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The American Journal of Psychiatry, VOL. 129, No. 4

Articles | October 01, 1972

Critique of Success with Methadone Maintenance

JAMES F. MADDUX; CHARLES L. BOWDEN

Am J Psychiatry 1972;129:440-446.

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Professor, Department of Psychiatry, University of Texas Medical School at San Antonio, 7703 Floyd Curl Dr., San Antonio, Tex. 78229 and Director, Bexar County Mental Health Retardation Center Drug Dependence Program

Assistant Professor, Department of Psychiatry, University of Texas Medical School at San Antonio, 7703 Floyd Curl Dr., San Antonio, Tex. 78229 and Bexar County Mental Health Retardation Center Drug Dependence Program

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Abstract

Examination of the data supporting the claims of success for methadone maintenance reveals a number of problems, including the choice of criteria to represent "success," exclusion of dropouts from the samples studied, and insufficient comparisons. The authors give examples of each of these methodological flaws and conclude that reports of success with methadone maintenance appear both ambiguous and exaggerated.

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