{"id":17626,"date":"2020-10-26T10:20:55","date_gmt":"2020-10-26T09:20:55","guid":{"rendered":"https:\/\/dirkvanbabylon.com\/?p=17626"},"modified":"2026-08-25T04:56:31","modified_gmt":"2026-08-25T02:56:31","slug":"addiction-carte-geographique","status":"publish","type":"post","link":"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-carte-geographique\/","title":{"rendered":"Addiction : carte g\u00e9ographique"},"content":{"rendered":"

Kleist a cr\u00e9\u00e9, avec les moyens limit\u00e9s de son \u00e9poque, une carte du cerveau sans \u00e9quivalent, alors qu\u2019il n\u2019existait encore aucun scanner c\u00e9r\u00e9bral, et a ainsi repr\u00e9sent\u00e9 l\u2019architecture de notre cerveau en termes de fonctions. Il fut l\u2019\u00e9l\u00e8ve de Wernicke, que nous avons d\u00e9j\u00e0 rencontr\u00e9 lorsque nous avons parl\u00e9 de l\u2019alcool. Un salut honorifique s\u2019impose \u00e0 ces pionniers de la science psychiatrique et de l\u2019aide aux patients, que peu de gens connaissent, contrairement, par exemple, \u00e0 Sigmund Freud, infiniment plus c\u00e9l\u00e8bre.<\/span><\/p>\n

Le v\u00e9ritable progr\u00e8s s\u2019accomplit souvent dans l\u2019ombre et c\u2019est gr\u00e2ce aux pionniers du pass\u00e9 que nous sommes aujourd\u2019hui en mesure d\u2019offrir de meilleurs soins aux patients souffrant de troubles psychiques. Nous sommes des nains juch\u00e9s sur les \u00e9paules de g\u00e9ants. Dans la pratique clinique, nous devons traduire les connaissances scientifiques dans la vie quotidienne de celui ou celle qui se trouve en face de nous.<\/span><\/p>\n

Dans les pages qui nous restent, j\u2019aimerais tout de m\u00eame plaider en faveur du traitement d\u2019entretien \u00e0 la m\u00e9thadone, autrement dit de la prescription prolong\u00e9e de m\u00e9thadone ou d\u2019autres produits apparent\u00e9s \u00e0 la morphine, notamment aux personnes d\u00e9pendantes \u00e0 l\u2019h\u00e9ro\u00efne. Cela peut sembler \u00e9tonnant, qu\u2019il puisse \u00eatre utile et n\u00e9cessaire de d\u00e9livrer sur prescription des substances aussi puissantes et particuli\u00e8rement addictives, mais cette pratique est d\u00e9sormais bien \u00e9tablie.<\/span><\/p>\n

L\u2019introduction de cette politique th\u00e9rapeutique ne s\u2019est pas faite sans heurts. J\u2019ai vu son \u00e9volution au cours de ma carri\u00e8re. Souvenez-vous de Christiane F., la prostitu\u00e9e h\u00e9ro\u00efnomane qui acquit une renomm\u00e9e mondiale comme l\u2019une des enfants du Bahnhof Zoo \u00e0 Berlin. Elle est devenue l\u2019arch\u00e9type de l\u2019\u00e9pid\u00e9mie de d\u00e9pendance \u00e0 l\u2019h\u00e9ro\u00efne qui, \u00e0 cette \u00e9poque, frappa tous les pays civilis\u00e9s, et probablement les autres \u00e9galement. Elle aussi a b\u00e9n\u00e9fici\u00e9 d\u2019un traitement prolong\u00e9 \u00e0 la m\u00e9thadone.<\/span><\/p>\n

Opio\u00efdes et opiac\u00e9s d\u00e9signent la m\u00eame chose. On peut y reconna\u00eetre le mot opium, l\u2019un des m\u00e9dicaments les plus anciens et, en m\u00eame temps, l\u2019une des substances les plus addictives que l\u2019on puisse imaginer. On peut en mesurer l\u2019ampleur \u00e0 travers la crise des opio\u00efdes qui fait actuellement rage outre-Atlantique, une gigantesque \u00e9pid\u00e9mie d\u2019Addiction qui touche en premier lieu les \u00c9tats-Unis.<\/span><\/p>\n

Il ne s\u2019agit ni d\u2019un virus ni d\u2019une bact\u00e9rie, mais de puissants d\u00e9riv\u00e9s de la morphine, qui est essentiellement un extrait d\u2019opium. Nous devons nous y arr\u00eater un instant, parce qu\u2019il s\u2019agit d\u2019un probl\u00e8me d\u2019une ampleur gigantesque, qui gagne maintenant aussi l\u2019Europe et qui est loin d\u2019\u00eatre r\u00e9solu. L\u2019\u00e9pid\u00e9mie d\u2019opiac\u00e9s est un exemple d\u2019\u00e9cole instructif d\u2019une mauvaise approche d\u2019un probl\u00e8me d\u2019Addiction socialement pertinent, qui prend des proportions incontr\u00f4lables.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Kleist a cr\u00e9\u00e9, avec les moyens limit\u00e9s de son \u00e9poque, une carte du cerveau sans \u00e9quivalent, alors qu\u2019il n\u2019existait encore aucun scanner […]<\/a><\/p>\n","protected":false},"author":2,"featured_media":17627,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[381],"tags":[331],"class_list":["post-17626","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":"\nAddiction : carte g\u00e9ographique - dirk van babylon<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-carte-geographique\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Addiction : carte g\u00e9ographique - 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