Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
278steroid he lias in him we might get some ^vithd^a\Tal effects after usingPerse because we havn't given him enough Perse or we don't give itoften enough. It is true we do get some side effects, residual side effectsof their detoxifying process.Mr. Perito. Doctor, are you concerned about the possible toxic effectsof the selenium in that solution ?Dr. Casriel. Not at all. I never knew what selenium was. Dr. Revicitold me there are four types of selenium. Three are highly fatal inminute dosages. One is completely inert. Of course, he uses the onethat is completely inert. It has no effect on the body. It acts apparentlyas a catalytic agent to the peroxide in Perse, and hydrogen peroxide isan ox3^genizing agent. Perse has a fatty acid base. Dr. Revici's researchfor the last 50 years concerned itself with these fatty acids. This allows'this material to get within the cell.For instance, water doesn't permeate the skin. Fats don't permeatethe skin, but he has developed substances that can permeate the skinand get right into the tissue so that other things such as muscularaches and cramps and arthritis can be relieved directly because he canadd an oxygenizing substance directly to the tissue, wherever he wantsto apply it.So what happens is that when the Perse gets into the cell, the bindingof the selenium to the peroxide is free. The peroxide that wasbound to the selenium is free. The peroxide is then used as an oxygenizingagent, removing the negative oxygen balance and giving theperson a sense of well-being and very frequently the addict will say,"My God, what did you give me? I feel as if I got a fix, my stomachfeels warm and good, my head feels clear, my head feels clear.'*"What kind of drug are you giving me because suddenly I feel asif I got a fix, except my head stays clear and I didn't get any highand I didn't go on the high, but my stomach feels good and I feelas if I had a iix, except I don't have any side effects of having a fix."Mr. Perito. It is a feeling of normality ?Dr. Casriel. Yes ; Feeling of normality ; saying, "I haven't felt likethis since before I shot dope," is normal.Now, the interesting thing with the physicological addiction is thatthe body responds in a nonspecific way to several things, so that notonly will the body develop a steroid in defense of the" alkaloid thatyou inject, but frequently a hot bath or hot shower will cause a steroiddevelopment.I remember when I was medical superintendent of Daytop, on Saturdaynight the residents would take a hot bath or hot shower, getdressed, and would split out the door, I never could figure out whythey used to leave on Saturday night after they were all cleaned anddressed up. I figured some of them were afraid of the visitors, or sincethey are dressed up, they might as well leave, or it is Saturday nightand they remember how it used to be on Saturday night. I ani beginningto realize one of the reasons they would split is because that iswhen they took their hot baths or hot showers. A person who has beenphysiologically clean by cold turkey procedures can, under certaincircumstances such as a hot bath, develop a craving again as if he hadneed of addiction.Mr. Perito. Doctor, I would like you to clarify something: Thecommittee has heard some testimony in the past that there are primary
279and secondary withdrawal syndromes. Would you care to commenton this phenomena, if such syndromes are, in fact, recognized byclinicians treating: addicts ?Dr. Casriel. That is probably 99 percent psychological. However,it is theoretically possible that he might have had a hot bath, or itis theoretically joossible he is under tension. When I get tense my"fix" is to go to the Caribbean for a week. Other people's fix is to havea scotch and soda. Other people play a good game of golf or tennis.The addict, with his psychological memory, says, "'V\nien I feellike this I want a good shot of dope." Perse is not going to cure theaddict, it is going to resolve his addiction and keep it, certainly,within manageable results, because on a psychological theoretical level,every addict w^ould rather get high on a $5 bag than remain addicted,spending $100 a day. He would not have to be addicted, therefore theamount of crime that