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The seven corporal works of mercy, as they were called, that is, the seven modes of succoring those in need which St. Paul suggested every Christian should practice, are particularly valuable for the neurotic individuals whom, like the poor and needy, we have always with us, but who have multiplied so much more in this generation because a great many people have not enough to occupy their time properly, but above all have not enough exercise of their heart impulses and their affections to satisfy this imperative need of humanity. Women particularly must be afforded, as a rule, the opportunity to mother somebody who requires their care. If they have no children of their own, and with the loosening of the bonds of religion more and more of them have not, then they will seldom be happy unless the chance is provided for them to devote the emotional side of their natures to other human beings who need them and whose needs constitute the best possible opportunity for the exercise of the spiritual side of this precious function.

The seven corporal works of mercy are:

  (1) To feed the hungry;

  (2) To give drink to the thirsty;

  (3) To clothe the naked;

  (4) To harbor the harborless;

  (5) To visit and ransom the captive;

  (6) To visit the sick; and

  (7) To bury the dead.

These represented a list of very definite duties which children were taught to repeat from memory when they were young; and they were told very simply that if they did not take the opportunity to perform them they were really not doing their Christian duty. To visit the sick, for instance, meant not only to spend an hour or two with a sick relative, but to seek out those who were sick and poor and had no one to care for them and make some provision for them. Some of the old hospital visiting customs in this regard are extremely interesting, inasmuch as they reveal the resource that this must have been to people who are usually thought of as being occupied solely with social duties in the much narrower sense of the term. Martin Luther tells in one of his letters that during his visit to Italy about four hundred years ago, one of the things that proved a great source of edification to him was the fact that the ladies of the nobility in the Italian cities made it a custom to visit the hospitals regularly and to spend hours at a time there and do things for the patients with their own hands. Some of them wore veils while they were performing this beautiful service in order that they might not be recognized, lest what they did should come to be talked about, and they did not want to practice their charity for the sake of publicity. The people of the old time were often as intent on avoiding publicity as our generation, as a rule, seems to be intent on securing it. Almost needless to say ostentatious philanthropy is not charity and has none of the reactionary good effects for the doer to be found in real charity.

It must not be forgotten that whenever hospitals are visited regularly thus by the better-to-do classes there is very little likelihood of serious abuses creeping into them. The care of even the very poor patients is kept at a high standard because these visitors see the beginnings of abuses and either bring about their correction at once, or else devote themselves to some modification of hospital routine that will prevent the recurrence of such unfortunate conditions. Religion thus proved a stimulus to the better care of the ailing poor that was a distinct benefit to the health of the community. It was when hospitals ceased to be the object of such attention on the part of the better-to-do people that they ran down into the awful condition which prevailed so generally in them even less than a century ago.

Burdett in his "History of Hospitals" has not hesitated to say that hospitals placed in the midst of cities and visited regularly by the well-to-do represent a great social instrument for the betterment of all sorts of social conditions. The wealthy are kept from being selfish, the poor from being envious, the classes of the community are not so separated that they fail to understand each other, and both of them are greatly benefited by the experiences which bring them together.

Burdett has gone even further and insisted that the support of hospitals, by the State, because it removes opportunities for charity, is an unfortunate development in modern times. Those who are well able to help the poor and the ailing get the feeling that due provision is made for them out of the taxes, and that, therefore, no further obligation rests upon them and the needs and requirements of the poor are no concern of theirs. As a consequence, he says, "an increasing number of people are being brought up on a wrong principle and are thus led to forget the privilege and to ignore the duty of giving toward the support of those who are unable to help themselves."

Besides pointing out how much is lost of social value and social stimulus when private charitable institutions are replaced by State institutions, Burdett emphasizes not only how much of social good is accomplished by voluntary charity, but also how much of personal relief is afforded to some of the trials of life that often prove the source of unfortunate pathological conditions. He said: "Apart from the evils we have briefly referred to, there is a loss to the whole community in the lessened moral sense which State institutions create. The voluntary charities afford an opening for the encouragement and expression of the best of all human feelings,—sympathy between man and man. They give to the rich an opening for the display of consideration toward the poor which is fruitful in results. They create a feeling of widespread sympathy with those who suffer and impress on the population the duty of almsgiving to an extent which no other charity can do. They constitute a neutral platform whereon all classes and sects can meet with unanimity and good feeling. They provide a field of labor wherein some of the most devoted and best members of society can cultivate the higher feelings of humanity and learn to bear their own sufferings and afflictions with resignation and patience."

