T HE E M E R G E N C E OF S E N T IM EN TS W I T H I N A SOCIAL SYSTEM Walter E. Freeman A DISSERTATION S u b m i t t e d to the S c h o o l of G r a d u a t e S t u d i e s of M i c h i g a n S t a t e C o l l e g e of A g r i c u l t u r e and A p p l i e d S c i e n c e in p a r t i a l f u l f i l l m e n t of the r e q u i r e m e n t s for the d e g r e e of DOCTOR OF PHILOSOPHY D e p a r t m e n t of S o c i o l o g y and A n t h r o p o l o g y 1954 ProQuest Number: 10008501 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. Pro uest, ProQuest 10008501 Published by ProQuest LLC (2016). Copyright of the Dissertation is held by the Author. All rights reserved. This work is protected against unauthorized copying under Title 17, United States Code Microform Edition © ProQuest LLC. ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 4 8 1 0 6 - 1346 ACKNOWLEDGEMENTS T h e w r i t e r w i s h e s to e x p r e s s his t h a n k s to Pr. Paul A. Miller, his m a j o r p r o f e s s o r , for the d i r e c t i o n and c r i t i c i s m s (liven in the p r o b l e m f o r m u l a t i o n and w r i t i n g of this d i s s e r ­ tation. His w i l l i n g n e s s to s u p e r v i s e , d u r i n g a p e r i o d w h e n lie had m a n y o t h e r i m p o r t a n t t a sks to p e r f o r m , w a s d e e p l y appreciated. His i n t e r e s t in this w o r k p r o v i d e d a c o n s t a n t so u r c e of i n s p i r a t i o n . W i t h o u t the c o o p e r a t i o n , g u i d a n c e , and h e l p f u l c o n s i d e r a ­ tion of all m e m b e r s of the r e s e a r c h t eam of the S o c i a l S c i e n c e R e s e a r c h S e r v i c e , of w h i c h this w r i t e r w a s a m e m b e r , this d i s s e c t a t i o n c o uld n e v e r h a v e b e e n w r i t t e n . Par t of a l a r g e r study, it d e p e n d e d upon the t h e o r e t i c a l f r a m e w o r k that was s t r u c t u r e d d u r i n g the S u m m e r of 1951. T o Pr. C h r i s t o p h e r S o wer, w h o d i r e c t e d the I n d e p e n d e n c e Study, m a n y t h a n k s are e x t e n d e d for his g u i d a n c e and for his s u g g e s t i o n s w h i c h w e r e so h e l p f u l b e c a u s e of his c l o s e a s s o c i a t i o n w ith the p r o b l e m s that faced the w r i t e r . T o P r o f e s s o r K e n n e t h T i e d k e the w r i t e r a c k n o w l e d g e s an e n o r m o u s d e b t of g r a t i t u d e for m a n y h o u r s of patient c r i t i c i s m and a d v i c e . f u r t h e r t h a n k s m u s t be e x t e n d e d to P r . C h a r l e s P. L o o m i s who, as P i r e c t o r of the S o c i a l S c i e n c e R e s e a r c h S e r v i c e , g a v e to the a u t h o r m a n y h e l p f u l s u g g e s t i o n s d u r i n g tne peri o d of p r o b l e m f o r m u l a t i o n . A l s o t h a n k s are e x t e n d e d to the H e a l t h I n f o r m a t i o n F o u n d a t i o n of New Y o r k C i t y w h i c h p r o v i d e d the f u n d s for the I n d e p e n d e n c e Study. To Pr. P u a n c L . G i b s o n , P r . Joe Pa n Mills, and o t h e r m e m b e r s of the P e p a r t m e n t of S o c i o l o g y and A n t h r o p o l o g y , the w r i t e r w a s h e s to e x p r e s s his t h a n k s for t h e i r c r i t i c i s m s during the period of writing. T h a n k s m u s t "be g i v e n to the p e o p l e of I n d e p e n d e n c e C o u n t y w h o s e names h a v e b e e n f i c t i o n a l i z e d as well as t h o s e of t h e i r c o u n t y and the p l a c e s they live in o r d e r to p r e s e r v e t h e i r privacy. T h e i r f r i e n d s h i p and c o o p e r a t i o n w h i l e the w r i t e r r e s i d e d in I n d e p e n d e n c e C o u n t y was d e e p l y a p p r e c i a t e d . To his w i f e and f a m ily, for the m a n y p a t i e n t y e a r s they h a v e g i v e n that he m i g h t c o m p l e t e this work, the w r i t e r owes m o r e than can h e r e be a c k n o w l e d g e d . He a l s o w i s h e s to t h a n k V.. A . W . for h is w i s d o m and a d v i c e . T h i s d i s s e r t a t i o n owes m u c h of its o r i e n t a t i o n to the late Pr. J o h n B. H o l l a n d w h o w a s the m a j o r p r o f e s s o r for the w r i t e r until hi s u n t i m e l y d e a t h in 1953. H is i n t e g r i t y and r i g o r o u s a p p r o a c h to s o c i o l o g y will a l w a y s be r e m e m b e r e d by his a s s o c i a t e s and f r i e n d s . To the m e m o r y of a very f i n e s o c i o l o ­ gist, t e a cher, and f r i e n d this d i s s e r t a t i o n is d e d i c a t e d . THE E M E R G E N C E OF S E N T I M E N T S WI T H I N A SOCIAL S YS TE M By Walter AN E, Freeman ABSTRACT S u b m i t t e d to the S c h o o l of G r a d u a t e S t u d i e s of M i c h i g a n S t a t e C o l l e g e of A g r i c u l t u r e and A p p l i e d S c i e n c e in p a r t i a l f u l f i l l m e n t of the r e q u i r e m e n t s for the d e g r e e of DOCTOR OF PHILOSOPHY D e p a r t m e n t of S o c i o l o g y and A n t h r o p o l o g y 1954 Approved ft* Walter E . Freeman This study explains tionship f o und around problem which a the activity by seven of persistence and manifested that is, completion Sentiments in was in the to symbolic social the system. cultural patterns system emerged. of historical the the sentiments Since by Such of expressed the g ave the associated with structures examined. Themes an analysis the h e a l t h individualism health and of sentiments the survey. education system to an the of exist. were existing for within on the relevant the social understanding to the content of actors. sentiments of for of organization provided support members terms nature quality traced on problem cease'to fro m w h i c h were of the grounded The (the the of carried c o u nty. solved allowed structured health relationships society w h icn by of with.in were rela­ empirically sentiments level of relationships temporary understand of was system would actors patterns themes the the sentiments within were actors in the by analysis These The problem was better emphasis which a midwestern s u r vey) An on of the relationships. qualities a self-survey expressed order composed complicated after of system orientation. citizens was persistent s o cial system hundred analyzed a solving social to system, within the of and were a larger within s o c iety, this society collectivism found manifested by to be those the were expressed relevant active in to Organizations such as the Public lie alt ii S e r v i c e , Council, Cooperative Extension Service, Orange,- etc. were s i nce members tiiesc organizations It w as pr e s s e d but of treated found methods and and with held by the by in Medical Society, the also relevant held to ones of ex­ purpose disagreement Such content divergent within actors a commonality tiie group. conflicting positions system of' e x t r e m e the structure them. social displayed manifested and group indications objectives different of within, the which explained part or had' close, ties also frequently were survey that sentiments ttiere w o r e were the as Health of orientations sentiments were in to d i s a g r e ern e rit s the which as associated tiie r e l e v a n t structures. Continuity general areas to w h i c h beliefs tance of in of the made all of the good fested intrinsic in the of be utilized as "worthwhile". relationship fri e n d s , for the of condition which *1ii 1 s "fund relationships and by sacred in were marked individual, general areas of found by is in will" any to be bonds community. the may of found of It value as the be mani­ society segments impor­ agreement conceptualize good and by the and we by quality life, strong the explained of of phenomenon together organizations, the defined be areas prolongation S uch This to were These value objectives held which process. will". sets appeared adhered. health, good system commonality educational of the actors possible "fund of and the in nay society sets of obligation to further explains the condition system tion of structural observed. may be held pre-existing Systems feed to a reshaping the of a way existed over a period further explains ple collective the programs of d i f f e r e n t good" who the remain unity. the are to in of which the two years continued found in of our joined together brief for these and within death, which together periods of of of provide its and solu­ which This include a tine for structures process re-birth for the systems explained. society orientations in relationships was birth, problem structures society found social pervasiveness relevant are the temporary expressed persistence of within overall found culture sentiments sucJi action which total In many by relationships Sentiments back oriented together society. continuity of peo­ "common in TABLE OF CONTENTS P ACE I N T R O D U C T I O N ................. Tiie S e l f - S u r v e y ..................................... B a s i c A s s u m p t i o n s .................................. Tiie G e n e r a l P r o b l e m ....... O v e r a l l S t r u c t u r e of the S y s t e m .......... T h e S o c i a l S y s t e m .................................. F u r t h e r M e t h o d o l o g i c a l C o n s i d e r a t i o n s ......... Plan of A n a l y s i s .................................... PART I - RELEVANT CULTURAL 1 3 6 7 19 21 21 26 PATTERNS H I S T O R I C A L T H E M E S IN T H E R E L E V A N T C U L T U R A L P A T T E R N S ........................ Til ernes of I n d i v i d u a l i s m and C o l l e c t i v i s m J e f f e r s o n i a n I n d i v i d u a l i s m ....................... C o m p r o m i s e of the J e f f e r s o n i a n P o s i t i o n . . . . . . J a c k s o n i a n D e m o c r a c y ................ f r o n t i e r Ind i v id ua 1 i sm and S e c t i o n a l i s m ...... R e s i s t a n c e to I n d i v i d u a l i s m and G r o w t h in C o l l e c t i v i s t i c Tn i n k i n g ...................... 29 32 33 33 41 49 52 EM E R C INC S E N T I M E N T S IN H E A L T H ....................... O r i g i n of M e d i c i n e ................................. C u r a t i v e M e d i c i n e .................................. P r e v e n t i v e M e d i c i n e ................................ P u b l i c H e a l t h ........................................ S o c i a l M e d i c i n e .................... C o m m u n i t y H o s p i t a l s ................................ H e a l t h I n s u r a n c e .................................... S u m m a r y . . .................................. 65 65 67 75 77 05 07 00 E M E R G I N G S E N T I M E N T S IN E D U C A T I O N ................... O r i g i n of E d u c a t i o n ....... E d u c a t i o n in A m e r i c a . .............. R e l e v a n t E d u c a t i o n a l M o v e m e n t s ................... T h e L y c e u m and C h a u t a u q u a M o v e m e n t s .............. T h e L a n d - G r a n t M o v e m e n t ..................... The Co o p er a ti ve Extension S e r v i c e S u m mar y ................................................ 92 93 97 100 104 90 106 103 113 PACE CHAPTER PAR T VI II - R E L E V A N T VII1 IX STRUCTURES D E S C R I P T I O N OF I N D E P E N D E N C E C O U N T Y .................. F a r m P r o d u c t i o n ...................................... B u s i n e s s and I n d u s t r y ............. ................. P o l i t i c a l B e h a v i o r .................................. M e d i c a l S e r v i c e s and H e a l t h ....................... S u n m a ry 119 126 129 130 134 136 T A N G E N T I A L O R G A N 1 EAT I O N S ......................... T n e C o u n t y P u b l i c i1e a 1 1 h D e p a r t m e n t . . . . ........ T h e C o u n t y H e a l t h C o u n c i l .................... T h e C o o p e r a t i v e E x t e n s i o n S e r v i c e ............... O t h e r O r g a n i z a t i o n s ................................. R e 1 a t i o n sh i p s B e t w e e n T a n g e n t i a l O r g a n i z a t i o n s and M e m b e r s of the C o u n t y L e v e l ........... 133 140 147 133 161 PART V II SOCIAL III - TilE S O C I A L SYSTEM THE CO UNTY LEV E l ......................................... C o u n t y -Level A c t o r s ....... S u m m a r y . . ................................................................................................. . AN A N A L Y S I S OF S E N T I M E N T S E X P R E S S E D BY A C T O R S ON T H E C O U N T Y L E V E L ................................. An A n a l y s i s o f S e n t i m e n t s E x p r e s s e d ........................... Sentiments Expressed Concerning E d u c a t i o n S e n t i m e n t s E x p r e s s e d C o n c e r n i n g H e a l t h ......... Federated Public Health In t e r e s t s ....... Local or C o m m u n i t y H e a l t h I n t e r e s t s ............. I n d i v i d u a l P u b l i c H e a l t h I n t e r e s t s .............. S e n t i m e n t s C l a s s i f i e d A c c o r d i n g to T y p e o[ H e a l t h I n t e r e s t .................................. R e l a t i o n s h i p s Amo n g t h e C o u n t y L e v e l A d o r s . , , 3 u m m a r y .............................. THE 167 L O C A L L E V E L .......................................... O r g a n i z a t i o n a l T y p e s . . . ............................ T h e T o w n s h i p - S c h o o l D i s t r i c t T y p e ............... T h e A s s o c i a t i o n a l T y p e ................... ......... Tiie I n d i v i d u a l F r i end sh i p - A c q u a i n t ar. c e s h i p T y p e ................................................. T h e U r b a n - P r e c i n c t T y p e . . . . ....................... S e n t i m e n t s of I n v o l v e m e n t .......................... S e n t i m e n t s E x p r e s s e d in H e a l t h and E d u c a t i o n on t h e l o c a l l e v e l ................... S u m m a r y .......... 17 175 214 216 217 213 22 2 223 227 223 2 30 233 236 233 241 24 2 24 3 24 6 247 25 2 256 259 PAGE CHAPTER PART X XI IV - F E E D B A C K F E E D B A C K .................................................... 261 T n e L o c a l P i c t u r e ........ ... ............... ........ 263 C o u n t y I m p l i c a t i o n s ......................... 274 P u b l i c E d u c a t i o n In H e a l t h ................ 276 P l a n n i n g in T e r m s ofP u b l i c H e a l t h P r o b l e m s . . . 278 S t r e n g t h e n i n g the C o u n t y H e a l t h D e p a r t m e n t and the C o u n t y H e a l t h C o u n c i l ....................... 203 S u m m a r y .................... ............................ 295 SUMMARY AND C O N C L U S I O N S .......................... 300 LIST OF TABLES TABLE I II III • IV V VI VII' VIII IX X XI XII XIII PAG E T R E N D S IN N A T I V I T Y - I N D E P E N D E N C E C O U N T Y C O M P A R E D V; ITU S T A T E 1 0 6 0 - 1 9 5 0 .................... 121 1950 125 POPULATION, INDEPENDENCE C O U N T Y ................ L E V E L OF L I V I N G INDEX FOR F A R M - 0 P E L A T O U F A M I L I E S IN I N D E P E N D E N C E C O U N T Y AS C O M P A R E D W I T H S T A T E , R E G I O N , AND N A T I O N .......... '....................... TYPE OF M A N U F A C T U R I N G EMPLOYEE CROUPS - I N D U S T R Y BY N U M B E R OF I N D EP E N DE NC E COUNTY, 1947.., 120 132 C O M P A R I S O N OF T H E P R O P O R T I O N OF R E P U B L I C A N V O T E S C A S T IN P R E S I D E N 1 I A L E L E C T I O N S FOR I N D E P E N D E N C E C O U N T Y A N D T H E S T A T E ............... 133 MEDICAL 1950.. 135 C O U N T Y A G R I C U L T U R A L A G E N T S IN I N D E P E N D E N C E C O U N T Y F R O M T H E E S T A B L I S H M E N T OF T H E S L R V I C E TO T H E P R E S E N T ............................... 155 S U R V E Y OF O P I N I O N S H E L D T O W A R D F A R M A G E N C I E S CY - I N D E P E N D E N C E F A R M E R S ............................ 159 R E A S O N S G I V E N FOR I N V O L V E M E N T IN T H E S U R V E Y TIIE C O U N T Y L E V E L A C T O R S ............ 22-1 FACILITIES IN INDEPENDENCE COUNTY, D.Y S E N T I M E N T S OF I N V O L V E M E N T E X P R E S S E D BY L O C A L L E V E L A C T O R S ................................... 255 W H A T P R O B L E M S OF C O M M U N I T Y H E A L T H DO Y O U F E E L A R E M O S T I M P O R T A N T IN T H I S T O W N OR T O W N S H I P ? ...... 257 W HO WHO S H O U L D S E T T H E S T A N D A R D S FOR T H E S O L U T I O N OF T H E P R O B L E M ? .......................................... SHOULD BE MOST RESPONSIBLE FOR THE PROBLEM?.. 257 259 LIST OF FIGURES FIGURE I II PAGE INDEPENDENCE COUNTY - FOUNDING DATES T O W N S H I P S ..................... FOR 120 T A N G E N T I A L O R G A N I Z A T I O N S TO T H E S E L F - S U K V E Y S Y S T E M A N D M A J O R A C T O R S ON TIIE C O U N T Y L E V E L W HO P R O V I D E D T H I S T A N G E N C Y .......... 139 III TYPE I - THE .... 244 IV TYPE II - T H E ................. 248 V TYPE III t T H E I N D I V I D U A L F R I E N D S U I P - A C Q U A I N T A N C E S H I P T Y P E ................................. 249 VI V II THE A FOUR MODEL TOWNSHIP-SCHOOL TYPES FOR ASSOC IATIONAL OF LOCAL RESEARCH DISTRICT TYPE COMMUNITY DESIGN TYPE ORGANIZATION. ........................ 253 301 CHAPTER I INTRODUCTION The social following action ple who, demand the sharing by concerned leads to the join good". the is common solution, "common mined that s t udy The of health. result of the frame of health of process a group problems they which observed; that during place years peo­ to be largely t ook the of believe is w as of that reference action occurred the upon for w h a t referrent The survey, formation focused together empirical survey goals with deter­ a self­ as a of 1951 and concerned with the 1952. The problems "rightness" viduals the or being "wrongness" observed. techniques less presented than of Nor utilized effective here by some are any is position there tJiese other not any people methods held by attempt as more which the to indi­ view effective might have or b een used. Th e the primary values were held concerned is b e l i e v e d these brings with ma y people oriented; and that people what concern an is shared one by certain analysis lead to together provides of a specific problems of soci a l for of a system a better in observing and group a analyzing of social of held It by of w h a t which misunderstandings who content. values understanding groupings people and are service conflict 2 in value t her for orientation; and this g o o d ” when fundamental The s t udy York the "common objectives data for financed City and State study, The original Social and original w as the basic sertation but scope the problem necessity more areas as li m i t e d . health cilities. The important where beliefs held efficacy ter of to d e n y Values community their themselves concerned self-surveys certain for that light the bias held effect and within be of any all or the during the here not this dis­ is dea l of with health fa­ considered meaning of certain observed. related impossible toward these action through members a democratic and their of the of guided for nor be questions carried benefit communities up by with that will of N e w Michigan presented only being it w o u l d values the problems upon at needs, wil l on a larger Service orientation health health from Research dissertation individuals supported, a positive so l v e not of sheds the concerning motivated, belief it The problems, content by Although of disagree Foundation design provides the t a ken Anthropology research toge­ orientation. Information by T h e to w o r k apparently course, such of on continue they dissertation of S o c i o l o g y College. people their the H e a l t h carried Department of this by why periods b o o t s t r a p s ” , has of the a of is a society, carry values. The communities led wri­ which citizens of of the activities. by system members for program of to crises many can can ” pick professionals 3 within and the f i eld stimulate to some outcome of to support of its community activities "grassroots,"^ not, of group the also cherish a c t ion. value importance a democratic which It w o u l d extent, of and society action have be sprung certain such no significance interest up if values action, be take strange Although must to the did concerning the will writer's within the writer attempt the from in the be made awareness framework of stated. Tin: sl:lf- s u r v l y In up of pital wha t the a small group in C e n t r a l could which winter they of 1951, of City, the l e a ders, Michigan the to revive felt be valuable ty. Its from various associations who tion and participated in 1. membership had had Health professional be d o n e to county bee n for and were their worthwhile composed of to at made a hos­ of d e c i d i n g organization their coun­ representatives interested activities met purpose continue and Council in health concerning ac­ health. L i t e r a t u r e on c o m m u n i t y s e l f - g e n e r a t i n g a c t i o n is a b u n ­ dant. See: B a k e r B r o w n e l l , T he H u m a n C o m m u n i t y : Its P h i l o s o p h y and P r a c t i c e for T ime of C r i s i s , N e w York: Harper G B r o t h e r s , 1950; J a m e s D a h i r t C o m m u n i t i e s for Better L i v i n g . N e w York: H a r p e r G B r o t h e r s , 1950; W a y l a n d J. H a y e s and A n t h o n y N e t boy, T h e S m a l l C o m m u n i t y L o o k s A h e a d . N e w York: H a r c o u r t B r a c e G C o m p a n y , 1947; Lari H i tch, R e b u i l d i n g R u r a l A m e r i c a . N e w York: Harper G B r o t h e r s , 1950; C h a r l e s P. M c C o r m i c k , T h e P o w e r of the P e o p l e . N e w York: H a r p e r G B r o t h e r s , 1950; J ean C a r t e r and J e s s O g d e n , T h e s e T h i n g s W e T r i e d . C h a r l o t t e s ­ ville: U n i v e r s i t y of V i r g i n i a e x t e n s i o n , 1947; R i c h a r d VJaverly P o s t o n , Sma 1 1 T o w n R e n a i s s a n c e : A_ S t o r y of the M o n t a n a S t u d y . N e w York: H a r p e r G B r o t h e r s , 1950; R i c h a r d W a v e r l y Po s t o n , D e m o c r a c y I.s Y o u . N e w York: H a r p e r G B r o t h e r s , 1953; I r win T. S a n d e r s , M a k i n g G o o d C o m m u n i t i e s B e 1 1 e r . L e x i n g t o n : U n i v e r s i t y of K e n t u c k y Press, 1950. 4 The in organization actuality had failed and wa s ty did facing value fo rts of carried on not advance beyond to g a i n in an lay the the professionals saw had members and this Health Department, in community vide the more groups effective suggestion that at this project gain of might information course of health problems. The health particular concerning by the in certain wanted dairy county to products procedures mitted county all were of more and f ew coun­ the could and interest the The in the the and c o unty. was to through begin to general of questions a questionnaire professionals who were he a l t h , the Extension health the e.g., concerning of farm communicable a a new survey Various within pro­ organization, as a of Director pursue county upon to It was agreed for ef­ County order Department and the cooperation people. voted agreed the who oriented outcome. county Health conditions to in h e a l t h the in Department mobilize needed incorporated about the Health the for people public pertaining to m a n . A officials, project agencies areas know ne w throughout health of d i s b a n d m e n t . groups group gain for educating problems the It area particular, the C o u n t y stage. the unfortunate services planning which in throughout meeting which an the programs groups which professional considered few m i n o r of m a n y of organization tasks, all interest probability and a the interested Office handling animals diseases in such trans­ of When upon, be one taken had the questionnaire basic problem of m o s t been agreed of people), a tremendous needed. Since and do since such result, the a county No responsible contacts used of nity, for others county access the scho o l villages sional no particular made with carrying method ily of give were was Another the faced people methods aid in le a d e r s . to of to the it w as their see peculiar their School people the in contact In in The contact member with grou p , felt, each structure of commu­ Superin­ the contacts would With of the a small profes­ instances are a areas was a few community. were within group one some that limited the d i f f e r e n t families known own of throughout several person its might Actually area. to county had the can the of project throughout one people a had in most such She project be be such immediately to the would had co u n t y . the hire people a hospital, which, educating help in wa s of to (this voluntary of N u r s e s organization rise able county " w o r t h - w h i 1e-ness" "known" organization organizations out of area. to s i nce voluntary system. o f the people to county Superintendent of found the agreed were interviewers having promotion Some were by population the of and interviews objective involving was If available feelings in throughout of that of the c o unty. tendent force solution to g ain the labor certain of 6 4 , 0 0 0 easy the was formulated throughout to m e e t felt problem b een faced. people no m o n e y it wa s a job was the upon had aid where were in this c o uld eas­ relationships 6 It wa s the fested itself people sharing organizational in a social similar activity system. goals The made above that mani­ interaction possible the of m a n y following analysis. BASIC ASSUMPTIONS In the original purpose of certain assumptions stated at further gathering this point, it w a s a special case one w h i c h is of (1) acticn may .system. a be and zations form within is the social the system. county In and systems in this which such de-activated the a of the a way the even that of m ay call that health the a and so­ so as that problem self-survey social of organi­ system to or articu­ structures (self-survey) social system tern p*o r a r y , w h i c h framework the ensuing soci a l s o cial the is mobilizes existing thou g h (3) a unique operates the for follows. of self-survey a wav be diffused. individuals within community. shou l d a c t i o n , namely: authority such we analysis, problem-oriented, system process group the foundation self-survey operation actions structure, in (2) the theory of that the This a future for assumptions of in temporarily, a social activated as for b ody with unit pattern l e ast solved. itself is, a quasi-social late,, at social structured provide type assumed as These that (4) wa s the y voluntary, viewed That the a general S e c o n d . it w a s of made. since and which as w e l l assumed controlled, resources data were assumptions First, cially design, of is is existing 7 Third, which That are is, rarily as a it w a s evoked many and achieve it the the ularities and (2) porary of has in the human and relatively Fourth, the its own a must of maintain and (2) t h ese symbolic was includino this interaction self-survey even though to patterns upon. subject all tempo­ Thus to (1) soci a l provoked of by reg­ systems, its tem­ auided (1) a bv set between the of the develop social of actors necessary beliefs, out of functionally actors (3) conception of to sentiments and reinforce interaction. Certain suggest un d e r elements structural analysis. self-survey, evoked of the to unsta_b_I_e. character. r e l a t i o n s hips . and THE the common between which behavior evoked stable is interaction unstable eouipment be called self-survey i n t e r d e p e n d en t r e l a t i on sh i ps the... siiteni, may and be of relatively structure, permanent research as ii .sox ia_l s y s t e m and Nevertheless, interaction irregularities patterns relationships county of the temporary relatively process of be that disappear. system relationships viewed, mav kinds then social assumed are inherent problems a social is unique which is and PROBLEM in the related If temporary stability GENERAL to system, and the above as the characteristic soci a l of unstable, of system is m a n i f e s t e d patterns relatively assumptions s o cial by behavior the quality systems will appear such a condition tems mus t A in a c o n s i d e r a b l y be its with wha t instability considered social that of system be at ma y relationships would altered is thi s be form. unique Whether to all or not social sys­ time. considered unique a way in the sense vary in such as to contrast regarded as relationships of an "ideal** p social which system. may be Nevertheless, considered if e s t e d in a society related to change. dependent word upon unique refer to beinn analyzed, cial bv the It and be the meaning implies the social intended last system. by stability the or understandable regarded by as values in our order is relationship so­ structured important of to intent. individual are intended who make will of the actors Sentiments system between relationships nature it m i g h t concept the the are The soc ial are If instability man­ society class Most the are programs that The which temporary. systems s y s tems. a certain systems assumption which support in system. as social nature unstable s o cial a reciprocal temporary and of is. many programs type this social action qualified that of cultural be be are unstable temporary will relationships an then, a certain systems, where Most such must, of there up the of these of the be treated social system, relationships sentiments to become expressed by the a c t ors. s h o rtly. 2. " I d e a l " r e f e r s here to the b a s i c a s s u m p t i o n s of wha t c o n s t i t u t e s a soci a l system. (See page 6). Instability of r e l a t i o n s h i p s u g g e s t s a c o n d i t i o n not c o m m o n to the g e n e r a l d e f i n i t i o n of a s o c i a l system. 9 Although as one the of the social a certain general be m a d e tain relations, from all other tain its structural of a system up of of which are relations 4 of which of are the by the also it m u s t "human beings, from 3 and and structural repetitious inherent persistence regarded that universe** The is systems, differentiated in is analyzed s y s tems, social continuity. There qualities being social all entities is m a n i f e s t e d relationships. structure, class requisites must system and . in is, in it cer­ isolated it m u s t main­ continuity nature the meet of meaning the of continuity, . . . . . s t r u c t u r e is a r e l a t i v e l y fixed r e l a ­ t i o n s h i p b e t w e e n e l e m e n t s , parts, or e n t i ­ t i e s . . . I n the i n t e r e s t s of r e a l i s m it is 3. 4. A. R . R a d c 1 i f f e - B r o w n , T h e N a t u r e of Theoretical Nat­ ural S c i e n c e of S o c i e t y , N o t e s on a d i s c u s s i o n in a s e m i n a r at the U n i v e r s i t y of C h i c a g o , 1937, C h i c a g o : U n i v e r s i t y of C h i c a g o B o o k s t o r e , 1940, p. 25. See P a r s o n ' s d e f i n i t i o n of ’’b o u n d a r y m a i n t a i n i n g s y s t e m s " , Talcott P a r s o n s . The Social S y s t e m . Glencoe, Illinois: T h e F r e e Press, 1951, pp. 36, 48 2-483. C h a r l e s P. L o o m i s in his p a per on C l e m e n t s o f S o c i a l S y s t e m s and the S t r a ten v o f C h a n g e , ( u n p u b l i s h e d ) d e f i n e s the c o n c e p t of b o u n d a r y m a i n t e n a n c e in the P a r s o n i a n sense. It is a p p a r e n t that the p r o b l e m of s t r u c t u r a l c o n t i n u i t y and p e r s i s t e n c e is i n c l u d e d w i t h i n such a d e f i n i t i o n . " B o u n d a r y m a i n t e n a n c e , m a y be d e f i n e d as the p r o c e s s w h e r e b y the s y s t e m r e t a i n s its i d e n t i t y and i n t e r a c t i o n pattern; i.e., r e t a i n s its e q u i l i b r i u m i n v o l v i n g b o t h i n t e g r a t i o n and s o l i d a r i t y . In the study of the s t r a t e g y of c h a n g e the p r o c e s s of b o u n d a r y m a i n t e n a n c e is e s p e c i a l l y i m p o r t a n t b e c a u s e m u c h of the r e s i s t a n c e to c h a n g e m a y be r e l a t e d to b o u n d a r y m a i n t e n a n c e . M e m b e r s of o r g a n i z a t i o n s often r e l a t e w h a t a p p e a r to the o u t s i d e r as i n s i g n i f i c a n t c h a n g e s to the s a c r e d e l e m e n t s of the system. T h u s the H o u s e A m i s h w o u l d not i n t r o d u c e e l e c t r i c i t y into t h e i r h o m e s or b a r n s b e c a u s e this t h e y b e l i e v e d w o u l d d e s t r o y t h e m as a c h o s e n t h o u g h m a r t y r e d p e o p l e . " 10 bes t to s p eak of the s t r u c t u r e of soci a l phenomena only w h e r e t h e r e is an i m p o r t a n t d e g r e e of co nt in ui ty w h er e human a ct iv it ie s are so p a t t e r n e d ( r e c u r r e n t ) that we can observe a group standardization persisting, ^ a l t h o u g h c h a n g i n g , o v e r a c o n s i d e r a b l e time* A soci a l system structural If ing of terms to the to s t ated the a condition structure, of persistent, in that it m a i n t a i n s its continuity. such concern has is the of observation relationships a n a l y s i s of that the understanding persistence that the problem of of of this occur, social exists in the condition, becomes system.^ of mean­ in primary Radcliffe-Brown p e r s i s t e n c e is fundamental society. I do not b e l i e v e t h e r e is any p r o b l e m of s o c i e t y w i t h w h i c h a s o cial s c i e n t i s t is c o n c e r n e d that d o e s not fall into one of t h r e e g r o u p s I h ave m e n t i o n e d : " How are societies classified? H o w do they p e r s i s t ? H o w do they c h a n g e t h e i r t y p e ? ” T h e r e are p r o b l e m s c o n c e r n i n g the n a t u r e of s o c i a l s y s ­ tems w h i c h we are not d i s c u s s i n g here, but all of them, I b e l i e v e w i l l fall u n d e r t h e s e t h ree h e a d s . Since 5. 6. 7. a requisite for all social systems is the maintenance R o b i n M. W i l l i a m s , A m e r i c a n S o c i e t y , New York: A l f r e d A. Knopf, 1951, p. 20. W a r n e r in his d i s c u s s i o n of s o cial ch a n g e , (Lloyd W. W a r n e r , A m e r ican L i f e . " S t u d y of C o n t e m p o r a r y S o c i e t y " , C h i c a g o : U n i v e r s i t y of C h i c a g o Press, 1953.) s u g g e s t s that, " P e r h a p s the mos t i n t e r e s t i n g t h i n g a b o u t the st u d y of s o c i a l c h a n g e is the f a c t that so m u c h a t t e n ­ tion has been g i v e n to it and so l i t t l e to s o c i a l p e r ­ sistence. W e l a r g e l y tak e for g r a n t e d that s o c i a l g r o u p s p e r sist. W e r a r e l y s t o p to ask w h y p e r s i s t e n c e o c c u r s and try to d e t e r m i n e its n a t u r e . " , p. 37. R a d c l if f e - B r o w n , jajg. c i t . . p. 47. 11 of structural t h eir TATION WILL BE C O N C E R N E D RELATIONSHIPS In the INTENDED are intended it related to as suggests that volved in of temporary, around the a go a l s or of nature ac t o r actor of timents ing action the wil l held be * u the and ■ s o c iety. is becomes which he is as OF have Th e It of in­ as until assumed as that to w h a t the the temporary relationship temporary of structured exist is clear any become been as concept recognizes will aware intent, within an the place. made to behind (1) the time of has he which as crucial outside through actor Therefore, intent within DISSER­ relationships mentioned. is e n t i r e l y takes defined THIS QUALITY concept found. recognized that the is are, reference within constant problem is sentiment was activity activity. into the individual actor OF PERSISTENT relationships activity relationships beliefs 6. such the regarding of temporary, the PROBLEM structural relationships the such enters Once cept not such of system to THE regarding problem-solving solution whether off s i nce TIIE TEMPORARY. sentiments, intent a set WITH AS assumption which is continuity, his to recognition involvement, further system; social the (2) system; t o tal of the analysis. a c t o r ’s p e r c e p t i o n s social the by the of the con­ Sen­ exist­ expressed (3) normative beliefs behavior ® A l t h o u g h p r e s e n t e d w i t h i n the a c t i o n f r a m e of the c o n c e p t of a s e n t i m e n t d e f i n e d by P a r s o n s reference, is 12 An actor, must be abl e abl e to see sult. to actor adheres social to but of all system DISSERTATION THEY ARE THE and TO ON symbols, Cassirer he is human of such system action and sentiments not the LEVEL. THE Such behavior is re­ limi­ the w h i c h the conscious The collective relationships OF within a THIS M A N I F E S T A T I O N S , AS SENTIMENTS, OF be outside to PROBLEM action, that as necessarily COLLECTIVE OF and result inside be A F U R T H E R BODY of relationships identification. CONTINUITY A SYMBOLIC since b o d y of SUCH IN A in bot h manifests it will STRUCTURAL occur in. such TREAT part identification which actors EXPRESSED UNDERSTOOD such of a particular totality A l s o the limitations identity a in his relationships system. provide Ernst identify it w i t h i n of social with involved Limitations tations THAT if SYSTEM IN SUCH A W A Y ITSELF W I L L a problem is essentially BE concerned symbolic. states, . . . w e find in man a t h ird link w h i c h we m a y d e s c r i b e as the s y m b o l i c system. This new a c q u i s i t i o n t r a n s f o r m s the w h o l e of h u m a n life. As c o m p a r e d w i t h the o t h e r a nimals man l i v e s not m e r e l y in ab r o a d e r r e a l i t y ; he lives, so to s p eak ina new d i m e n s i o n of r e a l i t y . T h e r e is an u n m i s ­ takable difference between organic reactions and h u m a n r e s p o n s e s . In the f i r s t c a s e a d i r e c t and i m m e d i a t e a n s w e r is g i v e n to an p a r t i c u l a r l y a p p l i c a b l e to the a b o v e d e f i n i t i o n . "... c u l t u r a l l y o r g a n i z e d c a t h e c t i c a n d / o r e v a l u a t i v e m o d e s of o r i e n t a t i o n t o w a r d p a r t i c u l a r o b j e c t s or c l a s s e s of o b j e c t s . A s e n t i m e n t thu s i n v o l v e s the in ­ t e r n a l i z a t i o n of c u l t u r a l p a t t e r n s . * P a r s o n s , op. cit., p. 41. ---- o u t w a r d s t i m u l u s ; in the s e c o n d c ase the a n s w e r is d e l a y e d . Is is i n t e r r u p t e d and r e t a r d e d by a s l o w and c o m p l i c a t e d p r o c e s s of t h o u g h t . . . N o l o n g e r in a m e r e ­ ly p h y s i c a l u n i v e r s e , man l i ves in a s y m ­ bolic unive rs e. ^ Ernest currence status tacit Nagel (or t ype which or symbols has is of standing be Thus, collective symbolic. studied for The total are have the been of the As or r u l e s which give around society purpose man understood in belief terms for of to better stated, in of under­ it is this understandable.^ as carry. human systems this oc­ by w ay sentiments sentiments they "any u s a g e " , ^ Such defined of meaning else of has more meaning and of being linguistic something manifestations of as usually Cassirer makes content a symbol manifestations clustered culture better that Such symbols frequently for behavior. universe" are signify conventions "symbolic the to examined human the occurrence), taken explicit may defined be 12 activity f o und reason the w h o l e will within when from are the examined which t hey abstracted. . . . t h e s y m b o l is in fact a sort of a w h o l e , a c o m p o n e n t of a f i e l d w h i c h a l s o c o n t a i n s the s o - c a l l e d t h i n g , as wel l as the p r o c e s s 9. 10. 11. 12. E r n s t C a s s i r e r , An E s s a y on M a n . N e w H a ven: Y a l e U n i v e r ­ sity Press, 1944, pp. 24-25. E r n e s t N a g e l , " S y m b o l i s m and S c i e n c e " , T h i r t e e n t h S y m ­ p o s i u m of the C o n f e r e n c e On S c i e n c e , P h i l o s o p h y , and R e l i g i o n , S y m b o l s and V a l u e s : An I n i t i a l S t u d y , edit., L y m a n B r y s o n , jj_t. ja_l. , N e w York: H a r p e r 6 B r o t h e r s , 1954, p. 44, C a s s i r e r , op. c i t .. p. 32. F o r an e m p h a s i s on t h i s t h e o r e t i c a l p e r s p e c t i v e , see: C.K. O g d e n and I.A. R i c h a r d , T h e M e a n i n g of M e a n i n g . N e w York: H a r c o u r t , B r a c e , & C o . , 1946. of s y m b o l i z i n g , and the a p p r e h e n d i n g individual. In this view, the c o n c e p t of the symbol is c l o s e to the o r i g i n a l m e a n i n g of the w o r d in G r e e k . The sym­ b o l . the b r o k e n off part of the coin g i v e n to the p a r t i n g f r i e n d , is not a s e p a r a t e e l e m e n t , but c a r r i e s w i t h it w h e r e e v e r it g o e s the w h o l e coin in w h i c h it has p a r t i c i p a t e d , as wel l as the s i t u a t i o n of h o s p i t a l i t y d u r i n g w h i c h the c oin w a s b r o k e n in half, and w h e n it is f i n a l l y m a t c h e d w i t h the r e ­ m a i n i n g half, the w h o l e has v a l u e b e ­ c a u s e the s y m b o l has c o n v e y e d - not c r e ­ ated or e v o k e d - this v a lue. According to the v i e w p r e s e n t e d here, s y m b o l s are a part of the p r o c e s s w h e r e b y the e x p e r ­ i e n c e d w o r l d , the w o r l d of p e r c e p t i o n and c o n c e p t is c r e a t e d out of the w o r l d of p h y s i c a l r e a l i t y , the so c a l l e d given, the u n d i f f e r e n t i a t e d mass, or e n e r g y or set of r e l a t i o n s . 13 If symbols standing which that must they such source, or are to be have been found in taken. in the concerning systems explain, sentiments viewed gained beliefs nor be It do not a causal within above the must be sense, belief made necessarily sense, all some under­ systems clear, from however, represent other the beliefs them. T h e n o t i o n t h a t t h e r e m u s t be some f u n d a ­ m e n t a l b e l i e f f r o m w h i c h all o t h e r b e l i e f s , so to speak, hang, a b e l i e f w h i c h s u p p o r t s all o t h e r s but i t s e l f n e e d s no s u p p o r t , is a p l a u s i b l e error. O n c e we i n s i s t u p o n r e ­ d u c i n g the s i t u a t i o n w h i c h e v o k e s the " f u n ­ d a m e n t a l d e c i s i o n " to its c o n c r e t e e l e m e n t s , the d e c i s i o n t u r n s out to be a " c o n c l u s i o n , " and l i k e all c o n c l u s i o n s d e p e n d s upon s o m e ­ t h i n g else. T h e b o g e y of an i n f i n i t e r e g r e s s is laid w h e n we r e a l i z e that a l t h o u g h one 13. D o r o t h y D. Lee, " S y m b o l i z a t i o n and V a l u e " , C o n f e r e n c e on S c i e n c e , P h i l o s o p h y , and R e l i g i o n , jjj). c i t . . pp. 73- p r o b l e m a l w a y s i n v o l v e s o t h ers, it d o e s not i n v o l v e all p r o b l e m s , and that it is p o s s i b l e to s e t t l e p r o b l e m s e v e n w h e n the a n s w e r s s u g g e s t new p r o b l e m s . 14 This dissertation, which apply social the ^symbolic the plaining ting f o cus purpose the sentiments F or this t em to of found, an the systems by will be actors as to as of the to be s o cial make same, found in w h i c h relevant and one of ex­ made In shif­ remembered the within to that meaningful social the on within system more a meaning temporary. be symbols within expressed within themes society, selected a it m u s t is salient existing remains of the actors question continues intended with by sentiments analysis certain the qualities expressed of expressed problem belief such reason pattern is to The concerned referrent relationships the tural related be pursues the persistent social the it level**, itself. the will sentiments While remain system of the system. symbols up to then, syste m. the social the 15 cul­ sys­ problem 16 at 14. 15. 16. hand. Although such themes must be expressed in the S i d n e y Hook, R e a s o n . S o c i a l M y t h s , and D e m o c r a c y . N e w York: N e w Y o r k H u m a n i t i e s Press, 1950, p. 7. It wil l be n e c e s s a r y , u l t i m a t e l y , to d r o p the l e v e l of a b s t r a c t i o n to tha t of the social s y s t e m and the a c t o r s found w i t h i n it. B e c a u s e of the i m p o r t a n c e g i v e n to the s y m b o l i c l e vel in this a n a l y s i s and the i n t e r e s t in the c u l t u r a l p a t t e r n s w h i c h p r o v i d e m e a n i n g for b e l i e f s y s ­ tems, the f i r s t part of the d i s s e r t a t i o n w i l l be d e v o t e d to this level of a b s t r a c t i o n . T o the e x t e n t that such t h e m e s w e r e d e t e r m i n e d as r e l ­ e v a n t a f t e r d a t a had b e e n c o l l e c t e d , s ome d e f e n s e of post f a c t u m w e a k n e s s be made. T h e s e l e c t i o n of t h e m e s w a s b a s e d upon a c c u m u l a t e d d a ta, but a l s o upon a g r o w i n g o p e r a t i o n a l k n o w l e d g e of t h e i r i m p o r t a n c e w h i l e the r e ­ search progressed. R a t h e r than b e i n g c o m p l e t e l y post 16 immediate the context problem Since the observed, of the upon tion. f o und It is historical of the the felt that better be trends the cultural expression F or It is this a basic symbolic emergence of such of emergence symbols ment a s o cial relevant process of the the that always meaning by which upon action expressed correspond by the found Val­ to latency attached to with the of the ac­ sentiments exploring preceding a 1 1 ow the for immedi­ sentiment. of of dissertation this within the is met. occurred. concept t he emergence body of understanding system more found, sentiments or b e l i e f s or the system to the action responsible makes is b a s e d caused patterns the symbol s. w i t h i n also be often without is must understood carried that perspective not latent assumption limited of is do a belief reason meaning seriously by w h i c h of are within values can ate they particular This within in w h i c h sentiments found expressed in culture symbolically observed. meaning the meaning expressed action the analysis is d e p e n d e n t ues of for the self-survey individual actor that the sentiments of The understandable It introduced. the is that more the the makes is process particular itself. fo r m e d . is content analysis very process emergence the of involve­ understandable. A b e h a v i o r as an e m e r g e n t , m e a n s that it must n e c e s s a r i l y , a s a res ul ta nt integration, c o m e out of o t h e r r e l a t e d b e h a v i o r s a l r e a d y factum, t h e y led to the f i n a l d e c i s i o n on the part of the w r i t e r t h a t an a n a l y s i s of s e n t i m e n t s e x p r e s s e d w i t h i n a s o c i a l s y s t e m m i g h t b e t t e r e x p l a i n its s t r u c ­ tu r a l c o n t i n u i t y . 17 e s t a b l i s h e d . . . A b e h a v i o r a p p e a r s or o c ­ curs in ac t i o n , as a c t i o n , b e c a u s e life is a c o n t i n u o u s proce s s , and b e c a u s e of the r e l a t i v e s t a b l e c o n f i g u r a t i o n s of s y m b o l s w h i c h d i r e c t and c o n t r o l the p r o c e s s of l i v i n g in a g i v e n so c i e t y . E v e r y act e m e r g e s as part of a c o n f i g u ­ r a t i o n w h i c h has i t s e l f e m e r g e d out of p r e v i o u s act s in s i m i l a r s i t u a t i o n s . ^ The to concept the ticular icisms the method certain ence t e rms basic and the of all the is one of created problem which have in w h i c h which historical in this selection arise torical of themes society In taken emergence analysis historical the of are upon part the position of of scientific of the the allows the is for a growth themes the writer the that study of the par­ of some basic is of t his with philosophy method. of his­ a position carries the crit­ consideration acceptance historical writer new d i m e n s i o n found. which regarding the entirely to general methodology assumptions meaning system fundamental The his to historical method. of and led the of an it of It. is historical sci­ first method i n q uiry. M o r e g e n e r a l l y t h e r e a p p e a r s to be no good r e a s o n for the c l a i m i n g that g e n e ­ ral p a t t e r n of e x p l a n a t i o n s in h i s t o r i ­ cal in q u i r y , or the l o g i c a l s t r u c t u r e of the c o n c e p t u a l t o o l s e m p l o y e d in it, d i f f e r s f r o m t h e s e e n c o u n t e r e d in the g e n e r a l i z i n g and the n a t u r a l s c i e n c e s . T h e e x p l a n a t o r y p r e m i s e s in h i s t o r y , as 17. W a l t e r Coutu, A. K n o p f Co., Erne roe n t H u m a n 1919, p. 25. N a t u r e , New York: Alfred 18 in the n a t u r a l s c i e n c e s , i n c l u d e a n u m ­ ber of i m p l i c i t l y ( t h o u g h u s u a l l y i n c o m ­ pletely) formulated singular statements of i n i t i a l c o n d i t i o n . Furthermore or relevant ed as the themes a weakness selection in or of historical lack of particularly analysis significant will not be view­ objectivity. It is a p l a t i t u d e that r e s e a r c h in h i s ­ tor y as in, o t h e r a r e a s of s c i e n c e . s e ­ l e c t s and a b s t r a c t s f r o m the c o n c r e t e o c c u r r e n c e s st u d i e d , and that h o w e v e r d e t a i l e d a h i s t o r i c a l d i s c o u r s e m ay be it is n e v e r an e x h a u s t i v e a c c o u n t of w h a t a c t u a l l y h a p p e n e d - - t h e r e is no pr i m a f a c i e r e a s o n to b e l i e v e that, b e ­ c a u s e t h e r e are c a u s a l d e t e r m i n a n t s for his c h o i c e , a h i s t o r i a n is in p r i n c i p l e p r e c 1 u d e d - - a n y m o r e tha n is a n a t u r a l s c i e n t i s t - - f r o m r e n d e r i n g an a d e q u a t e a c c o u n t of the s u b j e c t s he is i n v e s t ilo g a t i n g . A7 One the last position historical method causality in of conditions causal that that is historical historical is must that be taken in the light of of d e t e r m i n i n g the point of reconstruction. Such often on causality can criticized never be a selection the grounds exhausted. The o bj ec ti on under d i s c u s s i o n also rests on a n o t h e r m i s c o n c e p t i o n ; it in e f f e c t a s s u m e s that s i n c e e v e r y c a u s a l c o n d i t i o n for an e v e n t has its own c a u s a l c o n d i t i o n , the e v e n t is n e v e r p r o p e r l y e x p l a i n e d u n ­ less the e n t i r e r e g r e s s i v e s e r i e s of the l a t t e r c o n d i t i o n s are a l s o e x p l a i n e d . But is t h e r e any v i o l e n c e to the t r u t h ? Is B 18. 19. H r n e s t N a g e l , H e r b e r t F e i g l , and M ay B r o d b e c k , " T h e L o g i c of H i s t o r i c a l A n a l y s i s " , R e a d i n g s in the P h i l o _s_o_phy of S c i e n c e . N e w York; N e w A p p l e t o n C e n t u r y C r o f t s , Inc., 1953, p. 690. I b i d . . p. 691. 19 not a c a u s e of A s i m p l y b e c a u s e C is a c a u s e of B ? W h e n seme f u t u r e p o s i t i o n of a p l a n e t is p r e d i c t e d w i t h the h e l p of g r a v i t a t i o n a l t h e o r y and i n f o r m a t i o n a b o u t the i n i t i a l c o n d i t i o n of the s o lar s y s t e m at some g i v e n time, is t h e r e g r o u n d for s k e p t i c i s m s i m p l y b e c a u s e the a s s u m e d i n i t i a l c o n d i t i o n s are in turn the o u t c o m e of p r e v i o u s o n e s ? The suppo­ s i t i o n that, w h e n a p r o b l e m is m a d e d e f ­ inite a r e g r e s s i v e c h a i n of a n s w e r s mus t be s o u g h t if an)’ one a n s w e r is to be o b ­ j e c t i v e l y w a r r a n t e d , is p a t e n t l y s e l f ­ contradictory. On the o t h e r hand, the fact that one p r o b l e m m ay s u g g e s t a n o t h e r , and so lead to a p o s s i b l y e n d l e s s s e r i e s of new i n q u i r i e s , si m p i y s u g g e s t s the p r o ­ g r e s s i v e c h a r a c t e r of the s c i e n t i f i c e n t e r p r i s e ; that fact is no s u p p o r t for the c l a i m that u n l e s s the s e r i e s is t e r m ­ inated, e v e r y p r o p o s e d s o l u t i o n to a g i v e n p r o b l e m is n e c e s s a r i l y a m u t i l a t i o n of the t r u t h . 20 OVERALL, STRUCTURE It which tem, has are may been be By part of the environment which the 20. of the but social not category Nagel, body op. less of the of c i t . . p. the what within the t o tal 691. is found area system of part of may environment* actors, the to sys­ the the interest what its saliency system by within between When the outside relevant distinction distinct. within the whenever sentiments and expressed expressed relationships sal iency, system becomes is of sentiments salient also relationships residual SYSTEM that introducing expanded, by stated considered been that THE representative understanding system. OF or fall has is total, is ignored, explained into Once a interested 20 in salient and the such considerations, outside environment a division analysis roles in is the within have Such sentiments rcles of total analysis. Not actor important, since but normative society) tors of are with general conscious within o u ter end, to or the not they the an pla y of outside are playing part relevant important, since they the society. expressed part This in latter is d i f f i c u l t by the to actor sentiments distinction pursue total body of sentiments distinction mus t be made, to to the the (total the senti­ may he play would be a expresses concerning any ac­ collections collective the the by provide themselves These to sentiments, environment in outer in played outer are the nature the which dynamic important roles system Although in the important system, the a more actors to are provide within unconscious environment the for all parts they between relevancy. allows play a re always system. since o nly values within although will of since when within equally sentiments ments which themes it itself, roles, actors one significant evoke the distinction is arbitrary, system it environment. the the definite impossible exhaust. The terior to to s y s tem, the system. or outside and the what system, is then, what part, of the is as to w h a t salient analysis or is ex­ relevant within the 21 THE SOCIAL The me n t s . SYSTEM system These sense, and the action who were of segments in organization survey in of calls with survey interviewing) for less a focus one tured but the of for rather in major actors Methodological purpose those with These analysis problem experimentation. the of the certain of natural In or of w h i c h respect standpoint elements lend former w ill the recruiting elements The those be it them­ segment studied is composed. Considerations faces problem providing "how". of were segment. distinct and which The and with the process of archi­ who did Level" from generalization. methodological concerned included "Local the observed. breakdown u pon In interviewing, and actors who be level relationships those analyzed analysis their to actors early (i.e., can to the help "Local were the local the the Thus Those within primarily. found. on seg­ operational of will be an respect were relationships Level" distinct to w i t h to segment. the Further not respect executing in survey who recruiting doing Th e the the organization selves Level" were those in some derived with organization, and idea, "County house-to-house help or into referred involved concerned of be primarily more The wil-l been they the t h eir h ave in w h i c h up the to separated process make active been therefore county-wide tects has this life this has not answers of sense such history of study is been struc­ a "why" nature a a study social is s y stem. 22 It of is analysis processes tural out an the which within for the by but insight of that into the symbolic how symbols affected By an by the tion and takes, in w h i c h the problem problems formulated arise out that of, of George B r ace, and of within s t udy suggests sense is, to this ” the be observation.” C. H o m a n s , T h e and C o . , 1950, was s t eps the general is However, only one m ay gain with and with are em e r g e . one It is is able system, upon the the the ac­ society apparent equally that important problems are chapters. concerned a re specific, the not the direction theories by, is concerned Such subsequent which is manner has other by It a s o cial nature. study is they of struc­ concerned affect identity. supported 21 is action its the spelled It it, gains in area this formation soci a l its action in steps explains utilized which in w h i c h substantive the investigation social such of undertaken. method analysis the treated a certain method, matters 21. and is provide logical action. system effect this a more in actors the the research the action of of the the social treat problem system means of total approaching of cas e this of system which that to examination revealing manifested orientation In of a rea an general writer by dissertation for social level analytically the The the the this a soci a l purpose analysis method of allow continuity. supposed to task level Human G r o u p . New p. 16. with shown the to detailed of York: abstraction Harcourt, 23 utilized in sis being from cas e study social this of system relationships this sense over a period The field dissertation confined a social is not which the an are three be method of alone. impossible unit. The observable, was years the perspective observable method observer's this system would occur case of to prevents An Data action the f i eld observer activities ma y be d e s c r i b e d the and and were by actual since however, utilized. analy­ in collected technique. as: "he a t t e n d e d all c o u n t y m e e t i n g s d i r e c t l y r e l a t e d to the survey. lie s a m p l e d a v a ­ r i e t y of local m e e t i n g s d e d i c a t e d to the same p r o j e c t . All m a j o r a c t o r s in the s u r v e y w e r e i n t e r v i e w e d by him. Likewise, he o b t a i n e d m e m b e r s h i p l i s t s of o r g a n i z a ­ ti ons w h i c h p a r t i c i p a t e d in the survey, kept f i e l d r e c o r d s on o b s e r v a t i o n s c o n ­ cerning general community activities, d e ­ t e r m i n e d m a j o r e c o l o g i c a l f a c t o r s of i m p o r t a n c e to the survey, o b s e r v e d the a c t i o n s of m a j o r s u r v e y p a r t i c i p a n t s as a c h e c k on the v a l i d i t y of the i n t e r v i e w s , and d e v e l o p e d a c h r o n o l o g i c a l list of e v e n t s w h i c h s e r v e d to d e l i n e a t e the f l o w of the a c t i o n p r o c e s s . " 2 2 In addition to the used above interview was sertation constituted asked, such of analysis 22. the and method although only information data the a small gained in C h a p t e r of IX, by collection data used portion this "The of method Local in the a formal this dis­ questions provides all Level." T h e a b o v e d e s c r i p t i o n has b e e n a b s t r a c t e d f r o m the l a r g e r s t u d y w h i c h is to be f o u n d in a m a n u s c r i p t to to be p u b l i s h e d by the F r e e Press, G l e n c o e , I l l i n o i s . ( C h r i s t o p h e r S o w e r , J. H o l l a n d , K. T i e d k e , and K . F r e e m a n , P a t t e r n s of C o m m u n i t v I n v o l v e m e n t , p . 17. 24 The an historical analysis society. of the Such method was cultural a method utilized themes was . of order belief complemented s ocio-anthropo1o g ica1 techniques sis, and in by field to provide systems the use method in of and analy- 23 No attempt method against ed both for analysis. category search analysis Also made large the the of is this one the m e t h o d s the but sciences sort to d e f e n d non-quantitative of qualitative some that and share soci a l here Actually quantitative of much be another. The in w ill is considered analysis to the an utilized or unfortunate non-quantified into that upon call­ qualitative falls extent is d e p e n d e n t particular the all re­ qualitative use of terms. data is not 24 necessarily beer, n o n - q u a n t i f i a b 1e . reached method t a ken from used. from The the the nature greater field of The choice the problem portion observer's of daily the of analysis and,the data notes. used has field h ere Whatever w as the 25 admitted vided weaknesses a rich involvement 23. 24 . 25. store and in of objectivity, qualitative participation in the data information action itself pro­ concerning programs. It w as J o h n D. H o l l a n d , "The U t i l i t y of S o c i a l A n t h r o p o l o g y as an A d j u n c t of a S o c i a l Survey,** I n t e r n a t ional J o u r n a l of O p i n i o n and A t t i t u d e R e s e a r c h . 5, 1 9 5 1 - 5 2 . M'a tie J a h o d a , e t . ja_l . , R e s e a r c h M e t h o d s i n S o c i a l R e l a t i o n s . N e w York: D r y d e n Press, P a r t 1, p. 295. See: H e l e n Peak, **P r o b l e m s of O b j e c t i v e O b s e r v a t i o n " , L. F e s t i n g e r and P. Katz, R e s e a r c h M e t h o d s i n the B e h a v i oral Sc i e n c e s . N e w York: D r y d e n Press, 1953. evident such to data sented the w r i t e r would above. expressed lead The by that to an analysis represents the analysis of employed the of content field of analysis same in of point major analysis differ, of should which because interest^ degree studies than content, portion communications. communication greater of will It is the in of not be d o n e the problem pre­ belief a social action this be w o rk. The confused with in not that growth of of grown emphasized content content in a c t u a l i t y but has has the of participating pro g r a m , type of a clarification individuals content analysis importance such they of in methods contain content the analysis quantification to here. To be sure, m o d e r n c o n t e n t a n a l y s i s has a d d e d a new f e a t u r e to the e x p l o i t a t i o n of c o m m u n i c a t i o n c o n t e n t for r e s e a r c h p u r p o s e s na m e l y , the d e v e l o p m e n t of e l a b ­ o r a t e t e c h n i q u e s for q u a n t i f i c a t i o n of the m a t e r i a l . Indeed, in r e c e n t m e t h o d o ­ l o g i c a l p u b l i c a t i o n s q u a n t i f i c a t i o n is, as a rule, r e g a r d e d as a n e c e s s a r y e l e m e n t in c o n t e n t a n a l y s i s . 27 T he strength of the assumption the that analytical method a qualitative used emphasis is g r o u n d e d is n e c e s s a r y . T h e e m p h a s i s on q u a n t i t a t i v e a n a l y s i s has, of c o u r s e , a d v a n c e d the s t udy of c o m m u ­ n i c a t i o n c o n t e n t c o n s i d e r a b l y by a d d i n g p r e c i s i o n to i n s i g h t . Yet - and this is the o t h e r side of the coin - c o n c e r n w i t h q u a n t i f i c a t i o n has b e c o m e so d o m i n a n t that it o f t e n o v e r s h a d o w s c o n c e r n w i t h the 26. 27. Jahoda, Ibid. ^ejt. jJ,. , jjj}. c i t . . p. 236. the on a 26 p e c u l i a r c h a r a c t e r of c o m m u n i c a t i o n data. D e f i n i t i o n s of c o n t e n t a n a l y s i s tend to e m p h a s i z e the p r o c e d u r e of a n a l y s i s r a t h e r than the c h a r a c t e r of the d a t a a v a i l a b l e in r e c o r d e d c o m m u ­ nications. In' a d d i t i o n , they imply a s o m e w h a t a r b i t r a r y l i m i t a t i o n of the field by e x c l u d i n g f r o m it all n o n - q u a n ­ t i f i e d s t a t e m e n t s . 26 To this extent qualitative the following analysis of tive been analysis which was s o cial for has manifested in a set of which h ave ter and which the analysis. Part I will will delineate for pinge upon which sentiments 28. relevant social of logical a III 236-237. II, and and action compartments in the this chap­ content III, IV. historical the within IV d e s c r i b e III these is d e v o t e d This which that content the of Chapter themes sentiments provide a the Patterns. and as structured Cultural actors Chapter program defined be discussed emerging by will on w i t h i n salient system sentiments. I b i d . , pp. in Kelevant the expressed Chapters to a descrip­ social chapters Chapters or a is relationships elaborated with of partially called analysis the analyzed. bee n relevant allow and an following be be is c o n c e r n e d of segmenting will part be dissertation history purpose concepts this life The oriented ANALYSIS the system. the stated, of is content. PLA N O F As analysis im­ by system can emerging to the II 27 relevant sentiments the system the relevant come of tures II major and are social of of the IV These preceding with Kelevant setting within describes sentiments historical Independence in place a and social the be­ themes These struc­ social system Chapter V describes County, the in w h i c h system the T a n g e n t i a l of Structures. in w h i c h identity. took structures county the for occurred. the in w h i c h relationships Organizations references the Chapter which actors in VI provide the system. III provides Chapter is for concerned a parts actors. within - The sentiments local an it, Chapter in analysis is of County the the the L e vel of and Level, concerned with VII. Local into L e vel. relationships expressed an itself. system the the by analysis Chapter organizational sentiments System social sentiments in C h a p t e r terms of the S o c i a l the C o u n t y and VIII described level with segmentation VII.describes of a c t o r s vides expressed Chapter education. the its action two d i s t i n c t the while of social manifested Part It the gains concerned further terms become system. structures social that in which observed, reveals provide emerges health sentiments cultural Part is action expressed the the of of IX units expressed these of the describes and pro­ within such uni ts. Part IV is concerned consequences of the s o cial with Feedback action and or the empirical sentiments expressed. 28 Chapter X i n c l u d e s so cial action feedback Chapter the total program process the R e l e v a n t a description that of the within the county occurs between known and effect suggests the S o c i a l of the the System and Structure. XI provides analytical conclusions design in the and an assessment light of future of research. PART RELEVANT I CULTURAL PATTERNS CHAPTER vant H I S T O R I C A L T H E M E S IN T H E CULT URAL PATTERNS RELEVANT Before examining themes to problem the concerning the since I will Part become by s t udy meaning the terms The in once again for the ships the the of ’’c u l t u r a l The of use of intent by and of the has treatment social within and necessary, patterns "culture” that it Parsons, Talcott, as in they the meaning. is qualified It of symbolic system the b een discussed s h ould culture to be m a d e some serves as a focus manifestations of relation­ which provides meaning system. c i t .. ex­ clear On b o t h levels, h o w e v e r , v a r i o u s e l e m e n t s of the s i t u a t i o n c o m e to have s p e cial " m e a n i n g " for ego as " s i g n s " or " s y m b o l s " w h i c h b e c o m e r e l e v a n t to the o r g a n i z a t i o n of his e x p e c t a t i o n s y stem. Especially w h e r e t h e r e is social i n t e r a c t i o n , signs and s y m b o l s a c q u i r e c o m m o n m e a n i n g s and s e r v e as m e d i a of c o m m u n i c a t i o n b e t w e e n a c t ors. W h e n s y m b o l i c s y s t e m s w h i c h can m e d i t a t e hav e e m e r g e d we m ay s p e a k of the b e g i n n i n g s of a " c u l t u r e " w h i c h b e c o m e s part of the a c t i o n s y s t e m of the r e l e v a n t actors.1 I. rele­ discussion qualified fact are **p a t t e r n s " . chapter. the some such concept a specific relevancy the the the which p a t t e r n s * ’ is to d e s c r i b e "relevant" that dissertation, attempt preceding within this carries analysis actors of historical is d e t e r m i n e d notion tent the concept relevant. following This II p. 5. for 30 The meaning of patterns, usage in studies of culture, works of R u t h pare three Benedict. primitive 2 in is the b est Benedict, tribes, sense of their illustrated in focused by attempting upon the past the to com­ configurational 3 content of attempted their to capture Patterns, limited Part sense. 