Social drinking is an accepted aspect of working life in Japan, and women are left to manage their drunken husbands when the men return home, restoring them to sobriety for the next day of work. In attempting to cope with their husbands' alcoholism, the women face a profound cultural dilemma: when does the nurturing behavior expected of a good wife and mother become part of a pattern of behavior that is actually destructive? How does the celebration of nurturance and dependency mask the exploitative aspects not just of family life but also of public life in Japan? "The Too-Good Wife "follows the experiences of a group of middle-class women in Tokyo who participated in a weekly support meeting for families of substance abusers at a public mental-health clinic. Amy Borovoy deftly analyzes the dilemmas of being female in modern Japan and the grace with which women struggle within a system that supports wives and mothers but thwarts their attempts to find fulfillment outside the family. The central concerns of the book reach beyond the problem of alcoholism to examine the women's own processes of self-reflection and criticism and the deeper fissures and asymmetries that undergird Japanese productivity and social order.

At a time when the accepted standard treatment for alcoholism is long-term and expensive, solution-focused therapy, as developed at the Brief Family Therapy Center in Milwaukee, offers a brief and cost-effective alternative. Insoo Kim Berg and Scott D. Miller believe that a focus on solutions, rather than pathology, is the most constructive strategy for working with problem drinkers; their foremost concern is with what works. To this end they don't reject traditional treatment programs; rather, they view them as one part of a flexible and multidimensional approach to alcohol abuse treatment. The authors successfully utilize solution-focused therapy in their work with problem drinkers, but it is their philosophy of working with clients and within clients' belief systems to encourage change that is at the heart of their model. The model, grounded in the philosophy of solution-focused brief therapy, introduces a paradigmatic change in the approach to substance abuse treatment. Rather than treating a problem drinker, Berg and Miller work with clients to treat problem drinking. The authors' refreshing blend of respect for their clients and optimism about their ability to stop abusive drinking offers hope to clients who can't fit into traditional long-term programs or who have given up on themselves. This book shows how clients can be helped to construct a future where drinking or substance abuse is no longer a problem. Solution-focused therapy, based on respect for and collaboration with the client, concentrates on success and solutions. Therapists develop goals with the client, rather than imposing "appropriate" treatment objectives. If one solution doesn't work, the technique not the client is blamed and client and therapist go on to "do something different." The authors' model is much more than a list of interventions; it is a multi-faceted approach to treatment, which can adapt to anything that works, whether brief therapy, AA, or more formal inpatient programs."

This trailblazing study examines the history of narcotics in Japan to explain the development of global criteria for political legitimacy in nations and empires in the nineteenth and twentieth centuries. Japan underwent three distinct crises of sovereignty in its modern history: in the 1890s, during the interwar period, and in the 1950s. Each crisis provoked successively escalating crusades against opium and other drugs, in which moral entrepreneurs--bureaucrats, cultural producers, merchants, law enforcement, scientists, and doctors, among others--focused on drug use as a means of distinguishing between populations fit and unfit for self-rule. Moral Nation traces the instrumental role of ideologies about narcotics in the country's efforts to reestablish its legitimacy as a nation and empire. As Kingsberg demonstrates, Japan's growing status as an Asian power and a "moral nation" expanded the notion of "civilization" from an exclusively Western value to a universal one. Scholars and students of Japanese history, Asian studies, world history, and global studies will gain an in-depth understanding of how Japan's experience with narcotics influenced global standards for sovereignty and shifted the aim of nation building, making it no longer a strictly political activity but also a moral obligation to society.

