Distasteful as the
task may be, the social worker should familiarize herself, through
reading or through instruction by a qualified physician, in the commoner
forms of these maladjustments. This is not urged because it is part of
the social worker's task to make detailed inquiry into such matters or
to pass judgment upon them, but because they often clamor for attention
and need to be recognized by the first responsible person to whose
notice they are brought. Unless she knows, for instance, what
constitutes excess in sex relations, a worker may misunderstand the
situation described to her and condemn a man for being a selfish brute,
when the trouble is really sexual anaesthesia in the wife. It is well
known that this single cause operates disastrously to disrupt many
marriages or else to render them insupportable. The warning should be
added, however--and it cannot be added too emphatically--that the social
worker must scrupulously refrain from making diagnoses in these cases,
even tentatively; she must refer such data as come to her either to the
general practitioner or to the psychiatrist, selecting one or the other
as the symptoms presented may indicate.
Less well understood by the lay worker are actual maladjustments, both
physical and mental (or spiritual), which prevent the complete
satisfaction of one or both.
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