Fitting Different Treatment Modes to Patterns of Drug Use

  • Gerald J. McKenna


Professionals dealing with individuals who manifest problems of addiction, alcoholism, criminal behavior, and impulsive behavior have, in general, attempted to seek denominators common to all of these problems. This approach often leads to the creation of a mental set that can severely limit further exploration and critical thinking by therapists or counselors. Whether we care to admit it or not, terms such as “addict,” “alcoholic,” or “criminal” arouse mental images that have been reinforced over time by several factors: social attitudes toward deviant behavior, media presentation of individuals or groups manifesting impulsive behavior, and personal contact or experience of both professionals and lay persons with these individuals. By recognizing that we hold these stereotypic images and attitudes, at least at some level, we can progress beyond our own prejudice and engage in more objective, discriminate thinking about the relevant factors in assessing the behavior patterns of a particular individual.


Criminal Behavior Impulsive Behavior Methadone Maintenance Psychotropic Agent Drug Treatment Program 
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  1. Benvenuto, J. and Bourne, P.G. 1975. The Federal polydrug abuse project: Initial report. J. Psychedelic Drugs, Vol. 7, No. 2.Google Scholar
  2. Burglass, M. and Duffy, M.G. 1974. Thresholds Teacher’s Manual. Cambridge, Mass.: Correctional Solutions Foundation, Inc.Google Scholar
  3. McKenna, G.J. 1977. The rug/alcohol/psychiatry interface. Proceedings of the Third National Drug Abuse Conference. New York: Marcel-Dekker, Inc.Google Scholar
  4. McKenna, G.J., Fisch, A., Levine, M., Patch, V., and Raynes, A. 1973. The use of methadone as a psychotropic agent. Proceedings of the Fifth National Methadone Conference, Washington, D.C.Google Scholar
  5. McKenna, G.J. and Khantzian, E.J. Diagnosis and management of acute drug problems. Internatl. J. of Addictions (in press).Google Scholar
  6. McKenna, G.J. and Mirin, S. 1973. Drug use in Southeast Asia: A situational response. Presented at the Ameri- can Psychiatric Association Annual Meeting, Honolulu, Hawaii.Google Scholar
  7. Mirin, S. and McKenna, G.J. 1975. Adjustment in the combat zone: The role of marijuana use. Military Medicine, Vol. 104.Google Scholar
  8. Robins, L.N. 1973. The Vietnam drug user returns. Special Action Office Monograph, Series A., No. 2, Washington, D.C.: U.S. Govt. Printing Office.Google Scholar
  9. Senay, E. 1976. Personal communication.Google Scholar
  10. Weissman, M.M., Slobetz, F., Prusoff, B., Mezritz, M., and Howard, P. 1976. Clinical depression among narcotics addicts maintained on methadone in the community. Am. J. Psychiat., 133, 1434–1438.Google Scholar
  11. Woody, G.E., O’Brien, C.P., and Rickels, K. 1975. Depression and anxiety in heroin addicts: A placebo-controlled study of doxepin in combination with methadone. Am. Psychiat., 132, 447–450.Google Scholar

Copyright information

© Plenum Press, New York 1979

Authors and Affiliations

  • Gerald J. McKenna
    • 1
  1. 1.Harvard Medical School at The Cambridge HospitalCambridgeUSA

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