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
In order to carry out the particular procedures of diagnosis and
treatment which belong within the province of the social worker, a
certain amount of medical knowledge is needed. Because this is true, it
has often been assumed that the social worker must be a trained nurse,
prepared by months or years of experience in a hospital. But experience
has shown that much of the knowledge possessed by nurses who have had
this training cannot be used by the home visitor. On the other hand, the
information which the social worker needs is often quite lacking even in
well-trained nurses. Furthermore, it may be said with truth that the
training of a nurse, as we know it in America at any rate, really unfits
a woman in some respects for the work of a social worker, since it
accustoms her to habitual obedience and subordination. These habits are
very useful in their proper place, but they are antagonistic upon the
whole to the temper and mental activity which is important in the social
worker. I mean the temper of aggression in relation to disease, and the
mental attitude of the teacher and leader in relation to the patient.
But of this point it will be more in place to speak when I come to
consider the functions of the social worker as a teacher.
Let us return, then, to the question, What knowledge should the social
worker possess in order to do her part in the "team-work" of the
medical-social dispensary? Her knowledge should approximate that of the
public health officer. Like him she should be, above all, familiar with
what is known to medical science about _the causes of disease_. This is
of great importance because it is especially in this field of medical
science and medical ignorance that the public, the patients among whom
the social worker will work, is most in need both of new knowledge and
of the uprooting of old error and superstition. Medical science knows
very little of the causes of many diseases. But our patients, especially
the more ignorant of them, are very glib and confident in their
assertions as to what has caused the particular disease from which they
just now suffer. They tell us about their "torpid livers," their
"congestive chills," their "ptomaine poisonings" and the like. Their
supposed but unreal knowledge is extensive and detailed. Indeed, so
stubborn are their beliefs upon such matters that they often present a
firm wall of resistance which must be broken down by the social worker
before any truth upon these matters can be introduced into their minds.
Public-domain text, read in full here on John Shaqi.
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