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Methadone Maintenance

Methadone Maintenance To the Editor.— Once again, Vincent Dole's wisdom and prescience has been heard (235:217-219,1976). In condemning the bureaucratization of the pharmacologic strategy of methadone maintenance, he has (and I'm sure with much personal sadness) shown how stultifying regulations can pervert a humane treatment concept. Dr Dole has always understood methadone's limitations and hazards. Never had he, nor for that matter, most of the early workers in the field, claimed a panacea was discovered. He points out that the regulations now in force lead to a pseudoprofessionalism; consequently, the zeal of pioneering has been lost, the fear of censure and liability has invidiously arrived, and those of us who worked in the earlier times have despaired and left the field. Pavlov and Skinner taught us that responses can be conditioned by a loop of stimulus and behavior. What boggles the mind is that the law enforcement people behave as though what http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Methadone Maintenance

Maslansky, Robert A.
JAMA , Volume 236 (13) – Sep 27, 1976
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Methadone Maintenance

Abstract



To the Editor.—
Once again, Vincent Dole's wisdom and prescience has been heard (235:217-219,1976). In condemning the bureaucratization of the pharmacologic strategy of methadone maintenance, he has (and I'm sure with much personal sadness) shown how stultifying regulations can pervert a humane treatment concept. Dr Dole has always understood methadone's limitations and hazards. Never had he, nor for that matter, most of the early workers in the field, claimed a panacea...
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Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1976.03270140018010
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— Once again, Vincent Dole's wisdom and prescience has been heard (235:217-219,1976). In condemning the bureaucratization of the pharmacologic strategy of methadone maintenance, he has (and I'm sure with much personal sadness) shown how stultifying regulations can pervert a humane treatment concept. Dr Dole has always understood methadone's limitations and hazards. Never had he, nor for that matter, most of the early workers in the field, claimed a panacea was discovered. He points out that the regulations now in force lead to a pseudoprofessionalism; consequently, the zeal of pioneering has been lost, the fear of censure and liability has invidiously arrived, and those of us who worked in the earlier times have despaired and left the field. Pavlov and Skinner taught us that responses can be conditioned by a loop of stimulus and behavior. What boggles the mind is that the law enforcement people behave as though what

Journal

JAMA – American Medical Association

Published: Sep 27, 1976

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