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
(_e_) _Aid during unemployment._ A fifth good reason for giving money or
other forms of relief temporarily is to tide the sufferer over a period
of unemployment, during which he is actively looking for work or for
better work than he now has. Sometimes we can assist him in this search.
But there is danger in this. A man is less likely to keep a job that
some one else finds for him than one which he finds for himself. Still,
we may help him without harming him in case we can give him facts,
names, positions, employment agencies by means of which he may secure
employment, he himself taking the active part in securing the job.
_Information, which is what we here furnish, is one of the least
dangerous of gifts._
In all these cases the principle is like that whereby we do surgery.
Surgery is a temporary injury to the body done with the expectation of
ultimate good, a temporary interference of outside powers with the
natural self-maintenance of the organism, in order that those functions
may ultimately go on not only independently, but more satisfactorily
than before. The surgery may kill the patient, or leave him worse than
he was before. But our reasonable expectation is (in case our surgery is
good) that his health--that is, the capacity of his body to maintain
itself, or develop itself--will be improved. So in economic surgery we
foresee a speedy end to the need for aid. The person is to be put upon
his feet by our aid; our services can soon be dispensed with. The need
will not recur. It is not chronic. It was not his fault and therefore is
not likely to return upon him soon because of continuance of the same
defect.
Obviously one must try to make clear--or, still better, try to have it
clear without explanation, understood because of our previously
established relation of trust, confidence, and affection--that it is not
because of parsimony or close-fistedness that we are refusing to give
quickly, constantly, and without inquiry. Medical analogies must
constantly guide us and be in the minds of those whom we try to help.
We refuse money, as we refuse morphine, for the patient's good. We try
to make our giving of money temporary and self-checking, for the same
reason that we try never to begin giving morphine unless we can foresee
a speedy termination of it, a speedy cessation of the need for it, as we
do when we give it in gall-stone colic or acute diarrhea, or just before
a surgical operation. If morphine were a possession of the doctor's, as
money is a possession of the visitor or those whom she represents, then
the doctor might often seem stingy, cruel, selfish in his refusal to
give it. We must make it clear if we can that our hesitations,
limitations, or refusals in relation to money have no more connection
with our own control over that money, our own enjoyment of it, our own
sense that we have any right to it, than the doctor's refusal to give
morphine rests upon his desiring to take the morphine himself instead of
giving it.
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