1 are culture. as In largely the used Using "deist* in this actuality, concerned patterns of the study, the with in culture are way, in chapters isolation she itself. applied following an this of a more of specific 4 and relative lection of areas the areas criteria provided dominant values:^ 1. 3. 2. 3. 4. 3. of value of in A m e r i c a n value are based by R o b i n W i l l i a m s in Culture. upon the the The se­ following selection of U x t e n s i v e n e s s of the v a l u e in the total a c t i v i t y of the system. What proportion of a p o p u l a t i o n and of its a c t i v i t i e s m a n i f e s t the v a l u e ? D u r a t i o n of the value. Has it b e e n p e r ­ s i s t e n t l y i m p o r t a n t ove r a c o n s i d e r a b l e p e r i o d of t i m e ? I n t e n s itv w i t h w h i c h the v a l u e is s o u g h t or m a i n t a i n e d , as shown by: e f f ort, c r u ­ cial c h o i c e s , v e r b a l a f f i r m a t i o n , and by r e a c t i o n s to t h r e a t s to the v a l u e -- for e x a m p l e , p r o m p t n e s s , c e r t a i n t y , and s e ­ v e r i t y of s a n c t i o n s . R u t h B e n e d i c t , P a t t e r n s of C u l t u r e . B o s t o n : Houghton M i f f l i n Co., 1934 and B e n e d i c t , T h e C h r y s a n t h e m u m and the S w o r d . B o s t o n : H o u g h t o n M i f f l i n Co., 1946. B e n e d i c t , Pat tern s o f C u l t u r e . 1934. A m e r i c a n C u l t u r a l C h a r a c t e r i s t i c s and m a j o r themes d i s ­ c u s s e d l u c i d l y by B r o g a n , See: D e n i s W i l l i a m B r o g a n , T he A m e r i c a n C h a r a c t e r . N e w York: A l f r e d A. K n o p f C o m ­ pany, 1944, and B r o g a n , A m e r i c a n T h e m e s . N e w York: H a r p e r & B r o t h e r s , 19 49. W i l l i a m s , _0 £. c i t . . pp. 3 8 2 - 3 8 3 . 31 . P r e s t i g e of v a l u e c a r r i e r s - that i s f of p e r s o n s , o b j e c t s , or o r g a n i z a t i o n s c o n s i d e r e d to be b e a r e r s of the value. C u l t u r e h e r o e s , for e x a m p l e , are s i g ­ n i f i c a n t i n d e x e s of v a l u e of hig h g e n ­ e r a l i t y and e s t e e m . Instead of sense that parts or is m o r e danger in the a chance such I and the relevant the relevant historical cess of d e v e l o p m e n t selected the A m e r i c a n they will values The ordering following of of "system**, bee n chapters, patterns of sentiments Since as it that there is is applied avoided. then, are concerned which are f o und society and provide that the of relationships parts".^ has in arrangement of '"system" structures carried patterns s t ruct ure s . 365. be converge since certain They described are that intensity, in our f o l low. they basic descriptive duration, the to relevant that the chapters I b i d . . p. themes Culture. have describe cultural 6, a set terminology as provide extensiveness, time. determinate to usage uses emergent upon the the system. been tain is, the for have since Williams "some cultural of m e a n i n g The in to that confusing Part soc ial refers study, content "patterns", entities, of within it than this with u s ing this display values data which over Chapter sentiments that found undergone indicate a pro­ valuable afid p r e s t i g e society chapter the have particularly specific ar e in that period the cer­ of III and Chapter within the relevant the relevant emergent in IV, 32 IIISTOR I CAL T H E M E S The following with the establishment will indicate An attempt liefs to present and the d ay sidered study lack to will of be an to arbitrary analysis will be concerned point in time w h i c h of certain the development they are found more particularly of provide a constellation which hav e time. have for the particular be d i s c u s s e d . of operational Independence undergone Only beliefs. trace at w h i c h and treatment environment importance logical made society specified of beginning p o int themes sentiments of will relevant These the historical change This other is on sentiments breakdown for in the be­ in the immediate County, Michigan. of b e l i e f s which the not such manifested throughout sentiments bearing of and a period hav e problem been of con­ this done to indicate but to provide the a study of the following opposed to collective pa 11 e r n s . T H E M E S OF I N D I V I D U A L I S M AN D C O L L E C T I V I S M The matter of individualism constraint has long in W e s t e r n Civilization. tion of m a n ' s with his desire have set the so c i a l bee n a matter independence for stage order for philosophical as Problems and and years his of struggle focused quest of political, interpretations; upon for established and strife the asser­ freedom social along controls economic, interpretations and which 33 have considered controls which losophies any will concern be wil l tivism not in in it be the Although American optimum against to the is JLFFbRSONlAN the are assumed in w h i c h sion are the be this found. to of in freedom in t e r e s t . this of concept relative is the in the A m e r i c a n nor freedom, purpose to of phi­ is there s i nce the this individualism cultural from Such chapter, definition beliefs it culture discus­ and collec­ tradition. INDIVIDUALISM rich with the philosophical markeditself in' m a n y to m e e t requirements the of m a n ' s "best” In s t e a d , consider light his traced actual that point heritage position peculiar of ways of L u r o p e a n has been which an infant and thought, unique have and has bee n n e c e s s a r y expanding culture. A m e r i c a n phil o s o p h y - if so p r e t e n t i o u s a term may be used for t h i n g s A m e r i c a n s b e l i e v e d in - was, like the A m e r i c a n c h a r a c t e r , an a m a l g a m of i n h e r i t a n c e and e x p e r i e n c e ; and if the i n h e r i t a n c e is m o r e o b v i o u s , the e x p e r i e n c e is m o r e in­ teresting. To c o n f e s s that the f o r m a l c o r p u s of p h i l o s o p h y was i n h e r i t e d tells us little, for the A m e r i c a n w a s a free agent, and if the ter m i n h e r i t a n c e s u g ­ g e s t s a p a s s i v e role it is m i s l e a d i n g . T h a t the D e c l a r a t i o n of I n d e p e n d e n c e w a s a r e c a p i t u l a t i o n of J o h n L o c k e ' s S e c o n d T r e a t i s e on G o v e r n m e n t , w as w r y l y . r e m a r k ­ ed by John A d a m s and has been m o n o t o n o u s l y r e a f f i r m e d , but it is p e r t i n e n t to o b s e r v e that L o c k e r a t i o n a l i z e d a r e v o l u t i o n and J e f f e r s o n i n s p i r e d one and that L o c k e is r a t h e r b e t t e r k n o w n in the A m e r i c a n t r a n s ­ la t i o n than in the o r i g i n a l . The important 34 i n q u i r y is w h y the A m e r i c a n took w h a t he did f r o m the a c c u m u l a t e d s t o r e of p h i l o s o p h y and w h a t he did w i t h w h a t he t o o k .^ Although imentary which The one, has concept sonian in constant stream beliefs set such in a set of were the of related the finds in of by growth a rather one of basic the glorification of its the source if it m ay of that in be the agent his natural his intellect. w as The hardly for individual of who faced whic h , hardly Rights structured, social mankind was were Natural men. Beliefs environment freedom, nature other as belief. this. contemplative all theory however, restrictions upon freed o m . s u r p r i s e d * that the J e f f e r ­ this m e t a p h y s i c a l a p p a r a t u s Henry Steele Commager, Y a l e U n i v e r s i t y Press, Th e A m e r i c a n 1930, p. 26. M i n d . New the Jeffer­ called man to theme such individualism a free rud­ nation; struggle. accounting to bee n a natural barriers human has relationship with concerning W e c a n n o t be sonian found 7. in Jeffersonians purpose conditions man problems to the hardly accepted tremendous by and environment insurmountable embraced through treatment, beliefs an philosophy distinguished thought distinguishes although for of individualism with been philosophical Instead were has individualism Jefferson's which it run of main the A m e r i c a ^ Haven: a d e q u a t e for his p o l i t i c a l p r o g r a m . The i n d i v i d u a l c l a i m s w h i c h seemed n e c e s s a r y for m a n ’s m a s t e r y of his e n v i r o n m e n t in J e f f e r s o n ’s day were socially innocuous; m a n ' s s t r u g g l e w as still m o r e a g a i n s t n a t u r e than a g a i n s t his f e l l o w m e n . ^ It to is evident conquer tempered men, l a ted to s o cial w as obstacles with other some would how to this basic ians and That sophical due of life of man a ble 0. 9* w as and that was to which the a mark last the appeal attracted in his the A m e r i c a n more that such "The p a ths the d ay t h eme has of and of never lost Jefferson­ in A m e r i c a n of beliefs of if he w a s thinkers the such to 9 philo­ years was a basic had way for the agriculture and Jeffersonian Continent." sophisticated b a sic through to farmer. of A m e r i c a n advocates. leave would re­ a question so c h a r a c t e r i s t i c representativeness and such Individualism rights" was faced that not questions the d i s t i n c t i o n eventually a way if freedom r e l a t i o n s h i p with serious the these over to is in m a n ' s environment, of m a n ' s lead preserved. belief to history follow natural It such "natural frontiersman to it in thinking and natural that Jefferson largely his a basic acceptance naivete the in he was. s h ift individuality such eventually free pattern abl e that because increase It were is true equally L e o n a r d B o o r s t i n , T h e L ost W o r l d of T h o m a s N e w York: H e n r y H olt Co., 1948, p. 196. I b i d . , p. 242. he the had mastery that other influential Jefferson. 36 in the claim in establishment upon the of •'aristocratic the Distrust the and by to formed later they fisc a l frontier the faith in insti- viewed to up of in the the states group that the ignored agricultural but men true and name of society. patriots, were which to (This foun­ led to thwart any group p a r t y that lies on interests statesmen despite issues those was Anti-Federalist.) international Such evil s o ught founders the merchants with called glor­ as Jeffersonian these which constitutional and been ignore a nation, often set many with t o ward p o l icy. of and and federated n a t i o n . ^ also were concerned they a has shown Man y tablishment tion, to nature frontiersmen appeared more of confused and distrust s t rong its lies akin principles Anti-Federalist be American. !0. 11. the establish not were was of thinking the controls, suspicion original that of lack grasped against manmade shou l d T he their pattern tradition with rapidly struggle held efforts American but position, which European American un-natural, ders t h eir nation, „10 The ified this a distinctive nature tutions. of the of whose stability important t h eir were to grounds the new interests and the realistic dominately a es­ posi­ of import. i b i d , . p. 210. Joh n F i s k e , T h e C r i t i c a l P e r i o d of A m e r i c a n H i s t o r y , Do st on: H o u g h t o n , M i f f l i n V, Co., 1691, p. 310. °7 That ment of the Federal his Jefferson founding Convention early to led the with Much the toward representatives in of loss line this individual governments individual citizens. the a then written impressions tional was letter of Convention. one did of the last so w i t h the to such The New states York to ratify , points fro m the I b i d . . p. 309. to various equally that in dominated opposition c o uld rights. were be Their better could passage of N e w at explains found protected respect below York di­ basic w as the t a ken concerning the C o n s t i t u ­ w hy New the C o n s t i t u t i o n , reluctance. E x c l u s i v e of our o b j e c t i o n s o r i g i n a t i n g fro m the w a n t of power, we e n t e r t a i n e d an o p i n i o n that a g e n e r a l g o v e r n m e n t , h o w e v e r g u a r d e d by d e c l a r a t i o n s of r i g hts, or c a u t i o n a r y p r o v i s i o n s must u n a v i o d a b l y , in a short time, be p r o d u c t i v e of the d e ­ s t r u c t i o n of the c i vil l i b e r t y of such c i t i z e n s w h o c o u l d be e f f e c t u a l l y c o e r c e d by it, by r e a s o n of the e x t e n s i v e t e r r i t o r y 12. the the A m e r i c a n This delegates opposition 12 to constitution. which the G o v e r n o r Their much rights to thought voiced autonomous from that of the they establish­ referred were document. ratifying of appeal Convention general the of d e m i - g o d s the by of he of asserted feeling in ultimate assumption smaller that assembly opposition the and part his structuring of take and the to d i f f i c u l t i e s rected "an the C o n s t i t u t i o n a l disagreement during Many to document as position frontiersman. states failed York and of the U n i t e d S t a t e s , the d i s p e r s e d s i t u a t i o n of its i n h a b i t a n t s , and the i n s u p e r a b l e d i f f i c u l t y of c o n t r o l l i n g or c o u n t e r a c t i n g the v i e w s of a set of men...^ THE COMPROMISE European and Marshall OF as THE JEFFERSONIAN such might ideas have fostered been, the American life cannot Federacy when the C o n s t i t u t i o n necessary for centuries of for a new and and champions able which the be d e n i e d . old of timber for must spell weak the the out In w as thinking necessary elements that they early being altered of established, ideas part of men structure Adam s , days inherited of the Jeffersonian rights of Hamilton, the to be republic. natural by fact institutional political v ery POSITION of were the it was through planning thinkers hardly suit­ a government control. It seems to me a s i n g u l a r piece of f o r ­ tune that we have this o p p o r t u n i t y of w a t c h i n g a r e m a r k a b l e g r o u p of men d e ­ b a t i n g the very basis, p u r p o s e and l i m i ­ t a t i o n s of p o l i t i c a l power. Remarkable they c e r t a i n l y were. No one can read M a d i s o n ' s r e c o r d of t h o s e s u m m e r m o n t h s at P h i l a d e l p h i a in 1707 w i t h o u t b e i n g s t r u c k by the l e a r n i n g and s e n s e of s t a t e s m a n s h i p that w e r e shown by m a n y of the d e l e g a t e s w h o w e r e t h ere to f r a m e the Constitution. T h e y inc l u d e d mos t of the l e a d i n g f i g u r e s in A m e r i c a n life: e x c e p t T h o m a s J e f f e r s o n , w ho was m e r c i f u l l y away in Paris. For Jefferson, sentimental, u n c e r t a i n , u n p r i n c i p l e d was not the stuff of w h i c h C o n s t i t u t i o n s are m a d e . ^ 13. Id. H e n r y S t e e l e C o m m a g e r , ed., " L e t t e r of R o b e r t Y a t e s and J o h n L a n s i n g to the G o v e r n o r of N e w Y o r k 1 7 Q 7 f " P o c u m e n t s of A m e r i c a n H i s t o r y . N e w York: F. S. C r o f t s & C o . , 1945, p. 150. Lord R a d c l i f f e of W e r n e t h , T h e P r o b l e m of P o w e r , L o n d o n S e e k e r and W a r b u r g , 1952, p. 52. 39 The belief rights cial that ideologies contract it w e r e focused the for those being first ten and upon yet upon v ery gave birth. this they the to fre e fro m nature of "The were 15 and contract provision for is contained of the the natural the who giving between the which upon the significant individual over the allow­ part that rights was govern­ contract of found awareness to bill so­ a new amendments the equally men this of d i s s a t i s f a c t i o n merged drawn of the a and that nor of up by of could such social men who not such help A masterpiece of through of the which certain serious and but divided be 18th, and 19th they govern­ were natural as powers to within with the 20th of the based the inconsisten­ reflect a model nei­ rights a constitution and of a constitution doubts riddled readily federation that and pop u l a c e , statesmanship 51. the a way contract inconsistencies trend for independent, had free separate philosophical I b i d . . p. in wholly politically belief provided s t ates beliefs government, cies, the world" of It freedom sovereign wholly wisdom in flexibility cases constitution separate based completely restrictions. A ther in a governed. the the The amendments specified mental to in novelty gave change they that governed. Constitution ed aware were refuted conception upon and is men to w h i c h quite political ment these American centuries. governmental 40 wisdom, sight the C o n s t i t u t i o n into the dominant provides themes us w i t h of considerable individualism and in­ collec­ tivism. In 1800, ascendancy, already tion cultural of life. to of agriculture He was office, gain had dividual to through conflicted be that with freedom a finally degree only support primary claimed this need for for a realistic original centers an had other Hamilton, conceded to that which flourish was Jefferson, position statesman philosophical policy con­ acceptance protection. a government had industry.^ agriculture as agri­ time an of while often position loose A r t h u r S c h l e s i n g e r , Jr., T h e L i t tle, B r o w n and Co., 1945, Age pp. it only of in­ con t r o l . J e f f e r s o n h i m s e l f h e l p e d n o u r i s h the s e r p e n t in his L d e n w i t h one of his f a v o r i t e m e a ­ sures, the H m b a r g o of 1807, w h i c h set on firm f o o t i n g the m a n u f a c t u r i n g e s t a b l i s h ­ m e n t s s t a r t e d e x p e r i m e n t a l l y a l o n g the A t l a n ­ tic c o a s t d u r i n g the t w e n t y y e a r s p r e c e d i n g . T h e W a r of 1 8 1 2 and the B r i t i s h b l o c k a d e further stimulated domestic manufactures. A p r o t e c t i v e t a r i f f f o l l o w e d the war, and b e ­ hind its w a l l yet m o r e u n d e r t a k i n g s s p r a n g up. 16. had assump­ Alexander manufacturing, government and by system, over urban through agriculture. claim encourage his was economic that and political fundamental also, there of the gained realized Federalists, importance further saw a great could had in m a n u f a c t u r i n g the A m e r i c a n necessary possible to The overall architect Jefferson growth freedom that the the modified that c e ded when of J a c k s o n , Boston: 10-11. in 41 T h e f a r m r e m a i n e d the s t a t i s t i c a l c e n t e r of A m e r i c a n life, but b u s i n e s s e n t e r p r i s e was e x e r t i n g s t r o n g e r and s t r o n g e r c l a i m s on the i m a g i n a t i o n of the p e o p l e and the a c t i o n of the g o v e r n ­ ment. 17 If the original manufacturing position government, osophical scene. tain basic tation more the policy in economic critical ingly that of to by but the freedom of were over, such manufacturer operate pervasive with position interests. admitting such an to After a position desired maximum cer­ interpre­ in d u s t r y . who phil­ the A m e r i c a n industrial individual national Jefferson's achieved we the period see emerging of m u c h freedom. that the championed order during aware trolling the upon over a was the far laizze- freedom in market. denial individual emerged t h eir DEMOCRACY It w a s flourished to years be continued equally politically, the upon had dominance an imagination of put protective JACKSONIAN 17. be o v ert that have cooperation acceptable faire the freedoms c o uld crucial might weakened capture could to possible position to only related is Although tended Not it interests by The growing economic Henry I b i d . . pp. which 0-9. Jacksonian upon was called natural wa s manufacturing had Democracy the A m e r i c a n frontiersman market. Clay, when re-dressed increas­ were the A m e r i c a n the a concerning becoming interests Although scene con­ System, Hamiltonian i2 economic of muc h of national western position in such the W e st, banking a way as to receive g r o w in g d i s s e n s i o n interests had in thoroughly the the support light enraged of the farmer. C l a y ' s p l e a s a n t d r e a m of a p a t e r n a l i s t i c p r o s p e r i t y of A m e r i c a got its first rud e a w a k e n i n g f r o m G e n e r a l J a c k s o n and his m o t l e y f o l l o w i n g of w e s t e r n e q u a l i t a r i a n s and e a s t e r n p r o l e t a r i a n s . Gen tl em en were s u d d e n l y r e m i n d e d that the plain p e o p l e had been o v e r l o o k e d in the d i s t r i b u t i o n of b e n ­ efits. T h e w a t e r s of p r o s p e r i t y , it w o u l d seem, had been t r i c k l i n g s o m e w h a t too s c a n t i l y to t hem from the g r e a t r e s e r v o i r s w h e r e they w e r e i m p o u n d e d ; and as they saw the w e a l t h p o u r i n g into p r i v a t e ponds t h r o u g h g o v e r n m e n t a l pipe lines, a n a t u r a l h u man e nvy took p o s s e s s i o n of them. In t h e o r y the pipe lines b e l o n g e d to them, and the i m p o u n d e d w a t e r s w e r e to be used for c o m m o n i r r i g a t i o n ; but in p r a c t i c e the m a i n s s e e m e d to c o n d u c t onl y to L o w e l l in­ d u s t r i a l i s t s and' P h i l a d e l p h i a and N e w York c a p i t a l i s t s , and the w a t e r s t u r n e d out to be p r i v a t e l y owned. As the r e c o g n i t i o n of this fact came hom e to the p r o d u c i n g m ass it p r o v i d e d a r a l l y i n g point for an a n t i ­ m o n o p o l i s t m o v e m e n t and d e t e r m i n e d the g r e a t o b j e c t i v e of the J a c k s o n i a n attack, the a s s a u l t on the B a n k . I Q It w as port of of growing the 18. thing business the W e s t sumers one system banker and V e r n o n L. N e w York: p. 145. convince interests since markets, to the y but of were it was loans certainly of the the Las t providing another which was farmer were and t h ing for a hardship on that to the the expanding to the the explain bes t part sup­ advantage con­ the interest of the of farmer. P a r r i n g t o n , Main C u r r e n t s in A m e r i c a n T h o u g h t . H a r c o u r t , B r a c e and C o m p a n y , 1930, Vol. 2, The tain Jacksonian respects, Jeffersonian tion, The governs ment was the in individualism to ral but felt by ideologies the demanding such belief the in the gigantic, there a state in of an 1800's such of strong sovereign States, and it w o u l d be the mus t "natural by govern­ indivi­ of w e s t e r n tremendous of vested and of natu­ constantly the parties rights." to remained, the bes t concept be utilized entirely reinforce however, interested the and parties general romantic individual. corporate a growth found of a random their the nation w as instituted l ose of picture that did the a period and sense a corporation. that cer­ protec­ governs disciples simply being interesting definition in equi pm ent any sanctity developed of of interests again as principle which chosen individualism e ver with of in belief the Never upon rights middle and to that the valve of g o v e r n m e n t a l a realistic controls mythical related is d o u b t f u l to thought s o cial of by ushered nation. be the "government protects led a safety terms themselves infringements Muc h By best which this activity, the as reshaped in J a c k s o n ians activity protected now replaced Considering interests it that governs democracy, who it acted individualism least" dualism. p a rty since belief which period interests in business legal If w as any to necessary had become enterprise interpretation realistic exist to in the combine of notion the of a United it w i t h some 41 understanding of economy. This rapidly realized industrial mediate The gal of the in a in dispute a state if vidual the upon problems i.e., It was the the owed concerned was was the and this not trade the no same restrictions The definition. it initial time of of the growing Bank or 19 le­ was of A u g u s t a , not the status that of not laws pertaining with of the of individuals equal the . . . definition The as judgment focus a corporation with- allegiance. apply im­ interests corporation of The controls. business this case was nation economic and the and infant their whether case,did itself? an rights with the of prosperous statesmen. and found status over it upon during arisen w h ic h many commerce In was rights to and Hamilton, of thrust out. to this had related that of position spelled corporation light the commerce, had corporation and, as independent, position these definitions dispute the s t a t e s, specifically a was problems internal between strong, revolution greatest upon a to indi­ force upon case sheds * Th e c o r p o r a t i o n must no d o u b t show that t h e l a w o f i t s c r e a t i o n g a v e it a u t h o r ­ ity to m a k e s u c h c o n t r a c t s , through such agents. Y e t a s in t h e c a s e o f a n a t u r a l person, i t i s n o t n e c e s s a r y t h a t it s h o u l d a c t u a l l y e x i s t in t h e s o v e r e i g n t y i n w h i c h t h e c o n t r a c t is m a d e . It is s u f f i c i e n t t h a t it s e x i s t e n c e as an artificial person, in a s t a t e o f i t s 19. L a w r e n c e B. L v a n s , " B a n k o f A u g u s t a V . L a r l e " - - 1 3 P e t . 519 , 10 L . L d . 2 7 4 ( 1 0 3 9 ) " , C a s e s on A m e r i c a n C o n s t i ­ tutional L a w t Chicago: C a l l a g h a n and Co., 1942, p p . 735-741. 45 c r e a t i o n , is a c k n o w l e d g e d and r e c o g n i z e d by the law of the n a t i o n w h e r e the d e a l ­ ing t a k e s place; and that it is p e r m i t t e d by the laws of that p l a c e to e x e r c i s e t h e r e the p o w e r s w i t h w h i c h it is e n d o w ­ ed ... 20 The whether bama) judgment or not denied in the this state rights of cas e was in w h i c h contract to then the to be d e c i d e d dispute citizens of as to existed (Ala­ other states. D o e s the p o l i c y of A l a b a m a d e n y to the c o r p o r a t i o n s of o t h e r s t a t e s the o r d i ­ nary c o m i t y b e t w e e n n a t i o n s ? Or d o e s it p e r m i t such a c o r p o r a t i o n to m a k e t h o s e c o n t r a c t s which, f r o m t h e i r n a ­ ture and s u b j e c t m a t t e r , are c o n s i s t e n t w i t h its policy, and are a l l o w e d to i n d i v i d u a l s ? . ..21 The state judgment of A l a b a m a dividuals valid of w as did other contract on finally not deny states the made the and part upon the rights therefore of of the corporations basis that contract same was the to in­ freedom to be of accept­ ed . The principle individual of the meaning complex fre e ye a r s has of enterprise, at governmental 20. 21• given business and of viewing to the it times has for have I b i d ., p. I b i d . , p. 737. 739. world rights.hardly nourished reasons restrictions corporation business individual c o uld the has endured related argued the myth to its a legal a restatement Although this as modern and reality through protection position of the from from the level of rights guaranteed to the individual by the con­ stitution. An example of such a position occurred in 1938. In C o n n e c t i c u t G e n e r a l L i f e Ins. Co. v. J o h n s o n , . . . i n v o l v i n g a C a l i f o r n i a law t a x i n g i n s u r a n c e c o m p a n i e s upon the a m o u n t of the g r o s s p r e m i u m s r e c e i v e d by them upon b u s i n e s s d o n e in the state, the c o u r t held the law to be in v i o l a ­ tion of the du e p r o c e s s c l a u s e of the F o u r t e e n t h A m e n d m e n t in so far as it t a x ­ ed the C o n n e c t i c u t c o m p a n y on p r e m i u m s receive?d in C o n n e c t i c u t on r e i n s u r a n c e c ontracts made with companies doing b u s i n e s s in Ca 1 i f o r n i a .22 The ment significance made but Amendment. h ow It an of the of individualism the ideological logic of direction the last the of the ture without belief cas e it was made concerning that sense,, w as was placed decision once the business activity that in the autonomy of the It h ave be d i f f i c u l t occurs of. the as business it w o u l d consideration judg­ Amendment, a protection legal apparent. interests the the F o u r t e e n t h and some in Fourteenth such became lies considered but upon corporate hardly the ever corporations, the century muc h the of that this is d o u b t f u l in rights of definition interests is in this traveled to understand within myths individual during this that and cul­ support private e n t e r p r i se. The quo 22. upon justification the part I b i d . . p. of 366. for the the large preservation wealthy of the interests in status the '17 United States sonian doctrine of individual freedom to conquer allowed follows vironment without controls, it w o u l d ful that all opportunity pered by to the wealth the degree has refused to the basic nomic depression and has are be new to can enterprise businesses frontiers not yet abundant supported trend a r med of and to new and established. 23 pros­ chiefly a doctrine to the for the to in which men. Although last twenty a great throughout fr e e d o m . reject eco­ the w o r l d , the beliefs The position of still suggests that and, exciting not inequality d ue en­ success­ conquer between conflict westward, have in been equal explain for change conquer the had and thinking Manufacturers his opportunities by unwilling in m o v e m e n t s offers adjust inequalities opportunity found to of have they in has governmental part many justification been of that have, many b een an the Jeffer­ man obstacles country considerable Association not 23. has world individual there The undergone business others the Since unnatural on fact offered philosophical has National has and this The recognize years natural belief these su c c e s s . then, the in that of which system, of the p r o sper. our the be degree enterprise. unreasonable inadequacy and a considerable individuals to environment to although the they genius may A good e x a m p l e of such a p o s i t i o n t a k e n i z a t i o n has bee n the t e l e v i s i o n p r o g r a m c a l l e d F r o n t i e r s of I n d u s t r y . be are of A m e r i ­ opportunities There the some in evidence by this o r g a n ­ t hey s p o n s o r 40 to question they are segment in the the reality manifested of the A m e r i c a n motivation of A m e r i c a n in and citizens* of such beliefs, but everyday behavior by population direction of they as long as a significant become activities realities in the life 49 FK UNTIL}; The 1M) IV IDIIA LI S M A NN S L C T TO N A 1.1S M period by sponsible United for the Stales. redefinition note introduced that rapid The of this growth growth redefinition philosophy cloaked It was within thought adel of of had distinctly ward in as and sized defined the of last the was of the still the in was was been his to Jeffer- i n t e rest. where the what by cit­ the of A m e r i c a n w as to the struggle 25 had be and Turner shap e d found as west­ succeeded empha­ American It was i n e v i t a b l e that such a f o r m u l a shou l d a p p e a l to a p e o p l e w h o felt in­ s t i n c t i v e l y that they had c r e a t e d m o r e C o m m a g e r , T h e A m e r i c a n M i n d . 1950, pp. F r e d e r i c k J a c k s o n T u r n e r , T h e F r o n t ier H i s t o r y . Ne w York: H e n r y Holt and Co., man Turner. society. 24. 25, 24 regarding Jackson environment that and thought civilization. conditions a as W e s t e r n frontier growth produced with advanced that in found. Frederick evolutionary coped environmental be stimulating c o,n vi need had to old special frontier, American sectionalism an the were pioneer establishing again re­ the interesting which American the once is sections followed' the institutions it of scholar of yet in w as resulted garb influential emergence Turner as great tremendously the the sectionalism sectionalism was in Democracy the individualism The of of individualism, son i an and Jacksonian 29 6 - 2 9 7 . In A m e r i c a n 1950. 50 than the y had i n h e r i t e d and that they owed l i t t l e to the O ld W o r l d . It w a s a n a t i o n a l i s t i c f o r m u l a , for it s u g g e s t e d that d e m o c r a c y and f r e e d o m and the i n s t i ­ t u t i o n s that g a v e them m e a n i n g w e r e l a r g e ­ ly A m e r i c a n i n v e n t i o n s ; in so far as it did not i n q u i r e into the e x p e r i e n c e of ot h e r p e o p l e s w i t h t h e i r f r o n t i e r s , it w as a l m o s t p a r o c h i a l , 26 As narrow American nation more to it as such democracy of the laid bulk the isolationism. an might explanation have been, of A m e r i c a n foundation Turner it of the growth captured the agriculturalists. for a definitely described the growth of imagi­ Further­ western appeal of A m e r i c a as . . . a l w a y s b e g i n n i n g over on its o u t e r edge as it a d v a n c e d into the w i l d e r n e s s . There­ fore, the U n i t e d S t a t e s w as b o t h a d e v e l o p ­ ed and p r i m i t i v e s o c iety. T h e W e s t was a m i g r a t i n g region, a s t a g e of s o c i e t y r a t h e r than a place. b a c h r e g i o n r e a c h e d in the p r o c e s s of e x p a n s i o n f rom the coast, had its f r o n t i e r e x p e r i e n c e , w a s for a time "the W e s t " and w h e n the f r o n t i e r pass e d on to new r e g ions, it left b e h i n d , in the o l d e r areas, m e m o r i e s , t r a d i t i o n s , and i n h e r i t e d a t t i t u d e to w a r d life that p e r s i s t e d long a f t e r f r o n ­ tier had p a s s e d by. But w h i l e the i n f l u e n c e of the f r o n t i e r p e r m e a t e d E a s t as w ell as We s t , by s u r v i v a l of the .pioneer p s y c h o l o g y and by the r e a c t i o n of the W e s t e r n i d eals and life upon the Last, it w a s in the n e w e r re g i o n s , in the are a c a l l e d the W e s t at any g i v e n time, that f r o n t i e r t r a i t s and c o n ­ c e p t i o n s w e r e mos t in e v i d e n c e . ^ That Turner culture 26. 27. is felt quite the W e s t clear, to be but also the foundation'of c l ear was American implication that C o m m a g e r , H e n r y S t e e l e , _oj3. c i t . . pp. 2 9 6 -297. F r e d e r i c k J a c k s o n T u r n e r , T h e S i g n i f i c a n c e of S e c t i o n s In A m e r i c a n Hi s t o r y . N ew York: P e t e r S m i t h , 1950, p. 23. with the the disappearance preservation of of w h a t the was frontier generated grew the through need for life. . . . W e are now in the third p h a s e of our d e v e l o p m e n t ; the fre e lands are gone, and w i t h c o n d i t i o n s c o m p a r a b l e to t h o s e of E u r o p e , we hav e to r e s h a p e the i d e a l s and i n s t i t u t i o n s f a s h i o n e d in the age of w i l d e r n e s s - w i n n i n g to the new c o n d i t i o n s of an o c c u p i e d c o u n t r y . 26 It w as the in apparent section frontier growing of to T u r n e r that the lif e American United were to the States for m agrarian in w h i c h West such the d e v e l o p m e n t was to ideals found of a new culture. T h e s p i r i t of a d v e n t u r e , of b u i l d i n g to the m e a s u r e of the o p p o r t u n i t y , w h i c h the W e s t e r n m o v e m e n t c a r r i e d into the m o r e spacioirs and v a r i e d p r o v i n c e s b e y o n d the M i s s i s s i p p i , has c h a n g e d as the s u r g e s of m i g r a t i o n h a v e passed over t h e s e r e g ions. It has b e e n m o d i f i e d by the g r o w i n g r e ­ l i a n c e on a s s o c i a t i o n i n s t e a d of i n d i v i ­ dual competition. S e l f - r e l i a n c e is still s t r o n g e r t h e r e tha n in the East; but t h e r e has a l s o d e v e l o p e d in t h o s e e c o n o m i c o r ­ g a n i z a t i o n s , like c h a m b e r s of c o m m e r c e , f a r m b u r e a u s , c o o p e r a t i v e s o c i e t i e s , R ot a r i a n s and K i w a n i a n s , w h i c h c a r r y on w i t h a d i r e c t n e s s and e n e r g y that b e l o n g to the Far West. T h e r e is a g r o w i n g i n s i s t e n c e on c o n f o r m i t y to c o m m u n i t y p u b l i c o p i nion, c o m p a r e d w i t h the d a y s o f . t h e f r o n t i e r s m a n and the " s e l f - m a d e m a n . " B ut the W e s t ' s old i n i t i a t i v e , its love of i n n o v a t i o n , its old i d e a l i s m and o p t i m i s m , its old love of b i g n e s s , even its old b o a s t f u l n e s s , are still here. As yet it has not p l a y e d the p o w e r f u l part in the c o m m o n l ife of the U n i o n w h i c h it will com e to play. T h i s land of f a r m owners, this land t r a i n e d in p i o n e e r ideals, has a 20. I b i d .. p. 37. be and d e e p ' C o n s e r v a t i s m at b o t tom, in s p i t e of its s o cial and p o l i t i c a l p i o n e e r i n g . It m ay yet m a k e n e w c o n t r i b u t i o n s to A m e r i c a , by its u n i o n of d e m o c r a t i c f a i t h and innovation with a conservative subconsciousness. K KSISTANCE TO I N D I V I D U A L I S M IN .COLLECTIV ISTIC T H I N K I N G The viewed the Midwesterner the outcome survival m ent that IGOO's "This of was c o uld ducing classes", businessmen, natural the be philosophy, to - - sidered American by during intense criticism part those a minority 29. 30. the since momentum from workmen, l a bor that the in the this of and move­ late position. the "pro­ small unrest 30 It was concerning which c o uld was largely major upon labor movement." certain principles espoused the philosophy Midwest these who the dependent Even separate master principles these as seriously be con­ being doctrine of individualism. It w a s of as dominated to century society increasing observed the 19th mentality. farmers, traditional questioned with within Jeffersonian late essentially long find the agrarian grow not AND G R O W T H of A m e r i c a n an to of Q the and later unrest Midwesterners in A m e r i c a n period were who of being of the 152. 19th century manifested considered policy-making. I b i d . . pp. 2 5 4 - 2 5 5 . S e l i g P e r l m a n , J\ T h e o r y M a c m i l l a n Co., 1928, p. the themselves It w as Labor on during that the to be such M o v e m e n t . New a York period that American buropesn thought made greatest inroads in the culture. T h o s e m o v e m e n t s spun the t h read of l i b e r a l i s m that runs t h r o u g h the y e a r s from the G i l d e d A g e to the V>o r J d W a r - a t h read w o v e n of the e a r l i e r l i b e r a l i s m that c a m e f rom the f ro n t i e r , and the new c o i l e c t i v i s t i c t h e o ­ ries that came f r o m Ku r o p e . In the e i g h ­ ties and n i n e t i e s it was still l a r g e l y n a t i v e a g r a r i a n , but in the e a r l y y e a r s of the new c e n t u r y it d r e w h e a v i l y on the p r o l e t a r i a n p h i l o s o p h i e s of bur ope -- s e e k i n g to a p p l y old w o r l d e x p e r i e n c e to A m e r i c a n p r o b l e m s . T h r o u g h it all runs i n c r e a s i n g l y a note of s o b e r i n g re a l i s m . A f t e r a h u n d r e d years, p o l i t i c a l r o m a n t i c i s m w as s l o w l y d y i n g in A m e r i c a .31 Darwinian t h o ught, although a s a manifestation of process reversed who off La stern this an of in interests. vvas that the Thorstein ophy, equal process period thought can easily claimed hands dom w as the which people, to to meet the questioning The 1890*s to Parrington, both the of resulted in social t h ose by to during complete Lester Ward large a granted a growth indicative considerable oj). c i t . , p . 258. the priveleges that of was the w e a l t h y prosperity belief 1 9 3 0 ’s. 31. of it c r e a t e d the work unpopular gain special since by the d e m a n d s of supported in selection terms significant although was natural in A m e r i c a n individual. Veblen championed share The hardly being in free­ and of a philos­ mass of A m e r i ­ adherence in the A the significant romanticism occurred 19th with during the farm upheavals much of ri g h t s . The that opponent fr o m general concerned ments were usually Although of the national controlled farmer farmer to extent that gai n a general collectively in the the loss control industry face of has of collective relation to his unity belief he did in manifest such trend unity unity, he than more an in to and of failure to the his cohcerned an impossible a condition adequate at least, w as of the success attempt the same outcome him. his to to The condition autonomy of a inability most achieve they feeling. outcome the move­ realization time, partly in were such the a resulted intense partly belief failed was was fact crisis, economy, was and which era final nation's fundamental That the succeeded, issues notion individual. a period still to j u s t i f y period politically. the technological upon for the Since success the individual was and of farmer of economic suffering governments, of this banking. some quarter the doctrine of to leadership Jacksonian periods and latter found during blow individualism philosophy the with of 1800's, same and achieved s t ate act of money recognition decisive ver y with during some the a serious intellectual latter issues accompanied rather of The the frequently outgrowth chiefly occurred he espoused position. in Jeffersonian difficulty contrary the the marked concept lacking of the the movement Although embraced his that surrounding the century. struggle of in w h a t lack of achieve it. Although his position the he farmer is still appeal to the zation of unrestricted One farmer to economic in the still basic dominant wes t has b een a century in of the itself. realized he has position changing order The creates-a havior difficult. of issues tions with of valence. and 19 53 In and in but the while the makes that life, of collective the claimed government there mad e he are a stand of intervention half again contrast to mid-west of his less for on be­ con­ stands expression certain wheat this was needed in middle- to be take which longer the a rapidly The example no in even mentality. of last this the vote might once of industry, weakness the prediction he will best that can of he may yet He the for condition that farmer for problems for the of frequently and aid reali­ the aware farmer he w a i t s doctrines to meet of of well individualism enterprise He in can and lii s s t r u g g l e a "ghost-dance" that perhaps in failure he was enemy, 19 5 2 the that freedom individualism. old are any awareness age decisive. tection an a sense economic a highly group victory ambivalent his for overall lie m a y d e m a n d in with individual In confusion manifested politically it. accepted world. the position How e v e r , farmer trols of towards belief in considerably individual certainly involved manifest this a gam e shifted a c t ion. held such has of lasting was he ineffectiveness beliefs a equality support fair result achieve position today elec­ am b ifirm the pro­ agricultural 56 economy. sented He a welfare and yet the farmer year The claimed having state elected from later for high farmer has learned he still prone it contrary since is basic myth of m uch founded theme on an administration bondage that upon muc h the the and culture. To be highly the of of w h a t was considered American in a climate criticism pean ideologies, American gained instrumental order sonian part in bringing and victory to yet principles to vote cloaked and The to with along fact by such that by Euro­ in the he industry with Jeffersonian of that although culture in muc h a 1000's changes farmer, and fact the the life cherished fostered basic and supported the yet consider "’u n A m e r ican" battle either and Americans the A m e r i c a n to he d e ­ collective prior a production. protection ideas the economic conducive democracy, the the proceded society. certain a result a general hardly surrounding of As in from life releasing of criticism r-esulted resulted character. a large commerce, often of of to threaten would w ay pledged many solidarity itself his repre­ principles, reality he which on w h e a t collective to w h a t the of to he quotas the such new incompatible to found lost w as to d e n y individualism challenge administration protection m ust is be an governmental sires the that the l a bor ideas or and was of Jack­ mythology philosophies. F r o m the a g r a r i a n a g i t a t i o n - - s u p p l e m e n t e d by p r o l e t a r i a n and m i d d l e - c l a s s r e c r u i t s has c o m e the A u s t r a l i a n ba l l o t , the I n i t i ­ a t i v e and the R e f e r e n d u m , the R e c a l l , the a P i r o c t P r i m a r y , and p o p u l a r e l e c t i o n of Senators. T h e only i m p o r t a n t a g r a r i a n p r i n c i p l e that has not been a d o p t e d is the p r i n c i p l e of p r o p o r t i o n a l r e p r e s e n ­ tation. If a g r a r i a n i s m lost its g r e a t b a t t l e ove r the. c u r r e n c y , it won the b a t t l e over i n c o m e tax. N u l l i f i e d by a s c a n d a l o u s c o urt d e c i s i o n a f t e r it has been long a c c e p t e d , the income tax was f i n a l l y e s t a b l i s h e d by the t e d i o u s m e t h o d of c o n s t i t u t i o n a l a m e n d m e n t - - a n o u t c o m e that owed m uch to the M i d d l e B o r der. In c o s t i n g up the a c c o u n t s of A m e r i c a n d e m o ­ cracy, the l a r g e s t sums must be c r e d i t e d to the J a c k s o n i a n f r o n t i e r . W h e t h e r the new m a c h i n e r y is useful or m e r e l y c u m b e r ­ some, t h e r e is m uch d i s a g r e e m e n t , but it is a g r a r i a n in o r i g i n and it came from an h o n e s t a t t e m p t to d e m o c r a t i z e A m e r i c a n p o l i t i c s . 32 The same labor period movement. tively and movement shared a Although oriented, als o w a s in somewhat marked the labor responsible American philosophy t h eme individualism.^ of Marxian immigrants in European which in the orientation was many ran role liberal gained shared 1000's. by That more which farmer was a similar the many it was of in collec­ fate the established im p e t u s purposive fundamentally this the changes to its during with shared contrary It gav e States a philosophy movement doctrines late United similar by for n3 tellectual the from the in­ incoming dominantly direction such an orientation lack of effectiveness. 3 2. 33. F a r r i n g t o n , V e r n o n L., oj>, c i t . . p. 267. C h a r l e s A. B e a r d and M a r y R., T h e R i s e of A m e r i c a n C i v i l i z a t i o n . ’’T h e I n d u s t r i a l Era", N e w York; M a c M i l l a n C o m p a n y , 1930, pp. 2 1 1 -253. Originally responsible gaining the for but its sympathy of 56 the growing pe r i o d king ing of American the " R o b b e r - B a r o n s ’*, sentiments of "middle-class", private which were it which lost contrary to was their the t i ring support of by pervasive the evo­ feel­ property. Th e e n o r m o u s s t r e n g t h of p r i v a t e p r o p e r t y in A m e r i c a , at once o b v i o u s to an obs e r v e r , g o e s b a c k to the ail i m p o r t a n t fact that, by and large, this c o u n t r y was o c c u p i e d and s e t t l e d by l a b o r i n g pi o n e e r s , c r e a t i n g p r o p e r t y for t h e m s e l v e s as they went a l ong and h o l d i n g it in small p a r c e l s . 34 Since the sanctity ment position to itself of private woul,d the laborer property, i g nore this w as it was basic one w h i c h natural t h eme denied that the move­ in A m e r i c a n life. A l a b o r m o v e m e n t must, from its ver y nature, be an o r g a n i z e d c a m p a i g n a g a i n s t the r i g h t s of p r i v a t e p r o p e r t y ... B e c a u s e the labor m o v e m e n t in any f o r m is a c a m p a i g n a g a i n s t the a b s o l u t e r i g h t s of p r i v a t e p r o perty, the e x t e n t to w h i c h the i n s t i t u t i o n of p r i ­ vat e p r o p e r t y is e n t r e n c h e d in the c o m m u ­ nity in w h i c h a labor m o v e m e n t o p e r a t e s is of o v e r w h e l m i n g i m p o r t a n c e to it.°° Utilizing American slogans which sounded basically "rn idd 1 e-c 1 a s s" w i t h d r e w apprehension as to the outcome of their such "foreign", support with the some a movement. ...the C h i c a g o "Anarchists", with a full­ b l o w n p r o g r a m of r e v o l u t i o n a r y s y n d i c a l i s m in all but the name itself, w e r e m a d e to feel the f e r o c i o u s s e l f - d e f e n s e of a ' g i ­ g a n t i c a l l y g r o w i n g and self s a t i s f i e d c o m ­ m u n i t y a g a i n s t t h ose wh o w o u l d i m p o r t m e t h ­ ods of the class s t r u g g l e of R u s s i a and S pa i n .36 34. 35* 36. P e r l m a n , S e l i g , .ojd . c i t . , p . 157. I b i d . . pp. 15 5 - 1 5 7 . I b i d . . pp. 1 5 9 - 1 6 0 . Although utilize This of the was collectively established partly revolt the fostered consequence of the institutions result by the oriented, of the Marxian p a rty failed in A m e r i c a n but philosophy it was in A m e r i c a n to society. aforementioned doctrines system laborer also the politics. It is to this u n c a n n y a d a p t a b i l i t y of the e s t a b l i s h e d A m e r i c a n p o l i t i c a l parties, m e e t itig with the w e a k g r o u p c o n s c i o u s n e s s of. A n e r i c a n labor - w e a k e s t in regard to p o l i t i c s and p o l i t i c a l issues, - that the u n i f o r m f a i l u r e of A m e r i c a n i n d e p e n d e n t labor p a r t i e s has been d u e . 37 The l a b orer, cal s e nse then, and' it has ye a r s that he ity. This success through the dualism f o und collective of the and last dication The has existing three a in years p l ace their years the some of individual. their many of sentiments 37• I b i d . , p . .173. New labor the federated has Deal indivi­ for the The is general it m o r e re­ trend unions to d e n y the has general both and b een an public and in in­ opini o n . championed Farm a purpose general the by enough, The fostered expressed of un­ interest gained organizations to twenty collective symbols established sensitivity the The community. a politi­ interestingly basic institutions for in the in last in been of the the success achieved, of himself through movement. has th.e r i g h t s establish been been his but-it prestige of only achieved within of communists to manifestations realizing spect has one acceptance failed Labor 60 movements in has been ple during to the which and suffered had the l a b orer, There New during and willing gr o u p s , on m u c h the level the cial fostered O'ne sided laborer Also, were large sulted m er same interests, and from the the war elections in themselves in 30. the on verbalized United in le a r n e d the as regained the to the for interests by in the a more 1 952 political a growing part The the the equalized both and t h reat of to many commer­ farmer and interference. 1 9 4 0 ’ s, p r o v i d e d and battle government the p r o f i t s side cen­ farmer economic industry of farmer the self-interest conservative both reaction Laborer in governmental and princi­ institutionally Although of in nineteenth past. fight favor blocked and accepted of which a general new-administration in battle accepted i n d u stry. years, with allied had mobilization laborer the Farmer operate organized national the t hey the both hal f them conditions During what by of ho w e v e r , Having to as frequently the by last to pressure of was, laborers repugnant more Much l O O O ’ s wa s Deal the through policies late interesting. farmers been St a t e s . the time. of quite many United during this period lo s s e s what lost was tury, the that re­ the point of laborer industry farview. 38 had to fight individualism States. Labor relations at the J a c k & H e i n t z p l a n t d u r i n g the w a r y e a r s are a good e x a m p l e of this g r o w i n g t e n d e n c y . See: R o s w e l l W a r d , T h e P e r s o n n e l P r o g r a m at Jac k & H e i n t z . N e w York: H a r p e r B r o t h e r s , 1946. 61 If to be ism one w e r e a complete in the the changes that social last of dily willing in to and part a numbers basis for their cloaked from in the are the by lizing and sel f more form as be and is a continuing down laborer they have they found are their in the local an end. the has of any­ on the increased provided a Collective frequently the more meaning battles Although institutional collective reign community. consider stand. rea­ a philoso­ part carry to with not free with interest and have maturity although more concerned supporting process at on philosophy. the is The surrounding allow maturity and to economic, accept concerned This a mistake sophistically ideologies become would life sight. citizen to 1 952 instituted present a growing individual interests, in been repugnant of the of individual­ from of m y t h s which American level also farmer conservative, the to American social has have less national It w o u l d fought in lost is he w i l l i n g and There change political, sanctity population. change phil oso p h ies Th e elections champion be IBOO's democracy who the would late the political, people of the neither everyone. of years of in A m e r i c a n reject but national t h ose w h o much quality* Jeffersonian economic, one f rom a lasting individualism of twenty the for States, occurred thinking b ee n consider victory United through phy to means collectively the The basic far of rea­ oriented differences Farmer's behavior. more movement T h e A m e r i c a n F a r m e r 's M o v e m e n t has t h e r e ­ fore c o n t i n u e d and still c o n t i n u e s . It is not so m u c h a social s t r u c t u r e as it is a body of i d e o l o g i e s and s e n t i m e n t s about a c o n t i n u i n g set of issues. T h e s e w e r e the i s s u e s of an e v o l v i n g social order, society, or e c o n o m y . T h e m o v e m e n t has been and is m o s t p r e c i s e l y o b s e r v e d in the d r a m a t i c e p i s o d e s m a r k i n g its course, b e c a u s e they c l e a r l y r e veal the issues about w h i c h it r e v o l v e s and the i d e o l o g i e s and s e n t i m e n t s w h i c h c o n s t i t u t e s its norms. These ideolo­ gie s and s e n t i m e n t s did not a r i s e wit h each f a r m e r u p h e a v a l ; they have been in e x i s t e n c e in all of the p e r i o d s b e t w e e n e p i s o d e s and are still in e x i s t e n c e . T h e y are the norms of the c u r r e n t p o w e r f u l f a r m e r public, w h i c h is s u s t a i n e d by farmers' o r g a n i z a t i o n s , f a r ­ mer p r e s s u r e groups, farm j o u r n a l i s t s , c o l u m ­ nists, and e d i tors, c o n g r e s s m e n and s e n a t o r s from rural areas, and g o v e r n m e n t programs. All of these art' still a t t e m p t i n g to r e s o l v e the same i s sues wit h w h i c h the f a r m e r s of A m e r i c a have w r e s t l e d as they hove b e c o m e i n c r e a s i n g l y c o n s c i o u s of their i n c r e a s i n g i n v o l v e m e n t in the c o m m e r c i a l e c o n o m y of m o d ­ ern s oc i e t y . 39 The same continuation pcrvasive the behavior cent for can be the both reshaping understood Much follow omitted 39. of in the in of w h a t the the groups this American would be of chapter. be Both from movement eco n o m y . can apart growth labor modern institutionalization. ble to force of viewed groups such an equally difference in have tradition and t e rms been of in re ­ responsi­ neither of them a tra d i t i o n . historically the A m e r i c a n The The is chief necessary culture, focus has has bee n in order been upon C a r l C. T a y l o r , T h e F a r m e r s * M o v e m e n t 1 6 2 0 - 1 9 2 0 .N e w York: A m e r i c a n b o o k Co., 1953, p. 500. the 63 basic themes dencies the they society. cies and as of are and have certain It still tend individualism to affected has been found support in noted the the individual autonomy to expression in self strictions The study, on the ments of which glorified it. rural Yet removed it character. day are is of is fro m by positions yet are content, his evident The which of the pressed in social has that to collective still tenden­ dominant of in expression the manifests con­ individual growing of nature the and of in soc i e t y . dissertation, from re ­ to The senti­ degraded only its the s o c i e t y basic themes orientation are M ore focused present positions, difficulties in which created individualism ambivalent to­ thinking ambivalence directly shortly rural ambivalent collective this a period times lost in certain lead at of by culture farmer a c t ion. beliefs a c t ion, through one w h i c h far interest is d o m i n a t e d traced has necessitate by chief the A m e r i c a n a reflection and the been position to A m e r i c a n problem 4 0. which structure dominance motivation supported ceptional r i ght ten­ structures traditional the is position a conflicting of such is and w ho relevant frequently terms of relevant which a society farmer rural ,in in form collective freedom. American since that belief cerning growing not and ex­ on the if e x ­ explaining A s t r e s s on the n e c e s s i t y for the A m e r i c a n f a r m e r to r e s o l v e m a n y of his c o n f l i c t s by a d j u s t i n g to the trend in the A m e r i c a n e c o n o m y and yet p r e s e r v i n g the c o n d i t i o n of i n d i v i d u a l i s m t h r o u g h the f a r m f a m i l y is m a d e by 64 the structural enough at handled ments to must being are this later state when be to the of that the At in converging terms of s y s tems. the integration sentiments are social suggest explained. observed this problem of the time found their but shou l d within the or emergence be it m u s t pattern it sentiments It will of be senti­ sufficient social beliefs within be system which the rele­ structure. The large tered around f o und some dominance any point understood vant ican continuity change in themes of integration to s o cial change pattern the life in the of within support total that individualism former this sentiments the concept. the condition total The former can configuration and and found clus­ collectivism culture primary occur of are it by giving myths of A m e r ­ is d o u b t f u l without have that se r i o u s the A m e r i c a n social character. 41. A. W h i t n e y G r i s w o l d in a s o m e w h a t s i m i l a r a n a l y s i s of h i s t o r i c a l t r e n d s in A m e r i c a , A. W h i t n e y G r i s w o l d , F a r m i n g and D e m o c r a c v , N e w York: H a r c o u r t , Brace, & Co., 1940. A l t h o u g h D a v i d R i e s m a n has shown a trend toward the " o t h e r d i r e c t e d 11 c h a r a c t e r type in A m e r i c a , (See: D a v i d R i e s m a n , T h e L o n e l y C r o w d ..New Haven: Yale U n i ­ v e r s i t y Press, 1950), it is s i g n i f i c a n t that such a type, a l t h o u g h a c h a n g e from the " i n n e r d i r e c t e d " c h a r a c t e r , is still e x p r e s s e d in terms of i n d i v i d u a l i s m (See: D a v i d R i e s m a n , I n d i v i d u a l i s m R e c o n s i d e r e d . G l e n c o e , I l l i n o i s : T h e F r e e Press, 1954.) CHAPTFR l£M E R G I N G In d e a l i n g is necessary salient to themes turies as man S FNT I ML NTS with sentiments view the which has have been gin a combination The speculated of on scie n c e , thing but and con t r o l , cerning basic yet been of any with health, through to at is outside presuppositions notions In are the concerning the ori­ magical can based cen­ histories out and best, it certain the point rituals phenomenon, s e nse of diseases. practice conceived of development religious a narrow few field expressed common which man its early in m a gic. other the knowledge Be what prolongation found on it the of m e d i c i n e has Birth than philosophy tioner. 1. the over that ligi o n and in the only be method upon any­ origin. MFDICINF Since tural and of rationally ORIC IN OF process been origin in concerned it rites.* has IN H E A L T H historical of m e d i c i n e through III only stages and limited it was death of life, part of H. F . S i g e r i s t , A H i s t o r y of No. 27 of H i s t o r i c a l L i b r a r y 19 5 1 . co n t r o l , closely outside he m i g h t early it na­ to re­ con­ a certain practi­ methods M e d i c i n e . New (Yale M e d i c a l is a of m a n ’s provide medical link w h a t with l i nked necessitated the to concerned b e ing assistance necessary is he used York: Bibl. Library), 66 in his a curative practice sense to early medicine magic than was of the In aware of the have more religious within and such that affinity in order and yet order relegate appear with the d e g r e e an or It w o u l d common order of m e d i c a l s e nse its religious of magic. society nature the the realm would the integrated extent the with ganization with practices the social to w h i c h would that of or­ a theology control to a great practice. Malinowski uses magic, we become to m e d i c i n e . ...in o r d e r to d i s t i n g u i s h it from re ­ l i g i o n we d e s c r i b e d it as a body of p u r e l y p r a c t i c a l acts, p e r f o r m e d as a m e a n s to an end. S u c h als o we have f o u n d it w h e n we tried to d i s e n t a n g l e it f r o m k n o w l e d g e and fro m p r a c t i c a l arts, in w h i c h it is so s t r o n g l y e n ­ m e s h e d , s u p e r f i c i a l l y so a l i k e that it r e q u i r e s some e f f o r t to d i s t i n g u i s h the e ss en t ia ll y different mental attitude and the s p e c i f i c a l l y ritu a l n a t u r e of its a c t s . ^ Medicine as it d e v e l o p s social technology magic, but emerged its it w o u l d as origin realm 2. see m in early such the the life early its in art r e l a t i o n to to or the part process a s s u m e that m uch the w o r l d of the of of w h a t of m o d e r n man found rites. practices p r o fane, w as a practical safe practice of controlling lose medical Although the m ay into of medicine a connection closely related with to w h a t B r o n i s l a w M a l i n o w s k i , Maci i c . S c i e n c e , Glencoe, Illinois: F r e e Press, 1948. were the found nature would be and R e l i g i o n . of in 67 considered medical as sacred. interests Thus have fro m carried the with beginning them we find application that to b o t h 3 the sacred ancient this times dual today and by to the nature the practice, the rest is of his says, in the science No present physician his defied p r o fane. practitioner from day been has practice. who after "There hands says, medical is (This has to igno r e often is illustrated applying nothing of G o d , " "He abl e or all more in the that I can a society a fifty-fifty skill chance of do, which of has pulling t h r o u g h . ") CURATIVE MEDICINE The of early science and philosophy transcend of by H i p p o c r a t e s creed in of this case of to all sentiments tion has is there advancement. 2500 years ago, for the p a t ient, that his oath and d ay been physician he by the is b e s t demand receptive physicians. shown for frequently an of the neither to growth within society S uch the that a case was responsibility remains It will l a ter sentiments. to m u c h to by adherence Thus of the a traditional that the a cluster of to the recogni­ while the physician scientific carries set be d e m o n s t r a t e d material exemplified him parallel consistently scientific present that found runs responsibilities of d o c t o r - p a t i e n t medicine, 3. yet the chapter the of m e d i c i n e medicine mere physician knowledge the findings in orientation of F o r a d e t a i l e d a n a l y s i s of t h e s e c o n c e p t s see E m i l e D u r k h e i m , E l e m e n t a r y F o r m s of R e l i g i o u s L i f e . G l e n c o e , I l l i n o i s : F r e e Press, 1947. 68 the scientist nor the society. As been found change and as cares to a result, a resisting participate the physician element those who h ave recorded medicine through the last three the severe most c in e have been critics the of in the the a scientist in himself has process of m e d i c a l tremendous centuries scientific physicians as have o f ten growth s h own achievement of that in m e d i ­ themselves.^ . . . t h e i n s t i t u t i o n a l i z a t i o n of s c i e n c e is.... far f r o m c o m p l e t e w i t h i n the p r o f e s s i o n it­ self. T h e r e are m a n y k i nds of e v i d e n c e of this, but for the p r e s e n t p u r poses, it is s u f f i c i e n t to cit e the strong, o f ten b i t t e r r e s i s t a n c e f r o m w i t h i n the p r o f e s s i o n i t s e l f to the a c c e p t a n c e of w hat have t u r n e d out to be c r i t i c a l l y i m p o r t a n t s c i e n t i f i c a d v a n c e s in t h e i r own f i e l d . The to resistance scientific recording Talcott the on advancement history Parsons nature of cates implication part has of out the of the role the often of m e d i c i n e points universal the the of sacred as medical bee n passed off by those narrow-mindedness. essentially the practitioner rationalistic physician symbols and connected yet with and indi­ such a role. It is to be p r e s u m e d that his a s s o c i a t i o n w i t h d e a t h is a very i m p o r t a n t f a c t o r in the e m o t i o n a l t o n i n g of the r ole of the physician. If he is not in g e n e r a l t e n d ­ ing in our s o c i e t y to take the p l a c e form e r e l y o c c u p i e d by the clergy, an a s s e r t i o n o f t e n made, but s u b j e c t to c o n s i d e r a b l e q u a l i f i c a t i o n s , he at l e ast has v e r y i m p o r ­ tan t a s s o c i a t i o n s w i t h the r e a l m of the sacred. In this c o n n e c t i o n it is 4, 5. S i r W i l l i a m O s i e r , T h e E v o l u t i o n of Haven: Y a l e U n i v e r s i t y Press, 1922. P a r s o n s , T a l c o t t , oj). c i t . Modern Med ic i n e . N e w 69 i n t e r e s t i n g to n o t e tha t the d i s s e c t i o n o f a c a d a v e r is i n c l u d e d in t h e v e r y f i r s t s t a g e of f o r m a l m e d i c a l t r a i n i n g , a n d t h a t it t e n d s t o b e m a d e b o t h s o m e ­ t h i n g of a s o l e m n r i t ua l, e s p e c i a l l y the f i r s t d ay , on t he p ar t of t he m e d i c a l school a u t h o r i t i e s , and m e d i c a l s t u d e n t s often have quite violent emotional reac­ t i o n s to t h e e x p e r i e n c e . It m a y h e n c e b e c o n c l u d e d t h a t d i s s e c t i o n is n o t o n l y an i n s t r u m e n t a l m e a n s to t h e l e a r n i n g of a n a t o m y , b u t is a s y m b o l i c a c t , h i g h l y charged with affective significance. It is a s e n s e t h e i n i t i a t o r y r i t e o f t h e p h y s i c i a n - t o - b e into his i n t i m a t e a s s o ­ c i a t i o n w i t h d e a t h and the d e a d . 