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
In refutation of this idea there is one more dogma packed for
transportation, which I should like to offer in the form of a logical
fallacy which the mediæval logicians put down in Latin terms: "_Post
hoc, ergo propter hoc_": "After this, therefore because of this." One of
our duties as doctors and social workers is to combat fallacies, to
teach people to think straight instead of crooked about their ill health
and their other troubles. When thus occupied, a large part of our labors
will consist in trying to overcome the popular fallacy quoted above.
"You went into a particular industry and you had tuberculosis: therefore
you had tuberculosis _because_ you went into that industry." "You had a
given disease and you took a certain remedy: you got better, _therefore_
the remedy cured the disease." So the superstitions flourish. I do not
believe it is easy for any of us to extricate ourselves from that
particular fallacy, but we must try.
In industrial disease we have the causative factor of industrial
hardship intimately mixed up with other factors. One of my colleagues,
Dr. Roger I. Lee, of whose book I have already spoken, investigated, in
our clinic at the Massachusetts General Hospital, the cases of one
hundred young working-girls, factory employees, who either had
tuberculosis or were suspected of tuberculosis--were in what is wrongly
called the "pre-tubercular stage," when the doctor has not made up his
mind whether the patient has tuberculosis or not. He studied these
cases, as people ought to study them, always in proper coöperation with
a social worker. He made his own careful observations in the dispensary.
Then he employed a social worker to study the girls in the home and
outside the home, following up in their lives and personalities the
tangles of disease. His total result was that he could not say in any
given case that industry had produced a single one of the diseases which
he found, though he was not willing to swear that it had not done so. He
found that a certain number of these girls, in their perfectly natural
search for recreation, were running around the streets or elsewhere
until the small hours of the morning. That is an obvious factor in
producing a diseased state. It is not that we want to blame people for
seeking recreation; but the results cannot also serve as evidence of the
harm done by industry, except in a very wide sense in which we might say
that industry does harm because it does not provide for recreation,
which is, I think, an extreme view.
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