“In other words, the establishment of an addiction requires a certain discipline or determination. It is not something that creeps up on your unnoticed or unannounced or all unawares. As a moment’s reflection would suggest to anyone not blinded by self-interest, this fact has important and profound implications for the very concept of treatment, which in effect is metaphorical at best, a masque, veneer, pretense, or charade rather than the thing itself. For it requires as much effort to sustain an addiction, especially to opiates, as to acquire it in the first place” (Dalrymple, Romancing Opiates, p. 18)
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