Historical Perspectives of Opiate Use

I find the history of drug use quite fascinating. Here’s a brief history focusing on one class of drug.

Opiate, or opioid, refers to any drug, either natural or synthetic, that has properties similar to opium or its main active ingredient, morphine. Opium comes from one type of poppy, Papaver Somniferum.

Opium was used by the Summarian and Assyrian civilisations as long ago as 4,000 B.C. It is mentioned in Egyptian medical scrolls dating to 1550 B.C. Greek and Roman physicians made medical use of opium. The use of opium spread from the Middle East with the expansion of the Islamic religion. While the Koran forbade use of alcohol and other intoxicants, opium was not banned. When tobacco smoking was banned by a Chinese emperor in 1644, the Chinese invented the practice of opium smoking.

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Reflections on the Lessons of History: Bill White

Slaying the Dragon: The History of Addiction Treatment and Recovery in America by William L. White isn’t just a fascinating and enjoyable read, it has also taught me so much. Bill White’s book, his other writings, and our meeting in the UK in 2009, have been so inspirational for me.

I’m currently trying to write a book about addiction recovery, which includes details of my own journey (experiences, thoughts and emotions) as I learnt about the field and tried to develop an initiative (Wired In) which I hoped would help individuals, families and communities. Writing the book is quite a challenge and I have done a good deal of reflecting, a fair amount of writing, and lots of correcting!

Today, I pulled Slaying the Dragon off one of my bookshelves to read the last parts. I knew they would help inspire me and provide the fuel for more reflections on the structure of my book. It also made me realise that I needed to post the last sections of Bill’s book in a blog because they are so important for all of us working in this field. I hope they help you in your work and in reflecting on what you do. I can strongly recommend purchasing Bill’s amazing book.

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Bill White’s Norman E. Zinberg Memorial Lecture, 2012

Researcher, historian, practitioner and recovery advocate William (Bill) L White has been the most prolific writer in the addiction recovery field. Bill’s fascinating book Slaying the Dragon: The History of Addiction Treatment and Recovery in America is a classic. You can see the Table of Contents here.

As many can testify, Bill is an amazing public speaker. Here is the Norman E. Zinberg Memorial Lecture, Experiencing Recovery, he gave at the Harvard Addiction Conference in 2012. Bill’s lecture is on YouTube, divided into ten parts:

Part 1: Early History of Recovery in the U.S.

Bill describes just how far back recovery goes historically in the US—to Native American Indians in the 1730s! (13’36”)

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The Regulation and Control of Drugs

Throughout history there have been all sorts of attempts to regulate or control the use of certain drugs. It is generally assumed and rarely argued that it is all done for the greatest good, to help reduce the health and social problems caused by drugs. However, a closer look at the origins of prohibition reveals a more complicated picture. Ideological, political and economic interests play a major role.

The earliest form of prohibitionist thought can probably be accredited to an Egyptian Priest who in 2000 BC wrote, ‘I, thy superior, forbid thee to go the taverns. Thou art degraded like the beasts.’

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Historical Perspectives: Opium, Morphine and Opiates

I’ve always been interested in historical perspectives surrounding the use of psychoactive drugs. Drug use, and views about drug use, have not always been the same across time. In April 2005, I wrote the first of a short series on the historical use of opium, morphine and opiates for Drink and Drugs News, the leading UK magazine focused on drug and alcohol treatment.

Here is that first article, along with links to the following two articles. You can also find these articles in my Background Briefings section of Articles on this website.

“Opiate, or opioid, refers to any drug, either natural or synthetic, that has properties similar to opium or its main active ingredient, morphine. Opium comes from one type of poppy, Papaver Somniferum.

