"The use of
morphine in the place of alcohol is but a choice of evils, and by far the
lesser" Cincinnati Lancet-Clinic. 1889
"Heroin will take
the place of morphine without its disagreeable qualities." New York Medical
Journal. 1901
"Some (heroin)
addicts readily admit that they prefer methadone as their drug of abuse"
International Journal of Pharmacology. 1975
"Clonodine has
recently gained prominence as chemotherapeutic agent for the detoxification of
individuals dependent upon
methadone." NIDA Treatment Research Monograph.
"Research on the Treatment of Narcotic Addiction. 1983
The war against drugs, now well into its third decade, is
faltering. The disturbingly high rate of recidivism, even after repeated
treatments, has been unchanged by the panoply of strategies implemented at
federal and state levels. The fact that they have failed to prevent a majority
of drug users from returning to their addictive behavior has led some experts
to conclude that addiction is incurable.
A review
of the literature regarding existing drug rehabilitation techniques reveals
many uncertainties. In fact, none of the prevalent approaches to treatment has
been conclusively established to be reliable. Success rates as low as 33%, not
substantially higher than those anticipated from no treatment at all or
treatment with placebos are generally considered to be very good.
In view of this,
it is surprising that such hazardous measures as electric shock, drug-induced
nausea, and chemically-introduced respiratory failure continue in current use.
The application of such "aversion therapy" techniques has been particularly
discouraging "Behavioral Therapies for Substance Abuse." Published in 1985 in
the International of the Addictions. Examined more than two decades of research
in the use of behavioral interventions for the treatment of drug and alcohol
abuse. The authors concluded, "none of the studies using chemical or electrical
stimuli with drug abusers has demonstrated physiological evidence of
conditioned aversion."
The insistence on
the use of chemicals to handle chemical abuse is so ingrained that NIDA
currently defines drug detoxification as "planned withdrawl from drug
dependency supported by the use of a prescribed medication."
FASE
Associate Dr. Bernard Rimland (see "Associated Update"), himself a
psychologist, is convinced that psychotherapy has proved equally ineffective as
a means of resolving drug abuse. "Psychotherapy has not demonstrated value in
any sort of disorder," he says. "Not depression, not delinquency, not
schizophrenia, not neurosis, not phobias, nothing. It's absolutely worthless,
as far as all the research goes, and yet it's a very common component of so
many drug and alcohol treatment programs."
The use
of comparatively "benign" drugs as a means of breaking an addiction to
dangerous drugs has also proved to be frustrating, as the journal citings
referenced above illustrate. Repeatedly the intended medicine has itself become
a substance of abuse.
For
example, the usefulness of methadone in reducing drug cravings remains
questionable. A study completed this year by the General Accounting Office
(GAO) found that between one-third and one-half of the patients at 15 methadone
clinics continued to use heroin, cocaine, and other illegal drugs while
receiving methadone. Nonetheless, the insistence on the use of chemicals to
handle chemical abuse is so ingrained that the National Institute on Drug Abuse
(NIDA) currently defines drug detoxification as "planned withdrawl from drug
dependency supported by the use of a prescribed medication."
More than 6
million Americans are estimated to require treatment for drug abuse problems.
New approaches to treatment are urgently needed.
An increasing
number of researchers are moving away from a reliance on Pavlovian conditioning
techniques such as aversion therapy, and questioning the advisability of using
drugs to combat drugs. They have begun to examine the biochemical imbalances,
which are created by drug abuse, and to develop means of treating them with
nutrients rather than further medication. Promising research is also being done
regarding the use of detoxification - in a more complete and accurate sense of
the word, the elimination of accumulated drug residues from body tissue - as a
treatment approach.
Dr.
Rimland is convinced that a nutritional approach will prove to be as effective
in treating drug problems as it has been found to be in resolving disorders
such as autism and schizophrenia. "If there's any approach that's going to
work," he says, "it's going to be changing the body chemistry using original
equipment, like vitamins and fatty acids, amino acids, minerals and so forth."
Although not
always widely acknowledged, support for the use of nutritional supplements to
combat drug and alcohol dependence has been accumulating for several decades.
