The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
I do not, of course, mean to offer the above comparison as either
perfect in itself, or as sufficient to establish the claim that
addiction is a true disease. The fact that it is a disease has
impressed itself on all competent observers of a sufficient number of
cases, and must be accepted. Yet it is astonishing to find that many
educated physicians do not know this, while an even larger number,
though readily admitting that addiction is a disease, nevertheless
show, both by their manner of discussing the subject and by their
attitude towards addicts seeking their advice, that this is little more
than a verbal concession on their part.
If, however, it be argued that the contention as to addiction being a
disease is vitiated by the fact that an occasional addict stops taking
his drug by “will power,” that is, without taking treatment, we can
point to an even larger proportion of mild cases of malarial fever in
which spontaneous cure has come about. But this does not prove that the
one, any more than the other, is not a disease.
Indeed, there could be no stronger argument in favor of the fact that
addiction is an actual disease than the very phenomena presented by the
occasional addict who stops taking the drug by “will power.” Neither
medical writers nor literary geniuses, whether themselves addicts or
mere observers, have yet succeeded in presenting a true picture of
the tortures which this involves. There could be no greater error than
to regard cure as dating from the time the last dose was taken. When,
in these cases, cure comes at all, it is only after weeks, or months,
of horrible existence, during which kind nature brings about a more or
less complete restoration of body and mind not alone from the disease
of addiction, but also from the profound shock of unskilled or unwise
withdrawal. Will power has enabled the addict to abstain from taking
the drug, while nature cured the disease.
There has been no time during all the years of my addiction that I have
not earnestly longed to be free from its clutches. This is sufficiently
proved by the many efforts which I have made to find a cure, each time
at great personal sacrifice and expense, each time only to have my
hopes shattered, after untold suffering and fresh disillusionment.
But a real cure I have thus far been unable to find. I have tried
everything that seemed to offer a chance: gradual reduction,
self-conducted and at institutions, the Keeley cure several times,
and since then all of the vaunted cures, as each appeared in turn,
advocated by men of high standing in the medical profession. Concerning
this last class, I have each time hoped that such men could not
be totally in error as to the practical results of their methods,
notwithstanding what has seemed to me the most bizarre pathology on
which they have claimed these methods to be based.
Public-domain text, read in full here on John Shaqi.
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