Habits that Handicap: The Menace of Opium, Alcohol, and Tobacco, and the RemedyTowns, Charles Barnes
Science
Habits that Handicap: The Menace of Opium, Alcohol, and Tobacco, and the Remedy
Towns, Charles Barnes
Alcoholism; Opium abuse -- United States; Tobacco use
Treatment for drug and alcoholic habits and treatment tending toward the
recuperation of the patient cannot be carried out together with one
patient or even simultaneously with several patients in the same
institution. An understanding of this fact has placed me in an
advantageous position for giving advice about whatever remains to be done
when a patient is ready to leave my hospital. I have always worked in the
closest and most perfect harmony with physicians who have sent cases to me
and have never permitted any of the doctors employed in my institution to
visit a patient who has left my care. On the other hand, no physician who
has brought a patient to my hospital has ever been divorced from him as a
result of his stay with us.
ACCURATE DIAGNOSIS POSSIBLE AFTER TREATMENT
Physical revelations which follow the unpoisoning of patients frequently
startle the patients themselves as well as the physicians who have their
well-being in charge for long periods. Nor are the mental revelations
less astonishing. There have been many cases, after the unpoisoning was
complete, in which a man or woman has been found to be as seriously ailing
mentally as others have been found ailing physically. Drugs and alcohol,
especially drugs, have frequently been responsible for extraordinary
mental and moral twists. But it must be maintained that the use of drug or
liquor is usually the result rather than the cause of such conditions.
There are many cases in which no type of medical help will bring about
satisfactory permanent results, though other victims, after the
elimination of alcohol or narcotics, quickly take their places as useful
and admirable members of society.
The problem confronting the physiologist after a patient has been relieved
of a drug or drink habit is comparatively simple. If this relief makes
diagnosis possible and reveals the existence of an unsuspected, but
curable, ailment, the course to follow is obvious. With the psychologist
the problem is frequently far more complicated. The useless citizen who
becomes a drug- or drink-user will remain a useless citizen after the drug
or drink habit has been eliminated.
To this class belong most of those who readily relapse into their old
habits after their systems have been thoroughly cleared of the
physiological demand for the substance of their habit. Thus perhaps the
most important query the psychologist interested in this work must ask
after the treatment of a patient is, What is left of value, and what can
be done with it? It is a curious fact that usually more is left in the
case of a poor than in the case of a rich patient. No one is so hopeless
as the vagrant rich. No man will ever make a reputation in work of this
character who deals wholly or even principally with people to whom money
has no value.
UNPOISONING THE USER IS ONLY THE FIRST STEP
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