INDEX

Abnormalities, getting rid of, in preliminary stage, 83

Acidosis in opiate addiction, 48

Addict, criminal or vicious, handling of, 108

drug, as a surgical and medical risk, 85

coöperation of, 72

often unknown and unsuspected, 7

honest, and need of competent medical care, 109

and custodial care, 28

medical, personal history of, 140

mixed, 115

narcotic, failure to understand, 5

will coöperate and suffer, 6

Addicts, drug, accidental or innocent, 28

age of, 24

and influenza and pneumonia, 86

majority of, 17

often understand own cases, 7

what type or class become, 23

innocent and worthy, what shall we do with them? 129

narcotic, average individuals, 3

often men and women of high ideals, 3

worthy and innocent, problem of, 128

youthful, 125

Addiction, author’s definition of, 20

beginning stage of, 30

development of, 29

disease, author’s conclusions, 40

a chronic condition, 93

in newly born infant, 24

may afflict all classes, 19

mechanism of, 36, 41

rational handling of, 61

treatment of, and legitimate medical practice, 99

drug, a medical problem, 28

among soldiers, 117

and defectives, 16

a plea for broader consideration of, 156

and the average person, 17

as a sequelae of war, 120

contraction of, in the army, 118

in surgical cases, 85

medical problem of, 21

methods of treating, 50

origin of, 25

so-called specific, treatment of, 55

unsuspected, 26

viewpoint of physician afflicted with, 146

wrongly described, 14

established, stage of, 31

narcotic, a demonstrable disease, 59

a recognized menace, 4

classed as a vice or morbid appetite, 4

opiate, as a war problem, 117

complicated with cocaine, 3

picture wrongly painted, 2

Adequacy, metabolic and organic, relation to other disease conditions, 92

Administration, narcotic drug, regulation of, 65

“After Care” or convalescence, 53

Age of addicts, 24

American Medicine, human documents from, 137

Antidotal substance, 42

Any one liable to drug addiction, 8

Attempts at administrative and police control, 4

Attitude of drug addict, 71

of lawmakers to drug addiction, 102

of medical profession, 50

personal, of physician to drug addict, 70

to drug addicts, author’s unjust, 12

Auto-intoxication and autotoxicosis, 46

Balance, drug adequate, importance of establishing and maintaining, 92

narcotic drug, and minimum daily need, 66

and operative procedure, 92

necessity of maintaining, 67

Basis of success, 132

Beacon-light of hope for drug addicts, 14

Belladonna, use of, 55

Bellevue Hospital, early work in alcoholic and narcotic wards, 2

Care, custodial, and the honest addict, 28

Cases demonstrating presence of antidotal substance, 43

Catharsis, non-irritating, 79

Cause of withdrawal symptoms, 38

Causes of failure in solving drug problem, 5

Clinics, drug, need for, under competent medical direction, 124

public, 135

Cocaine, habitual use of, 115

Committee appointed by Secretary of Treasury, report, 14

Complications, avoided by intelligent patients, 78

Conclusions of author, 40

Condition, another disease, relation of functional balance to, 92

drug patient’s, as index of successful treatment, 75

Considerations, fundamental, 11

Convalescence, and “after care,” 53

Coöperation of drug addict, factors which determine, 72

Cure of drug addiction, What constitutes? 76

“Cures,” basis of, 55

Custodial care and the honest addict, 28

Danger of restrictive legislation, 123

Dangers of belladonna, hyoscine, pilocarpine, etc., 80

Data, institutional, lack of, 58

Defectives and drug addiction, 16

Definition of term “narcotics,” 114

Deprivation, forcible, danger of, 53

Development of addiction stage, 29

Discontinuance of narcotic drug, difficulties of, 69

Disease, addiction, rational handling of, 61

drug addiction, nature of, 23

Documents, human, 137

Dosage, narcotic drug, in relation to withdrawal symptoms, 75

Doses, therapeutic, and toxic stage of normal reaction to, 29

Drug, narcotic, balance, 67

definite body need for, 37

Drugs, narcotic, and the physical condition established, 21

may afford pleasure, 3

legitimate use of, in peace and war, 114

prescribing and dispensing of, 100

relations of laws to, 95

Du Mez’s recent paper, 38

Education and training, 131

lay, medical and official, needed, 109

neglect of, and illicit traffic, 126

Efficiency, functional, nutritional and metabolic importance of, 92

Efforts, author’s early, 11

Elimination, competent, not measured in bowel movements, 81

of opiate, and cell tolerance, 46

Evils, chief, of present drug situation, 122

Exploitation, commercial, and its financial possibilities, 125

of physical suffering, 123

Facts concerning drug addiction, necessity for unbiased medical investigation of, 101

