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Uber die Auswirkungen dieser Zuordnung habe ich bereits viel friiher Reflexionen angestellt (Springer, 1980). Keine andere Krankheit ist letztlich in vergleichbarem AusmaB Objekt politi scher Auseinandersetzungen. Die Behandlung Suchtkranker kann sich diesem politischen Kraftespiel nicht entziehen. Immer von neuem muB sie sich erst einen Ort innerhalb des gesellschaftlichen Responses schaffen, giinstige Bedingungen fUr ihre Arbeit erkampfen. Dazu ist es notwendig, daB die Betreuer ihre Aufgabe wohl oder iibel politisch verstehen.

Der schwere Alkoholismus. Handbuch der Erbkrankheiten, Bd. : Suchtgiftverbrauch und Siichtigkeit in Osterreich. Mitt. d. ost. San. verw. ]g. 56, Heft 7, S. 160-161, 1956 Pohlisch, K: Rauschgifte in ihrer Beziehung zur Konstitution und Rasse. Referat anlaBlich der V. Europaischen Vereinigung fiir psychische Hygiene in Miinchen vom 22. bis 23. August 1938. Z. f. psych. , Bd. , Heft 1/2,1939 Rodet: Allgem. Wr. Med. , Nr. : Drogen- und medikamentenbedingte Suchtkrankheiten und ihre Behandlung unter groBstadtischen Bedingungen.

Derartige Stellen gibt es in allen Bundeslandern. Ihre Zahl belauft sich auf 50. Sie dokumentieren, daB der Staat den Abhangigen gegeniiber zwar seinen Kontrollanspruch aufrecht erhalt, jedoch gleichzeitig seine Verantwortung fiir die Behandlung der Abhangigkeit anerkennt, und die Betreuungseinrichtungen als Instrumente der Entponalisierung des DrogenmiBbrauches im Bereich der geringen Delinquenz und der Abhangigkeit versteht. In diesen Bereichen herrscht dementsprechend "weiche", dem qualifizierten Handel gegeniiber hingegen "harte" KontrolIe vor.

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