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
We see in every dispensary many cases of abnormal physical
suggestibility, people who think that they have caught every disease
that they hear about. Among medical students and nurses in training
there are always some who become convinced that they have the disease
which they have just been studying in the hospital. In the social
assistant's work as a taker of histories she must remember that. Highly
suggestible people give curiously misleading histories because they
become obsessed with the idea that they have some terrible disease.
There are three examples of abnormal suggestibility which in my
experience recur with especial frequency: _heart disease_, _cancer_,
_insanity_. People are amazingly prone to fancy that they have heart
disease. If they have any symptoms in that part of the body where they
are taught to believe that the heart resides, or if they have heard
anybody talk of heart disease, or especially if anybody whom they know
has recently died of heart disease, there are many people likely first
to believe that they have heart trouble, and then to have actual
symptoms which they attribute to heart disease. They often say nothing
about this fear. That is just why it is so essential for social workers
to dig it out in the course of their history-taking. When people are
afraid of a thing they are especially apt to conceal that fear.
Insanity is feared, I think, even more often than heart disease. Every
doctor is consulted by people who are sure on most trifling evidence
that they are going insane. We hear people say, "Why my mind must be
failing, for I read down a page and when I get to the bottom I cannot
remember what I have read." Or, "I am losing all memory. I met a man
recently suddenly and I could not remember his name." These two normal
fatigue-products--failure of attention or failure of memory--often make
people think that they are going insane. A third result of fatigue which
often frightens people is the sense of unreality. Such people say, "I
seem to be numb. Things do not seem real to me. I talk to people and I
wonder if it is not all a dream. Am I not going crazy?" There have been
interesting essays written by French psychologists on the "Sense of the
_Déjà Vu_." For a few hours whatever we say or do seems a repetition; we
have said, done, heard all that before we fancy. It is a very
disquieting sense. But it is usually nothing but fatigue.
Public-domain text, read in full here on John Shaqi.
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