I have made it a practice for years, now, when women who were without children and without any special outlet for their affections suffered from neurotic symptoms, to prescribe that they get in touch with the ailing poor in some way. Especially for those trying patients who complain of inability to sleep well, a feeling of depression when they awake, a lack of appetite, but also a lack of incentive to do anything and a tendency to stay much in the house and by themselves, a condition which not infrequently develops in childless women shortly before and after what is called "the change of life", no prescription is so valuable as hospital visiting, or where that is impossible for some reason, at least to make it a rule to visit sick friends regularly. I have seen women suffering severely from neurotic symptoms that made life miserable for them become not only quite reconciled to existence, sleep better and eat better, but actually find some of their first real satisfaction in life as the result of discovering that they could visit the orthopedic ward of a hospital regularly, tell stories to the crippled children and bring them little toys, help to make Easter and the Fourth of July and Thanksgiving Day and Christmas and New Year's happier for them. I have known women who thought after some serious domestic affliction that they could never be happy again, to find, if not happiness, at least satisfaction in life after they had visited a cancer home regularly for some time and had seen with what cheerfulness patients could face the inevitably fatal affection which they knew was gradually sapping life and carrying them day by day into the shadow of death. No therapeusis that I know is so valuable for the stony grief without tears that some women exhibit after a great loss as the ward for crippled children or some regular visiting of incurable patients.

To visit and ransom the captives, that is, to visit prisoners and help them in any way possible, is a work of mercy that comparatively few people in our day seem to think they are under any obligations to do merely because they are Christians. They took this duty very seriously in the older time, however, and the result was excellent for the prisoners as well as for those who visited them. When condemned to serve a sentence and then left to wear out prison existence for years as best he can, seeing only his fellow prisoners and his keepers, a prisoner is very likely to grow bitter. In not a few of the prisoners, health of body and even of mind gives way under these hard conditions. If the prisoners were visited at definite intervals by some one willing to listen a little patiently to their story, for there is always another side to every story—even though the other side may not be very true—and who would occasionally bring them little things like tobacco as a solace or reading matter to occupy idle hours, and who would promise to interest himself in securing any favors that were possible and to see that they were given advantage of every benefit allowed them by the law, they would have less of the feeling that they were outcasts of society. It is because the corporal works of mercy as representing serious Christian duties somehow have come to be neglected that we have had this rather disturbing social problem of the bitter-minded prisoner so likely to get into prison again thrust upon us. But it is also because of the lack of such a fine human interest as is afforded by contact with prisoners who show some hope of reform that many an overoccupied business man suffers from such profound weariness of life that rest cures and special vacations have to be prescribed for him.

 

I once had a bachelor friend whom I had known for many years come to me as a patient, and though he had been a model of common sense, whom I had been accustomed to think of as utterly without nerves, I was surprised to find how many neurotic symptoms were gradually developing in him. He had lost his sister who had made a home life and a heart interest for him, and he had no near relatives; he had nothing but his business to occupy him; he had no hobby and no interest in that direction that seemed likely to develop, and I wondered what I should advise him to occupy himself with to keep him from getting further on his own nerves. He had an extremely important and correspondingly difficult position involving the carrying of a heavy burden of responsibility for a great many rather complex details of a huge business. A chance remark of his own in pity for a young fellow whom his corporation had found cheating and had felt itself compelled to prosecute—for example's sake—led me to suggest the visiting of prisoners. For years that man spent several hours on two or three Sundays of every month visiting the prisoners of a large city. He gathered around him a group of men who found a good deal of satisfaction in that work. He himself began to sleep better and wiped off the slate of life a series of dreads and obsessions that he was beginning to foster. Men often talk of "the blue devils" getting hold of them, but it is often just a case of the devil finding work not for idle hands but for idle hearts. Especially at Christmas and Easter he used to have as good a time, in the best sense of that expression, with his "little brothers" of the prison as any father and mother ever had with a house full of children. He once told me some of his experiences in a way that revealed his tactfulness in the handling of these sensitive fellow mortals that was one of the most interesting revelations of the Christian gentleman I think I have ever had given me.

