Drugs that enslave : $b The opium, morphine, chloral and hashisch habitsKane, H. H. (Harry Hubbell)
Science
Drugs that enslave : $b The opium, morphine, chloral and hashisch habits
Kane, H. H. (Harry Hubbell)
Drug addiction
In favor of this plan of treatment Levenstein urges the following:
“Confidence in the medical adviser is strengthened in consequence of
the short duration of the severe symptoms, and the improvement already
experienced after a few days; the patients take courage, look forward to
their complete recovery, and submit with patience and resignation to the
few days of suffering.” And again: “The human organization, as we know
from our surgery, midwifery, etc., will, in general, submit more easily
to sudden and energetic treatment, even when acting powerfully, than to a
milder influence. The gradual deprivation requiring a long time, excites
the physical and moral powers to a greater extent, because every dose,
smaller than the previous days’ quantity, will produce new symptoms of
reaction. The constant mental anxiety in which these patients live, while
expecting a smaller dose on the following day, makes them fretful and
irritable; their intention of submitting till the end of the cure, and
their energy, begin to decline, and they try to evade the treatment. They
set up intrigues against the officials and nurses; they simulate morbid
appearances, in order to excite the pity of their relations and friends;
they lose confidence in themselves and in their doctor, whose full and
absolute authority is indispensable for the successful treatment of
abstinence.”
This is certainly true of those cases where the treatment is by very
gradual reduction, not at all so of those where it lasts but from four to
seven days; ten at the most. The latter plan combines all the advantages
of Levenstein’s method, and escapes the danger and misery of his, and that
of the long protracted course.
In many instances persons addicted to this habit gradually reduce the
quantity they have been using to a certain point, beyond which they seem
unable to go. Thus, a physician who came under my care reduced his dose
from three grains to one-twelfth of a grain in the twenty-four hours,
and maintained it at this point for a long time. Finally, however, he
returned to the use of the full amount. He employed the subcutaneous
method. The majority of patients express their willingness to be rid of
the habit, and do endeavor, up to a certain point, to assist themselves,
but at this period will power, naturally weakened, gives way, and good
resolves are thrown to the wind. It is at this time that every facility
for full control of the patient is necessary, for without it the sufferer
will invariably stop treatment, claiming that the suffering is beyond his
strength, bemoan his sad fate and return to the old habit with renewed
force, exclaiming, with Coleridge’s son—
“O woeful impotence of weak resolve.”
Public-domain text, read in full here on John Shaqi.
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