6 Sentiments of t h e in t h i s physician activities. fere with would society clearly That such a basically tend to r e f l e c t "narrow-mindedness** Such role goals and objectives two and very separations upon being the the inextricably The is t h a t disease and d ea th . has That Ibid.. . pp. 4 4 4 - 4 4 5 . times of h i s inter­ to d i s e a s e upon the the h i g h l y nor does entwined so-called been universalistic that with the ideal the g o a l s of t h e e m p h a s i s relationship between it c l e a r l y and the it d e n y importance separations centuries at approach is d e m o n s t r a t e d in m e d i c a l practice; by such preventive medicine. relationship between through should quality role physician. not d e n y curative the h i s t o r i c a l sacred light the a f f e c t i v e crucial from symbols a different physician are out rationalistic of the patient The general 6. sacred of s c i e n c e . chapter physician the by the of m e d i c i n e in t h i s point a position does played emerging physician o n e of c u r e a n d physician realizes and patient release from the n e c e s s i t y 70 of prevention, practice and of m a g i c a l sized the of c o u r s e , certainly rite the d oc to r immediate lief but and viewed aid as the an e n t i r e l y was tied the technology cognitive u p to t h e a f f e c t i v e of t h e he b e l i e v e d prevailing sentiments science patient but has such than can confidence the w i s h f u l diagnosis and displayed or n o t humane face approach of more growth creased to although offer hope be p r o b l e m but Today with the to t h e the bel ie f tenets to cure. Such of a position over he has that to t h e p a t i e n t it even science the c o r r e c t controversy that the practitioner, has thought not of m a n k i n d , physician be told upon he did to a c c o r d i n g problems in t h e g e n e r a l is s o m e t i m e s for r e ­ of h i s d e p e n d e n c e upon the should to his upon an in­ is a m o r e in t h e inevitable death. Through moved It that need hardly in t h e m e d i c a l knowledge a patient curable disease. of t he less b ased thinking could reaction empha­ primarily immediate submitted confidence is based culture. many sufficient is f r e q u e n t l y whether of his in t h e e a r l y d a y s patient nature in a n d answer enormous The physician which understand that of t h e medical relationship which dyad was of d i s e a s e . part in t o d a y ' s a part important patient crisis on it p l a y e d the and is e v i d e n t the last few years in t h e d i r e c t i o n of a w o r l d based specialization. upon the m e d i c a l practice of s p e c i a l i z a t i o n technological The degree as an o u t ­ progress to w h i c h this has and in­ is c h a n g i n g 71 the image society. of the physician In large our of m e d i c a l personal and the lack ifested the physician deals with medium of h o s p i t a l physicians has made the sentiments To ly public to an that The country doctor. public as w e l l complete medical ment case and as t h e practice.^ The physician among the m a n y himself the part pressed fication 7. as a n and is resents in h i s in h i s of his physician, profession, role and the This the The that the the a r g u ­ states be r e d u c e d as an that this to individual. he be n u m b e r e d individualism role Practice of toward identification, coincides with in s o c i e t y . by some c on si deration strong towards trend usually implication image in t h e g e n e r a l to n o t e be lost be h i g h ­ voiced the interest medicine would completely ideal protests concerning of has the practice would T h e N e w A c a d e m y of G e n e r a l of s u c h c o n c e r n . role level would practice without individual. of t h e of c h a n g e interesting the of e m e r g e n c y in h i s cherishes lack patient the it. have been socialized the too in c a s e s secondary that medical "red-tape" while except physician It against claims of m a n y still There specialization voiced reluctance the d i r e c t i o n public is m a n ­ The of the c h a n g e and contacts the through concerning impersonal incorrect. the calls aware expressed suggest shifted night practice, primary his in A m e r i c a n patient bureaucracy. to m a k e evident citadels hospitals, as of is f r e q u e n t l y the sacred of the is a g o o d of on ex­ identi­ physician example 72 as an individual s a cred life symbols and become a mystery more in of terms myth large by to his of the with a feeling of their such as oriented although not to science come fashionable to toms of cold. The examples physician cat e his has role s ociety, the of existence science mentioned tion at of of this has from the changed but As to of if of doctoring some of science rol e of the statement science has gained organism, labels Thus the it notion and concerning within should ascendance per­ s i nce growth has the the extri­ the the be­ symp­ to maintained That has that found in which usual physician itself mean fashionable symbols of man. is actually impossible been in medications tradition h ave with so to d i s e a s e of the not s a cred which the labels instead more giving become have treatment the such powers, support the with the w o r l d they classified. prevalence of m a n ' s view give difficult many sacredness time. used it to medical within also a virus sentiments before the just has roust be have found indicate vasiveness It the emerged Although what p l ayed still has Although and miraculous understood a common patients. people of connected which prescribes part Mw o n d e r - d r u g s " . are rights. of d r u g s chemical sentiments individualism which a society still bulk a world in which of natural conscious the combined symbols physician becoming the by the profession the dominated the is his and supported past which of death a culture the expresses b een very no­ be m e n t i o n e d in the modern 73 world the the culture place the become beliefs of or and science achieve of w e s t e r n societies of and more dependent the growth volved of its of within tific has the left of the science in process underlying within and t r uth a dependence fact the the has upon led hav e has as an to The that the it people science answer t a ken science belief a society has has culture. As "scientisra" within for the become its more problems, reached into all that the physician has become has led him the consumer process him w i t h internalized this truth pro b l e m s . knowledge As dominant into belief this become judgments seek upon The medicine, stating many the g life. scientific dition by of value values to has society. approximations solution areas approach of w e s t e r n beliefs attempt ma y rational rather an a condition than the ignorance which F. to be p r o d ucer. of m u c h G. that Crookshank in­ His con­ is scien­ describes that: . . . w i t h o u t H i s t o r y M e d i c i n e may only be s c i e n t i f i c in the m o d e r n sense of the w o r d - - a s e n s e i m p u t i n g l i t t l e b e y o n d the p o s ­ s e s s i o n of some a t t r a c t i v e f o r m of t e c h n i ­ cal p r e c i s i o n . T h a t is to say, the art of the p r a c t i t i o n e r m ay be i m p l e m e n t e d by the e x e r c i s e of the t e c h n i c a l p r o c e d u r e s that h a v e b e c o m e m o r e or less r a t i o n a l i z e d by a p p e a l to w h a t are c a l l e d the a u x i l i a r y s c i e n q e s — anatomy, physiology, chemistry, and p h y s i c s - - w h i l e in d e f a u l t of p r o p e r 8. R o b e r t fC M e r t o n , " S c i e n c e and the S o c i a l O r d e r " , T h e o r y and S o c i a l S t r u c t u r e . G l e n c o e , Il l i n o i s : Press, 1949. Soc i a 1 Free 74 f i r s t p r i n c i p l e s p e r t a i n i n g to P a t h o l o g y , d i s c u s s i o n m a y be a s s i s t e d by r e f e r e n c e to the p r i n c i p l e s of t h e s e s c i e n c e s . ^ There toward the reached many has by the practitioner has If thrown his chiatrist, of must in may theory are nature of scientific 9. order always the accepted the but of to do upon theory and tested or must with confidence the in the ap­ psy­ is the objectivity in their rela­ a confidence p r a ctice, a confidence found needing are seldom practice is A which public in change. of F r e u d i a n tested, not the patient, maintain and therapeutic. the maintain propositions psychoanalytic of person and they field, pathology. assumptions as general rationally one rapport bot h that in m e d i c i n e intervention to gain this or expressing complete the this mental psychiatrist though of be the realizations direction consciously y e ars apparent with upon dependence order Freudian other words, emphasis The a bond this more f i fty Although himself without and made origin. taking no w a y in in of F r e u d patients sense, not The in in t e n s e . In psycho-analysis. concern problems established which In has establish tionship. last organic not a confidant analytical a trend increasing the exceedingly no M.D.'s patient proaching rol e nee d an of the findinos had of m a n y the bee n emphasis diseases trend also the necessarily has accepted F r o m an e s s a y by F. G. C r o o k s h a n k , '" K s s a y on the R e l a t i o n of H i s t o r y and P h i l o s o p h y to MediciTie,** C. C. C u m s t o n , I n t r o d u c t i o n to the H i s t o r y .o£ M e d i c i n e . N e w York: Alfred Knopf, 1927, p. XV. 7G much an of F r e u d i a n adherence society. the concept the of set of patient which temporary dyad. and the J nature has and duties unite sphere in m a n y of cases which himself and b o t h .p h y s i c i a n with The sets be this sentiments to aside In the a sense care cure. of Fie The restoration of and into patient a to o t her i n t erest. a g e n t of the physician ad*hered authority. an in concerned must of any disease surrounding espoused society. o t her as themes between those which physician of bee n subordinates from sacred health a . 10 MEDICINE values held possibility important 10, the manifested prayer. a tradition the e x c l u s i o n has replaced in A m e r i c a n from it the a linkage health and completely upon of medicine interference to has s a cred inherited a release PREVENTIVE the rights goals The on curative physician of couch establishes have minimum desire transcends individualism is d e p e n d e n t are it popularized tradition curative with patient sacred the of since concerned with analyst's emphasis sphere and often Judo-Christian section and which The The the theory phase by of science toward prediction mark the search a rather for recent truth but in m e d i c i n e . See: "Th e C o n c e p t s of F a m i l i s t i c G e m e i n s c h a f t and C o n t r a c ­ tual G e s s e l s o h a f t as A p p l i e d to D o c t o r - P a t i e n t R e l a t i o n ­ ships," Charles P. I.oomis and J. A l l e n Beegle, R u r a l Social S y s t e m s . New York: P r e n t i c e Hall, Inc., 19G0, pp. 1 1 2 - 1 1 5 . ; a l s o A l i c e Joseph, " P h y s i c i a n and P a t i e n t " , A p p I i ed A n t h r o p o l o g y , V o 1. I, No. 4, 1942. 76 We have traced medicine through a series of u p w a r d s t e p s - - a p r i m i t i v e stage, in w h i c h it e m e r g e d fro m m a g i c and r e l i g i o n into an e m p i r i c a l art, as seen a m o n g the E g y p t i a n s and B a b y l o n i a n s , a s t a g e in w h i c h the n a t u r a l c h a r a c t e r of d i s e a s e wa s r e c o g n i z e d and the i m p o r t a n c e of its s t u d y as a p h e n o m e n o n of n a t u r e was a n ­ n o u n c e d ; a stage in w h i c h the s t r u c t u r e and f u n c t i o n s of the h u man b o d y w e r e w o r k ­ ed out; a stage in w h i c h the c l i n i c a l and a n a t o m i c a l f e a t u r e s of d i s e a s e w e r e p r o ­ f i t a b l y studied, and a final stage, into w h i c h we have j u s t entered, the a p p l i c a t i o n of the k n o w l e d g e of t h e i r p r e v e n t i o n . Sci­ e n c e has c o m p l e t e l y c h a n g e d m a n ' s a t t i t u d e towards d i s e a s e . ^ The modern with his As the beliefs primary methods this The to 11. 12. when a safe drug objection by of of of experiment the Michigan in the the the of physician physician Michigan medical points with to with has utilize his again the is such to im­ such of the to­ methods and licensed Service. approve experiment physicians' patient. and phase Health Society patient. utilized societies immunization the o nce h o w ever, Public Medical polio but interesting to States indoctrinated innoculation immunization, United any w a y of The ranking the concerned new m e a n s the become medicine been effective. qualification state has disease, aspect by has preventative proven approved course, f o und against unwillingness without the have particular unless as of of orientation scientists munization tal physician, in reluctance 12 Osie r , T h e E v o l u t i o n of M o d e r n _M_ed i_c_in.e. 1922, pp. 220-221. It is i n t e r e s t i n g to note that this d i s p u t e f i n a l l y was r e s o l v e d w i t h the r e s p o n s i b i l i t y of the e x p e r i m e n t a s ­ s i g n e d to t he N a t i o n a l P o l i o F o u n d a t i o n . Detroit Free Press, A p r i l 20, 1954. 77 Another public phase health frequently and of m e d i c a l it divorces Those physicians their time ifest a different and is in type of the to of area f rom medical profession representation this himself and prevention that in the preventative the have the of public in interest the area and of of medicine. who f i eld field practitioner personnel health growth is devoted are health man­ a distinct preventive medicine. PUBLIC HEALTH This veloped search group since of occurred manifests the middle Pasteur, possibility of It during has been movements hav e of Koch, in m e d i c i n e beliefs and which prevention this emerged the 19th others, has as in h e a l t h period c e n tury. rapid brought well as to have With the that f r ont de­ the advancement curative of g r o w t h in A m e r i c a n which re­ has the practices. sanitation society. P r i o r to the y e a r s 1 8 6 6 - 1 8 7 1 , w h i c h i n c l u d e the b e g i n n i n g s of the p r e s e n t c e n t u r y of p r e v e n t i v e s a n i t a t i o n , the h e a l t h and l o n g e v i t y of the p e o p l e was r e g a r d e d as d u e to the special p h y s i c a l e n d o w m e n t s of each p e r s o n . 13 With a change concerned t he n d u e 13. with to in this health enlarged basic philosophy, problems which large were cities beginning became to Pi ague populations, S t e p h e n S m i t h , "The H i s t o r y of P u b l i c H e a l t h , 1 8 7 1 - 1 9 2 1 " , H a l f C e n t u r y of P u b l i c H e a l t h , edit., M . P. R a v e n e l , J u b i l e e H i s t o r i c a l V o l u m e of the A m e r i c a n P u b l i c H e a l t h A s s o c i a t i o n , N e w York: 1921, p* 2. A 78 With tions were cussing had ment this formed and existed that century health growing handling before finally which with in gave local concern local such this began areas public for the health, associa­ purpose of d i s ­ problems.Health tine to but take impetus county in to it was f orm s t ate units. at Departments largely the this turn departments of of move­ the public 15 " L o c a l h e a l t h u n its are the c o r n e r s t o n e of the n a t i o n ' s health. T h e p e r f o r m a n c e of all s p e c i a l i z e d p u b l i c h e a l t h p r o g r a m s d e ­ pe nds u l t i m a t e l y on a d e q u a t e l y s t a f f e d local h e a l t h u n i t s w h i c h p r o v i d e the p e o p l e wit h the b e n e f i t s of m o d e r n m e d i c a l science. W h e r e f u l l - t i m e local h e a l t h units do not exist, p r e v e n t i v e m e d i c a l s e r v i c e s and c o m ­ m u n i t y s a n i t a t i o n p r o g r a m s are a p p l i e d only sporadically. P e o p l e look to the local h e a l t h offic e r , the nurse, and the s a n i t a r ­ ian for t h o s e d i r e c t s e r v i c e s w h i c h in the m i n d of the public, at least, r e p r e s e n t the c o m m u n i t y ' s b u l w a r d a g a i n s t e p i d e m i c s and p r e v e n t a b l e i l l n e s s . "16 Lstablishing ways been strators a difficult have effectively 14. 15. 16. a public agreed within an health proposition. that for area* unit Public a health the in a c o u n t y health unit following to basic has al­ admini­ operate staff must T h e A m e r i c a n P u b l i c H e a l t h A s s o c i a t i o n w h i c h has set up s t a n d a r d s of p u b l i c h e a l t h a d m i n i s t r a t i o n , l a r g e l y a c c e p t e d by p u b l i c h e a l t h a d m i n i s t r a t o r s , w as o r g a n i z e d in 1073. T h e f i r s t s t a t e b o ard of h e a l t h in B o s ton, M a s s a c h u ­ setts, w a s e s t a b l i s h e d in 1057. The N ational Health Assembly, A m e r i c a 1 s H e a l t h . New York: H a r p e r and B r o t h e r s , 1949. 79 be maintained primary A in services order of to function public One physician (h e a l t h One nurse 5,000 One sanitarian One clerk study cities showed in the per per per can officer) 25,000 only United such be per a way that the off e r e d . local health unit. people. 15,000 that health in people. people. forty-sever States met counties these and standards seventeen of staffing 17 in 1940. Since the cost partially through st a f f and expenses borne by provide been the difficult for for a county county while the the people unit i.e., through various many health taxation, occurred county f u nds of the see are government programs that be met salaries operation federal to must and of state it " F r o m 1 907 to 1935 the n u m b e r of f u l l - t i m e c o u n t y h e a l t h u n i t s g r o w f r o m 1 to 561. T h e s e 561 l o cal u n its serv e d 7 62 c o u n t i e s . T h e p a s s a g e of social s e c u r i t y l e g i s l a t i o n in 1 935 g a v e a d d e d i m p e t u s to the g r o w t h of our n e t w o r k of local h e a l t h s e r v i c e s so that by 1 9 4 7 t h e r e w e r e 1,284 local h e a l t h a r e a s a c c r e d i t e d as h a v i n g f u l l - t i m e units. T h e s e 1 , 2 8 4 u n i t s s e r v e d 1,874 of the 3 , 0 7 0 c o u n t i e s in the U n i t e d S t a t e s . This pic­ tur e is m o d i f i e d s o m e w h a t by the fact that 309 of the 1 , 2 8 4 f u l l - t i m e c o u n t y h e a l t h d e p a r t m e n t s had no h e a l t h offic e r , and t h e s e A m e r i c a * s H e a l t h , op. cit., p. 61. has such pr o gram. 17. the usually occur, the w o r t h of a 00 309 local h e a l t h u n i t s served 655, or o v e r o n e - t h i r d , of the 1 , 074 c o u n t i e s a l l e g e d l y c o v e r e d by f u l l - t i m e local h e a l t h u n i t s in 1 9 4 7 .” 10 The dependence ple creates a different nel of type this curative in public phase as because of the questioned trasts sharply who realize the pursestrings A roles the their public source of played physicians and the ship apparent prevention ately apparent is w i l l i n g order the on 18. the to lack to gain physician and potential to the apparent part of the I b i d ., p. 60. the of peo­ person­ in the physician,secure p u r e l y upon his always profession freely physicians paid), and sharply which by its which marks health fees are con­ personnel controlled very by tradition is the and patient need. the in towards In ma y In to relation­ field be patient physician latter of of immedi­ the provides any m a n n e r the social the case the the health of not in private their first position problem public gain problem In and phenomenon conscious his a difference personnel from disease. an involved is public. of those of medical income health subordinate release between m ass taxation. specialists, The an of public constraint. from not health distinction by nature a public of large i n c o m e is b a s e d sacred existence further his with the The private (although with upon relationship contrasted that rarely abhors has of m e d i c i n e . the k n o w l e d g e which health in instance resistance constraint m tha t may be applied general health health, application results in hav e l ost which quate certain co u r t little public health action individuals threat to the health is who are find purpose of public, picture and run s which in order he can In reality, trols gai n allow set by the of have for the the to be the to the been *instituted do and the But and a health intermediary laws which live not will enters the of A m e r i ­ government to him realizing controls. police sentiments to although Since legality from lives. of a d e ­ actions 19 an to basic their restraining their include citizens of so, of the y restrictions reason, public. guaranteed health, such by of feel of to do adherence frequently some m e a n s this individual many parties purpose to of to freedom public adherence for interference co u r s e , up by For the public public conditions constraint contrary the of because reluctant necessary denies realize controls 19. to are health the upon the protecting case effective, enforcing the life upon considered it the freedoms necessary. general of individual to be necessary protect can where bearing is in constraint officials the departments for of necessity Also personal enforcement public the interests. conditions have For for agencies a life by by society. his resist the the protection the fact fact that S e e the S u p r e m e C o u r t d e c i s i o n , J a c o b s o n setts, 197 U.S. 11, 25 S. Ct. 358, 49 L. E v a n s , L. B., o p . c i t .. pp. 8 6 7 - 8 7 2 . that the which con­ they the basic v. M a s s a c h u ­ Ed. 6 4 3 (1905), B2 beliefs in freedom have certain resistance vention of d i s e a s e . to b een the aims Another aspect f ace is the loss practitioner and specialist must ication and upon his he w i s h e s to not be for a public is behind his public Fo r this result a ny what in. in public order health Also his very people seek his advice. of to a given He m ust to As value is the unit one of mus t is in can­ need and who one preventive on the his for the reasons part of mysterious The many support to be e x p l a i n e d public med­ that those public any the a great necessary action give their there public avoid to medicine adequate it pre­ health of m u c h goals edu c a t e . medication in rely informed reason present position. who an the a practitioner must the to granted preventive to society public enforcement, direction to in inherent the of the and practices in legal devoted health society all from symbols are sympathetic official will unexplained found in practice a necessitates he a l t h . health lets This sacred public Since is involved understand through which educated of draws those which The to achieve. public the ability it. measures, in of m a n y members instituted represent which the of those technology. dealing.with deal that d e n ied, health plained, "All the d o c t o r has to do is g i v e the p a t i e n t a l i t t l e pink pill and say, " T h a t w i l l m a k e you b e t t e r . " He d o e s n ’t h a v e to tell h i m w h a t ' s in the pill, if or pamph­ this to nurse the ex ­ 03 a n y t h i n g , nor w h y he has p r e s c r i b e d such a medicine. In p u b l i c h e a l t h we have to e x p l a i n to e v e r y o n e just w h a t m e d i c i n e we are u s i n g and w hat it will do. If we i m m u n i z e a c h i l d the p a r e n t m u s t kno w e x a c t l y w h a t is h a p p e n i n g . W e hav e to m a k e the p e o p l e a w a r e of the w hy of things.** In facing the public practitioners It becomes official tive he succeed somewhat who in may needs of be an gates the Public planning. long run the in a c c o m p l i s h i n g becomes commonplace. a dilemma a condition is be made become which cessity of being informed created by such of privileges. public doing public People health official must mus t as their of is take in o f ten In consider w hat problems important. by of upon an upon area, public the first ne­ as individual the **nosey the health and in so to m a n y of the health and condition public their with seem of the The planning, comes ne­ of r a t i o n a l the of irritated the which conditions. a denial Also the so doin g , the is d e p e n d e n t might of in In a process problem effec­ consideration place. process be gain. service and which To dependent viewed the health commonplace often become health nature otherwise public privacy nurse” . ignore more must frequently activity the careful involved planning but adequate and public esteem. tremendously must problems the of he m i g h t als o careful invasion publ i c provide health for achieve to healthofficials an to order plans dominant of w h a t esteem health In way, enlightened creates of much trying enlightenment much this official, because of this entifically the involved knowledge to experiment to measure areas in is has his in in also one note advantage has efforts as p r a ctice. of but the through Not he has public the an control accomplished part of the county of large large the partly of numbers health preventive and an of data he using is a b l e certain not in of another immunization with that available. practitioner partly he a program to w o r k statistical public and is s ci­ opportunity since has effectiveness becomes onl y he such aided planning, If the has t o ward science terms domain. He condition his some to the his of m e d i c a l a ble gram. in effectiveness immunization he orientation to pro­ he This view experimental. SOCIAL MEDICINE Since World in the has such field been a War II of S o c i a l greater there Medicine. in E u r o p e perspective has has and become been 20 Great a growing Although such Britain, recognized in interest a trend the this need for country. C l o s e l y r e l a t e d is the p r o b l e m of the m a r k e d o r i e n t a t i o n of the m o d e r n m e d i c a l s t u d e n t t o w a r d p a t h o l o g y and d i a g n o s i s , to the n e g l e c t of the total e c o l o g y of h e a l t h , and of the c o n c e p t s of p r e v e n ­ tion of d i s e a s e and social r e s t o r a t i o n of the d i s a b l e d . The intense c o m p a r t ­ m e n t al i zat i on of m e d i c a l s u b j e c t m a t t e r and the c o n c e n t r a t i o n on t h e r a p e u t i c specialties foster a certain narrowness of m e d i c a l o u t l o o k that m a k e s m o r e d i f f ­ icult the a c h i e v e m e n t of the b est s t a n ­ d a r d s of total h e a l t h care. If s e r v i c e p r o g r a m s are to e m b r a c e the c o n c e p t s of h e a l t h c o n s e r v a t i o n and c o o p e r a t i v e m e d ­ ical t e a m w o r k , the s c h o o l s m u s t p r o d u c e h e a l t h w o r k e r s w h o u n d e r s t a n d the soci a l and p r e v e n t i v e a s p e c t s of m e d i c i n e . 21 20. 21. T h e f o l l o w i n g are a few of the m a n y p u b l i c a t i o n s that have c o v e r e d this s u b j e c t s i nce the war: Sir Edward F a r q u h a r B u z z a r d , " S o c i a l M e d i c i n e and the G e n e r a l P r a c t i t i o n e r , " T h e P r a c t i t i o n e r . Vol. CLI, No. 903, S e p t e m b e r , 1943; F r a n c e s A l b e r t E l e y Crew, " S o c i a l M e d i c i n e as an A c a d e m i c D i s c i p l i n e , " M o d e r n T r e n d s in Pub 1 i c flea 1 1 h . Edit, by Paul B. H o e b e r M a ssey, N e w York: 1949; I a g o G a l d s t o n , T h e M e a n i n ci of S o c i a l M e d i c i n e . C a m b r i d g e : H a r v a r d U n i v e r s i t y Press, 1954; W. H o b s o n , " W h a t Is S o c i a l M e d i c i n e ? " , B r i t i s h Med i c a 1 J o u r n a l . Vol. II, J u l y 16, 1949; Sir Wil s on Jameson, "War and the A d v a n c e m e n t of S o c i a l M e d i c i n e , " T h e L a n c e t . Vol. II, No. X V II, O c t o b e r 24, 1942; George R o s e r n , " A p p r o a c h e s to a C o n c e p t of S o c i a l M e d i c i n e " , M i 1 b a n k M e m o r ia 1 F u n d Q u a r t e r l y . Vol. X X V I , No. 1, J a n u a r y , 1948. R i c h a r d E. W e i n e r m a n , "The Q u a l i t y of M e d i c a l C a r e " , T h e A n n a l s of the A m e r i c a n A c a d e m y of P o l i t i c a 1 S c i e n c e . Vol. 273, J a n u a r y , 1951, p. 186. 66 Although some health and sis of this this is If porate are chapter the within Where such between draw preventive compatible that would is the of starting and p o int 22 it two is has are and may be the main necessity medicine It public interdependent public point? between been a growing s o cial private a starting physician the there field with distinction health, that case, the the found areas. to incor­ ideologies health has the­ views. been in which the suggested relationship p a t ient. W h o is r e s p o n s i b l e for the p r o p e r c o n ­ c e p t i o n and e x e c u t i o n of t h e s e a c t i v i t i e s ? T h e y fall, for the m o s t part, upon the family health adviser. U s u a l l y this p e r ­ son is the p r i v a t e p h y s i c i a n , w h o aids and g u i d e s all m e m b e r s of the f a m i l y in all m a t t e r s p e r t a i n i n g to i n d i v i d u a l h e a l t h p r o t e c t i o n .23 If this change is to must take occur place, through it the is b e l i e v e d education by of some the tha t medical dent. M e d i c a l e d u c a t i o n as it is f o r m u l a t e d now c o n s t i t u t e s a g e s t a l t into w h i c h s o c i a l m e d i c i n e c a n n o t be fitted. For social m e d i c i n e a l s o r e p r e s e n t s a g e s ­ talt, and it is n ot f u s i b l e w i t h s p e c i fi c i s t , c u r a t i v e m e d i c i n e . This does not i m p l y tha t soci a l m e d i c i n e d e p r e ­ c a t e s or r e j e c t s the t h e r a p e u t i c c o m ­ p e t e n c e s of c u r a t i v e m e d i c i n e . It only a f f i r m s tha t the g e s t a l t of s o cial m e d ­ i c ine can a b s o r b that of c u r a t i v e m e d ­ icine, but that the r e v e r s e is i m p o s s ­ ible. 24 22. 23. 24. G a l d s t o n , Iago, o p . c i t . W i l s o n G. S m i l l i e , P r e v e n t i ve Med ic i ne a nd H ^ a l t h . N e w York: M a c m i l l a n , 1946, p. 5. G a l d s t o n , Iago, oj). c i t . . p. 90. Public the stu­ 07 Since the trend statement, health, effort it seems which are between engaged in in m e d i c a l rather aimed those an important an important bear certain that future providing in agent of the for curative medicine, change process would engaged preventive as at history must and above in coordinated medicine and those the physician he receives, education movement the trends a more consider the entire out towards social med i c i n e . COMMUNITY The growing HOSPITALS trend ing K. and Kellogg as States the for the purpose struction of health The for of these organized the of last of relations. in hospital The has Survey such national the public for was of the the 25 Serv­ United Construction and state construction. called been as, Fund. been and has through agencies, change Hospital hospitals years the C o m m o n w e a l t h a program local hospitals few certain and agency government. provided 26. efforts greatest has 25. during Foundation Act munity community importance sponsorship W. in a new now 26 The effort called aid con­ in com­ upon to Paul A . M i l l e r , jejt. jil_. , C o m m u n i t v O r n a n i zat ion F o r H e a l t h : Selected R e f e r e n c e s . Social Science Research S e r v i c e , D e p a r t m e n t of S o c i o l o g y and A n t h r o p o l o g y , M i c h i g a n S t a t e C o l l e g e , F a s t L a n s i n g , M i c h i g a n , 1950, p. 11. C o n g r e s s of the U n i t e d S t a t e s , " H o s p i t a l S u r v e y and C o n s t r u c t i o n A c t " , " P u b l i c L a w 725", Un i ted S t a t e s S t a t u t e s At L a r g e , W a s h i n g t o n , D. C.: U. S. G o v e r n m e n t P r i n t i n g O f f i c e , Vol. 60, Par t I, pp. 1 0 4 0 - 4 9 . 38 take the through responsibility taxation. The hospital construction stake such on in the part of domain of has led new in patterns f a ced the can no HEALTH INSURANCE for health taken many ple years, some health can has care be companies erative as insurance been in plans area, or which such at in been New s o lved and which lowest the individual be of m e d i c i n e . through tried the to for one, first provide life. An ade­ prepayment number Private family plans with varying instituted now a steady maximum cost. result must divisions call either a segmentalized although will as profession, problems through a involvement inevitably have in them with defined everyday that citizens medical t u rns people their a way the the institutions the once will movement, sought offered have an twists security local Furthermore, preventive the A m e r i c a n covered have be and sporadic health plan longer such provided sentiments. curative The quate of the in for of has enterprise health in forty public relationships belief has involvement programs private of which providing enterprises.^^ the to of of peo­ insurance while coop­ degrees of Q Q success by cases have cause of 27. 23. special failed high cost interest to solve and g r oups. the limited problem Such of coverage. plans health in m a n y needs Non-profit Paul A. M i l l e r , C o m mun i t v H e a l t h A c t i o n . E a s t M i c h i g a n : M i c h i g a n S t a t e C o l l e g e Press, 1953. M i l l e r , ,e_t. , j0 £. c i t . . pp. 15-16. be­ and Lansing, 89 voluntary purpose been health of organizations reducing done, frequently, legislative acts. 29 limited since quately protected. more general and more part years sue, of plans were cine has Such a fear dualisms 29. 30. Compulsory insurance has by the a great the dominant health has are not health itself. margin. of concern way of lif e sacredness of the The has 30 by though fear in in the political the A m e r i c a n medical been Only resistance expressed to compulsory evidenced eve n ade­ led is­ both such that socialization the of has a serious plan, eventual deal plans has s t ate found insurance been This are a national it b e c o m e a narrow to for movement seriousness lead the pressure the these above indicates and as the defeated the such certain in a national provided preserving cases of discontent This a program would support population the w a r offering the for coverage. the health however. increasing formed of increased following parties by been numbers program. the and Even large The insurance cost h ave such of m e d i ­ in the people past. in indivi- profession. It See: O d i n A n d e r s o n , S t a t e E n a b l i no Leai slat ion F or N o n - P r o f i t H o s p i t a l and Med ical P l a n s . S c h o o l of P u b ­ lic H e a l t h , P u b l i c H e a l t h E c o n o m i c R e s e a r c h S e r i e s , No. 1, A n n A r b o r : U n i v e r s i t y of M i c h i g a n , 1944; a lso C u y B e n j a m i n N e r r e n , " T h e O r i g i n and D e v e l o p m e n t of V o l u n t a r y , N o n - P r o f i t H e a l t h I n s u r a n c e in M i s s i s s i p p i " , U n p u b l i s h e d M.A. T h e s i s , D e p a r t m e n t of S o c i o l o g y and R u r a l Life, M i s s i s s i p p i S t a t e C o l l e g e , 1954. Odin Anderson, "C om pu ls or y Medical Ca re Insurance, 1 9 1 0 - 1 9 5 0 " , T h e A n n a l s of the A m e r i c a n A c a d e m y of P o l i t i c a l S c i e n c e . Vol. 273, J a n u a r y 1951, pp. 1 0 6 - 1 1 3 . 90 is significant chief T he opponent private dualism in t hat our of any found in the remains a health symbol relationship Association of between is the insurance p r o gram. the indivi­ basic patient and doctor s o c iety. desire some apparent form that prevailing a large of such health compulsory s t ill far adequate protection from and pe o p l e , are interested in change the next movement as the few apt years, is indicates a radical change in Since reaching the its care that to no insurance ultimate occur the in of large of bulk of s h ared a movement. health better the A m e r i c a n goal sentiments such reshaping do health for parallel and in do it c o uld it d e v e l o p s people and changes health the A m e r i c a n insurance medical concerning of health sentiments. is American portion a desire movement ing Medical nationalized physician Nevertheless the the A m e r i c a n than Those values dur­ observe this s o c iety. SUMMARY It has cerning health historical this way sight ican been in themes the y into s h own have the our of in society chapter are individualism formed basic thi s patterns values held that sentiments found interwoven and collectivism. which toward in con­ the In allow us some health in the in­ Amer­ culture. Individualism private public medical health has become practice are seen to closely while be associated sentiments more closely with associated related to the with 91 collectivism. in the divisions vancements and as tiv e In m e d i c i n e are these action pe o p l e . wil l That the munity hospital made by unlikely relations, that they orientations velopments will the cess private of such chapter ments has of form within fested in been for of a greater American are accepting growth of will be wil l social the In all in play thi s chal­ health of h e a l t h supported collec­ medicine, compulsory areas medicine of people such ad­ of part the Rapid degree the and cleavage preventive on alone. physician their preventive. area re-interpreted health t he them. observed. here. in sentiments historical patterns sentiments education treated of around and be the fin d terms probability of a large insur­ are d e v e l o p i n g , in themes com­ of such de­ individualism part in the pro­ re-interpretation. Patterns clustered the Although and occur, American collective and in called evidenced movement. is be themes curative advancements is it the being lenge, ance of such the Such which same themes carry next way in the chapter that then, treated many social will health in to have the last conflicting conflicting elements 0 expressed The are -seen, will be ele­ mani- system which treat sentiments sentiments were CHAPTER EMERGING As of in the case educational spective. upon the SENTIMENTS of emerging content Education basic IV must in themes any of be IN E D U C A T I O N health sentiments, understood particular that in sentiments historical culture per­ is d e p e n d e n t cu l t u r e . T h e e d u c a t i o n a l p r o c e s s e s , even w i t h i n a small e d u c a t i o n a l unit like the family, d e ­ pend to a high d e g r e e on the s p i r i t of the l a r g e r soci a l b o d y in w h i c h the p e r s o n s are living. A n y c h a n g e in the p o l i t i c a l , e c o ­ n omic, or s o cial s t r u c t u r e of this l a r g e r group, like the n a t ion, d e e p l y a f f e c t s not o n l y the o r g a n i z a t i o n of e d u c a t i o n , but its w h o l e s p i r i t and t e c h n i q u e as w e l l . . . T i m e s of p o l i t i c a l c h a n g e show v e r y i m p r e s s i v e l y t he h i g h d e g r e e to w h i c h e d u c a t i o n , in n e a r ­ ly all of its a s p e c t s , d e p e n d s upon the so cial s t r u c t u r e of the group. It s e ems to be e a s i e r for s o c i e t y to c h a n g e e d u c a t i o n than for e d u c a t i o n to c h a n g e s o c i e t y . I The ver y the process itself nature this learning of change in a constant cess 1. of from symbol process knowledge human development education. is d e r i v e d child,** the of of since carries which of the the state education in the very of the Latin e d u c a r e . "to with It K u r t Lewin, R e s o l v i n g thers, 1940, pp. 3-4. it for formation society Social meaning the one also c h ange. any been Since allows past. has of of generation for ideas Therefore, a human pass on dimension themselves although is d e p e n d e n t up the to the are upon education bring content calls of dependent the upon the C o n f l i c t s . Harper and pro­ Bro­ 93 transmission wisdom of of the past past tradition, experience and the it carries suggestions with of it the necessary c h a nge. O R I G I N OF E D U C A T I O N cine The origin of and health c are origin of m an education the of the societies for of gods. and of technologies on to innovations As were ety asto be necessity, available not the by ritual usually flourished generation societies could were contributed available sition of were those fit for read the by became to the who such transmission means of any more the by w o r d was basically in and ritual more upon priests and/or experience for the a written experts or with to the to the the m a n y elders. Also would' pass combined with generation. books such func­ called necessary craftsmen a few the rite expiation information. of and so Early pre-literate acquainted life, of than of mouth. contemporary but the considered maintained nor w r i t e with process expert literate of m e d i ­ the past the case emerging primitive a culture dependent experts next in the stages heritage found experts as early been even minutia as the but These Such common as w a s assumed knowledge complexities experts. existence this then, its have past family the variations of be In hardly transmission tion can himself. could transmission education, or records a suitable The mass of po­ soci­ few w h o f o u n d it language became teachers. The rich a and 94 the royalty order to As came and civilizations became more inheritance limited The republic ry laid m uch the the on same. slaves part citizenry and of Plato in the w as once subjected again masses t hat our as we k now it were the had not the of m a s s Through ideal citizen­ period k n own to to­ necessary realize confined fostered education it w a s growth in of e d u c a ­ ideas mass the G r e e k s be­ Greece the to in teaching process that order with as the the civilization. education It of such ancient citizens educated responsibilities. education, foundation the western Empire in of were complex Although in d i m e n s i o n s throughout the R o m a n the clerks religious a classical children educated grew It w a s emerged. to belief an of world, the G r e e k s have and public v;as day. to them scribes for western tion by fit with institutionalized. first the along of it w as citizens considered and in such a process. V,'ith the the Middle A g es, past receded ical maintained the fall the knowledge knowledge had attainments f o und in todians heritage of of the R o m a n learning to proper t he been b ut the of of knowledge of g r a m m a r , the ancient with existed in and, life world. the in the here, could Much decline of of the w e s t e r n the church and they passed on rhetoric, and beginning transmission monastery position lost what hands the and Empire of the C l a s s ­ those be the logic, the past world and main in ancient cultural was brotherhoods. for who trained the of As part theology. to be cus­ a More concerned theology this with than period condition false w as w as held incubation at this growing Medieval found of E n l i g h t e n m e n t . the fact cepted that knowledge occurred ability bee n to and mankind. seek people heritage were It wa s could of capable Locke realize is all 2. the i m ply would, that of of such course, and the the the a be education concern of In of of the to the of and past it entire Ages the and extreme the and ac­ which individuals had that mass the those of never know­ of church that.the interpretation intact few thought the denied of the A g e the the G r e e k s , Middle knowledge of in o f ‘the the of custodian belief time period during hands revolution truth. the classical expression in remained circumspect John to of To education mass truth. who resistance ques­ of the church. capacities voi d the during of A q u i n a s it w e r e established ience find interpreter full fundamental emergence of tioned the day, With the the science the remained w as the The even modern learning the and one against learning became the of static. of institutionalized knowledge, static its church grew with thought, ledge With the in a sound time. reaction learning, of somewhat a completely t he occuring maintenance a progression was since The the f ind who truth suc h i d eas at suggested and that truth. birth 2 that he w as Locke and J o h n Locke, "An E s s a y C o n c e r n i n g T h e W o r k s of J o h n L o c k e . Lo n d o n : 1812, Vol. I, C h a p t e r s I and II. m an born states that through the with that e q ual the primary exper­ min d capacity Human Un derstanding," J. J o h n s o n and C o . , 96 of the the human mind impressions outward is the made objects or on by "intellect's it, its either own ability through operations to the when receive senses it by reflects 3 on them." Jean Following Jacques human Rous-seau learning which in the tradition provided lent an itself of the extreme to the Enlightenment, interpretation principles of of Locke. R o u s s e a u ' s t h e o r y of e d u c a t i o n is a plea for n a t u r a l e d u c a t i o n , for the f r e e d e v e l ­ o p m e n t of the c h i l d ' s n a t u r a l and u n s p o i l ­ ed i m p u l s e s . I n s t r u c t i o n s h o u l d not b e g i n u n til the d e s i r e for k n o w l e d g e arises. H e n c e , e d u c a t i o n m u s t be l a r g e l y n e g a t i v e , c o n s i s t i n g In the r e m o v a l of u n f a v o r a b l e c o n d i t i o n s , a task r e q u i r e s the g r e a t e s t c a r e . . . T h e s e ideas are not i n c o n s i s t e n t with Locke's principles. If the soul is by n a t u r e an e m p t y tablet, then men are by n a t u r e equal, and d i f f e r e n c e s b e t w e e n the m are the r e s u l t of e x t e r n a l c a u s e s of all k i n d s as Ilelvetious has a l r e a d y taught. E d u c a t i o n and the social e n v i r o n m e n t b e c o m e the m o s t i m p o r t a n t i n s t r u m e n t s for the p e r ­ f e c t i o n of the h u m a n r a c e . 4 The glorification of the realizing the potential education was the the to entire the wit h the G r e e k s , f u ted during the capacities outgrowth process tradition individual of of the of the growth education in scholasticized reformation and in and of A ge the importance individuals of such through Enlightemnent, beliefs the w e s t e r n during of the owes world, Middle flourishing in itself starting Ages, this but Age re­ of Enlightenment. 3. 4* F r a n k T h i l l y and L e d g e r Wood, ^ H i s t o r y of P h i l o s o p h y , N e w York: H e n r y H o l t & Co., 1951, C h a p t e r XIII, p. 335. I b i d . . C h a p t e r XIV, pp. 408-4 0 9 . 97 The Age incipient this and growth period the t he in that that philosophy education led in an we had the to in in a major Culture Revolution realizing the could emergence true upon in and not It of potential which found separated then under­ Jeffersonian importance of of colonization be is the the the thinking Theories populace. individualism the growth revolution. the effect since general educated find beliefs in with the A m e r i c a n belief standable of A m e r i c a n coincided unrest expression from of E n l i g h t e n m e n t of individual capacities. EDUCATION The IN A M E R I C A notion American to had to was in thi s existed f o und his The Massachusetts School dation for the free years in the even early The of of before Law sort colonial be of of 1 647 that had laid has the If the the ca­ possible nation Jefferson's schools United with it w o u l d a different ever. system part endowed environment, with the notion was by Thomas. J e f f e r s o n . naturally new world b e f ore. populace cerned through this to educated fostered to be adjust create ever an philosophy individual pacity of than been con­ time, how­ the foun­ existed States. It B e i n g one c h i e f e p r o i e c t of y e ould d e l u d e r , S a t a n to k e e p e men f r o m the k n o w l e d g e of y e S c r i p t u r e s , as in f o r m r times by k e e p i n g y m in an u n k n o w n tongue, so in t h e s e l a t t r t i m e s by p e r s w a d i n g f r o m y e use of t o n g u e s , yt so at l e a s t y c true s e nce & m e a n i n g of y e o r i g i n a l l m i g h t be c l o u d e d by f a l s e g l o s s e s of s a int s e e m i n g 90 d e c e i v e r s , y* l e a r n i n g may not be b u r i e d in y e g r a v e of o r f a t h r s in y e c h u r c h and c o m m o n w e a l t h , the Lord a s s i s t i n g or en ­ deavors,-It is t h e r e f o r e o r d r ed, yt e v r y t o w n e s h i p in this i u r i s d i c t i o n , a f t r y e Lord hat i n c r e a s e d y m n u m b e r to 50 h o u s h o l d r s , shall t h e n forthwl*1 a p p o i n t one w*-*1 in t h e i r t o w n e to t e a c h all such c h i l d r e n as shall r e s o r t to h im to w r i t e & reade, w h o s e w a g e s shall be paid e i t h r by y© p a r e n t s or m a s t r s of such c h i l d r e n , or by y e i n h a b i t a n t s in g e n r all, by w a y of supply, as y e m a i o r part of t h o s e y* o r d r y e p r u d e n t i a l s y e t o w n e shall a p p o i n t ; p r o v i d e d , t h o s e yt send t h e i r c h i l d r e n by not o p p r e s s e d by p a y i n g m u c h m o r e ym t h e y can hav e y m t a u g h t for in o t h r townes; & it is f u r t h r or d e r e d , y t w h e r e any t o w n e shall i n c r e a s e to y e n u m b r of 100 f a m ­ i l ies b e i n g a b l e to i n s t r u c t y o u t h so f a r r as the y shall be f i t t e d for y e u n i v e r s i t y , p r o ­ vided, yt if any t o w n e n e g l e c t y e p e r f o r m a n c e h e r e o f a b o v e one yeare, y* e v e r y such t o w n e shall pay 5 p o u n d s to y e next s c h o o l e till t h e y shall p e r f o r m e this o r d e r . ^ The very early colonization phasized the necessity emphasis was put of the order individual upon to f or interpret the truth this emphasis was only from the natural nent 5. rights would and part and doctrines change much of in A m e r i c a n an e d u c a t e d religious to g a i n reformation period and scriptures thereby of citizenry. experience the the history True the resulted enlightenment, and fostered unconquered the by early an provincial in However, that the the necessity himself, salvation. thinking em­ growth in conti­ colonial " M a s s a c h u s e t t s S c h o o l L a w of 1 6 4 7 , " H e n r y S t e e l e C o m m a g e r , e d ., D o c u m e n t s of A m e r i c a n H i s t o r y . N e w A p p l e t o n - C e n t u r y - C r o f t s , Inc., 1950, d o c u m e n t no. York: 20. 99 thinking less to concerned concerned Such with institutional adaptation to a new be individualism, as described new nation that with a rigorous emerged in the such f o und transmission growth. the A m e r i c a n ones An and upon the part of m a n y even a classical with the a European in of be certain of rather of European Universities There even were serious and be it in is con­ than to upon education, patterned these intense a proper obtained Jeffer­ adaptability life but more I. would upon pattern that of growth knowledge existence c o uld program with and nation. ideals in C h a p t e r frontier Americans growing the emphasis ideology. nature elimination of culture. were of A m e r i c a n in a philosophy struggles and pre-occupied institutionalized European stamp was agricultural a carefully within past philosophy, to natural after a national w as The cerned of with a philosophy sonian the that bor e feelings education this drawbacks of country included training. . . . B u t w h y send an A m e r i c a n y o u t h to E u r o p e for e d u c a t i o n ? W h a t are the o b ­ j e c t s of an u s e f u l A m e r i c a n e d u c a t i o n ? C l a s s ic a l knowledge, modern languages, c h i e f l y F r e n c h , S p a n i s h , and Italian; M a t h e m a t i c s , N a t u r a l p h i l o s o p h y , I mean to i n c l u d e C h e m i s t r y and A g r i c u l t u r e , and in N a t u r a l h i s t o r y , to i n c l u d e B o t any, as w e l l as the o t h e r b r a n c h e s of t h o s e d e ­ partments. It is true that the h a b i t of s p e a k i n g the m o d e r n l a n g u a g e s c a n n o t be so w e l l a c q u i r e d in A m e r i c a ; but e v e r y o t h e r a r t i c l e can be as w e l l a c q u i r e d at W i l l i a m and M a r y c o l l e g e , as at any p l ace in E u r o p e . . . Let us v i e w the d i s a d v a n t a g e s of s e n d i n g a y o u t h to E u r o p e . . . He a c q u i r e s 100 a f o n d n e s s for E u r o p e a n l u x u r y and d i s ­ s i p a t i o n , and a c o n t e m p t for the s i m p l i ­ cit y of his own co u n t r y ; he is f a s c i n a t e d w i t h the p r i v i l e g e s of the E u r o p e a n a r i s t o c r a t s , and sees, w i t h a b h o r r e n c e , the l o v e l y e q u a l i t y w h i c h the poor e n j o y w i t h the rich, in his own country; he c o n t r a c t s a p a r t i a l i t y for a r i s t o c r a c y or m o n a r c h y ; he f o r m s f o r e i g n f r i e n d s h i p s w h i c h w i l l n e v e r be usef u l to him, and lose the s e a s o n s of life for fo r m i n g , in his own c o u n t r y t h o s e f r i e n d s h i p s whic h , of all others, are the m o s t f a i t h f u l and p e r m a n e n t ; he is led, by the s t r o n g e s t of all h u m a n p a s s i o n s , into a s p i r i t for f e ­ m a l e i n t r i g u e , d e s t r u c t i v e of his own and o t h e r s h a p p i n e s s or a p a s s i o n for w h ore, d e s t r u c t i v e of his health, and in b o t h c a s e s l e a r n s to c o n s i d e r f i d e l i t y to the m a r r i a g e bed as an u n g e n t l e m a n l y p r a c t i c e , and i n c o n s i s t e n t w i t h h a p p i n e s s . . . h e r e ­ turns to his own country, a f o r e i g n e r , u n a c q u a i n t e d w i t h the p r a c t i c e s of d o m e s ­ tic e c o n o m y , n e c e s s a r y to p r e s e r v e him from ruin, s p e a k i n g and w r i t i n g his n a t i v e t o n g u e as a f o r e i g n e r , and t h e r e f o r e u n q u a ­ l i f i e d to o b t a i n t h o s e d i s t i n c t i o n s , w h i c h e l o q u e n c e of the pen and t o n g u e e n s u r e s in a f r e e c o u n t r y . . . C a s t y our eye over A m e r ­ ica: w h o are the men of m o s t le a r n i n g , of m o s t e l o q u e n c e , m o s t b e l o v e d by t h e i r c o u n ­ t r y m e n and m ost t r u s t e d and p r o m o t e d by them? T h e y are t h o s e w h o have bee n e d u c a t e d a m o n g them, and w h o s e m a n n e r s , m o r a l s , and habits, are p e r f e c t l y h o m o g e n e o u s w i t h t h o s e of the c o u n t r y . ^ RELEVANT Since of educational ture 6. this being chapter EDUCATIONAL is sentiments observed, MOVEMENTS concerned emerging it w o u l d be with within relevant the impossible to patterns s o cial follow struc­ the T h o m a s J e f f e r s o n , " L e t t e r to J, B a n n i s t e r , O c t o b e r 15, 1 7 0 5 , " H e n r y S t e e l e C o m m a g e r , L i v i n g I d e a s in A m e r i c a . N e w York: H a r p e r and B r o t h e r s , 1951, pp. 5 5 7 - 5 5 0 . 101 trends which mentioned have in the resulted growth of public school system cation are themselves ysis. What those trends gence of pattern this in most reason phasized the the useful Further it ticular type is general the necessary of however, more to education, emphasizes of as only which health role be from an the a small time part the of of the For em­ us. that With clear why emer­ of a p a r ­ education activity. are has concerns the anal­ system. knowledge m ost understand it will social education a body such demonstrate the edu­ and understandable in community stated, in A m e r i c a n point, that entire compulsory this the m a s s e s education picture p r e sent, to of The study in A m e r i c a n nature considerations trend make of in A m e r i c a . enormous manifested trend of at developments of education transmission ticular the us which previous development objects in A m e r i c a n sentiments the education the concerns sentiments of and from a par­ p l ays in these following Jefferson the to total movement. The the 20th years century position. tion to an ending coming saw Perhaps of age w h e r e age. it the 19th a shift in actually The critical period century and those the A m e r i c a n was the beginning philosophical philosophical of R o m a n t i c i s m w a s considerations of social posi­ shifting problems 102 ru l e d The over beliefs in Transcendentalism radical was no change longer Pragmatism. and The struggle between man to the thinking in the hands fie v o t e d such little an merely of on of the absolute century Into this philosophy his was J a mes and and f u n d a m e n t a l 'belief to scientific advancement could ultimately prove doubt emphasis shifted contemplation on the would the part lead emphasis of w h a t of to limited of introduced new the It w as interpretation John D e wey, were in a p r a c t i c a l as long as pragmatist truths. d o in o rather this life, such early or d i r e c t e d the fundamental workable.^ basic to practical itself the upon was hardly its later, a of J e f f e r s o n beliefs pioneer undergone period environment. early ideals.^ had agrarianism Jeffersonian and the of 19th romantic of W i l l i a m proclamations was the pragmatic up advancement reality unquestioned. brought life of the American a the There that Pragmatism than on the doing. ...'I he d i v i s i o n of the w o r l d into two kinds of being, one s u p e r i o r , a c c e s s i b l e only to r e a s o n and ideal in nature, the o t h e r i n f e r ­ ior, m a t e r i a l , c h a n g e a b l e , e m p i r i c a l , a c c e s ­ sible to so u s e - o b s e r v a t i o n , t u rns i n e v i t a b l y i nt o the idea that k n o w l e d g e is c o n t e m p l a t i v e in n a t u r e . It a s s u m e s a c o n t r a s t b e t w e e n t h e o r y and p r a c t i c e w h i c h was all to the d i s ­ a d v a n t a g e of the l a t ter. But in the actual c o u r s e of the d e v e l o p m e n t of scien c e , a t r e ­ m e n d o u s c h a n g e has come about. V.'hen p r a c t i c e T. F a r r i n g t o n , ^ojg. c i t ., (See: Vol. Ill, of C r i t i c a l R e a l i s m in A m e r i c a " ) . P. Commager, jjjg. c i t . . 1950, pp. 90-107. "The Beginnings 103 of k n o w l e d g e c e a s e d to be d i a l e c t i c a l and became experimental, knowing became pre­ o c c u p i e d w i t h c h a n g e s and the test of k n o w l e d g e b e c a m e the a b i l i t y to b r i n g about cer ta in changes. K n o w i n g , for the e x p e r i m e n t a l sci e n c e s , m e a n s a c e r t a i n kind of i n t e l l i g e n t l y c o n d u c t e d doing; it c e a s e s to be c o n t e m p l a t i v e and b e c o m e s in a t r u e s e n s e practical.*^ Pragmatism, then, herited spirit the dentalism is by could and and it justify answer to the This ments that people to m a k e towards provided timents. these which practical. it d r e w of knowing (that in which the material education for all, education practical problems gav e more available the w o r l d such sentiments around which at them educational the the o p ened them. of with new this chapter are the carried implications of to relevant with living. wil l to turn of of and be the the practical more move­ cen­ the A m e r i c a n and Although beliefs mus t citizens. the d e m a n d science movements the A m e r i c a n rest to such all life expressed as of impetous in A m e r i c a n abundant since in­ from T r a n s c e n ­ knowledge beyond It system which social The is the a philosophical into the frontier, a division movements technological, in for appeared inquiry faith provided occurred These of the that philosophy tury. which of accepting M knowable" sense), expressed them knowledge more avenues dominantly an Such appeal movements accompanying concerned problem of sen­ with the d i s sertat io n . 9. John Holt Dewey, R e c o n s t r u c t i o n and C o m p a n y , 1920, p. In P h i l o s o p h y . N e w 121. York: Henry 104 THE L YC EU M AND The masses CHAUTAUOUA quest for fostered during popular education children. ledge how the the to nineteenth adapt might make a constant stage of the process of s c i ence. to the States. The Lyceum that public tablished. schools, for the of taken well over as function 10. the of L y c e u m s and if findings on and library and of century improving museums. w as the From United to had for of been es­ public and adults. of E d u c a t i o n school time systems on at time facilities, groups this States the improve Boards arrangement through the to the the in and m u s e u m discussion for in Chautauqua in the was was the systems purpose know­ of library the the part s c hool and through offered the of as successful prior nineteenth and learn necessary a concern occurred as w e l l century function libraries to more of a p p l i e d a movement adults it w as Lyceum the A m e r i c a n nineteenth lectures the to if man was latest Such up a d e q u a t e to a r r a n g e middle the Generally, set the of findings led adaptation movement^ of and environment successful the b e g i n n i n g adequate with part include progression, touch United to his this in lead the century that to to be public was natural that adult u pon achievement which It w as education knowledge by science MOVEMENTS the lectures By had as major and a Paul II. J o h n s t o n e , "Old I d e a s V e r s u s N e w I d e a s In F a r m Life", F a r m e r s In & C h a n g i n g W o r l d . Y e a r Book of A g r i ­ c u l t u r e , W a s h i n g t o n B.C.: U.S. G o v e r n m e n t P r i n t i n g Of f i c e , 1940, p. 135. general were adult often co u n t r y . as an found For had many years degenerated with the development The Chautauqua tieth and at the of the at remained and began the series and many and years this the agricultural still was remaining the the twen­ te a c h e r s . rural same of America organization principle Institute granted more appeal of of adult re­ degrees oriented was to tremendous rural educational Midwest. however, being institutions. school became center the of purpose the it the of advan­ Its remained turn the eventually itself disappeared Institute the but exist the C h a u t a u q u a entertainment. in the through not but quarter Sunday was and movement period, masses for to pic t u r e s . The Chautauqua inclined especially During motion in Chautauqua same. century f i rst and of continued during spread century the the C h a u t a u q u a ulation radio that Lake academically for to a m e a n s twentieth teachers movement turn lecture tion commercialization 1074 institute in t e r e s t , nineteenth in as for the L ake C h a u t a u q u a of the end the movement through of n ear found the while the parts primarily is during mained of the toured scholars functioned origin education education entire movement Its Chautauqua the but and American movement through of continued century. founded The part the century cing early The Prominent programs this program entertainment. during program. on L y c e u m educational century of education same expressed With r u ral the and the in bulk gaining interest the of in growth educa­ of state the A m e r i c a n their support pop­ from 106 the be THE land, any oriented to in practical the in interest population Lyceum pression and the of e d u c a t i o n Chautauqua contemporary that occurred The growing Un ion the establishment for finally led of public of the C i v i l to manifested the Homestead for states at Morrill the Act.*^ of of the Union education for the 30,000 12. 13. acres of land for the citizens. public Representative to land the destined growth the the of middle from many of S t a t e Act of to same be to in C o n g r e s s . of y ear act each 13 of The full Grant ex­ System nineteenth of the s t ates With land an abundance at Morrill the promoting provided for funds the agriculture** the settlement to in of expansion out s t ate expressed the the parceled This Land of of westward purpose its government, a program bod y it was colleges 1862. the large as found in the of education, tremendous In part movements pressure launched in grants the its d i s p o s a l , War, was vided the land on towards ce n t u r y . 11. was agriculture. dominant the A m e r i c a n and education " L A N D -GKANT* MOVEMENT The in trend close which following Act pro­ various agricultural for a grant each Senator collected of f rom A l t h o u g h o t h e r s t a t e s had i n s t i t u t e d p r o g r a m s of a g r i ­ c u l t u r a l e d u c a t i o n , the s t ate c o n s t i t u t i o n of M i c h i g a n p r o v i d e d for an a g r i c u l t u r a l co l l e g e . The legislature p r o v i d e d $ 4 0 , 0 0 0 for b u i l d i n g s , m a i n t e n a n c e , and t e a c h ­ ing. M a r y l a n d and P e n n s y l v a n i a f o l l o w e d s h o r t l y a f t e r ­ wards with similar institutions. T h e H o m e s t e a d A c t of 1 8 6 2 m a r k e d the p e r i o d of the g r o w t h in a m o r e l i b e r a l land p o l i c y of the g o v e r n m e n t w h i c h a l l o w e d the g e n e r a l p u b l i c an o p p o r t u n i t y in the land m a r k e t i n s t e a d of j u s t the w e a l t h y s p e c u l a t o r w h i c h had bee n the c a s e in the past. M o r r i l l A ct of 1862. 107 the sale of supporting these at agriculture lands least and one were to be college mechanical used devoted arts. for to the the purpose of learning of 14 T h i s f i r s t " l a n d - g r a n t ” A c t c o n s t i t u t e d the g r e a t e s t s i n g l e p i ece of l e g i s l a t i o n ever p a s s e d in the i n t e r e s t of a g r i c u l t u r a l e d u ­ ca t i o n , and u n d e r its p r o v i s i o n s i n s t i t u t i o n s w e r e g r a d u a l l y e s t a b l i s h e d in each of the s t a t e s and in H a w a i i and P u e r t o Rico. In some of the s t a t e s the a g r i c u l t u r a l or m e ­ c h a n i c a l s c h o o l s are a t t a c h e d to the s t ate u n i v e r s i t i e s or o t h e r c o l l e g e s . In M a s s a ­ c h u s e t t s , the i n c o m e was d i v i d e d to h elp fo u n d two s c h ools, the M a s s a c h u s e t t s A g r i ­ c u l t u r a l C o l l e g e and the M a s s a c h u s e t t s I n s t i ­ tute of T e c h n o l o g y . ^ rill The Morrill Act of to $ 1 5 , 0 0 0 annually T he $25,000 allotment. 17. lft. the and stations 16. of the in reached of 17 Along citizen, the 1907 was and grants second of m o n e y Mor­ amounting of $1,000 $25,000 annually in 1900.^ this for sc h o o l s , In which an additional development for the d e v e l o p m e n t colleges the increase with funds by an research. for state for provided agricultural provided followed a state with sum experimentation passed 14. 15. the 1 0 6 2 was provided to Amendment sidization on year until educating of 169 0 w h i c h per Kelson A ct 1607, the of the supported throughout the in the purpose an sub­ of emphasis Hatch Act up ­ was experiment United States.^ Ibid. Harold Underwood Faulkner, American Economic H i s t o r y . 6th ed.. N e w York: H a r p e r & B r o t h e r s , 1949, pp. 2 2 4 - 2 2 5 . F . R. E d w a r d s , " A g r i c u l t u r e - - T h e F i r s t T h r e e H u n d r e d Y e a r s " , Y e a r b o o k of A g r i c u l t u r e . 1940, pp. 17 1 - 2 7 6 . Ibid. Ibid. 106 Such experimentation search complex The and enabled problems nineteenth of e d u c a t i o n of muc h of the ment of the of to the average growth farmer cultivation century, then, provided had dreams the in and which led been for in "land-grant" to new developed the considered Jefferson in became agricultural face and many more of and the A m e r i c a n realized the economic the A m e r i c a n advancement re­ notion realization destiny. with ways. the Many advance­ movement. In m a n y w a y s t h e s e y e ars w e r e the b r i g h t e s t in A m e r i c a n a g r i c u 1 1 u r a 1 h i s t o r y . T h i s was an era of c o n f i d e n t e x p a n s i o n in w h i c h the f u t u r e s e emed secure. W i d e n i n g m a r k e t s in h u r o p c kept pace w i t h e x p a n d i n g farm areas in thi s c o u n t r y . F a c t o r i e s a b r o a d and at home a b s o r b e d the c o t t o n c r o p and i n d u s t r i a l centers purchased foodstuffs. E x c e p t for the p a nic periods, p r i c e s w e r e g e n e r a l l y h i g h e r and f a r m e r s w e r e abl e in turn to buy the p r o d ­ ucts of f o r g e and f a c tory. In the South, slaves, the c h i e f p r o p e r t y of the p l a n t a t i o n owner, ros e in value, and in the old iNorthw e s t the r a pid s e t t l e m e n t c o m b i n e d w i t h good p r i c e s p u s h e d up the v a l u e of lands. In such a s i t u a t i o n it was n a t ural that the t a lent of the n a t i o n s h ould turn to s c i e n t i f i c i m p r o v e ­ ment s , to the i n v e n t i o n of far m m a c h i n e r y , and to a g r i c u l t u r a l e d u c a t i o n . Agriculture w as the n a t i o n ' s p r i m a r y interest. Transpor­ t a t i o n f a c i l i t i e s w e r e d e v e l o p e d and i n d u s t r y w as o r g a n i z e d to s e r v e its needs. T h e period, in truth, w a s A m e r i c a ' s a g r i c u l t u r a l e r a . ^ Tilt: C O O P F L A T I V E Although existence 19. to EXTENSION much the Faulkner, that early Harold is SIM;VICE extension developments Underwood, J3J). work in t o day farmers' c i t . , p. owes its movements 225. and 109 the organization ing the the program middle The of this of of was Smith " L a n d - G r a n t ** c o l l e g e s the nineteenth finally Lever which cen t u r y , occurred it w as in dur­ 1914 that launched. Act was responsible for the establishment serv ice. " W h i l e the bill w a s pen d i n g . C o n g r e s s m a n L e v e r e x p l a i n e d the p u r p o s e of the l e g i s ­ la t i o n . He p o i n t e d out the e s s e n t i a l in­ f o r m a t i o n that w a s b e i n g g a t h e r e d by a g r i c u l t u r a l c o l l e g e s and s t r e s s e d the need for p u t t i n g this i n f o r m a t i o n in the h a n d s of f a r m e r s . He d e s c r i b e d the p o t e n t i a l e x t e n s i o n s e r v i c e as an a g e n c y that had b e e n s o u g h t for h alf a c e n t u r y . ? 