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The Regulation and Control of Drugs, Part 1

Describes factors that have influenced the development of laws regulating recreational drug use, in particular influential happenings in America. (912 words)

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Historical Perspectives: Cocaine

Traces the history of cocaine, linking the Incas, Freud, Thomas Edison, Sherlock Holmes and Coca Cola. (880 words)

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Historical Perspectives: Opium, Morphine and Opiates (Part 3)

Concluding a brief history of the opiates by looking at the massive increase in heroin use that occurred in America and the UK during the later parts of the 20th century. (1,012 words)

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Historical Perspectives: Opium, Morphine and Opiates (Part 2)

Continues a brief history of the opiates, which includes describing the different responses of the United States and Britain to opiate problems in the earlier parts of the 19th century. (880 words)

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Historical Perspectives: Opium, Morphine and Opiates (Part 1)

Traces the history of the opiates, from use in Summarian and Assyrian civilisations through to the Opium wars between China and Britain and the cultural impact of opium smoking by Chinese in the Californian gold fields. (915 words)

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‘A Personal Tribute: Ernie Kurtz, 1935 – 2015’ by Bill White

EK Photo 2008‘Ernest Kurtz, who made landmark contributions to the study of addiction recovery, died January 19, 2015 of pancreatic cancer. Following publication of Not-God:  A History of Alcoholics Anonymous in 1979, Kurtz focused his studies on the growing varieties of recovery experience, the healing of shame and guilt, and the role of spirituality in addiction recovery.

 
Ernest Kurtz was born in Rochester, New York, September 9, 1935 – only two months after the meeting of two desperate alcoholics in Akron, Ohio marked the birth of Alcoholics Anonymous.  Kurtz attended St. Bernard’s Seminary and College and was then ordained as a Catholic Priest in 1961.

Following five years of parish work, he began his graduate studies at Harvard University where he completed an M.A. in philosophy and a Ph.D. in the history of American civilization. His Ph.D dissertation on the history of A.A. marked a turning point in the scholarly study of A.A. and the larger arenas of addiction recovery and recovery mutual aid societies, both legitimizing such studies and setting a benchmark by which future studies would be evaluated.

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‘Personal Reflections on Recovery Month 2014’ by Bill White

recovery monthThis month marks the 25th year of what has evolved into National Recovery Month.  With an early focus on the slogan “Treatment Works,” the event took on its recovery focus in 1998 just as new and renewed grassroots recovery community organizations (RCOs) were rising across the U.S.

RCO representatives came together at the 2001 Recovery Summit in St Paul, MN to launch the formal organization of a new recovery advocacy movement under the leadership of Faces and Voices of Recovery.

In the intervening years, Recovery Month celebration events have grown beyond what anyone could have predicted.  Local recovery celebration events that once welcomed a few dozen brave participants grew into the hundreds and then into the thousands.

This month, in community after community, recovering people and their families and allies will fill parks and streets as far as the eyes can see – an ocean of lives touched and transformed by recovery.   More than 450 recovery celebration events are scheduled this month in the U.S. and such events will also transpire around the world – from Vancouver to Cape Town, from Tokyo to London. 

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‘Experiencing Recovery – Part 1’ by William L. White: Early History of Recovery in the US

Last week, I highlighted the fact that a new edition of Bill White’s classic book Slaying the Dragon: The History of Addiction Treatment and Recovery in America has just rolled off the presses. I can tell you that this is one of the best (and most fascinating) books that you will ever read.

To celebrate the ‘rolling of the presses’ and Bill’s remarkable career in the recovery field, I am going to show a talk Bill gave at the Harvard Addiction Conference in 2012, the Norman E. Zinberg Memorial Lecture. I will show one part a day for the next 10 days, taken from Bill’s excellent website.

In the first part, Bill describes shows just how far back recovery goes historically in the US – to Native American Indians in the 1730s!

‘The Year of the Dragon’ by Bill White

SlayingTheDragon_2ndEd_Cover_Reduced_2014-06-19If you are interested in this field, this is quite simply one of the best books you will ever read. Bill, thank you!

‘A new edition of Slaying the Dragon: The History of Addiction Treatment and Recovery in America has just rolled off the presses. The first edition (1998) went through multiple printings and has been used as a text in collegiate addictions studies programs.

Of even greater import has been how this history helped many people in recovery see themselves as “a people” and contributed to the rise of a new recovery advocacy movement in the U.S..

