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
Why do I take so trivial and specific a case as this? Because I can
remember several cases where I could not possibly leave out nagging when
I came to make my social diagnosis. It was one of the chief factors. One
cures this disease, in case one does help it at all, by making the
nagging person conscious of what it is that he is doing. The nagging
impulse is like an itch. _It recurs and scratching does not stop it._
The nagger does not know quite why he does it; he finds himself doing it
almost in his sleep. Hence we try to wake him up, to make him conscious,
if we can, of his foolishness, of the kind of harm he is doing, and of
the degree of incurability he is inducing in the person whom he is
trying to cure.
I will now sum up the last four chapters in a diagram which we have used
in Boston at the Massachusetts General Hospital to assist us in making
our social diagnoses. A social diagnosis can very seldom be made in one
word, such as _idiocy_ or _tramp_. It must include the patient's
physical state. It must summarize a person's physical, moral, and
economic needs. Our best social diagnoses, such as _idiocy_ or
_feeble-mindedness_, do not refer to the mind only. They refer to the
body just as much. Feeble-mindedness is a statement about the child's
body, his brain, his voracious appetite, the diseases to which he is
likely to succumb, his extraordinary susceptibility to cold, and his
poor chances of growing up. One says a great deal about the physical
side of a child as soon as one pronounces the word "feeble-minded." Also
one says a great deal about his financial future. One knows that the
feeble-minded child will never rise beyond a very low point in the
economic scale. One says also a great deal about his moral future. We
all know to what sexual dangers and temptations he is especially
exposed. And on the purely psychological side one can predict his entire
unteachability beyond a perfectly definite limit. All this is given in
the medical-social diagnosis, "feeble-mindedness."
This is an example, then, of an ideally complete and compact, though a
very sad, social diagnosis. It is almost the only good one we have
worked out as yet. The only other is "tramp." The tramp in a technical
sense is a person who has what the Germans call "Wanderlust." He is
unable to stay in one place. Perpetually or periodically he desires to
move and to keep moving. The tramp is a medical-social entity. He has
certain physical limitations, certain economic limitations, certain
moral deficiencies. But in America he is rather a rare being. One does
not see many typical tramps here.
Since few social (or medical-social) diagnoses can be stated in a single
word, one is usually forced to write down one's diagnosis in a great
many different items. As a guide I made four years ago a schedule for
our use at the Massachusetts General Hospital. Use--the only test for
that sort of thing--has shown this schedule to be of some value.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account