significant, 13

Fear, constant, addict lives in, 92

Function, inhibition of, 46

Gioffredi, investigation of, 26, 38

Handling, institutional and custodial, and certain types of addicts, 108

of criminal or vicious addict, 108

preliminary to withdrawal, 62

rational, of addiction disease, 61

Harrison Law, effect on medical profession, 96

reasons for failure of, 96

wise in purpose, 95

Hirschlaff’s experiments, 26, 38

History of medical addict, 140

Hyoscyamus, use of, 55

Ignorance, the harmful effects of, 127

Immunity to narcotic drugs, 4

Inefficiency, medical, 6

Infant, newly-born, and addiction disease, 24

Influenza and pneumonia in drug addicts, 86

Information, clinical, paucity of, 58

Intervals, long, between doses, desirable, 77

Introduction, 1

Jennings’ studies of acidosis, 48

Kobert’s and Toth’s studies, 38

Law, Harrison, failure of, 96

makers, attitude to drug addiction, 102

What has it done for the addict? 102

Laws and old conceptions of drug addiction, 96

and their relations to narcotic drugs, 95

drug, enforcement and increased suffering of addicts, 96

Magendie’s findings, 38

Marme and oxydimorphine, 38

Mechanism, essential, of addiction disease, 41

of narcotic drug addiction disease, 36

of protection, 47

Medication, ignorant or unavoidable, and drug addiction, 27

opiate, indispensable and legitimate, 116

“specific,” fallacy of, 56

Misunderstanding of addict, cause of early failures in treatment, 5

“Narcotics,” definition of term, 114

Need, drug, minimum daily, 66

of the hour in study of drug addiction, 130

narcotic drug, and mental and muscular work, 69

Observation in Bellevue, sixteen months, day and night, 3

Observations on physical or body reaction, 32

Opiate, withdrawing, simply one stage, 92

Opiates, and their unique properties, 116

Organizations, medical duty of, 104

Origin of addiction, 25

Oxydimorphine and Marme theory, 38

Panaceas, search for, 56

Patients, intelligent, and the avoidance of complications, 78

People, eminent, and drug addiction, 27

Philanthropy and its opportunity, 135

Physician, average, is inexpert in handling addiction disease, 108

suffering from drug addiction, viewpoint of, 146

Physicians, honest, and their responsibility, 103

Pilocarpine, use of, 50

Practice, legitimate medical, 95

Practitioner, honest, and control of illicit drug traffic, 123

Principles, basic, of addiction-disease handling, 65

Problem, drug, still unsolved, 5

of drug addiction, ultimate solution of, 108

of the care of the innocent and worthy addict, 129

Profession, medical, attitude of, 50

Prostitution and “white-slavery,” 125

Protection, bodily, against opiate, 42

mechanism of, 47

Pulpit and press, duty of, 135

Purgation, excessive, warning against, 81

Purpose, chief, of most lay and medical workers, 96

Questions that confront the American people, 136

Reaction, normal, stage of, 29

to therapeutic and toxic doses, 29

of drug addicts to therapeutic agents, 68

Reduction, enforced, below bodily need, dangers of, 69

slow, 51

References to recent literature, 39

Regulation, legislative and administrative, 105

of intervals of narcotic drug administration, 66

“Relapses” and production of antidotal substance, 45

Report, 1915, of New York Dept. of Correction, 72

Preliminary, of Whitney Committee, 110

Responsibility for drug addiction laid on medical profession, 102

Restoration of drug addict to health, 83

Side, personal, of drug addiction, 137

Solution of drug problem, ultimate, 108

Stage of study, preliminary to withdrawal, 63

preliminary, abnormalities in, 83

Stages of addiction development, 29

Stool, “typical,” of Towns treatment, 79

Study, clinical and laboratory, lack of, 91

of patient, essential as preliminary to withdrawal, 63

Substance, antidotal, to opiate, and bodily protection, 42

Suffering, physical, and drug addiction, 20

Survey of the situation, 122

Terms that should be eliminated, 9

Testimony of Whitney Committee, deductions from, 134

Theories, author’s wrong, 12

Tolerance, explanation of, 38

increased, stage of, 30

Traffic in narcotic drugs, illicit, 103

Treatment, importance of regulating intervals of narcotic drug administration in, 65

rational, of addiction disease, 61

so-called specific, 55

specific, author’s disbelief in, 80

“Underworld” and desperate necessity of addict, 28

Use, legitimate, of narcotics in peace and war, 114

Valenti’s studies, 26, 38

Veterans, Civil War and drug addiction, 24

Views, personal and legal, of drug addiction, 137

Whitney Committee. Hearings, testimony of, 107

Withdrawal accompanied by use of various drugs, 51

forcible, and suicide, 53

stage of, 62

sudden, 53

symptoms, 35

Withdrawing of opiate simply one stage, 92

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