I was having an interesting conversation with Jamie Irons over at Roger Simon's.
When I was a second year medical student I had an memorable encounter with a heroin addict. "Doc," he asked me, doing me the favor of pretending I was a real doctor already, "Do you know how to tell when an addict is lying?"Here is my reply:
"No," I replied, honestly and innocently enough.
"His lips are moving."
Why do addicts have to lie in America?
Why did Jews have to lie in Germany?
The lying is not a function of the drugs. It is a function of the persecution. The above refrenced url goes into a study on the parallels of Jews in Germany and drug users in America.
Why do addicts lie? Because pain relief is more valuable to them than truth. Severe aversion to pain is not unknown. It is the basis of torture.
Now I do believe intervention may be able to cut months off the cycle by introducing drug reductions as the pain recedes. However, trying to get an "addict" to quit before the pain dies down is hopeless. It is in effect a form of torture. And in the places in medicine where pain is recognized, it is considered a form of malpractice to under treat pain.
Did you know that according to the latest DEA reports that it is impossible to tell those in "real pain" from the "addicts" just by their drug seeking behaviors? People in "real pain" will lie and doctor shop to get relief. Just like addicts.
The DEA pdf on pain relief.
or this faster loading review.
Stressed soldiers to be treated with cannabis