To harbor the harborless as a work of mercy, when stated in this form, seemed to me as a child, when I learned it in the catechism, some wonderful exhibition of charity for shipwrecked mariners. I could not help but think that it must be harborless sailors who needed to be harbored. Stories of even two or three generations ago here in America show how seriously this Christian duty of the old-fashioned words was taken. There are still many country places, in the mountains of Kentucky and Tennessee particularly, where a family will take in a stranger for the night if he happens to be in their neighborhood. They will give him his supper and breakfast too—or they would a few years ago—and likely would be insulted if he offered to pay for them. They have performed a simple duty of hospitality which comes down to them by tradition from the older time. A man who is still alive told me that when he was young, and two or three of his brothers slept in the bed with him, occasionally they would find, when they woke in the morning, that father had taken in a stranger during the night, and since there was no other place for him than the children's big bed on the floor, the children had been crowded over and room had been made for him with them. This happened not in the south, but in Pennsylvania. I know that my old grandmother long ago, living in a one-roomed house with an attic, used to take in the "greenhorns" from Ireland in this manner and give the men shelter and food until they could get a job; and give the girls who came a lodging and a chance to learn something about plain American cooking and the care of a house until they would be ready to take a place in service.

Almost needless to say, this exercise of hospitality proved a very interesting diversion for people whose lives were rather monotonous. I feel sure that it must have meant much for the relief of that dissatisfaction with life because it lacks variety which is so often the first symptom of a neurosis. The stranger brought the news from a distance; the "greenhorns" brought news from Ireland, and many things were talked over while they ate their meals or sat around the fire in the evening, and it proved real entertainment. This was not the motive for which the charity was offered, for that was, as a rule, as Christian as it could be, but it represented that reward which is so often—it cannot but be divinely—attached to a good deed and which brings so much satisfaction with it.

Our entertainment of guests, as a rule, is very different. Above all it entails no personal effort. Even when people are invited to dinner nowadays, hostesses seem to consider it necessary to ask somebody to entertain them, for if they should be permitted to entertain themselves or be asked to make an effort to make their own conversation entertaining, they would probably be almost bored to death. Is it any wonder that our fulfilment of so-called social duties often proves nerve-racking and a season of it must be followed by a rest cure while old-fashioned hospitality did good to the doer and the recipient? Ours is the selfish striving of social aspirations; theirs was an exercise of real charity, an external expression of the dearness of fellow mortals.

Above all, the presence in a household of an occasional guest who is not a relative is good for family life. It relieves the monotony, often relaxes domestic tension, gives a new zest to living and cements personal friendships.

To feed the hungry, to give drink to the thirsty and to clothe the naked were, in the Christian ritual of corporal works of mercy, not obligations to be accomplished by writing one's name on a piece of bank paper and passing it over to a social service society of some kind, nor by handing a few bills to some almoner who distributes condescendingly your dole to the poor. Some one has very well said that the only action calling for any reward in such activities is the effort required to write one's signature or reach into the pocket for the money. The rest of the transaction is only a matter of debit and credit on a bank balance and makes practically no difference in most cases to the individual who gives it. The most compelling motive for charity in our time is that you might as well give up to fifteen per cent of your income, for if you do not the government will take it anyhow. So have the satisfaction of getting ahead of Uncle Sam.

Charity in the older time was thought to be actual, personal work for others. It is this personal service which carries its reward with it, often by provision of needed physical exercise, always by happy occupation of mind, affording the opportunity for the satisfaction of heart impulses with the many other personal reactions which enter into true charity.

Religious teaching furnishes an abundance of examples of even kings and queens and the higher nobility and of wealthy merchants and their wives who devoted themselves to personal service in the performance of these works of mercy. St. Louis of France, St. Ferdinand of Castille, St. Catherine of Siena, though she was only a dyer's daughter in this group of notabilities, St. Elizabeth of Hungary, St. Margaret of Scotland and the good Queen Maud her daughter, Dick Whittington (of the cat), Lord Mayor of London and many others,—all these were held up as symbols of what people ought to do in the matter of personal service.

There is often the feeling at the present time that when people give to charity it is not infrequently because they have heard some recent harrowing reports of the condition of the poor or have been brought in contact with some particularly pitiable case, and that the memory of these is likely to recur to them and intrude on their social satisfactions unless they can do something to make them feel that they have at least tried to fulfill their duty in the way of affording relief. A merchant on the way home from business who meets a beggar on the streets knows that as a rule, if he gives money, it will do harm rather than good, but he knows too that when he is comfortably seated after dinner before the fire, with his coffee and his cigar before him, if the thought of the beggar that he refused comes to him, it will make him uncomfortable. To give with the idea of avoiding such discomforts is, of course, not charity, but refined selfishness, and it is no wonder that it lacks the surpassing sense of satisfaction which helps so much in making life more full of the feeling of usefulness. This is not the charity that does as much good for the doer as for the receiver of it.

