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Drug Addiction in the Involutional Period: Report of Four Cases

Drug Addiction in the Involutional Period: Report of Four Cases Abstract In four years' experience * with narcotic addicts we have become aware of a particular clinical picture involving drug addiction which seems of sufficient significance and interest from a theoretical and practical standpoint to warrant a short preliminary report. Among those patients routinely admitted to this hospital for the treatment of drug addiction, a certain number have been observed to have the following history and clinical characteristics: These patients, generally men in our experience, are in the involutional age group and have previously made a reasonably acceptable professional or semiprofessional adjustment with satisfactory sustaining interpersonal relationships. Following certain traumatic emotional experiences, in some way involving disruption of this previous pattern, a depressive reaction occurs in which the usual psychological symptoms and physiological concomitants of depression are seen. In the course of development of this clinical picture these persons encounter drugs, generally fortuitously, and utilize them as a defense against their anxiety References 1. U. S. Public Health Service Hospital, Fort Worth, Texas. 2. References 2 through 5. 3. Straus, E. W.: Zur Pathogenese der chronischen Morphinismus , Monatsschr. Psychiat. u. Neurol. 46:1, 1919.Crossref 4. Kolb, L.: Types and Characteristics of Drug Addicts , Ment. Hyg. 9:300-313 ( (April) ) 1925. 5. Kolb, L., and Ossenfort, W. F.: Treatment of Drug Addicts at the Lexington Hospital , South. M. J. 31:914-922 ( (Aug.) ) 1938.Crossref 6. Felix, R. H.: An Appraisal of the Personality Types of the Addict , Am. J. Psychiat. 100:462-467, 1944. 7. Fenichel, O.: Depression and Mania , in the Psychoanalytic Theory of Neuroses , New York, W. W. Norton & Company, Inc., 1945, Chap. 37. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

Drug Addiction in the Involutional Period: Report of Four Cases

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1955.02330110073010
Publisher site
See Article on Publisher Site

Abstract

Abstract In four years' experience * with narcotic addicts we have become aware of a particular clinical picture involving drug addiction which seems of sufficient significance and interest from a theoretical and practical standpoint to warrant a short preliminary report. Among those patients routinely admitted to this hospital for the treatment of drug addiction, a certain number have been observed to have the following history and clinical characteristics: These patients, generally men in our experience, are in the involutional age group and have previously made a reasonably acceptable professional or semiprofessional adjustment with satisfactory sustaining interpersonal relationships. Following certain traumatic emotional experiences, in some way involving disruption of this previous pattern, a depressive reaction occurs in which the usual psychological symptoms and physiological concomitants of depression are seen. In the course of development of this clinical picture these persons encounter drugs, generally fortuitously, and utilize them as a defense against their anxiety References 1. U. S. Public Health Service Hospital, Fort Worth, Texas. 2. References 2 through 5. 3. Straus, E. W.: Zur Pathogenese der chronischen Morphinismus , Monatsschr. Psychiat. u. Neurol. 46:1, 1919.Crossref 4. Kolb, L.: Types and Characteristics of Drug Addicts , Ment. Hyg. 9:300-313 ( (April) ) 1925. 5. Kolb, L., and Ossenfort, W. F.: Treatment of Drug Addicts at the Lexington Hospital , South. M. J. 31:914-922 ( (Aug.) ) 1938.Crossref 6. Felix, R. H.: An Appraisal of the Personality Types of the Addict , Am. J. Psychiat. 100:462-467, 1944. 7. Fenichel, O.: Depression and Mania , in the Psychoanalytic Theory of Neuroses , New York, W. W. Norton & Company, Inc., 1945, Chap. 37.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: May 1, 1955

References