he has to commit will be tremendously reducedbecause he worit need $100 to get a reaction to his heroin.So certainly this can remove the crime tremendously. However, IAvish to go on record as very strongly suggesting to the committeethat the person who had been addicted is in tremendous need of psychologicalretraining and retreatment.I also want to tell you as a psychiatrist that our classical means oftreating are completely ineffectual when it comes to the treatment ofa psychological addict, or as a matter of fact, the psychological delinquent,the criminal, and so forth and so on.In the past 10 years we have developed a new process which hasgotten tremendously favorable results. In AEEBA nine out of 10people that come in stay. I expect that those that stay will be well,psychologically well; emotionally, behaviorally, and attitudinally reeducated,and if necessary reeducated morally, educationally, andsocially.The treatment process is a reeducation of that human being in affairsof his thinking, feeling, and behavior. This takes time, and themedical profession is not yet geared to this type of treatment. Butv\'e can buy the time with Perse to train and retrain the professionalarmy of psychologists and psychiatrists and social workers to trulyrehabilitate the human being, because heroin or methadone is onlyone chemical. These kids that are on methadone maintenance, I haveseen them on cocaine maintenance, barbituate maintenance, and delinquencymaintenance.If you think giving them methadone is going to remove the problem,it is going to give you an additional problem.One of the big problems you are going to get is amphetamine andcocaine. Cocaine especially because methadone doesn't stop them fromenjoying cocaine, and cocaine is a much more dangerous drug thanheroin is. So are amphetamines and, of course, so is LSD.But at least we now have a chemical that is nonaddicting, that isnontoxic in any way, that will remove the addictive phenomena. Also,by the way, work for barbiturate addiction and alcoholic addiction.It can sober up the alcoholic as it does the narcotics addict and alsosober up the barbiturate or a person in a barbiturate coma the samewav.I, for the life of me, can't understand why they have been draggingtheir feet on this chemical.
- Page 240 and 241: ,clinic;?,>•
- Page 242 and 243: 230I realize we are running late.Do
- Page 244 and 245: ''232'']Vir. Winn. Tiien you mentio
- Page 246 and 247: 234So having put it in the area, ha
- Page 248 and 249: ,Memberships'—i236privilege of co
- Page 250 and 251: ;238A central hypothermic response
- Page 252 and 253: ;240South Bronx, Bedford-Stuyvesant
- Page 254 and 255: 242€are of patient addicts. We ha
- Page 256 and 257: 244hospitals in the city, came into
- Page 258 and 259: 246that came into my office, and I
- Page 260 and 261: 'Mr.;>•/nmo'.i,,;248deputy commis
- Page 262 and 263: :250two Rockefeller Institute physi
- Page 264 and 265: :252during pliase II that serious e
- Page 266 and 267: 254well-structured methadone mainte
- Page 268 and 269: ;:256nonsense and serves only to ad
- Page 270 and 271: :258you best complete your statemen
- Page 272 and 273: 260Mr. Pertto. Based upon your expe
- Page 274 and 275: 262A a'reat case in point was a con
- Page 276 and 277: «264Mr. Steiger. Did you discuss w
- Page 278 and 279: —:266Mr. HoRAN. We don't support
- Page 280 and 281: 268Mr. Horan, let's back up a littl
- Page 282 and 283: 270It is not up to heroin or morphi
- Page 284 and 285: 272nesses yesterday who brought out
- Page 286 and 287: 274;Mr. Perito. It is my understand
- Page 288 and 289: 276So that at the end of the week t
- Page 292 and 293: 280Mr. Perito. You are referriii"'
- Page 294 and 295: 282not drug free. I can say approxi
- Page 296 and 297: 28 A$2-a-day habit these individual
- Page 298 and 299: •As286I got to the point once in
- Page 300 and 301: 288Mr. Steiger. You mentioned anoxi
- Page 302 and 303: 290Mr. Eangel. I could see then tha
- Page 304 and 305: 292Dr. Casriel. Mr. Keating, I have
- Page 306 and 307: j294What period of time are ^ve tal
- Page 308 and 309: 296was March of 1970—he was admit
- Page 310 and 311: 298"The paper by Dole and Nyswander
- Page 312 and 313: :300vent them from coming to New Yo
- Page 314 and 315: 302[Exhibit No.14(b)]Casriel Instit
