The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
There is too much work to be done, and the situation is too urgent for
remedy, to permit of longer delay in scientific approach. Under present
conditions, no man’s announcement of theory or of remedy is to be taken
as ultimate authority, but simply as his opinion based on his personal
deductions, and his personal experience, to be evaluated in accordance
with the extent and variety of his personal experience in the light of
his individual ability and training.
Education and training are the best hopes we have as a foundation for
the alleviation of present conditions and the prevention of their
further spread. Lack of appreciation of and of ability to recognize and
meet varied and various clinical and other indications for treatment
and handling under widely different circumstances and in widely
differing individuals means failure in a majority of cases, and throws
a burden upon society and a complexity of problems upon municipal,
state and federal authorities which they are unable to meet. Each class
of workers should be working in its own field in co-operation with
those working in other fields, none trying to dominate the rest, but
each giving to the others credit for honest effort and appreciation of
difficulties to be made easier if possible.
All possible forces should be encouraged to the work of study
and investigation and education. A campaign of medical and lay
investigation and education will require a much shorter time than a
continuous trying out of various panaceas, medical, legislative or
administrative. Also, it will bring far more satisfactory and earlier
results. The narcotic wards of our great charity hospitals should be
made use of for honest unbiased and trained clinical and laboratory
study. The narcotic addict himself should be given a much wider hearing
than he has in the past received. The mass of honest and intelligent
narcotic addicts should be encouraged to tell their stories and their
experiences, and should receive a fair and unbiased hearing as to
the reactions upon them of various measures proposed. We, doctors,
legislators, administrators are in truth as much on trial with the
narcotic addict and with society for our understanding and handling of
the narcotic addict and his problems as the addict is for his condition.
The remedy is plain, and the necessity for immediate activity is
obvious. Education--scientific medical and lay, administrative and
public health education is the lacking element or factor in the
solution of the many sided narcotic drug problem. Appreciation of
addiction-disease and what it may mean in the individual should be
as widespread and as comprehensive as possible and at the earliest
possible moment.
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