It is ironic with all I have sought to do professionally within the addictions field that my most lasting contribution will likely come from my hobby – four decades of investigating the history of addiction treatment and recovery. It is thus fitting that one of my final acts of professional service will be releasing this new edition.

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Ernie Kurtz on Researching AA History

Excellent film clip about the history of AA. Ernie’s book Not God: A History of Alcoholics Anonymous is a great read. Why not check it out?

Bruce Alexander’s Globalization of Addiction Website

Unknown-1This website is well worth checking out. I really like Bruce Alexander’s ideas. They need reflecting upon.

‘Global society is drowning in addiction to drug use and a thousand other habits. This is because people around the world, rich and poor alike, are being torn from the close ties to family, culture, and traditional spirituality that constituted the normal fabric of life in pre-modern times. This kind of global society subjects people to unrelenting pressures towards individualism and competition, dislocating them from social life.

People adapt to this dislocation by concocting the best substitutes that they can for a sustaining social, cultural and spiritual wholeness, and addiction provides this substitute for more and more of us.

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‘State of the New Recovery Advocacy Movement: Achievements, Part 1’ by Bill White

Unknown-1Bill White seems to be pumping out his writings at the moment. I didn’t think this prolific writer could be even more productive, but I was wrong. Here’s a blog that links to a variety of Bill’s recent writings.

I was particularly interested in Bill’s piece on the state of the new recovery advocacy movement in the US. This is essential reading, so I thought I’d devote some blogs on a multitude of points raised by Bill. Here’s the first:

‘New Recovery Advocacy Movement Achievements
We would not be here today if those at the center of this emerging movement in the late 1990s and early 2000s had not made some very good decisions. I want to record some of the decisions that in retrospect I think were most important.

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‘The Passing of a Pioneer’ by Bill White

“That’s the issue [recovery]: it is not about any of us. It is to keep our eye on the prize, which is what drove most of us into this field in the first place. And that prize is the person who’s in recovery and seeing them grow.” 

David Powell 3Here is a touching obituary of a special person in the recovery field, David Powell PhD. Bill White talks about David’s contribution and highlights his passion, drive and dedication. He also touches upon the pressing issue of finding new  passionate leaders in the recovery field.

‘David Powell, PhD, who recently assumed the position of Assistant Clinical Professor within the Department of Psychiatry at Yale University School of Medicine, is not a person who needs introduction to an audience of addiction professionals and recovery advocates, but some readers may not yet know that David died in a fall at his home on November 1, 2013.

David was ever-present within the addictions field for more than four decades.  His work addressed many frontier issues within the field, but he is probably best known for his pioneering work to enhance the quality of clinical supervision in addiction treatment.  He pushed this agenda through his numerous publications, frenetic presentation schedule and through consultations with leading addiction treatment organizations. 

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‘Telling our stories in ways that make us stronger’ by Barb Wingard

images-1I had a number of pieces of content ready to go on the website, had even organised them in an order. But then I found this powerful piece on Stories. This is an extract from the book Telling our stories in ways that make us stronger by Barb Wingard and Jane Lester (Dulwich Centre Publications, 2001)

‘As Indigenous people of this country, we have faced so many losses due to past and present injustice. Grief’s presence has been with us for a long time. Now we are seeking ways of speaking about Grief that are consistent with our cultural ways of doing things. 

We are remembering those who have died, we are honouring Indigenous spiritual ways, and we are finding ways of grieving that bring us together. We are telling our stories in ways that make us stronger.

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‘Intervention Keeley Style’ by William White

IMG_2494Some Stories are just straight out funny! Whilst working my way through Bill White’s writings on his website, I came across this little gem he wrote in 2004 as part of his History Corner series. The article made me laugh, so I thought I would lighten your day.

‘The most famous and controversial treatment for addiction in the 19th century was Dr. Leslie Keeley’s Bichloride of Gold Cure. Dr. Keeley franchised his cure procedures through more than 120 Keeley Institutes scattered across North American and Europe. These Institutes became the preferred drying out institutions for the rich and famous in the 1890s.

But the problem then (as today) was this: Even where there are financial resources to pay for such treatment, how can the afflicted person be convinced to enter such a treatment institution?

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