- Page 316 and 317: 304to result from the insuflScient
- Page 318 and 319: 306It is this role of the intervent
- Page 320 and 321: 308EESULTSStudies concerning tlie p
- Page 322 and 323: 310The method derives from a specia
- Page 324 and 325: 312Why is this happening? What need
- Page 326 and 327: m)effective with uncured alcoholics
- Page 328 and 329: I316Casriel, who is medical-psychia
- Page 330 and 331: 318resort to heroin. One must not f
- Page 332 and 333: .320in Permanent Cure of Narcotic A
- Page 334 and 335: 322!(4) '-Modification of Adaptatio
- Page 336 and 337: 324sections of the country, all sor
- Page 338 and 339: ;Mr.Pertto.niuch,I?,Mr. Peritq. Tha
278steroid he lias in him we might get some ^vithd^a\Tal effects after usingPerse because we havn't given him enough Perse or we don't give itoften enough. It is true we do get some side effects, residual side effectsof their detoxifying process.Mr. Perito. Doctor, are you concerned about the possible toxic effectsof the selenium in that solution ?Dr. Casriel. Not at all. I never knew what selenium was. Dr. Revicitold me there are four types of selenium. Three are highly fatal inminute dosages. One is completely inert. Of course, he uses the onethat is completely inert. It has no effect on the body. It acts apparentlyas a catalytic agent to the peroxide in Perse, <strong>and</strong> hydrogen peroxide isan ox3^genizing agent. Perse has a fatty acid base. Dr. Revici's <strong>research</strong>for the last 50 years concerned itself with these fatty acids. This allows'this material to get within the cell.For instance, water doesn't permeate the skin. Fats don't permeatethe skin, but he has developed substances that can permeate the skin<strong>and</strong> get right into the tissue so that other things such as muscularaches <strong>and</strong> cramps <strong>and</strong> arthritis can be relieved directly because he canadd an oxygenizing substance directly to the tissue, wherever he wantsto apply it.So what happens is that when the Perse gets into the cell, the bindingof the selenium to the peroxide is free. The peroxide that wasbound to the selenium is free. The peroxide is then used as an oxygenizingagent, removing the negative oxygen balance <strong>and</strong> giving theperson a sense of well-being <strong>and</strong> very frequently the addict will say,"My God, what did you give me? I feel as if I got a fix, my stomachfeels warm <strong>and</strong> good, my head feels clear, my head feels clear.'*"What kind of drug are you giving me because suddenly I feel asif I got a fix, except my head stays clear <strong>and</strong> I didn't get any high<strong>and</strong> I didn't go on the high, but my stomach feels good <strong>and</strong> I feelas if I had a iix, except I don't have any side effects of having a fix."Mr. Perito. It is a feeling of normality ?Dr. Casriel. Yes ; Feeling of normality ; saying, "I haven't felt likethis since before I shot dope," is normal.Now, the interesting thing with the physicological addiction is thatthe body responds in a nonspecific way to several things, so that notonly will the body develop a steroid in defense of the" alkaloid thatyou inject, but frequently a hot bath or hot shower will cause a steroiddevelopment.I remember when I was medical superintendent of Daytop, on Saturdaynight the residents would take a hot bath or hot shower, getdressed, <strong>and</strong> would split out the door, I never could figure out whythey used to leave on Saturday night after they were all cleaned <strong>and</strong>dressed up. I figured some of them were afraid of the visitors, or sincethey are dressed up, they might as well leave, or it is Saturday night<strong>and</strong> they remember how it used to be on Saturday night. I ani beginningto realize one of the reasons they would split is because that iswhen they took their hot baths or hot showers. A person who has beenphysiologically clean by cold turkey procedures can, under certaincircumstances such as a hot bath, develop a craving again as if he hadneed of addiction.Mr. Perito. Doctor, I would like you to clarify something: Thecommittee has heard some testimony in the past that there are primary
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