David Nutt regularly hit the headlines as the UK's forthright Drugs Czar (Chair of the Advisory Council on the Misuse of Drugs), not least when fired by the Home Secretary in 2009 for his 'inconvenient' views. In Nutt Uncut he explains how he survived ill-judged political and media vilification to establish the respected charity Drug Science, with the aim of telling the truth about drugs. The book describes his life, distinguished career and scientific achievements, including his research into the human brain and the effects that both lawful and criminally illegal substances (including psychedelics) have on the brain and behaviour. It also catalogues with expert precision the risks of harm to drug users and others of a range of well-known drugs. Surveying the state of medical knowledge around various currently prohibited substances - from hard drugs to LSD, cannabis, ecstasy, magic mushrooms and poppers - Professor Nutt ranks their potential harms and benefits (e.g. in treating anxiety, depression or pain) leading him to challenge the distorted logic of a blanket ban on anything psychoactive except alcohol, tobacco and caffeine. Nutt Uncut contains far, far more about the usually hidden world of drugs, their use, abuse and role as a political bargaining counter - making it of interest not just to the many experts and others who already support the author's campaign for a frank, evidence-based approach to drugs but also anyone who wishes to learn about what he describes in Chapter 11 as 'policy madness.'

In 1968, the International Olympic Committee (IOC) implemented sex testing for female athletes at that year's Games. When it became clear that testing regimes failed to delineate a sex divide, the IOC began to test for gender--a shift that allowed the organization to control the very idea of womanhood. Ranging from Cold War tensions to gender anxiety to controversies around doping, Lindsay Parks Pieper explores sex testing in sport from the 1930s to the early 2000s. Pieper examines how the IOC in particular insisted on a misguided binary notion of gender that privileged Western norms. Testing evolved into a tool to identify--and eliminate--athletes the IOC deemed too strong, too fast, or too successful. Pieper shows how this system punished gifted women while hindering the development of women's athletics for decades. She also reveals how the flawed notions behind testing--ideas often sexist, racist, or ridiculous--degraded the very idea of female athleticism.

Appearance- and performance-enhancing drugs-specifically, anabolic steroids (APEDs)-provide a tempting competitive advantage for amateur baseball players. But this shortcut can exact a fatal cost on talented athletes. In his urgent book Suicide Squeeze, William Kashatus chronicles the experiences of Taylor Hooton and Rob Garibaldi, two promising high school baseball players who abused APEDs in the hopes of attracting professional scouts and Division I recruiters. However, as a result of their steroid abuse, they ended up taking their own lives. In Suicide Squeeze-named for the high-risk play in baseball to steal home-Kashatus identifies the symptoms and dangers of steroid use among teens. Using archival research and interviews with the Hooton and Garibaldi families, he explores the lives and deaths of these two troubled young men, the impact of their suicides on MLB, and the ongoing fight against adolescent APED use by their parents. A passionate appeal to prevent additional senseless deaths by athletes, Suicide Squeeze is an important contribution to debates on youth and sports and on public policy.

It has long been recognised that clients with addiction problems need a skilled and thoughtful response when they come into contact with social services. However, students often find that policy and the law surrounding working with drug, alcohol and substance misusers can be complex and often unclear. This fully-revised third edition will help students cultivate the skills required to work effectively with clients and service users who misuse drugs and alcohol. There are clear introductions to the law and to social policy in this area, while the author considers how a holistic approach can be effective when working with this particular client group. Case studies and reflective exercises are used to draw out these key skills. The book also features sections on anti-oppressive practice with a focus on service user empowerment. With this third edition comes new material on social work practice with alcohol misusers, making this book even more essential reading for students and practitioners who want to engage with clients who struggle with addiction.

"You know just how serious a problem alcoholism has become for our country. Frankly speaking, it has taken on the proportions of a national disaster." So spoke Russian President Dmitry Medvedev in 2009 as the government launched its latest anti-alcohol campaign. Challenging the standard narrative of top-down implementation of policy, Anna Bailey's Politics under the Influence breaks new ground in the analysis of Russian alcoholism and the politics of the Putin regime. The state is supposed to make policy in the national interest, to preserve the nation's health against the ravages inflicted by widespread alcohol abuse. In fact, Bailey shows, the Russian state is deeply divided, and policy is commonly a result of the competitive interactions of stakeholders with vested interests. Politics under the Influence turns a spotlight on the powerful vodka industry whose ties to Putin's political elite have grown in influence since 2009. She details how that lobby has used the anti-alcohol campaign as a way to reduce the competitiveness of its main rival-the multinational beer industry. Drawing on a wide range of sources including fieldwork interviews, government documents, media articles, and opinion polls, Bailey reveals the many ambivalences, informal practices, and paradoxes in contemporary Russian politics. Politics under the Influence exhibits the kleptocratic nature of the Putin regime; as a result, analysis of vested interests and informal sources of power is essential to understanding public policy in contemporary Russia. This book will be an invaluable resource for anyone working on policy and corruption in Putin's Russia.