In our time settlement work, neighborhood houses and the like have represented this personal service which religion in the older time listed under the various titles of the corporal works of mercy. Many physicians have learned that young women particularly who had not very much to do, indeed perhaps no definite duties and yet had an abundance of vital energy which had to be expended in some way, found very interesting and satisfying occupation of mind in connection with settlement work. Above all they secured an opportunity for the exercise of the heart impulses, so natural to women, and which must almost as necessarily be expended on something as the physical energies which they develop every day must be employed in some sort of labor if they are not to be short-circuited and make them miserable. It is perfectly possible and even easy to pervert heart impulses which might be the source of good for self and others, into sexuality of various kinds, whether that be exhibited in philanderings with the male dancers employed by the hotels to make thés dansants interesting for feminine youth—and also idle middle age—or in love affairs with the family chauffeur. They will find an issue some way almost inevitably. It may be that writing notes to the latest matinee idol or even letting one's feelings be properly harrowed up at performances of sex-problem plays may prove sufficient for a time, but something more will be demanded before long, and there must be something real to satisfy natural cravings.

There is probably no better safeguard against the tendency of the young heart to overflow on unworthy objects than to give it the opportunity to exercise itself on unselfish aims which lead up to the fine satisfactions to be derived from helpfulness for others. Settlement work and cognate personal activities have so organized the opportunity for this that young women do not have to travel in perilous neighborhoods except under such circumstances as reasonably assure their safety from insult or aggression of any kind. The charity that prompts occupation with such activities often leads to a development of character, while at the same time affording such exercise of body and mind as greatly promotes that eminently desirable end,—the possession of a healthy mind in a healthy body. There is much discussion at the present time over sex dangers for young people, but it must not be forgotten that these are mainly due to the sexual incitements which we are fostering in the dance hall and the theater and the cabaret supper room, while the best possible corrective for sexual erethism is to be found in contact with some of the misery of the world. The remedy is at hand, but unfortunately it is not made use of as a rule, and we wonder why evils increase as selfishness becomes more rampant.

John Ruskin summed up the situation with regard to the young women of our time in his address on The Mystery of Life and its Arts ("Sesame and Lilies"), in words that deserve to be in the notebook of every one who hopes to be able to help the young over some of the difficult parts of their path through life in our time.

"You may see continually girls who have never been taught to do a single useful thing thoroughly; who cannot sew, who cannot cook, who cannot cast an account, nor prepare a medicine, whose whole life has been passed either in play or in pride; you will find girls like these, when they are earnest-hearted, cast all their innate passion of religious spirit, which was meant by God to support them through the irksomeness of daily toil, into grievous and vain meditation over the meaning of the great Book, of which no syllable was ever yet to be understood but through a deed; all the instinctive wisdom and mercy of their womanhood made vain, and the glory of their pure consciences warped into fruitless agony concerning questions which the laws of common, serviceable life would have either solved for them in an instant, or kept out of their way. Give such a girl any true work that will make her active in the dawn and weary at night, with the consciousness that her fellow creatures have indeed been the better for her day, and the powerless sorrow of her enthusiasm will transform itself into a majesty of radiant and beneficent peace."

 

The friendly visiting of the poor is an old-fashioned Christian practice which had lapsed, unfortunately, until it was restored to some extent at least by the great work of Frederick Ozanam of Paris. The conferences of St. Vincent de Paul organized by him in Paris while he was professor of the university there about one hundred years ago had for their principal object the visitation of the poor, not so much for the purpose of giving them alms as of helping them with advice, making them feel that there are people interested in them, and giving them a new sense of human dignity; though also providing them with such necessaries as they might be in immediate want of and, above all, securing them occupations whenever they were needed. I have known many men who have developed a new and vigorous sense of life as a consequence of learning that they could be so useful to others as the Ozanam organization permitted them to be.

