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首页> 外文期刊>Drugs: education, prevention, and policy >Comment on 'What are drug users looking for when they contact drug services: Abstinence or harm reduction?'by Neil McKeganey, Zoe Morris, Joanne Neal,& Michele Robertson
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Comment on 'What are drug users looking for when they contact drug services: Abstinence or harm reduction?'by Neil McKeganey, Zoe Morris, Joanne Neal,& Michele Robertson

机译：评论'在联系药物服务时寻找什么吸毒者：禁欲或减少伤害？'由Neil Mckeganey，Zoe Morris，Joanne Neal，＆Michele Robertson

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As the title of their paper makes clear, McKeganey, Morris, Neal & Robertson (2004) draw a distinction between drug services aimed at abstinence, and those geared towards 'harm reduction.' With respect both to the goals of patients and the practice of providers, this is a false dichotomy.Reduction of harm is the fundamental objective of the response to all chronic illnesses. And so it is with opiate addiction. Whether the primary modality employed involves opiate agonist medication, individual or group counseling, or provision of facilities and equipment for safer injection, the aim is to reduce morbidity and mortality. Harm reduction, both as concept and practice, is totally compatible with 'treatment', and treatment-including 'maintenance' with opiate agonist medication-is completely consistent with the ultimate goal of achieving abstinence from all drugs and medications, legal and illegal. The results of this study demonstrate this point quite dramatically: almost 80% of respondents receiving methadone treatment identified abstinence as an 'aspiration'. Furthermore, while no data bearing on the question are reported here, it is entirely possible that the prescribing of methadone is more successful in attaining lasting abstinence than are drug-free modalities.
机译：由于其论文的标题明确，麦克奈，莫里斯，尼尔·罗伯逊（2004）在禁止禁止的药物服务和减少损害的人之间建立了区别。尊重患者的目标和提供者的做法，这是一个虚假的二分法。危害的推出是对所有慢性疾病的反应的基本目标。而且它是与鸦片成瘾。使用的主要方式是否涉及阿片激动剂药物药物，个人或团体咨询，或提供更安全注入的设施和设备，目的是降低发病率和死亡率。减少损害，既有概念和实践，也与“治疗”完全相容，并与阿片激动剂药物治疗的治疗 - 包括“维护” - 完全一致地与从所有毒品和药物，法律和非法的禁止造成禁止的最终目标。本研究结果表明这一点非常显着：接受美沙酮治疗的近80％的受访者认为禁欲是一种“抱负”。此外，虽然在此报告了问题上没有数据的数据，但完全有可能在获得持久的禁欲方面比无毒方式更具成功。

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