EDWIN LOPES

Organisation: Centro de Estudos da Profilaxia da Droga / Ctre Regional Norte

Titre: The treatment by narcotic substitute is justified through the epistemophilic function of the addictivity.

The opioid drug addictivity, particularly to heroin has to be assumed as a condition with chronic caracteristics and the final way out of comsumption passes through frequent and time again relapses.

The structural disturbances in the maturational affective realm of archaic matrix of the drug addicts even the "hard core" is not dissimilar of other psychopathologies. It is recognized that the epistemic drive is stimulated by the object relation quality enforcing the pre-genital mechanisms, notoriously, projective identification, splitting and denial.

The distinction basically is in the "acting out" as these patients try with the drug to load the suffering self damaged self in a duplication of the properties and affects of the substances used.

To prevent this type of repetion compulsion the opiate agonists through the blockage action of all opioid type of drugs at the micron receptors eliminate the craving and pleasure thoughts (facilitating, think/thoughts and supresse the euphoric and ectstasic sensations.

A model is possible, that circunscrives a philosophy which strongly emphasizes that the function of administrating a narcotic agonist that can be utilized as a tool in order to allow the restauration of a psychological life through a working relationship aiming for the organization of a positive social life.