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June 15, 1912


Author Affiliations

Physician in Charge, Department for Inebriety and Other Drug Addictions, and Assistant in Psychiatry, St. Francis Hospital

JAMA. 1912;LVIII(24):1855-1856. doi:10.1001/jama.1912.04260060204010

PITTSBURGH  In this communication I shall touch briefly and somewhat empirically on certain conclusions arrived at as a result of my work with the morphinist. Some of these, I believe, are not generally noted in writings on the subject of drug habit, In dealing with the morphinist, we find an individual very different from the alcoholic. For while we may fall back on the neuropathic constitution to explain many cases of alcoholism, if we attempt to apply the same argument in morphinism it will be found not to work in nearly so many instances. Unlike the poet, the morphinist may be made, not born such; there need be neither special neuropathologic constitution nor hereditary taint. I am inclined to say that some neurotic element is necessary for the evolution of the well-developed inebriate; but this original, native nervous feature is by no means always present in the morphinist; it is

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