Vincent Dole
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Vincent Dole (18 May 1913, in
Chicago (''City in a Garden''); I Will , image_map = , map_caption = Interactive Map of Chicago , coordinates = , coordinates_footnotes = , subdivision_type = Country , subdivision_name ...
– 1 August 2006) was an American doctor, who, along with his wife, Marie Nyswander (died 1986), developed the use of
methadone Methadone, sold under the brand names Dolophine and Methadose among others, is a synthetic opioid agonist used for chronic pain and also for opioid dependence. It is used to treat chronic pain, and it is also used to treat addiction to heroi ...
to treat heroin addiction. Dole and Nyswander, in establishing methadone maintenance treatment (MMT), improved treatment options in addiction medicine which for a century had been based on the conventional view (circa 1965) that narcotic addiction was the result of an intractable moral defect. His work resulted in the partial re-legalization of opioid maintenance in the United States. For this contribution he was a recipient of the 1970
Canada Gairdner International Award The Canada Gairdner International Award is given annually by the Gairdner Foundation at a special dinner to five individuals for outstanding discoveries or contributions to medical science. Receipt of the Gairdner is traditionally considered a p ...
, and the 1988 Albert Lasker Award for Clinical Medical Research.


Heroin treatment

Supreme court interpretations of the 1914
Harrison Narcotics Tax Act The Harrison Narcotics Tax Act (Ch. 1, ) was a United States federal law that regulated and taxed the production, importation, and distribution of opiates and coca products. The act was proposed by Representative Francis Burton Harrison of New Y ...
had criminalized opioid dependency as well as the use of any opioid "for the sole purpose of maintenance." The criminalization and stigmatization of dependent individuals also influenced medical practice. Physicians and pharmacists, who risked being investigated by the Treasury Department officials that monitored their prescriptions, were wary of placing many patients on maintenance. Medical schools provided almost no instruction on addiction. Dole's patients not only largely stopped heroin use, they expressed an interest in family, friends, work, and becoming fully engaged members of society once more. Though psychiatrists were available counseling was not mandatory. Dole found that the shift of priorities from daily drug-cravings and the endless quest to keep the abstinence syndrome at bay restored to these individuals an inherent sense of self-worth; they resumed family responsibilities as well as employment. The doctors noted that although methadone satisfied the physical cravings of heroin addiction, patients soon became completely tolerant to its effects. Patients would remain "dependent" on methadone but could otherwise live normally.


Death

Dole died on 1 August 2006 at the age of 93, from complications of a ruptured aorta, and was survived by his third wife Margaret Cool, his three children from his first marriage, Vincent Dole, Jr. Susan Dole, and Bruce Dole, grandkids Mia Dole, Elliot Dole, Elizabeth Dole, Alexander Dole, James Dole.


References


External links

* {{DEFAULTSORT:Dole, Vincent P. 1913 births 2006 deaths Stanford University alumni Harvard Medical School alumni American psychiatrists Members of the United States National Academy of Sciences Military personnel from Chicago United States Navy officers United States Navy personnel of World War II Recipients of the Lasker-DeBakey Clinical Medical Research Award Members of the National Academy of Medicine