The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
carry with it the menace and jeopardy which technical violation of
often medically impractical administrative demands may involve. If the
honest physician is left no leeway for the exercise of medical judgment
in the handling of widely differing cases of addiction-disease, or if
his exercise of honest clinical judgment is to be constantly influenced
by a necessity of worrying about its possible interpretation, in the
light of unduly stringent laws and regulations, a condition is created
in which the intelligent practice of medicine upon the sufferer from
addiction-disease becomes impossible.
A matter about which there has been a great deal of dispute is that of
the prescribing or dispensing by the practitioner of medicine of opiate
drugs to the narcotic addict in the handling of narcotic addiction,
itself. The adherents of the older theory of addiction being merely
habit or vicious indulgence, oppose as illegitimate practice the
continued supply of the opiate to an addiction patient, unless in some
cases the patient also suffers from some painful and incurable disease.
They take the attitude that, if the addict did not want to keep on
using opiate he would go somewhere and be cured, and that as long as
he can get opiate drug he will not get “cured.” The possibilities of
immediate so-called “cure” are discussed elsewhere in this volume.
Sufficient for present statement is the fact that, as demonstrated
by the testimony of the Whitney Committee Legislative Investigation
hearings, one of the most complete and valuable pieces of public
investigation work into addiction ever done, there exists at present
practically no adequate or competent machinery for the successful
so-called “cure” of the great numbers of narcotic addicts. This is
discussed elsewhere. Those who talk casually of the enforced immediate
cure of the narcotic addict would do well to investigate and realize
the lack of possibilities of its immediate attainment on any large
scale. This is a basic fact which has been too little taken into
account by those who still hold to the appetite and habit theories.
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