what he does; and he does
not perform his work because of sharing in a larger scientific and
social consciousness. If he did, he would be free. All other proper
accompaniments of wage, and hours, healthful and inspiring conditions,
would be added unto him, because he would have entered into the ethical
kingdom. Shall we seek analogy with the teacher's calling in the
workingmen in the mill, or in the scientific physician?
It is quite likely that I shall be reminded that I am overlooking an
essential difference. The physician, it will be said, is dealing with a
body which either is in itself a pure object, a causal interplay of
anatomical elements, or is something which lends itself naturally and
without essential loss to treatment from this point of view; while the
case is quite different in the material with which the teacher deals.
Here is personality, which is destroyed when regarded as an object. But
the gap is not so pronounced nor so serious as this objection implies.
The physician, after all, is not dealing with a lifeless body; with a
simple anatomical structure, or interplay of mechanical elements.
Life-functions, active operations, are the reality which confronts him.
We do not have to go back many centuries in the history of medicine to
find a time when the physician attempted to deal with these functions
directly and immediately. They were so overpoweringly present, they
forced themselves upon him so obviously and so constantly, that he had
no resource save a mixture of magic and empiricism: magic so far as he
followed methods derived from uncritical analogy, or from purely general
speculation on the universe and life; empiricism so long as he just
followed procedures which had been found helpful before in cases which
somewhat resembled the present. We have only to trace the intervening
history of medicine to appreciate that it is precisely the ability to
state function in terms of structure, to reduce life in its active
operations to terms of a causal mechanism, which has taken the medical
calling out of this dependence upon a vibration between superstition and
routine. Progress has come by taking what is really an activity _as if_
it were only an object. It is the capacity to effect this transformation
of life-activity which measures both the scientific character of the
physician's procedure and his practical control, the certainty and
efficacy of what he, as a living man, does in relation to some other
living man.
Public-domain text, read in full here on John Shaqi.
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