The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
While this theory is undoubtedly true as applied to many of those who
have developed opiate addiction, it is true of them as individuals
whose personal characteristics are such that they require forcible
control for the accomplishment of desirable ends in general. It is not
true of them simply because of narcotic addiction. It is equally true
of these same people afflicted with other diseases. Their successful
handling for tuberculosis, venereal disease, cardiac conditions, or
anything else requires for its successful issue constant oversight
and what practically amounts to custodial care. I shall refer to them
later. They are fundamentally custodial or correctional cases and
success in their handling will never be accomplished in any other way,
whether they are being treated for narcotic addiction or for anything
else, mental, moral or physical.
What appears in this chapter does not solve the problem of the handling
of the narcotic addict of this type. There are many factors and
elements in their mental and physical make-up other than drug addiction
which should be considered, and these factors and elements lie at the
bottom of their irresponsibility and the real difficulty of their
handling.
Experience and the analysis of unsuccessful effort and results showed
that, however necessary forcible control might be in the handling
of some narcotic addicts, it was not successful nor sufficient nor
even the most important factor in the treatment of most cases of
addiction-disease.
I soon came to see that I had an erroneous conception of my medical
and clinical problems and an unjust attitude towards many if not most
of my addiction patients. Studying them--not as drug addicts, but as
individual human beings--I found them in their personal, mental, moral
and other characteristics, as various as people suffering from any
other disease condition. There were no narcotic laws at that time and
opiates were easily and cheaply obtainable. Very many, perhaps most of
those who came to my wards were not forced in either by fear of the
law or by scarcity of opiate supply. They did not have to come for
treatment, but voluntarily presented themselves in the hope of cure.
Something was wrong with my theories.
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