0 With the surprising part in Bureau from the members 50 cents county the that action the were furnish and charged Farm the program. " . ..a pay small for necessary aid w as movements, Bureau a year...to agent, 1 9 2 0 * s financial farmers* extension to a d o l l a r extension and of the G r a n g e supporting grapher, In early pay fee the withdrawn Farm ranging salary of supplies not active Michigan, services office finally In an membership help the took it w a s a stenoand in travel.' Michigan, since, "It soon b e c a m e e v i d e n t . . . that the p r o g r a m s of the F a r m B u r e a u of F e d e r a l and S t a t e E x t e n s i o n S e r v i c e w e r e such that e x t e n s i o n w o r k c o u l d not c o n t i n u e to r e c e i v e f i n a n c i a l s u p p o r t f r o m the F a r m B u r e a u . " 22 20. 21. 22. of Michigan State C o l l e g e C oo p e r a t i v e Ext en si on Service, " H i s t o r y of C o o p e r a t i v e E x t e n s i o n W o r k in M i c h i g a n 1 9 1 4 - 1 9 39", E a s t L a n s i n g , M i c h i g a n : M i c h i g a n S t a t e C o l l e g e , 1941, B u l l e t i n *229. M i c h i g a n S t a t e C o l l e g e B u l l e t i n *229, ^oj).. c i t . Ibid. 21 110 The break some between states determined The tension by and portion of of support government the local according the the the the The levels government, of the proportion the of level of this un u s u a l state. It beliefs there is often in partially in found The is as it of exists The county federal share a is not a standard States and in cost is paid nature of the bureaucracy natural deepest ex­ a service government There United the nationally, of g o v e r n m e n t . by in are some the federal control also that individualism the title such the others. championed, occurred of and in fundamental are expenses p r o gram. throughout eac h never policies structure t han to has c o o n c r a t ivc county. three cost a larger to reveals state systems b u reau. given all the two extension Farm in by government, states the service handled ratio today emphasis statewide, are and these varies areas most concern from where strongly in local au­ tonomy. The extension cultural colleges. people l e dge of that health, of effective the it the only operates Its chief the latest help with through purpose is research problems of to the s t ate pass findings farming, on to and home agri­ the know­ economics, like. extension since levels state m ay and The kind the service service gains its hierarchy. in areas is chief a bureaucracy source Thus, where of power extension the people of an unusual from the lower services can be need and w a n t it. Ill E x t e n s i o n ' s a s s i s t a n c e must t h e r e f o r e , be g e a r e d to p r o b l e m s w h i c h p e o p l e r e c o g n i z e and to the d i s c o v e r y of u n a p p r e c i a t e d needs, or it w i l l d o no e d u c a t i o n a l w o r k at all. But c o l l e c t i v e l y t h e s e p r o b l e m s and i n t e r e s t s e n c o m p a s s b r oad p o r t i o n s of h u m a n activity. A major problem facing extension f o r c e s at all t i m e s is, then, one of so d i s ­ t r i b u t i n g its a v a i l a b l e e d u c a t i o n a l r e s o u r c e s to the v a r i o u s p r o b l e m and i n t e r e s t f i e l d s in such p r o p o r t i o n that the m a x i m u m c o n t r i b u t i o n m ay be m a d e .23 Therefore, there are two though conflicting ones, One the belief is that the other tion is can without leads general process the be carried sion w o r k e r s and Although of The a highly feeling belief are 24. those pragmatic or extension work within individualism the everyone. for that no effective program so g r eat bureaucracy. w ho This mentality are served on by as is notion in The educa­ extension, latter the al­ system. and necessary a scale, w h ich, the is in realization part of exten­ notion them. bureaucratic in m a n y s p h eres, the educational program has preserved. expression aptly in in compromised collective highly . . .We early 23. on organized a general are education realization a well to of themes phrased of sentiments by D e a n Eugene which been support Davenport. such a 24 c a l l e d it the "New E d u c a t i o n ” in t h o s e days, as d i s t i n c t fro m the t r a d i t i o n a l . U.S. D e p a r t m e n t of A g r i c u l t u r e and A s s o c i a t i o n of LandC r a n t C o l l e g e s and U n i v e r s i t i e s , " J o i n t C o m m i t t e e R e p o r t on E x t e n s i o n P r o g r a m s , P o l i c i e s , and C o a l s " , W a s h i n g t o n , D. C.; U.S. G o v e r n m e n t P r i n t i n g O f f i c e , 1940, p. 8. E u g e n e D a v e n p o r t , " S p i r i t of T h e Land G r a n t C o l l e g e " , ed. by E.K. Bliss, ,et_. .ai* , W a s h i n g t o n , D.C.: P u b l i s h e d j o i n t l y by the G r a d u a t e S c h o o l , U.S. D e p a r t m e n t of A g r i ­ c u l t u r e and the E p s i l o n S i g m a Phi, N a t i o n a l H o n o r a r y E x t e n s i o n F r a t e r n i t y , 1952, p. 9. 112 In the n a r r o w n e s s of our e n t h u s i a s m we c a l l e d it p r a c t i c a l and useful, as d i s t i n c t f r o m the c l a s s i c a l and us e l e s s . F o r of w h a t good is it w h e n a man can say ” 1 am hungry*" in six or s e ven l a n g u a g e s but c a n n o t earn h i s own b r e a d and b u t t e r ? N o r w e r e we a l t o g e t h e r i l l o g i c a l in all this, for the o l d - t i m e e d u c a t i o n i n s i s t e d that e d u c a t i o n and u t i l i t y w e r e m u t u a l l y e x ­ clusive, E v e n the e a r l i e r s c i e n t i f i c r e ­ s e a r c h e s in the i n d u s t r i e s w e r e d u b b e d c o m m e r c i a l and u n e d u c a t i v e if the i n v e s t i ­ g a t o r ha d in the b a c k of his h e a d the s l i g h ­ test n o t i o n that the r e s u l t s of h i s r e s e a r c h e s m i g h t , some t i m e or other, in some way, b e c o m e of use in the w o rld. A g a i n s t such tidal w a v e s of p r e j u d i c e did the Land G r a n t C o l l e g e S p i r i t p o u n d in its e a r l y e f f o r t s to b l e s s m a n k i n d , and it is l i t t l e w o n d e r that s o m e t i m e s it too m i g h t h a v e l a cked in b r e a d t h of v i sion. For t h o s e w e r e d a y s of n a r r o w n e s s and of i n t e n s e prej ud i c e s . The perpetuation Grant of s y s t e m h ad pr o g r a m . f o und Such within such individualism an education. of b een a Agricultural tor on the the service area. the When college the the m a j o r must effect. of the such in and It are to for he is from what needed In the is the Land- extension degree right that chief wit h are beliefs to h a v e of the administra­ the people often decides the he h a s learned in he w i l l a the the those who contact is he w ho in a great and in d i r e c t services. that extension Often people specialists for capacity f o und th r o u g h meant manifest A g ent. l e vel then, has offices county needs sentiments fostered, system and County various basic a perpetuation in One the sense, make the requests thehi, he is to a 113 specialist source and of of through In levels the administrator 25 It inadvisable people the C o u n t y Agent. order agency for since considered to e n t e r such high college agricultural technically prestige the is and to m a i n t a i n employed, this an local agents is as information. State quest as w e l l a g e nts. area functioned For this of the college maintained by the Agricultural enhances the effectiveness acts both as is as the usually among the reason, faculty. College made hiring the agent of in r u ral the re­ the because of a Federal without standards part position by a request level has an he agent the areas, in m a n y cases. The tablish lati o n Smith-Lever services was farmers historical for enacted for Act was rural through advanced never areas development has alone pressure information intended but and as since the concerning largely been an that act such desire to legis­ of m a n y agriculture, of es­ rural the orien­ tation. S UMMARV The s i nce the cational 25. 26. origins of education beginnings process. It of man, has indicate has b een also been tha t human dependent apparent society, upo n tha t the since edu­ the E d m u n d d e s B r u n n e r and E. H s i n Pao Yang, R u r a l A m e r i c a and the E x t e n s i o n S e r v i c e . N e w York: C o l u m b i a U n i v e r s i t y , T e a c h e r s C o l l e g e , B u r e a u of P u b l i c a t i o n s , 1949, p. 40. T h i s is not the c a s e in e v e r y s t a t e but is t r u e in Michigan. 114 process ciety wil l of is be transmission characteristic b est understood Themes of this fested by the systems of belief in cluster the such of of mass of realtionship to these characterized by sentiments and are such a so­ a process themes. integrated mani­ into ideology. has bee n there people characterized has als o been thinking. can be by basic apparent Nevertheless dominates; tion has and much understood of in the the themes growing the former behavior light notions in this co u n t r y . with these must wilderness, beliefs the and educational and the adjust belief has the of citizen to his with with of movement world in this as country. by W i l l i a m James the educa­ knowledge Since the tightly enmeshed a vast frontier a means provided citizenry. practical conquering in e d u c a t i o n belief Destiny" that environment. glor­ a movement this "American belief the individuals to enlightened the by all led individualism were severe redefined of was that Along increasingly provide hi m dream considerations a practical developed an Jeffersonian pragmatic belief capabilities for of The characterized same Jeffersonian help been the called would has individual. with process which in A m e r i c a the the Associated the themes, within in a culture themes education been which to culture themes. endowed with and basic American ification has and of dominant c o 11ectivistic Education are of change of are Society individualism trends of nature people American of and of adjusting a foundation for Pragmatism was and John Dewey. 115 Illustrative movement in colleges, the the tablishment these United of the highly Sentiments relevant the the relevant sentiments such of The problem structures found structure s. within been growth Extension pragmatic expressed at has experiment the C o o p e r a t i v e education. to beliefs States. development of a realization of hand makes more a social of the Service such their that Land-Grant and the hav e led es­ to in A m e r i c a n movements emergence meaningful system f,L a n d - G r ant ” stations beliefs within since the the has become within pattern emerged of from PART THE RELEVANT II SOCIAL STRUCTURE PART THE R E L E V A N T The last relevant order. tain section. aspects of Historical patterns of and system were be have a bearing ed made as an of zation the for to within basic be found place the ing with any set the t hat to grounds he it. an of considers thi s this to be b een exhaustive treatment relevant structures since, relationships and relevancy of the emerge point of necessary and scientific necessity in structure an attempt and the can if not which pattern­ be under­ a previous The reali­ crucial necessity relevant structure by is an in relationships Once other setting is emerging before again possible as sets of arbitrary justifiable abstraction. on a it m u s t when in a c h r o n o l o g i c a l from cer­ structures system mentioned dissertation. of relevant rel a t i o n s h i p s . manifested has growth system the the normative section s o cial of with Also soci a l no of the assumption, social sentiments the the social No the w r i t e r s y stem, In relevant without of what social relationships lated part assumption stated within or described. to b o t h emerging pre-existing describing order the emergent analysis, on upon concerned system analyzed. the been revealed were nature to d e s c r i b e sentiments stood salient STRUCTURES has which sentiments of will I, cultural themes sentiments social a S O CI AL Part the II deal­ sense, relevant line the re­ 117 The following description p l ace and tained of the in w h i c h within chapter county were a social concerned with primarily responsible vey and system whose yet will in w h i c h found organizations members to be were analyzed. the concerned the The within next the actors which county of a brief survey chapter realization major with health relationships s y s tem. for be within were wil l which the took con­ be were health the sur­ social v ciiaptfk DFSCK IPTION Independence citizenry doubtful deal the that from the cultural ments and as been the spirit which the unfit rapid had the the were in for land it d i s p l a y s b est of human in made the in new had of w e s t e r n county bee n of It in the who is is a great mid-west life to its and senti­ understood in A m e r i c a . accepted county who considered in as a estab­ the Although slow to migration, once settle­ it was counties. at the others frontier both varies Independence territory amateurs and by State”. expressed habitation.* the established not of by referred which advancement been early founders to " Independent Turner heritage COUNTY referred manifested are Jackson the a society as County 1. has independence entire in from ascendancy of the INDFPCNDCNCE ” independence” frequently li shed ment outsiders of F r e d r i c k heritage past County themes believed This in and OF quick Michigan The pioneering to and founders and gain became of begin its one this settlement. F or C o m p e t i t i o n in the s e t t l e m e n t of the N o r t h w e s t T e r r i t o r y r e s u l t e d in c o n s i d e r a b l e m a n i p u l a t i o n and d e c e i t . The O h i o T e r r i t o r y w h i c h was s e t t l e d p r i o r to that of M i c h i ­ gan j e a l o u s l y held to a p r o g r a m of i n c r e a s i n g s e t t l e m e n t in o r d e r to b e c o m e a state. As a r e s u l t p o l i t i c i a n s of this a r e a s p r e a d d i s t o r t e d r u m o r s r e l a t e d to the h o s t i l ­ ity of I n d i a n s and the poor q u a l i t y of land in M i c h i g a n . F o r a short p e r i o d of time they w e r e s u c c e s s f u l in d e ­ l a y i n g the s e t t l e m e n t of this area. 119 the most who had As part already a result west Figure Independence that of th o u g h the dence pattern County of indicates in range townships experience advancement County. Mohawk residents at was of N e w settling possible York a new within State nation. this mid- 2 rapid 1 which represented a vast rapid territory. This the they of were xvas the The 1024 45 settlement first and the years settled the dates first of illustrated township toxvnship last was appears in is to be Clark lengthy, a period established of by settlement settled in 1069. all but 17 years. in S e p t e m b e r in was Al­ two of Indepen­ 10, 1822, 3 by the T e r r i t o r i a l L aw I, 335 and was organized November 20, 4 10 26, by T e r r i t o r i a l The to m a n y growth settlement in the which individualism radically Table 2. 3. 4. by Law pattern Northwest w as and any to II, of strengthen large the the C o u n t y , Territory, establish I illustrates 292. the led pattern to not sentiments to be immigration of a high similar a population frontier a heritage European although in of changed later proportion years. of native See: W a l t e r E. F r e e m a n , I m p a c t of I n d u s t r y Upon a. R u r a l C o m m u n i t v . ( u n p u b l i s h e d m a s t e r s t h e sis), M i c h i g a n S t a t e C o l l e g e , 19 5 2, for an u n d e r s t a n d i n g of the rapid a d v a n c e ­ m e n t of this area and xvhat it m e a n t p o l i t i c a l l y , s o c i a l l y , and e c o n o m i c a l l y to its i n h a b i t a n t s . G e o r g e N e w m a n F u l l e r , E c o n o m i c and S o c i a l B e g i n n i n g s of M i c h i g a n . L a n s i n g , M i c h i g a n : W y n k o o p Llallenbeck C r a w f o r d Co.. 1916, p. 533. Ibid. 1 20 % «c * «1 t * s ^ 3 : 55 |5 1 --------- l i r J S l i p ----- * > *" 81 Vi * >5 Ui2 a£rv ! ? \J ^ 1^ Hf H & % >» * •J N VI 1 : 0 s * ! Vi a w 1^ 4» *< V k l V> H I Tbwutsttips k 5 5 V " vs cy <* ^ 3 > 5 5 «b N £ 1 5 « ^ Vi L *\ J „ \i * w Jv. v. V ft*; < ' » ms V I--------------- --- 1 M s .'■3 S1 Ijj I S * 5 •?* '• V FouHpiv* . Ut k * */ Vi 55 -» I $ it 5 O Uj «j: .■-j ^ -j r-s a n S *> O ^ k t: *■» 5 ft 4 £ w j S r*\ 5 Q i ^ * 5 S - s r £* 'S «fcV * C f _ S ^ * 5 \ Dates Ft* § 121 TABLE I T R E N D S IN N A T I V I T Y INDEPENDENCE COUNTY COMPARED WITH 1060-1950 Year Percent N a t i v e Born STATE Negro Percent F o r e i c m Born 1950 Ind e p e n d e n c e State 96.7 33. 4 2.0 9.5 0. 5 6.9 1940 Independence State 96.0 02.9 3.6 13.0 0. 3 3.9 1950 Independence State 9 4.0 70. 0 4.6 17. 5 0.5 3. 5 1920 Independence State 93.9 70. 4 5.6 19.8 0.5 1 .6 1910 Independence State 92. 1 77.9 7.3 21 . 2 0. 5 0. 6 1900 Independence State 90.4 76. 0 0.9 22. 3 0. 7 0. 7 1090 Independence State 08. 0 73. 1 11.2 26. 0 »__ mmm • 1000 Independence State 30.6 75. 0 11.4 23. 6 ~ mmw » mm 10 70 Independence State 00. 1 04.5 11.9 15.5 mm_ mmv mm 1060 Independence State 00.6 00. 1 11. 4 19.9 mm_ — Source: Figures obtained a b o v e years. from United States Census ... of the 122 born inhabitants, immigration It County is is trends in has been the fundamental is, therefore, state the face dence of tak e in the by years its County is located that of of for pride in its this intense growth life. reputation. indicate with farm approximately in the have not upset Independence Also, that they The center the in approach in Indepen­ is a l s o county of Local caution Although it County people considerable region, industrialization.* Independence individualism. self-sufficiency. a productive large individualism which which historic County witnessed contemporary organizations vaunted which St a t e s . of A m e r i c a n noted Independence of years United setting values and considerable City, during setting A fostered agencies working in t his found. residents even seat. an area Central county, is * A N o t e On R u r a l - U r b a n D i f f e r e n c e s - It w o u l d a p p e a r u n ­ n e c e s s a r y to e m p h a s i z e to any g r e a t d e g r e e the d i f f e r e n c e s found b e t w e e n rural and u r b a n life s i n c e it is r a t h e r g e n ­ e r a l l y a c c e p t e d that d i f f e r e n c e s do e x i s t and var y a c c o r d i n g to the r e g i o n or s p e c i f i c area in w h i c h they are found. B r i e f l y , then, it w i l l be s t a t e d that w i t h i n the r e l e v a n t s t r u c t u r e t h e r e are to be f o u n d g e n e r a l s e n t i m e n t s w h i c h are shared by bot h rural and u r b a n p e o p l e and c e r t a i n s e n t i m e n t s which emphasiz e differences. In I n d e p e n d e n c e C o u n t y the o v e r a l l c u l t u r a l t h eme is still d o m i n a n t l y rural. It m u s t be r e m e m b e r e d that " r u r a l ” is used a d v i s e d l y s i n c e t o d a y such a c o n c e p t has only r e l a t i v e m e a n i n g w i t h c o m m u n i c a t i o n and t r a n s p o r t a t i o n r e a c h i n g such complexity. H o w e v e r , the c i t i e s and v i l l a g e s still r e m a i n s e r v i c e a r e a s w h i c h c a r e for the needs of the farmer. They still r e m a i n c e n t e r s of rural c o m m u n i c a t i o n and they c o n t i n u e to f u n c t i o n as c e n t e r s for r e t i r e d far m e r s . Tremendous modi­ f i c a t i o n s h ave o c c u r r e d w i t h the i n t r o d u c t i o n of i n d u s t r y and such m o d i f i c a t i o n s h a v e r e s u l t e d in c h a n g e s w i t h i n the c o m p o ­ s i t i o n of the p o p u l a t i o n and t h e i r w a y of life. (See F r e e m a n , W a l t e r L. , oj). c i tJ. P e o p l e w i t h u r b a n o r i e n t a t i o n s have 123 a b out thirty miles from state capital, number of miles from a major a fairly metropolis, a medium-sized local and some in the concentration Table its II political residents are residents, various s h ows the 30,070 live seventy trade located The the in city. and of Of towns city, from the There are county, county Independence majority the and sixty a manufacturing the the great white. in miles throughout population born industrial industrial places subdivisions. native and national organizations principal large of with seat. County the by county c o u n t y ’s 64,6 29 cities, while 34,551 5 live in Central as the City, a village area of open f our country. the in and county 1836 and one-half The seat. as largest This a city square u r ban cit y in miles w as 1353. and center is incorporated It includes a composite an trade e n t e r e d the c o u n t y and have b e c o m e a c t i v e c i t i z e n s in c o m m u ­ nity p r o j e c t s and p o l i c y m a k i n g d e c i s i o n s . It w as o f t e n the c o n t r a s t b e t w e e n the u r ban w a y of life and the r u r a l w a y of life that set up a r e a s of s e n s i t i v i t y in the s u r v e y a c t i o n . In a c t u a l i t y the d i f f e r e n c e s w e r e not so e x t r e m e as to p r o v i d e for e m p i r i c a l c a t e g o r i z a t i o n t h r o u g h ­ out the d e s c r i p t i o n of the social system. It will be noted that w i t h the e x c e p t i o n of C e n t r a l C i t y and Mohawk, the d ominant p h a s e of the s u r v e y w a s c o n c e r n e d w i t h the rural areas. T h i s wil l be e x p l a i n e d s h o r t l y as the r e s u l t of the a c t i v a ­ tion of c e r t a i n s t r u c t u r e s in the c o u n t y w h i c h w e r e d o m i ­ n a n t l y r u r a l in o r i e n t a t i o n . Such d i f f e r e n c e s e f f e c t e d the p a t t e r n of e x p r e s s e d s e n t i m e n t s w i t h i n the social system. W h e n e v e r such d i f f e r e n c e s are o b s e r v e d they wil l be e m p h a s i z e d for the p u r p o s e of d e s c r i b i n g the m e a n i n g of the s e n t i m e n t s wi th the system. 5. U n i t e d S t a t e s B u r e a u of the C e n s u s , U n i t e d S t a t e s C e n s u s of P o p u l a t i o n : 1 9 5 0 . Vol. II, C h a r a c t e r i s t i c s of the P o p u l a t i o n , P a r t 22, M i c h i g a n , W a s h i n g t o n P. C.: U.S. G o v e r n m e n t P r i n t i n g O f f i c e , 1952. 124 and service list area of 250 square 445 businesses for this The next a rea historically older tha n C e n t r a l about 10 m i l e s town. first eve n fo r mer. both economic m any more perity that to its including having two appear that used states. State for but the of the by In this purposes vacationers Mohawk con­ by though city exert colleges. small section from pros­ this towns, income particularly not has schoo l s . the increasing trade", on advantage an recreational also some addition, county. City one C a t h o l i c , do the improvements, the other '’t o u r i s t of many and trade than of in from the in industries In ar e a s Middle affairs and and C e n t r a l considerable has and a frontier than Central received and 1824 communities concern hospital industry as generosity however, cities. corner are the the some derived to in larger While Mohawk, located Mohawk two brought has and prosper times the of founded these Protestant also and has town City between four one There to issues. City, local Bradstreet village manufacturing the upon are k een Through Central colleges, area is 1930's additions northwest of early influence villages, being one the It w a s between political officers, major the been exists village. rivalry it w o u l d mor e the in latter industries, in this the and is northeast. always s t ill organized In has though This and the settlement Rivalry City, cern to and city. trade is the Dun largest which was miles. only the by in is the lake residents neighboring 125 TABLE 1950 POPULATION, II INDEPENDENCE of Number * Persons*of 393 600 163 365 567 436 369 1 I 344 1 547 725 025 499 733 179 213 Henry City Henry To wnship Cl a y c o m b V i l l a g e (par Ha son T o w n s h i p Hay T o w n s h i p Hart in T o w n s h i p Mountain City Oxtori T o w n s h i p Pont T o w n s h i p Current Town sh ip Clifton Townshi p Bryan V il la ge Leo T ow ns h ip Rockville Township A l b e r t V i l l a g e (part) S p i r i t B e a c h (part) Renus T o w n s h i p S om e r T o w n s h i p Mohawk T o w n s h i p 990 345 9 03 249 76 7 767 470 5 17 646 229 252 107 111 262 052 020 200 302 236 166 548 77 50 64.629 10.743 V.'ood ley T o w n s h i p A l b e r t V i l l a g e (part) S p i r i t B e a c h (part) TOTAL *These Bureau 1950 figures were of the C e n s u s , by 67 256 745 361 653 303 513 472 432 169 15 2 6 70 00 343 319 000 Mohawk Village 1 9 5 0 U. S. C e n s u s fictitious) Number Households* 5, 563 535 961 751 49 0 169 533 339 4 23 219 365 75 569 110 04 2 oo o xJkJ (L 13 2 3 2 1 Central City Center Towns hi p Eden T o w n s h i p Eden Vill ag e Camden Township Clney Village Clark Township Clark Village Dearborn Township Dearborn Village Durham To wns hip C l a r k V i l l a g e (part) Fielding To wns hip riynn T o w n s h i p Source: COUNTY of Population. (All names r e c e i v e d f r o m the U n i t e d correspondence, February are States 11, 1952. 126 FARM P1I0PUCTICN Independence productive ties in counties the in Midwest. Agriculture, the Count}' it principal Independence is the County of is counties located Ohio, northern Indiana, Count} In are 1950 farms there in The southern almost the part part of of the is in and Iowa Illinois, of agriculturally of the U . S. a corn to m a n y richer county; corn. In of other the Missouri, of that this is, respect 469 corn northwestern southern farm income in small grain, and farms, coun­ Department b elt Nebraska, commercial corn farm on the While county. and part Tomatoes and Michigan, Independence tomatoes. 773 other In are county but the type sub-marginal corn to to be area land. This of in an is is the is the not extent has good as soil, northwest a greater t rue the character­ farming County found there also such to commercially corner is of Independence are this of grown southeast the of soils principally of production all confined extreme incomes, the is county. in productive of m a r g i n a l 6. of south. the the inco m e poultry', northeast high less one similar 2,999 production concentrated the to most county.^ The by in the were farm the and as sources dairy, exclusively county. ized Other from of s t ate classified source Minnesota. one According belt and is amount particularly U. 3. b u r e a u of the C e n s u s , JJ*. C e n s u s of A g r i c u l t u r e : 1 9 G Q t Vol. I , C o u n t i e s and S t a t e e c o n o m i c A r e a s , Part 6, W a s h i n g t o n P. C.: U . S. G o v e r n m e n t P r i n t i n g Of f i c e , 1952. 127 of the part cern of lake areas of the county. In the more about the siti o n be i n g was done county. the helps as For ng a - eas results in z belief for the instance, existence the fact that Independence explain mation on the the with nature this products did At the 13 other in the sane in over 7 million 4 million In of of the and Health the oppo­ from in the County has the county in independence agriculture adequacy survey townships any con­ services where the organizations. the sale sold 19 44. 19 49. counties land. state County time, farm degree less of the which county state the Additional the infor­ will In over This only 11 figure three farm products the farm income was 1949 the state. value of dollars, dairy products dollars, and livestock under There corn sold to counties exceed the dollars increased other of of million are alive in the was reached was in million 425,009 harvested sold over 15 m i l l i o n one worth 7. the United States in in worth almost worth almost dollars. Abo ve figures taken from A g r i c u l t u r e , J2J2. c i t . 1949. acres j Smillion next condition. Independence 17 m i l l i o n high prevent of is in townships income in that the C o u n t y productive the to of most maintains f arm two there health two h i g h e s t .a g r i c u l t u r a l demonstrate providing were the located farm a unit to wholly strong Also, to state almost sufficiently co u n t y of This opposition repartment. are productive h e a lth. township a greater to which Census of 128 Of the 3,772 electricity; have be 2,337 automobiles; 26.4% have seen corn by operators decrease of erato r s , in 411 the or 6 3 . 3 % 2,393 or farm 1945, by county: have 76.8% is have 3,227 becoming and county, more and While 9 96 as more t h ere have or 3 5 . 6 % decreased Of the 2,906 commercial o, ‘f t h e i r farms for or it can mechanized, were number 1950. worked or 9 3 . 5 % tractors; in this operators. the 3,527 telephones; Farming figures, fewer 0.6%) only in pickers. these necessitating farm farms to 3 , 6 3 5 3,976 (a f arm 100 d a y s op­ or m o r e 8 in 1950. farm Also, income onl y exceeded shows the h igh dence County. level 313 their of of farm living TABLE L e vel of L i v i n g in I n d e p e n d e n c e Independence County The State North Central Leg i o n United S t a t e s So u rce: 3. these reported income. for farm that The their following families in non­ table Indepen­ III I n d e x for T a r m - O p e r a t o r C o u n t y as C o m p a r e d W i t h Legion, C Kation Families State, 1930 1940 1945 195 0 117 04 104 75 136 99 104 79 154 128 156 135 147 100 122 110 F a r m - O p e r a t o r F a m i l y Level of L i v i n g I n d e x e s for C o u n t i e s in the U n i t e d S t a t e s . 1930. 1940. 1945. and 19 50. M a r g a r e t J a r m a n H a good, U. S. D e p a r t m e n t of A g r i c u l t u r e , B u r e a u of A g r i c u l t u r a l E c o n o m i c s , May, 1952. Ibid. 129 The farm white, population prosperous, of Independence County full time is m a d e middlewestern up of f a r mers. If one w e r e to ask t h ose w h o live in the corn belt to c h a r a c t e r i z e it, the p i c t u r e g i v ­ en w o u l d be of its s u p e r l a t i v e s . They would r e p l y that it has the r i c h e s t land and the m o s t u p - t o - d a t e farms in the country; that its p e o p l e are the most i n d e p e n d e n t , the most d e m ­ o c r a t i c , and the most t y p i c a l l y A m e r i c a n in all the U n ited S t a tes; that its w e a l t h is more e q u a l l y d i s t r i b u t e d , and the r i g h t s of e v e r y ­ one to a d v a n c e a c c o r d i n g to their a b i l i t i e s are more, z e a l o u s l y s a f e g u a r d e d and p r o m o t e d than iri mos t o t her s e c t i o n s of the country. A nd if an i n q u i r e r s e a r c h e s for the facts, he will d i s c o v e r that the corn belt does have the h i g h e s t p e r c e n t a g e of its land g r a d e d in c l a s ­ ses 1 and 2 , the h i g h e s t p e r c e n t a g e of its f a rms in the $ 1 , 2 0 0 0 to $-1 , 0 0 0 gross income group, a,nd the h i g h e s t and e v e n e s t level of l i v i n g a m o n g f arm f a m i l i e s to be f o und in the nation. rle will a l s o find that, as c o m p a r e d to an}r o t h e r c o m m e r c i a l f a r m i n g belt, a s i m i ­ lar p e r c e n t a g e of the farm o p e r a t o r s do offf a r m w o r k and a h i g h e r p e r c e n t a g e of all of the f a r m w o r k is d o n e by f a m i l y labor. To repeat, life is not u n i f o r m in the corn b e l t . . , Q EUSIMiSS AND INDUSIK Y Perhaps tural the enterprise manufacturing in most 19 1 7 . ^ increased Independence production The from of significant actual 03 to number 122 County from is the the 3,122 in of m a n u f a c t u r i n g during upon a b out this this same previously non-agricul­ trebling 1937 of to 9 , 1 0 2 establishments period. The urban and industrial 9. C a r l C. T a y l o r , jet.. , D u r a I life i n the U n i t e d S t a t e s . N e w York: A l f r e d A. Tnopf, 1919, C h a p t e r 21, T h e C o r n Celt, pp. 3 6 0 - 3 6 1 . b. S. C e n s u s of P o p u l a t i o n , o p . c i t . 10. impact workers fact agricultural 130 county of is farm paid to indicated products the by sold 10,426 in IV presents enterprise by size furniture of and the metal In ing one or m o r e and printing, is especially instance. how large press additions dustrial the true time imported to be m a d e significant to and the proud locations of for large residents has so of the employ­ manufacture their of this new the of their industries. establishments. discuss in manu­ when installed large height in paper that products. mechanization developments bulk it a c r e d i t factory the seen fact with a v ery that buildings. In­ agriculture midwestern county. BLHAVIOR Independence sistently are from Germany, is the textiles, glass County 1947. it up it c o n c e r n s aluminum development, POLITICAL when as dollars establishments consider selected Independence a war had They and in dollars of m a n u f a c t u r i n g make in residents pride 11. 12. workers million 20 Here are County cities are there Independence towns For products clay are the 17 m i l l i o n employees stone, enterprises. the distribution addition facturing This with and and of establishment. mantifactnring. hundred 1949** manufacturing Table food, a comparison County Republican in has, with few tjie n a t i o n a l exceptions, presidential been and con­ state U. 5. C e n s u s of A g r i c u l t u r e , ioj3. c i t . U. S b u r e a u of the C e n s u s , jJ. ,5. C e n s u s of M a n u f a c t u r e s Vol. Ill, P a r t 22, M i c h i g a n , W a s h i n g t o n P . C . : U . S . G o v e r n m e n t P r i n t i n g O f f i c e , 1947. 131 gubernatorial Pa r t y , In elections this state until s t ate as respect about a whole has sentiment, publican stronghold. the jorities for when the state with the election Table county of the candidate received p a r ties. the has of rest of Governor. favored 60®' of the a Re­ clearly. high candidate, County the of R e p u b l i c a n voted the the while remained this Governor, 63% the R e p u b l i c a n how e v e r , consistently a Democratic with of amount gubernatorial Independence major the illustrates a Democratic 1932, for V has elected cast. cast in to time, Independence County for G o v e r n o r gubernatorial this fluctuated candidate In creation similar Since the R e p u b l i c a n has the it w a s 1932. national Likewise, since In ma­ even 1948 the R e p u b l i c a n total 20,603 v o tes the R e p u b l i c a n total 26,276 votes 132 TABLE TYPL OF MANUFACTURING INDUSTRY IV DY N U M B E R Independence Co u n t y , KINDS OF M A N U F A C T U R I N G ESTABLISHMENTS 1 Poo d and K i n d r e d P r o d u c t s Tobacco Manufacturers T e x t i l e Mill P r o d u c t s A p p a r e l and R e l a t e d P r o d u c t s Lumber, e x c e p t F u r n i t u r e F u r n i t u r e and F i x t u r e s Pamper and Allied. P r o d u c t s ’ P r i n t i n g and P u b l i s h i n g I n d u s t r i e s C h e m i c a l s and A l l i e d P r o d u c t s P e t r o l e u m and C o a l P r o d u c t s Rubber Products L e a t h e r and L e a t h e r P r o d u c t s Stone, Clay, and G l a s s P r o d u c t s Primary Metal Indus tr ie s F a b r i c a t e d M e tal P r o d u c t s Machinery, except Electrical Electrical Machinery Transportation Equipmemt I n s t r u m e n t s and R e l a t e d P r o d u c t s Miscellaneous Manufactures County Source: Total U. S. C e n s u s Michigan. of Manufactures, OF EMPLOYEE GROUPS 194 7 to 19 20 to 99 15 C 1 1 1 0 0 r 2 0 0 o c. 1 1 0 2 2 0 1 1 1 0 1 0 4 ; 100 0 V ' 2 0 1 0 0 2 1 0 0 0 0 0 1 4 1 9 3 3 4 2 4 0 1 1 1 0 0 1 2 0 0 79 23 20 22 0 o Vol. Ill, Part 29, 133 TA B L E V COYIPABISl.L h:i:s I F C E T I A L OF T H E P R O P O R T I O N OF R E P U B L I C A N V O T E S E L E C T I O N S FOR I N D E P E N F E N C E COUNTY, ALT Year Independence 1923 1932 1936 1940 19 14 19 4 P 19 3 2 The State County 75% 51%. 7 OR. n 70 7 OR 7 1R 6 99 39 R 3 OR 4 4% 40% 495 5 5" ^ J 1 S o u rce: ” 1.;l e c t i o n S t a t i s t i c s " , T he V. o r 1 d A l m a n a c And B ook of F a c t s . N e w Yor k V.'or Id T e l e g r a m , (for a b ove years). Further heavy analysis Republican exception of divisions voted vot e one extreme northwest some of R e p u b l i c a n far as the lar t r end The in record significance and in rights, services of at Midivest contrast is these being there the county, the t h ese precinct and voted sane in a n e wly sub­ the created larger not to numbers appear, be any as particu­ patterns. voting and results to platforms upon. This strong beliefs development state, does concerned, beliefs indicates to one the political 1°G2, considerably geographical general parties the in the of 19 49 , w i t h all In tow n s h i p , others, of City, a generally City. cast analysis been In majority. country than has townships. exception townships votes t h ere in C e n t r a l to C e n t r a l terms to all the lake present related didates with adjacent While in that a Republican occurred precinct shows precinct results is C A S T IE T HE S T A T E this of kind in study the can­ of v o t i n g local of g o v e r n m e n t a l or f e d e r a l level. This coun- 134 ty w o u l d to normally individual be and expected local to giv e community primary rights in consideration its social plan­ ning. MEDICAL SLRV ICES The AND medical HEALTH facilities County are s h own in T a b l e tists, osteopaths, and to be VI. found The hospital in Independence numbers b eds are of d o c t o r s , shown for den­ each com­ munity. This and gives hospital a r eas of some beds the indication available, counties in a County Health of the physician the city Infant in Department IVhile in the death to the since 1,728 health facilities and care. ty w as 2 7.4 revealing longer in can to 1950 be of d o c t o r s the geographical compare experience several the with such by to strictly rural counties the w h o l e s t ate is 919, persons of public counties rate with health in per physician. infant deaths a meaningful 26.3 the had persons for for particular county It ha s other 1,621 22 as of It has number This ty p i c a l facilities. for used compared affected in 725 i.e., often rat e to fairly 1947. average s t a t e h as rates, to be its h e a l t h are this number relation appears births, 1000 live state compared state. a major in the county. Independence County per of i n dex of others which work. The is Coun­ State. disturbances, state per Independence Middle infant u n der While it have 13 is h ad a death rate for 2 0 .0 . 13. J. F. T h a d e n , * D i s t r i b u t i o n of D o c t o r s of M e d i c i n e and O s t e o p a t h s in M i c h i g a n C o m m u n i t i e s " , M i c h i g a n A g r i c u l t u r a l E x p e r i m e n t S t a t i o n S p e c i a l B u l l e t i n 370, 1951. a o CJCOCC'O o o o aOCOCJO o o sDcJCJO'CO CO ■ • - -- -—^CJ ——1r rHr-H1 00 » 1+ —tCJ a CO O CJ• •i © > Q « 2 0 cz LJo CO O o o © CU cc L'JCJo o o © • N o CO CCxro » r - •- » 1-r. i —iCJ1 —1rHCJi-H —11 XT XI* o CJ • rH i —1 CJ VD r—4 CJ CJ CJ pH a *1—1 pH lO u o a o -a ♦iH a c u «-> 3 CD W a DJ • rH 2 0 a > O •rH t > ♦ > •|H Q ©H a rH O3 E cu E o O cu o o o oo oo o o Oo o oo o xrCJO'LTJXTXT*o _ • • -•o COCJr—1LOCJco r-H CO to M O ♦J o o C l CJ c o o o co vO a JO h o Uh . E I—H > © © © X> 3 M C J a M H-> X X3 i-H CD a SH 3 +J ■-H 3 SZ o ♦iH >-* rH r-H • CO cu a •rH x : -C 10 © a ©5 a 3 © i-H i-H • H •rH tn +-> * H-> i—H ♦rH a a ♦rH H-» a CD CO m CJ >> H-H o> a ♦rH a 3 O rQ o o CD CJ a ♦rH t tn CJ -i-H s © a E E fc“H • • © • U£ cu a a c w 3» *-H 3 o o -Q «-> M a a X 4J M CJ JS CJ >H a * CO f— i >> o +-> ♦rH ♦rH M a a 3 x> a 3 O O E E X3 o -rH +r» •IH -o *o a CA © XJ 3 i-H •rH - O H a Cu CO a CO Ul © I-i-H < CO © © © XS X3 * o 3 3 3 r- H r H i-H o o o a a a K H t-H l-H © *-H © c . • f-H • © rH H-> •X H © >» c o +-> a a l-H 3 rH O -rH © .a to a a a < fcH o w 3 O *-> w © UJ r-H O O *o a x> CO ♦rH O 3 o flj hh +-» ♦M rH - a i-H CO •rH a > «H <*H X J • Cl © 3 x> - C a L .J ro O ' O J ■ —i cu 0) >H a a o • *-> a 3 H . # * >> + > •rH a 3 E E o o a i-H OJ c c -J *% H o H +■> E E O < —i >» + » • i t xr CJ -Q a > —i E •iH LQ CO oco cu Dr: MCM © >»H>>»3 ♦J a >»JH a CD co a © a a 3 a JS © xj I-H © O •~ o o 2 O CJ O 3 2 o o o •*-> U3 o ♦rH • —H a © a Cl o C Ji ♦lH < H-> 3 a c a • iH O i JH - iH . * * * xr CJ o X> a a CJ • i —1 / ■ g 0 *-> 0 ■o 0?'o o COrrO CJi-H cuCD coCO O rn - ♦i-H s <*H o r- o Uh o o CD X3 O r-H a a E E to c a x : H-> r H a (0 C u *H o o © CJ cu x> x j ©H 1 o o CO CDja —1o o o CJ K+ »x> CJ CJi o CO £3 _q O © E 3 to a . » t'-XT COi-HCO k —• r H a 3 3 © ♦i-H © a o >» 4-> ♦rH •• CMC J • © x : «H © X> •rH U © • 4-> CO t o XJ © XJ © XJ a a a a >» u CJ rQ 3= CO ♦-» i—H CO t o 3 © © a +-> X J X J © •rH 3 3 H i“H a 3 o +H CUi — CO © © .3 © e a (—4 r H • • XJ*L fJ MEDICAL FACILITIES IN INDEPENDENCE COUNTY, 1950* Number of persons, doctors of medicine, osteopaths, and hospital beds, and number of people per M.D. and per M.D. and Osteopaths combined for C o u n t y , 1950. -c a o © m •a Q •rH -Q JHXJ E © aO CU a O by c o m m unities I n d e p endence 135 136 Consequently, comparable although with with the rates ilar but have for a pendence County f o l lows: 1940, 1949, 29.8; When an are likely this in population 47.1; to seat. evident many summer de n c e s . d e ath County not is comparable economically health work. sim­ Inde­ for other y e ars are 1947, 31.9; 194G, 43.5; especially 65 1940 and in the the Sanitation, enterprise certain in percent the high cottages recognized rates is are public communities, about With in which of 26.5; it in m a n u f a c t u r i n g r u ral sanitation ally Independence the state, counties 1946, between increase for as 25.2. instance, produces ra lly infant to d e v e l o p , In for other increase employees a great rate rate longer h i s to r y 1951, new county the the the of health area the number of sanitation. increase outside prosperity, septic of the t h e r e has tanks, many problems county's 1950 occurred rural brings been which o f ten especi­ problems. Such difficulties are stream lake areas county, where year-round resi­ have and b een converted therefore, health problem is the in this of the into m ost urgent and gene­ county. SUMMARY Independence County region, Midwest. typical of m a n y the and the many of cities 14. Above figures Mich i g a n . a rich other Characteristic trialization is of the attendant and such towns. from Vital and productive corn area, is increases There belt the in farming counties rapid Statistics of the the indus­ population is a c o n t i n u e d in in drain State of of 137 farm manpower agricultural to be the to in w e a l t h county. of w a g e s and its voting cautious the this, as record land, bu t t his Hence in of is farm trialization health, and for the offset by increased productivity Many accepting at continues County with the is It ever its education. by there is a continued industries in t he the present States County is and state at they they the increasingly attendant are level conservative citizens to in outside level. liv e up to noted. appearance, productive heavy problems to so Midwest highly general Tcderal continue thoroughly has County the cities a whole. antagonistic or of w h i c h as strongly Independence activities, action. with from change the farms Lnited Independence ether the augmented individualism and along is whether in from earnings behavior. Independence character, and earnings intervention, In income This Politically, ore land, mechanization. addition increase in th e high. In of from impact of w e l f a r e , farm of indus­ housing, CHAPTER VI TANGENTIAL ORGANIZATIONS make to In order up the briefly which tiiat relevant consider gives the county good of agencies the might to level and the social the meaning professionals the to d i s c u s s structure, nature such of public the and organizations it w i l l for a means m ost s u rvey as by w h i c h The arena be part which necessary that It will the health strengthened. be tiie a c t i v i t y structures. g r o u p w as viewed be tangential took remembered, made up necessary certain of p l ace of for county activity was * i centered for the tem. of Certain major the section to give It m a y social be the where relevant major them to in the actors w ell system will with the involved social major concerned the the meaning these which to in the surv e y were attendance fro m these will For relation to be the the present is consider why roles are instead of it organizations outside system health from and the members considered consideration in at sys­ groups. inside structures reason for this decision social system. l a ter a nucleus surv e y actors be d i s c u s s e d social provided self their representatives to m e n t i o n by system. of in justified as necessary played actors which n ext council emerged meetings standpoint order health which organizations In the the a c t i vi council the around of the played chapters this the in roles social outside which are section to be c o n s i d e r e d . The major lies in the nature of the abstracted 139 data* Although system logically roles were were played played tangential section ro l e s that would played will be during the be d i s c u s s e d with such social system system. this structure, that To the will be in such total t hem were in analysis reason the roles observation isolate and the structure, roles which For,this point outside complementary i.e., system, fro m actors relevant system, ev i d e n t . at the time social to d e t r a c t the by the the the became within ciated played within within within nature roles belong observed being r o les the the apart a this of the structure sentiments considered of of asso­ from the itself. Figure II T A N C E N T I A L O R G A N I Z A T I O N S TO T H E S E L F - S U R V E Y S Y S T E M AND MAJOR A C T O R S ON T H E C O U N T Y L E V E L W H O P R O V I D E D T HIS T A N G E N C Y D o c t or Berry Miss F i e l d . . COUNTY Mr. Dali.. Mr s. D i x o n HEALTH COUNCIL Mrs. W e s t ......... D o c t o r B a n e ...... Mr. H o o v e r ........ Doctor Williams.. Mr. S t a n t o n ...... Mr. Lang. Miss H e l m Self-Survey .County Health Department. . D i s t r i c t N u r s e s Assn. .Supt. of the J a c k s o n M e m o r i a l H o s p i t a l . (Mohawk) .County Extension Office. . H e a l t h and E d u c a t i o n C o m m i t t e e (Mohawk). .P o m o n a G r a n g e . .County Medical Society. .County School System. .County Medical Society. . C o u n t y and S t a t e Extension Service. .County Health D ep ar tm en t . D i s t r i c t N u r s e s Assn. .County Health Department of H e a l t h 140 THE In County, nizing the the that of 1950, HEALTH DEPALTHENT Dr. Berry arrived of the C o u n t y Health Health Department was facts was PUBLIC concerning a need for health a survey in Department. new and that p r o b lems, of Independence health he Recog­ there were suggested conditions in c o u nty. toward this ac t i o n , ultimately individual The the of there With was summer as D i r e c t o r a paucity that COUNTY recognition of an introduced idea responsible citizens structure initiation or of was in need for the action was into self then, the a positive the activation a community organization, such and county of s u rvey some of responsible Independence suggestion which 700 health. for County the Health D epartment. Some health attention activities m ust that be paid occurred to its prior founding to its and certain establishment in the county. P u b l i c H e a l t h D e v e l o p m e n t P r i o r to E s t a b 1 i s h n e n t of the C o u n t y H e a l t h It would indeed be a mistake the Un i t to v i e w public health in Independence County of immediate implications in the Independence has activities. Such to be pertinent felt to the the regard influence activities have analysis with of of to the only the structure a consideration health s e v e r a l ‘m a j o r resulted in the H e a l t h of such unit. health a way Department. as 141 Certain fluenced by activities organizations which took the county. outside place were They in­ are: T h e h e 1 1 ogg F o u n d a t i o n e x p e r i m e n t a l p r o g r a m in a d j o i n i n g c o u n t i e s has had an i n f l u e n c e upon h e a l t h d e v e l o p m e n t s in I n d e p e n d e n c e C o u n t y , t h r o u g h the spread of h e a l t h ideas from these n e i ghboring counties. At least two of the p e o p l e w h o w e r e i n f l u e n t i a l in the e s t a b l i s h m e n t of a C o u n t y H e a l t h D e p a r t rnent had p a r t i c i p a t e d in t h ese h e a l t h a c tivi I ie s . (2) T h e M i c h i g a n H e a l t h C o u n c i l has bee n a n o t h e r sp h e r e of i n f l u e n c e . Its E x e c u t i v e S e c r e t a r y m a d e the initial c o n t a c t s w i t h the Pi r e ctor of the C o u n t y H e a l t h D e p a r t m e n t about the p o s s i b i l i t y of o r g a n i z i n g the I n d e p e n d e n c e Co u nt y Health Council. (3) T h e ' M i c h i g a n S t a t e H e a l t h D e p a r t m e n t , as well as the U n i v e r s i t y of M i c h i g a n S c hool of P u b l i c H e a l t h , have b e e n c o n t i n u o u s l y c o n s u l t e d by v a r i o u s h e a l t h p r o f e s s i o n a l s in the C o u n t y for a d v i c e a b o u t the c o u n t y h e a l t h program. (4) The traditional relationships between Michigan S t a t e C o l l e g e and the rural p e o p l e of the C o u n t y t h r o u g h the C o o p e r a t i v e E x t e n s i o n S e r ­ vice has bee n i n s t r u m e n t a l in the d e v e l o p m e n t of h e a l t h i n t e r e s t in general. that County and these (1) These fact of previous health alone but developments planning has has been also illustrate not the developed affected by in important Independence outside agencies individuals. Establi shment Th e fused to County ever, this financial in 1940, the C o u n t y Hoard approve Apparently tive of the was V epartment of S u p e r v i s o r s idea done assistance two Health of for m a n y a county despite from the the organizations health years began re­ department. possibility Kellogg had of coopera­ Foundation. working q u ite How­ 142 energetically set up to a county persuade health Executive Committee, and educational other trict Nurses In these pressure to L e a r was first extensive and by erable had work by two was the C o u n t y b u i l d i ag as which been to and jointly the D i s ­ done made Informants to up gain an At of S u p e r v i s o r s needs the was the aforementioned this meeting, organization nurses drive through to it of created at this was interview responsible establish in for by the unit opposition. dinner of S u p e r v i s o r s the ground emotion work and feel­ thereafter, a County that free complete made the the who Health 1947. point achieved received of Shortly to a u t h o r i z e consid­ physicians Board a climax births, that a l a rge upon achieved. voted of sponsored laid, als o segment the C o u n t y suggested an support of formally from indicate important were established exerpt opinion on Board this public This statistics previously not b e of S u p e r v i s o r s . vital guests. which B o ard brought public the one-of was the health with o t her the.county about following The throughout ing once superintendents needs members of school educational health the lishment the to of with It m u s t was of favorable organizations Department, t h ese combined two had of largely these attending that up groups diseases. previously meeting, or One of S u p e r v i s o r s administrators. publicizing and Finally made upon presenting deaths, unit. Board Association. 1946 done the C o u n t y the of estab­ opposition support. the field success wil l of shed The observer the light on 143 the tain feeling of dominant opposition sentiments that existed mentioned and also in C h a p t e r reveals cer­ III. S h e said that the o r g a n i z a t i o n s that w e r e m o s t i n f l u e n t i a l in ciettinci the h e a l t h d e p a r t m e n t in w e r e the M o t h e r ’s clubs, the P T A ’s, the F e d e r a t i o n of Women, the G r a n g e and the F a r m Bu r e a u . T h e y w e r e all w o r k i n g but the only t r o u b l e w as that they n e v e r r e a l l y w e n t to the men tvho could say yes or no to t h e i r idea of g e t t i n g it in. Even­ t u a l l y ■they w e r e faced w i t h the p r o b l e m of g o i n g to the s u p e r v i s o r s w ith this and s e l l i n g t h e m on this idea. A f t e r all, these w e r e the men that they s h ould have gone to in the first place. She said the y f i n a l l y w e r e a ble to get t h e m out to this b a n q u e t we h a v e h e a r d of - a b i t ter, cold night w h e n t h r e e or fou r h u n d r e d came. Sh e said that the v a r i o u s n u r s e s took it upon t h e m s e l v e s to c o n t a c t the s u p e r v i s o r s at t h e i r homes and m a k e sure that they w o u l d be at this banquet. S h e said that she was g i v e n the p r o j e c t of c o n t a c t i n g M a t t B e n d e r (an i n f l u ­ e n t i a l s u p e r v i s o r of D u r h a m t o w n s h i p ) . S he said she w as scar e d s t iff at the idea b e c a u s e she k n e w tha t he wa s one of the m o s t v i o l e n t l y o p p o s e d to the h e a l t h d e p a r t m e n t . Whe n she t a l k e d to Matt B e n d e r he told her he c o u l d n ’t c o m e b e c a u s e he had to m i l k his cows. She said, ”W e l l if y o u ’ ll come, ’’I ’ll m ilk your cows for y o u . " He c h u c k l e d at this and at l e ast she got him to come. W h i l e she was t a l k i n g to me at this time* e x p l a i n i n g how she had s p o k e n to t h e s e men, she put on an act j u s t as if I w e r e one of the s u p e r v i s o r s . It w as q u i t e i n t e r e s t i n g to note the i n tent in her v o i c e and the s i n c e r e i t y i n v o l v e d in w h y she t h o u g h t the h e a l t h d e p a r t m e n t was a good idea... she w e n t on to e x p l a i n that she c o n t a c t e d the s u p e r v i s o r in S e n e c a . Be was o p p o s e d to it b e c a u s e of g e t t i n g a c o u n t y s a n i t a r i a n . He said, " Y o u know, a s a n i t a r i a n c o u l d c ome into y o u r h o m e and tell you w h e t h e r or not you s h o u l d d i g a w e l l and w h e r e you s h o u l d d ig it." S h e a n s w e r e d t his by s a y i n g that she d o u b t e d v e r y m u c h that the h e a l t h d e p a r t m e n t or the s a n i t a r i a n w o u l d eve r i n t e r f e r e in p r i v a t e l i v e s u n l e s s t h e y b e c a m e a m e n a c e to p u blic h e a l t h and the i n d i v i d u a l s w e r e r e p o r t e d to the 144 health department. S h e said, " A f t e r all, if you b e c o m e a m e n a c e to your n e i g h b o r s ' h e a l t h , t h e n you d e s e r v e to be r e p o r t e d and, of c o u r s e , that is the r e a s o n for the h e a l t h d e p a r t m e n t . " . . . e v e n w h e n the unit w as v o t e d in, t h r e e s u p e r v i s o r s voted a g a i n s t it... S h e said the r e a s o n that M a s o n t o w n s h i p was o p p o s e d w a s b e c a u s e that up until the e a r l y f o r t i e s , it had b e e n p r a c t i c a l l y owned and run by H e n r y Ford. He had taken care of the h e a l t h p r o b l e m s by t r a n s p o r t i n g the c h i l d r e n to the F o r d H o s p i t a l . He had a l s o taken care of all the schools. H o w ever, in the e a rly f o r t i e s , he m o v e d out and left t h e m high and dry. S h e said it w as j u s t plain s t u p i d i t y that t h e s e p e o p l e d e p e n d e d upon H e n r y Ford in the f i r s t p l a c e and she s e e m e d to look d o w n on t h e m for this. S h e said, however, that w h e n he m o v e d out. M a son t o w n s h i p was f o r c e d to p r o v i d e t h e i r own schools. This r e s u l t e d in a t r e m e n d o u s a m o u n t of t a x a t i o n and it w as felt that if a c o u n t y h e a l t h d e ­ partment was established more taxation would be l e v i e d on the tow n s h i p . She said for this r e a s o n they w e r e slow in t a k i n g on any type of a unit in the c o u n t y as it m i g h t c a u s e m o r e t a x a t i o n and they w e r e s k e p t i c a l of f u r t h e r outside interference. The of feeling the health of man y had since public know unit as its it established and and that the to establishment, existed. had yet to the The by public effective there unit. Health prove after resistance caused a deterrent toward existed general interference apathy that apathy opposition toward operated Also of of had in the the health a large l i ght of action. amount did then, part activities health citizens Department, itself establishment upon public been Many the not eve n although public resistance. T HE S T R U C T U R E OF T H E I N D E P E N D E N C E C O U N T Y H E A L T H D E P A R T M E N T A N D ITS R E L E V A N C E TO T H E S U R V E Y The survey Health action Department since the became original involved idea of within the self a survey had been 145 contributed tunately survey, ea r l y by for in 19 51 of an that idea in Nurse the favor of as enraged unit Health and his unit were project, Acting Pirector. those position self-survey had not however, Pirector) for took to of in the one, place. The tiie su p p o r t originated. and the a better of They t/ie S u p e r v i s i n g and S a n i t a r i a n in tiie o r g a n i z a t i o n Unfor­ involved a c tion committed individuals the became health the health they e x i sting, resigned before the (who tive l y both tnen the P i r e c t o r members were on a, survey were that ac­ follow­ ed . The effect r epartment was that the significant director of w h i c h previous to P r , P e r r y a year and certain roles understaffed, ly the on of tne staff effective. 1. See page are feel Since to the had its had left been that the lose III, is the but not high a director for only position explains self-survey. been officer remained start and in during permanent­ training to b e c o m e few Health County b a dly mentioned continually they "emerging county it has been without Independence wiio h a v e them w h e n salary the Health one unit a health have unit a better standards without Those the this in a reality they in of members use the the Tt had offered to e s t a b l i s h , to upon need, condition b een Chapter it in iie w as existence. only 79, no today It has its directors is if we 111.^ the h a l f by difficult fepartment Chapter and before played since badly Tiie w e a k e n e d Although Ue a l t n it was a half elsewhere. resignation physicians Sentiments". 146 have to had fill been training this one of physician the Once the in county the happen chief the the with it is extremely loss of a steady weaknesses of the unit, county limited. the unit views resistance a qualified and the this the liasons emerges. a other cooperation handicapped. Department This perceptive with the seriously Health has Without Without is difficult director unit. departmental are physician ag e n c y , health The physicians, private competing public position. heading physicians of in is less physician as apt as a to admini­ strator. During n u rses all on me inkers outcome the the the been effect public steps all program the health of the were survey survey movement Public local in funds. of Health on With nor might county loss in the of acccrd with the the with upon level Since work, the roles will be felt free They s i nce the of philosophy take the over­ considered objectives the of neither to with of unit the and entire health. is set up by F e d e r a l , extension service, the described the d i r e c t o r , needs active tension. county. the two clerks. interfere imp o r t a n t , some Unlike of eventually meet public had the S a n i t a r i a n health today two only overloaded have the the extremely would are and were intra-departmental people Nurse t h ere sanitarian, conditions public basically social of such that of study organization se c t i o n . the S u p e r v i s i n g positive one one health next of staff; of has The in the time it State, has not and 147 received the partially social ple to the movement but niques rather and success, fact full support fac t must by health u n its healtii administrators pendent the throughout u pon problem the t hat health has professional he found, been cessor. his interest the C o u n c i l could aid He they and in as his felt a the been in an Since a successful support program well of it met since can be is d e ­ units, seen. the bod y in with of their both lay and Independence Council efforts public which of active his and Ultimately had prede­ show he viewed personnel that county. the an defined was in of v o l u n t a r y the the from arrived to b e c o m e problem idea local how d e p e n d e n t a Health h im the C o u n c i l The of public program of assistance through legitimate with any d e g r e e States. organization. the tech­ local such with in peo­ in e s t a b l i s h i n g for entire the This P r . Berry existence, an a HEALTH COUNCIL voluntary When is due a novement. natural program group that mentioned a revitalization. the U n ited COUNTY partially a faced such from advance to a c h i e v e difficulty such upon approached were a general behind agree groups. was from organization already Jt impetous faces is established its and already program derived This specifically establishment Tim It people. been be the local not Ultimately, people is w i t n e s s e d has the it has derived sc i e n c e . the t hat which one of later survey inactive objectives accepted objectives and idea since organization might by the needs. provide members 146 ESTABLISHMENT The occurred Council OT of in The 1949. He wh o contacted then too k be been existence infant newly able of this the as that for development, of in his Health creation of the the C o u n t y formation Health tv:o years give local to unit job in the Pepart­ still that As became had in its the generate tepartment. health the epartment was and this the C o u n c i l . important s u pport Health and of Health of l Council of organizing considered the the in the the C o u n t y it was County Executive Secretary than council opinion step part lead no m o r e Thus, established public by the COUNCIL Independence the P i r e c t o r remembered stage. HEALTH initial Council It will in the undertaken [Michigan H e a l t h ment, COUNTY formation was State. THE favor­ a r e sult an original sponsor of the council. Independence Michigan are to establish thirty-nine leading as County one such health of was the one an the first organization. councils charter of in the counties Today, state with in t h ere Independence groups. TIIE STL U C I u b E OF T HE ILF E PEN P E N C E C O U N T Y H E A L T H C O U N C I L A ND ITS L E L E Y A N C E TC THE S O L V E Y It has Council zation major b een which has group. In actors derstand the sentiments the representative membership provided the order understand within the structure expressed in to social of this its nucleus system of the it the the survey Health organi­ participation is organization objectives. of The necessary and to certain original of un­ 149 objectives that' it of the should council, function as according to its charter, provide a discussion and coordinating n -organization in the area of health.^ The o b j e c t i v e s of this o r g a n i z a t i o n arc to c o o r d i n a t e as f c r as p o s s i b l e the t hi n kIug and planning of all organizations concerned v.ith c o u n t y h e a l t h t h r o u g h stud} by m e a n s of a p p r a i s a l s , surveys, i n v e n t o r i e s , and other fr. c t - l i n d i n g activiti.es; to s t i m u l a t e public i n t e r e s t in lie a 1th p r o b l e m s and their s o l u ­ tion; to d e v e l o p a c o u n t y h e a l t h p r o g r a m r e l a t e d to those p r o b l e m s d i s c o v e r e d ; and to Ivor!; to p r e v e n t o v e r l a p p i n g and d u p l i c a t i o n in h e a l t h e f f o r t s . 3 IIowe vex, up until tion has teen The membership organizations one the time, of this project, its primary func­ of d i s c u s s i o n . of the H e a l t h throughout the Council county. It consists sends of v a r i o u s no t i c e s out to A tw e n t y The organizations usual from attendance about those until associated respondence Health 2. 3. 4. six them consisted organizations. attending up inviting meetings the time appoint of a b out The consists two to assist of The obtaining results of representatives. representatives proportion health of in e i ght largest this study, * action programs. with Department. to professionals. the C o u n c i l One the this of had consisted s e cond of Director action, bee n cor­ of separate the frcm W. S. G r o o m , "The H e a l t h C o u n c i l , V; hat It Is and IIov: It W o r k s " , J o u r n a l of H e a l t h and P h y s i c a l E d u c a t i o n . Vol. 17, June, 19 46, pp. 3 3 2 - 3 3 4 . F r o m a l e t t e r w r i t t e n to h e a l t h c o u n c i l m e m b e r s by the P r e s i d e n t of the o r g a n i z a t i o n , d a t e d S e p t e m b e r 7, 1950. O r g a n i z a t i o n a l m e m b e r s h i p i n c r e a s e d d u r i n g the survey, that is, the list i n c r e a s e d . T h e n u m b e r g i v e n here in­ d i c a t e s t he list at the time i m m e d i a t e to the s u r v e y beginning. 