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
It should be among the medical duties of the visitor to investigate the
hygienic aspects of the home in order to explain them to the doctor, who
can then include them among the facts on which his diagnosis,
prognosis, and treatment are based. The social worker may then try to
carry out such improvements in housing as the combined judgment of the
doctor and the social worker suggests. More important than medicines,
often, is the provision for proper warmth and proper ventilation of the
patient's rooms during the day and especially at night. Darkness, dirt,
poor ventilation, favor the growth of germs, vermin, parasites of all
sorts. They also depress the vigor and power of the human organism to
resist disease. Doctors and social workers cannot hold Utopian views in
matters of housing, but must content themselves with trying to secure
something a little better than they find in the worst of the patient's
lodgings, especially when these lodgings represent conditions below the
family's own standard of living at some previous time. People adapt
themselves wonderfully to bad hygienic conditions, and once so adapted,
they may be able to preserve their health for a long period. But if then
a family is suddenly forced to crowd itself into smaller, darker,
dirtier, noisier quarters than it has been used to, or if a family group
increases its numbers within the same quarters, the adaptive powers of
the human organism may be overstrained and break down.
It is against these conditions especially that the social worker and the
doctor should labor. Housing problems are among the most difficult of
all that confront society. Yet we should pledge ourselves to attempt
some improvement, not disdaining slight gains because we are enamored of
distant Utopias.
Sometimes people are living beyond their means, are accepting bad
quarters at high prices when they could get as good or better quarters
for less money in some less crowded and popular district. Human beings
have a strong tendency to stay wherever they find themselves, to settle
down by chance and resent any suggestion of change even for their own
greater comfort. After a few months any place soon comes to have the
attractions of home merely because we have been there. Hence we stick in
the same place, though we may know that it is chance and not choice or
necessity that has put us there. Under these conditions a social worker
may do real service by her greater knowledge of other lodgings at lower
prices, or (what is essentially the same thing) better lodgings for the
same price now paid. If the social worker is familiar, as she should be,
with the lodging conditions in the neighborhood in which she works, she
may be able to give a patient facts about lodgings which were either
unknown to him, or more probably unrealized, because he has never seen
them. Our mental horizon becomes restricted. Any one who enlarges it by
presenting new and helpful possibilities serves us well.
Public-domain text, read in full here on John Shaqi.
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