Social Work; Essays on the Meeting Ground of Doctor and Social WorkerCabot, Richard C. (Richard Clarke)
Science
Social Work; Essays on the Meeting Ground of Doctor and Social Worker
Cabot, Richard C. (Richard Clarke)
Charities, Medical; Friendly visiting; Medical social work -- United States; Social service
Under favorable conditions the power of the creative listener to enlarge
and to remake a personality is not capable of limit. The people whom I
most often help are the people for whom I do nothing. They tell their
tale, spread it all out before me; then they see the solution
themselves. Just to state our difficulties clearly to another person who
will listen not merely sympathetically but creatively, and with
resistance as well as furtherance, is of value. With certain people we
run against a stone wall every now and then, even though they are only
listening silently. This is right and helpful. The right kind of
listening is sympathetic when it ought to be and dissenting when it
ought to be.
We help people out of trouble in other ways also; often by bringing new
facts. A person tells us about his difficulties at work. He sees it
perhaps more clearly after he has talked about it. But he may not know
some facts that we know, and therefore we may be able to help in some
ways that go beyond creative listening. But in the end a person has to
make his own decision, to find his own solution; and in many cases he
will find it without any more active or physical help than this.
5. _The case-worker's pyramid in social treatment_
It might well be objected by any thoughtful reader that if a person
carried out the physical, economic, mental, moral, spiritual
investigations that I have suggested in this book, he could take care of
no more than one patient at a time, and would need years to finish up
the tasks suggested by the history of that one person. That is an
objection that certainly deserves an answer. I will begin my answer by a
comparison with medical work. A trained physician is supposed to know
something of all the organs in the body. Even a dentist or an oculist
has had some training on all the bodily organs and not merely on the
special ones he treats. Among the organs of the body, the medical
profession is supposed to include the brain and all the functions of the
brain. This implies that he is supposed to have at his finger-ends the
ability to make an examination so complete that a whole day would be
needed to finish it. Obviously if he attempted anything like that he
would soon be overwhelmed. But on the other hand if he limits himself to
the professional examination of a single organ, the one perhaps which
the patient complains of, he does so at his peril. He is in danger of
making a wholly wrong diagnosis. But that can be diminished only in
proportion to his knowledge of all the other organs that he does not
examine. A well-trained physician must and can safely do some
superficial work. So a very well-trained social worker can and must do
some superficial social work. In the practice of any doctor who counts
up a month's patients we will say to one hundred, there will be about
fifty that he has examined and treated very slightly. Then there may be
twenty-five whom he knows a little more about, fifteen perhaps that he
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