150 similar cannot attempts be by other completely individuals assessed, but and a new organizations, health Director w as ob ta i n e d . The the need date, for second for there such project a proper has been no Leading the a meeting of the C o u n t y about The to b r i n g of project At The that of At the this as idea discussions the C o u n t y , to b u i l d on To extensive the deal the program, of Health meeting the in the support of meeting up of for or Berry stressed take the "All were some in might projects." again at ‘a l a t e r opposition on a h e a l t h record education meeting as certain educational the the m o t i o n following: was be made the and f i rst 1951." for d i s c u s s i o n should strengthen we the H e a l t h Council state, to attend the on w h i c h public Council order to county meeting of talk e d to needs carry the invited pressing discussed to in executive those project The re was was He meeting meeting a new subject brought Council of d i s c u s s i o n , Health next P r o c r a m -- T h e their was minutes the Health next Council. a great jects w e r e not plans for Council, thought, it b e t t e r seconded code Survey problems work survey program. "After the health the H e a l t h members conduct Health minutes to advantageously of Michigan revitalizing membership. The real To The of the w ay to sanitation Secretary urged been a code. Events group has Council, proposed concerning the m on for importance whether the of next pro­ or year. a health in survey ister but of volved several the (or county a group Th e opposition and final as of members this the the the job was inexperienced for the met next idea. too people by A large to rewording Council in h e a l t h . ” It was survey could be min­ and in­ accomplish. Health a health rural the proposal project felt was by m a n y covered under heading. January, the arou n d the project this that effectively that for up opposed education formed brought of was ’’p u b l i c project At felt agreement stat e d the members purpose the meeting 1951 as of se v e r a l structuring selected subject read of meeting at the a survey the committees group previous again. were membership meeting. The berry minutes of follows: A ver y i n t e r e s t i n g and e n t h u s i a s t i c d i s c u s s i o n f o l l o w e d r e g a r d i n g the s c <■pe and i n t e r p r e t a t i o n of the w o r k to be done by the e d u c a t i o n and F u b l i c i l y C cr.inittce in r e l a t i o n to a p o s s i b l e survey. And so, within vey received o c c u rred. and acted the its birth An idea upon by in ge n c e of certain tural system which It council and of the conceived other re s u l t e d peoples' the activities ordered a p u blic the a social system health and interests sentiments and of Council, professionals of many significant Health emergence of by health convergence the orders f o und the director lay and sur­ people, the within existence emer­ the of cul­ these lives. is are evident to be that found within the dominant structure sentiments of the shared health by all members many and it is conflicting ization also case sentiments is d e p e n d e n t sha*re d i f f e r e n t the upon that since and are the m a k e u p members interests there fro m to be of various are d e d i c a t e d found such an grou p s organ­ which to d i f f e r e n t goals. The each of differences tangential sentiments in meaningful when the in The and to public, ilar viet'jed this are health and of weaknesses found difficult to people the in are considerations, Health in the with public active county do not the professional. Such the process survey. ject, as health regular the one w h i c h needs, made Health ganization. Also its it awaken apparent and the The and group an of itself due most in of one the on same It has bee n of the same the lay way as affected to the pro­ county to tiie part the The the the w e a k n e s s e s in sim­ tc course, of of devoted sh a r i n g referral people explicit health Department. since has, of analysis was movement. constant w ith to largely health the field purpose tiie concern, members implicit in Health are members, T he analysis system. reference found health view an of organizations. a condition might Council the the Council the relevant Since analysis understandable dominant and an through within tangential which secure of actors Council. the with later terms'of objectives vfcnknesses and significant Health goals revealed becomes-more in case sentiments the C o u n t y ly sentiments education be organization expressed difference actor; will of of the the thinking of or­ all 153 members in was terms the of improvement V.'hat e d u c a t i o n issue w h i c h tional remained was cerning health certain members Council Health was of bee n The to sentiments system, in health s h ared the as in education. of the with to common to issue, the an educa­ sentiments con­ manner a strengthened members degree, i n v olve and by belief actors in the the lay the people social in m a n y cases, of strenthening of as meetings. the process as effort county in Health project All-out the conflicting of the as man y attend various and of different All some them-to the important, and organization. to different content that county. the objectives. level. viewed, by the major Education a clouded health belief the order was a markedly the encourage although converged good then, in strengthening and since county shared expended possible held important Council, a means had members clouded the one in specifically concerned were of belief became included process All unqualified education, the Health Council. 'Till- C O O P E R A T I V E Th e and the roles in Extension local the end was generated resulted of in Specialist county survey. the 1950 with at E X T C N S ION S E R V I C E this in h e alth agricultural Through the communication the state level agent both played crucial a contact mad e by Dr. berry Extension level at Health concerning between the the Specialist, survey specialist interest idea and at and the 154 County Agent Agricultural had through not the generated in the ment the such of certain throughout by the Smith movements the 19th such the Lever which movements and States Act. as and the actively led to a result common It was their an Service since its the to the but interest interested the involve­ resulted in extension has during part in the pro­ operation establishment sentiments important been outgrowth impetous Therefore, play Health Council SCRV ICE ' Extension gained century. became the A g r i c u l t u r a l itself. OF T H U United the interest sentiments Cooperative in time, specialist he an system this part the Such system G?:r,H:AL S T R U C T U R E by contacts, pr o j e c t . the Until active made extension within The an contacts from emergence gram played survey of Agent. of the 1914 farmers* the m i d d l e which in the in emerged total of through extension program. One County the of major Agricultural county s e r vice needs the l e vel must of the lege for such levels of the tension local He in d i r e c t It is the needed chief contact is he w h o from w h a t are in " e x t e n s i o n ” is he with often has he will the people in the the requests It i,s c o n s i d e r e d by inadvisable to enter without p e ople. Although the an area staff the of may var y according to county, most desirable is a s t a f f of the administrator decides learned make that services. office particular and people specialists State Agent. effect. When offices both the that the various area. to the col­ Federal the county demands on of and request ex­ that is m a d e up of: a 11 Assistant Agent (usually particular agricultural livestock, poultry, onstration Agent. of botn tue interest etc.); This adult specializes t iia t 4-ii C l u b a personnel tiie y o u t h and of in whatever county leader; is, and i.e., a attempts to m ee , t population of tiie tiie iiome tiie Dem­ needs county. TiiK L S T A f ‘I. Toil'll: N T 0 T T A b C O O Pl.L A T TV L L X T L a S il k L L L V IGi: I N I N T T . P L N P L N C L C O U N T Y ning establishing County a program task. the successful liven though "Land-rrant” agencies a drain In and on who preceded of established time. This early time him agent extension lias never requested were were strangers County, the for last the in largely program. each county they remained was tiie aid reluctant and and and begin­ been an easy education from to admit outside who would represent taxes. Independence been the who local in within people system agents the has of tue Agents The the due present fifteen county to the in the TAbLL V TI a years much but Agent tiie shorter resistanceshown following table remained Agricultural indicates the agents period towards length county. C O U N T Y A G K I G U L T U L Ai. A G L N T S I N I N P L P L N F L N C L C O U N T Y F k 0 M TUi: L S T A B l . I S i i M L N T O F Till: S L F V I C L T O T1IL P b L S L N T 19 13 - A p r . 1, 1 9 2 0 . C u r t i s L i n d e n C o f f e e ............... A u g . 23, b a l p h J o s e p h C a r r . . . . . .............. A p r . 1, 1 9 2 0 - M a r . 31, 1922. C u r t i s L i n d e n C o f f e e n . . . . . . . . . . . . . . . 'lay If 1 9 2 2 - L a y 1 0 , 1 9 2 6 . A l f a B u t u s V a n S c h o i k ............... N o v . 1, 1 9 2 6 - N o v . 30, 19 20. C l a r e n c e L . ii i p p e r ( e m e r g e n c y Assistant)....Aug. 1, 1 9 3 3 - O c t . 3 1 , 1 9 3 3 . C l i n t o n P o m e r o y M i l h a m .............. F e b . 11, 1 9 3 4 - f eb . 29, 1 9 3 6 . L o u i s 0. P a l l ..........................A P r - 6 * 1 9 3 6 ' Source: O f f i c e of M ich ig a n . the County Agent, Independence County, 156 T H E S T R U C T U R E OF T H E C O O P E R A T I V E E X T E N S I O N S E R V I C E A N D ITS R E L E V A N C E TO T H E S U R V E Y Although in it Independence with stable security the support During the conflict of the with Farm Policy finally Review" of A g r i c u l t u r e * and It position intact. illustrates The the of of organization g ive it is d e p e n d e n t this it has obtained. agitation had emerged and Administration its peak to agencies and during established extension following System service interesting the climate entire reached to g o v e r n m e n t a l Extension established a growing that w a s is the of r e l a t i o n s h i p w h i c h people the N a t i o n a l agitation the 1951 years, a well The local of many lines stability. This mer, is lasting year resistance taken County and and has by note farm the in policy. "Family the D e p a r t m e n t that w i t h all the interfering with the far­ service editorial its upon from remained the F a r m stable Journal fe e l i n g . Y o u hav e p r o b a b l y seen that b e g u i l i n g d o c u m e n t the " F a m i l y F a r m P o l i c y R e v i e w ” sent out by the D e p a r t m e n t of A g r i c u l t u r e to g a t h e r o p i n i o n s as to how the f a m i l y f a r m can b e t t e r be helped. It is i n t e r e s t i n g to be a s s u r e d that the D e p a r t m e n t of A g r i c u l t u r e w a n t s to s e r v e the f a m i l y type of farm. S i n c e a b o u t 9 8 % of the f a r m s of the c o u n t r y are f a m i l y farms, we v e n t u r e to say that the D e p a r t m e n t is on the r i g h t track. C o m e to t h i n k of it n e i t h e r the p r e s e n t a d m i n i s t r a t i o n nor USDA o r i g i n a t e d the f a m ­ ily farm. F a m i l y f a r m i n g in A m e r i c a b e g a n at J a m e s t o w n w h e n the f i r s t w o m e n a r r i v e d . The P i l g r i m s b e g c n f a m i l y f a r m i n g soon a f t e r t h e i r a r r i v a l w i t h I n d i a n S q u a n t o as the first "County Agent." 157 S u b j e c t e d , e s p e c i a l l y in V i r g i n i a , to i n n u m e r a b l e r e g u l a t i o n s f rom London, a g r i ­ culture experienced many difficulties. In due time - after A merican freedom was es­ t a b l i s h e d - the f a m i l y farm g r e w in i m p o r ­ ta n c e and in p r o d u c t i v i t y . U n til w e l l into the 20th century, the f a m i l y f a r m e r heard l i t t l e from W a s h i n g t o n . L o w he can spend a d ay in the c o u n t y seat g o i n g f r o m F e d e r a l office to F e d e r a l office, and he has to spend at least e v e r y M o n d a y e a r n i n g his F e d e r a l income tax. T h e f a m i l y f a r m ’n e v e r t h e l e s s , has a d ­ j u s t e d to e c o n o m i c changes, b e c o m i n g f e wer in n u m b e r s , f a r g e r in a c r eage. It made g a i n s as i n d u s t r y b r o u g h t out new i n v e n t i o n s . It s e i z e d upon e n g i n e s and e l e c t r i c i t y . It a d o p t e d new m e t h o d s as s c i e n c e m a d e them known. T h e f a m i l y far m has been served wel l by the r e s e a r c h a c t i v i t i e s of the D e p a r t m e n t of A g r i c u l t u r e , and by its e d u c a t i o n a l f a ­ cilities. F\o o t h e r kind of A m e r i c a n has e n j o y e d m o r e c o m p l e t e f r e edom, and no o t h e r has been m o r e v i g i l a n t g e n e r a l l y to m a i n t a i n his f r e e ­ dom. F a r m e r s have n e v e r been h e r d e d to the p o l l s to v o t e for m a c h i n e s . T h e y have v o ted t h e i r c o n v i c t i o n s , right or w r ong. The "Family Farm Policy Review" program has b e e n o r g a n i z e d t h r o u g h the P r o d u c t i o n and M a r k e t i n g A d m i n i s t r a t i o n and its C o u n t y M o ­ bilization Committees. It may be an u n d e r - s t a t e m e n t to say that t h e s e are not e n t i r e l y n o n - p o l i t i c a l g r o u p s in all i n s t a n c e s . T h e " i n f o r m a t i o n " w h i c h has been s u b m i t ­ ted to f a r m e r s is i n c o m p l e t e , n a t u r a l l y u n ­ c r i t i c a l , and p e r h a p s in some r e s p e c t s m i s ­ leading. It r e p o r t s few of the o b j e c t i o n s to the D e p a r t m e n t ' s p r o g r a m s . It is a rush job, t r y i n g .to g a t h e r in a few w e e k s o p i n i o n s that s h o u l d be s t u d i e d and d e b a t e d for a year. M o r e o v e r , f a r m e r s have t h e i r own o r g a n i z a t i o n s to c o n v e y t h eir d e s i r e s to C o n g r e s s . N e v e r t h e l e s s , w e b e l i e v e f a r m e r s s h ould express themselves. If you do not, you can be sure that t h o s e w h o d e s i r e m o r e power, m o r e jobs, and m o r e pay w i l l put in t h e i r reports. T h e D e p a r t m e n t can then tell C o n g r e s s that an o v e r w h e l m i n g m a j o r i t y w a n t s m o r e of a g r i c u l t u r e run f r o m W a s h i n g t o n . 156 If the D e p a r t m e n t w i s h e s to be s t r i c t ­ ly e t h i c a l , it tv ill not a c c e p t such a report, h o w e v e r , on the g r o u n d that its own s e r v a n t s s h o u l d not be e x p e c t e d to r e f l e c t a c c u r a t e l y w h a t i n d e p e n d e n t f a r m e r s t h ink and want. If you w a n t to run your own b u s i n e s s , w h y not j u s t say: "Give us t w i c e as much re ­ se a rch, k e e p up a good e x t e n s i o n program, and then LE-AVF. US A L O N E ? " 4 The feeling above of many Sentiments ments to ning masses and apparent is in stability spread was the for the of at shown terms even of of fac e the and survey by the that the such local the G r a n g e emergence may call It is, gained on the of course, control senti­ the the of w i d e time a questionnaire Farmers farm through the 204 plan­ indicate various indicating senti­ knowledge Such Fair* the of people. farmer, County of and Turing of constraint. planning conflict, concerning information and transmission of the Independence opinions the Service. part illustration control agency. considerable o n the The outside a program outside Extension the and chapters of excellent indicate such limitations in T a b l e the a b ove an an towards when other their Bureau This 4. to c o u nty. F arm is from is education agitation t a ken asked to control subject me nts farmers expressed related the editorial were agencies efforts in of the f a r m e r s 1 opinions VIII. indicates farmers* " L e a v e the F a m i l y O c t o b e r , 1951. the support, stability such if w e to Farm Alone", are a system believe editorial, Farm has that in such Journal. 159 « C/5 es UJ o 'n . o n CO h- 3 ■0 0^ O CM p H p-H CO CO CO CO 1 1 CO CO 0 NO OS. c> CO 1 0 CC on on .o n .o n .o < — irr rr f- in1/5 «—i «—i o •O JN. -v.O ON CO CM p H ON o s CO 0 CN CM CM C n CO O T3* r r •J © "N d < r r CO PH p H - ^ C N. NO pH 1 1 1 X 45 3c 05 45 p H •pH C L > E JH 0 45 4> 2: on Ol z| 0o U xl ©n CM LO CC TT t"* O' CD Is- CD I I I I I I • O 2 ool '«N e • • M * jm 45 » « CO • CO E * « Q. • • CO >> • • CO CO • • 2 • 45 CL • • O « i/i *—4 to ,O 45 c «-> • & 45 E 0 C t/1 •PH •rt > 4-> e +-> CO •pH O CO *-* O i—< CO C > 0 & O XL 45 JH ■ — 1 cr JH 3 O 45<—t 4-> CO CO CO as c» E E c O «-* to O a> *rH O 0 •pH O O 4 45 -> 45 JJ x: CO 45 •pH +-»(H a> •pH n S -l•pH X JL O 0 CO JH 45 CO (9 E CL 45 > x •pH N n Jh O CO O 0 C O Jh c > > ;> > Cl 0 CO as CO CO Cl 0 Vh » 4-> e .=3 O O 45 O C 45 x c 45 cl 45 ■O E l-H C c 0 ■rt 4-> CO JH «-> to •pH E •H E •a < a E •pH ■*H 45 XX M CO IS c 0 ■pH «H 0 3 x O M Oi NO & CO sO 1 0 CM P—t cJn o’ n on • • * « • • * • • » • • • • * » ■ • * CO 4~> 3 3 3 rs 3 3 O O O 0 O O >» >» >> >» >» >> O O O 0 O O Q Ci a 0 Q Ci 0 vO t CM CM pH tO 1 rr 0 pH • pH *■> 05 O •pH >; JH 45 C/5 E O •pH +-» 3 > M 45 CO c 0 0 i— 1 -pH O (-0 c 3 O O ■ • • * E 3 O O 45 O E 45 XJ E 45 Cl 45 ■O C ►—l • • • • * • • . • • • . 45 O E 45 *U E 45 CL C •pH * » E •pH >) • >H • ra • to • to • 45 • O • 45 45 C O •pH >» > 0 w E 45 O to D> <0 «3 •rH <0 -E * x: H-> v h 0 Vt 45 45 X5 •pH O to H c, Cl O CL O 3 1 1 N> pH CO CO O -O E I-H E O •p H *H 3 •pH O O to CO •PH ♦-> 3 )H 45 E O O LJ> 45 U O 45 O ' CO r r rr 1 0 r0 0s p H L”5 1 rr 0 pH 1 • • • • • • • • • • * • • • * • • • * f >» • J-l • 3 • to • to • 4) * » > O M E 4) 45 CO C55 3 W> •pH tO J3 •pH -pH -C *H V h 0 JH 45 45 -a > O 10 M E CL O CL O 3 /N CO E 3 O —1 E JH 3 Hh E O •p H HH 3 JH ♦-> to • pH E •p H E X) •E 45 E O ” _j 3 3 O O >. >* O O O Ch r-4 3 M 3 £E 3 3 O O >» >> O O l_H Cl E w a ' 0 O'N, CO r - •O ©'>. CO h~ 1 1 * • • • * • p . O • E 3 O 40 45 45 E 45 XS E 45 CL 45 -O E PH • • • . • • • • • • • 45 45 E 45 X E 4> CL 4) X E *~H • * * • • • • * E •pH • » E •PH ♦ • pH • JH. • 3 • to • (O > 4) • O • 45 4> E L> • pH >N > d M E 45 45 CO 05 3 < 0 •PH CO - C •PH *H XT ■*H LH O IH 45 45 X > •PH tO E O O O JH Cl Cl 3 3 3 O O >» >» O O 0 in >» • • • * • >» JH 3 to CO • • « • • 0 4> 45 > JH 45 O'} C O •H to E 45 +-> X '. 1 45 > •pH 3 JH 45 E O O O 45 45 E >» 45 E 45 .0 5 3 to •pH 45 HD O +H . SZ & JH X O > 45 JH E X 4> E to 05 3 E CL t o •pH X •PH X 4j E -C *-> 45 t r CL 3 1 0 X 3 O Lh O 3 J-H E •-H pH CJ 3 -t-H JH C O cn u J-H 0 E O 0-—, pH 0 C-3 lO E O to •PH c t o •PH E CL C O CL to £ 4? 0 ' JH JH Lh 45 jr*. X ♦-> O r 3th O O +-s ^ ■• J p rT h ■« —4 r-X 1- 0 H CL -L U CO 0 «i H-1 . JH 3 E 3 45 45 CLJ • — _L E_ * J PH to pH 4J 45 1 —H 3 3 4—5 CO C < 0 V-( , •p^ 45 cr X 45 •PH 0 XT H O 0 4-5 -Pi V; _L 4-H 4h to C XL 3 tH 3 45 XT £ •pH c O JH O > X > •H 0 3 05 (O JH <*H •PH CL E E CL E O 3 O CO 3 f= P-» 3 O 3 O O O >* >» pH O O *H O c JH O Lh 0 JH 45 J= O 3 a M 40 C O •pH to 45 E E 45 O X E u CL Z O * ♦ » • • • • • 45 JH O 3 O 45 • pH to > G5 JH JH 05 U O to H E 3 O +H •PH *H *H HI C5 45 3 •E O ' ■pJ * O *H Lh < Cj l p • +-> 05 O 4Q - 4 P-H u 0 • • • W 3 O 45 L5 •p H ■pH Lh E ■pH •PH O E 45 to X 0 • pH XT X «-» JH lh O ©N. CM >C 1 r CM fH CO CO' t o U5 p H p-H pH +J E 3 O *-> CO CO CO h CM CM 'D N3 ON © N Np >» -O ON hCO 1 to h- 45 ■pH +-> C - E t-H •pH H U-i 0 >* CJ — 00 160 a survey was County. It increased a random is interesting taxation, sion S e r v i c e . It tions above from people the the that the tor m i g h t above information research w hy two such up by ried and it extension Extension on by expressed is the C o u n t y as the importance in the In the quite to the relevant summary social many were since of this an issue expanded m ore of Exten­ generaliza­ collected to by the indicate collected,,other the C o u n t y not Fair. those who This would have fac­ attended a different Ag en t , network of type on than the for apparent why this program and why and to understand actively programs that survey. the In engaged these provides car­ l i nes viewing during organization built are pre-existing activation it education relationships natural the Extension available become by w h i c h it was in favor difficult would channels by is an in E x t e n s i o n therefore sentiments it at effect utilized vey, on unknown. serve that w e r e e ven data were considered Since expressed Independence information data of r e l a t i o n s h i p w e r e tionships no professionals a progr a m . in favored they such What is sentiments and in be attending. is the that to mak e t a ken bias might not group there was farmers note since which survey those The data under Fair large and partially the C o u n t y a to of is d i f f i c u l t themselves conditions than sampling w as the of a central the rela­ sur­ crucial f o cus structure. much system of finds the activity meaning in which t e rms of occurred this within particular 161 relevant Health to the of structure. and Safety present large the the mass ticipate for in was to m a k e success people of Specialist to of Agent or from could feel the they in contact local not The very that of nature they people were they w i s h e d position enough key amount to and of fre e to par­ allowed the the few his the on county, the the local level participation. of achieve limited in people orientation This in or fre e approval required local the their localities. able areas. operate the some level. operated where a successful w a s not the C o l l e g e people without whether the rural urban to the A g r i c u l t u r a l his e s t a b l i s h e d agent in on meetings survey possible the the themselves able Because to in w h i c h the Because vice, of decision to d e c i d e agent Specialist survey structure organize Neither extension same ser­ amount channels for of the effectiveness in the villages. Sentiments cerning those expressed education, clustered important research, around part w i t h i n the three have following organizations ments expressed been by of structure differences, individualism social have con­ and played an system. organizations emphasized these relevant ORGANIZATIONS tangential discussed this rural-urban themes OTHER The within since that to a g r e a t e r the groups extent effected have degree to w h i c h the just than been the tiie s e n t i ­ social system 162 was of m o r e important pressed found importance* to by the such within COUNTY since tionships original dent, has it provided l i nes however, represent and were sentiments relevance to ex­ those has the of OFFICE organized system on organizations system. from which interviewers proce s s , organizations loosely education survey, following SUPERINTENDENT'S Although lic survey the SCHOOL The fro m play e d the an local relationship, that C e n t r a l City of the people level. state important part county the organized the school able also activated was part the by and pub­ in the pre-existing were It was down, rela­ to m o b o l i z e through these the S u p e r i n t e n ­ took part in the survey. The County of who demand the an to an of education meaning of to such of who group affairs are of the survey. patterns sentiments of of and Such Independence people carry in on each the busi­ express the in the A m e r i c a n culture and part of largely these survey school in people be expect, the the system children. people strength within school education one w o u l d important autonomous their implementation The the As of their such group affairs. people run common that is this fore, for educating sentiments for nature provides locality ness very concern. interested people were in the system The their sentiments in the areas. was, there­ expressed relationship were expressed civic a resource local channels in It system crucial itself. by to 163 COUNTY MED1CAL SOCIETY This organization Independence openly have antagonistic been Health County. assumed Council represents Since toward that which some of would one of of the t h ese the H e a l t h many w as most physicians Department, feel the physicians the c h ief same of had been it m i g h t w ay sponsors about of the the survey. Certain indications of the indifference was shown by lack of interest the early development of this through this the interest organization volvement was of became strictly Although little is Medical Society, not usually participate of its ject. had members Such sentiments lack of up d o m i n a n t l y to the are of level less activities were of a p a r t i c u l a r vice and curative usually record of by may when this be that in­ operation the after the of the by Programs in is fear undesirable that the without pro­ Made oriented public intervention some the organization. group do the survey, nature of members explained this their they 1951 This Even for actual medicine. results that being largely and actual p r o j ects. the is survey. assumed as in only sort. the physicians, to m o s t project control. be expressed private interest about group interest health of known unaware of of on the advisory it m i g h t gone in during It was s o c i e t y ’s president an in the C o u n c i l representation organization. involved of the organization the in towa r d health into such outcome their ad­ 16 4 The ization important with the sponsorship.the survey office, supported tively it local for was upon The the it belong. early It m e non tige is that that is by role of It of the in county have bee n of the ac­ family group. Level to survey. repre­ acquaint Such a project certain gave part individualism could of organ­ its not had the C o u n t y the of active this they this a rule that night localities a t rue the as legitimizing survey. ASSOCIATION Nurses of were Association As the in the represents case organization major members of to w h i c h actors, of this the the nurses Medical all Soci­ nurses instrumental organization, in the its apparent. interesting such is on completion health a professional initiation, the themes of idea. an physician ignoring doubts nature sponsored of all of people would with nature an County. t wo nature did the such NURSES Since relevance of entire Tistrict is the took family of the beer, actors successful behind Independence ety, two wa s many tie-in organization, with had that notion the because THE PI ST KI CT it sacred any relationship people their close this, the failed to w h o of its physicians allowed school if The the however, because survey and this as in probable discourage senting stamp is opposed. Knowing have Jus t the physician would s u r vey, partly so factor an given but certainly organization to the not commends medical an unusual little profession. of The pheno­ the pres­ nurse 165 m ust first makes of all it d i f f i c u l t the physician. the assistance the niirse can ultimately the nurses of Department in c i v i c Its of even THE The this and have,as has taken throughout as the resulted in tapping as support lines of this phy­ interested parts with­ sponsorship the Medical nurses of Health activities. Its of a l ong certain important of is force. the C o u n t y such that sources group from county. further the in and action, a driving this to physician. actively played the active been part imposing throughout contact made organization. GRANGE The Granger significance one time, Grange at orientation tion w i t h has patient a role w h i c h been ch a p t e r , individuals, if not through group the independent have of is d e v o t e d the opposition neighborhoods. bee n toward the face been has of County has tional decisions of the represented POMONA from in survey, possible as herself limitations record and as w e l l which effectiveness itself establishing of the county same in communities the the a woman influential in the Soc i e t y , the in being profession extricate upon of with physicians earlier programs members the Independence was On burden operate the such mentioned others the Secondly dependent with sicians. to seldom Even As w a s with bear the case structured towards of movement, has never politics the F a r m a structured fro m though beginning of maintained and Bureau. heirachy the would political a strictly pressure groups Bureaucratic defeat by the na­ as organiza­ major functions 16 S of the G r a n g e sentiments possible policy such of for to the might to courage although it mined the by for in it. As activity The was that actual largely memberships in ge n e r a l tie-in the with presentative of movement so w i d e l y part ments of t his bound to the of structure which the in policy g r o u p w as the not the members residence manifest other the en­ such ac­ but, not respon­ engaged in school and County since the Those who general structures and along objectives of at in dis­ their are area. in members Grangers Independence this and is d e t e r ­ of G r a n g e system. upon representativeness g r o u p w as individualism marks in project organizations, in membership, county membership its of called its of to d i c t a t e decisions participate survey t h eir accepted in that this extension beliefs responsibility to and service mentioned all. body, to farmers relevant already strongly nity was the efforts participation due tricts, of this many im­ objectives the of C o u n t y - w i d e a result it since w as sponsor evoke Granges throughout of d e g r e e s makes combined members a legislative date. survey did This and or C o u n t y Council activity family the a result Grange ritual the Health survey is gr o u p s , Grange As Crange people a later the here. individual The of the the the orientation. necessitate Pomona by the tivity. sible the made sponsor group around N a t i o n a l t State, not thought be organized subordinate do Decause are primary the groups it w a s which re­ the are senti­ are with commu­ the grou p . 167 R E L A X IONS M I P S B E T W E E N T A N G E N T I A L O R G A N I Z A T I O N S A N D M E M B E R S OF T H E C O U N T Y L E V E L It lias a l r e a d y tiating set existing these is represented social members offices one tions to we m ay to of organizations concerned of certain the the ini­ within County. Thus, of the organizations This That related of roles system. tangency. and and a number tangentially participation members offices social of the Independence relate call were that certain self-survey involved the s h own structure served the which through teen to and relationship is, the*organiza­ the self-survey members in bot h self-survey. These the tangen- r, tial relationships point, among ivc may the pr e s e n t The inquire members these are of Agricultural the lishment of this unit example, expressed in w h i c h the any w a y been 5. Se e his County more The County cooperatively page initiating Health 139. rather He set Office the county. has the has service they a history from with the the of the the to survey, tw o Office but as willing the this relationships Sanitarian, since between At re­ self-survey. dating bee n Commissioner's extension the satisfaction that, cooperation of The always fel t II.'' insofar than Department complete Agent School with in in F i g u r e character Extension possible. eve n the organizations with had into the cooperation in diagrammed long estab­ for manner cooperate there organizations. has also operated relationship has 168 not been close since considerably. necessarily the On must the use implementation nurse. There relationship Nor has the any extent, the is other the hand, channels of m u c h not, has problems of however, the of two offices the public of the the relationships schools public to b e l i e v e harmonious in differ Ilealth.Department reason participation existing the the w o r k n e c e s s a r i ly b e e n joint of at survey between health that all for this times. affected, the two to organiza­ tions. Prior between The the Since, atively some by t io n s h i p , tc b r i n g prior to the the the C o u n t y The the unit has provides and two groups and Grange ether survey through its of the basic is out is of the the the that survey, point there g r o ups. between the Medical School representation interest that to which on this serve in t e rms is that, been This no is Society also and Commissioner's continues organizations had the be, were neg­ rela­ will However, two and viewed this survey, important be­ county. sometimes together. more Department. relationship possible of relationship Health these was, certain the a tangent the C o u n t y to because of between relationships Agent*s it the direct and health closer analysis, no physicians public development Pomona the developed relationship of related now was Society physicians, which the there Medical extent, many present direct survey, Council health to of the the the C o u n t y Health tween true to bot h Office. indirectly tangent Health organization to Council, has in 169 rural of p e ople, it the G r a n g e , County such Agent is also many also contacts existed relationships.as ever, t his Kurses and the Health Department. cil is a former president for association direct other the at time relationships organizations through It the Health should be other organizations County School was likewise Society. future, directly It the the except which in the b een the was how­ with Health of the The There Nurses the y relhted other Council or Coun­ Superintendent of were have this no Association were both Health president survey. itself c o u nty. Health Council the be or d i s a p p e a r . limited this of important to o t her and b een to the effected was to a number to survey, not of Agent strong. the C o u n t y the Although the time analysis, the chapter problem. the to see organizations a result Council relate important between Health the C o u n t y relationship as the Prior Offices extremely indirectly that serves the of should phase has group. course, Commissioner's true Council, relationship president the as of relationships and t his of for survey. this between to g r o w treat of the Except Health to b o t h T he with s u r vey. the Department clear, organization of the members Council. is an relationship the membership Health the to Association interest various relationships no d i r e c t in through of N u r s e s and and through through had represented 'lhe D i s t r i c t that, prior occur organization organizations „rue of the and This Medical if, in the developed survey, span of continue the research of F e e d b a c k will TAUT .T H E III SOCIAL SYSTEM PART THE The tomy of following the structure. Since system, the a problem orientation which are found t h eir convergence the analysis ning of which the of and aspects gained the its the social Le to of ana­ its from sentiments system gained orientation, concerned the the emergence converging a problem-solution will with with significant the patter­ structures emerged. general system was predicated they system according the relevant expressed concerned dominant within system Since in the be i.e., level through the will social patterned sentiments hav e S O C I A L .SYSTEM analysis social III in problem which on structure, a different a set such of led to emergence sentiments sentiments dimension the within will the f o und be of with­ found system in w h i c h converged. The social segments: general based system the C o u n t y and upon overall the be involved public education reached the within Local of the self-survey survey proportions of that project reached, the into the notion the separated and problem in be been Level general should terviewers has an the l a rge in although end in Level. distinct Since of numbers order problem two that health of the itself. to an was people goal of m o b i l i z i n g a means the end of in­ soon 171 Therefore the survey w as to be County provided Level the blem the led was in The in and Level, initiation the C o u n t y the source of activity solution. The certain conditions which concerned quite is was creation of ultimately found activated fore acted County a goa l this which by or problem structure those who particular manifested often the as Level. Level can that upon made and the the up as pro­ themselves divergent led be problem vehicles to the and of of attached a new units. set fcr by to set the con­ Local an Level end ends expressed of in to the the present, of the two f i nal it must separate the system itself, Level actors responsible an idea which certain led goals. These actors achieved system through the the Such who survey a to actors carrying the led of the which provided realization and problem For analysis nature for to in m e a n s better initiation local The a means of C o u n t y involved in a c t ion. "feedback". sentiments goals to as the in which actors increasing responsible confusion with clear based system which solution major the people orientation enough, stages, w as of which problem emergence l a ter then, by the shared which were viewed for the upon peculiarities was segments by of n a t ure. orientation be m a d e based number problem system not its sentiments County section, a large Interesting Although certain in e x p r e s s e d flicting the partially survey to in of a general initiators. system. joined for expressed orientation of mobilization were and ideas to be some there­ of the CHAPTER THE This pl a y e d chapter by tiation ti f i e d the cf in is major the such actors a way actors, and relationships self-survey theory, it various elements ment the of possible which in tions ultimately h u n dred roles these L'hat w e r e by other people relationships and they informal perceive division is roles who do the they play How in initiation t h eir iden­ relationships and organizations, and the as w e l l as One. s e g ­ nearly the in Level, the perceived survey? l.hat organizational action? reasons What county? they through ac­ four county, the in between people whose are of roles ini­ bee n the C o u n t y within resources of the system. encompassed survey? the distinctions certain participated the in has fact termed areas as in social customarily importance in of and the actors of organizations this bee n local h ave for for H ow did participating health? necessary, between in als o contact in a s e l f - s u r v e y It in initiators their of out system empirical comprised reached people other level actors, between has analysis county social to m a k e actions is an ascertained system c ase other do in social this the be with a social between can LEVEL the relationships system is at Once that between the COUNTY concerned survey. VII first actors of all, of m a j o r to d i s t i n g u i s h significance on a further the county level and became The those difficult reason Health for survey, as a tangential on clear. If narrow the p r o blems, surv e y the the grounds, organization of had to the collection members of the Health the and the had since the of relevant are which O ne social only system of d a ­ Council an active or d i v i s i o n membership it wa s activity not on and would in the diffi­ the part members. members represent interested were also difficulty actors and between the small, this self-survey been active the designated this in all. parent self-survey which apparent. yet the Council organizations be at to but, Council of can and it that official a classification limits of d i s t i n g u i s h i n g in an and comparatively county observation that sponsor such Health the became the Council cult in action Health to be located fact the tended Health the involved Council Since from for difficult, various system actors organization, of the the as strong to arose that of "arena" certain system. more part role an meaning Only a peripheral were organization considered been the y difficulty social have such analytical empirical be say although the ta w a s to provided of The played this Council organization, could who role initiating the the the emergence 1. W h e n s p e a k i n g of the c o u n t y level a c t i o n , the " i n i t i a t i n g s e t " w i l l in county health tangential to that during arose collection rol e played organizations played by set ^ w h i c h the of d a t a by an same had a c t o r s in be used. the b een was actor actor in activated terms of 174 In m a n y as cases,' t h e s e actual The description foliowing were or b e c a m e the so I f - s u r v e y Dr. Mis s Mrs. a list were - County r o l e 2; v a r i e d wa s of for Health the as individual actual Dixon - of Dr. Banc - President Society. Mr, Hoover Dr. Hi I l i a n s Mr. Stanton Mr, Lang - County the of of observable 11 e a 1 1 h the Commissioner - the Each of individual t h e s e 'persons structural in will and i.e., his be position, Independence imagery, actor County Education County Independence - C h a i r m a n of the H e a l t h Pomona Grange. to Memorial Medical H e a l t h and S a f e t y E x t e n s i o n S p e c i a l i s t from Michigan Sta te College. Hatt paid units. - he p r e s e n t a t i v e on the H e a l t h C o u n c i l for the I n d e p e n d e n c e C o u n t y M e d i c a l S o c i e t y . Mrs. others of of S c h o o l s . - S u p e r v i s i n g K u r s e for Health Department. to and Independence Helm ships who A g ent. Miss their actors Mohawk. - S a n i t a r i a n for Department. of far Director. Agricultural Chairman as initiation - S u p e r i n t e n d e n t of the J a c k s o n H o s p i t a l in M o h awk. P r e s i d e n t of the I n d e p e n d e n c e Health Council. - County point little concerned. those treated Committee be or events important and field Dali of is most Berry Mr. positions how considered that major Health Independence Committee County* other or.her the County is, Some from their the the stand­ relation­ attention actors participation for in County view the will the survey. CO UNTY Pr. Berry - County The part survey, was shortly alter other It w a s the it that be ne had the his by this served actor, to although Obtaining f o cus the crucial a new to job, interests the lie left of several project. the that Health effective not Pi r e c t o r duration. belief of more could snort in position to played of actors liealtu Ll'JV CL A C T O R S such a survey Department in certain be d i s c o v e r e d in the areas without would of the reinforce county health aid of and allow problems statistical information. ilis b e l i e f support and of cated the tile h e a l t h active idea in Health unit was participation Council displayed and by in m e e t i n g s . a survey, even in the the support of the interest in public on w a s shown face members of of its his ability to interest in Carrying some the through opposition, group towards it the indi­ this man. ilis a program tiie p r o b l e m s that consider Health answer was nuisance this provided might the concern his he f a ced in the os motivation achieve this a desire of he said, as being to p i c K up dead t h e people towards coal. to events. a director, and educating and chapter Department complaints chief partially in health primarily in In such viewing “People a ero to does...” p u b lic a health c a rry Tt health survey that that 176 No toward the information him w a s Field The dent of - Health president the she the of the Nurses maintains are early has lived in Mohawk Dixon who a personal for is Dixon, some about for this She is "Jean time the is all in other actors departure from also S u p e r i n t e n ­ Mohawk The that never on Jea n it first Her previous limited her in her as tim e for and member two positions her position her is. for social there own is for be with herself being known The Council is no H e a l t h other active human. She takes but concerned work work horse she a good has example Council.” in a formal in I to be actors on her reason responsibility a regular to The personally contacts Mrs. I believe town. affairs. would I had close. in only According and tvork. is Health professional reasons allow She acquaintances to has The actor was f i eld. became she years. major individual that 12 person. hospital an the as Miss she .she of last cool never k n own president Without In v i e w i n g be Actually of this. were up friend will patient little as of actually will t a kes friend we close the a role before wrapped them. playing awfully only let for an individual taken is responsible is each about Council Hospital largely citizen Mrs. Health Association. Mohawk vey his by President Memorial other and of h eld survey. She am because Council Jackson the D i s t r i c t that in obtained imagery co u n t y . Miss of concerning the the sur­ level. survey. 177 she. s_a i_d^_ _"A1 1 _ of. us munity own health than The im a g e r y had lowing with her Nothing on comments when Miss appeared with All in of us seeing like to is m o r e i m p o r t a n t improved be in proud com­ of our community health.” others, concerned interested facilities. communities. activity are to interviewed, Field from be the in the C o u n c i l were made the revealed that personal standpoint. light and a b out few w e r e All of the contacts people during the survey. The fol­ her: Mr. T a l l - "I d o n 't t h i n k the s u r v e y could have b e e n d o n e i‘.ithout her. Id o u b t if a n y o n e could have c a r r i e d it a l o n g the w a y she did. I t h i n k that Miss F i e l d has d o n e an o u t s t a n d i n g job. S h e is p o s s e s s e d w i t h g r e a t i m a g i n a t i o n and o r g a n i z a t i o n a l a b i l i t y . S h e can get p e o p l e to w o r k in a v ery q u i e t but p o s i t i v e w a y . ” Mr. t a l l w e n t on to say that he had only known her b e f o r e t h r o u g h p r o f e s s i o n a l lines. She had b r o u g h t s t u d e n t n u r s e s w h o w e r e t r a i n i n g at the h o s p i t a l to his o f f i c e to show t h e m how the e x t e n s i o n o f f i c e o p e r a t e d . Mrs. have Ilatt - ” I know her t h r o u g h no o p i n i o n s about h e r . ” the Health Council but tr. D a n e - ” Mis s T i e l d a c t e d as a c o n s t a n t f a c t o r in the survey. S h e w a s a l w a y s w o r k i n g on it and at all the meetings. At least all of the m e e t i n g s I a t t e n d e d . I d o u b t w h e t h e r the s u r v e y w o u l d have b e e n d o n e w i t h o u t her. S he a c t e d as an i n d i v i d u a l and w a s p r o b a b l y in it for i n d i v i d u a l r e a s o n s alone, w h e r e a s some of the o t h e r s w e r e p r o b a b l y a c t i v e for r e a s o n s of the o r g a n i z a t i o n s they r e p r e s e n t e d . ” He e x p l a i n e d that he had k n o w n her t h r o u g h p r o f e s s i o n a l lines for the t h r e e or fou r y e a r s he had b e e n in the c o u n t y . Mr. H o o v e r - ” 1 t h i n k she did an e x c e l l e n t job on m o v i n g the pe o p l e . S h e w a s not i n d e s p e n s a b l e , no one is inde s p e n s a b l e , and s o m e b o d y c o u l d have t a k e n her place. It w o u l d h a v e to h a v e b een s o m e b o d y w i t h drive, f o r e s i g h t , and p e r s o n a l i t y . T h i s p e r s o n w o u l d h a v e to be able to sell p e o p l e a bil l of g o ods. I t h i n k all in all she did a f a i r job. I have k n o w n her for a b out t h r e e y e a r s t h r o u g h the s c h o o l s . ” 17 B Dr. W i l l i a m s - ”5 he r e a l l y s t i m u l a t e d p e o p l e in an e f f o r t to get the job done, (asked how i n d c s p e n sab 1 e she w as) P r o b a b l y c o u l d have been d one w i t h o u t any one person. " W i l l i a m s had k n own her f o r ' a b o u t six y e a r s professionally. He has been l i ving for six years in the c o u n t y si n c e the war. Mr. S t a n t o n - "Sh e is a conscientious; n u r s e and h o s p i t a l s u r e r i n t e n d e r t w h o has g r eat i n t e r e s t in c o m m u n i t y h e a l t h i m p r o v e m e n t , some a b i l i t y to get e t h e r p e o p l e to w o r k a l o n g w i t h her, but not the a b i l i t y to n e v e e v e r y o n e . Sh e is a p e r s o n w h o has had a f o *jd v i t h .'•!? s s Helm. F i e l d is a p e r s o n v;ho has few r e a l l y c l ose f r i e n d s , ” Mr. L a n g - " S h e has k e p t the s u r v e y g o i n g . If she h a d r.’ t beer, in it s o m e o n e e l s e could h a v e t a k e n over. That s o m e o n e w o u l d h a v e h a d to be d y n a m i c . Mrs. T i x c n c o u 1d have taken her place." the H e a l t h C o u n c i l bang since had it w a s known Hiss organized Field through in 1 9 4 9 . H i s s H e l m **' ’’S u r v e y c o u l d n ' t have been don e w i t h o u t her. S he w a s c o n s t a n t l y cell! a g. pec p 1 a on the t e l c p n o n e or w r i t i n g post cards. 1 n e v f*r knew so m a n j pest cards could be sent out. H great deal of c r e d i t s !io a 1 d go to her." T h e r e has been a g r e a t deal of r i v a l r y in the past b e t w e e n Hiss H e l m and *11 ss Field. The Mohawk com­ m u n i t y has o p e r a t e d i n d e p e n d e n t l y in I n d e p e n d e n c e C o u n t y w i t h o u t m u c h c o n s i d e r a t i o n for the p o l i c i e s that d i r e c t the n o t i o n of the h e a l t h unit. It has been t h r o u g h this that c o n s i d e r a b l e a n i m o s i t y has g r o w n b e t w e e n the two. H i s s H e l m lias k n own Hiss F i e l d for about ten y e a r s til r o u g h n u r s i n g c i r cles. S h e b e l i e v e s tuat Hiss F i e l d "dees not u n d e r s t a n d good p u b l i c health". ouch as a competent not her w o u l d n ’t h a v e beyond These and Loth her were Hiss friendship Miss Holm willing to indicate leader indespcnsable else are statements in the but 'went b een much and reasons and Mrs. express Mrs. and an in with the Dixon; Helm are opinion generally Some the thought saw she her was idea that "someone The two that knew survey had mixed Mrs. Dixon for letter”. Miss f ixon people survey. a l ong relationships Helm that for without feelings. personal professional volatile reasons. personalities much of prompting. who 179 They make group has decisions feeling a slower to g r o u p t hat and rapidly m ay more expression circumvent most they nay have only The only change suggested in within and Mrs. Dixon. Their more strained. tha n once between had t a k en two n u r ses. Mr. Pall rural County During people not been had known When an of tacted Agent t his of whom a health the he Health has Helm hel d he the of in an Miss have Helm is the been but has trying heated when to quarrel latter between the Aoent his has office for maintained county. before the extension a great sounded they deal the survey respect, wanted He to of he although had he lines. sociologist of sixteen respect professional worthwhile. had last the the H e a l t h C o u n c i l by since A it. seem to a when between Field argument through the J ean has idea that Miss Fixon actors survey college Mrs. an that Department. and Field appeared that Mis s had is feels member contacted s u rvey to towards relationships she time, the opinion friendship Agricultural active for by of supporting hand, sensitive appears Miss any other quite it. a neutral the the she admires Field throughout some he w a s College, idea side - County The years. the as consider on is Dixon that Miss She Mrs. " s a b o t a g e ” the C o u n t y occurred Fiel d , ignoring previous action always h o w ever, people from considerably Miss by including not ma n n e r . come Field to quiet opposition towards said exist. do in m e e t i n g s , tendency have and at he had clear the felt been with the con­ him 100 before Until they this entered time, he the area had not it. he b e e n concerned about man organized a meeting and this original the H e a l t h many of the Council them Few supervisor City friends w ho in his are of for he his late health and has mately concerned mers and consci c n t o u s by the and with to with to He his of his one has on of the yet to involved he had with k n own lived he f ew c l ose has home. has some. he activities b est level. has no He suffered is k n own basis. and has in and from not mos t He is been is poor inti­ by Agricultural As is w r a p p e d children Although informal the after "Louis recently down had chair­ shortly personal his Dali has nor a temporary became study. work. and an he their survey although neighbors on as said, wife." slow t hem be or the of college time members, years his in m o s t college the township fifties. with with to Dal i t r ied deals lie a c ted close Mason purpose about extension fifteen garden heard this its the his visits nov: in At and through people Central up contact. for far­ quite considered Agents in the State of Michigan. In volved reference in the in tvhat does health clean to is all it poor? community, some his survey, essential eood to p e o ple. he own reflections says, "G ood communities. do to take Sanitation, etc.. In general a cash a clean become health Without in symbols these as it to w hy he w as is prime nothing farming home, are stand else crop clean which symbols the if farms, matters. your a a relic, ion for in­ a eood wav of life. the problems inventory of them I was that for then the upon and I studied he he of criticism part of original he was w e a k l y services of gested. The members of part his of contact at Stanton following t his to been of for the time met comments selected of man who o r der out group the the find in r u ral out the infor­ lack to the and survey." p l ayed areas. he used with the people he had towards imagery the Because survey held of Department. the the about survey, of reflect f elt county health Health survey sym­ a Health The a b out is why and this etc. a deterrent the that At to disappointment those has to an severity also them. stock, find D ali came in the Department help I first co-chairman staffed Mr. us showed "Their made probably live help Mr. to through I guess Health crops, the was the data, on Call i n v o l v e d ." of attention ascertain solutions. census involvement fea r area. could the would concerning Later P e o ple, this said, '"When in t lie same way, w i l l mation." in got statistical, information call position information meeting a survey would problems, act idea with that existed health the this Council that of and pathized I felt the sug­ that the him: Miss F i e l d - "Mr. D a l i has d o n e .an o u t s t a n d i n g job. C o n t a c t i n g p e o p l e and y e t t i n g t h e i r s u p p o r t has b e e n his c h i e f c o n t r i b u t i o n . He is w e l l t h o u g h t of. I don't t h i n k it c o u l d h a v e bee n d o n e w i t h o u t him in the rural areas." S h e had met D ali f i v e y e a r s b e f o r e w h e n she b r o u g h t a s t u d e n t g r o u p of n u r s e s to his office. Mrs. D i x o n - "I trolling factor peacemaker. He th ink he is real nice. lie's b e e n the con on a n y t h i n g that has h a p p e n e d . He is a has kept e v e r y o n e happy. Be u n d e r s t a n d s 182 w h a t is g o i n g on. ^ o one else could have brought t h e r u r a l a r e a in as w e l l as he d i d . It c o u l d ' h a v e b e e n d o n e w i t h o u t h i m b u t t h e s u r v e y lias b e e n c a r r i e d b y Jean F i e l d and h e . ” T h e f i r s t t i m e t h e y had m e t w a s at t h e F e b r u a r y H e a l t h C o u n c i l m e e t i n g in 1 9 5 1 . .Mrs. i i a t t - " H e h e l p e d o r g a n i z e t h e ' s u r v e y . I don't t h i n k t h a t Mr. D a l i g e t s o u t as m u c h as he u s e d t o . ” S h e h as k n o w n Mr. D a l i f or s e v e r a l y e a r s t h r o u g h h o m e extension club work. Dr. B a n e - D a l i f u n c t i o n s like Miss F i e l d . Miss Field a c t e d as an i n d i v i d u a l w h i l e Mr. D a l i r e p r e s e n t e d t h e e x t e n s i o n b r a n c h of t h e c o l l e g e . I t h i n k that he m u s t h a v e b e e n s t i m u l a t e d by i n v o l v e m e n t of M i c h i g a n S t a t e College." IIe m e t D a l i s h o r t l y a f t e r h e h a d c o m e t o t h e c o u n t } t h r o u g h -his w o r k s i n c e D a l i w a s o n e of h i s p a t i e n t s . M r . H o o v c - r - " I t h i n k lie w a s r e s p o n s i b l e i n g e t t i n g p e o ­ p l e in m i n d a n d he a l s o g o t t h e s u r v e y u n d e r m o t i o n . B e y o n d t h a t p o i n t I d o n 1 t t h i n k he d i d a w h o l e l o t . " He has k n o w n Mr. T a l l fo r a b o u t t w e l v e y e a r s t h r o u g h professional lines. D r . V,' i l l i a m s - H i s c h i e f c o n t r i b u t i o n t o t h e s u r v e y h a s b e e n the s t i m u l a t i o n of people. be has had q u i t e a r e s p o n s i b i l i t y in s e e i n g t h a t t h e t o w n s h i p s c a r r i e d through the survey." ilewcs m e t h i m a t t h e A p r i l 1 9 5 1 Health Council meeting. M r . S t a n t o n - " H e is a h i g h l y s k i l l e d o p e r a t o r in h i s a r e a of h e l p i n g f a r m p e o p l e w i t h t h e i r f a r m p r o b l e m s . He h a s w a y s of n e t t i n g the c o u n t y b o a r d of s u p e r v i s o r s to a c c e p t his p l a n s , e v e n t h o u g h he d o e s not h a v e c o m I>1 e t e s u p p o r t f r o m a l l o f t h e m a n d a l l a r e a s o f t h e county." S t a n t o n m e t D a l i in J a n u a r y o f 1 9 5 1 w i t h t h e college group. M r . I -a n g - " H e h a s b e e n t h e b a l a n c e w h e e l o f t h e s u r v e y . W i t h o u t Pall the survey wouldn't have gone. He has a v e r y g o o d s t a n d i n g w i t h t h e r u r a l g r o u p a n d they' a r e the ones that did the survey. I got to know him b e t t e r t h r o u g h t h e s u r v e y a n d b e c a u s e o f it w e a r e w o r l i n g c l o s e r t o g e t h e r in a r e a s of p a s t u r i z a t i o n , h e a l t h of herds, rat control, and farm wa ter supply." He met Dali f i v e o r s i x y e a r s b e f o r e w h e n fie c a m e t o t h e c o u n t y and has known him through p rof ess ion al lines. Miss Helm - "We couldn't have done w i t h o u t him. He knew w h o to c o n t a c t and d i d s o m e c o n t a c t i n g h i m s e l f . I told Dr. B e r r y at the b e g i n n i n g tha t L o u i s D a l i w a s the key 183 p e r s o n in c o n n e c t i o n w i t h a survey. gest c o n t r i b u t i o n w i t h the e x c e p t i o n S h e had k n o w n him p r o f e s s i o n a l l y for tail's tine. There times ills since calm people !crs helped the man -1 r s . I i x o The is, him actors of to customary however, he He lessen held for let for in with t h ese at at a dealing the people through him leadership was relationship role a the c:tor activities was former principal forts. became with is one and know that sort of all premium. with various mem* he tilings that of an mother active in origin in Health the limited with w as cer- and the Committee than of Her housewife. She been, in before a survey large is through president her town. a welfare maintenance survey that survey. school and Council the having elementary its education mere concerned represented owes the Health professional, cf she which vith not experiences had time this organization sane his did respect male and past C h a i r m a n of of M o h a w k role fr iencskip certain Council. if group 5 h 0 u 1 c1. - She this man and in association the a a Health V 11 marriage, The was and t o i i i 1J the other been had he with personality cf a busy more stature lie m a d e the b i g ­ of M iss F i e l d . ” five or six rears. to her ef­ personal who resides in community. Mrs. I ixOii her husband division of a Mohawk. Jn 1943 cane who from is thriving she Albion, now an Michigan, executive refrigerator became twelve with compressor concerned with the years Fresco, factory health n ago large in records in the school record Child for of Club, school immunization m i 11 e e I'ixon the periences to the in to mittee an and since opposition the somewhat half, it was was it contact with active for was delayed, responsibility for It welfare was her to a of cases the town From and up a no this Cducat only not ?n handled past by of these title that she was the Council, her interest Health county the as ex­ invited di f f i c u l t for the survey. co-chairman of the survey participation. acceptance enthusiasm that Council. village involvement more it in­ of original her made This organization .in c o m m i t t e e Health oriented. of general helped Her in the this and of Che the her Che com­ also survey neutralize final contribution survey. Although community successful in the coverage county. her activity apparent but also that felt over she a period enjoyed somewhat a of a year certain inadequate and amount when a Com Mrs. because position, part of the around o Health made was organized immunization. now positional of the the she there meetings. her for observing became is that member, and community'than within the started her a concerning c o m n i 11 e c important surveyr provided In she ager oy . involvement throughout which greatly responsible idea, was more together play children, president contribute did was is the was with Finding of Council the health a welfare Health terest, as along Hike Mohawk. children This acts c o is n t y of program formed. who of immunization Study survey system a of dealing 185 with professionals. because of doesn't carry group his position much discussion The her often but weight.” but following concerning She refused I'm is h .c ld just She to information that said, by "Mr. Call another could do citizen and was quick to respond rive talks or lead displays the so-me of the this that to the'group. imagery group: M i s s f i e l d - "I f e l t I m a d e a b a d c h o i c e in M r s . D i x o n , e s p e c i a l l y in c h o o s i n g h e r f c r t h e c h a i r m a n s h i p of M o ­ hawk, It is d i f f i c u l t , f o r h e r to w o r k w i t h o t h e r s . S h e h a s not l e a r n e d t h e t r i c k of a s s i g n i n g o t h e r s to c a r r y the load w i t h her. S h e also does not have the a b i l i t y to get a l o n g w i t h the p e o p l e w i t h w h o m she must work. T h e r e w e r e o t h e r s who had this a b i l i t y but w e r e b u s y at. t h e t i m e . 1 f e e l t h e f a i l u r e o f M o h a w k in t h i s s u r v e y has b e e n l a r g e l y d u e to my poor s e l e c t i o n . ” 2 Mr, f a l l - " S h e is a g o o d o r g a n i z e r a n d m o b i l i z e r . She is a g o o d p r e s s u r e p e r s o n a n d w i l l w o r k . S h e is a l s o goo d a r o u n d the r o u n d table, good at p e r s o n a l c o n t a c t s ( e s p e c i a l l y o v e r t h e t e l e p h o n e ) , a n d a g o o d c o g in t h e gears. Y o u h a v e to h a v e s o m e p e o p l e l i k e h e r to g e t t h e work done. S Ii e i s ’v a l ’u a l l c b e c a u s e t h e r e a r e n o t t o o many people like h e r . ” T a l l m e t he r t h r o u g h the s u r v e y at t h e F e b r u a r y 1 9 5 1 m e e t i n g . M r s . iiatt - " A l l I k n o w a b o u t h e r is t h a t s h e is c h a i r ­ m a n of the s u r v e y c o m m i t t e e on the H e a l t h C o u n c i l . " S h e h a d , at an e a r l y d a t e , m a d e m e n t i o n of t h e f a c t t h a t m a n y of t h e s e v i l l a g e w o m e n w e r e for the s u r v e y b e c a u s e t h e y w e r e l o o k i n g f o r tilings to k e e p t h e m b u s y . She s a i d t h a t r u r a l w o m e n d i d n o t h a v e to- l o o k f o r w o r k s i n c e it- w a s a l l a r o u n d t h e m . " S h e m e t M r s . D i x o n in F e b r u a r y 19 51 at t h e H e a l t h C o u n c i l m e e t i n g . Dr . B a n c - " S h e h a s a g r e a t d e a l of e n t h u s i a s m . She was pret t y good all along. S h e is i m p o r t a n t b e c a u s e she r e p r e s e n t s the lay people w i t h o u t any a f f i l i a t i o n s . T h e s e p e o p l e a r e at m e e t i n g s b e c a u s e t h e y h a v e p e r s o n a l r e a s o n s of i n t e r e s t . " Bane met her through some w e l f a r e w o r k c o n c e r n i n g t h e H e a l t h a n d E d u c a t i o n c o m m i t t e e of M o h aw k . Mr. H o o v e r - " I j u s t k n o w h e r t h r o u g h t h e s u r v e y . I t h i n k s h e d i d s o m e w o r k a n d is q u i t e e n e r g e t i c . Deyond this I c o u l d n ' t say m u c h . " 2. This comment was made prior to the involvement of Mohawk. 