title: Doctors, lies and the addiction bureaucracy.
abstract: Almost everything you know about heroin addiction is wrong. Not only is it wrong, but it is obviously wrong. Heroin is not highly addictive; withdrawal from it is not medically serious; addicts do not become criminals to feed their habit; addicts do not need any medical assistance to stop taking heroin; and contrary to received wisdom, heroin addiction most certainly is a moral or spiritual problem. A literary tradition dating back to De Quincey and Coleridge, and continuing up to the deeply sociopathic William Burroughs and beyond, has misled all Western societies for generations about the nature of heroin addiction. These writers' self-dramatizing and dishonest accounts of their own addiction have been accepted uncritically, and have been more influential by far in forming public attitudes than the whole of pharmacological science. As a result, a self-serving, self-perpetuating and completely useless medical bureaucracy has been set up to deal with the problem.
authors.affiliation: christine.rivett-carnac@lshtm.ac.uk
authors.forename: Theodore
authors.initials: T
authors.lastname: Dalrymple
mesh_terms: D008192:Deception; D006556:Heroin Dependence; D006801:Humans; D010820:Physicians