The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
The deduction from the testimony of the Whitney Investigation and from
other sources leads to the conclusion that one of the reasons why
the narcotic addict does not go to many of our present institutions
is that he is more afraid of them, and anticipates more suffering
in them than he cares to face in view of the fact that neither from
previous personal experience or from repute he has little hope of
being discharged from them in a condition of physical competency with
his addiction mechanism arrested. He sees no use in going through
them only to come out in a condition where he will have to revert
to his opiate to enable him to endure and work. This is not an
all-inclusive statement. It expresses, however, the frequent response
of the addict seeking advice when asked why he does not go to the
municipal institutions for treatment. Again then the work of those in
the institutions will be the determinating factor in their success
or failure, and their education is the dominant element required for
success. Some interesting observations upon this point will be found in
the Yearly Report for the Department of Correction of New York City,
1915.
Of public clinics the same thing may be said. Whether they react to
the benefit of the addict and of the community, or to the harm of the
addict and community will depend upon their intelligent understanding
and competent management.
Hospitals and clinics might be made into sorely needed educational
centers for the training of doctors and nurses to go out and take up
the work of the care of the addict--either private or institutional.
Education is the great need of the hour. Until it is accomplished all
else will fail. Until we all know what we are dealing with, how can we
hope to successfully handle it? It is to be hoped that the time is not
far distant when in every medical school and hospital will be taught
in principle and practice, in class-room and clinic all that is known
or will be known of the pathology, symptomatology, physical phenomena
and rational therapeutics of narcotic addiction-disease. It is to be
hoped that in school and college, in pulpit and press, the facts of
addiction will be presented in their practical existence, stripped of
spectacularity; a calm, cold presentation of basic facts. There is no
subject upon which philanthropy can better expend its forces than to
this end of education as to addiction-disease and humane help to its
sufferer.
In the past the problem of control of addiction has been “What shall be
done _with_ or what shall be done _to_ the narcotic addict to make him
stop using drugs?” It is now gradually coming to be realized that the
true problem is “What can be done _for_ the narcotic addict to relieve
him of the physical necessity of using drugs?” and “What can be done
to so educate the public as to the facts of addiction, so that this
disease will claim as few victims as possible?”
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