The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
As to age in addicts there is no limit. I have seen an infant
newly-born of an addicted mother, displaying the characteristic
physical symptoms, signs and phenomena of body-need for opiate a
few hours after birth. This case is discussed more in detail in the
transcribed testimony of the New York State Legislative Investigation
hearings, (Whitney Committee) pages 1524 to 1529, at which I reported
it. The infant undoubtedly developed addiction-disease prenatally,
reacting in its unborn body against the presence of opiates, supplied
through its mother’s blood, exactly, as is now demonstrated through
experimental laboratory animals and by clinical study upon adults, this
disease is always developed--through physical and constant reaction
of the body to the continued presence of opiates, however supplied.
There have been many such cases, some of which are matters of medical
record. This condition of prenatal development of addiction-disease
exists beyond dispute and certainly cannot be explained upon grounds of
conscious appetite or deliberate self-indulgence. I am told that there
are or until very recently have been old soldiers, veterans of the
Civil War, whose addiction dated from medication for wounds received
during that struggle. The late Doctor T. D. Crothers told me once that
opiate addiction in this country received its first wide dissemination
in that way. This points to the serious consideration of what may be an
urgent and important medical problem of modern warfare.
This brings us up to the origin of addiction. There is only one actual
origin of addiction, and that is the continued administration of an
addiction-developing drug sufficiently long to develop the physical
manifestations symptomatology, and phenomena and body need for that
drug. This statement is the only one which can be made as generally
inclusive. I have many records and histories, much correspondence, and
other data, collected from addicts, relatives, friends and associates
of addicts, physicians, official conferences and workers in the
various fields of narcotic endeavor. My material covers an active
interest of many years duration, and an experience which has dealt
with various types and classes of patients under various conditions.
I have held different beliefs at different times, influenced by the
demands of my immediate position, and by my best interpretation of my
own experience, by the conditions under which I happened to be working
and by the class of people coming to my attention under the conditions
of my work. At one time I believed that all addicts were defective,
irresponsible, degenerated, unreliable and liars, made addicts by
curiosity, environment and morbid appetite. At one time I believed
that the narcotic addict did not physically need narcotic drug under
any circumstances, and that he could get along without it if he only
had the will and the desire to do so. I proceeded on that theory for a
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