Addiction Quote by Gabor Maté
““Harm reduction is often perceived as being inimical to the ultimate purpose of “curing” addiction—that is, of helping addicts transcend their habits and to heal. People regard it as “coddling” addicts, as enabling them to continue their destructive ways. It’s also considered to be the opposite of abstinence, which many regard as the only legitimate goal of addiction treatment. Such a distinction is artificial. The issue in medical practice is always how best to help a patient. If a cure is possible and probable without doing greater harm, then cure is the objective. When it isn’t — and in most chronic medical conditions cure is not the expected outcome — the physician’s role is to help the patient with the symptoms and to reduce the harm done by the disease process. In rheumatoid arthritis, for example, one aims to prevent joint inflammation and bone destruction and, in all events, to reduce pain. In incurable cancers we aim to prolong life, if that can be achieved without a loss of life quality, and also to control symptoms. In other words, harm reduction means making the lives of afflicted human beings more bearable, more worth living. That is also the goal of harm reduction in the context of addiction. Although hardcore drug addiction is much more than a disease, the harm reduction model is essential to its treatment. Given our lack of a systematic, evidencebased approach to addiction, in many cases it’s futile to dream of a cure. So long as society ostracizes the addict and the legal system does everything it can to heighten the drug problem, the welfare and medical systems can aim only to mitigate some of its effects. Sad to say, in our context harm reduction means reducing not only the harm caused by the disease of addiction, but also the harm caused by the social assault on drug addicts.””
About This Quote
Source Book: In the Realm of Hungry Ghosts by Gabor Maté, 2008
Harm reduction prioritizes alleviating suffering when cure is unlikely, focusing on symptom relief and quality of life.
In simple terms: Help patients manage symptoms when cure isn’t possible.
Focus on reducing harm and improving life quality.
Themes
Mood
Type
When to use this quote
- addiction treatment
- chronic illness management
- policy development
Key Concepts
Questions to Reflect On
- What balance should be struck between harm reduction and striving for abstinence?
May harm reduction be seen as enabling harmful behavior?