[momotomo]

There are a lot of schools of thought that address the paradox of short term sufferings involvement in the overall scheme of kindness. Buddhism refers to it as "idiot kindness" or "idiot compassion" if you're kind in the short term without considering the long term value of it.

True kindness is a long winded, structured and considerate thing. Feeding a junky drugs because it makes them feel better is an example of it done wrong, I would still entirely consider it kind and compassionate to will someone through a process such as what you've illustrated here if you had a genuine understanding that it was going to provide them these kind of benefits.

Clever and kind are never that clear or opposed in the sense of dichotomy. At the extremes of it maybe 'clever' looks like not helping people at all because it frees up resources for the rest of the community, or 'kind' is euthanasia. The subjectivity of it all is the integral, and hardest, part of the process of assessing what's 'best' for an individual.

[derleth]

> Feeding a junky drugs because it makes them feel better is an example of it done wrong

OTOH, feeding a junky drugs because a cold-turkey withdrawal would kill them (as is sometimes the case with benzodiazepines and alcohol) is pretty much the standard of care. Diazepam, trade name Valium, is the withdrawal benzo of choice for both pill-heads and wet brains, as a matter of fact, but they do sometimes give IV alcohol to alcoholics going through withdrawal.

On the gripping hand, you do have a point: Opioid withdrawal is very rarely life-threatening, and letting the dopehead sweat it out can really hammer home the whole Drugs Are Bad part, especially if followed by a massive lifestyle change.

And this further supports your main point that 'kind' and 'clever' don't really form a simple opposing pair.

[momotomo]

Sorry, the example wasn't completely literal and a bit clumsy. Completely acknowledge the importance of those approaches and methadone programs in place that allow for a transitional pathway as well.

Your second paragraph is further into the balancing act I suppose, you could push people to full withdrawal symptoms but when we have the tech. on hand to manage the process, it raises a similar set of questions about which approach you'd perceive to produce the best result for someone.

It's why I'm glad I'm in a tech field, at least most of it is deterministic. The friends I have that work in social services have a nightmare of a job sometimes in terms of failed outcomes or unexpected results from treatments and approaches.