The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
The histories given by most narcotic addicts of their efforts to get
relieved of addiction, show that following the withdrawal of opiate
drug in many if not most instances has come weeks and months of
weakness, and discomfort, nervousness, sleeplessness, and pain which
have persisted for weeks and months, establishing the basis for the
much emphasized “after care,” of some investigators.
While so-called “after care” is unquestionably as important as
convalescence from any other disease, it is my belief that as
understanding of addiction as a clinical disease becomes more general,
and more attention is paid to the study and scientific management of
the disease itself, the stage of “after care” will come to assume less
importance. Addiction is not the only disease which furnishes examples
of cases in which incomplete and unsatisfactory results have been
merely a low-grade continuation of the fundamental disease and have
been interpreted as a protracted convalescence.
“After care,” or convalescence, following satisfactory results of
clinical treatment and complete arrest of addiction-mechanism activity
has no terrors for either physician or patient. It is very short and
does not require any more restraint than any other convalescence,
unless conditions exist following active treatment which should have
been recognized and handled and eliminated earlier from the picture. I
shall discuss this again later.
“Sudden” or “forcible” withdrawal, or immediate deprivation of opiate
drug is still advocated by some investigators, fewer and fewer of
them, however, among medical men. There are cases of, and stages in
addiction-disease and its development where this means of procedure may
be pursued without all of the serious objections with which it must be
regarded as a routine method of general enforcement.
That forcible deprivation of opiate drug may end in death is a matter
of too easily found and authoritative medical record to be ignored. It
has been discussed as one of the possibilities by medical writers over
many years. Even the newspaper reports of deaths and suicides following
sudden deprivation of opiate should be sufficient to give pause to
those who would still advocate this measure as a desirable procedure.
Public-domain text, read in full here on John Shaqi.
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