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
The social worker, then, should share such knowledge as the medical
profession possesses about the causation of infectious disease, about
direct personal contagion, and also about the indirect _methods by which
disease is conveyed_ from person to person through insects or through
instruments and utensils, such as the barber's razor, the family towel,
or the public drinking-cup. She should be familiar with the small body
of knowledge which we possess upon the transmission of disease by
drinking-water, by milk, and other kinds of food. She should appreciate
our still smaller body of knowledge about the relation of disease to
climate, to weather, and to other physical agents such as the extreme
heat and cold produced by some industrial processes, and the action of
X-rays.
In addition to this definite and specific knowledge of causes, she
should know the generally accepted views of the medical profession on
the subject of _bodily resistance_, _immunity_, inheritance, the
diseases and perversions of metabolism, and the other non-bacterial
factors in the production of disease. Above all, she should realize the
_multiplicity of causes_ which science more and more clearly recognizes
in their single result. She should learn both by precept and by
experience that for a single fact such as disease or health there are
always many causes, so that any one who points confidently to a single
cause, such as cold, fatigue, bacteria, or worry as a sufficient
explanation of a person's disease, is almost certain to be wrong.
Obviously, this truth bears a close relation to what is to be said on
the "historic and catastrophic points of view." Chapter III.
The importance of teaching the social worker all that is known about the
transmission and causation of disease is due to the following fact:
whatever we succeed in accomplishing in our efforts at _preventive
medicine_, whatever we do to nip disease in the bud or to check the
spread of epidemics, is due to our knowledge of the causes of disease.
The instructions of the doctor at the dispensary can accomplish but
little in this field when compared with the detailed teaching of the
social worker in the patient's house, in his workshop, in the schools
and factories where disease is spread so much more frequently than in
the dispensaries. If we hope to show people how they can avoid the
disasters of illness, our teaching should be given in the very place
where these disasters most often occur. There we can illustrate and
demonstrate with the objects in sight what is to be done and to be
avoided.
Public-domain text, read in full here on John Shaqi.
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