The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
The immediate result was the sudden deprivation of opiate to such
addiction-disease sufferers as had not had financial means or
foresight to purchase large reserves before the laws went into effect.
The history of the drastic early enforcement of the various laws,
reduplicated with more or less completeness by periodical legislative
and administrative activities, without adequate arrangement for the
relief of the narcotic-deprived addiction-disease sufferer, shows
suicides and deaths, and a rapid development of exploitation of the
needs of the addict at the hands of illicit commerce. For this illicit
commerce the laws themselves, however, are not so much to be blamed
as the influence of long-prevailing and widely-taught attitudes and
conceptions which caused scientific and other forces to fail to
recognize and meet the need for clinical handling of the situation,
and for study and investigation of the condition. Legislators and
administrators simply reflect prevailing theories.
Early theories took scant if any account of the possibilities presented
by the now rapidly-growing disease conception of addiction. The popular
conception of an addict and even the description met in standard
medical text-books was that of a “dope-fiend,” an irresponsible
panderer to a morbid “habit,” bereft of will-power, honor and decency,
a menace to himself and to society, and this conception has had
unfortunate influence in the making, interpretation, and administration
of laws. That it can be truthfully applied to some people who have
developed addiction-disease is unquestioned, but that it fails to take
into consideration a much larger number who are not irresponsible
panderers to morbid habit, nor bereft of will-power, honor and decency,
nor a menace to themselves or to society, but are honest and upright
members of society and economic assets in the community, accounts in
large part for the failure of laws and their administration to remedy
the narcotic drug situation. Measures which might be very useful in
the forcible control of those who can be justly characterized as “dope
fiends” work great harm to those who are simply sick people.
That these sick people have been commonly regarded and classed
as “dope-fiends” was due to the fact that the points of view and
special experiences of the psychologist or psychiatrist, sociologist
or penologist and the exponents of special methods of treatment
dominated the literature and teaching in which appeared practically
nothing of essential pathology, symptomatology and broad principles
of addiction-disease therapeutics and handling. The occasional voice
of the clinical student or experimental laboratory worker was almost
unheard, and the opposition accorded unorthodox views and announcements
made him a brave man who would state them, and tended to cause him to
be regarded as an academic theorist, or possessed of ulterior motives.
Public-domain text, read in full here on John Shaqi.
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