The recorded use of deadly force against unarmed suspects and sustained protest from the Black Lives Matter movement, among others, have ignited a national debate about excessive violence in American policing. Missing from the debate, however, is any discussion of a factor that is almost certainly contributing to the violence-the use of anabolic steroids by police officers. Mounting evidence from a wide range of credible sources suggests that many cops are abusing testosterone and its synthetic derivatives. This drug use is illegal and encourages a "steroidal" policing style based on aggressive behaviors and hulking physiques that diminishes public trust in law enforcement. Dopers in Uniform offers the first assessment of the dimensions and consequences of the felony use of anabolic steroids in major urban police departments. Marshalling an array of evidence, John Hoberman refutes the frequent claim that police steroid use is limited to a few "bad apples," explains how the "Blue Wall of Silence" stymies the collection of data, and introduces readers to the broader marketplace for androgenic drugs. He then turns his attention to the people and organizations at the heart of police culture: the police chiefs who often see scandals involving steroid use as a distraction from dealing with more dramatic forms of misconduct and the police unions that fight against steroid testing by claiming an officer's "right to privacy" is of greater importance. Hoberman's findings clearly demonstrate the crucial need to analyze and expose the police steroid culture for the purpose of formulating a public policy to deal with its dysfunctional effects.

When an economy is fueled by the alcohol industry, which is a powerful and a resource-intense industry, governments who lack technical capacity and financial resources to combat the alcohol industry may fear the economic impact of restrictive alcohol polices. How can a country address the public health concerns from alcohol misuse and abuse? Because alcohol is no ordinary commodity, the public has a right to understand and expect a more enlightened approach to the development and implementation of an alcohol policy. An enlightened approach of using evidence to inform policies, include key members of the community and target the general population, at high-risk drinkers and at people already experiencing alcohol-related problems. Alcohol is a drug and a currency, making it a unique commodity. In this book, the authors present research on alcohol and advertisement, alcohol related traffic accidents, suicidal behavior and many more aspects of alcohol use and misuse in the Caribbean area.

Critics of narcology-as addiction medicine is called in Russia-decry it as being "backward," hopelessly behind contemporary global medical practices in relation to addiction and substance abuse, and assume that its practitioners lack both professionalism and expertise. On the basis of his research in a range of clinical institutions managing substance abuse in St. Petersburg, Eugene Raikhel increasingly came to understand that these assumptions and critiques obscured more than they revealed. Governing Habits is an ethnography of extraordinary sensitivity and awareness that shows how therapeutic practice and expertise is expressed in the highly specific, yet rapidly transforming milieu of hospitals, clinics, and rehabilitation centers in post Soviet Russia. Rather than interpreting narcology as a Soviet survival or a local clinical world on the wane in the face of globalizing evidence-based medicine, Raikhel examines the transformation of the medical management of alcoholism in Russia over the past twenty years. Raikhel's book is more than a story about the treatment of alcoholism. It is also a gripping analysis of the many cultural, institutional, political, and social transformations taking place in the postSoviet world, particularly in Putin's Russia. Governing Habits will appeal to a wide range of readers, from medical anthropologists, clinicians, to scholars of post-Soviet Russia, to students of institutions and organizational change, to those interested in therapies and treatments of substance abuse, addiction, and alcoholism.

Canada has received significant attention of late for initiating a government-sponsored medical marijuana program and for its flirtation with marijuana decriminalization. At best, these initiatives have contributed to Canada being seen as a reluctant ally by Washington, and, at worst, as a potential threat. The result of this impression is increasing American pressure to adopt more robust domestic security policies. At the same time, the Canadian public sees itself as holding unique values that differ from those held by its neighbour to the south. Supposedly these values are best reflected by a distinctive security outlook which produces reasonable responses to potential threats, a sharp contrast to the manic actions of the United States.

