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 we all know the dangers of giving morphine for the relief of pain.
It never cures a disease; it only stifles a symptom. It gives delicious
ease; but the need for its use soon recurs. Hence there is always
danger that before long the patient will have to fight, not only the
disease which originally caused him pain and made him call for morphine,
but the morphine habit in addition. This is all familiar. But not every
one realizes that the giving of money in case of poverty is as dangerous
as the giving of morphine in sickness. Money like morphine satisfies an
immediate need and hence is eagerly welcomed by the sufferer. But of
money as of morphine it is true that a single dose soon makes the
patient call for another, and often a larger dose; that it soon makes
the patient dependent on this sort of relief, and so forms a dangerous
habit. With the rarest exceptions, to give money or to give morphine
does not cure. The state of things which produced the pain or the
poverty is sure to recur. For (as I have said above) the patient's
belief that his present troubles are an unforeseeable accident, a sudden
catastrophe, is almost never true. The truth is that his pain or his
poverty are but the last chapters in a long story produced by causes
which can usually be traced out, and whose future action can often be
foreseen. By giving money we are covering up a smouldering fire, not
quenching it.
For economic bankruptcy or breakdown, like physical bankruptcy or
breakdown, is generally the result of _faulty organization_ in the
system of income and expenditure. Physically a person breaks down
because he has been spending more energy than he can recoup by rest,
food, and recreation. Economically he breaks down because his scale of
expenses exceeds his regular income. Hence it gives but temporary relief
to pay the bankrupt's debts, to cancel the sufferer's pain. The
operation will soon have to be done over again unless some constructive
plan for increasing his income or decreasing his expenditure can be
worked out. _Giving creates dependence_ because it atrophies industrial
and moral initiative, just as a crutch or a splint causes muscles to
waste. Powers unused atrophy. If we support a person, except
temporarily, he will soon lose the power of self-support.
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