The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
The majority of narcotic addicts, however, and especially those
developing previous to the activities of the past few years, present
a very different history. Mentally and morally they are of the same
average equipment as other people. They form a class which might
be called “accidental or innocent” addiction-disease sufferers.
They had no voice nor conscious part in the early administration of
opiate, realizing no desire or need for it by name, but only wishing
for the unknown medicine which relieved their sufferings. Very many
addiction patients have received their first knowledge of opiate
administration in the withdrawal symptoms which followed the attempted
discontinuance of its use. There is in these sufferers no element
of lack of will-power; no trace of desire to indulge appetite or to
pander to sensuous gratification. In some, before their condition was
recognized, their tolerance for or dependence upon opiate had proceeded
to a point where their bodies’ demand for morphine was imperative and
their withdrawal suffering unendurable. In others, before body need
was completely established--with their stamina and nervous resistance
below par from sickness and suffering--they have been unable to forego
opiate’s supportive and sedative and pain-relieving action, or to
endure the nervous and other symptoms attendant upon its withdrawal
after even a brief period of administration.
As to what the addict is;--the tendency and effect of legislative,
administrative, police and penological activities in general have
been to place the sufferer from addiction-disease in the position
of the criminal and vicious. The tendency of the psychologist and
psychiatrist is to analyze him from the viewpoint of mental weakness,
defect or degeneration, and to so classify and regard him. The average
practitioner of internal medicine, and even the recognized leaders
and authorities in this field of medical science will tell you that
narcotic drug addiction is a condition to which they have given but
little attention and have no clean-cut ideas of its physical disease
problems. The addict himself, whose testimony has been all too little
consulted or sought, will tell you that he is sick with some kind of
a physical condition which causes suffering and incapacity whenever a
sufficient amount of narcotic is not administered.
In the above attitudes and statements the administrative, police and
penological authorities are right in some cases;--the psychologists and
psychiatrists have good basis for their opinions in some cases;--the
addict has physical grounds for his statement in all cases--he is
always sick, sick with addiction-disease.
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