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Originally Posted by Janey
is it at least a close replacement? I mean, nothing is going to be perfect, but if the user doesn't make strides... and maybe they are so intoxicated by the effects of the heroin, that they will not notice the less than perfect substition
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Heroin is pleasure in a needle. Imagine the most pleasureable thing you have ever felt, and imagine getting it when you inject yourself.
Then imagine if everything else faded to grey, and your ability to feel pleasure becoming centered around heroin and only heroin.
It isn't intoxication that's the problem. It's the hijacking of the human reward mechanism.
So, the stride is to remove none of the reward mechanism, but change the
behaviour that reward mechanism is causing the person to engage in. Make heroin a given -- not something you have to lie, cheat or steal for -- and build up a normal reward structure outside of heroin. Give them something to live for before seeking to remove the heroin.