Since the 1970s much attention has been directed in the professional literature to burnout and compassion fatigue in social workers. This article will present documentation that as early as 1908 Dr. Richard Cabot, who started the first hospital social work department at Massachusetts General Hospital (MGH) in Boston, was concerned about the same phenomenon, though he referred to it as "breathlessness." He explored what he considered to be common causes of this difficulty as well as some possible remedies for overcoming it. Primary research conducted in the collected professional papers of the late Ida Cannon, located in the Social Service Department (SSD) at MGH (Rappaport, 1996), revealed his level of concern about this phenomenon, which he shared with Ida Cannon, Director of the SSD. Cabot's conceptualization has many points in common with what has been discussed since then as social work burnout and compassion fatigue. This adds significantly to our understanding of how long this problem has occurred in social workers in the medical field and how long we have been seeking solutions for it.

中文翻译：

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呼吸困难：理查德·卡博特博士 1908 年对社会工作倦怠的概念化

自 1970 年代以来，专业文献中对社会工作者的倦怠和同情疲劳给予了广泛关注。本文将提供文件，表明早在 1908 年，理查德·卡博特博士（Richard Cabot）在波士顿马萨诸塞州总医院 （MGH） 创办了第一个医院社会工作部门，他就对同样的现象感到担忧，尽管他将其称为“呼吸困难”。他探讨了他认为造成这种困难的常见原因以及克服它的一些可能补救措施。对位于 MGH 社会服务部 （SSD） 的已故 Ida Cannon 收集的专业论文进行初步研究（Rappaport，1996 年），揭示了他对这一现象的关注程度，他与 SSD 主任 Ida Cannon 分享了这一点。卡博特的概念化与从那时起一直讨论的社会工作倦怠和同情心疲劳有很多共同点。这大大增加了我们对这个问题在医疗领域社会工作者中发生的时间以及我们寻求解决方案的时间的理解。