Chasing Dragons challenges these presumptions of difference and exposes the security politics and policy that they make possible. Focusing on the issues surrounding illicit drugs, Kyle Grayson examines how discourses and practices of security policy actually contribute to the construction of Canadian national and cultural identity. This analysis is also relevant beyond Canada. Crucially, this book identifies the dangers of underestimating the centrality of race and geopolitics to civic conceptions of nationality in liberal societies.

Chasing Dragons reconsiders the meaning of security. Additionally, it discusses avenues for resisting the insecurity produced by liberal states in the post-9/11 world. This critical approach reveals the pervasiveness of power in contemporary Canadian society, how this power is hidden, and the consequences for progressive social politics.

From the antiquity of Homer to yesterday's "Naked Lunch," writers have found inspiration, and readers have lost themselves, in a world of the imagination tinged and oftentimes transformed by drugs. The age-old association of literature and drugs receives its first comprehensive treatment in this far-reaching work. Drawing on history, science, biography, literary analysis, and ethnography, Marcus Boon shows that the concept of drugs is fundamentally interdisciplinary, and reveals how different sets of connections between disciplines configure each drug's unique history.

In chapters on opiates, anesthetics, cannabis, stimulants, and psychedelics, Boon traces the history of the relationship between writers and specific drugs, and between these drugs and literary and philosophical traditions. With reference to the usual suspects from De Quincey to Freud to Irvine Welsh and with revelations about others such as Milton, Voltaire, Thoreau, and Sartre, "The Road of Excess" provides a novel and persuasive characterization of the "effects" of each class of drug--linking narcotic addiction to Gnostic spirituality, stimulant use to writing machines, anesthesia to transcendental philosophy, and psychedelics to the problem of the imaginary itself. Creating a vast network of texts, personalities, and chemicals, the book reveals the ways in which minute shifts among these elements have resulted in "drugs" and "literature" as we conceive of them today.

Current public health literature suggests that the mentally ill may represent as much as "half "of the smokers in America. In "Smoking Privileges," Laura D. Hirshbein highlights the complex problem of mentally ill smokers, placing it in the context of changes in psychiatry, in the tobacco and pharmaceutical industries, and in the experience of mental illness over the last century.Hirshbein, a medical historian and clinical psychiatrist, first shows how cigarettes functioned in the old system of psychiatric care, revealing that mental health providers long ago noted the important role of cigarettes within treatment settings and the strong attachment of many mentally ill individuals to their cigarettes. Hirshbein also relates how, as the sale of cigarettes dwindled, the tobacco industry quietly researched alternative markets, including those who smoked for psychological reasons, ultimately discovering connections between mental states and smoking, and the addictive properties of nicotine. However, " Smoking Privileges" warns that to see smoking among the mentally ill only in terms of addiction misses how this behavior fits into the broader context of their lives. Cigarettes not only helped structure their relationships with other people, but also have been important objects of attachment. Indeed, even after psychiatric hospitals belatedly instituted smoking bans in the late twentieth century, smoking remained an integral part of life for many seriously ill patients, with implications not only for public health but for the ongoing treatment of psychiatric disorders. Making matters worse, well-meaning tobacco-control policies have had the unintended consequence of further stigmatizing the mentally ill.A groundbreaking look at a little-known public health problem, "Smoking Privileges" illuminates the intersection of smoking and mental illness, and offers a new perspective on public policy regarding cigarettes.

