{"id":17501,"date":"2020-12-01T09:55:01","date_gmt":"2020-12-01T08:55:01","guid":{"rendered":"https:\/\/dirkvanbabylon.com\/?p=17501"},"modified":"2026-08-24T10:03:26","modified_gmt":"2026-08-24T08:03:26","slug":"addiction-carriere","status":"publish","type":"post","link":"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-carriere\/","title":{"rendered":"Addiction : carri\u00e8re"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">En tant que m\u00e9decin g\u00e9n\u00e9raliste ind\u00e9pendant exer\u00e7ant en profession lib\u00e9rale, je propose mes services dans mon propre cabinet, situ\u00e9 en plein centre de Bruxelles. Entour\u00e9s d\u2019une vingtaine d\u2019h\u00f4pitaux dans les environs imm\u00e9diats et d\u2019innombrables polycliniques, nous sommes, en tant que premi\u00e8re ligne, indispensables \u00e0 la population du quartier. Ma carri\u00e8re couvre quarante ann\u00e9es lorsque j\u2019\u00e9cris ces lignes en 2020, en toute modestie. Dipl\u00f4m\u00e9 en 1981, j\u2019ai imm\u00e9diatement commenc\u00e9 \u00e0 travailler comme m\u00e9decin g\u00e9n\u00e9raliste \u00e0 Bruxelles, un choix d\u00e9lib\u00e9r\u00e9 pour ces deux \u00e9l\u00e9ments : les soins de sant\u00e9 de premi\u00e8re ligne dans la capitale.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00c0 l\u2019\u00e9poque, cela n\u2019allait pas de soi. Pour de nombreux Flamands, la r\u00e9gion de la capitale \u00e9tait une sorte de <\/span><i><span style=\"font-weight: 400;\">Sodome et Gomorrhe<\/span><\/i><span style=\"font-weight: 400;\">, o\u00f9 r\u00e9gnaient la luxure et la d\u00e9cadence. Jeune m\u00e9decin, j\u2019ai p\u00e9n\u00e9tr\u00e9 dans un monde o\u00f9 toutes les langues, toutes les cultures et toutes les convictions se m\u00ealaient en un joyeux chaos. Je me suis rapidement rendu compte que l\u2019usage de substances y \u00e9tait \u00e9galement tr\u00e8s pr\u00e9sent, aussi bien dans le cabinet que dans la vraie vie.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Le monde souterrain de la drogue et de l\u2019addiction faisait travailler l\u2019imagination, peut-\u00eatre parce que je fumais et buvais moi-m\u00eame, comme \u00e0 peu pr\u00e8s tout le monde \u00e0 cette \u00e9poque. C\u2019est simplement pour dire que je ne suis pas exempt de p\u00e9ch\u00e9s et que je n\u2019ai donc pas l\u2019intention de faire la morale. Cela a d\u00fb me fasciner tr\u00e8s t\u00f4t, m\u00eame si je ne sais pas exactement pourquoi. \u00c9l\u00e8ve dans un coll\u00e8ge j\u00e9suite de Flandre-Orientale, j\u2019ai donn\u00e9 \u00e0 plusieurs reprises un expos\u00e9 sur les drogues. Nous parlons alors des ann\u00e9es soixante-dix du si\u00e8cle dernier.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fumer et boire \u00e9taient des choses normales, mais un climat r\u00e9pressif r\u00e9gnait \u00e0 l\u2019\u00e9gard des usagers de substances interdites, ainsi qu\u2019\u00e0 l\u2019encontre des m\u00e9decins qui prescrivaient des stup\u00e9fiants. Ainsi, dans les ann\u00e9es quatre-vingt, plusieurs m\u00e9decins se retrouv\u00e8rent en prison pour avoir prescrit des d\u00e9riv\u00e9s de la morphine afin de remplacer l\u2019h\u00e9ro\u00efne. C\u2019est dire le climat qui r\u00e9gnait \u00e0 l\u2019\u00e9poque.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">En tant que m\u00e9decins g\u00e9n\u00e9ralistes, nous ne pouvions pas faire grand-chose pour les usagers d\u2019h\u00e9ro\u00efne qui faisaient appel \u00e0 nos services durant ces ann\u00e9es-l\u00e0. Nous \u00e9tions impuissants. Puis, dans les ann\u00e9es quatre-vingt, l\u2019\u00e9pid\u00e9mie de sida est venue s\u2019ajouter \u00e0 cela, les usagers de drogues y ayant leur part, dans la mesure o\u00f9 ils consommaient par voie intraveineuse. L\u2019attention s\u2019est alors davantage port\u00e9e sur les dangers li\u00e9s aux pratiques d\u2019injection, dans le but de limiter la propagation des agents infectieux. Il est dans l\u2019int\u00e9r\u00eat de tous que cet aspect puisse au moins \u00eatre pris en charge. Les mentalit\u00e9s ont commenc\u00e9 \u00e0 \u00e9voluer.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chaque pays a cherch\u00e9 sa propre voie. Nous avons fini par comprendre qu\u2019agiter un doigt moralisateur ne servait \u00e0 rien et que la r\u00e9pression et les poursuites ne permettaient pas de faire avancer les choses.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>En tant que m\u00e9decin g\u00e9n\u00e9raliste ind\u00e9pendant exer\u00e7ant en profession lib\u00e9rale, je propose mes services dans mon propre cabinet, situ\u00e9 en plein <a href=\"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-carriere\/\" class=\"more-link\">[&#8230;]<\/a><\/p>\n","protected":false},"author":2,"featured_media":17502,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[381],"tags":[331],"class_list":["post-17501","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sortir-de-la-dependance","tag-peter-van-breusegem","authors-peter-van-breusegem"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - 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