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Heroin AddictionSequential Treatment Employing Pharmacologic Supports
Avram Goldstein, MD
Arch Gen Psychiatry. 1976;33(3):353-358.
Abstract
• A system of treatment for heroin addiction is proposed under the acronym STEPS (sequential treatment employing pharmacologic supports). Small steps characterized by decreasing narcotic-induced euphoria and increasing social rehabilitation are expected eventually to bring the addict to an abstinent and well-functioning state, if that is possible. The dichotomous assessment of "success" or "failure" is rejected in favor of the expectation of partial and temporary improvements, as with any chronic relapsing disease.
Author Affiliations
From Stanford University and the Addiction Research Foundation, Palo Alto, Calif.
Footnotes
Accepted for publication Nov 17, 1975.
Read before the Committee on Problems of Drug Dependence, National Research Council, National Academy of Sciences, Washington, DC, May 19, 1975.
Reprint requests to Addiction Research Foundation, 701 Welch Rd, Palo Alto, CA 94304 (Dr Goldstein).
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