NARCOTICS ADDICTION IN PHYSICIANS.
NARCOTICS ADDICTION IN PHYSICIANS.
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医生的麻醉成瘾。
DOI：
10.1176/ajp.121.4.358
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发表时间：
1964
期刊：
影响因子：
--
通讯作者：
A. Montes
中科院分区：
文献类型：
--
作者：
H. C. Modlin;A. Montes
The statistically“typical” narcotics addict in the United States lives in a metropolis, is unmarried, is between 18 and 25 years of age, is a member of a minority group, and comes from a low socioeconom-ic level (4). Because none of these specffi-cations fit the “typical” physician-ad-dict (9, 18), by eliminating them from consideration, a survey of physician-addicts presumably should give a clearer view of the psychological factors in 1. Development of the preaddiction personality; 2. Circumstances pertinent to the onset of addiction, and 3. Responses to psychiatric treatment.During our 15-year study, 65 persons presenting the problem of narcotic addiction were admitted to the CF Menninger Memorial Hospital. Thirty(46%) were physicians. Five physicians who left against medical advice before adequate evaluation could be completed were excluded from this study. The remaining 25 physicians became addicted at the average age of 38. After 3 years of addiction and an average of two-plus previous hospital-izations, at the average age of 41 they entered our hospital. Eighteen were general practitioners or general surgeons, 4 in-ternists, two obstetricians, and one an os-teopathic physician. None of the doctors were in salaried positions or structured institutional settings. All but one were married. Twenty-four used meperidine hydrochloride(Demerol) as the main ad-dicting drug; one used dihydromorphinone hydrochloride(Dilaudid). Sedatives, analgesics, ataractic drugs and al-cohol were used in combination with the narcotic drug. One patient, for example, who was periodically depressed and ex-perienced considerable difficulties with his wife and his medical practice, used consecutively or in combinations of 3 or 4 at a
