Bemerkungen über Cocainsucht und Cocainfurcht  

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"It has dawned on me that masturbation is the one major habit, the ‘primal addiction’ and that it is only as a substitute and replacement for it that the other addictions – for alcohol, morphine, tobacco, etc., – come into existence." (Freud, 1897:272)

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Train wreck at Montparnasse (October 22, 1895) by Studio Lévy and Sons.
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Train wreck at Montparnasse (October 22, 1895) by Studio Lévy and Sons.

"Bemerkungen über Cocainsucht und Cocainfurcht" (1887) is a text by Sigmund Freud, part of the so-called cocaine papers.

"Erlenmeyer, welcher durch seine ersten Veröffentlichungen über die "Cocainsucht" seine Agitation gegen das neue Alkaloid erfolgreicher als zu Anfang fortführen konnte, sprach von einer "dritten Geißel" des Menschengeschlechtes, die schreck–licher sei als die beiden ersten (Alkohol und Morphin). ...Ich glaube, das ist viel zu weit gegangen. Ich kann eine naheliegende Bemerkung nicht unterdrücken, welche geeignet ist, die sogenannte dritte Geißel des Menschengeschlechtes, wie Erlenmeyer das Cocain sehr pathetisch heißt, ihres Schreckens wieder zu entkleiden. Alle Berichte über Cocainsucht und Cocainverfall beziehen sich nämlich auf Morphinisten, Personen, die bereits dem einen Dämon verfallen waren, und deren geschwächte Willenskraft und Reizbedürftigkeit jedes ihnen dargebotene Stimulans mißbrauchen würde und tatsächlich mißbraucht hat. Das Cocain hat bei uns keine anderen, keine eigenen Opfer gefordert."
"der letzten Publikation über das Cocain"
"Because of recent publicity about the splendid uses of cocaine as a local anesthetic, there has been little discussion about its equally valuable potential in the treatment of nervous disorders. Cocaine can also be used as a remedy for morphine addiction, although there is always the danger that the patient will become addicted to cocaine. In high doses, such as one gram, cocaine is in fact more dangerous than morphine. This is why one author referred to cocaine as the third scourge of mankind (after alcohol and morphine). The toxic effects of cocaine were actually discovered at about the same time as its therapeutic potential. The alarm about its dangers may be exaggerated by morphine addicts who become addicted to cocaine as well; remember that such individuals have a predisposition to addiction in the first place. Non-addicts, including the author, are able to take cocaine over a long period of time without developing any dependence. Excessive doses will certainly give rise to adverse effects such as unstable pulse, respiratory difficulties, loss of appetite, insomnia, delirium and muscular weakness. Some of these effects are more likely to occur after topical administration through mucous membranes; others, after s.c. injection. Adverse effects from moderate doses can usually be attributed to an idiosyncratic reaction. Experts vary greatly in their estimates of toxic or lethal doses. Brief case reports are given to illustrate the successful use of cocaine in the treatment of spinal pain, indigestion and melancholy in women." --Cocaine: A Selection of Annotated Papers from 1880 to 1984 ..., Lise Anglin, ‎Addiction Research Foundation of Ontario - [1]


Reference

Freud, Sigmund (1887). Bemerkungen über Cocainsucht und Cocainfurcht. Wiener Medizinische Wochenschrift, Jg. 37, Nr. 28, 9. Juli 1887, Spalten 929-932. (Ebenfalls als »Separatabdruck« im »Selbstverlag des Verfassers« erschienen.)




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