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
For example: disease is often produced by lack of sleep; hence it is of
central importance to teach people how to sleep. Excluding organic
disease in the causation of most cases of sleeplessness--for most people
suffering from insomnia do not have organic disease--one can say this:
_Insomnia usually depends on something wrong in the patient's day_. The
state of the night depends on the state of the day. If the day has been
free not merely from gross sin, but free from hygienic blunder, then the
night will go somewhere nearly right. If the day has been filled with
concentrated work in which the mind has been wholly upon the thing it
has in hand, if there have been no elements of strain through
distraction or worry, causing double currents in the mind, then when
night comes one can turn the mind off and go to sleep. On the other
hand, the mind which has been intent half on its own job and half on its
own worries, never wholly "turned on" during the day, cannot be "turned
off" at night. Any physician or any patient succeeds in curing insomnia
who succeeds in finding out what is wrong in the way the sleepless
person lives, and how it can be corrected.
But most people want to go on living in just the same stupid way and yet
to get rid of the sleeplessness "in spite of themselves." The obvious
way is to take a drug that for a while will stop insomnia even when
life goes on as before. There are many drugs that will give sleep, but
there are no harmless drugs that give sleep--none. Physicians receive
about once a year advertisements of a drug for sleep which is "wholly
without ill effects," but I do not think it shows undue skepticism or
dogmatism to say that those drugs never do what they say, and never
will. Sleep being a natural process, anything that forces it upon us
hardly can be free from ill effects. Hence the first thing in attacking
a case of insomnia is to say, "Never take a drug again." Natural
processes whereby fatigue accumulates and puts us to sleep do not go on
rightly if we are being artificially driven into sleep by a drug.
Public-domain text, read in full here on John Shaqi.
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