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Immunized Against Addiction

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The article Immunized Against Addiction stated, “And the availability of a medical approach like a vaccine might persuade the public that addiction is actually a disease, not the mark of bad behavior that should be punished” is what I found to be the most significant legal and moral issue in the article. Society is slowly coming around to perceive the issue of drug abuse as a disease and this is supported by more judicial decisions reflecting this change of perception in the use of alternative sentencing verses jail time. The article also supports this belief with the statement, “medical historians point to the possibility of court-ordered shots (of the vaccine) for drug abusers.” Since early America we have come from locking up alcoholics in insane asylums and prisons to such things as Proposition 36, court ordered 12 Step meetings, and outpatient counseling.

I don’t believe reliance on Pharmacological Modalities will replace drug treatment in facilities that offer Behavioral Modalities such as Peer Support, Relapse Prevention Education, Contingency Management, Skill Development, and Therapeutic Communities. I feel that after years of testing, experts will find that the combination of Pharmacological Modalities, Behavioral Modification, and Psychotherapy will yield the best results for long term sobriety. If you just take away the cravings you are still left with the causes and conditions behind drug abuse such as inability to cope with stress, classical conditioning, boredom, and forms of mental illness. These issues must be addressed before the patient discontinues Methadone, Antagonist, or Symptomatic treatments. A good analogy would be that if I set out to build a house and only brought a hammer, I would not have all the tools needed to complete the job. I would need a full array of tools to build a structure that would stand the test of time and elements. Just as in sobriety the more tools you have the better prepared you are to combat the obstacles that come from dealing with this disease. Elimination of cravings is not enough.

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