The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
The amount of actual physical body need as capable of approximate
estimation in the above manner should be administered to the patient,
any reduction being guided by the fact that his clinical symptomatology
and physical manifestations demonstrate that the amount required by his
addiction-disease has been reduced. It is much wiser for the progress
of the average addiction case to have the drug administered in the
amount of estimated physical need than it is to attempt to reduce
the amount of drug before his reactions show reduction in physical
drug-need. The success of outcome and the measure of progress in
such a case is not to be estimated by the amount of drug the patient
is receiving, but is to be measured by the patient’s condition and
clinical manifestations. The mere fact that a physician has reduced a
narcotic addict’s opiate intake from a large dosage to a very small
dosage, or indeed has denied him any opiate at all for a considerable
length of time, is no evidence that he is curing or has cured his
patient of addiction-disease. Unless the physical mechanism of
body-need for an opiate has been completely and actually quieted, the
patient may have in his body for perhaps weeks and months after the
last administration of the drug, a physical demand for it. _The taking
of opiate does not constitute opiate addiction-disease_. Also the mere
fact that an addict is no longer taking opiate does not constitute
proof that he is “cured” of opiate addiction. The non-recognition
of this fact lies at the root of much past failure. The general
axiomatic statement might be that an addict should be supplied with
the drug of his addiction to the complete extent of his physical need
at any given time until conditions are right for the undertaking of
assuredly competent opiate withdrawal and complete arrest of his
addiction-disease mechanism.
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