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
One gives drugs for sleeplessness rightly when there is some rare and
special reason for being awake, some catastrophic reason which will
never occur again. This exemplifies the principle which I have tried to
emphasize throughout this book. We may give money for some catastrophic
cause which puts the person down and out, and will not occur again. So
we give a drug for sleeplessness if there has been some special thing to
interfere with sleep--if, for instance, you have been talking very hard
with a friend and you know by your own feelings that your mind will not
stop that night. Then you may perfectly properly take a drug to put you
to sleep, knowing that there is no reason to suppose that such a talk
will occur again in the near future. Knowing this, you do not need to
waste that night. You take the drug. But it is only in rare catastrophic
moments that one can be cured in spite of one's self, any more than one
can give or take money safely.
It is the same in the matter of constipation. The first thing to make
clear to a patient is that drugs must be abandoned before he can ever
teach his bowels to behave as they should. But it is a great deal of
trouble to do that, and because people shirk that trouble, and want to
be "cured in spite of themselves," they come to a doctor to be cured by
drugs. Alas, he is often weak enough to give them what they seek!
I have tried to make this drug-fearing practice one of the policies that
honest medicine must always stand for, because it seems to me that when
the doctor allows himself to be tempted into behaving as a considerable
number of his profession do--that is, into giving people what they ask
for--he very soon loses his ideals, gives things that he knows more and
more clearly that he has no right to give, and goes downhill. Social
assistants must help the doctor to avoid this disaster. They can do so
by helping him to teach the truth.
I want to deal a little further with some examples of what nature does
in the way of warding off disease. For a large part of what we call
disease, and what we feel in ourselves as disease, is not the attack of
the enemy, but is our defence against the enemy.
Public-domain text, read in full here on John Shaqi.
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