For a great many men some such escape from the sordid routine of daily business life is needed. This is particularly true when they have passed a little beyond middle age, which for me is not beyond fifty, as so many people seem to think, but thirty-five, the period indicated by Dante in the first line of his "Divine Comedy" as marking the mid-point of existence. After forty, particularly, most men who take life seriously and do not merely try to make money and kill the intervening time that hangs heavily on their hands in any way that they can, as a rule lose their interest in reading novels and do not care for the trivial plays of our time. They need diversion. They are not likely to get it at the opera unless they are very musically inclined. Card-playing may prove an excellent diversion and one that personally I think ever so much better than the reading of trivial novels, but there are a great many men to whom it has no appeal. If they stay at home they are likely to fall asleep in their chairs over the evening paper or a current magazine, and nothing in the world makes one feel so uncomfortable or so spoils an evening as to go to sleep in that way.

If they are particularly occupied with business affairs these may intrude themselves on their evening hours, but they very soon learn the lesson that it is dangerous to take business home with them. They need some serious occupation of mind quite different from what occupies them during the day. Professional men find something of this in the meetings of professional societies, but they too need a heart interest, a sympathy interest for their fellow man quite as well as the women. Many of them find it with their children as these grow up around them, and family life will help very much. But as the children grow older and have their own interests in the evenings, father is more and more likely to be left by himself, and then he needs something that will occupy him in some broad, human way. A good hobby of any kind would be a saving grace, but hobbies, to be effective, should be cultivated from early in life. One cannot be created easily at need after forty.

For such men friendly visiting of the poor, for it is only in the evenings that the man of the house can be seen, since he is always at work during the day, will often prove a most valuable resource. In a number of instances I have suggested to men who were beginning to get on their own nerves that they interest themselves in this way and have been rather well satisfied with the results when they took the advice seriously. In a few cases I have seen really wonderful results when it seemed almost inevitable that men were drifting into dangerous neurotic conditions because they were living lives too narrow in their interests and above all so self-centered that they were dwelling on slight discomforts and exaggerating them into symptoms of disease. Contact with the suffering that one sees among the city poor is a wonderful remedy for neurotic tendencies to make too much of one's own feelings, for the poor almost as a rule face the real ills of life with a simplicity and a courage that inevitably causes any one who is brought close to them to admire them and to feel that his own trials are trifles compared to what these people undergo with very little whimpering.

There is another phase of charity, probably unintentional in its activity and almost unconscious, that is extremely interesting and has a very definite place in a discussion of health and religion. Some men who have made a success in life far beyond their neighbors have preferred to continue dwelling in their old home rather than move into the quarter of the city to which their changed circumstances would have permitted them to go. Such families represent the very best possible kind of settlements in the poorer quarters of the city and help more than anything else to keep a neighborhood from running down in such a way as to make life harder for the poor who dwell there. The old walled cities are often said to have been almost intolerably unhealthy because of the inevitable crowding of the population which they compelled, and undoubtedly they were a fruitful source of disease and ills of many kinds for the population; and yet it is doubtful whether any old-time city was ever so insanitary as the slums of our modern crowded cities were a generation ago or are even in many places at the present time.

There was one feature of the old cities whose obliteration one cannot help but regret. The better-to-do families often lived on the front part of a city lot while the less well-to-do, often indeed the men who worked for the proprietor of the house in front, lived on the back of it. This was true particularly in many foreign cities and continued until a few generations ago.

This arrangement kept the conditions of living, so far as regards the middle class of the poor, from being so markedly indifferent as they are at the present time. Those who lived in the rear knew all the happenings, the births and deaths among their employers, while the family in the front took an interest in the events, the births and deaths and illnesses in the families in the rear. This proved to be valuable for social reasons, and it kept conditions of health among the poor from degenerating in anything like the way that has happened in modern times. The mutual personal interests did a great deal more to make life more satisfactory and more full of good feeling than the relationships of classes to each other do in our time, and this reacted to make a state of mind much more conducive to health than would otherwise have been the case.

Such associations would seem to be almost impossible in modern days, and yet the late Mr. Thomas Mulry, president of the Immigrants Savings Bank, at a time when, I believe, it was the largest savings bank in the world, continued to live down among the poorer folk to whom so much of his life was devoted for years after families of his standing in the financial world had long moved out. Our present governor of New York has declared his intention of continuing his residence among his friends in the old Seventh Ward, and undoubtedly his presence there will mean much not only for the health of those around him, but also for the health of his family because of the simple life which is so likely to be perpetuated in these surroundings.