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MEDICO‐SOCIAL PROBLEMS IN THE GREEK POPULATION IN MELBOURNE: 3. SOCIAL WORK EXPERIENCE IN PUBLIC HOSPITALS

PROBLEMS ABOUT GIVING ADVICE Two of the greatest problems in advising parents about their children are, first, difficulty in communication by reason of a language and cultural barrier, and second, difficulty in the development of mutual trust between physician and patient. It is extremely difficult to communicate in a language that is not one's own, and English is a difficult language to learn. Problems are further added to by the paucity of bilingual professional people. At the present time in Melbourne there are less than 150 bilingual professional people (school teachers, solicitors, physicians) for a Greek population of over 100,000 people. There are no qualified bilingual psychiatrists, psychologists or medico-social workers. Intelligent well-trained interpreters who could act as an understanding go-between with the professional and the parent are all too few. One of the great problems of the future, a result of the many problems that exist within the education system as a whole, will be the provision of a sufficient number of Greek-speaking professional people. Development of trust between doctor and patient can be attained only by the doctor who is fully understanding and appreciative of the social and psychological factors underlying the parents' anxiety in seeking medical advice. So often almost the entire purpose of the consultation is to attempt to reassure anxious, insecure, tired, irritable parents who find themselves in an environment which is foreign to them in language and culture. It is no wonder that a number of them react in a somewhat aggressive manner on account of their insecurity and apprehension.