JAMA 100 Years Ago Section Editor:
Jennifer Reiling, Assistant Editor.
The Lancet, August 10.
On the Physiologic Cure of the Morphia Habit.
W. OSCAR JENNINGS.—The author claims that before the publication of
his little work in 1890 there existed no treatment of the morphia craving
founded on therapeutic indications. His first observations were made in his
own case and he has had opportunity of verifying these during the last ten
years. He remarks that there are many persons who lack the will power to carry
out the treatment alone. There are others who want to get well and have no
real craving that prevents them, but are suffering from hysteric neuro-mimetic
craving. In these cases great tact is necessary. Such patients should never
know how much morphin they are taking or what other agents are being administered.
The symptoms, though really distressing, are entirely ideal. If a patient
is seriously desirous of giving up, he should commence by renouncing all liberty
of action during the treatment, give up his syringe and his solution and be
guarded against all temptation. When the morphin is associated with some other
addiction, the first thing is to suppress the other stimulant, whatever it
may be. This is not difficult if it be alcohol or cocain. The quantity of
morphin taken becomes more satisfactory instead of being antidoted, as it
were, by the other stimulant when they were taken together.
CURRENT MEDICAL LITERATURE.. JAMA. 2001;286(11):1289. doi:10.1001/jama.286.11.1289