1D6 Dr. L i l l i a n s - "I h a v e just net her t h r o u g h the s u r vey. I never knew her before. A p p a r e n t l y she c o n t r i b u t e s q u i t e a L i t in m e e t i n g s . " Mr. S t a n t o n - " S h e is a c o n s c i e n t o u s , c iv i c - n i nd ed Me h a w k c i t i z e n , w h o f o u n d it d i f f i c u l t to t i e h e r l o c a l c o n ­ c e r n s in w i t h t h o s e o f t h e w h o l e c o u n t y . (A d i f f i c u l t y n o t c o n f i n e d t o h e r ). O n e of t h e o r i g i n a l m o v e r s f o r the survey, she gave the impression that Mohawk would lead the county. S h e h a s m a n y s k i l l s in h u m a n r e l a t i o n s b u t s e e m e d in t h e g r o u p o f t e n t o r i s e i r e in o t h e r s . " S t a n t o n n e t h e r a t t h e I’e b r u a r y l ^ C l H e a l t h C o u n c i l meeting. Mr. L a n g - " S h e h a d a n a c t i v e a n d p e r s o n a l i n t e r e s t . She was active but the survey could have been done w i t h ­ out her." H e n e t h e r a t t h e Ileal t h C o u n c i l m e e t i n g in L'ecenlcr o f 1 9 5 0 . M i s s H e l m - "I t h i n k she m a d e a n i c e c o n t r i b u t i o n . Her e n t h u s i a s m f o r t h e g r o u p w a s a s h o t in t h e a r m . I knew h e r e v e r s i n c e I ’ v e 1;e e n h e r e . I met her when I first came here. S h e c a m e to me and r e p o r t e d w h a t t h e H e a l t h a n d e d u c a t i o n C o m m i t t e e h a d d o n e in M o h a w k . S h e is public health and civic minded. I s u p p o s e it c o u l d h a v e been d o n e w i t h o u t h e r . " Although many tributions, inost energy. was I'icld how to have much do vey she hrs come _thc job. Mrs. her the appeared strained "public this said, I also ilatt - Chairman Mrs. Ilatt influential to limits aware before, In I 1 of fifty farmer. to of her referring learned : ad a it Health years She a had enthusiasm might part public of of have the health part and question in her con­ Miss to amount good with might mv sur­ was interest curiosity for idea." Committee old Dix o n ’s mindedness" suppose certain was her Cue about I Mrs. relations civic Foundation. thought is be hea l t h and "A n y t h i n g that. the considerably. strain. Delloqc from sec explained been with through and As could for and wife lived on Pomona of a an farm Grance established all of her 1.37 life no in Independence children twenty group and of the mode as a presented, raised years and two of the and the Ucvcrend idea North (a county but antagonistic to the Health Department) When survey she she still civil load. line It of was Health complained with and the it that at so this by Civil work went ahead many of time the that that calling Defense At this the the Health was a survey minister there it who was openly the the idea one of a meeting were would of add busy to circumvented were no vjorthwhile. people just first from February group questions ea r e ­ a with survey now the the had Committee not rural are of opposed and have Publicity residing negative. projects opposition Health. much Council remained defense was too one rural the that when of in who from and lives standpoint was college the husband wards il a t t Education V. h e n her county Mrs. with Council. she She old. contact member Health longer have forty that Council but County. Civil later.added the this lefense to the questionnaire. Her terms of growing Her original socialized government reason lie Since Dali Nr. in gathered explained agencies that around her had on the certain the fear with survey of an of record survey was who as might information expressed communism, increase socialized suspicion gone from if to medicine, centered communism mation opposition of medicine was and and that benefit showed fear cf taxation. behind saying in fear of the idea. the infor­ his office that animal and diseases were bring prevalent a vet o r w a r inn extremely "is a g o o d example problems and department t h e y do f i n d money" this If 1 o c !: o u t plenty them I u sy privy their o n e tic h . and there no I. i s n e i g h b o r people arc there. It so that to vill a g e -women that it will stay work, there never disappeared of the This is Health was tenT the crowded seems had certainly of th c survey. me on in fori less he only that is part wealth alive. Aural Council due wanted women around for several do the little the them." illness or meetings survey, of nothing the from the city but in is a her to to to to v:cs do husband, with so for opposition the not give look iiatt's after do problem is have she farmer away something Mrs. keep enough survey don't will has him this us m o r e If a f a r m e r really Council all to to of if survey. a about far to it e ♦. a This would living that it c o s t C *ty , they concern. is b'hat or It s e e m s to me v: o r r i r d harm the and Central n I v; a y s together plenty partly some more. the river. s h o i ’I d ' b c septic so along T h e y a re l o o king for d o v:n h e r e " 1 b i l l windews sac a new o f f i c e T h e y d o n ’t r v on h a v r t •?. privies of actually the goes around h a s to pay health' p r o b l e m s tine, '‘T h i s ” , she said, then they build the t ax pa y e r is t h e i r j o b . find a find to on in L’a s h i n g ten a n d a l l V.’h a t is t h e h e a l t h T o p a r t m e a t they but is g o i n g The government once they and o f f i c e f ull n e g a t i v e t o t h e idea. of w h a t the c o u n t r y . he n i g lit be a b l e into the e xt en si on had b e c o m e over in t h e c o u n t y , decision present. but the swe planning n o An attempt mona Grange. with the would It ctner follow that structure of Mrs. up at time idea. part For this was first idea of of the they ivcre so apathetic the the that survey she health 3. See in could pages decision had the the Grange the Po­ idea members manifested toward like this the A .s h c objections the actual lady but on organization, was survey decision Grange went still able to while much fcr was the present the all for the most about. matter when it on record convinced one of get the most as that these it v;as people idea people being were the a waste and through for stated because just plain it. Pomona when Grange the Stanton her no from Grange. look what remained were on and 165-66. she asked on she Grange. record as organization her accepted since Pomona gone Council Call, refuse the had Health township, hardly committee this of co-sponsored subordinate Pomona had made were Hatt the by approval up." many survey, the}' members d idn *t others Pomona towards represented the energetic because if the representative to they m i n o r ! ty get thb Council understand brought Mrs. a that reality "It the reason that for idea said, although to Grange.0 didn't time. In being the hater felt Health the Many they was made organizations, H a 1 1, brought been suit. vagueness that had to the was be being yrcup, chairman job. chairman She of of said the 190 Mrs. other ent Matt actors had that reflection interviews few she that was .Mrs. certain to her rural defense It was of was with the rural observed uncomfortable by the of many a tion "sophisticated”. in reference comments to made indicated a they she knew educated the Ly Miss respect was not by .people and element future relations vey. There was stand rural life and, as than thcy. As a a result, the survey the findings were and concerning the the Health well they os to revealed, in Mrs. by to urban. re­ in terns of urbaniza­ data was not collected toward Dixon of Mrs. at Mrs. Ilatt survey. she This dealt did Mrs. concerning Hatt the with Central Grange in the the quite urban had made City can be of not lack times the regardless they but even though represented be h'att various possibly in the often that she problems constant who understood end a women M r s . Ilatt an reference felt had that that often and to worker and Matt Council too, felt came health that Mrs. had field contrasted village that that the manifested position fact feeling, as of s u p p o r t i n g the explained of and the partly rural rural-urban others field for of liesearch imagery appar­ recognition inferiority group One neetings as the observers. at worker of concerning verbalized were life field presented more higher of These way around the feelings imagery the conclusion background. the to of indirectly concerned It had revealed she differences. Hatt reflections sur­ under­ living more insight comments of as knowledge which she 191 considered to be the center of health difficulties in the county. The largely position the cation and part of set val. This actor, could not see she Her such with support. office she action that the than of the she in the a Health such in a a survey member persisted position advantages the a and made this it when survey, in the Council in her rural survey of was which disappro­ county would Edu­ group, hove for the rural difficult her she differences for her organization was compelled, organization, to were to went by take at continue on record virtue a part of in the the resulted. or survey theirs urban However, criticism in her that held the survey survey, from actor Although Committee project charter ported and a supporting Her this critic. the the feeling in of up Ly represented. play as a Publicity originally people played and played an important self-survey goal. idea more clearly forced then to more realistic part It made aware sharpen in of the order the formation those who other interests objectives way in to gain of the Medical Society representing the Medical Society sup­ of the justification sponsorship. IbQctor bane - Although ginning, this society in favored the group at an the President actor was Health idea early of not an Council. the date, survey he official Since and became the representative it gained an from was he, the active be­ of the however, who support of participant. his ]oo I octor resided year he in old too!: where w hen Hene the bye his is area for three Specialist was said, c o u ntry a newcomer medical there he is Independence years. has training. come from A nn ii i s i n t e r e s t need for his believe that the future expressed C o unty, having iic is a t h i r t y - f i v e apparent "I Lest who to Arbor, in this services, in m o d e r a t e where area, was expressed development sized cities of this such as Central City and areas such as this county which arc away from d e n s e more ted and to their more those population. younc; first 19G1. cided where a Health work on would Cl sponsorship doctor was felt der to sent in that this a letter Council Council Cane at in cn the from their The the in docto r s . is project. in his March. by without group As bociety felt of had Lut he all an an had that har­ no official society, approach a r e s ult, attendance had of practically this to de­ themselves wa s P r e s i d e n t Since a member correct requesting meeting It was in M a r c h Council Council the c o u n t y the the Medical attrac­ chi l d r e n . committing time Health past. ccunty was this because r a ise meeting least at and three or Society. the has case being start survey, possible legitimate him Health be and a the H e a l t h a 11 e n d cd survey yet the are after it. Medical is a month dly every can at representative and they appeared the this professionals married official ever able is on d o i n g the C o u n t y I think Lane Til is w a s to f u t u r e and places families." Le of city at Miss the in it or­ Field next During the the survey and ment as would March said to v hat endorse come i n t e r e s t e d on tlii m i g h t be s that ov; n the a way would lie said he the instead not and of h r. v i n c make the I,ring attend representative were that licial state­ sure that that they might was they be­ the fact that medicine. The fact interested some in- t h e i r outside accncv idea w o r t h w h i l e . it b e f o r e Health ^ in via s that socialized interest no he suggested county he w o u l d would a new combat his make say, alone certainly that could h e Me point of expressed would it. to problems interfering assign one individuals health alt hough doctors he g although the probably mec ,in the Council he was doctors meetings sure would and he w o u l d be an Society to a c- t ive nenl'cr. I.ater he received an CD from the Medical sponsor the survey, but it was probably more implicit in the uaders t and i n v po s i t i o n were and the occurred in er ^ep some quost io n e d , many did not a study indications overly active bership T he of Mad understand Although such of around following in parts was to to comments of the not m a d e heard of of f i fty were the and the the op- the d o c t o r s survey before Medical Society, that v:a s not They doctors made when about. the p o s s i b i l i t y affairs. since, county it v;as all c i vic forty explicit net even what point body than it have ranging about D ane active in an mem­ all ages. through i n terv i e w s : Mr. D a l i - "lie is the only d o c t o r w h o has c o m m u n i c a t e d m a x i m u m i n t e r e s t in the survey. It w a s f o r t u n a t e that 194 hr c o u l d represent. the v o u n t y M e d i c a l A s s o c i a t i o n . lie is a g o o d p h y s i c i a n a n d a g o o d a n a l y s t . ile i s a l s o a good n a n to h a v e a r o u n d a c o n f e r e n c e table. He can sec through a ladder without bee onino c o n f u s e d . ” Tal l had n e t hi n a b o u t t h r e e y e a r s b e f o r e w h e n he w e n t t o h i m os a pit i e n t . M i s s Y i e 1 d - ” 11is e n d o r s e m e n t of t,ie M e d i c a l S o c i e t y h e l p e d a lot. He a lso has d o n e w o r k on the p u b l i c i t y c o n n i t tee and has b e c o m e q u i t e a c t i v e r e c e n t l y ( r e f e r r i n g to the p e r i o d f o l l o w i n g the survey i t s e l f ) . ” Miss F i e l d has k n o w n h i n for a s ho r t time p r o f e s s i o n a l l y . Mrs. 1 ixon - "lie was very i m p o r t a n t to the survey. From the very lie g i n n i n g I felt that the d o c t o r s w o u l d have to be for the s u r v e y if it was to be done. Professional and lay p e o p l e t h i n k in terns of d o c t o r s w h e n it cones to mat tcrs of health. lie has d e f i n i t e l y c l a r i f i e d the M e d i c a l S o c i e t y ’ s p o s i t i o n and they e n d o r s e d it 11*rough him. lie is c e r t a i n l y a key p e r s o n . ” ” J have net him p r o f e s s i o n a l l y w h e n I b r o u g h t kids over to C e n t r a l C i t y to h a v e t h e i r eyes tested on w e l f a r e c a s e s . ” Mr. Mo over this t ow n . ” "I don't know him. Cnly as a member of Fr. W i l l i a m s - "He has m o r e time than m o s t d o c t o r s to • spend on t h e s e sort of things. He is a s p e c i a l i s t and at fou r or five his d a y is over. T h a t ’s when mos t of us are jus t s t a r t i n g out on our h o u s e calls. I t h i n k his b i r«■./ ( e s t i n t e r e s t r i r n ow is to see that the H e a l t h V* h t C o u n c i l d o e s not fall d o w n . ” Mr. S t a n t o n - ”A p h y s i c i a n w i t h some l i b eral ideas who is o p e r a t i n g in a c o u n t y w h e r e he w a n t s to be a c c e p t c d by o t h e r p h y s i c i a n s as well as patients; who t h e r e f o r e p r o c e e d s v e r y c a u t i o u s l y in any new h e a l t h p r o g rams. M i g h t not: he is c o n c e r n e d w i t h s e e i n g that the f i n d i n g s of the s u r v e y arc not m i s h a n d l e d . ” S t a n t o n met C are at the M a r c h 1951 m e e t i n g . Mr. L a n g - ” 1 met him a b out three y e ars age w h e n I had my g l a s s e s c h a n g e d . Th e s u r v e y c o u l d n ’t have bee n d o n e w i t h o u t him. T h e r e are not e n o u g h m e d i c a l men i n t e r e s t e d to sell the idea of a s u r v e y or a n y t h i n g like it to the doctors. He has a lot of good ideas. He should be in­ v o l v e d in the H e a l t h C o u n c i l and b r o u g h t up to d a t e on Hut 1 ic H e a l t h . ” 195 M i s s H e l m - "He got the c o o p e r a t i o n of the M e d i c a l Society. W i t h o u t t h e i r b a c k i n g the H e a l t h D e p a r t m e n t w o u l d n ’t h a v e b e e n b e h i n d it. He is a man of i n t e g r i t y and i n f l u e n c e . I hav e known him p r o f e s s i o n a l l y s i n c e he has b e e n h e r e . " During but the early occassicnally "just more soy to co m i n g to He become had an concerning Lut also dropped hollo interested of by the at survey, several and see how t h i n g s around the end’ of end in some active the part on project growing areas wer e and this opposition in not going". w h e n the still the A d v i s o r y was active Health Council 1951 and Bane He meetings became survey was going on in Committee at the C o l l e g e probably certain played a r eas others. some began part to concern him. Dan e indicated his interest the idea. that active. up on the to had become the idea Bane in of the some of the "individual he two factors probably that he had the suspicion represented Council the year meetings just represented. by getting the the b e fore, felt as governed started had V* i 1 1 i a m s he that got him who being a check During Medical Medical had that this with he to not b een should see if his period Society to he sponsor survey. factor survey representative said the involved other all doctor of were and appointed was the there survey Health I'.'hcn he organization The the First Hamilton, Society show in that on effort and the on which probably explains Health the his governs original Council, oart of the is his people the action interest belief who of in a in this in live 19 6 a r c r . 11. the Me said that survey v;ere not that he believed area to take also felt which Council lusioned by that he this ■-roup. had people local to to on dicated an idea of reflections concern from each people marri e d , to as part an e and is the in the Health somewhat disil­ makes this in in its a lout uosk and the him feel interest Society any the (maintaining sec develop) who are who in was comments he had sold i n d i v id u a 1 has one the a net Me and would This T or in­ that take the load since be wc u 1 d character in­ v.h i c h off of attending. of S c h o o l s Superintendent family felt he representative individual constantly County child. Council, ever}- year. and is C o u n t y influential Health membership. organization Independence and of !ie effort. Me d i c a l to this said stimulating of in He belief s e n s i t i v e - Court I x J L u o c r i n t e n d o n t Hoover, well-known in r e p r e s e n t e d , that individuals lived h o c T his lie said ability expressed he f rom it. specific has was started the problems. part surv e y ho has (al t h o u g h active findings thcnsclvcs. ( f c 1 1 o v: c o l l e a g u e s ) like Mr. in the do v: i t h M o u t s ic'r i n t e r f e r e n c e ” , since his Hoover health ability rot idea he w o u l d Mr. in individual own ver y take further mere pcrhans ineffectiveness). •cr a n ni z a t i o n s are volve his survey the r ppo i n t cd the believes t itc nature In that important lie sav; the the committed that its should Cnee of this he felt too tha t care that he all his line. many life He years is of S c h o o l s , end is f rom a thirty-nine, he was a teacher and principal leader. People have mixed sort of but he living feelings. his is net 19 45, appointment and position the fir st not he little has school boards His often active and lived is a fine and jolly is think, few w o u l d by 4 II club he w o r k e d he a jolly sort however, that deny his he wa s Although first, a mediator that own much desire for opposition He in survey occurred for the of he til at determines the village in in the assigned but found was rural s c hool arise near a cr u c i a l the end tiie a c t i v a t i o n active superintendents be the little two to on gave in A p r i l policies of a political Although in d i s p u t e s as clearing sponsibility. and record been it b e c a m e office. on for had Superintendent sys­ between teachers. responsible he that jurisdiction contribution he w e n t year organization is and of C o u n t y elected participation largest proved an the He meeting to influenced the extent tems. He "he that seen and an gain. in s c h ools that admit All sociability some area feel nature Schools very where others sincerity. lie r e c e i v e d when the by personal his and a politician of his to in Township Some a f e l l o w ” and doubt is in F i e l d i n g one being four it and for the of C e n t r a l the support. are a survey for of one idea, at He was to organize impossible to take one contact a failure and he in D e a r b o r n accompanied City. the one or village. townships made survey responsible interesting their but the on that Health at this the re ­ ultimately Extension 19C Specialist of the four without never at to C x t o n townships any did where involved assigned difficulty it. they It w as or to opposition felt by some this time was partly in this area and o w ned land in a long tim e had He at the had for Health antagonist most of the been through He her to between his results to more. Had People in have pushed it since they needed a Director approval office on the in schools tion more l o cal was survey o t hers of cooperation the people with is Miss Helm actually feels an this. 11e Health Department has on survey said, survey. himself not very su p p o r t of This organizational in for I would t ime and by greater actor that local the have b a sed the where said but, actor on local areas county course, staff." and of for of clearance the survey interest the level, organizations, it was s h ould of t ime acceptance n i ght I didn't Department implementation channels. but a full and busy survey the m this local on I was going the H e a l t h in m a n y the a school up, R e l a t i o n s hips active office thing survey for important the his the Knew he but concerned the the allowed of school of level. it at have it b o o n my r e s p o n s i b i l i t y . his the the Cut townships. that efforts the come from would yet hav e Harly and did lach he the he d e n i e s he his difficulties I should I t r ied do of one tv;c of since f e els limited everything here. time while and township. personality. recognized and d a y school unit trouble "I d i d n ’t do have the one She only that responsible Department. of him this execu­ although provided existing the 199 It dent was felt played lize d a»d an Ly m a n y of the important part justified members at objectives the that that the meetings night be superinten­ where met he verba­ by such is mo r e a project. 1n iust his classroom a 1 s ci a t t. c r e s t out o v. n I in w e I fare far are of advances hove bee;: The p tain'; of school I’c o p i e I lie s t activity. stahe. t o d ay the words mu r c The you Dc^rlo affairs conscious in welfare t(d a the have at that cf health. " h j uca t ic n » that, the Quite 1arrr. community an think is the will have c o a f r e ; t I iu; this is increased P v cr Ic t h e \ w r u 1d n ’ t pr ob 1em s I of os ;a ti in- turn before . an d reason also t na t interested." f o 1 1 ow in o L h c ui; n t about comments hr. illustrate iioo\ nr: v. h a t ta is selected 1 h r . I; a 1 1 - ’M e w a s d i f f i c u l t t o p i n d o w n t o a n y g r e a t responsibility. be d i s p l a y e d a b i l i t y and i d e a s w h e n he v as w i t h us t h a t w e re h e l p f u l . h e v. e r e n o t a b l e t c g e t the m a x i m u m f r o m him. I d o u b t if he s e e s f u l l } t hr o b ­ j e c t i v e s of the surv o \ . T h i s h a s beer, a d i s a ; p o i n t n c n t . " b a l l h a s h n cv;n h i m f o r a b o u t t e n te fifteen jeers. be o r i g i n a l l y m o t h i m t. !i c n h e w a s a 4 bc l u b 1 c a d e i . 1 hc C O ti t a c t s t h e y h a v e h a d h a v e c a 1 y b e e n p r o f e s s i o n a l o n e s . h. T h i s i n a g e r y w a s ma n i f <: s t ed p r i o r t o t h e i u v o 1 v e mc n t o f C e n t r a l C i t y , m a d e p o s s i b l e b y H o o v e r ' s i :i f 1 u o n c e a n d c o n ­ tacts through the school system. b e c a u s e of t h i s he g a i n e d c o n s i d e r a b l e p r e s t i g e in t h e g r o u p . Central City h a d beer, "a h a r d n u t to o r a c h ” a n d h i s a b i l i t y in " p u l l i n g t h i s m.e o f f " v, a s v i e w e d a s n s o l i d c o m m i t t m e n t t o t h e s u r v e y i d e a . A f t e r t h i s e v e n t it a l s o b e c a m e a p p a r e n t t h a t ho w a s f i n d ­ i n g m o r e i n t e r e s t in s u r v e y a c t i v i t i e s a n d t h e g e n e r a l Health Council program. It w a s n o t l o n g a f t e r t h a t h^ v a s n om i na t ed f o r the p o s i t i n g of H e a l t h C o u n c i l [''resident, ile a c c e p t e d a n d a f t e r b e i n g e l e c t e d t c e k o v e r t h e ° f i i c e that Miss field hac previously held. 200 Miss F i e l d - ” 11is h e l p has been of the vocal sort. He a t t e n d e d a few m e e t i n g s . He has been a c t i v e in his s u p p o r t t h o w e v e r , and has kept the s c hool p e o p l e for the idea.” S h e f i rst met him at a H e a l t h C o u n c i l m e e t i n g . Mrs. F i x o n - ” 1 met him at the H e a l t h C o u n c i l m e e t i n g s . T h e t e a c h e r s c o u l d have c h o k e d him w h e n he said, 'let the t e a c h e r s do it*. O u t s i d e of that I know n o t h i n g a b o u t him. ” Mrs. Ilatt - ” 1 have heard him say, 'It c e r t a i n l y w o n ' t do any h a r m ( r e f e r r i n g to the survey) and it m i ght do some good*. He d o e s n ' t have to do a n y t h i n g so it isn't a bad idea for h i m . ” Dr. D a n e - ” T d o n ' t know h i m . ” Dr. VI i l l i a m s - know "I d o n ' t of know anything him or he did. anything 1 don't about him." Mr. S t a n t o n - "A p o l i t i c a l a p p o i n t e e w h o mav do a f ai r jcl of s c h o o l a d m i n i s t r a t i o n but w h o s e first and last c o n c e r n is to do t h i n g s w h i c h are p o l i t i c a l l y e x p e d i e n t . I r e j o i c e d in how L o u i s F a l l got me to get M o w e r on the spot last S e p t e m b e r w h e r e he had to p u b l i c l y su p p o r t the s u r v e y at a m e e t i n g . ” S t a n t o n met H o o v e r at the j o i n t m e e t i n g w i t h the c o l l e g e and c o u n t y on J a n u a r y 27, 1951. Mr. L a n g - "I met H o o v e r w h e n he w e n t into o f f i c e in 19 49. Wc w o r k e d close f r o m 1949 on. I d o n ' t t h i n k he c o n t r i b u t e d m u c h of a n y t h i n g to the survey. He p r o b a b l y offered suggestions. Milt is a b r i l l i a n t man. I have b e e n a b l e to w o r k c l o s e l y w i t h him. lie s t ands up for w h a t he f e e l s is r i ght in the schools. The nursing d i­ v i s i o n n e v e r c o u l d get a l ong w i t h him. N o b o d y has taken time to e x p l a i n to him the c o n t r i b u t i o n of the n u r s e s in the H e a l t h D e p a r t m e n t . S a n i t a t i o n is visual, not n u r ­ sing. Of course, t h ere is a p e r s o n a l i t y c l a s h b e t w e e n Miss H e l m and H o o v e r but on the o t h e r hand, Miss H e l m clashes with everyone." Miss H e l m - "lie g a v e s u p p o r t to the survey. lie r e p r e ­ s e n t e d s c h o o l su p p o r t . lie helped i n t e r p r e t the H e a l t h C o u n c i l to the school s u p e r i n t e n d e n t s . In a r eas w h e r e he did any w o r k on the s u r v e y it w a s n ' t too s u c c e s s f u l . I hav e k n o w n him t h r o u g h the H e a l t h D e p a r t m e n t s i n c e he has b e c o m e S u p e r i n t e n d e n t . " In valuable the but minds few of m o s t felt that people he had Hoover's done any support active has work bee n on the 201 survey. There rest of Yet, after and he the was group from involving ultimately looter little became six years. son of D o c t o r and influential slowly He in the open t o w ards the standpoint City, of his President a young of man a pediatrician married and Williams, member ove r his opponent Health past. health work interest, of has also this together any the with common social the objectives. capital Health of increased Council. in thirty-seven the two county of for children. area. Young tiie H e a l t h who has the last ile is a pediatrician f a t h e r ’s p r a c tice. when but he and he wa s in A p r i l of never in f rom bac k to d e a l time in his interacted his only and old lias b e e n iiis f a t h e r since the an ’ Williams Council 19 51. j ob He to of on s h are and be his has father's tried a personal it has has been standpoint his medical with animosity to wor k bia s the with against that is not experience in the problems as them public it sanitation his a most career. with very connection appointed seemed the admitted mostly had net Department tie looks Williams Council doe s lie has disagreeable part is is Williams in the but Hoover county. Doctor after as A.C. taking an army tied Williams practicing been the Central Footer Williams been that fe\^ m e m b e r s with most representative attended too for of enthused organization. them the the m e e t i n g s nor d id of Health occurred Medical quite he the Society regularly take an active 202 As quite of jcb of started enthusiasm appointed the zing tabulations a bit He was had the chairman patting to towards of the the ccme the in he began results publication information of to the show survey. committee, together and which publici­ it. i.’hen questioned s a id , *'l f^el ter it far future ested got In that started health the Comments the his cwn pr o j e c t I could sec by and what people Interest is of how we activities. results made on in community could I ruess' I am car in the I c dene t It i s g r o u p use surv e y he be n e f i t . Af­ information primarily inter­ with- t h e m . *' are as follows: .hr. b all - fT r ., i*i 1 1 i c n s will be of v a l u e only in in­ t e r p r e t i n g re s u l t s . be had no d e s i r e or a b i l i t y to noM 1 ize C e n t r a l C i t y (for a w h i l e it vas thought that he m i g h t be able to a c h i e v e this goal). lie d o e s n ' t have a r e s e a r c h mind. He w a n t s to see wha t it looks like. 1 don! t w h e t h e r he can h a n d l e people. be is a fine C h i l d Specialist." b a l l met him at the H e a l t h C o u n c i l m e e t i n g s . hiss hi eld - "He was the second a p p o i n t m e n t from the heb 1 c a 1 f oe icty, be has been mor e a c t i v e than his p r ed e '■e s a r . lie has b een w o r k i n g on the p r o b l e m s of p u b ­ lication." h i s s F i e l d has know j: h i m a short w hi lc professionally. „iu, P i x o n - " I d o n ' t know him or a n y t h i n g a L o u t him e x ­ cept that he comes to t ftc m e e t i n g s . " Che met h im a t nealth C ou nc i l meetings. b i . L a n e - "I a p p o i n t e d h 1:v; r e p r e s e n t a t i v e . I d o n ’t k n on vb.al he has d o n e on the s u r v e y e x c e p t for the b r o a d c a s t he was on in the Summer. 1 bnov. him p r o f e s s i o n a l l y and hr: is a f r i e n d . ” mr. H o o v e r - "He had an a c t i v e part in the survey. lie was in on the f i rst m e e t i n g s . He s t a r t e d off w i t h in­ t e r e s t but I w a s n ' t a r o u n d a f ter that. I have known the n a m e for s e v e r a l y e a r s . ” 203 Hr . o t m i v O n - "A y o u n g phys i c i a n , son of a r e a c t i o n a r y HD. iCuiHj W i l l i a m s is net p o s s e s s e d c f all of his f a t h e r ’s p r e j u d i c e s . lie seems busy in his w o r k tut ready to s p end time a v a i l a b l e on such a new thine as the s u r v e y and not so c o n c e r n e d as Banc v: i t h b e 1 1 1 i n y up the r e s u l t s u n t i l it is e x a c t l y as p h y s i c i a n s want it p r e ­ sented.” Has k n own him t h r o u g h the ileal th C o u n c i l . Mr. La tie. - "He helped .hay township. on our C h i l d Clinic Iie can be interested v. c r t h w h i 1 c . " Lan g has known him program in in most anything a few years professional- Miss iie 1 m - " S a n e as Dr. Bane. W i t h o u t the ”.c d i c a 1 S cc i c t y L a c k i n g this idea, the H e a l t h D e p a r t m e n t w o u l d n ' t have been b e h i n d it. I have known him since he has practiced h e r e . ” The a c t i v i ty the actors the survey. en t i r e an image of as stage of provides he is order actor its knew or him the with many chance he by history of active over the of have had more Actually this wa s not some a crucial minor the contacts element of or the group. extension in Since state the m ade to through from in remained expected involved of I n d e p e n d e n c e C o u n t y , survey. of observations later who and S a f e t y on the others. development. original be sponsoring became activity an those miyht the - Health acquainted Through than either Stanton This time and developed a representative legitimate Mr. group a result, of h im Most him this As period case. saw of of V. ili iams the his level areas in encounter first Specialist survey at an position is one w h i c h of the extension s t ate with became the active early services, of M i c h i g a n . Health in the Director health 204 from The primary the f act survey was was that countv an of have tension ilea 1th System and problems had been an survey, the realized at Independence Stanton*s in the his contacts ings of of and to It w a s the a project being Foundation and major the In resulted with the interest people this man w h o and of he was in entered 1949. thoroughly came the ful­ the Ex­ lie is concerned fro m T e x a s H e r i ( fro m offer time that his a with A : a c 1 1 y w u :t he w a s t a l k i n g a b o u t . He never really said any­ thing. ii c h a s d o n e a l o t b u t i T m n o t s u r e w h a t . " A r c . II a t t - "lie o r g a n i z e d t‘ ,iv t c r s i o r o f f i c e . " the survey and works through f r . A a n e - " H r i s id c nt i f i c d w i t h t h e c o l l e g e an d t h e r e ­ f o r e an o u t s i d e r . He probably, o r i g i n a t e d s o m e of the opposition. It is i m p o r t a n t to r e m c n l e r t h a t he w a s d cy: u o r o b e c a u s e h e is p a i d a s a l a r y f o r t h e s e s o r t o f thing s. lie p l a y e d a n i m p o r t a n t p a r t b u t I ' m s u r e t h e survey could v a\c been done without him." A r . H o o v e r - *'T t h i n ! : h e d i d a g o o d j o b . As I think lack, he s h o u l d h a v e *ad mc r ^ d r i v e but I d o n ’t t h i n k t h a t w a s t h e i n t e n t i o n of t h i s t h i n g . If he h a d put m o r e d r i v e i n t o it p e o p l e m i ^ k t h a v e r e s e n t e d it. Ccme to t h i n k o f it h i s a t t i t u d e m a s g o o d . II c d i d n ’ t get excited. I f I g e t i n t o it, I w o u l d h a v e g o t e x c i t e d . " I r . A i l l leans - " H e c o n t r i b u t e d t h e m o s t t o t h e s u r v e y . H o a c t e d in n g e n e r a l s u p e r > i s c r y c a p a c i t y . be might not a t e g o n e n s f o r w i t h e i: t h i m . " Ar. Lang - "P a v e w a s a k e y f i g u r e in t h e s e t up. w o u l d h a v e h a d to t a k e s o m e o n e w i t h h i s a b i l i t y ledeo. An outsider. A c o n e in t h i s c o u n t y h a s V.’e an d kneve the 208 ability. It ond o u t l i n e s hod to Le s o meone of s u r v e y s . " who kne w the principles r.Ii s s IIc I n - " I t h i n k ^ c did a c r est do a 1 . If he h a d n ' t r one out and m a d e c o n t a c t s , I d o n ' t know w h o could have. I d o n ' t t h i n k it c o u l d have been d one w i t h o u t him. The tine e l e m e n t w a s a l w a y s there and when, we felt we c o u l d n ' t do it b e c a u s e w e w e r e busy, L a v e w a s there to b r i d g e the g a p . " All Council during In the these final county flection as hr scientious as an did the had yea r of Stanton**s a whole, it is towards to iioovcr, couatj iio He a l t h feel^ on his is unit more way established part of as Mr in in this gr c u p , said, irked at dees the t i m e s by not re­ "a first b u t v u o , in and the con­ experience the readily accepting such main, new Helm, think this seri­ survey," his o f fice conviction of make public it self publicizing has bee n for the Health the ccunty they do. in the that count}' the health public in order for the m ust for secure. the than to w h a t He survey Ler a r t men t Gan it aria n to only people or functions the of the errors but held is interested Lcpartment that It the health group, has position. 11° w a s Health years. in own made efforts o Sanitarian be e d u c a t e d the the kdcr. Lar.c - Conn. tv five observe not Anil, last to count) health survey. I significant in a as dr. the survey id c a s Health in health jo! the role a good ous! } h a m p e r e d his who through 1951. of consultant a mot S t a n t o n analysis held advisor a people d one activities in the of the past. He Lcpartment machinery This, he is the feels, to b e c o m e education means "advertising in such a v.ay that the people arc made constantly 'aware of what the unit docs As a member the criticism towards of the Health Department that exists this service. had powerful critics, is aimed and can do." in various parts of the count}' Since the Health Department much of his interest has always in public education in this direction. In many areas of the county, is referred especially rural, r . bang to Ly some as the "shit-house engineer". people felt that his j 0 L which been neglected Ladly. v;herc people live They in filth pc in t to the sc ivage that swim. he is. sensitive to His answer with problems is along sanitation point to individual and Heme lines has family shacks in one recreation area they is contaninati a g a la V.c v;here children tc these criticisms appears to Le concerned of jurisdiction. He said, "The Health Depart­ ment cannot force a family to clean it has been proven without a doubt through court action they are a puLlic menace. Since none of the complaintants arc usually willing powerless." up their property unless to go to court, In the lake question, the Health Department the Health lepartnent been trying for the last few years to find a sample taminated water. still tested Even though pure and from condemning Criticisms that sewage was this prevented observed is' has of con­ the v.atcr the Health Department the area. of this of the Health Department sort have made him and other members cautious in their dealings with the 210 public* It is activity on the that opposition the flect on a minor should our the In must Lang under by help cularly that and becomes following to Lang, the has in the the H e a l t h members have his and to of modified survey. Department this "The survey. unit Health If we hopped on it. interest in the good the has Fearing might tried to re­ play Department had This his really was entered for the keep he said. progressive. wel l with the n u rses* indicated that her personality office from of C o u n t y along is to survey, "We The t h i s ." cooperation gets it countv operate to g a i n thinks better The of he and that people." but through feels of achieve Helm difficult county the appears Miss the would a clean ma v towards out speaking have s u rvey He kep t position Council According opposition and this Health survey, part. have pe o p l e it largely onl y well other agencies, School with a matter division parti­ Superintendent. o t her of made groups time in before the the unit established. reflections of others toward h im are included in the comments: Miss F i e l d - "Mr. Lang was v e r y hel p f u l . He set up the s a n i t a t i o n q u e s t i o n s for the q u e s t i o n n a i r e . He has a l s o spent a g r e a t deal of time r u n n i n g off the m i n u t e s of H e a l t h C o u n c i l m e e t i n g s on the m i m e o g r a p h m a c h i n e at the Health Department." S h e has known h im s i n c e he c a m e to the c o u n t y t h r o u g h p r o f e s s i o n a l lines. Mr. D a l i - " C h a r l i e has had the same d e t e r r i n g i n f l u e n c e that b o t h e r s M i s s Helm. He has added i n f o r m a t i o n and "know how" in s a n i t a t i o n for the n e e d s of the survey. His a c t i o n in c o n n e c t i o n w i t h the p r o g r a m has b e e n l i m i t e d . 211 L i k e H o o v e p , w h e n you get him w o r k i n g it's* w o r t h s o m e ­ thing, _if y o u c an get h i m w o r k i n g . ” He has known Lang t h r o u g h his s a n i t a t i o n w o r k in rural areas. Mrs. N i x o n - "He k n o w s w h a t he is t a l k i n g about. With M i s s H e l m he has h e l d the C o u n t y H e a l t h Department, t o ­ ge t h e r . He s u p p l i e d q u e s t i o n s for the s u r v e y .and k n e w w h y he w a n t e d i n f o r m a t i o n and how to get it. I wonder if h e ' l l e v e r get it (the h e a l t h i n f o r m a t i o n ) ? ” She has k n o w n h i m t h r o u g h her c o n n e c t i o n w i t h the H e a l t h D e p a r t m e n t s i n c e he has b e e n in the c.ounty. Dr, B a n e - ” 1 m et h im at the H e a l t h C o u n c i l m e e t i n g s . d o n ' t k now w h a t he has d o n e on the s u r v e y . ” I Mr. H o o v e r - "I t h i n k he did w h a t he could. He has c o ­ o p e r a t e d 1 0 0 % w i t h the schools. W i t h us the H e a l t h D e p a r t m e n t is Mr. Lang. He has h e l p e d us get b e t t e r f a ­ c i l i t i e s , such as r u n n i n g water, he a t i n g , etc. If s o m e ­ one had d e s i g n a t e d Mr. Lang to s p e a r h e a d the survey, he would have done it . ” Dr. W i l l i a m s - ” I met I don't know anything Mr. Lang t h r o u g h the H e a l t h a b out his a c t i v i t i e s . ” Council. Miss H e l m - "He d e s e r v e s a g r e a t deal of c r e d i t for the i n t e r e s t he s h o w e d f r o m the b e g i n n i n g . He gave p r o ­ f e s s i o n a l h e l p and i n t e r p r e t a t i o n . W i t h o u t him there * w o u l d not h a v e b e e n any m i n u t e s for the H e a l t h C o u n c i l meetings. He is a v e r y c i v i c m i n d e d p e r s o n . ” S h e has k n o w n h i m t h r o u g h the D e p a r t m e n t s i nce he has been in the c o u n t y . , It w o u l d appear with s u r vey, the . gave to the c ase the of that although for w h i c h survey these as muc h others somewhat he g a v e d e f i n i t e time his as m a n y lack of explained. Miss ation of in his reasons, the activity L ang others. participation had As to in be x Helm - Supervising This actor at limited the Department, was time and of Nurse of the C o u n t y President of the the a member survey, of Health District Department Nurses a professional the H e a l t h C o u n c i l . in Associ­ the S he Health recently 212 became a member helping and Miss Although much evidence to get along Field. the it It w o u l d teristics which shared seem discussed Miss of the Helm purpose of Health from of when Department. Miss F i eld, find her somewhat are extent a different these women but leadership some and people course, both to resulted many is, that in by the survey. h as that This aid been for c o n f l i c t ” w ith clear w i th. Council the trouble health makes on already "Mohawk of of Health advice has the philosophy the giving Helm mentioning of other difficult true have of Miss charac­ competitive by na- ture. Miss and had r eason Helm only for r e ctor w h o by this Department the w as and been not unit. it She parent had of be Another reason Miss that Helm there were started. concern the of over­ Health Di­ the ones that the Health Council gave, The were interference enough Council Health Council felt Health given, the beginning always the should felt been the the s u rvey the S a n i t a r i a n help She the H e a l t h the had having From and of after attendance in unit. the a member meetings of organized represented ships. lack Department represented avoided. not attended this the H e a l t h guidance had and, nurses although shou l d concerned who be member­ represented the m e e t i n g s . Miss years. Health Helm She was has been hired Department was as in the county Supervising f o u nded. Dr. for about Nurse Harris, at f ive the or time president six the of at 213 Central City health unit He known had before and College, who had accepted, was responsible h er through co u n t y . Since tors during she and had The to as run this the a friend his and time times there when comments active able suggestion the D e p a r t m e n t following been she have the in g e t t i n g for her nurse came bee n unit three has appointment. for to the many years Independence Health been Direc­ without one, herself. reveal imagery of others towards **er: Miss F i e l d - "I hav e k n own her for ten years. I kne w her b r i e f l y in W a s h t e n a w C o u n t y t h r o u g h the R e d C r o s s Home Nursing Institute. He part in the s u r v e y has b e e n r a t h e r small. S h e had a t t e n d e d m e e t i n g s and o f f e r e d some suggestions. S h e has b e e n b u s y w i t h o t h e r t h i n g s . ” Mr. D a l i - ”S h e has d o n e g o o d w o r k in m e e t i n g s and in c a l l i n g a t t e n t i o n to o b j e c t i v e s of the survey. Her fear of c r i t i c i s m w a s a d e t e r r e n t factor, o t h e r w i s e she c o u l d have been more useful. I h ave known her for six y e a r s through professional li n es .” Mrs. D i x o n - " I ' v e a l w a y s l i ked her. E v e r y o n e l i k e s h e r. I d i d n ' t k n o w t h e r e w as f e e l i n g a b o u t the H e a l t h D e p a r t ­ m e n t t h a t w a s n e g a t i v e but a p p a r e n t l y t h e r e is. They h a v e b e e n c o n s u l t e d by the H e a l t h C o u n c i l and then ig­ nored. M i s s H e l m t r i e d to get some q u e s t i o n s in to the q u e s t i o n n a i r e and t h e y w e r e i g n o r e d at one m e e t i n g . I met her w h e n she f i r s t c a m e to the co u n t y . She worked w i t h the s c h o o l s t h e n . ” Mrs. H a t t - ” 1 h e a r q u i t e a bit a b o u t her. She in the h e a l t h of the c o u n t y . As for the s u r v e y t h i n k she has b e e n a c t i v e . ” is a c t i v e I don't Dr. B a n e - "I d o n ' t kno w m u c h a b o u t her c o n c e r n i n g the su r v e y . S h e has b e e n one of my p a t i e n t s and I k n o w h er that w a y . ” Mr. H o o v e r - ” 1 d o n ' t k now w h a t she has d o n e on the s u r ­ vey. I h a v e k n o w n her t h r o u g h the H e a l t h D e p a r t m e n t for the las t f i v e y e a r s . ” 214 Pr. W i l l i a m s - "I h a v e known Her for the last t h r e e or four years. S h e h e l p e d me w i t h the W e l l B a b y C l i n i c in May T o w n s h i p . S h e has a t e n d e n c y to be p e s s i m i s t i c a b o u t t h i n g s m o r e than o t h e r s . I d o n ’t know w h a t she has d o n e on the s u r v e y . " Mr. S t a n t o n - "A c o n s c i e n t i o u s p u b l i c h e a l t h n u r s e s u p e r v i s o r w h o has w o r k e d h ard on he r h e a l t h c o n c e r n s and m e a s u r e s m o s t of her a c c e p t a n c e of o t h e r h e a l t h p r o ­ g r a m s in t e r m s of' how it w i l l aid or b o t h e r her r e g u l a r health program. S h e d o e s n ’t see m to k now muc h about how to w i n f r i e n d s and i n f l u e n c e p e o p l e . " He met her d u r i n g the e a r l y part of 1951. Mr. Lang - " S h e d i d n ’t c o n t r i b u t e m u c h of a n y t h i n g to the s u r v e y . I h a v e k n o w n her i n f o r m a l l y s i nce I h a v e b e e n here. S h e is a hard p e r s o n to get a l o n g with.** As by the in belief partment members In case that might of She "As the in in health our interested in survey, them then, having do and were the became her find about same of own ones the was the active in interest is getting teaching health if survey, this survey. health ac t i o n . their it. objectives as the Health survey. the out w h a t The De­ the the in in limited Health survey interested purpose then part toward too I became people something failure to primary communities have the person. her opposition reference organizing and Sanitarian, organization a professional public the existing result this said, of and We problems of are are the D e p a r t m e n t .** SUMMAKY This actors between survey on chapter the C o u n t y major were tionships has of were actors been Level. on a formal not concerned The extensive an analysis relationships the C o u n t y and with L e vel professional prior to the prior that to nature. s u r vey. of the existed the health These rela­ However, 215 certain may other serve to interested relationships bring in developed together health and still health out other of the active problems of survey people which who are Independence County. Those did so with who for a variety their certain own Three to of act held as in others cles, the they actors provided but all of the gentially set in other out and and and positions It w i l l now become necessary standing of these analysis of the associated be expected, importance to the to and itself. greatest importance. set enabled were strength which most nature while tha t certain to provide therefore the of ini­ of of relate the of obsta­ important county analyze which to by m e m b e r s served they the essential of m a j o r chapter relationships structure might sometimes organizations this were Second, occupied a number in of perhaps survey actors activities positions became the by as initiating to expressed As greater certain resources the of additional Finally, of of w h i c h structure. utilized action. initiating the of provided were nature in Level others. stand social fewer as than because existing mos t interests. considered survey did the C o u n t y reasons however, positions tiation all, the f a cts, the certain were of all, of in professional actors development First participated the tan- gr o u p s . sentiments an allow under­ for an CHAPTER AN In the prevailing These A N A L Y S I S OF S E N T I M E N T S E X P R E S S E D BY A C T O R S ON T H E C O U N T Y L E V E L last sentiments for involvement the latter in the to the and the s y stem, The were pattern displaying of chapter sentiments important an attempt of actors expressed in the hel d important reasons process regarding the part t his ments he ments reveals the qualitative ex ist between the actor manifests, ficance of between sentiments the tures, such case It of now differences structure of or emergence do an be analysis and shared sentiments not social t hat he of total of the sentiments played in and in s o cial the terms such of he of senti­ relationship s e eks and and the within the upon ar e a body within the of similarities result signi­ just relevant either of sentiments that differences displayed such system. senti­ a pattern of intent the apparent, but is position nature Similarities chance Although involvement. goals tha t Level. imagery, become by system calls for with actors evident occur another. actor's conditions the by one pattern understood relationships. becomes the explains Since in can is each the C o u n t y the of j u s t i f i c a t i o n concerned of to d e s c r i b e on form toward sentiments, manifest process made by understanding involvement wa s expressed imagery most the actor VIII as struc­ and the relative the process relative 217 to tHe upon cultural c h a nce, ditions related is not particular of tHe will ganizational body nature cess of of of c H a pter, of s uc H of tHe it Of become tHe tHe as At "people of is sHould of unique con­ Historical at a particular as is H o w a or converged witHin f o und expressed in terms analyzed in terms all be be system. on tHe Later basis a consideration in order found in tHe to of of an or ­ tHe assess continuing tHe pro­ H e a ltn, LX PR L S S L F to expressed state upon once witH to d i s c u s s on again educated tHe are tHe content h e a 1 1 H s i nce tHe nature what expressed Level, agreement public Very typologies education in previous tHat tHe C o u n t y shared in th is phenomenon. mentioned one be made sentiments actors L e vel a time will wil l cultural Local concerned Healtn but tHe sentiments necessary all and such focused not t^e at H a n d emerged differences tHe necessary is witH emerged problem continuity tHe eleven altHougH involvement, of survey sentiments constructed tHat, is culture tHe is d e p e n d e n t process involvement OF S L N T J M L N T S problem it w i l l and sentiments analyzing equated sentiments made structural AN A N A L Y S I S itself system. units. a self In of to structure be be cHronological displaying relevant analysis must important similarities sentiments emergence a particular social of total tHe pattern a particular THe to WHy as If cHance such development, t ime s y s tem. in in by may terms health". be a c tors. it w a s tHe sHortly found related belief THis tHat was to 218 t*e statement underlies of all activity one area and continuity * ow sue* ot*er of an education point expressed in manifests public in t*is Upon in terms did of of t*e pointed all was t*e lustrated sue* a rea out a process w*en be an t*ere found to be t*e integration to examine were so m a n y little examined carefully; * e a 1 1 fr. It may previous belief of in t*e common of thinking T*is t*e t*at content in of (t*at leads itself one to at alt^oug* reality, sentiments part T**e d i s a g r e e m e n t question process one stated involvement, statement a goal). be chapters) of as education C O N C E R N TNG on w*ic* found question can o nly and in be t*e - answered general Emerging EDUCATION Sentiments t* a t t* e very notion interwoven in t*e fabric t*roug* t*e years preserved and for necessary and statement agree? chapter importance therefore *ea 1 1 * . tig*tly and of part *ealt* EXPRESSED was t*oug*t t*e is and It a p p e a r s provides It public t*eir last t*ey g ood SUNT IM U M S In above to t*e and possible to lig*t particular w *at belief areas t*e as occurred. conflicted ot*er t*e differed commitment a c t ors. t*e to was w*ic* two (in t*at sentiments. t*e and agreed man y of are project agreement agreement among T*ere all total sentiments meaning t*is a formal of individualism. preserved led t*e An belief fundamentally of to in E d u c a t i o n , public of as t*e for Jeffersonian a manifestation educated in education it citizenry individual. amalgamating t*e of il­ Alt*oug* individual 219 into a society, played offer the a ciety t hat a means w as not the an end nature is thi s beliefs of hardly disagree self. Education major w ho not actors l i nes of tarian, be and School successful th e belief pression the of the was and belief end since it progress the A m e r i c a n that being an so ­ education, enlightened established that the belief. then, the Whether or sacred actors and quality something relevant such reasons for dependent of so­ reified the upon an they The Health could it­ good. three along If actors the Director, two H e a l t h the in f r o m w h i c h ’the activity The system differed intrinsically survey other this individualism structures Superintendent. each they ideologies. people were with within collectivism, belief Sani­ Department that enlightened a public citizenry to effective. S u p e r i n t e n d e n t ’s e n t i r e in e d u c a t i o n . adds in that to individual. doubt the education classroom itself the the (the supported shared County of end common their program The on and was, educating professionals health inevitable quantity dis­ capacity wa s enough, verbalized the change individualism came had society. in with population particular an of total individual prevailing little share were to the his acceptance to to to led There this value and sacred their each persistent ciety), did offering t hat of notion although the notion something The was its to as the a It is process t o tal program was interesting which belief must that that based his extend education up­ ex­ beyond is 220 dedicated life of to an all and not verbalizing County Agricultural sue* a project from an eral theme to of must experts out of spread was inventory springs it m u s t continue through the entire individual. Although People tha t of such people the own expressed by the might extension in the Since related program), that problems then, it to is major and the need unusual actors in gen­ pr o g r a m . then extension the of evolve extension not the importance he d e m o n s t r a t e d themselves. (a d e m a n d particular, the action in their Education, education were of in that Here, manifested aware a demand adult possible health. aid. the suggested the thinking for sentiments in become from Agent education appeal sense, grew for a wide that this such organi­ zation. The same Extension system minded. ful program cerned dly to t hat failed claimed specialist but less in important health the his to be ideas accept he w a s concerned process consisted. because of from of be as his therefore with That out willingness and, people, activity interested notions to accept he such in could he was educating that general con­ should have a program. successfully the the a success­ equally people of w h a t functioned that he w a s in organizationally although If t h e s e in found more a consultant, their he w as standpoint accepted. him for his the although Agent, carried demands credit his Specialist, the A g r i c u l t u r a l It w a s sensitive have as Health the har­ As a people education w as largely sentiments of 221 the people, best even displayed member of when the y conflicted the fact that by the C o u n t y involvement was not with he w o r k e d , A g e n t ’s staff w h i l e to the hi s best in in interests own. This effect, as actuality of his was a such an specialist role. Bot h and were their Mrs. Bixon concerned interests problems. The with were from the tors were concerned nity the standpoint in Field notion with of the the of of most previously communities. action Miss oriented ac t o r s , gram individual and Mohawk public believed education specifically mentioned, total county the These a county but community viewed c o u nty. but to made ac­ up of ha d experienced effective own c ity and worked this physicians both verbalized from pro­ two Both their in commu­ frame of reference. The program two but president in the it w a s that medical the final group. h ad been completed and this would in evident the lead to the results of in h i s beliefs related individual action nevertheless Hr. planning the was than did the the as appeared but belief should of indicated the of that the an solution the then, his the concerned facts B is interesting Although found survey people. individual's past a the Society to be once of h e a l t h to be m o r e in Medical interpret individual. to the belief k nowledge was education survey to part of his physician doubtful Bane the source It w as toward Williams on their doubt denial accepting problems, he ability. w ith experience future h ad shown 222 that although tasteful, co u n t y . in final process than Mrs. H a 11 member of the content manifested of by h e r that of the survey the the h e a l t h would have the educational with health the dis­ unit in favored a physicians process. content the as They of were, the itself. Grange opposed public excluded concerned process the actors the h e a 1 th greatly Not two education of aspects c o op e r a ti ve with these in the opposition. to of judges more certain been public therefore, eral had Neither program the he finding was system to and as a rather remained education p r o ject. extreme observed This she in a p o s i t i o n felt deeply opposition sentiments towards periph­ was of opposed to be health related to i n d i v i d u a l ism. SENTIMENTS EX P R E S S E D It ha s agreement goal of already on the CONCERNING the bee n part proposed fined in the area terms of preventive of on Emerging much the ments frequently dualism which emergence of a re such health health fac t that that conflict dominant that good Since and must now in sentiments with in conflicting the was health to be d e ­ related in to considered. In it wa s that public general the A m e r i c a n shown health expressed sentiments a desirable viewed dimensions be a general w as therefore in H e a l t h occurs t h e r e wa s health good certain Sentiments resistance the that medicine, chapter from all public concerning results mentioned action. sentiments of of HEALTH in themes occurred movements such of Culture. the move­ indivi­ An within the soci a l system general This a rea of that t e rms the of ve m ent, it flicting the not to of the standpoint response in an the is shown previously of given The gest reasons agreement involvement view the would ganization IX, of of the structures Level. in behind invol­ any sentiments the education Although, there were the which explains the C o u n t y reasons that con­ shared immediately First of express listed by and show of an all it is involvement These at L e vel the be l o n g , did but you in par- its sentiments were for expressed the purpose time. for their All a commonality by of sentiments this actors "why interest classification conflict. shared they question the C o u n t y suggest of w h i c h the the little sentiments health. disagreement. to in given and on content the relevant project in T a b l e be public sentiments survey will the appraisal in d e s c r i b i n g analysis emergence of h e a l t h . o b jectives?” resulted which to apparent the an occurred expressing serious view that with readily termsof areas Tiie ticipate concerned is Such confined sentiments in necessary fro m was sentiments, actors suggests analysis. disagreement disagreement process; by under actors this involvement these of in reasons pu r p o s e . regard sug­ for When to the commonality is less in analysis a pparent. Perhaps is, then, to the set bes t way to up a t y p o l o g y proceed of terms public health of interest. we or­ 224 TABLE IN IX R E A S O N S GIVEN FOR INVOLVEMENT T HE S U R V E Y BY THE C O U N T Y LEVEL ACTORS S p e c i f ic R e a s o n Selections* Educating people C o m m u n i t y or c o u n t y i m p r o v e m e n t G o o d h e a l t h as i m p o r t a n t W o r k i n g on f u t u r e p r o g r a m s c o n c e r n e d with health St re ng th en Health Department To e n c o u r a g e i n d i v i d u a l a c t i o n toward health Past e x p e r i e n c e Part of my j o b or r e s p o n s i b i l i t y 4 4 0 n 9 1 1 1 * S o m e s e l e c t i o n . s w e r e m a d e by t h e same p e r s o n , i.e., an a c t o r m i g h t h a v e e x p r e s s e d m o r e than one r e a s o n for involvement. A l s o a c t o r s s h a r e d r e a s o n s for i n v o l v e m e n t t h a t t h e y d i d n o t e x p r e s s ivnen a s k e d in t e r m s o f t h e i n f o r m a l i n t e r v i e w i n g m a d e B y ta e f i e l d worker. Through observation over a two year period it b e c a m e a p p a r e n t t n a t c e r t a i n a c t o r s s n a r e d s e n t i ­ m e n t s that w e r e not e x p r e s s e d d u r i n g tnc time the data were collected. O p e r a t i o n a l l y tn i s e x p l a i n s the t r e m e n d o u s e m ph asi s upon the relevant structure t h r o u g h o u t this a n a l y s i s and the p r e v i o u s chapt e r s . Such a types this p 1. typology 1 and will the dissertation ssible be considered , health will alternatives interests not of For a more detailed see: H o w a r d B e c k e r , C h a p t e r II, T u r n am, 1950. be such in respect . wnica are considered as types. has It to ’’c o n s t r u c t e d . . . m e n t i o n ec w i t n m exhausting been the* stated that d i s c u s s i o n of the c o n s t r u c t e d type T h rougii V a l u e s T o S o c i a l Interpretation. North Carolina:’ Puke University Press, ail shored cern and found the interest within center of im p licit the that some tives. the foil o w i n g is trol are of to be control in t e rns of programing. erated the T y pe, that of type such must be this of its objec­ In answering this question up since of it the in in following health the health fabric is the relation type of in t e r e s t . to con­ of A m e r i c a n the not Control and is public educational Type, is d e p e n d e n t the itself public is o ver into the the health it achieve it w a s exercised manifested. sense to understood of the t hem public interests coercion t y pes HEALTH be the is type interwoven Community sense the may goals be of only any type viewed or d i r e c t i o n analysis i n t e rest: Individual will The Fed­ Type. INTEKESTS of h e a l t h tha t set the manipulation and then, with medicine, order be marks i.e., might The control may and in iiealth, carry Since objectives? that basic central this co n t r o l , goals occurred, health Sentiments preventive of to con­ a c tion. programs in manifested interests public co n t r o l . control In typ e health and f o und P E TER AT IIP P U B L I C This Whatever focused-upon Control that three dedicated of constraint, of suggest was wita inextricably of program which typologies individualism. type all nealtn such exercised also and on E m e r g i n g concerned realize good public restraint type health was public measure to control It all What pe o p l e a chapter of ultimately in in health. attention condition upon in public belief In s t ated belief interest bureaucratic specialists, is oriented structure. It administrators, to b e l i e f s in is the essence and all person- 226 nel are Tdis carefully type, cannot the be is concerned with projects, the problem might not be total set to of as the the butes mentioned total structure. to collective the open in total high a themselves emotion", partment of to the a so threat structured above health approval of than tne the Ked the must tne individual action. Auction criticism because activity", of etc. Cross program becomes programs have of of the and all depend upon becomes obscured of this "red tape", Both the found of planning, end that or­ attri­ core and this if Cross. various first people, that typology are the any people, Department in active personnel. education, the bed and some federated a present from National of the its such that typology programs by and action specific Service "meaningless and of dealth level picture program must, sentiments terms of within necessary important welfare represent the way the are community best tiie by Any action, structure. become In more which are response such becomes to source important a Since initiated subject dered in health considered T ub lie organizations central procedure. problems. total decisions organizational equally important To e s c action total of unit. autonomously policy a planning program operate concerning program wi 1 1 be ore the organizational Organizations interests w h i ch upon in central concrete dependent objectives, viewed ganization, a All sentiments or oriented as one action. necessary worthwhile under units of ultimately Although one local framework ti i e r a t c n y and manifested tolerate same then, when organized or­ in sort "lack health constant of De­ 227 opposition programs large and of programs basis an sonal and L O C A L OR in COMMUNITY beliefs the in that, individuals who action assistance sentiments from often It carry objectives the such becomes necessary intensive and share dominant presents on on a typology of often other organized this many All goals programs more per­ the often programs the in a c o 1 1 e c t i v i s t i c must It is w i t h i n the in be type within units, are in and achieved with Complete that to by the be the that minimum as of expressed beliefs and autonomy. i n d i v i d u a l i s m ha s without by found a way the individualism world substituted local that embracing complex of largely such to strong territorial betterment, secondary local express controlled health of a given performing community community concept of feelings sense. the this are these be h e l d express modern achieved, within "outside". ideology be around of h e a l t h capable the is w i t h i n in fall inherent may An IN T C R U S T S undertaken which preserved. survive to centered action a re is type, is which in a rationale It light. to m a k e betterment Beliefs this preserve this-type are within individualism UFA LT d typology Croups by of order autonomy. health to which f o und to conditions. meaningful. This unit. are unfavorable organizations publicity and these interest Failure attached in from health problems. sentiments of public national similar for difficulty could some anarchy, bee n hardly moderation since it cannot collectivistic a c tion. individual still ma y 228 maintain his identity and reasonable constraint. growth been ple has marked to m a i n t a i n Thus in m a n y the cases and county level, the people since guarantee of fication. within a or upon crisis conditions mediate o f ten tney action clash any of the given in this is community, and problems and yet these the solved it is found when up The peo­ units. the township to j e a l o u s l y in bodies by as the usually a INTEREST title appears very condition need. W h e n of m ay this power the of apt type type to but attempts the to be since, be to proposed eventual action to such that im­ element more prob­ a feeling procedure to classi­ dependent federated outside are this solve health by community rights into f e e l i n g s of important HEALTH thi s the organizations to are necessary sw i f t l y . by in the more typology the Organizations be belief individual PUBLIC general slows it may by programs groups or fall characterized groups on governmental attempting These objectives. the Tiiis with such of political are h e l d un­ population part found programs necessary. though group INPIVIDUAL are are the small bodies expressed or on from individuals. action which program even the obsolete, as o f ten they is with action ble rights situations exist of free of A m e r i c a n at t e m p t interpret them. cooperate control they ar e prevent the although community lems by history autonomy health They The comparatively governmental their Community feel success found within protected be l o g i c a l l y i m p o s s i ­ that d i s t i n g u i s h e s this 229 type from related tne to expressed who in fall the otheis public in of this inherent type pl a y e d the is cide for with the which If must be and interests in limited an but within the tne action represented sense t ype to the it common f o und deeply sense dis­ decides often interests over at coin­ although any time. control decisions. individuals, within by differ health. the type "rugged at hand, with from those This type action within this in A m e r i c a n concerned a different goals type own act belongs to m a k e problem in h e a l t h shares believe it level. the public or a central r i ght manifested be but often conflict individualism to this opposition that of may in related by are is this may control individuals sense and the local of of usually Individuals to d e c i d e he notions s o lve his effort tolerate for to community they never is problems to w h i c h with s t ated significant to any achievement on and extreme problems the and health Interests need Type achievement. individual individual the peculiar individual group manifestation health in the can the groups vidualist" found from the any already the cooperative compatible recognize The present are reasons takes the y what tiie manifested. and Individual of right, of from frequently of for Individual recognize ability Kecognition differently The individual problems* but provides health. terns into and these Society indi­ people public apa is programs set re ­ of m e a n s letic often but to programs. only the 230 SO N T I M L N T S Of CLASSIFIED the considered type were degree cerned Intension personnel. an long range against also necessity higher with careful of level what people. groups though the it concerned was Such it and is aid. It continued for to is played The vey transcend to reasons a to part most who common far through of of outside this and for that dominant were and role viewed any coincided by and from professional sources to have minded concept and problem problem activity reason the the not immediate planning These susceptible an con­ extension were might be adequately with or must development. less some more programs force to health county range be actors, concerned be in to long community important federated The hierarchy for the problems. might its utilize then, a could and were which to who three bureaucratically 'the take actors, and were largely an with which gained with necessary sultant and latter groups people to public action, lead health considered Both in programs, equally decisions tv a s first organizational were the common The could concerned however, definitions public those -professionals program action organization, were actors, adequate TY DO L O G ILS Level, sentiments Department careful a County a r o u n d . i le al til D e p a r t m e n t protected as the health that in actors on manifesting the believing and as the centered actors T L A LTil I N T O L O S T IN the even the people specialists. believe that information