People who are fed up with crime in the streets think, simplistically, that heroin maintenance will solve the problem. According to the medical view presented here, heroin maintenance will not solve any problem, either for the addict or for society, and it will have predictable adverse consequences. Some problems have no complete solution. Some “solutions” can be worse than the problems they are meant to solve.
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References
1.
AltmanJ. L.MeyerR. E.MirinS. M.NcNameeH. B.McDougleM.1976“Opiate Antagonists and the Modification of Heroin Self-Administration Behavior in Man: An Experimental Study.”International Journal of the Addictions11: 485–499.
2.
BaborT. F.MeyerR. E.MirinS. M.DaviesM.ValentineN.RawlinsM.1976“Interpersonal Behavior in a Small Group Setting During the Heroin Addiction Cycle.”International Journal of the Addictions11:513–523.
3.
DoleV. P.NyswanderM. E.1976“Methadone Maintenance Treatment. A Ten-Year Perspective.”Journal of the American Medical Association235: 2117–2119.
4.
GoldsteinA.1972“The Pharmacologic Basis of Methadone Treatment.” Proceedings of the Fourth National Conference on Methadone Treatment, San Francisco. National Association for the Prevention of Addiction to Narcotics, New York, 27–32.
5.
GoldsteinA.1975“On the Role of Chemotherapy in the Treatment of Heroin Addiction.”American Journal of Drug and Alcohol Abuse2: 279–288.
6.
GoldsteinA.1976“Heroin Addiction. Sequential Treatment Employing Pharmacologic Supports.”Archives of General Psychiatry33: 353–358.
7.
GoldsteinA.AronowL.KalmanS. M.1974“Principles of Drug Action: The Basis of Pharmacology.”2nd ed., Chapter 9—Drug Tolerance and Physical Dependence, John Wiley and Sons, New York, 569–621.
8.
HaertzenC. A.HooksN. T.1969“Changes in Personality and Subjective Experience Associated with the Chronic Administration and Withdrawal of Opiates.”Journal of Nervous and Mental Disease148: 606–613.
9.
HartnollR. L.MitchesonM. C.BattersbyA.BrownG.EllisM.FlemingP.HedleyN.1978“Evaluation of Heroin Maintenance in a Controlled Trial.”Archives of General Psychiatry (in press).
10.
JaffeJ. H.MartinW. R.1975“Narcotic Analgesics and Antagonists.” In The Pharmacological Basis of Therapeutics, 5th ed. eds., GoodmanL. S.GilmanA., Macmillan, New York, 245–283.
11.
KalantH.KalantO. J.1971“Drugs, Society and Personal Choice.”General Publishing Co., Ontario.
12.
LingW.CharuvastraV. C.KaimS. C.KlettC. J.1976“Methadyl Acetate and Methadone as Maintenance Treatments for Heroin Addicts.”Archives of General Psychiatry33: 709–720.
13.
MirinS. M.MeyerR. E.McNameeH. B.1976“Psychopathology and Mood During Heroin Use. Acute vs. Chronic Effects.”Archives of General Psychiatry33: 1503–1508.
14.
RobinsL. N.HelzerJ. E.DavisD. H.1975“Narcotic Use in Southeast Asia and Afterward. Interview Study of 898 Vietnam Returnees.”Archives of General Psychiatry32: 955–961.
15.
ShellowR.1976“Drug Use and Crime: Report of Panel on Drug Use and Criminal Behavior.”National Institute on Drug Abuse. Available through National Technical Information Service (NTIS), Springfield, Virginia.
16.
StimmelB.GoldbergJ.RotkopfE.CohenM.1977“Ability to Remain Abstinent After Methadone Detoxification. 6-Year Study.”Journal of the American Medical Association237: 1216–1220.
17.
SzaszT. S.1971“The Ethics of Addiction.”American Journal of Psychiatry128: 541–546.
18.
WiklerA.1952“A Psychodynamic Study of a Patient During Experimental Self-Regulated Re-Addiction to Morphine.”Psychiatric Quarterly26: 270–293.
