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Appendix B: Drug Abuse Research in Historical Perspective
Pages 284-294

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From page 284...
... -- significant research began much earlier. The vicissitudes of this research illustrate changing popular and professional attitudes toward 284
From page 285...
... Increasingly widespread use of morphine, which constitutes roughly 10 percent of crude opium, revolutionized pain control. One of the first careful studies of morphine addiction was made in 1875 by Levinstein, who identified key elements in opiate addiction that would interest researchers: the fixation on the drug that made it the highest priority even when the user's life situation was deteriorating, and the curious phenomenon of withdrawal that could be reversed quickly by giving more opiate (Levinstein, 1878)
From page 286...
... . The general conclusion drawn from this debate over antibodies and toxins was that there was no organic basis for addiction and withdrawal and that these phenomena were "functional" or "psychological." Thus, research into addiction and withdrawal became a controversial field after 1919 due to the fact such that research might find evidence supporting a medical model and thereby possibly challenge established government policy.
From page 287...
... Scientists were well aware that they worked in a framework of law and policy that precluded maintenance and in an atmosphere of extreme antagonism to narcotic drugs. In addition to seeking safe substitutes, the NRC committee approved three more tasks: (1)
From page 288...
... Himmelsbach, was established at Lexington to determine the addictive liability of various compounds. Pharmacological research at the Lexington facility provided major contributions to the understanding of opiate and alcohol dependence and withdrawal, and included research on the quantification of opiate dependence as a physical or physiological phenomenon and on the effect of methadone on opiate withdrawal.
From page 289...
... Furthermore, pharmaceutical companies themselves conducted research on analgesics, although their practice of sending new drugs for testing under the committee's auspices suggests that their programs in this area were not comprehensive. In addition to its funding from pharmaceutical companies, NRC's Committee on Drug Addiction and Narcotics began to receive small annual amounts from the Veterans Administration (VA)
From page 290...
... During the 1960s, the entrenched commitment to law enforcement confronted an unprecedented rise in the nature and extent of illicit drug use. The transformation, especially in marijuana use, was associated with social and political turmoil, including the deep fissures caused by the Vietnam War, the civil rights movement, and profound demographic changes as the "baby boom" generation approached maturity.
From page 291...
... General foundation support for drug abuse research increased slightly in the 1980s, rising in the late 1980s as the crack epidemic crystallized national alarm over the drug abuse problem (Renz, 1989)
From page 292...
... Drug abuse research is supported when the nation is in a state of alarm over a new drug or an escalation in drug use, but it is quickly reduced with changes in perception of drug use or when other issues become a priority. Thus, funding levels may shift significantly and may detrimentally affect research programs that rely on ongoing support both to maintain a specific research project and to keep trained experts employed in the field.
From page 293...
... 1903. Über das verhalten des morphins im organismus und die ursachen der angewöhnung an dasselbe.
From page 294...
... 1923. Norman Kerr memorial lecture on drug addiction.


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