Critique of Success with Methadone Maintenance
JAMES F. MADDUX M.D.1, and
CHARLES L. BOWDEN M.D.2
1 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
2 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
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.