Social Work; Essays on the Meeting Ground of Doctor and Social Worker — John Shaqi
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
But the particular event, the particular complaint for which the patient
comes to us, is woven not merely into one chain of evidence, but into
several. Let us carry out the metaphor of the chain. We must imagine
many chains woven into one another like the chain-armor of the mediæval
knight. Each link is a fact. But many chains of facts are interwoven in
the history of one single patient. First there is the chain of medical
evidence, the links (or symptoms) leading up to a diagnosis; second, the
chain of social evidence, which we try to classify on our social history
card. Third, we must trace the links in the chain of relationship with
other people, other members of the family, with friends and fellow
workers or schoolmates. Finally, the chain of heredity, of which we
cannot make much at present except in relation to tuberculosis and
mental disease or mental deficiency. But these studies of heredity in
its bearing on character are going to be more important as the science
of social work develops.
Our first attempt, then, after determining the "presenting symptom," is
to find out by a series of questions _how this symptom is linked up into
a tissue composed of many chains of facts_. Our next task which is
usually difficult, and frequently impossible, is to find out why this
great tissue of evidence issues just now in one particular "presenting
symptom." Why did the patient come to us to-day? This question is often
impossible to answer because the patient does not know, though he may
think he knows. Nevertheless, the social worker must try to find out.
Often it is not until we have known and liked a person for days or weeks
that we find out why he came to us at this particular time. Yet the
answer to this question may be the most important thing that we can find
out. For two reasons it is important; first, because it furnishes the
clue to all our later investigation and assistance in this case;
secondly, because it may show that the individual's complaints are not
of any significance at all.
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