an outside in the con­ survey activity. involved the in federated the type h.ealth were sur­ those 231 found in Ferry, these Miss Mein, Those type the were p ast, These been p ita 1 M l and 0 Miss til r, t. m a n y m p 1 i sii e d in the ri a d with opcrated by as she had on the In education most cases found in the there was a her part. point in of their Nevertheless two sense. activity ference own thinking Tiie fied interest were from community and the by in the were and of feelings "outside”. The similar case the a concern the survey second physicians of health for anxiety physicians in other was ii e r of th e pur- the with Mrs. those Pixou movement the was on stand­ dominant s\stem, type in pr o- problems. health from h o s- programs goals of had could The engaged up h ad activities. health public such .health one set to the within the in concerned represent interests marked in behavior physicians The both and such and chairmanship was snared Mohawk health in programs. Field significant ner related actors type, Most and these to actively which cases of community programs resources. leader been Chest Committee two crowing a Iso in related part active the Miss community a to rixon. Pr. Stanton. through community many were: community hospital importance. federated their an had welfare these Mrs. been Mr. common in programs of Community handling and actors and success community often community, p o s it io n of field been community pose some focus had Pall, active utilizing a These sentiments effective of and Mr. been the pr o j e c t s d e a l til l.aeg, achieved were s. r ixo n , who g ram Mr. who a ad th e r e f o r e organizations. manifested those connected acc and vvii o actors 1e a r n ed be two in this related a modi­ health to represented inter­ the 231 found in Perry, these Miss two Mein, Mil os e w h o type the were past These been be that. and operated Mrs. Mixon, gram in Miss man\ therefore had with accomplished pital Larg, I' the as h ad been projects of community position on the cases found in there was her of thinking Tli e two sense. activity fei-ence two type, interest were from community and the by the were and of the feelings "outside". T he the case iios- • activities. nealth for pro­ in other from a concern the survey second anxiety piiysicians pur­ with Mrs. those Pixon movement tne was on stand­ dominant system. type in the the goals of of problems. health physicians of had programs engaged up similar concerned within u ad could The one set public such and health to h e a l t h in. t h e represent interests marked in behavior physicians The both and Field c h a i r m a n s it ip was snared programs. Mohawk such in significant was her her related actors programs health in community these to actively which cases of Most and the resources. lender been Chest Committee Nevertheless own also in Pr. ton. Miss related part active to Pixon. community a 3t< through community many were: community hospital importance. f ed e r a t ed their their fied these a growing part. point in the an Community education Mrs. been Mr. common in programs of had pose o f handling welfare In m o s t and actors and success community often trie c o m m u n i t y , d e a l tie a n d i e 1d utilizing had Pall, active some a focus sue These sentiments effective by who M r. been achieved were connected learned who a ad actors M r. manifested tnoso and organizations. in a modi­ this- h e a l t h related to represented interthe 232 second area the type as they viewed part of the community sanctity of the r o les emphasized through their it did dependent denied it. any The within adherence upon call or physicians, to reinforcing by the but upon control pure were framework interests their in that but and Suc h patient in an emphasis, individualism might interfere oriented, last problems interpretation, frequently the belief of h e a l t h community of an individual expressed restraints group within physician relationships. then, community medical resources sentiments controls the timents not the play e d i n d i v i d u a 1 - patient although wa s because with operated expressed type, the and sen­ individual type. Tii i s last sentative tion to from the she was personnel To an ences was was extent, individual public showed from much his in any be at all. to other of solve possible as in but own opposi­ when community by in repre­ to w h e t h e r county the county. rural-urban beliefs his so much made communities opposition, the However, interest manifested terms Hatt, raised the d e c i s i o n s which ability over health Mrs. provided might various of h e r verbalized and of by she considerable sentiments dominated welfare. in those Since a question skeptical explained usually which she and represented the G r a n g e . interested but w as project, interviewed, health type such opposition related to problems, interests differ­ the a belief in c o m m u n i t y 233 RELATIONSHIPS AMONG Imagery each h ad other been had with in terms the level. working bership or b e c a u s e initiating set were two way zations these, who which by had virtue in d u c e d to she, did not fully the C o u n t y of lay certain of h e r or the a common initiating set, through for w h i c h position two m e m b e r s jobs objectives of or of the by the justification survey. through professional initiating affairs. The The for b ut about relationships to the though survey. most health extension between wit h by positions survey, members specialists, separated in t h e i r of was contact were public agricultural prior little doctors nurses were philosophy the The organi­ One even interests, set h ad The for the professions the involved the y or m e m ­ survey to d i f f e r e n c e s basis involved in in structure. a pro­ organization, differences relevant whose on in h e r certain related were actors position kind. was everyday but major objectives. a different of in Level survey two one. health accept related the viewed Only stated of provided the that particular All t hey a close organizations people were each the the their with not they w e r e professionals other turn, cases of each in the a c c e p t . r e s p o n s i b i 1 ity Although of were to tha t relationships. contacts Council. coincided members any services Health indicated f r i e n d s h i p was some the some actors previous In LEVEL ACTORS professional this in in by part, other overlapping were of and most each fessional the manifested friends For THE COUNTY which, within services two m e m be r s they h a d not 234 met nor w e r e Health the in their Department county, the same interests, the the The from 35 to and all who became Of of 55 years and all that the members of age. had his of the among that occurred survey of was o ver amount among of exceeded them discussed a year, onl y which was had the of in par­ specific to set ranged under over. forty livery man objective which set, two had course them This small twelve not is of and, as not only interest the on to Sinc e , during meetings although, prior to the There of hand, their account for interaction meetings such set other a result the note survey. the hard all to initiating group great, occurred of the personally planned. about and is practically w as and interaction tha t that their assigned them were It among system. considered a prior training. initiating members during acquainted is them, initiating forty left together differed professional survey. better it were the few the of two involvement. developed when t hey the Five some actors to of others greatly in so, The who reinforced professional stress relationships for mutually liven w a s ,little became was, and relationships change worked unit, The prior and responsibilities justified the which there Director the the tnen. the si m i l a r . of involved friends not nature jobs philosophy Thus, survey. ages been did the health were supported a common relationship in extension excluding organization. ticipation in members, shared established t hem specific where the the period occurred, of course, survey. the it Since 235 few members attended^ m e e t i n g s , interaction were made these the than outside were by survey close of little esprit corps. de sentiments attain In of which a a feeling large of two developed. and Level tabulation first, position ability they and task in to became more of is* the A for had observable few the contacts mos t part, to do d i r e c t l y with a developing sense shar e d part of of completing w ith underwent came of the with certain working completion there was the the respect also common together of who execution of the among the developed through belonged of the survey because of sanctions for the which survey. both lay henc e , beyond they problems of to the survey and and At their Gut became the began the s t rong survey. they the tii e g r o w i n g their county set, as findings. the initiating members change of goals to first, doctors, structure in considerable included certain in relationships about, the were social active t h eir the county, interpretation obtain of set, a growing developed part however, This people initiating progressed, With the the accomplishment. set group, the as of of group objective. interested leadership and members That concern and these among respects, survey County but, observed survey pride initiating be the they tii e interest l e tter as a common in or less possible. meetings could relationships apparent, survey these even business. there was to theoretically telephone Although of was t h e r e w as as more immediate to assume completing the 236 survey in arriving areas at a publication, In noted he h ad With spect grow in original such leadership. Mis dealth Council gav e in s y s tem. It the initiating set but with tne c am e the more final is City strength that him School this an been development in tne part the in analysis, to to h is and efforts, physicians prominant in of the position l e a d e r sii ip of the h a n d s male re­ structure the that felt survey. presidency note survey, the relevant the it was actors in rivaled originally of m ost through important interesting had that actor election tne and Superintendent, ineffectual of C e n t r a l successful findings. suggested not and been concerning tii e surv e y if extent yet problems imagery ability an not tne C o u n t y a minor his to of of activation for to use case played the it had solution and the that where of w o m e n leadership be­ apparent. SUMMARY It h a s expressed bee n by actors in a totality to converge ments in of terms demonstrated of in agreement the Certain siderable and content The source of relevant sentiments public were structure emerged health of d i s a g r e e m e n t were with which and could public once s h ared general senti­ their was be meaning system. there health again all appeared cultural o ver w h i c h sentimen.ts which find disagreement and that not sentiments concerned health This chapter L e vel Tnose good disagreement. the this the C o u n t y agreement. education of on in was con­ expressed in interests. traced to the 237 relevant wa s structure expressed Federated what in Type, extent the continuity of the thi s end of Imagery reflected changes three variation professional and fected imagery, This of h e a l t h Type, in h e a l t h The int e r e s t : Individual interest relationships disagreement will The Type. effected be To the considered at section. expressed L e vel system. typologies The Community occurring were cultural structural County turn and in to the and actors revealed relationships. the it m a y effected by relationships degree be that suggested ch a n g e d . that There that these that m ost were images apparent existed on relationships the sentiments the ef­ in CHAPTER' IX THE This chapter chapters of terms of organizational ments expressed process tem. Part is, III. within by w h i c h Since patterns the of type sentiments such the obstacles tion from of were, the survey and a not people the fessional approach tha t on facts a broad tend to take action became actors which to the upon part of utilized the local to the previous be d e s c r i b e d level and the in senti­ the involvement the s o cial sys­ pre-existing areas, it b e c a m e a great degree the county level, cer­ toward needed view health in obvious the for difficult way. the for county and that The the the c o uld health to health needs, and the process in h e a l t h local difference the The survey planning, pro­ assumed especially l o cal framework, any ac­ stimulate hand, on of the C o u n t y survey. other action-curative on interests primary leaders flow viewed effective health Cn the Actors Their kind action. basis. an the organizations exactly of made on localities. particular countywide on this determined justification were will dependent developed county concerned Level upon expressed. county in dependent since are Level appeared however, leaders units patterns represented the Local self-survey tain Level The relationship within that As course, actors County LEVEL of it local evident of LOCAL people i.e., visible to threats 239 to the g ood interest health provided It w a s already These at of necessary existing local result. used. These various provided in such appeals directly. Father, any verbal The of local level. to sentiments certain faced the with the area, of procedure At the in best each will township involving people self-survey would other appeals were with organizations, appeals were a s ked of be paid pre-existing in then. rarely the made to h e l p w i t h o u t up to the approach this on events w h ich served to person the r e l a t i o n ships. as county the establish be the place the well These as the r e veal was units basic type committees. it was contact call level township some survey meetings would of took sentiments all local Council analysis process. on activating an chapter These committee necessary have this involvement of setting and be to the dealth wil l will with of it was possible local the localities. associated that analyzed problem earlier varied, often chapter organization for the developments sets be level the in were this associated symbolic As of Attention relationships the people for sentiments Such utilize in v a r i o u s that l o c ality, etc. organizational activate at to appeal. purpose types group basis in h e a l t h about, the friendship, the in h e a l t h action. county a way a i med community, direct the to Fifferences relationships interests beliefs bloc k s for social level Since community. c'ertain relationships the the agreed a key a meeting that person to organize in the representatives township. be m o r e were the natural units accustomed units. This formal plan suggested, m an y rural plan was for fairly were majority the County Jealth contact call a t h ese they were s h ips of local For and cerned, equal scho o l districts districts especially affairs as would people through these realistic than to h a v e communities take over the organization^ had Association but w h e n it was revealed that P T A *s it was seen that such It was too, that if job, felt, they w o u l d in each people had were not represent local the together The only upon were City.* representation who a or­ the in the the time, as township cities and Mountain both or in w h i c h villages for plan to w h e t h e r towns City, other however, township arose between planned turn w o u l d there were for U e n r y Wherever was this specific assignments in By question division that area wherever with so given observed i n s tance, set were together. been involved decided Central 26 m e e t i n g representatives work located. finally the person could Mohawk, 1. Council villages u n its various Teacher the A p r i l complications s i zed the more school people. organization. good the community not h a v e to do key a group certain of at on instance, did various organization, unrealistic. ganizations Plans in the that considered Parent areas of of was organizations been felt to w o r k i n g responsibility. to w as Xt fro m were the T h e l a t t e r two w e r e not c o n t a c t e d for over a y e a r the A p r i l 26 m e e t i n g and thus w e r e a n a l y z e d a f t e r town­ City, con­ village following the o t h ers. 241 and rural As the elements, explicit pattern areas that changes On since in part and of making Council. of For the the of areas, had most turn knew made of As the county strategy tinct 2. quite contact school the names the Th e of local organized county differ­ county health southern Agent Specialist knew especially in the structure. in social the the These township areas ‘in w h i c h the this the health County suggested. people the survey these lines. the to Even for the the extension and, he in it. f rom of in related contacts Agent. w ell other was townships, given township factor units. these largely rural people by the in sciiool men around tii e districts. TYPES analyzing they were the by parts and the arise representing knowledge a result ORGANIZATIONAL In made reason some major the single followed would lines, contact, Agricultural mos t districts. initiated were area in another part, operational contacts local the this One that as utilizing entirely organization local county Most county hand, for changed. districts lines, organized n e ver confusion school local were plan was w ay the County people the other t ype the this state the they organization began overlapped person as concerned division, ence of but the employed empirical types appeals to were made mobilize derived. F o r a d i s c u s s i o n of a n a l y t i c a l T a l c o t t P a r s o n s , Th e S t r u c t u r e I l l i n o i s : F r e e Press, 1 9 SO, p. by organizers interviewers, 2 These types and four the dis- are and e m p i r i c a l c o n c e p t s see: of S o c i a l A c t i o n , G l e n c o e , 34. 242 empirical representations organization period of tained within each the activities be concerned took place and * TEE This was groups. divisions common activity. took the the an of such r u ral A n i n f l u e n t i a l or c o n t a c t e d and the during element elements following is of the no; sense around con­ but which analysis, activities then, that activities. SCHOOL DISTRICT based elements exhaustive of The characterized this county organizational elements - constant Each in place. It was to within a configuration TOWNSHIP type the m o r e mentioned with the community 1. found type represents will TYPE 2 were organizational t ype specific that of by upon TYPE rural neighborhood geographic and or political area. key person survey was of the t o w n s h i p was e x p l a i n e d to him. 2 . He w as a s k e d if he w o u l d call a m e e t i n g of school d i s t r i c t r e p r e s e n t a t i v e s , at w h i c h time the E x t e n ­ s i o n . H e a l t h S p e c i a l i s t and p o s s i b l y some other r e p r e s e n t a t i v e of the H e a l t h C o u n c i l w o u l d be p r e s e n t to e x p l a i n the o b j e c t i v e s of the s u r v e y and see w h e t h e r t h e s e p e o p l e w o u l d be w i l l i n g to do the s u r vey. He was s o m e t i m e s g i v e n a list of p e o p l e to c o n t a c t , such as the s c h o o l . d i s t r i c t d i r e c t o r s . 3. A m e e t i n g wa s c a l l e d of r e p r e s e n t a t i v e s f r o m each s c h o o l d i s t r i c t to meet at some c e n t r a l l o c a t i o n such as the t o w n s h i p hall, a school house, or a g r a n g e hall. 1. At this m e e t i n g , the E x t e n s i o n H e a l t h S p e c i a l i s t p r e s e n t e d the g e n e r a l plan of t h e . h e a l t h survey, g i v i n g the h e a l t h i m p l i c a t i o n s . then asked the s c h o o l d i s t r i c t r e p r e s e n t a t i v e s p r e s e n t w h e t h e r or not t h e y would' a c c e p t the r e s p o n s i b i l i t y of s e e i n g that the s u r v e y w as c o m p l e t e d in t h e i r areas. They w e r e not n e c e s s a r i l y a s ked to do the i n t e r v i e w i n g t h e m s e l v e s , but to see that it w a s d o n e in t h e i r school districts. If the g r o u p c o n s e n t e d , a p e r ­ m a n e n t c h a i r m a n w as a p p o i n t e d . T h i s p e r s o n w as u s u a l l y not the one w h o c a l l e d the m e e t i n g . 243 r>. T h o s e w h o a t t e n d e d the m e e t i n g w e r e told that w h e n the s u r v e y p r o j e c t was r e ady for a c t i o n they w o u l d be c o n t a c t e d by t h e i r new c h a i r m a n for a t r a i n i n g m e e t i n g on h o w to do the survey. 6 . Later, when, the s u rvey was ready to move, the E x t e n s i o n H e a l t h S p e c i a l i s t c o n t a c t e d the v a r i o u s local c h a i r m e n and had them call t r a i n i n g . m e e t i n g s . In m a n y i n s t a n c e s , these m e e t i n g s w e r e for m o r e than one t o w n s h i p . 7. At this m e e t i n g the o b j e c t i v e s w e r e r e p e a t e d and q u e s t i o n n a i r e s passed out. A t r a i n i n g period then took p l ace w h e r e the i n d i v i d u a l s p r e s e n t w e r e in­ s t r u c t e d in the m e c h a n i c s of i n t e r v i e w i n g . S. T h o s e not p r e s e n t at t h ese m e e t i n g s wer e later c o n ­ t a c t e d by the c h a i r m a n or a r e p r e s e n t a t i v e from the g r o u p and g i v e n the q u e s t i o n n a i r e forms. This per­ son e x p l a i n e d some of the t r a i n i n g i n f o r m a t i o n and c a l l e d a t t e n t i o n to the i n s t r u c t i o n siieet. 9 . The The T yp e j ust organization which ral that used took to do by each second type A s s o c i a t i o n a 1 Type. a community this generally place the of in point. represents nine survey. these in soring organizations to their of the T y p e twenty-two Figure III of town snips shows the gene­ townships. typ e In local this, the community. carrying Tii is of accepted survey tomed at I I - ASSOC IATI0NAL TYTb The in commenced described organized plan TYIT; survey on were organization one responsibility In these active community consists of or m o r e the and is c a lled formal for the organizations completing the communities, the spon­ influential, and accus­ activities. following elements and procedures: 1. The County e i t h e r one Health Council r e pr e se nt at iv e contacted or se v e r a l i n d i v i d u a l s w h o w e r e m e m b e r s 244 Fi gure TYPE III I - TOWNSHIP-SCHOOL DISTRICT TYPE AT T H E R E Q U E S T OF S O M E F O R M A L OR I N F O R M A L S P O N S O R I N G G R O U P S , A L O C A L I N D I V I D U A L A C C E P T E D R E S P O N S I B I L I T Y FOR O R G A N I Z I N G T H E S U R V E Y , A N D USED L O C A L S C H O O L D I S T R I C T LINES CF O R G A N I Z A T I O N ( E ITHER F O R M A L , OR I N F O R M A L AS A N E I G H B O R H O O D ) . Two k i nds of r e s p o n s i b i 1 i t y : 1. To call a d e c i s i o n m a k i n g 2. To o r g a n i z e the survey. meeting. T own sh ip H o w c o n t a c t was made from County Health Council H o w d e c i s i o n was m a d e for surv e y to be don e Wh o accepted responsibility to o r g a n i z e survev H en r y Dali and Stanton At by W o m a n school district repre­ s e n t a t i v e (not sch ool o f f i c i a l ) D u rii am Pall and Stanton At m e e t i n g c a l l e d by farmer, school district Director. W o m a n school district offi­ cial, E x t e n s i o n club r e p r e s e n t a t i v e Central City Dali and Stanton At by W o man, u n o f f i c i a l school d i s t r i c t representat i ve, teacher C urrent* P all and Stanton Same At meet ing c a l l e d by T o w n s h i p S u p e r ­ visor, f a r m e r . Dal i and Stanton At m e e t i n g by f a r m e r Somer Dali and Stanton At m e e t i n g c a l l e d by S c hool D i s t r i c t Director, farmer At first, by man who called meeting. L a t e r c a r r i e d out by E x t e n s i o n C l u b s . Oxt on H o o v e r and Stanton At m e e t i n g c a l l e d by w o m a n , w i f e of farmer S a m e w o m a n w ho called meeting Martin m eet ing farmer meeting farmer c a l 1 ed called called Woman bo a r d man school member 245 F i g u r e III ( c o n t i n u e d fro m page 244) T o w n sh i p H o w c o n t a c t w as made from County Health Counc i1 Ho w d e c i s i o n was m a d e for s u r v e y to be d o n e Who accepted responsibility to o r g a n i z e survey U emu s Pall and Stanton At mee t ing cal led by y o u n g w o m a n a c t i v e in Gr a n g e , d a u g h t e r of f a r ­ mer. Same woman who c a l l e d m e e t ing May Pall and Stanton At meeting called by wornan. G r a n g e r e p r e s e n t a t i v e on C ounty Health Council-. S a m e w o m a n w ho c a l 1 ed m e e t i ng Pont Pall and Stanton At m e e t i n g c a l l e d by w o m a n sch ool district secretary extension Club 1 ead e r . Decision m a d e later. Sam e w o m a n w h o called meeting * Survey not completed of a c e r t a i n o r g a n i z a t i o n . H e r e t h e r e was the b e l i e f that it w o u l d be b e t t e r to w o r k t h r o u g h this g r o u p r a t h e r tha n to try the s c hool d i s t r i c t lines. In some c a s e s d o i n g the s u r v e y p r o j e c t p r o v i d e d a m e a n s of s t r e n g t h e n i n g an o r g a n i z a t i o n . A f t e r h e a r i n g the o b j e c t i v e s of the survey, the r e p r e s e n t a t i v e s of the local o r g a n i z a t i o n a g r e e d to b r i n g it b e f o r e the g r o u p for d e c i s i o n . In m o s t c a s e s the p o s i t i o n s h e l d by t h e s e p e o p l e a s s u r e d a g r e e m e n t f r o m the club m e m b e r s s i n c e they w e r e for the m o s t part o f f i c e r s or leading members. 2. The survey officially tion. idea w a s accepted b r o u g h t b e f o r e the g r o u p and was as a p r o j e c t for the o r g a n i z a ­ 246 3. T h e i n d i v i d u a l s o r i g i n a l l y c o n t a c t e d t r a n s m i t t e d the d e c i s i o n to the H e alth C o u n c i l R e p r e s e n t a t i v e . In s o m e c a s e s the E x t e n s i o n H e a l t h S p e c i a l i s t met w ith the g r o u p and e x p l a i n e d the o b j e c t i v e s of the survey. 4. T h e o r g a n i z a t i o n r e p r e s e n t a t i v e s w e r e told that w o u l d be c o n t a c t e d w h e n the s u r v e y w as r e ady to at w h i c h t i m e a t r a i n i n g m e e t i n g w o u l d be held. 5. W h e n the s u r v e y time wa s ready, the E x t e n s i o n H e a l t h S p e c i a l i s t a r r a n g e d a d a t e for the t r a i n i n g m e e t i n g s . 6 . Training as meetings were organized the p r e c e d i n g type. the same m a n n e r It w as e x p e c t e d in this c ase that for the m o s t part the o r g a n i z a t i o n ' s m e m b e r s w o u l d do the i n t e r v i e w i n g , so as m a n y club m e m b e r s as p o s s i b l e w e r e urged to attend. T h o s e not p r e s e n t w e r e c o n t a c t e d later, in the same m a n n e r as T y p e I. 0, The were of survey six commenced local units organization. in F i g u r e third t ype the local community relationships. Council Except dent the S u p e r v i s o r It 1. by of this A s s o c i a t i o n a l t h ese plans are shown FR IENDSH IP- A.CGUA I N T A N C E S H IP T Y P E more and. w a s for one representatives nurses, ment. details utilized trained or afterwards. IV. The Health shortly represented Some TYP E III - T H E I N D I V I D U A L OF O R G A N I Z A T I O N into in 7. There type for they begin these consists of being b a sed making either for following in the the lines upon instance of N u r s e s the personal of more this intimate Type, contact Health influence were Council the C o u n t y Health the both Presi­ Depart elements: The C o u n t y Health Council re pr es en ta ti ve contacted an i n d i v i d u a l in the t o w n s h i p or town (often they w e r e f r i e n d s or a c q u a i n t a n c e s ) . T h i s person, as wit h the o t h e r T y p e s , u s u a l l y h a d b e e n s u g g e s t e d at the A p r i l 26 c o m m i t t e e m e e t i n g d e s c r i b e d in an e a r l i e r ch a p t e r . 247 There 2. T h e s u r v e y w a s e x p l a i n e d to this person, w h o then a s k e d to h e l p take the r e s p o n s i b i l i t y for g e t t i n g the t o w n s h i p or town surveyed. 3. A f t e r the i n d i v i d u a l had a c c e p t e d the r e s p o n s i b i l i t y of o r g a n i z i n g the area, he a g r e e d to i n v o l v e enough p e o p l e to do the s u rvey w n e n it w a s ready to launch. S i n c e in this type there had e v i d e n t l y been no e m ­ p h a s i s on any o r g a n i z a t i o n a l lines t h e r e a p p e a r e d to be no need for the a p p r o v a l of a n y o n e but the i n d i ­ vidual contacted. As a r e s u l t no d e c i s i o n m e e t i n g s w e r e h e ld. 4. At the tim e that the s u r v e y was r e a d y to b e g i n and s o m e t i m e s ea r l i e r , the p e o p l e w h o w e r e thus c o n t a c t e d e i t h e r a c t e d as c h a i r m e n and o b t a i n e d i n t e r v i e w e r s or i n v o l v e d a f r i e n d or a c q u a i n t a n c e w h o a g r e e d to take the o r g a n i z i n g r e s p o n s i b i l i t y . T he i n t e r v i e w e r s w e r e r e c r u i t e d f r o m the r a n k s of f r i e n d s and a c q u a i n ­ t a n c e s of the p e o p l e a l r e a d y involved. In some c a s e s they w e r e a l s o s e l e c t e d b e c a u s e of t h e i r l o c a t i o n in the to w n s h i p , i.e., they had a c c e s s to c e r t a i n a r e a s of the t o w n s h i p t h r ough f r i e n d s and a c q u a i n t a n c e s b e c a u s e of n e i g h b o r h o o d ties. G. T h e s e p e o p l e w e r e n o t i f i e d through the c h a i r m a n that a t r a i n i n g m e e t i n g w o u l d be h e l d at a c e r t a i n time. T h o s e p r e s e n t r e c e i v e d the same' t r a i n i n g as t h ose in the p r e c e d i n g types. T h o s e not p r e s e n t w e r e c o n t a c t e d in the same m a n n e r as the p r e c e d i n g types. were zation. TYPL See is Figure in Type a ble is sense characterized only local units represented by represented importance zational contained plan. over found in this type of organi­ the by same one since Also it TY PF only -a r e s i d u a l 180 by V. IV - Til LT UR B A N - P R E C I N C T This It six type one instance, since no organizational local unit, represents it m u s t be interviewers. this the other county units seat. were elements. Although type considera­ is a typically remembered that of urban this organi­ unit 240 F i ciur e TYPL II - IV ASSOC IATIONAL TYPL R e s p o n s i b i l i t y for c o n d u c t i n g local o r g a n i z a t i o n . the local survey accepted by a T o w n or T o w n sh ip Ho w c o n t a c t was made from County ilea 1 th C o u n c i l How d e c i s i o n was mad e for s u r v e y to be d o n e Who accepted res pon s i b i l i t y to organize survey Rockville Townsii i p C o n t a c t m a d e from local G r a n g e to C o u n t y iJealth Council. At T own sh i p Grange meeting. R o c k vi l le Town ship G r a n g e . Mountain City At m e e t i n g of C ou nt y Health se v e r a l w o m e n s ' De pt. S u perv i s or of N u r s e s to w i f e clubs c a lled by of local physician p h y s i c i a n ’s w i f e Fielding Tow n shi p C o u n t y A g e n t and Ex te n si o n Health Specialist At m e e t i n g c a lled L x t e n s ion C 1 ubs by e x t e n s i o n C l u b exce pt for one local area, o r ­ i r e s . , w i f e of g a n i z e d by one county official. All in a t t e n d a n c e woma n . were extension Club women except one w n o was an influential woman in one local area C amd e n T own sn i p C ou nt y School S u p ' t to local Sup't., followed by E x t e n s i o n H e a 1 th S p e c i a ­ list Lo cal s ch ool S u p't m a d e d e c i s i o n to accept r es po ns i­ bility. S c h o o l S u p ' t . took re s pon s i b i l i t y . Used FTA and ot her school and c o m m u n i t y m i n d e d people. Made c o n t a c t s as i n d i v i d u a l s , not as o r g a n i z a t i o n s . Dearborn T own sh ip C o n t a c t m a d e to local school S u p ’t from: a .C o. H e a l t h De p t . & b. Co. S ch ool S u p ' t D ecision made at FTA m e e t i n g PTA Moil aw k C o - c h a i r m a n of U e a 1 th C o u n c i l S u r v e y Comm i t t e e . Lea d i ng m e m b e r of town. D ec is io n made at s e p a r a t e c l u b meetings Service Mohawk Child Study Club organization clubs of Figure TYl’L ill - V I N D I V I D U A L Fk T L-iNPS H I P - A Cg UA INTANC LS H IP T Y P L (' n e i n d i v i d u a l a c c e p t e d r e s p o n s i b i l i t y f o r g e t t i n g l o c a l survey done; used f r i e n d s h i p and a c q u a i n t a n c e s h i p l ines of organ ization. T o w n or T own sti i p H o w c o n t a c t was mad e from C o u n t y Heal tii C o u n c i l How d e c i s i o n was m a d e for local s u r v e y to be don e V.ho a c c e p t e d re s pon s i b i l i t y to o r g a n i z e surv e y .1e n r y City Th e local H e alth Association, v.'h icii has been a s s i s t e d by the He a l t h Pe pa r t m c n t Sup't. of Nu r s e s , s o r: t rep. t.o Iea 1 th C o u n c i l , A t c omm unity m e e t i n g c a lled by w o m a n wh o attended County Health Council me e t i n g . She, a C a t h o l i c , also inv o l v e d a P r o ­ testant minister to call m e e t i n g . Two people who called original meet ing. Vio od 1 e y Township* Rockville Master. b y farmer origi­ nally c o n t a c t e d . By same individual. F 1 y nn T o w n s ii i p Health Council President. P.y t r a i n e d n u r s e living in community, wife of f a r m e r . B y same in d i v i d u a l . Cl i f t o n T own s ii i p Mrs. P i x o n and Health Council President. Made by i n f l u e n ­ tial w i f e of local p h y s i c i a n , also re pre sen ta t ive to C ounty Health Council. B y same i n d i v i ­ dual. B e c a m e ill d e l e g a t e d to a n o t h e r w o man. Ka son T o w n s h ip5|; Health Council President. b y w i f e of t o w n ­ shi p superv i s o r . By same i n d i v i ­ dual w h o did h a l f of in terv iewing, and obt a i ned a ss i s t a n c e of a n o t h e r w o m a n to do the o t h e r h a l f Clark T own sh ip Hea 1 th C o u n c i l President. K: S u r v e y not Grange completed. 250 This type consists following elements: T h e f o r m of c o n t a c t i n i t i a l l y m a d e w a s t h r o u g h the e d u c a t i o n a l c h a n n e l s of the C e n t r a l C i t y c o m m u n i t y . T h e C o u n t y S c h o o l S u p e r i n t e n d e n t , a c q u a i n t e d with w o m e n a c t i v e in the PTA g r o u p s t h r o u g h o u t the city, w a s a b l e to r e c e i v e the su p p o r t of two c i v i c a l l y a c t i v e m o t h e r s of school c h i l d r e n w h o a g reed to o r g a n i z e the c o m m u n i t y in the mos t e f f e c t i v e m a n n e r k n own to them. 2. A w a r e t h a t m o s t l a rge s c a l e social a c t i v i t i e s w e r e c a r r i e d on by o r g a n i z e d c a m p a i g n s , l o c a l i z e d by p o l i t i c a l p r e c i n c t d i v i s i o n s , they c o n t a c t e d by t e l e p h o n e w o m e n w h o w e r e w i l l i n g to take on the r e s p o n s i b i l i t y of o r g a n i z i n g t h e i r own p r e c i n c t for the s u r v e y proje c t . 3. C o n t a c t s as a rule w e r e casual acquaintances. 4. R e s p o n s i b i l i t y was a c c e p t e d of c i v i c o b l i g a t i o n . 5. O n e - t h i r d of the i n t e r v i e w e r s w e r e t r a i n e d at a m e e t i n g in the C o u n t y C o u r t iiouse lo c a t e d in C e n t r a l City. M any w e r e not trained, h o w e v e r , and w o r k e d f r o m w r i t t e n i n s t r u c t i o n s or s u g g e s t i o n s m a d e by the precinct chairmen. survey meeting. The emphasis organization ences, and however, commenced for the in and the community of the by either after just involvement. the matter. The Type, as a matter There was are and present at on differ­ acceptance decision-making people or training mentioned of d e c i s i o n - m a k i n g first strangers individually shortly areas In made four T y p e s means the o responsibility.^ a group 3. the 1. 6 . The of of w as these F o r a d e t a i l e d a n a l y s i s of the " d e c i s i o n - m a k i n g p r o c e s s " see: Paul A. M i l ler, "A C o m p a r a t i v e A n a l y s i s of the D e c i s i o n - M a k i n g Process With Communit y O r g a n i z at i on T o w a r d M a j o r H e a l t h G o a l s " , U n p u b l i s h e d Ph.D. d i s s e r t a t i o n , M i c h i g a n S t a t e C o l l e g e , 1953. 251 meetings were made aware the tha t they represented fac t district. Therefore others might who The left second less up contacted t i ons to able by the group. at the same health organized ters. made one refuse an to to h e l p the practical on any Type but opposition project was or A hardly, group, accept school include this and re­ organiza­ being this upheld officer, to m a j o r to w o r k i n g on contacted embodied this decision, t h eir himself time in re ­ the were t h eir committed nature, once char­ the it had organization. upon friend in of originally decisions groups dependent could in pur p o s e s , of contacted. group enough his of also must individuals goals project t hem as d e c i s i o n far various for their as own service in to committing his and survey. their certain approved third also by had geared influential giving all people the The on they made influencing was individual provide in so Also, to w o r k The the for These, members been and survey. individual to d e p e n d time, sponsibility although were In the by concerned. usually be involved the were a choice a decision T y pe, to sponsibility be of the decision or of only acquaintance a collective responsibility way, c o uld either for w h a t happened three the th e su r v e y . Although Type elements of accepted individual survey, it fou r corresponds organization, that is, responsibility nevertheless differed to T y p e people for the that in were contacted completion considerably in the of the nature 252 of obligation. were mostly patterns reasons within rural either of or of mere community village VI group was made acquaintances were more loyalty. g r o u p w as Figure types this obligation this and Since more or up toward content typically people str a n g e r s , directed The of urban of who the personal relationship than the other four empirical groups. demonstrates organization by d i a g r a m that h a v e been the described in this ch a pter. SENTIMENTS The OF empirical structured on the INVOLVEMENT from Local the elements Level. with involvement that such zation typologies, When of the sentiments in w h i c h following tabulation that w as (See Table of I, p a nts indicated being most since s hip in at the actors found. the X the 2 that to This the test one-tenth t y pes of of out In showed concerned be h y p o t h e s i z e d is b o r n e pat t e r n s . bee n occurred sentiments it w o u l d correspond have organi­ by the a c r oss a relationship one percent level X). In T y p e that organization involvement sentiments significant relative, local would of of presented, examining they w e r e analysis just the T o w n s h i p - S c h o o l loyalty important or the while neighbor the T y p e rural or r a ted I was District Type, obligation to loyalty obligation second. organized neighborhood and or their It ma y around since be community to as a friend, explained lines the partici­ of rural relation­ school k o — Z153 ~ - I^ ; c *§ *y k ^k H * *I <£ £ 1 £ 0 w ■s.I i. 1 <* ft ^ VJ O X G r flM z .4 r /o F *. <5 |— o k y r ° k 0 £ •5 .i y 5 i kf * VJ -o = C Ss. * L-o ''t J{ r° V) kV § ^ L-o S oy & v> 4 co/W fltO F try ? * r> s "9 * 1) * 1 * I ^ •Sf ^ iv I 'U < <$ * H & <3 *$ jjs §* : \ §5 I S' < ^ to v> ^ * 4 .5. .3 .vjJ; S * ■5 .*" vV) < H < 3? t r> t k 0 ** k k * < v .0 « v> « §* < n I Hi vi> k. H. L -ocfiL . 0 * r ° i— O 7- V f e s OF 0 k \ * < & * s fc 0 o k 4 £ & !** >* <£ ? k k d *> * i. $ * FOuft q I *.« v. t Vw £ 3 <* * 4) $ s ? k u 5 S N t I k L-O <3 i K k ,* l*k H 0 k o Tf/E u 254 district in such is a familiar areas, community and In T y p e mentioned zation, sentiments friends II, reason with members to reasons for of which would be and community evoked expected to Type, for was participation to service community a person in activity, participation the towards highest. most loyalty frequently to an place. whose it was would rate second organizations demarcation obligation the A s s o c i a t i o n a l loyalty involvement political organi­ With ciiarters committed natural that the around this type center major of obii g a t i o n . In T y p e of the be expected used TH , t iie A c q u a i n t a n c e sn i p - 1'r i e n d sn i p Type, participants to since involve In T y p e mentioned the personal IV, to corresponds of the the h r b a n - P r e c i net sents that of the lines exist in that this for involvement in of a friend w h ich relationship would were I since the j ust rural ranks reasons would u r ban or is the be life. urban most frequent the areas. than It is the numerous type counter-part repre­ relationships school involvement tne This organization neighborhood as do higher for the n e i ghbor. 5rban-Precinct city, type this it interrelated in Type, to the community and second, rel a t i v e , The of the idisyncratic planation Type type. relationship note of a friend, w ith rural lines to people. reason given was obligation obligation loyalty most district interesting others and in lines to terms a possible alternatives ex­ for TAF.LL X SLOT 1MOOTS Type of IF IXVCPVOMFLT oxp r ossor rY L O C A L Sentiment i.LVLI Organization ACTOR S Type T IT T1I TV 0 0 c 0 O b l i g a t i o n to Friend,' X e ig h b o r , or k e l a t i v e 44 30 O b l i g a t i o n to Organization 10 46 00 O b l i g a t i o n to a n Individual because o f n is P o s i t i o n Idiosyncratic l^easons Obligation Community of interest the expressing w ill * 0 30 26 41 9 10 17 7 9 11 16 23 106 60 150 1 24 P > . 001 T a e a b o v e i n f o r n o t i o n a n d t n e f o l l o w i n g d a t a i n tii i s c h a p t e r a r e b a s e d upon P 2P i n t e r v i e w s t a k e n of l o c a l actors during 1921 a n d 1 9 5 2 . bone reason 0 to X1 s of 26 an X ' s* Source: 09 not be the in organizational health f o l l o w ing interest broken as types reasons data, •w n i c h in h e a l t h down into and for is indicated any involvement. concerned the organizational For with objectives high of degree this sentiments tiie survey, types. A b o v e r e s p o n s e s e x c e e d 1 0 0 ? in m o s t c a s e s since m o r e than one r e a s o n for i n v o l v e m e n t was i n d i c a t e d by many r e s p o n d e n t s . S l i g h t l y less than 100? in T y p e TV is c a u s e d by e l i m i n a t i o n of an " o t h e r " c a t e g o r y . 256 SENTIMENTS EX P R E S S E D It h a s Level expressed interests. asked - no This problems problem The and general county all. only be m o r e terms 7 .2% of 40% w e r e were any h e a l t h of as a neutral 40% w e r e Table the problems local serio u s . category. but is on in The the the concerned either on with was health the believe health neutral or a serious at all. in tiie actors. to on however, On there the other community actors health fell level problems not or recognized not local that appeared note, local when you the local to certain the do a problem community. of that problems health problem health indicated p r o b l e m s there viewed rest fact LEVEL Local through 90% of LOCAL the a w h ole, part or did Therefore, 60%) w e r e it was their actors as that interesting of the concerning lists either unaware seriously community that health XI by TH E on onl y m o d e r a t e expressed level. It that problems stated actors problem?, 2.5°' felt community concern. 40% of a ON involvement County t h ere w e r e Only that supported little interest community hand, much sentiments showed In the at of Independence that EDUCATION mentioned further to be felt AN D sentiments is at health either been few Looking consider they already IN H E A L T H at in into least t h eir concerned at all. Of was tion the asked of as the 60% that recognized to - K h o shou l d problems? Table health set the X U ranks problems, standards the the for order of question the solu­ selections. 257 t a b u : xi W H A T P R O B L E M S OF C O M M U N I T Y A R E M O S T I M P O R T A N T IN T H I S P r o b 1 em H E A L T H DO YO U F E L L T O W N OK T O W N S H I P ? N u m b e r of Responses No p r o b l e m or d o n ' t know of any San i tat i on Nee d for c o n t a g i o u s d i s e a s e c o n t r o l S 1 um s Need for m o r e h e a l t h p e r s o n n e l Need for m o r e h e a l t h e x a m p r o g r a m s Need m o r e h e a l t h f a c i l i t i e s Need for c o n t r o l of m i l k supply and a n i m a l d i s e a s e s Need for m o r e h e a l t h e d u c a t i o n Mental health Other No r e s p o n s e To t a l TABLE WHO Percent 40.0 33. 1 4. 4 4. 2 3. 2 2.5 2 .1 211 175 23 22 17 13 11 8 1 1.5 .n .4 7. 7 .2 520 1 0 0 .1 4 2 41 XII S H O U L D S E T THE S T A N D A R D S FOR S O L U T I O N OF THE P R O B L E M ? THE T h e C o m m u n i t y as a w h o l e .................3 3.5% T h e C o u n t y (and c o u n t y a g e n c i e s ) 3 0.4% I n d i v i d u a l s or F a m i l i e s .................... 12.5%. O r g a n i z a t i o n s . . . , .......................... 12.5% T h e S t a t e .................................. 0. 5% N e i g h b o r h o o d ............................... 1.9%. F e d e r a l G o v e r n m e n t ............... . ............ 6 % D o n ' t K n o w . ....... .......................... 6 . 6 % No R e s p o n s e ................................. 5 . 0 % 111.5%* * Multiple Responses 258 There the appeared solutions level. health An for Community related the solution would appear advice Of stated as of local that a result be d o n e and 5 28 the of aid did who believed the result education of who shou l d set the community the manifested in the feel of actors are solution a general survey. would occur ind i c a t e s , willing they for It to are accept willing them. anything thought sense Only result. beliefs before. the happen nothing There would be something 11.5?. 12.3? 3d.5? would be done. something and and responsible than need who h o p e d XIII interviewed 13.3? nothing would mor e of who w e r e while be mentioned problems the people Table should know w h e t h e r that in problem. problems the actors in h e a l t h the those was actors 2.5?4 fel t and improvement 12.5?, r e p r e s e n t e d recognized local the interest survey, local as of Type actors now the occur the Individual of in 1 1 . 7 ?u of 6,4% interests outsiders their health the on the local local they health solved that of the h e a l t h that be believed while indication solution actual the that of h e a l t h concerning to a c c e p t 9.1/r of who solution. greater the c o uld represented Only their the who percentage problems believed Types to rank, these Type. even a strong ( C h a p t e r VIII), problems standards be actors Type Individual by to These Community to t h o ught believed would were done would any that 259 TABLE XIII WHO SHOULD FOR BE MOST R E S P O N S I B L E THE P R O B L E M ? I n d i v i d u a l F a m i l i e s .................3 7.9% Tiie C o m m u n i t y .........................33.5/* Ne i gh borii o o d ......................... 1 0 . 0 ?,. C o u n t y ................................. 9 . 1 % State * . . . 4.1 % F e d e r a l G o v e r n m e n t ...................... 9% 0 tii e r ........ 6% D o n ’t K n o w 9% No R e s p o n s e .......... 2.3% 99. 0 %. SUMMARY Tiie C o u n t y Level with by is activating them units related health many the County p l ans who were not cases of organized to actors for with were the concerned interested and ments which representative type the in health most the part, hands concerned interests. of the The solution individuals T he w ay in of local the of from local the in long Local which community health range Level picture and actors in health. displayed believed problems local local typology the C o m m u n i t y people carried involvement. county local of h e a l t h or til e Local in w h i c h empirical total with on relati o n sh ip which interested differed Those were an actors sentiments actors therefore not of obligation. expressed concerned were sets allowed Level and involved previous sentiments were The Level and Individual that, s h ould community. senti­ be for left 260 In hoped regard by public to/ objectives the C o u n t y health and p r o ject. Few after survey the It is described w il l be tae the system this it shared had effect kind action belief been completed. the up the that has of m any the upon on social next the people would this that of that health is m a d e burden feedback, wii i cn that apparent been of Level concerning would the be result Local conflicting action from Level, has in the even j ust elements. to vie w manifested relevant it was educated system which chapter the survey, the It concept of in a social structures from emerges. \ iJAi; T IV Ft-l r r.AC \< CiiAPTLK X F LLP HACK The with It in regard calls ered Vet concept in it ior is the relationships are found of of the theoretical analytically an which of emerge who Tn o illuminating the social continuity concept uses it this has dissertation. which expressed syst e m when been when cannot relevant to deal within structure that d e alt is an electrical w i th .iomans, George C., op. cit. in from one. circuit as f l o w i n g in a d e f i n i t e d i r e c t i o n : from the p o s ­ itive side of the b a t t e r y or g e n e r a t o r through the c i r c u i t to the n e g a t i v e side. Many e l e c t r i ­ cal c i r c u i t s are, m o r e o v e r , so a r r a n g e d that, w h e n tiie c u r r e n t r e a d i e s a c e r t a i n point in the c i r c u i t , part of the c u r r e n t is, as the e l e c t r i ­ c i a n s say, "fed b a c k " by some a p p r o p r i a t e n o o k u p to an e a r l i e r point in the c i r c u i t - e a r l i e r as d e f i n e d by our a s s u m p t i o n that tiie c u r r e n t is f l o w i n g in a d e f i n i t e d i r e c t i o n . T h i s kind of a r r a n g e m e n t may be used to a c c o m p l i s h some useful p u r pose; it may a l l o w the c i r c u i t to "bui l d up" m o r e rapidly- to its full load or to carry its load w i t h o u t f l u c t u a t i o n . bven w h e n e v e r y part of til e c i r c u i t is fully e n e r g i z e d , we still think of f e e d b a c k and b u i l d - u p as g o ing on c o n t i n u o u s l y . 1. and provide b o r r ow e d in an electrical consid­ be inet. analogically. analogy We think of the current of system, sentiments within structural design difficult demonstration w i tJi i n the " f o e d b a c k ". more of tn e most closed empirical description <^e cj i:^ v C . .io !ia 11^ A " f e e d b a c k ” is convergent understanding term s to an terms of an T h e c i r c u i t ha s a t t a i n e d a steady state, but we t h i n k of that s t ate as being m a i n t a i n e d by a c o n t i n u o u s , c i r c u l a r , end d y n a m i c process. We can a l s o tti i nk of the b e h a v i o r of a g r o u p as this kind of process, and if in d e s c r i b i n g the process, we choose to begin with the external system, ve can say that the i n t e r n a l s y s t e m is continually' e m e r g i n g out of tli e e x t e r n a l and c o n ­ t i n u a l l y f e e d i n g back to m o d i f y the e x t e r n a l s ys­ tem or, rather, to build up the social s y s t e m as a w h o l e into s o m e t h i n g more than the e x t e r n a l s y s t e m we s t a r t e d w i t h . 2 Jomans much and uses in the social i e re n ee the the same way. as system have being cultural system and sy s t e m in exact in tne useful system problem. structure of hi s cultural system-relevant and the burden of "feedback" relationships become I b i d . , p. of relevant system of this much of this has found sucli apparent structure liomans as same domans as is the the dif views tiie e x t e r n a l the comparisons provides social are not operating from similarity a concept allows which is dissertation. for a change system sentiments chapter occurred within the sy s t e m s dissertation, reference, cultural of this a n a l ysis. since of internal structure Although total that 153. in " f e e d b a c k ” and patterning is used scope " f e e d b a c k ” c a lls it 2. the frame tiie d e s i g n particular the and of d e f i n i t i o n , different use in and this terms external the in t e r n a l Since will largely of been the a son own at for concepts tne in relevant as a result of within a social system, to d e m o n s t r a t e as the a r e s u l t 'of the self-survey immediately the that any process system of h e a l t h . complete the of It description 263 of ” feedback*' as tiowever, some in the the within this An quences action have of probable effect will be treated or as ilomans d e f i n e s it in s tructure. attempt order of provide a temporary structural will of process this now emphasized are in either some nature of "bui l d the some difficulty, effects understanding pe r s i s t up" of the of h o w through time and continuity. be here Regardless to d e m o n s t r a t e to mad e to view terms since the of h e a 1 1 h other outside empirical action. activities tiie scope of conse­ Heal t h which might relevance or obs c u r e . THE In the spring Independence action that Action in followed any impossible, "feedback" attempt occurred is to d e m o n s t r a t e their is system is als o d i f f i c u l t systems maintain cultural It wil l process action the chapter. relevant chapter above are of the effects considerations summary effect it survey attempt County might the for program sued. The talk e d to have a more PICTURE a field observer purpose of d i s c o v e r i n g occurred a y ear in but which be d o m i n a n t intensive observer the thc and in h e a l t h to 19 33, for county over seemed at of LOCAL sampled organizers on the as a result various the have til rough out search various the for the to any h e a l t h survey. had been non-existence been related the county. activity a r eas local of sent localities apparent might was of level the was to the Tiie then county as well of as pur­ and those 26 4 who held county the spent of time organized vey, w as two where action Two this of survey and another committed and were which was as to survey. that by then activity, was to made sort was had f o r m e d t a king had but the in from sense the sur­ emphasize the county at level place. taken a local a highly organized project in to approach chosen: one w h ich the Concluding participation decision and as a r e s u l t itself activity the different villages the stimulated areas a during a p p r oach, occurring, selected the up at projects not least positions part health community apparently in council and with had no follow a result. FCAKFOKN The and village central County. part It is historically of it has It been never attempted to urbanize Nevertheless it now h a s from those areas. living This frigerators is the in industry and adds "refrigerator Fearborn and is one time is located the in a rea is located Independence incorporated productivity. it of F e a r b o r n and the has town and the belief capitol rich which units of extreme borders pioneer of for d e e p that in 72C . size and rural nor lias industry. employs living of east Sheridan growth great large which 600 people neighboring freezers Independence and re­ County the w o r l d ” . oriented and and to any sense those the a population of industry essentially the scene the builds to has aspired in an County in to agriculture, productive Raisin surrounds and occupies however, v a l ley. Fearborn At was settled by F r e n c h tangular this farms farmers perpendicular tradition has prosperous may still be T he religious group to found still the area. the children town. of both the that which was Some to the ment in the long in an introduced been run no Although l a rge of but been the dominates absorbed parochial the of influential influence school p u blic effort school land. inclusion has and influence plots a small attend in early the a cooperative Protestant active tha t to the into and school on affairs the in part as w e l l as trying private County to form village in in the and it w a s survey this project 19 52. prior to the m o b i l i z a t i o n discussed at this accomplishment systems of of the point surv e y sentiments in w as order largely shared by members. survey, of in v o l v e d PTA s h o u l d be the organization of e v e n t s pre-existing groups PTA became understanding the is of rec­ picture. has upon with long River. and The C a t h o l i c resulted and the attracted ha s community had has r e a s o n there ultimately Before began of g r owth families p a r ents understand certain and the farms, catholic Dearborn dependent with of Fearborn of this civic group that up a s y s t e m the C u r r a n t old Catholics. Catholic total a few e x t e n t but For This in remains a certain to middlewest influence of G e r m a n set disappeared typically French w ho as e a rly to e n c o u r a g e citizens independent in the health as 1950, the the growth various councils Health of parts which Fepart- small of voluntary Independence might work 266 as local and u n its serve as the h e a l t h vising a Superintendent of al o n g lines. de point view sponsible get one were program work on started in, It w a s upon a found problem objectives. terest not in only would the creation of view that that faced It was not survey, the of and the interested from I felt t o get would the I was re ­ if I c o uld a dentist in problems a dent a I like program h im from oca 1 th time we h a v e .Jealth help tne and to b r ing none." in health, and a Prpartment the b is a reservoir efforts Superintendent surprising, since with a health we a planned for City super­ planned and Superin­ i n t e rests. voluntary him of The t h e c o rnm u n i t y 1 ik e and capacity interested wn a t our als o present need both common coincided allow the had and help find community particular Obtaining was at the to them. T came c o u ncil We w o u l d this and "I w as it w o u l d us use in d e a r y Where a health them. in with a community. problems cooperation at P e a r b o r n enable s i nce program, tendent the health in w h a t e v e r to su c c e s s received h e r e that It w o u l d a dentist dental the help necessary some Sc Jicols starting started and based of for general. sol vino d u r i n g an i n t e rview, said of find had of voluntary achieved nurse tiie same purpose of might h ad staff the source unit nurse another for then, tiie very but of co u n c i l . of in that objectives to m o b i l i z e for people to d r a w It was for this many p e ople achieving these he in­ of showed tne s u rvey a surv e y from for reas o n tiie that, 267 when lie had committed he appointed of a health survey. that an acting council The very tant wit h chairman for of the facts projects project to in m i n d and of initial call e d organization, for purpose the of survey lies concerning health would that to work, of the formation a health the on w h ich was the immediate legitimation a collection council himself in fact provide Obviously dental the one program a impor­ just mentioned. At an the active other Health organization have Council The}' townspeople approval of at this of before gained. Department. they classes the around to induce a dentist certain Dearborn, t h ese common to it h a s fluoride in could be efforts of to with be an be in own. program with the a pre-school clinic with small an tne in the h e a l t h heal t h number, organized They in group still the a movement effective County publ i c a practice to fre­ and establish proved the convinced cooperation are at contact, promoted projects They treatment and is represent interest their in he a l t h . concerned proven considerable as Council village. problems tiie s u r v e y people also who attendance publicity successful people of have in the as well skeptics They of Although take level the Although represent and health members within members considerable Tearborn twelve a successful i io ino e c o n o m i c s and the meetings boast required with the associations some activities which observation interested quently the last plan community. on tiie part problems instrument in for 26fi consolidating, major problems. provided for the In by all the and Independence any of be council of most the not to note s e nse a taking that not the to v i e w community largely responsible for are in this the apathy rule had in acted partici­ p r o b l e m which assures the were basis. them units Tt is la r g e l y Tt will of m a n y a Tn e other v i ewed was of a dentist. in part being not difference. wide been used now survey better problem problems on be tiie o r g a n i z a t i o n a local the the obtaining a county the of has ones. units result a surv e y of new to local but degree failure health that upon snored health on projects the of aim and will for t h ese which dat a c a ses as of survey exception important that and an solution information the acted a considerable later su rvey as primary the suggestions problem had and of In m ost essential to important a local in any explains shown unit the certain out County. to success lack stands This ' c o n s idered of provide particular pation. health publication also Pearborn towards probability justification discussed upon efforts be county and personal way that occurred during in people was the action. Tiie next as do other shown that has the not acted community localities this yet is for be discussed throughout particular reputation as to community being part of the highly the contrasts county. is w e l l civic following Vet with it will organized mi n d e d . Pearborn Why description. be and it has 269 MOHAWK Tiie v i l l a g e of the county. 