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Oct 10, 15:30 (Hits: 538) -- Comments: (3)
 

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All drug abusers have a ‘personality disorder’ Print E-mail
Written by -- Jeannette Paterson
Prince George
  
Tuesday, 22 July 2008
Re: Start with needles and clean up downtown (Bruce Strachan column July 17).
I, like so many others, have witnessed and written about the downtown drug scene and the harm it does to our city.
Therefore, I was glad to read Bruce Strachan's column in the July 17 Citizen calling for a concrete commitment by our politicians to seek tough solutions to the never-ending problem of George Street and environs.
The current issue of the B.C. Medical Journal features an article by a Dr. David J. Brant, at one time the clinical director of the Narcotic Addiction Foundation. This article is aimed at the Insite project in Vancouver, but applies just as easily to our harm reduction approach.
Medically speaking, Dr. Brant's opinion is that all drug-abusing persons, regardless of what drug, demonstrate a personality disorder. Heroin addicts are regarded as having a sociopathic personality disorder. It is his opinion that there is no easy treatment, but "behavioral modification" can produce results, although it is always "intense, protracted, and one-on-one". And it is his opinion that very few addiction-treatment personnel understand that methadone is meant solely to take the edge off withdrawal symptoms, as opposed to replacing the drug of choice.
Finally, Dr. Brant quotes one of his mentors, a medical director at the psychiatric hospital in North Battleford, Saskatchewan, who observed that all personality disorders are characterized by a failure to mature, or " grow up."
I have no doubt that there are many arguments, pro and con, to Dr. Brant's opinion, and not being a medical person, I cannot speak with any authority. But common sense tells me that a needle exchange, which allows addicts to continue to shoot up their drug of choice has no element of demanding personal responsibility. Rather, it falls upon all the non-addicted population of Prince George to assume responsibility, be it financial or otherwise, for the sake of harm reduction.
Unfortunately, harm reduction only applies to those who are not expected to assume responsibility, but does not apply to the community as a whole. There is something inherently wrong with this equation.
-- Jeannette Paterson
Prince George
Comments (3)add
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written by BDL , July 23, 2008 (05:56:01 AM)
What is wrong with the equation is that Ms. Paterson completely leaves out and ignores the single most important reason for providing clean needles to those using them. It is primarily to control the spread of HIV/AIDS.

Surely Ms. Paterson would not be in favour of increasing the incidence of HIV/AIDS in Prince George, would she? Providing clean, sterile needles ensures that those at risk of contracting this disease through shared needles are kept safe from it, and at minimal cost, too.

Society does have a duty to do what it can to keep at-risk populations safe, that is why we have maternity programs, child vaccination programs, stop smoking programs, alcohol recovery programs etc, all at public expense. It is in societies self-interest to take care of these things at public expense in order to increase the protection and safety of society at large. Thus we have a needle exchange. How does it differ from those other things in intent and consequence. We are all a little safer because of it.
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written by SensGirl , July 23, 2008 (08:04:40 AM)
I don't see why everyone is complaining so much because you are not going to be able to wave a magic wand and make it go away. Homelessness and drug addicts are in every community and if there was a solution it would have gone away years ago. It would be a huge mistake to get rid of the needle exchange. I would rather drug users use clean needles as well as have a place to safely dispose of the needles. Just think how littered our streets would be of needles without it.

The main point of the needle exchange is to reduce the spread of HIV/AIDS, like BDL stated. It could spread quickly too. Just think: the drug user shoots up with a dirty needle, contracts HIV, goes to the corner and prostitutes herself for more drugs, doesn't use a condom or it breaks, the john contracts HIV and takes it home to his wife/girlfriend/one night stand. Or passes it onto the next prostitute who then passes it onto the next john.

Just a thought....
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written by ccurle01 , July 23, 2008 (12:11:32 PM)
Both of you have great points.

On top of everything they have just stated, a needle exchage does not provide just clean needles. From what I understand they have a trained professional that will come in and give women the much needed papsmire, they provide condoms for those who work the streets, and they provide information about dieases. What we also have to understand is it is not just the drug abusers who use these facilities, a person who has HIV and cannot afford to go to the hospital to get their shot is also a type of person who can use these facilities. Or a person who has dietbeaties and cannot afford the needles they need to take an incline shot.

Expand your minds a little bit more to those who are below the poverty line and cannot afford some of the necessities they may need to live.
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