The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
“Their multitude is conclusive proof of lack of conception and of
understanding of addiction-disease in the past. They have been directed
towards incidental and complicating manifestations. They have no more
place in the treatment of the addict than they have in the treatment
of any other disease condition. I know of no medication that can be
called ‘specific’ in the arrest of the mechanism of narcotic drug
addiction-disease. There is no more of a specific remedy for narcotic
drug addiction than there is for typhoid or pneumonia. The wide
advertisement of treatments based on supposed ‘specific’ action of
the products of the belladonna and hyoscyamus and similar groups is
unfortunate. They have in my opinion, no action as curative agents in
narcotic drug addiction-disease which can entitle them to consideration
as specific or special curative remedies. The drugs of this group
are useful in many cases, intelligently applied to meet therapeutic
indications. They exhibit wide variation of action and reaction in
narcotic drug addicts at different clinical stages and under different
clinical conditions, and their dosage presents an extremely wide range
of individual measure. They are dangerous drugs in the hands of the
inexpert or careless, or used in a routine manner or dosage. The status
which they have acquired as specific medication in narcotic addiction
disease I hold to be a medical fallacy which should be strongly opposed
and early remedied.”
The search for panaceas, specifics and routine treatments has
constituted a stage in the therapeutic history of most disease
conditions. It marks the effort to make wide and general application
of a partial comprehension of facts and imperfect recognition
of fundamentals and is successful only as an individual case is
occasionally capable of responding, perhaps by clinical accident, to
the specific routine employed.
Undue insistence and publicity secured for or given to a procedure of
this description, is a real obstacle to the development of clinical
and scientific understanding of the condition treated. It distracts
attention from broad clinical consideration of disease itself, from
scientific investigation into pathology and disease mechanism, from
determination and observation of fundamental facts, whose comprehension
and analysis form the essential factor in the widespread successful
handling of any condition, and from proper conception and appreciation
of the addiction patient and the addiction problem as a whole with its
many and varied aspects.
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