4,020. most It is members the first the earliest largely and of It is a town of the with a rich to be by and located incorporated settlements supply is community community determined power Mohawk its its are the the and h a s proud in past; tiie c o u n t y Its accessibility the of and one of was adequate r o ute that It was location to an along corner a past to d i s p l a y . state. location northeast a population historical s e t tled in in water between t Sheridan and traffic. States, stagecoach indian Mohawk gifted rich in and remained urban and r a pid gone terms tillable years dollars. ago the employing f l o urish. over It was i n d u s t r y was Products From as when which and run in worth were this of period only years with it large as a result village result grown what man y founded a factory United surrounded T he Company it has 3 5 0 0 men the the not a hundred in growth. e a rly during it a lso wa s For change along It was were of $ 8 0 0 o ver in a p e riod compressors. worth interior refrigeration. social Mohawk for during an in stopover constructed but land. a r eas advancements of and rural industrial a capital industry farm the trails. location dominantly refrigerator and grow ideal of were pioneer to of considerable lishment it an routes and began Seventeen of made W i til the d e v e l o p m e n t previous that Chicago the h as u n der estab­ manufactures by size a few to s e v eral men a l a rge million 270 Changes which have been industrial impact are: for a more modern business the tow n must have accomplishments and rapidly With maintain ■ town, h as the a new come nant the in a new in p l ant and of past. have largely how of certain those might village st r o n g period have of Yet been a reputation in joined each the future have been Mohawk. civic the the to of a growing the the desire agreement and symbolized the that large by m o d e r n them from that had been domi­ timers and y e ars one rationally It can is of imagine 75 m i l l i o n dollars say equally in f o rce be part and and the m a n y project the Com­ community particularly town These service is a newcomers their pro g r a m s . regarding ignored. as b e i n g t i mers in to to to b u i l d a worthwhile not h a r d never who dominate deal the most old each newcomers, c a ses worth county old although The in m o s t planned responsibility the another past. that w h ich both been attempt in with ha s Both reside and there matters. to to introduced a great the people been its for of executives time h a v e reached Whenever of a corporation element in an numbers changes. throughout other with policy oriented, cultural conservative active in u r ban policies. promises ha s a large culture part representing over the adjusted maintained terms of Through have f rom population; of g o v e r n m e n t ; people has g r o u p ha s b een type resulting hospitals. a contrasting newcomers in district; introduction type the growth as community health, growing the the noted, and have face programs groups selected by found an 271 organization support of When it otiier to receive .Mrs. Pixon for 19 4 3, been had chairman was support (mentioned sponsible of a the county as and had cooperated with tne was support til c c i v i c the me n ' s groups of tiicse w h o 8% of male the t o tal structure tapped. Why consequence Once of The Mohawk cause groups they was of who of tne active it c i vic then activity accepted to men from no project must be in the Mohawk. on organization. and other took an parts such in were active receive of the of part in county, One-third only represented by is was thoroughly activity within view e d rather resulted the it was that the a contrast as tiie a village^ l o c ally. As action, of to tiie c o u n t y obligation. civic some two-thirds participated. while also because for her Over in projects organizations, difficult re­ as She was in wortliwn ile did an Council in s u rvey it as been immunization health organizations that channels organizations. w h o had groups. men the se r v i c e l e vel) interviewers participated dedicated and wer e tiie s u rvey again tneso implication of not to most involved number civic cooperated interviewed group. total of contrast were active it was approval In committee man y organizations survey. not Mohawk the the C o u n t y being a member, and if in child organization recognized she survey by into through the C o u n t y successful was which were selected of approval introduced in tiie s u r v e y co-ch a i r m a n receives organizations. tiie s u r v e y used she usually so The largely members their people duty of to be­ service take part in projects support. than It w as a county it w as viewed were to in vie w ran to but of a new survey, that there A community did most not letter chairman that and convinced public any number affect The by were were not were made few w e r e took part in would be and for many true Kiver which was the the building active seriously den­ It was disposal part, by difficult the C u r r a n t people who felt physicians corrected were real.questions light. sewage them. Mohawk It was it was of community, solve problems of serious being T he not to to rather their taken that h e a l t h faulty was system. those commented community this be in community, hospital, in that tabulations and nature. the contamination and found did agreed undertaking importance. adequate health had in tiie concerned with health. VJhen results of a modern already community which survey, an b een the nature the wer e action would state town for problems the and sewage a community particular community through organization any to h ad as some W ith town there cause was with a minimum. that Me that previous tists If a county related many, at of their viewed one. assumed Problems not which health. who the appear to be written by a local wa s any interested tabulations problems of physician representative of the an to in the soon found extreme the medical feeling. after examining the tabulations of comparing them.with the rest county that He the town further was in good stated that of shape as some the in of the terms the of he ph y s i c i a n s h a d immunization by them in nothing become pend upon survey to uad immediate quarry while on edge po o 1 for tne at t e n d a n e e safety. carefully made the water frum year hole was gedy and a It a was cost In answering this a Pay, > ou g a to in shallow been Tne taut the made arc'a of in lie l a u n c h e d for inis decided that an and the had because and tne use of members a met tiie for protection of community 1resident life of is roped off and provide tne of of depth s w i m n i ng a f t e r tne service purpose of t ow n * s swimming Mohawk rt o 1 i- sourre public week in been on natural the swimming to uad occ u r r ed stone located guard various the urn i c n people. variation One de­ after c o in n u n i t ) community safe this of would year quarry a as been of people deal half of d r ovc n e t 1 i n a t r a g e d y w n i ca adequate the the was problem Mchnwk the stone considered employees f or in was used There quarry up pool $67, 000 girl t.e e n A of in ad v isa b 1e . swimming around part Inis furt a e r d a n g e r o u s and Products has years. yea r ,the c o rn m i 1.1 e e tne a great problem. swimming. and tne a occurred on aware supply tne crisis always pe op 1e of action few tiie inf o r m a t i on local would supervised. Mon awk new last ha c! might c o n d i t i o n . I'xcept detected, was town and it d ay sue of in p r o v e n c n t program been taken 0 n Pecoralion tne t it o definition was this lor occurred. active? tne r oom somefuture improve tabulating nave lead to uad nature there was peril a p s order in serious tne and else If cx pec tcd tr aclubs planning cni 1 d r e n . pool Products would 27 A p l e d g e d /i a 1 f of $ 4 7 , 0 0 0 and to is cost, the g r o u n d was Meantime the b x c h a n g e C l u b chase inaalator an It six is d tita t if t u e y nad, the to c o n v i n c e quarry people, they a a cal til , From a problem were as definition of problem deal of upon such their own instruments this report will be will concerned concerned with Since the people OF the on kind. tne research would of it a z a r d . nave the problems l a r gely to as by of are in one action would are of self health to health n tool it appears motivate Tu i s situations. of public a p p arent and element able an to not e x pand they health of As tne can local develop a great and T ne of that rapidly. depends aspect level as it was or none likely Since surveys. this county used result public is terms planning of interviewers ones wnicn crisis and w h e t h e r the been Mohawk a local It need. planning [Manners COUNTY Or.JlXTIVKS of tne a b o v e by be d e v o t e d future to p u r ­ M o a a w k s a m pled conception with money 72 the w o r t h as enough tne health health of for c o n s t r u c t i o n . of observation viewed at out public public understanding that a potential to w n e t n e r an note barrier at hand, the lad d o n a t e d immediate serious w as in defined the being broken tiie survey and are provides crisis to ttie g e n e r a l critical latr»r the t o t a l w a s future emergencies interesting l n d ic a t e if for litontit £ p r e v i o u s l y tit at A week the next the initiators utility part survey wno and are planning. IMPLICATIONS TI1L S U R V U Y objectives the county of the level, survey it now were formulated becomes important of by to examine degree tnese major objective initiators, was to to c om_n u n i t y n e a l t h . in tiie most use field of adequate of grounds if formal taut of then a t t e m p t Tn e tney education people be contacted Although it to o b s e r v e nature for group, a c t i o n , to in were ignored to w h a t viewed matters by procedure this of tnat was advised tiie a experts would on project maximum be by the tiie was number of interviewed. to be few d o m i n a n t h e a l t h felt by related survey advice the in the c o u n t y W h i c h i n t e n s i v e .survey mi out it administer imperative it w a s b e h a v i o r wn icu w o u l d public objective appeared as sampling by those woo there of a c o m m u n i t y Tney main was tne tn o t a intended the survey, initiators schedules. since the educate research public an and t n e y w e r e me t. Tne its objectives by m o s t might nave problems called of tiie i n i t i a t o r s indicate weaknesses a 1 I ov-1 for f u t u r e that in p u b l i c h e a l t h el an n i n e in p r e v e n t i v e me di c i n e . More implicit tne s u r v e y help in tiie o b j e c t i v e s efforts was st re nr; tn e n tne belief two health bu t an e q u a l th at such T e a l til P e n a r t m e n t Tne dealth P e pa rt men t had been and years to tne p r o j e c t many a half severe o n iy m a k e recruit previous critics. a favorable and the C o u n t y established Tt w a s h o p e d people more aware body a project o r e a n i z a t i on s w i t h i n the C o u n t y of th at of h e a l t h public would the c o u n t y ; in tiie c o u n t y five there were still survey would not problems opinion in ileal th C o u n c i l . bu t th e force fo r but also public health efforts. help It tiie u b l i c and m a k e terms belief process, either u n grovfided by more th e q u e s t i o n s data gathered attention upon immediate nignt effective. was tne never tne o b j e c t i v e . th e people its tne of e d u c a t i n g of p u b l i c h e a l t h approach make locus that, i n m l a l t .i problem verbalized hoped it m o r e l b u c a t i p n The who further department problems P was th a t if we are Th er e was interviewed of h e a l t h This asked. of tne c o u n t y carefully participation being aware people to o b s e r v e implicit in the or by t h o s e i n taei r interviewing interviewing, problems assumption defined in by would tne c o n t e n t appears of to be s o m e w h a t tne b e n a v i o r of those who i n t e r v i evv e d . Assuming felt th at a natural interviewers reason own findings it were the to d o tne groups as at own refused county worker. it w a s level tucse collected people interest to tabulate thanw o u l d t a s k an d Tne job "a d i r t y in". and th a t For tni : t.neir would receive be in tne f i n d i n g s tne e x t e n t to t a b u l a t e suould possible by the county workers. tabulating. put their data. locality faster interested least time we have involvement, lo ca l in total on e m o r e of of c u r i o s i t y w o u l d d e v e l o p w n e n tne in t h i s w a y t n e i r people were case, value state th a t and tabulated their preted felt of a l o c a l t ji cit the all on the it w a s findings not tne e d u c a t i o n a l if Tne belief was apparently they w e r e w i l l i n g of t a b u l a t i n g was inter­ trick on us a f t e r to play In s o m e c a s e s the job had certain local to be d o n e by a 277 The interest of heal tn research of any problems findings critical epidemics ease or for the lew viewed much most any can be in the aware them as level as tne such of In terms of by tne county. No as the lack serious communicable in certain recent areas unpleasant threat dis­ years, of h e a l t h conditions dangerous a potential in terms explained county particularly problem local witnin fatalities were not the negligible. problems to view part this occurred tney on to be of scale had tended people seemed large although pr o b l e m s , the health epidemics beople, of to the to public but community, health a.nd we 1 1 - b e i n g . Public education cipation appeared appeared to whe n publication tne may occur, any problem wo u l d be certain but have tiie local be to in upalth tiiis to be taken. people wil l be h a n d l e d by til e .lealtn Tepartment. help meet awareness another of interpreted Th e educated the as to be the survey It tnat agency An functions of the interested if the if this and implies lea r n i n g . some there do nature action had felt acti o n that many exist cases of can would possibility indicates county parti­ some people likely of to immediate time in most educational in that an problems which nowever, education of tuan wnat the related true this awareness of as is d i s t r i b u t e d , by is more feel is since enough objective of It problems unlikely proper part concept general serious been tne limited. of is problems health that unit is be would an to be process. the In necessity this case of the lack of 27H critical local cult problems people tne the peop l e related failure with to wha t course people. part see to of meeting some previous as IT AN M I MG JJy There related to observation, tribution, bilities local this is OF little public the educ a t i o n . 1 ev e 1 to form sense that health future program. on t h e description of Pearborn. local b e en tiie ;n blanketed educate is to form Tney enough thinking for tne fact process that problems in responsible survey of and Tne h e alth tney either for t.h e itself wi t iout ta e process just concerning, b i n c e , at in only There and of e d u c a t i o n . Ft. Obi.biS time, were level people understand mange. written was for a of p l a n n i n g in this people of of m o 1 d i n g p u b 1 i c o p i n i o n c o u Jd be county of man)' or 1 a rg e 1 y J bAbT.i the diffi­ n e v e r clear Tne tool can publication To alone. was terns at to the pe o pie w ere not view objective. P u b I. JO bodies o omn un .it y-m i n d ed people in large of made weakness th e y n a v e it was satisfactory T h h kb when part w e1. 1- m e a n i n g p.tr og rams Many participation efforts a of but community lack s e rve by that a c u r a t i v e or of a body g e n eral of tne h e a lth, th e e d u c a t o r s wisnec Tii i s tney- had failed T ne tiie c o u n t y they for action of upon public education educate. and of h e a l t h not the c o n cept id (‘as wisned the h a v e failed tiie g e n e r a l ideas to belief constituted education. to action c r clia n g e as on t.n c y wis h community a different to w h a t prorjrani of objectives is as and the tnat been was tne process discussing nad plans of tne only 1a s dis­ possi­ one mentioned 1 in case tne 279 There in t e rms are of indications future lie vagueness foil ow ing tiie c o l l e c t i o n sense of avoid .of iiad hard tance upon attacked. ing the Tor this total if to w o r k period Also in zations which tine tne importance lost of these reas o n on, they local would as t a e ir h a n d s . in s u r v e y to to one part show some particular to people whe n their local felt did be la at nave not of resis­ pride had to was to the serious advantage facts were be of tae to w o r k most t ite in it, based if this upon so doing, from and immediate survey, believing important, In of dur­ place. description, given. b a sis a ad As was tiie o p p o r t u n i t y take take the localities. tney interested snowed is a tne f i n d i n g s oftiie surve y w e r e rarely to w h a t felt was lead recommendations was of man}' might statistical s u rvey deal itself area would not in­ objectives a great or tabulation a and from c o m p a r i n g b r e akd ow n s in course result i m p o rtant the e n t i r e i.e., community a comparative disagree in mi gut resu l t localities a result Since publication tiie otuer, avoided people As people that will of goals tiie data. tii c p r e s e n t a t i o n occur. the of the m o s t participation without Tii i s of people tiie local of tae of of a t e n d e n c y through one part situation. county for the wii e n the been the in mentioned, problems to against problem tabulated in feelings tiie c o u n t y health given completion There difficulty One seems was some p l a n ning. dications importance to that tnat shou l d generali­ while tne at the evidence count}' the health p r e sent p r o blem. 2d.0 Once again education, ceived what the goals. as tne case of tlie o b j e c t i v e difficulty lies in the Values constitutes problem what makes must b e an swcred. being amined may the been confusion of goals historical within symbolic a midwest of political that analysis of of political public ideals of a croup of than a n o 1 her one, they are answered to wii i ch any program underlie values of governmental been s i nce the related by an}’ people, o tc , , p recess the and ex­ tnnl equally p u blic and the are Clay the strong. belief The of inriivi- p r o j e ct a ad ami i- is d e p e n d e n t lies of in i m p o rtant the midwest The the 1 i ■1d political damiltonian enterprise. the has Since the The s u rvey health t h eme result of be m a n i f e s t people. control thinking] t.iat. part the to one w h ich to health. private controls in publ i c with is found tnese engaged henry himself of of chapter place are historical midwest System tii c p r o t e c t i o n which Since and analysis, alligned has to w a i c a n oi; in cultu r e ; goals. of economy actively control the A m e r i c a n partially problem, arc taken environment are upon per­ of a previous aas themes been members in that d u a 1 s wh o h a v e velent decree coals to which mentioned particular the the immediate decree clearly to succeed. It ii a s the mean the of related is a h e a l t h tii e s e r; u e s lions S i nce tiie extent well to mere lack to wn at problem, primary problem asked, may follows becomes this related a critical one of in to an formulation farmer has philosophy basic distrust in a " l a i z z e - f a i r e " incompatibility of protection values has in living an last remote has has continued century. the center at times that felt the int e r e s t s . political effort United h as ones been made be in of been combined States have in to other free past areas been of by farm effectively have the deci­ duped with of the legislative it ha s battles a struggle the blocks The and to Since from st re et ” , midwest other and waged primarily social individual as much possible. With b i l ity, his the the recent midwest original cherished the terms meeting his friends ideal. best The as growth commercial county cated retain sacred. the as this needs among of unit of unit could life and battle l a rge was which to d e f e n d township maintain that responsi­ But lie has society made government. Yet understanding past of for and governs has itself that hel d the m o s t villages h as the the a modern the public it d i f f i c u l t f r e edom. a government a loosing cities of found in he to in and be m o s t least governs tiie m i d w e s t 'farmers. development the some long that of has political ideal of of a f e e l i n g political preserve been type in of could persists It h a s farmer small that of growth position believed the the throughout against economic as and "wall interests w ar been making those independence throughout midwest sion and obsolete the the farmer, Federal cultural due to part, industrial township although politics symbols which since has and sophisti­ wished he h as and held to 202 Any inroads has met the maintenance h as a rignt as with Ionut cleanliness and the b e l i e f the fear tiie b e l i e f tiiat p u b ­ of which and the infringes socially has p l a n ning. the the county future s h are some who do not Those face people or w h ich are objectives. of often T he underlie c o m m u n i c a t e with meaning them­ many a condition. values been car r i e r s . for such has matter, health Those inability concrete of pleases has disease bureaucracy positions result results health, Many understanding that as well that charity, b e l iefs. that symbols area as he values i n d i vidual to indecision. sacred tiiis tiie farmer public wish nold b u r e a u c r a t i c the neighbor economically in do irresponsible growing w ho and Tiie b e l i e f both been belief communicable with program survey problems t h ese lack any the wno freedom it growing for ii i s own as on science, is an is e q u a t e d system mad e selves core care individual these health T he sacred farmer. to against continue. upon of important such has to his Tne still health members midwest tiie c o n t r o l snou l d health threat and of health live maintain. prevention of symbols. of m e d ical equally immunization sucJi no the tiie g r o w t h become one of to Public property, provides have tii at many own he difficult past of to more related tiie s e c u l a r i z a t i o n resistance. ideal With in efforts the with people 283 S T R L N C T H L N I N G OF T H E C O U N T Y H E A L T H PE PART MEN T AM : T a x C O U N T Y iIlaA LTil C O U N C I L This objective, importance to level, probably The growing cause for has of survey has a previous county. It had area. and Old had founding the considerable survey met which increased At part of the outspoken this school unit on the than have county any other. resulted s t r ength and weaknesses it w o u l d was be­ prestige idea had along been with and the of the at the the in position time in of its Obvious to excellent the of a h e a l t h unit. expensive an to powerless s c o ffed at the H e a l t h be w i s e its opposition children not of strenghthening advocates VP w h i c h for point tiie iieal th who had and basic this timers now of the steadily responsible the county program improvements of in the buildings. There was, appeared to be unit also and in an however, totally a their To w h a t of in successfully meant been in TB the h e a l t h more that been were decreases spoken more chapter again clear school part of rLFAimibNT make were certainly of r e l a t i o n s h i p s were.given. unit took been Pepartmcnt the was organizations. TiiL H E A L T H In who pattern the both those w h ich l a rge a large unaware number criticisms extent awareness h as of the of of of se g m e n t the of the services people who were this survey the h e a l t h society of that the h e a l t h equally out­ unit. provided the unit to w h a t and public with extent 204 nave tae cult to ilealth zens for answer last importance viewed in participate an active tivity tacts self tJi the idea, would these e J e alth is have Although advisory T he due primarily allow for m ore questions to people and it Its the for the public of snou l d its actively part tne in the schedule, that to e x p e r i e n c e give of reluctance belief believe then part took to aware survey not citi­ in h e a l t h mor e as the the reasonable it did role. to program become activities is d i f f i ­ Since p r e sent Department furnished problems it efforts. was health to enlightened people survey question relationship. years, county. a general part with of the an the to This attempting a half extent the d i rect County and within in a c t e d of been is due in of c o n c e p t i o n a n d h as terms program neutralized? t e rms five to w h a t e v e r total been Independence the its in repartment of that be opponents to lay take ac­ direct con­ a f e e ling of direction. There are no I c part m e n t are less clashes any significance other of group of indications that antagonistic, individuals tne but between in the critics of there h a v e this county the .lea 1th been no organization during the and last any two years. There that they zenry. for a belief are V.nen them where is to dealing they spend problems on the with f i rst much existed. part the hea 1th a progressively entered of of their Today the time they county Department enlightened it was investigating receive citi­ necessary the requests are as for their 2D 5 services boards, lieve from parents, til a t tne development was felt people of that was home this tne project more aware on the of water supply Department had found it busy in q ue st possible problem bqually lines of worked the survey, in future plans one was one of area to Today up b y with the the otner county personnel g r o u p was of were .School tne health a sympathetic equally informant t n e areas far m o r e investigating group of always to the dependent its necessity have more unit been the they previous to acquainted Medical and importance in the private with to county physicians, difficult. important support 'assistance w h e n it A A 1 t.n o u er s , the referred the S u p e r i n t e n d e n t actually many has problem suggested that implication addressing of tne schools. to tine said, "That's tne h e a l t h survey potential organization were C o u n c i l ’', pre­ members. belongs to all 290 the interested citizens membership is m o r e The of future degree is the to w h i c h onl y organization in which dedicate themselves ready been better and will in values progress the can growth to the in m a n y respects lies in in more of m o r e stage county of their t e rms clearly clearly of which this position inherent be m a d e stronger. programs Until a r e s ult, somewhat to g r o u p s acquiring As and becomes appeal discussed. understand the defined membership possible difficulty Independence County. loosely jectives The of have of defined meaning to ob ­ to has individuals locally clearly This them. of d e v e l o p m e n t positions, the defined. people willing oriented the in minded little defined al­ can people actual goals and objectives. The to the people above strengthening survey project. in county the activity. More function. A suggestion of be the has people good The of m e m b e r s h i p overall been are made aware illustration general found in a crisis Fall of 1952. growth that in in for the council and the related the m a n y through factor prestige TINNER wit h the h e a l t h this occurred ANNUAL TURKEY contact possible of of is d i r e c t l y survey and its a final group Independence is to County in BACKFIRES3 It is a w e l l e s t a b l i s h e d c u s t o m f o r the L a d i e s A id of the E p i s c o p a l C h u r c h at C a m d e n J u n c t i o n to s e r v e t u r k e y d i n n e r s as a m o n e y - m a k i n g p r o p o s i t i o n . It is an 3. T h e a b o v e d e s c r i p t i o n of the d e n c e C o u n t y w e r e w r i t t e n in W i n t e r , 1953. e v e n t s o c c u r r i n g in I n d e p e n ­ a r e p o r t by J. F. T h a d e n , 291 a n n u a l e v e n t d u r i n g the m o n t h of N o v e m b e r . Camden J u n c t i o n ( l i s t e d as C a m d e n on m o s t maps) is. a c r o s s - r o a d s place in*northwest Indepe n d en ce County. R e s i d e s an E p i s c o p a l - C h u r c h t h e r e is a s t o p light, a c o m b i n a t i o n g r o c e r y and o'il st a t i o n , and a giftn o v e l t y store. It is the j u n c t i o n of U. S. H i g h w a y 112 and S t a t e H i g h w a y 50, It is too small even to h a v e a post o f f i c e and for this r e a s o n n e w s w o r t h y e v e n t s that t a k o p l a c e h e r e are c o m m o n l y c r e d i t e d to e i t h e r N e w t o n of A n t o n , the two n e a r e s t post offices. T h e a n n u a l t u r k e y d i n n e r p r e p a r e d by the L a d i e s A i d of this c o u n t r y church h a s a c q u i r e d an e n v i a b l e and f a r - f l u n g r e p u t a t i o n o ver the years. Y e a r l y an i n c r e a s i n g l y l a r g e r n u m b e r - o f p e o p l e from a grad ual ly lengthening radius treated them­ s e l v e s w i t h a s p e c i a l t r i p to C a m d e n J u n c t i o n for a t u r k e y d i n n e r . . T h e One in 1952 w i l l be r e m e m b e r e d w i t h r e g r e t s b e c a u s e 161 p e o p l e got sick f r o m e a t ­ ing the t u r k e y , of w h o m 40 w e r e h o s p i t a l i z e d , and two died. T h e c a u s e . . .S a l m o n e l l a t y p h i m u r i u m . T h e p r o c e d u r e s that the L a d i e s Aid u n d e r t o o k in 1952, in p r e p a r a t i o n for this event, w e r e e s s e n t i a l l y the same as in p r e v i o u s years. How­ ever, in 1 9 5 2 the e v e n t w a s a d v a n c e d to the m i d d l e of O c t o b e r , a month e a r l i e r than usual, and t h e r e b y h a n g s part of the t r a g i c a f t e r m a t h of the b o u n t i f u l feast. O t h e r years, the m i d d l e of N o v e m b e r w as s a t i s f a c t o r y to l e a v e s t u f f e d turkey, r e a d y for the oven, o v e r n i g h t in the cold o u t d o o r s . This parti­ c u l a r w e e k e n d in O c t o b e r w a s an a b n o r m a l l y mil d one and not i d e a l l y s u i t e d for o v e r - r e a d y t u r keys. The t u r k e y s w e r e d r e s s e d and s t u f f e d r e a d y for oven one day, h e a t e d the next day at a very hig h t e m p e r a t u r e for a r e l a t i v e l y s h o r t time, and r e h e a t e d and served the t h i r d day. T h e t u r k e y s s h o u l d h a v e b een h e a t e d for a l ong t i m e in o r d e r to permit the f i l l i n g to b ecome thorou ghl y heated. If this h a d been d o n e p r o b a b l y no one w o u l d h a v e b e c o m e sick. U n d e r the c i r c u m s t a n c e s the f i l l i n g of the t u r k e y b e c a m e an e x c e l l e n t e n v i r o n m e n t for the d e v e l o p m e n t of b a c ­ t e r i a and w h i c h w a s the c a s e of i l l n e s s e s that followed. Many turkeys have salmonella infection, p i c k e d up f r o m e a t i n g the m i c e and rats a b o u t the f a r m yard. T h e o n s e t of the i l l n e s s v a r i e d f r o m six to s e v e n t y - t w o h o u r s , so that v i r t u a l l y all h ad r e ­ t u r n e d to t h e i r h o m e s b e f o r e they b e c a m e ill. Very y o u n g c h i l d r e n and e l d e r l y p e r s o n s are g e n e r a l l y a f f e c t e d m o r e s e r i o u s l y by s a l m o n e l la t vph imur i urn 29 2 than others. E v e n so, it is the c o n c e n s u s of d o c t o r s that the d e ath of the two e l d e r l y p e r s o n s m i g h t h a v e b e e n p r e v e n t e d if they had been t r e a t e d in the e a r l y s t a g e s with c h l o r o m y c i n . S o m e p e o p l e in and a r o u n d the l i t t l e v i l l a g e of A n t o n r e s e n t t h e . a d v e r s e p u b l i c i t y it r e c e i v e d f r o m this a f f a i r . S o m e d a i l y p a p e r s g a v e the im­ p r e s s i o n that this t u r k e y feed t o o k p l a c e in Anton community. Normally, Anton people commonly c l a i m C a m d e n J u n c t i o n as a part of the A n t o n c o m m u n it y . S o m e p e o p l e are r e s e n t f u l of the S c h e n k f a m i l y f r o m w h o m the E p i s c o p a l l a d i e s b o u g h t the turkeys. T h e y say that t h ose t u r k e y s s h o u l d not h a v e b e e n sold so soon a.fter they i n o c u l a t e d a g a i n s t blackhead. M e d i c a l a u t h o r i t i e s say that t h e r e is no j u s t i f i c a t i o n for this a t t i t u d e , that illness could not h a v e been c a u s e d b e c a u s e of the i n o c u l a t i o n , h o w e v e r r e c ent. A n o t h e r t r a g i c a f t e r m a t h of this a f f a i r is that v e r y p r o b a b l y f our to seven p e r s o n s of the 161 p e r s o n s w h o b e c a m e ill w i l l be " c a r r i e r s " of this disease. T h e r e is e v e r y l i k e l i h o o d that o t h e r s w i l l b e c o m e i n n o c e n t v i c t i m s of s a l m o n e l l a typh i m u r i u m b e c a u s e they w i l l be e a t i n g food h a n d l e d by t h e s e ’b a r r i e r s " . Shortly Health Council woman of early Health although and after had since for of Health ha d explained of poultry this efforts time time she had this the meeting the t hat community raisers. w as been "to part problem active in to the prominent the group. bring of survey, the Her the in project expressed attention of h y s t e r i a which crisis". first had no county immediate above a socially activating taken the meeting S h e ha d towards m e e t ing w ith from to h e r At a monthly in a t t e n d a n c e . Council spread the this making resulted She was been tragedy, held. Council reason the was Mohawk not this of all seriously People were the rumors threatened refusing that n ad the to buy business turkeys 293 and with Thanksgiving business and would present also held usually counted funds which related to by m a n y the ment concerning so ilealth The the the cause it w a s the the bacteria been future for the from and of such these farmers the had might that dinners it w as could Department and an state­ indication of statement was the many rumors that w e r e in and problems Sanitarian apparent They no of made public also that the save statement the that and any h a r m f u l turkey that fault of the turkey risk said though, say no that concerning They to wit h De­ were statement prepared, in they on be h e l d to the ilealth food h a n d l i n g , prisent went of determined. properly been but embarrassment. not be no functions make a public was with public made They the were some result have dinners that above been annual welfare. H e alth poisoning future could on social to the organizations carrying the of These such group it was had g r o ups. and this of Nurse this destroyed. statement for defensive. dinner that of to q u i e t Department since loss problem supply church felt causing definitely if She present on to criticizing Department immediately Health the cause only and were the order of the church necessary Supervising partment the reluctance not circulation that in incompetence. necessary, hardships t h e r e -was of ivere a l s o that the on Were f elt have that support People that tremendous the ' said dinners the approaching, businessmen, She its season they if would could raiser proper make and precautions tha t he would planning to The the t and was of of the entire Mohawk, to given at the h o s p i t a l S uc h an event f el t and was the the survey tacts problem h ad the statement public the by woman if in order was both increased and as planned in food of an handling The she in not h a v e for directly to and been more responsible people to contacts an w ith the the in for origination De­ to m a k e terms of present. extending Officials extent the con­ Health members the C o u n t y such affair, reluctant sanctioned official Although this the and had previous g one have fro m received attended from been woman Department part bee n Health effective resulted lay the effectiveness. socially more held that r el a t i o n s h i p with l o cal to be not social and l e ast c l ass charter indirect of Council then at cooperation would would not that, were the H e a l t h it had she h a d with the has ship has said that w as problems problems. and an organization If the health only officials meetings a special survey ilealth group w as dinners considerable meeting which discussion The lines any Sanitarian the S a n i t a r i a n . Council with project. partment The handling organization impressed that the by public played council w it h the food annual dinners the Health certain health taken. with re-enphasized for quite the met these showed board both is to meet discuss previous Mohawk a and Were safety. result sounding of handling be w i l l i n g village Council it food a dinner assure in in that public the of the member­ made. V i th and in increased has contacts it has bee n utilized more increased prestige in Although the goals of the (See C h a p t e r and have th ese still VI given goals. volvement made Health Council zation are this the as to The action only conditions resulting objectives, by Organizations), members can of future application be. publicity expressed aware future have terms the be m e a s u r e d of charter been met concerning of social of w h a t activities by many its efforts in more to be d e t e r m i n e d Success future terms impetous must still findings. in - Tangential more both favorable county. organization, Practical has often, the vague received of analysis in t e r m s an effective the of of in­ organi­ their the course takes. S UT.IMALY The difficulty evaluate the in of terms nature from as the to the been of success the rest to In In the we groupings which were lizations concerning have should the its to be one of total as effect upon stated, have of action action never in process the be certain has survey, upon upon it ha s Independence the organized the survey, limited that to process a process been however, attempts f o und can such a result effectiveness an or the h e a l t h concentrated formed be is effect case which project isolating activity, of assess Because It particular objectives, nature society. dimension. a societal tii e a c t u a l County. of generalization p r o cess. of difficult any stated social total in to a total genera­ this 296 knowledge of effect in approximated at governed collection of observation the action ti o n s have to other safe large that to "fund of in community greater will". terms value t han In as activities. good fication of viewing a result conclusions of of related people pected action as stated that as since health f a i led. perceived of are have as been moreover, projects mobilize civic "good", source referred to this possible s u r v e y w as for as a quali­ that even sug g e s t s . that of may some is are a speculate to m e n t i o n it the generaliza­ It may, be which chapter a future may be analysis only that of important local result survey clearly remain failure. to this such purpose from the design limited can where took place participation, to related O ne a source is action people the the appraisal county of for of survey. c a ses onl y Therefore, body the can systematic relationship evaluation an the the of It survey the realized. in received such be Such 4 originally a more in action theoretical relevancy. that groups the data social people social that result suggest certain community of the bodies, of of made of of that could been patterns as and order problems established be in process that limited to the best terms we Since action are the were in goals was the lack on d. T h i s c o n c e p t w a s i n t r o d u c e d by John by the r e s e a r c h p r o j e c t r e s p o n s i b l e with objectives certain of those which it largely the localities faced participation, This the part can ex­ be caused of the by county B. H o l l a n d and used for this study. 29 7 people Also who were operating apparent lack minds the of the minds not to was made as of any people of these of w e l l immediately who were as upon with people may times published and that become there evidence In viewing health survey denced by it proved pointed in to out the proved local s t r eng tJi en i ng is of be that strengthening of be two primary survey these a causative seemed established in in the support local health agencies rather sense, the the minds is a of local statistical result seen unless in of than value the that than w a s in of evi­ county, it w a s a general being the the the Although part of act future minds instrument often to case also mentioned it w a s successful. wa s the need. effective an in assures of w ill and action planning difficult action more As agencies in be far extent It w as implications, considerably the the that developments. instrumental to by that structure now in feeling a tendency m ade immediate county to h as projects unlikely is the survey toward extreme noted stress. legitimized It some of the in l o c a l 'o b j e c t i v e s a certain results certain information. is there the problem planning further existing in to units. w as Since any the stability planning It w as of to certain of lack and since lack future local action health related crises a minimum the activated. was the future local communities, at that to a whole, problems. organized activating immediate people difficult local in a deterrent tiie c o u n t y toward held successful effort directly such members a project of these 29 ft organizations. P epartment and more and Also Today of the has the County X-raying is Health witn school educate to lines. in Ilealth people in limitations are related a community sacred autonomy and prevention fessional health nature and finds planning, it the its is before the to h ave the natural had program the Office food the is s u rvey nave been towards future health serious call which problems has of coopera­ classes and for or in for individualism for a gap area it w i l l between between of the the pl a n n i n g , even failure the and These f i eld sentiments local health a self-survey suffer from of control, professional to failure planning. conflict Since the the Th e call produce that in TB a direct health, in Te- emphasizing handling public to in direction system either health. survey. community. origin in county the H e a l t h planned School organi­ a program of which continue Ilealth stronger county in of through County h e alth. sentiments s t ate extension The o t her support The terms people of now planning county of the and are they w e r e by the to motivate public A projects limitations the the C o u n t y interest is the Pepartment relationship Chief than overall receiving on All that Council taken Society of milk. cooks. indirect an Pepartment. the Health interest in these pasteurization ted is going doubt survey. Medical and along the the general partment little organizations resulted Immunization is the C o u n t y effective introduction zations There pro­ of health such a and 299 condition. own health Convincing problems '"do- g o o d e r s ” a community must include surveys can is o n l y are and not half thoroughly collective ever people reach that being the they the d u p e s battle. convinced action, a high it are is degree Until that acting of their outside the members preventive unlikely of upon that success. of health self­ CHAPTLk SUMMARY The previous emergence for a which social process set of social and described as a social These dimension assumed system these relationships, interaction. which which Part relationships, gave since included a the to of the the actors out the S o c i a l patterns meaning between bel i e f s , developed III, action the between and the it met r e l a t i o n s hips interaction of of m e a n i n g that requirements system, equipment a process of sen­ and System, interaction system of action resulted. the on of system the is the of dissertation qualities analysis level to d e v e l o p the d e s i g n which an a symbolic process understand of persistent through necessary the problem the temporary tion the sentiments explained as It w a s interdependent symbolic these explain was of this Since and was demonstrated a certain of d e f i n i t i o n . to m a i n t a i n reinforced that process. actors timents, the action observed CONCLUSIONS have provided functionally necessary and chapters has being requirements ANT XI the of of of continuity expanded. to d e m o n s t r a t e relationships a body a theoretical analysis was design The sentiments of considered a model process of structural continuity and problem it VII) descrip­ by w h i c h in which system, Figure following be temporary the (See may essentially intended one may a social oriented. -301 V. \y I / VJ. - 302 Found a re basic people in the themes and found from within these process is of not of changes of of structures of give own terms of structures The tures system it in in society, rise which the to This have Relevant society are analysis. As structures which in an within activity whether that which not be for in are as discussed sense a system take the social from culture and inter­ structure represents. or a s s o c i a the new scope of structures understood a result in of the existence. as any specific struc­ social in C h a p t e r to e x h a u s e but the innovations their has is itself. only understood the Th e since beyond to been emerged structure relevant upon one a social emerged responsible must have culture of and tiie total life w h i c h from results the associations provide are time of of institutional have empirical impinge but process emerge S tructures which is d i f f i c u l t the through been the which- r e s u l t which of structures ultimately sentiments in society system. a reciprocal activities persist which under then, which pattern found through and cultural sentiments, particular action. systems and any understanding the the of behavior Institutions within sentiments in the sentiments follows about the share basic Sentiments, their culture. associationa1 certain brought t i o nal, the process- but action. All to society and sets t e rms a means found a one w a y tiie c u l t u r e new order the the Patterns to emergence by Cultural tend a society institutional with as themes structured It which serve configuration R e 1e v a n t the I, relative analytically they 303 s t and as social for explanation s y s tem. the ments an problem system to the tionships 'm e n t s . or These social any social to particular set the stage system, the senti­ this problem of - s e n t i m e n t s within become the social be expressed of the all then since in social If a question a are s y stems of how of manifest been of the of is continuity sen t i- the nature assumed persistency intended is rela­ relation­ further is tiiat system of patterned indicative It has social tiie p a t t e r n s terms they system. continuity. found sentiments structure within are as possible being be­ curcial. It has maintain tem may pat t e r n e d a quality time any Structures relevant the S o c i a 1 S y s t e m found comes are of understanding which temporary by which tiie s y s t e m ' s that the K e l e v a n t of itself. Viithin ships the m e r g e n c e orientation expressed crucial of Since for its span the been of tne over of of concern good tation. within the the in with them the social continuity basic Such themes structures. individual, many one are sentiments for and persisted found in beliefs found general which in be cultural to in the this such agreement in sys­ extreme and disser­ themes which purpose resulted a explained education, within of did through may the themes a commonality orientation observed persistence basic the system T h ernes r e l a t e d the such another, provided problem the years. health Although conflicted found two relevant importance in that structural nature and shown the was found system. 304 The process of F e e d b a c k persistence, orientation not to kind The which process very nature emerge through timents, redefine of life their the the such span reinterpretation of and of of in its s.ocial themes then allow themes form then, of and did fed back from w h i c h are of this found system they within it Self. can be understood found in society certain sentiments for but system which systems and solution cultural change, of a problem system a social existence such of the the quality within sentiments cultural of terms within s o c i e t y -and of a further in a d i f f e r e n t found a reshaping of in completion structures process structures the the for generated re-structured with provides The in and relevant emerged. the s i n c e •s e n t i m e n t s disappear the allowed themes in the and sen­ process feedback which provides sentiments. IMPLICATIONS The posed is major tiie all propositions. of emergence, to the point behavior it The the broad human to the inclusive Tn is necessary a precise is d i f f i c u l t . A a study to d e f e n d by such In of design of the to mee t to b r o a d e n the of in m o t i v a t i o n in d e c i s i o n jus t pro­ concepts the and requisites analytical scope action human in making and the social would be a model. a theoretical interpretation interaction. a design study or of of m a n y consideration sense value theoretical nature structuring tha t psychological difficult drawback approach meaning a purely f o und such in formalistic as the this lies content approach one of in 305 frequently loses activity. A find such by w h i c h Yet the plete analysis standpoint a cultural and loses rejection contribution - the iiistorical which often A tiieir cessful zeal the such As out is of sentiments of It wa s always meet set as and f rom would the m e thod. the process makeup through The func­ unnecessary. cultural meaning is be would of a a com­ distinct incorporation a methodological of area of sociology and in lies social of analysis of tiie c o m ­ means action emphasized understanding in the organization. expedient community have in of Frequently organizing tiie s c i e n t i s t s the the suc­ interested organizational relative meanings successful program in organization may unanticipated consequences resulting. in f o und such seen the this in s t udy the that various an the action of levels man y of methods various suggested tiie d a n g e r behavior tiie iiistorical the then, human the with It in crucial ap p r o a c h , provide organization carried nally to accept wit h historical programs exclusion a the into of h u m a n behind it. research a result of meaning is a c q u i r e d dehl contribution programs i-n a p p l i e d to ignores action must method furthet munity in of- this to interest heritage the the explanation an some of of difficult functionalist society of much functional an tionalist's sight emphasis areas on program. be the meaning of a c u l t u r e minimize this not results. that action primary programs objectives tiieir o r i e n t a t i o n . In or of goals fact, it sort which is do were origi­ interesting to note might any that arise if which action. community nication who gests between the completion a clarification to all action objectives of and synthesis agreement It any action are place intensity justify in goals and study sug­ clarified This goals seems should to be be of from be necessary realized each the postponement but of those seriously conflict this possible A to be should final tiie a c t i o n any c ase that segment rea l i z e d . may may immediate generalize orientation is or and certainly program true that immediate 1 orientation. programs of in that community tives manifested. it any can in seen community. body throughout which the when demonstrated a l a rge life Yet, be sort of is d i s p l a y e d incomprehensible goodwill", the representative seems in it commu­ and action. e a rly to adequate in communicator objectives if c o o p e r a t i o n may such that problem of GOODVV I L L " N I X O N S IPhRIT Action action of is d i f f i c u l t objectives upon results of but the conflicts accomplishment a serious supposed producing that'the of place by programs be"considered, take communication specified, the presents action orientation. tation course, in 'social tiie p r o g r a m "FLINT CF difficult bee n successful multiple make clearly It has in takes of wer e action. that hinder goals would This, receive a more such such of the by projects country. programs light of the viewed in terms that there exists Such a,potential this are the that T he underway individual of disser­ objec­ "fund a potential is explained of for by 307 existing and structures sentiments cular programs that stands only provides blood" back from eacii formation til r o u g h are of ivhich til at -will that as an are future action but action program that of sets relationships of through takes formed, new patterns of above and are "fund goodwill", of f rom of the her to activities etc., which been such symbols ferent citizen may seen a general as this in symbols. shown that another running such meaning the the h i s t o r y supported contrary to gain case the such for they culture which gives theme beliefs that result of tiie identity. T he club his on or programs, community". It lightly over often pass carry them may dif­ but t h ere provide general support good" it has been social life has individualism. have tiie formations whole that "community of feed­ manifested new holding any of in to d e d i c a t e the person of of w i l l i n g n e s s cannot since its " l i f e ' s friendships projects, one of A m e r i c a n the their a source c i vic good" in new created, community that to are relationships a~s "good pervasiveness In as study content of they any "community a commonality such of results the m e a n i n g f u l becomes be d e f i n e d in meaning which then, tiie part time into of g o o d w i l l " process Thus parti­ c o m m u n i t y not which obligation finally'such f i tted the beliefs for receives place sentiments. e m e rge, any als o since new s h aring "fund in action, behavior or potential such societal for This changing the groups a justification initiated. existing for as and from is s e rve for new values has provide been those in one to way Often of collectivism. it w a s further of autonomy the sult of the autonomy t hat the tiie m a n y wnich of to be Community tiien, not was but affirmed of obligation the tightly that of as good may good symbols, be for beliefs of the actors into turned the been this Any the re­ preserves from community this the study to be a symbols manifested belief were frequently a community good any to a ritual with in m a n y specific by w h i c h Such cases, end in each actor affirmation the m a n y tiie c o m m u n i t y in p r ior was, patterns to the latent tiierefore d e p e n d e n t community, activated. the in Whether the of time study opposition runs concerned, to the at that any in of various exi s t e d . bee n for of program upon " f und the the of is meaning indi­ conflict pr o g r a m . times s t rong patterns serious existing has action have this upon action is d e p e n d e n t program, If a p r o g r a m this Once pre-existing community opposition in is tiie c o m m u n i t y . individuals observed the of manifested contacted. be often appear community. in a preservation community accomplish in his for the viduals may to goodwill" defined that to for analogous existed in tiie good as a threat inter-connected beliefs defined felt that ac t i o n . "fund relationship the Individualism. attempt closely emergent The an has It w o u l d action iiis b e l i e f course, that observed of A m e r i c a n VIII action individual. opposed. itself, belief actors appeared in C h a p t e r community general of guarantee mentioned with goodwill" Certain provided insight 309 The reason for discussing summary and including it lies the fact the in p o sed in process to the the thi s of of process. for "fund of force munity action, with of which a important aware of in til is provided of of to not upon it all must be is a descriptive of these felt of thought analysis in result abstract of as of as the and a back level a it programs. some wit h com­ natural linked community. above in this such action in c o m m u n i t y the of feeding of b e l i e f the research continuity concerned viewed in a abstraction, social patterns that an outcome patterns concerned the On individuals relationships those an be future perpetually level to traditional existence sense by of goodwill" for as society. another is of structural revealed actually instead social co m e s and on acts but set existing the is goodwill" of continues structures viewed was h reconsideration priori outcome which goodwill" I-hen provides The action "fund implications problem dissertation relevant "fund that in the action It be­ to be relationships dissertation direction. has B IBLIOGRAPHY B O OKS Be a r d , Ch.ar1 es A . and Mary K . , T h e R i s e of A m e r i c a n N e w York: T h e M a c M i l l a n C o m p a n y , 1930. Civilization. B e c k e r , T o w a r d , T h r o u g h V a l u e s to S o c i a l I n t e r o r e t a t i o n . T urliam, N o r t h C a r o l i n a : P u k e U n i v e r s i t y Press, 1950. B e n e d i c t , Ruth, P a t t e r n s o f C u l t u r e . Boston: dough ton M i f f l i n C o m p a n y , 193 4. . , Th e Ch r v s a n th emurn and th e S w o r d , Boston: d o u g h ton M i f f l i n C o m p a n y , 1946. B o o r s t i n , L e o n a r d , Th e Los t W o r 1-d of T h o m a s York: H e n r y H o l t and C o m p a n y , 1940. J e f f e r s o n , New B r o g a n , P e n i s V.’illiam, Th e A m e r i c a n C h a r a c t e r . New York: A l f r e d A. K n o p f C o m p a n y , 1944. , American Th emes . New York: H a r p e r <5 B r o t h e r s , 1949. B r o w n e l l , B a ker, T h e H u m a n C omm u n i t v : Its Ph i 1o s o ph v and P r a c t i c e , for ja T i m e of C r i s i s . New York: H a r p e r 6 B r o t h e r s , 1950. B r u n n e r , L d m u n d des and L, Hsi n Pao Yang, R u r a l A m e r ica the e x t e n s i o n S e r v i c e . T e a c h e r s C o l l e g e , New York: of P u b l i c a t i o n s , T e a c u e r s C o l l e g e , 19 49. Cassirer, Brnest, Pres s , 1944. An Essay on M a n . New Haven: Yale and Bureau University C o m m a g e r , H e n r y S t e e l e , T h e A m e r i c a n M i n d . N e w Haven: Y a l e U n i v e r s i t y Press, 1950. , L d i tor, P oc ume n t s of A m e r i c a n H i s t o r y . N ew York: F. S. C r o f t s 6 C o m p a n y , 19 4 5 .__ ______________ • E d i t o r , L i v i n g Ideas i n A m e r i c a , N ew York: H a r p e r 6 .B r o t h e r s , 1951. Contu, Walter, Emergent Human K n o p f C o m p a n y , 19 49. Crew, N a t u r e . New York: Alfred A, F r a n c e s A l b e r t Eley, " S o c i a l M e d i c i n e as an A c a d e m i c P i s c i p 1 i n e *', P . B . Massey, M o d e r n T r e n d s i n P u b l i c H e a l t h , New York: iioeber, 1949. 311 C r o o k s hank, F. C., **E s s a y on the R e l a t i o n of H i s t o r y and P h i l o s o p h y to M e d i c i n e ” , C. G. C u m s t o n , I n t r o d u c t i o n .L& IJLe jf_L§_t ojry of Med i c i n e . N e w York: A l f r e d A, K n o p f C o m p a n y , .19 27. F ah ir , J a m e s , G omm un i t i e s for G F r o t h e r s , 1 9 CO. Ret ter Li v i ncs. N ew York: Harper l a v e n p o r t , E u g e n e , ”S p i r i t of tne Land G r a n t C o l l e g e ” , e d i t e d by R. K. Eliss, et. al., W a s h i n g t o n F. C.: P u b l i s h e d j o i n t l y by the G r a d u a t e S c h o o l , U. S. D e p a r t m e n t of A g r i c u l t u r e and the E p s i l o n S i g m a Phi, N a t i o n a l * H o n o r a r y E x t e n s i o n F r a t e r n i t y , 195 2. D e w e y , John, R e c o n s t r u c t i o n i n Ph i 1 o s o ph v . Mew H o 1 1 and C o m p a n y , 1920. York: Henry D u r k h c i m , E m i l e , T r a n s l a t e d by G e o r g e L. S i m p s o n , E l e m e n t a r y F o r m s o f R e 1 i c;i o u s L i f e , G l e n c o e , Illinois: T h e F r e e Press, 19 47. E d w a r d s , E. L . , ”A m e r i c a n A g r i c u l t u r e - T n e F i r s t T h r e e H u n d r e d Y e a r s ” , F a r m e r s i n ja C-h.ano inn W o r l d , Y e a r b o o k of A g r i c u l t u r e , W a s h i n g t o n , P. C., Enited S t a t e s G o v e r n m e n t P r i n t i n g O f f i c e , 1940. Evans, L a w r e n c e H . , C a s e s on A m e r i c a n C o n s t i t u t i o n a l C h i c a g o : C a l l a g h a n and C o m p a n y , 1942. Law, F a u l k n e r , H a r o l d U n d e r w o o d , A m e r ican tjconom i c H i s t or v . 6 th e d . f Mew York: H a r p e r G b r o t h e r s , 1949. F i s k e , John, Th e C r i t i c a l Peri od of A m e r i c a n H o u g h t o n M i f f l i n C o m p a n y , 1091. F u l l e r , G e o r g e N e w m a n , E c o n o m i c and S o c i a l i ch i na n , L a n s i n g , Mi c h i g a n : V'ynkoop, C o m p a n y , 1910, H i s t o r y , 11o s t o n : D ec i n n i n c s of Hallenbeck, Crawford C a l d s t o n , I ag o , T h e Meanjnr; o ± S o c i a l Harvard University P r e s s , 19 5 4, M ej i c i n e , C a m b r i d g e : H a y e s , W a y l c n d J. and A n t h o n y Netboy, L o o k s A h e a d . N e w York: H a r c o u r t , The Small C ommunjt y b r a c e 6 C o m p a n y , 1947. Hitch, Earle, R e bu i ld i ng b r o t h e r s , 19 50 H o m a n s , G e o r g e C., T h e G C o m p a n y , 1950, Rural Human A m e r i c a . New York: G r o u p . New York: Harper Harcourt, 6 Grace 312 :io c K S i d n e y , R e a s o n , S o c i a 1 M y til s , and n o m o c r a c y , N cw N e w Y o r k h u m a n i t i e s P r e s s , 1950. York: J an od a , b a r i c , M . P e u t s c h , and 5 . C o o k , R e s e a r c h Me th od s i n. P-Oc ia.l 1- o.l at i o n s . P a r t I, N e w Yo r k: P r y d e n P r e s s , 19 3 1, J on n s t o n e , P a u l h . , " O l d I d e a s V e r s u s N e w I d e a s in F a r m L ife", ? r>r m <■' i n _a Cii a tic i n c, V.’o r 1 d , Y e a r b o o k of A g r i c u l t u r e , i: a st) i n i;;ton, P. C., On i ted S t a t e s G o v e r n m e n t P r i n t i n g O f f i c e , 1940. Pec, P o r o t h y P., " S y m b o l i z a t i o n an d V a l u e " , C o n f e r e n c e on s c i e n c e , hi i l o s e ph y , an d P e 1 i g i o n , S y m b o l s and V a l u e s : An .I n i t i a l S t u d y , e d i t e d by l.yman P r y son, et. al.. N e w Y o r K : 4 a r p c r <9 P r o t h c r s , 19 3 4. ' P e w in, F u r l , i . cs o l v in q S o p ia 1 C o n f l i c t s . N e w Y o rk : b r o t h e r ? , 19 40. h a r p e r <9 L o c k e , J o a n , "An E s s a y C o n c e r n i n g h u m a n U n d e r s t a n d i n g " , Tli e i>o r k s o f J oil n L o c k e , .V o 1 . 1, C n a p t e r s I and II, L o n d o n : J . J o h n s o n a n d ’ C o m p a n y , 1312. L o o m i s , (hi a r 1 c s P . an d J . A 1 I a n .b e c g 1 e , R u r a l S o c i a l S y s t e m s , ,Ne w Y o r k : P r e n t i c e - N a l l , Inc., 1930. !c C o r n i ck, C h a r l e s P . , Tn e P o w e r h a r p e r 0 IIr o th e r s , 1930. of th e P e o p l e ,N e w Y o r k : M a l i n o w s k i , P. ronislaw, M a t;i c . S c i e n c e , and P e l i o i o n . G l e n c o e , I l l i n o i s : Tire F r e e P r e s s , 1940. N o r t o n , R o b e r t K., " S c i e n c e and t h e S o c i a l T n e o r v an d S o c i2 ± SJ, n i c t u r e , G l e n c o e , P r e s s , 19 49. Order", Social Illinois: The Free M i l l e r , P a u l A,, C o m m u n i t y h e a l t h A c t i o n . E a s t L a n s i n g , M i c ji i g a n o t,a t e C o l l e g e P r e s s , 1933, Michigan: N a g e l , E r n e s t , " S y m b o l i s m and S c i e n c e " , T h i r t e e n t h S y m p o s i u m of t h e C o n f e r e n c e on S c i e n c e , P h i l o s o p h y , and R e l i g i o n , S y m b o l s a n d Val_ue_s: A n I n i t i a l S t u d y , e d i t e d by L y m a n P r y son, et. al,. N e w Yo r k: h a r p e r & b r o t h e r s , 19 54 , ' , " T h e L o g i c of h i s t o r i c a l A n a l y s i s " , h e r b e r t F e i g 1 a n d M a y b r o d !>c c k , R e a d i no s i n t h e Pn i 1 o s o p h y of S c i e n c e , N e w Y o r k : Nev. A p p l e t o n C e n t u r y C r o f t s , Inc., 19 5 3. N at io na l health Assembly, b r o t h e r s , 1949. A m e r i c a ’s h e a l t h . New York: harper 6 Cgden, C. !.. and I. A. Li chard, TJi e Meaning of Mea n in g. New i or k : d a r c o u r t , '-race >9 Company, 1946. ‘;g den, Jean Carter and Jess, T h c s e T h in g s W e Tried , Ciiarlottesvillc: University of Virginia extension, 1947. C s 1 e r , G ir 1»i 11 ia m , Th e evolution of Modern Med icine. New -1av e n : Vale University I ' r e s s , 1922. \ a rr in gton, lol. Vernon L . , M a in C urrents in American T ho u g n t , 11, New York: 4 arcourt, iirace C Company, 1930. Carsons, Talcott, The Structure of Social A c t i o n , Glencoe, Illinois: Tii e Free Cress, 19 GO. . Tne Social a y s te m , C 1e n c o e , Illinois: The Free Cress, 19 G 1. Conk, Irion, "Problems of Objective Observation", L. Festinger C . Katz, L e s e a r cn M e tn od s in th e 13ch a v ior a 1 Sciences , New York: f ryden Press, 19G3. a nd C ex 1m an, S e 1 ie , A^ Th corv o f tii c Labor Movement, New York: '.a c M i 11 a n Company, 1920. The Poston, L icnard Waver ly. Snail T own llenaissancc:A Storv of tn v a on tana S t u d y . New York: Mar per 6 Brothers, 19GO. ______ , C emo c ra cy Is Y o u . New York: Marper & Brothers, 19 G 3. i ado 1 life, Cord of Vicrnetu, The Problem of P o w e r . London: Seeker and Warburg, 19G2. I. iesrian, l av id. The Lonely C r o w d . New Haven: Yale University Press, 19 G 0. ,Individualism Reconsidered , Glencoe, Illinois: The Free Press, 1954. G*a nd o r s , I rw in T . , M akin e Good C ommun i t i e s Be t t e r . Lexington: University of Kentucky Cress, 19GO. b c;i 1 e s itiger , Arthur, Jr., The Age of J a c ks o n. Boston: Crown and Company, 194G. Little, Vigor 1st, M. L . , A Mistorv of Medicine. Bibl. Number 27 of Historical Library, New Maven: Yale University Press, 19G1. Smith, Stephen, "The History of Public Health, 1871-1921", da 1f Century of P u b I ic ilea 1 th . edit, by P-I. P. Ravenel, Jubilee Historical Volume of the American Public Health Association, New York, 1921. A 31 4 T a y l o r , C a r l C . , e t . a l ., K u r a l L i f e in t h e U n i t e d S t a t e s , N e w Y o r k : A l f r e d A. K n o p f C o m p a n y , 1949. l a y l o r , C a r l 0,, Th e I a rme r s ' M o v e m e n t American Book Company, 1953. 1 6 2 0 -1920, New Til i l l y , F r a n k a n d L e d g e r W o o d , _A 11 i s t o r v Y o r k : H e n r y liolt a n d C o m p a n y , 1951, of York: Ph i l o s o p h y . N e w T u r n e r , I r e d e r i c k J a c k s o n , T ii e F r o n t i e r i n A m e r i c a n H i s t o r y , Mew York: H e n r y Hol t and C o m p a n y , 1950. . The S in n i l i c a n c e o f S e c t i o n s In A m e r i c a n H i s t o r y . N e w Y o r k : Peter Smith Company, 1 9 5 0. Lard, Lo swell, T iie P e r s o n n e l P r o o r a in York: H a r p e r 5 Bro t h e r s , 1946. Y a m e r , V. 0 L l o y d , A m e r i c a n C i i i c a o o i r c s s , 1 9 5 3. of Jack life, Chicago: 6 H c i n t z . New University Y i 1 1 ia m s , L o b in M . , Jr., A me r ic a n S o c i e t y , New A. K n o p f C o m p a n y , 19 31. York: of Alfred ALT ICLbS Anderson, Cdin, " C o m p u l s o r y M e d i c a l C a r e Insurance, 1 9 1 0 - 1 9 5 0 " , T a e A n n a I s of t iie A m e r i c a n A c a d e m y Of P o l i t i c a l S c i e n c e . Vol. 273, pp. 106-113, J a n u a r y 19 5.1, Buz z a r d , S ir L d w a r d F a r q u h a r , " S o c i a l M e d i c i n e and the G e n e r a l P r a c t i t i o n e r " , T h e P r a c t i t i o n e r , Vol. CLI, No. 903, S e p t e m b e r 1943. Farm J o u r n a l . "Leave the Family H o b s o n , V., " W h a t Is S o c i a l J o u r n a l . Vol. II, July Farm Alone", Medicine?", 16, 1949. October British 1951. Medical H o l l a n d , Joh n B . , "The U t i l i t y of S oc i a 1 An th r opo 1 ogy as an A d j u n c t of a S o c i a l S u r v e y " , I n t e r n a t i o n a 1 J o u rnal _of O p i n i o n and At t i tude K e s e a r c h , No. 5, 19 5 1 -1932. J a m e s o n , S i r W i l s o n , "War and the A d v a n c e m e n t of S o c i a l M e d i c i n e " , T h e L a n c e t , Vol. II, No. XVII, O c t o b e r 24, Joseph, Alice, "Physician Vol. I, No. 4, 1942. Kosen, George, "A pp roa ch es M i 1b a n k Memorial Fund J a n u a r y 194/3. and Pat i e n t " , 1942. Apj)li_e_d A n t h r o p o l o g y . to a C o n c e p t of S o c i a l M e d i c i n e " , Q u a r t e r l y , Vol. X X V I , No. 1, >< e i n e r m a n , N i c h a r d L . , " T h e Q u a l i t y o f M e d i c a l C a r e ” , T it e IS P n Q 1 „? SlL JUL*L A m e r i c a n a c a d e m v o f P o l i t i c a l S c i e n c e . V o l . 2 f 3 , r p. 1 36 , J a n u a r y 1 9 5 1 . M I SCC; L L A N L O U S A n d e r s o n , O d i n , S t a t e 0 h a b 1 i n n l e g i s l a t i o n 1 o r N o n - P r o f it .Mo.?, p i t a 1 a n d M e d i c a 1 P l a n s . S c h o o l of P u b l i c H e a l t h , P u b l i c H e a l t h e c o n o m i c K e s e a r c h S e r i e s , N o . 1, A n n A r b o r : U n i v e r s i t y o f M i c h i g a n , 19 4 4 . C o n g r e s s of tne U n i t e d S t a t e s , " H o s p i t a l S u r v e y and C o n s t r u c ­ tion A ct", " P u b l i c Law 725", U ni te d S t a t e s S t a t u t e s At L a r g e . V o l . 6 0 , P a r t .1, p p . 1 0 4 0 - 4 9 , W a s h i n g t o n , P. C . : U. S. G o v e r n m e n t P r i n t i n g O f f i c e . Detroit Free . 1 9 5 4. Press, News Item on Polio experiment, April 20, I r e e m a n , IV a l t e r L . , T n e I m p a c t o f I n d u s t r y U p o n _a L u r a I C o m m u n i t y . U n p u b l i s u e d M. A. T h e s i s , D e p a r t m e n t o f S o c i o l o g y and A n t h r o p o l o g y , M i c hi ga n S t a t e College, iV a s t L a n s i n g , M i c h i g a n , 1 9 5 2. ii a c o o d , M a r g a r e t J a r m a n , L a r m - C p e r a t o r F a m i l y L e v e l o f L i v i n g I n d e x e s f o r C o u n t i e s o f t h e Uni ted S t a t e s . 1 9 3 0 . 1 9 4 0 . 1 9 4 5 , a n d 1 9 50, W a s h i n g t o n , D . C . : U n i t e d S t a t e s D e p a r t m e n t of A g r i c u l t u r e , b u r e a u of A g r i c u l t u r a l e c o n o m i c s . May 1952. i o o m i s , C h a r l e s P., " C l e m e n t s of S o c i a l S y s t e m s and the S t r a t e g y of C h a n g e " , u n p u b l i s h e d p aper, M i c h i g a n S t a t e College, Last Lansing, Michigan. Miciiigan S t a t e e x t e n s i o n S e r v i c e , " H i s t o r y of C o o p e r a t i v e e x t e n s i o n W o r k in M i c h i g a n , 1 9 1 4 - 1 9 3 9 " , e x t e n s i o n B u l l e t i n No. 229, L a s t L a n s i n g , M i c h i g a n : M i c h i g a n S t a t e C o l l e g e , 1941. M i l l e r , P a u l A ., A_ C o m p a r a t i v e A n a l v s i s o f t h e D e c i s i o n - M a k i n e P r o c e s s W i t h i n C o m m u n i t v O r g a n i z a t i o n T o w a r d Mai or Health G o a l s . Unpublished Ph.P Dissertation, Department of S o c i o l o g y and A n t h r o p o l o g y , M i c h i g a n S t a t e C o l l e g e , Last L a n s i n g , Michi ga n, 1953. M i l l e r , P a u l A., et. al,, C o m m u n i t y O r g a n i z a t i o n F o r H e a l t h : Selected L e f e r e n c e s , Social Science hesearch Service, D e p a r t m e n t of S o c i o l o g y and A n t h r o p o l o g y , L a s t L a n s i n g , M i c h i g a n : Miciiigan S t a t e C o l l e g e , 1950. N e r r e n , G u y B e n j a m i n , T h e O r i g i n and I e v e l o p m e n t of V o l u n t a r y N o n - P r o fit H e a l t h I n s u r a n c e in M i s s i s s i p p i , .Unpublished M. A. T h e s i s , D e p a r t m e n t of S o c i o l o g y and K u r a l L i f e , Mississippi State College, State College, Mississippi, 19 5 4 . L a d c l i f f e - B r o w n , A. H . , T h e N a t u r e o f ji T h e o r e t ical N a t u r a l S c i e n c e of S o c i e t y . N o t e s on a d i s c u s s i o n in a s e m i n a r at t h e u n i v e r s i t y of C h i c a g o , 1937, U n i v e r s i t y of C h i c a g o B o o k s t o r e , 1943. S o w e r , C h r i s t o p h e r , J. H o l l a n d , K. T i e d k e , and W. F r e e m a n , P a t t e r n s o-f C o m m u n i t y I n v o l v e m e n t , s u b m i t t e d f o r p u b l i c a t i o n , Gl en co e, Illinois: Th e Fr ee Press. T h a d e n , J . F . , D i s t r i b u t i o n 'o f T o c t o r s of Med i c i n e and T s t c o p a t h s i n M i c h ig a n C o m m u n i t i e s , M i c h i g a n A g r i c u l t u r a l e x p e r i m e n t S t a t i o n S p e c i a l B u l l e t i n 370, 1951. U n i t e d S t a t e s B u r e a u of t h e C e n s u s , U n i t e d S t a t e s C e n s u s of A g r i c u l t u r e : 1 9 5 0 . Vo l. I, C o u n t i e s and S t a t e L c o n om i c A r e a s . Part 6, W a s h i n g t o n , V. C.; U n i t e d S t a t e s G o v e r n m e n t P r i n t i n g O f f i c e , 1952. U n i t e d S t a t e s B u r e a u of th e C e n s u s , U n i t e d S t a t e s C e n s u s of M a n u f a c t u r e s : 1 9 4 7 , V o l . Ill, S t a t e S t a t i s t i c s , V. a s h i n g t o n , I''. C.: U n i t e d S t a t e s G o v e r n m e n t P r i n t i n g O f f i c e , 19 4 9 . U n i t e d S t a t e s B u r e a u of the C e n s u s , U n i t e d S t a t e s C e n s u s of Population: 1 9 5 0 , Vo l. II, C h a r a c t e r i s t i c s of the P o p u l a t i o n .P a r t 22, M i c h i g a n , W a s h i n g t o n , D. C.: U n i t e d S t a t e s G o v e r n m e n t P r i n t i n g O f f i c e , 19 5 2. Unit*ed S t a t e s D e p a r t m e n t of A g r i c u l t u r e a n d A s s o c i a t i o n of L a u d - C r a n t C o l l e g e s an d U n i v e r s i t i e s , J o i n t C o m m i t t e e K e p o r t on E x t e n s i o n P r o q r a m s . P o l i c i e s , and C o a l s . W a s h i n g t o n , P . C.: U n i t e d S t a t e s G o v e r n m e n t P r i n t i n g O f f i c e ] 1940.. W o r l d A l m a n a c a n d B o o k of F a c t s . " E l e c t i o n S t a t i s t i c s " , P u b l i s h e d a n n u a l l y by t h e N e w Y o r k W o r l d T e l e g r a m , N e w York, for y e a r s f o l l o w i n g the p r e s i d e n t i a l e l e c t io n, f r o m 1 9 2 6 to 19 5 3 .