The use of the amino acid glutamine in the treatment of alcoholism was
described in the literature as long ago as 1957. Nutrients such as niacin (
vitamin B3 ), zinc, magnesium, and vitamin B1, among others, have also been
reported to be effective means of treating substance abuse. Bill W. the founder
of Alcoholics Anonymous advocated the use of vitamin B3 in the treatment of
alcoholism.
FASE
Associate Dr. Joseph Beasley is a member of the American Medical Society on
Alcoholism and Other Drug Dependencies, and Medical Director of Brunswick
House, the largest private alcoholism treatment facility in New York State. "A
wide-ranging treatment protocol, with a strong nutritional component, results
in comfortable abstinence for more than 70% of our patients with very low
attrition," he says, "We have observed this kind of success even in patients
cross addicted with drugs, a condition we find in 40% of those we treat.
The accumulation
of drug residues in the adipose tissue is a consequence of drug use, which is
not addressed by most treatment programs. Once lodged in fatty tissues, drug
residues may subsequently be released into the blood. Some researchers believe
that this ongoing exposure could be the basis for the "flashback" phenomenon,
and contribute to continue cravings for drugs.
To
examine the phenomenon of drug storage and to determine the extent to which
true drug "detoxification" is possible. FASE associates have endeavored to
track body burdens of commonly used drugs. A 1982 study examined the presence
of THC (the active ingredient in marijuana) and its metabolites in the blood,
urine, fat, and sweat of persons undergoing treatment with the Hubbard
detoxification method. (It is noteworthy that although a number of studies have
demonstrated the method to be an effective procedure for reducing body burdens
of commonly encountered environmental compounds, its developer, L. Ron Hubbard,
originally conceived it to alleviate problems associated with drug
accumulation.)
An increasing
number of researchers are questioning the advisability of using drugs to combat
drugs.
Analysis
of samples taken before and after detoxification verified the presence of the
compounds, as well as their reduction at the completion of detoxification. Body
fat was shown to be the major storage compartment for marijuana, with levels in
fat tissue up to 80 times the level in the blood. An additional finding was
that among the components of THC found, the hydroxy-metabolite was the most
predominant. Earlier studies have demonstrated the hydroxy-metabolite to be
many times more potent than THC itself, and more likely to enter the brain.
Additional
research suggests strongly that cocaine, diazepam (Valium), and PCP ("Angel
Dust") also store in fat deposits of the body, resulting in a slow, prolonged
release of drug residues into the plasma long after the discontinuation of drug
use. (Fate and Distribution of Cocaine, Diazepam, Phencyclidine (PCP) and THC
(Marijuana) A Technical Review, FASE. August. 1985.)
In order
to further investigate the relationship between the reduction compounds
accumulated in body fat and future drug use, a survey was recently made of
persons with known histories of drug abuse that have undertaken treatment with
the Hubbard program to assist in the recovery from addiction.
"This survey has
disclosed some intriguing information, says Dr. Shelley Beckmann. "The success
rate - as measured by continual abstinence from drug use for greater than a
year after detoxification - appears to be surprisingly high. We were able to
contact 45 of the 79 patients treated specifically for drug abuse over the last
six years. Of the 45, none now use cocaine, heroin, amphetamines,
antidepressants or hallucinogens, though 41 of them had used such drugs prior
to treatment."
"The
alcohol recovery rate is difficult to assess due to occasional social
drinking," Dr. Beckmann says. "Twenty-three of those surveyed no longer use
alcohol, of the other 22, 13 commented that they drink infrequently. The two
patients treated specifically for alcohol," Significant improvements in family
relations were reported, with many of the patients recommending the program to
others with like difficulties.
These
findings are of particular interesting as current treatments for drug abuse do
not employ methods designed to actively remove drug residuals. "Although the
persons interviewed for this survey would be characterized as moderate drug
users, neither crack cocaine users nor heavy heroin users were included - the
fact that such a large number had not returned to drugs is significant." Says
Dr. Beckmann. "The findings definitely warrant further study to determine to
what extent the pattern will be duplicated among heavier users. If a
correlation can be established between reduction of adipose levels of drug
residues and lowered recidivism rates it may help to explain the failures of
programs that do not include detoxification as a component of rehabilitation.
(For a summary of
FASE studies regarding the use of Hubbard's methods in the reduction of tissue
levels of foreign compounds. see "Detoxification A Retrospective" in FASE
Reports Vol. No. 2. Winter 1988) |