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The Physician in Treatment of Drug Addiction

H. D. Kruse, MD
Arch Gen Psychiatry. 1964;10(4):323. doi:10.1001/archpsyc.1964.01720220001001.
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ABSTRACT

One of the biggest obstacles to a vigorous attack on drug addiction is the almost complete avoidance of addicts as patients by most physicians. Forty years ago they departed from the treatment of addicts and have never returned because they have been and still are unjustly exposed to the risk of professional ruin and disgrace at the hands of the Narcotic Division. Over this period the Division by its regulations has dictated the only way it will permit treatment and has thereby deprived the physician of freedom to exercise his clinical judgment.

It is recognized that addiction contains a large psychological as well as physical element. Every addict is different. Therefore, the treatment must not be stereotyped but rather it should be individualized and tailored to the addict. Accordingly, there are therapeutic decisions in which the physician must exercise his clinical judgment: whether to institute withdrawal

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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