The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
As to the existing opinion that the addict does not want to be
cured, and that while under treatment he cannot be trusted and will
not co-operate, but will secretly secure and use his drug--I can
only quote from my personal experience with these cases. During my
early attempts with the commonly known and too frequently routinely
followed procedures of sudden deprivation, gradual reduction and
special or specific treatment, etc., my patients beginning with the
best intentions in the world, often tried to beg, steal or get in any
possible way the drug of their addiction. Like others, I placed the
blame on their supposed weakness of will and lack of determination
to get rid of their malady. Later I realized the fact that the blame
rested almost entirely upon the shoulders of my medical inefficiency
and my lack of understanding and ability to observe and interpret. The
narcotic addict as a rule will co-operate and will suffer if necessary
to the limit of his endurance. Demanding co-operation of a completely
developed case of opiate addiction during and following incompetent
withdrawal of the drug is asking a man to co-operate for an indefinite
period in his own torture. There is a well-defined limit to every one’s
power of endurance of suffering.
Abundant evidence of what I have written is easily found among the many
sufferers from the disease of opiate addiction who have maintained for
years a personal, social and economic efficiency--their affliction
unknown and unsuspected. These cases are not widely known but there
are a surprising number of them. When one of them becomes known his
success in handling his condition and its problems is generally
attributed to his being on a rather higher moral and mental plane than
his fellow sufferers and possessed of will-power sufficient to resist
temptation to over-indulge his so-called appetite. We have not as a
rule considered any other explanation nor sought more at length for the
cause of his apparent immunity to the hypothetical opiate stigmata. It
would have been wiser and more profitable for us to have respectfully
listened to his experiences and learned something about his disease.
Public-domain text, read in full here on John Shaqi.
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