The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
The foregoing opens to discussion another legitimate use of narcotics.
This use is the intelligent administration of opiate in the control and
therapeutic handling of whatever cases of addiction are found to exist.
The situation within the army as regards addiction is in the general
indications for its handling, identical with the situation existing in
civil life. The man who has fully developed opiate addiction-disease
will have to have his opiate supplied to him intelligently and
with proper appreciation of the symptomatology and reactions of
addiction-disease until there is equipment and educated personnel
provided for his intelligent and competent handling. Under any other
immediate arrangements, the addicted soldier, just as the addicted
civilian, will in his desperation and physical torments of bodily need
for opiate drug, endeavor to smuggle, steal or otherwise obtain in any
way possible this medication.
In brief then, and to recapitulate, the legitimate use of narcotics
will be roughly divided under two broad heads. The first is the
necessary administration of opiate to those who are not addicted for
the control of emergency or other indication with which every competent
physician or surgeon is familiar. To use opiate as indicated in such
cases is not only legitimate, but failure to use it would be inhuman
and barbarous and result in the loss of many lives and in the making
of wrecks of many others. The second is the administration of opiates
to those unfortunates, who either through their own ignorance or
carelessness, or through unavoidably or otherwise prolonged legitimate
or necessary medication have developed in their body the condition of
opiate addiction-disease, until such time as their disease can be
arrested by competent medical care of their addiction-disease mechanism.
As to addiction created in war time, there is considerable amount of
information. This is not the time nor the place for detailed discussion
of that information. Calm consideration of it should, however, suffice
to still the voice of any objections and irrefutably answer arguments
criticizing existence of war-time addiction. The greatly lacking and
needed element in its consideration and handling is appreciation of it
as physical, controllable and arrestable disease. The laity and the
mothers and other relatives and the friends of those in the Army and
Navy will not exhibit panic and fear once the intangible horror and
vague and morbid and erroneous picture of the “dope fiend” is in its
application to opiate addiction erased from popular conception and
replaced by comprehension of a definite physical disease clinically
controllable and in most cases therapeutically remediable.
Public-domain text, read in full here on John Shaqi.
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