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In Praise of Prejudice: The Necessity of Preconceived Ideas
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Thursday, 20 July 2006

In her July 2006 article, Rebecca Bynum reviews Theodore Dalrymple's Romancing Opiates, giving her own observations on the difference between the way society treats alcoholics as opposed to heroine addicts. If you would like to comment on this article, please do so here. Her other articles are here.

Rebecca Bynum contributes regularly to The Iconoclast, our Community Blog. here to see all her contributions, on which comments are welcome.

Posted on 07/20/2006 7:10 AM by New English Review
Comments
25 Jul 2006
Roger
Thank you very much for this piece which cannot have been easy for you to write.

I have two partial disagreements:

The Goering-methadone story is nonsense - the Reichmarschall's actual morphine dependence can be dated to between 1923-1926 and while he was captured in 1945 with a small suitcase full of paracodeine pills and had to be weaned off them, the quantity and formulation he was using was not narcotic.

Invoking Ockham's Razor, what more explanation do you need for teh syntheisi of methodone other than than that opiates are a vital resource for a country embarking on total war and that thanks to the aliied blockade German industry was directed to synthesise a vast range of materials from petroleum to coffee.

In fact methadone is far from the the only Nazi-era German synthetic to still feature in modern pharmaocoepias.

More generally, a key difference between opiates and alcohol is that they kill significantly different demographics - barring accidents (of which there are of course a great many) alcoholism will generally take twenty or thirty years to kill you, while heroin frequently does the job in months or years and disproportionately kills the young.

In my own family it took nearly thirty years of dedicated alcohol abuse to destroy my uncle, while my teenage brother was dead within two years of his first fix (and incidentally it was an overdose of legally prescribed methadone rather than heroin that killed him).

While government clearly is incapable of saving teenage drug users from themselves, the motivation behind their largely counterproductive attempts to do to do so is not an altogether irrational or ignoble one.

Ultimately 'saving' the young is always going to be a much more popular cause than helping middle aged alcoholics who have had decades to deal with their problems.

The problem of course being that the middle-aged alcoholics generally have far more power to systematically screw up the lives of others than even the most criminally inclined teenage junkie.

25 Jul 2006
Send an emailRoger
Damn - why doesn't your comments software have paragraph breaks? My comment is unreadable without them - can you remove it please?

25 Jul 2006
Send an emailMary Jackson
Roger - I've edited your comment, putting paragraph breaks in where you had them. For future reference, you need to put the letter "p" at the end of your paragraphs. The p should be between a less than and a greater than sign. I can't show this, because the software will just show a paragraph break rather than how you do it.

25 Jul 2006
Send an emailRebecca Bynum
Dear Roger,

Thank you for your kind and thoughtful reply. I believe that quote I used from Dalrymple's book about Goering was qualified by saying it might not be true. Nonetheless, methadone was first synthesized by the Nazi regime, but probably for many reasons as you say.

I also think the war on marijuana is part of a larger war against nature generally. We have passed judgment on God's creation and by extension, are passing judgment on God - the hallmark of totalitarian thinking.

Should God repent for creating marijuana or opium poppies or hops or grapes because some men misuse these things?

And is there not a basic right of man to go on partnership with God in the nuturing of His creation, the tilling of the soil and enjoying the fruits of God's bounty?

I believe if we label a plant or any living thing evil, we are thereby labeling God evil and this is a deep outrage to me.

19 Dec 2006
Liz
Rebecca you have many valid points although I must say that it's mostly "rage" that comes through. However you have a great misperception about the difficulty and torture of opiate withdrawal. I don't know where you are getting your impressions that it's no worse than a case of the flu. It's not like that at all and I'd rather have ten cases of the flu than one full opiate withdrawal (which can go on for weeks). "The flu" is often used to compare the collection of symptoms, but the internal feeling of the sufferer is much different and much worse, and can not easily be explained except to say I wouldn't wish it on my worst enemy. It turns you into a different person. You have not witnessed opiate withdrawal, judging by this statement: "I have personally witnessed a twenty year intravenous methamphetamine addict withdraw 'cold turkey' with nothing more serious than excessive sleeping and irritability." You should know that methamphetamine is not an opiate at all, but a completely different drug. It's a synthetic stimulant and does not produce the dependence or abstinence syndrome seen with opiates. You may reply that you misspelled the word and actually meant "methadone" but the symptoms you describe are consistent with withdrawal from methAMPHETAMINE. I share your feelings about the disgust toward alcoholics.

21 May 2007
Send an emailDanielle

I don't see the relevance of belittling the suffering that heroin addicts feel upon withdrawal in order to shed light on the fact that alcoholics as addicts need understanding and help. I am sympathetic to the struggle and withdrawal that alcoholics deal with, even though I've never experienced it myself. I've been through severe opiate withdrawals on several occations and I've seen people spend weeks in bed in complete agony. You mention in your article that people write of the suffering of alcoholics when they haven't experienced it first hand, and it feels like you've done exactly that with people who struggle with opiate addiction.

Methadone, when taken at the right dose for the patient and with a doctor's supervision is rarely dangerous to the patient's health. When you hear about the dangers of methadone and all the deaths associated with it, it is rarely mentioned that many of those deaths occer when methadone is mixed with other drugs. Especially when it is obtained illegally, and patients don't get any information about drug interactions, many methadone users die from mixing it with sedatives and alcohol, not just from the methadone by itself.





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