The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
Taken as a whole, in its original form, administered with understanding
of addiction-disease facts, and with honest and intelligent scientific,
educational and remedial activities coincidently pursued, it should
be sufficient to control a rapidly growing menace. In its attitude
towards the medical profession it wisely limited its restrictions to
the broad statement that these drugs named must not be distributed
other than in the “course of legitimate professional practice,” wisely
making no attempt to define such “legitimate practice,” but apparently
anticipating investigative activities of the scientific professions in
the determination and dissemination of medical facts for the guidance
of honest practitioners, and of those who should interpret and enforce
the law.
Unfortunately addiction as a disease was, at that time, not a matter
of wide recognition, the public in general and the medical profession
itself still almost universally holding to the old conceptions of it
on the basis of supposed morbid indulgence and “habit.” It seems to
the author that the failure of the Harrison Law to check or limit
the illegitimate use of the drugs it describes, is not due to a
defect in the law itself, but is due to the failure of the scientific
professions to clarify the situation with a clean cut understanding
of the condition legislated against. The reaction within the medical
profession as a result of this law was unfortunate. Instead of
stimulating scientific interest and investigation into the character
of this disease, the result was that medical men in general having
little or no conception of its disease basis, regarded the narcotic
addict as a mental or correctional problem and left his consideration
and handling to the lay officials and the special institutions whose
activities had been along other lines than scientific research into
physical disease.
In the minds of most lay and of many medical workers the only
consideration was the stopping of drug use _per se_, an attitude which
to a less extent still persists. Uninformed as to the now established
facts of addiction-disease, the administrators of the law, and to a
large extent the medical profession, tended to regard supply of opiate
to an addict as the prolongation of a habit, and not as medication
indicated by the mechanism and symptomatology of a disease--and
therefore as not being legitimate medical practice. This attitude had
the effect of making the practitioner of medicine unwilling to receive
the narcotic addict as a patient.
Public-domain text, read in full here on John Shaqi.
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