Books > Social sciences > Sociology, social studies > Social issues > Illness & addiction: social aspects > Drug addiction & substance abuse
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Drug Addiction and Related Clinical Problems (Paperback, illustrated edition)
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Drug Addiction and Related Clinical Problems (Paperback, illustrated edition)
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Many of the questions related to the treatment of drug addiction
originate from the confusion that still characterizes this issue,
even though biology is irreversibly changing our outlook on the
physiology and psychopathology of the mind. In fact, prejudices
stemming from the archaic concept of mind-body dualism are so
difficult to eradicate that even a skilled psychiatrist may find it
hard to distinguish a psychiatric symptom from a socially
transgressive behavior. The dilemma becomes even more salient for
drug addiction, since many of the substances which induce abuse and
dependence are illegal, and their production, trade and use are
forbidden by law. If the use of heroin is connoted as a crime, it
may become controversial to recognize its chronic sequelae as a
disease. Hence, withdrawal symptoms may alternatively be attributed
to drug effects, or labelled as immoral attitudes arising from a
vicious personality. However, the physician's judgement, which has
to be merely instrumental at improving the patient's quality of
life, should never be influenced by such complex setting. In fact,
the only concern of the physician must be that of ascertaining the
causes of symptoms and of removing them: if symptoms are induced by
the toxic effect of a drug, he has to use the most effective
antidote, and then proceed towards a detoxification; if they are
due to withdrawal, a substitutive substance should be given
initially. In the case of narcotics, substitutive therapy on a
maintenance basis may become mandatory.
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