The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
The mere amount of drug used by a patient in twenty-four hours is
a matter of minor importance compared with the general health,
physical tone, nervous glandular and functional balance, reaction
and resistance of that patient. Also the amount of drug taken by a
patient in twenty-four hours is absolutely no adequate measure of the
strength or stage of development of his addiction-disease. If he does
not get enough opiate he cannot competently functionate; he cannot be
adequately nourished; he cannot sufficiently eliminate. He is subjected
to the influences of constant discomfort and nerve strain in the
endurance of low-grade withdrawal manifestations. He is worried and
becoming exhausted. It becomes apparent that by continued maintenance
of narcotic administration below the amount of physical body-drug-need
the very factors are created which have been described as increasing
body-drug-need. It is difficult to see any therapeutic advantage in
such a situation. Moreover, as has been stated before, it is far easier
to eradicate completely and successfully narcotic drug need in a short
time and without marked discomfort, from a functionally competent and
organically healthy man who is taking a physically sufficient amount,
than it is from a nerve-racked, worried and physically, nervously, and
functionally exhausted wreck who is under-dosed.
It is therefore much wiser to direct immediate efforts to the securing
and maintaining of health, reaction and tone--irrespective of the
amount of drug required--until there is time and opportunity for the
undertaking of competent withdrawal--a stage of handling and treatment
concerning whose physical and clinical phenomena and manifestations and
dangers too few are educated to and familiar with.
Public-domain text, read in full here on John Shaqi.
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