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
I told her at once the whole truth. I told her that she was insane. I
could also tell her truthfully that she would come out of it (as she
did), but that I must now take her away from this house, shut her up,
and take care of her. "Oh," she said, with immense relief in her voice,
"is that all? Is it nothing worse than that? Insanity is nothing
compared to losing all your friends." Insanity is one of the greatest of
human fears, but for this old lady, as for most of us, there is
something still worse--the fear that one has not a friend in the world.
Even to know that she was doomed to what most people would consider one
of the worst of fates was to her a relief; for there was a worse fear in
reserve, and that she now knew was groundless.
The _treatment of fears_, the only treatment that I know of, is that we
face them, look straight at them, as we turn a skittish horse's head
right towards the thing that he is going to shy at, so he can look at it
squarely. So we try to turn the person's mental gaze straight upon the
thing that he fears.
People frequently consult a doctor because they are afraid of fainting,
fainting in church or in the street, for example. In such cases I have
found it most effective to say, "Well, suppose you do--what harm will it
do?" From the answers to this question I find generally that the
patients have in the back of their minds, unconfessed, unrealized, the
_fear that if they faint_ and nothing adequate is done to cure them
_they will die_. They do not know that people who faint come to just as
well if they are let alone, and that all the fussing about that is usual
when people faint is useful merely to keep the bystanders busy and not
to revive the patient.
Make a person face "the worst" and you disarm its terrors.
"But suppose I get faint on the street?"
"Well, you probably will just sit down on the curbstone until you come
to."
That remark does not sound as if it would reassure a person even if
made with a laugh. But it does, because he is thereby freed of a fear of
something much worse, a fear that lurks in the background of his mind.
There is one other thing to be said about the treatment of fears. If a
person fears to do any particular act, such as going to church or into
the subway, if he fears to be alone in crossing a big square, if he
fears to get into a crowd (all these are common fears), the most
important thing is to _force him to do what he most fears_.
"Do the thing you are afraid of, or soon you will be afraid of something
else as well. And the more you do what you fear to do, the less you will
be afraid of it, because your act will bring you evidence of the truth.
Your act will prove to you that you can do the thing that you fear you
cannot. That fact will convince you a great deal more than all the
talking that your doctor or anybody else can do. You will get conviction
by reality, the best of all witnesses."
Public-domain text, read in full here on John Shaqi.
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