I hope I have not put the contrast of science and art in social work so sharply that it seems as if one must take one extreme or the other. I do not feel any such contradiction. I believe that we can get courage for the long, discouraging search for causes out of the present joy which we find in speaking and listening to a person now. On the other hand, these momentary contacts are thin, capricious, and insufficient if we are not also planning some solid progress which will give us something to show for it at the end of a day or a year. One of the dreary things in human beings' work is that sometimes, after a month or a year, they cannot see that they have accomplished anything. It is all a mass of details. I remember a very marvellous social worker saying to me, "I do not want to die thinking that I have never done anything but case work." Case work seems to me as great a thing as any one can do. One might as well say, "I have never done anything but miracles." But I know what she meant. She meant that through case work she wanted to feel that there was a thread of continuity which ought to be science or character or friendship, a thread whereon something accumulates. We ought each year to be able to say and to _write_ what we have learned, or given. 3. _How to give in social treatment_ _Social treatment is giving and constructing._ We want to give Pleasure Beauty Money Information Education Courage and to help build the power to get more of each. 1. _Pleasure._ As we want to _find_ pleasure in our work, we surely want to try, so far as our human capacities allow us, to _give_ pleasure, to make people feel comfortable, to be always so polite to them and finally so fond of them, that they will enjoy the momentary contact no matter what it is about. As I look back over medical work of twenty-five years, I should say that in most of my cases I have failed from the medical point of view. Yet in a great many of those failures I can see some redeeming feature because of the friendships that the patient and I built while I was failing in my medical job. Such a blending of success and failure is the rule, not the exception. We make elaborate social plans, but we know that many of them are going to fail. It is humanly impossible that they should not fail. But they will not be _flat_ failures if along the way we have tried to treat people, not as they deserve, but a great deal better.[4] But when we give pleasure we must try to provide that the stock shall go on. We want to try to build in and with the person some capacity to get that pleasure for himself after we have gone out of his life. This is just as true of course of _Beauty_ which we surely want to try to bring into our patients' lives, and which is one of the things that redeems our failures on the other side of social work. Even people who are dying sometimes can get great enjoyment of beauty.