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DRUG
USE EDUCATION IS MEDICAL TRAINING:
It's
NOT About Teaching Kids How to Roll A Joint.
It's
About Bringing Students Into Hospitals to Learn
When I was 19, I spent several days
with a family who came from France to live in Montreal. The first
day of my visit, I was introduced to a bright 5-year old boy named Yanick.
At dinner time Yanick joined the rest of us at the table. Everyone
filled up their wine glasses from three or four bottles of red table
wine. Then I saw the father pour wine in Yanick's glass.
"Isn't he too young to drink
that?" I asked, forgetting that this was a different culture.
Yanick's father laughed along with
the others. "You Americans," he said with a thick French
accent, "the reason why you have such a problem with alcoholism in
your country is because you don't teach your children how to drink."
Is Yanick's father is right? Here's
the answer: 1) There are valid studies
which show that restriction and denial are the foundation of drug misuse.
2) Others feel that exposure to alcohol at a young age leads to drug
addiction, but there is no uniform evidence that indicates this is
correct. If this were true, then alcoholism would be rampant in
France. Thus, Yanick's father is right. But there's another
part to this answer. It's not what is taught to a child, but
rather how that child is taught that factors into the child's
future.
In Yanick's household, wine is served
with dinner only. The only time the wine is consumed is during
dinner at the dinner table. Once the portion of wine is consumed,
there is no second glass for Yanick. The guests are offered a second
glass first and if there is any remaining, it is corked for the next
dinner. No one would ever think of coming to the kitchen cupboard in
the middle of the night to drink the wine, it's just not done. As for
other alcoholic beverages, they are not consumed by Yanick's family.
His uncle goes to nightclubs with a girlfriend, but they rarely
drink. Instead, they will smoke hashish and use other drugs that are
more sociable.
People in the US often blame Puritanical
roots as the underlying cause of rigidity towards substances. But
the Puritans have had less impact on our current culture than many
realize. Advertising has had an enormous effect on the drug
culture. To increase product sales, cigarettes and alcohol have been
sold as a sport unto themselves in the US. Ironically, in the 1960s
television sitcom, Bewitched, martinis were the solution to every problem
where witchcraft was evaded. In the 1930s and 1940s, cigarettes were
glamorized. I don't know of any smoker who can make it through Now
Voyager without lighting up a cigarette. When one airline ran the
the movie on their flights, there were so many complaints about smoke in
the bathroom that the airline had to pull the movie and show something
else. Certainly, Vivian Leigh will never win a posthumous award as a film
star most appreciated by the American Lung Association.
Generations of cigarette smokers learned to misuse and abuse nicotine from
watching movies. The difference between cigarettes and
methamphetamine or even heroin is not really all that great, morally
cigarettes have been acceptable for centuries, but chemically they can
cause more damage than methamphetamine, cocaine, cannibas, and heroin
combined. Yet society has grandfathered cigarettes while closing the
gate on others. So far, we as society, have either taught our people
wrong (cigarettes) or not at all (methamphetamine). We have failed
with each approach. What we have never done is to teach the right
approach to administer drugs. We never teach youth or the public at
large how to drink a cocktail or smoke a cigarette. These are drugs
too, and they should be used as such.
Drug use education is a program that
neutralizes any glamour associated with psychostimulants to provide a
scientific and clinical approach to drug use. It stresses the
importance of precalculating doses prior to usage in order to avoid
accidental overdosing after the psychostimulant takes effect. It
establishes the need for a uniform approach to drug use that is not in
place today. It cites an undefined but massive industry that could
be developed which focuses on ways to unlock controlled substances and
make them more accessible to the public but in regulated quantities that
averts abuse. This might consist of physician regulated hardware
storage devices that dispense medication through some time-controlled
mechanism that is easy and cheap to manufacture but durable to avert
tampering. As an example, this device might be regulated to dispense
two 10mg desoxyn tablet per day. Anyone who tampers with the device
could face serious fines. What this will do will allow those
individuals who need the medication access to controlled substances that
is unattainable today.
There is really just a small segment of
society that that might feel the need for such precautions, however, we
can educate the public all we want, when under the influence, everyone
is effected.
Drug use education unto itself, is a
model stand alone program with boundaries that can be stretched in any
direction by lawmakers, but the basic premise is to stop abuse,
eliminate the need for controlled substances, deregulate physicians and
the healthcare industry and reduce the black market out of existence
simply by decreasing demand. Regardless whether we begin to
implement such a program now or later, it is the only logical course of
action in a chemical society. As an example of an illogical
approach we would tamper with brain mechanisms or genetics that we are
not prepared to do. Thus, Drug Use Education is the simplest and least
costly option we will have to control chemical substances and still make
them available for physicians to prescribe without jeopardizing their
careers.
The recommendation here is that DUE be
used as part of an overall campaign to change the attitude of drugs to
something more positive. To accomplish this, I am proposing the
adoption of a model I call the Pro-Positive Drug Education approach that
inserts Drug Use Education as part of a prevention routine and includes
Harm Reduction for those who are beyond the grasp of
prevention.
We live in a society of chemical
substances and computer technology. We teach our youth everything
there is to
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THE
"GATEWAY" DRUG
The
concept of a "gateway" drug that leads to "harder"
drugs is a very misleading theory. For example, aspirin could be
considered a gateway drug since it is typically the first line of remedy
treatment that the average person might use, leading to other, more
powerful prescription medication. In other words, once you've used
aspirin, it's likely that you will go onto using other medications.
The important point to remember here is that aspirin is used by people who
don't have any experience with healthcare or medicine. When we give people
the power to take over the counter medications without any training, we
are giving them carte blanche to extract any pill from any bottle and do
the same. This is why PPDE is required at an age early enough to
enforce prevention.
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