Can drugs be used intelligently and responsibly to expand human consciousness and heighten spirituality? This two-volume work presents objective scientific information and personal stories aiming to answer the question. The first of its kind, this intriguing two-volume set objectively reports on and assesses this modern psycho-social movement in world culture: the constructive medical use of entheogens and related mind-altering substances. Covering the use of substances such as ayahuasca, cannabis, LSD, peyote, and psilocybin, the work seeks to illuminate the topic in a scholarly and scientific fashion so as to lift the typical division between those who are supporters of research and exploration of entheogens and those who are strongly opposed to any such experimentation altogether. The volumes address the history and use of mind-altering drugs in medical research and religious practice in the endeavor to expand and heighten spirituality and the sense of the divine, providing unbiased coverage of the relevant arguments and controversies regarding the subject matter. Chapters include examinations of how psychoactive agents are used to achieve altered states in Judaism, Christianity, Islam, and Buddhism as well as in the rituals of shamanism and other less widely known faiths. This highly readable work will appeal to everyone from high school students to seasoned professors, in both the secular world and in devoted church groups and religious colleges. Includes coverage of a variety of drugs, most of which are currently illegal in the United States, accompanied by scientific explanations of how they spur spiritual experiences Offers compelling narratives from individuals-both laypeople and professionals-who found new dimensions within their lives and heightened their spirituality by the use of entheogens Supplies information about medical experiments and new treatment modes that provide definitive breakthrough methods for caring for suffering people

Since the late 1990s, marijuana grow operations have been identified by media and others as a new and dangerous criminal activity of "epidemic" proportions. With Killer Weed, Susan C. Boyd and Connie Carter use their analysis of fifteen years of newspaper coverage to show how consensus about the dangerous people and practices associated with marijuana cultivation was created and disseminated by numerous spokespeople including police, RCMP, and the media in Canada. The authors focus on the context of media reports in Canada to show how claims about marijuana cultivation have intensified the perception that this activity poses "significant" dangers to public safety and thus is an appropriate target for Canada's war on drugs. Boyd and Carter carefully show how the media draw on the same spokespeople to tell the same story again and again, and how a limited number of messages has led to an expanding anti-drug campaign that uses not only police, but BC Hydro and local municipalities to crack down on drug production. Going beyond the newspapers, Killer Weed examines how legal, political, and civil initiatives that have emerged from the media narrative have troubling consequences for a shrinking Canadian civil society.

The National Association of State Alcohol and Drug Abuse Directors (NASADAD) conducted an environmental scan of the training, outreach, and resources offered by the Single State Agencies (SSAs) in charge of drug and alcohol treatment and prevention services to respond to the needs of returning veterans and their families. This scan was conducted to learn how to more effectively serve returning veterans and family members impacted by substance use disorders (SUDs). To accomplish this, NASADAD conducted case studies of nine states that had been identified as having the largest number of initiatives for returning veterans. This book examines the data for these case studies which were gleaned from 36 interviews with SSA staff and staff from publicly funded SUD treatment facilities. NASADAD staff gathered data on state policies, trainings, and outreach efforts, as well as recommendations for future development of technical assistance and training materials to address the gaps in services.

This Provider's Guide introduces a comprehensive and developmentally appropriate treatment program, Pathways for Self-Discovery and Change (PSDC), which provides the specific tools necessary for improving evaluation and treatment of at-risk youth, a particularly vulnerable patient population in the justice system. Using an adolescent-focused format, this protocol identifies psychological, biological, and social factors that contribute to the onset of adolescent deviance, and establishes guidelines for delivery of a 32-session treatment curriculum designed to rehabilitate both male and female adolescents with co-occurring substance abuse and criminal conduct. Now in its Second Edition, this guide provides treatment practitioners, program evaluators, and youth services administrators with the most up to date, comprehensive, and accessible information for the treatment and rehabilitation of juvenile justice clients. It is built on theoretical and research advances in the treatment and rehabilitation of juvenile justice clients, as well as feedback over the past seven years from PSDC counselees, treatment providers, and program administrators. SAGE offers treatment and training programs for mental health providers that you can easily incorporate into your existing programs.

A unique answer to the perennial question--why do college students drink so much? Most American college campuses are home to a vibrant drinking scene where students frequently get wasted, train-wrecked, obliterated, hammered, destroyed, and decimated. The terms that university students most commonly use to describe severe alcohol intoxication share a common theme: destruction, and even after repeated embarrassing, physically unpleasant, and even violent drinking episodes, students continue to go out drinking together. In Getting Wasted, Thomas Vander Ven provides a unique answer to the perennial question of why college students drink. Vander Ven argues that college students rely on "drunk support:" contrary to most accounts of alcohol abuse as being a solitary problem of one person drinking to excess, the college drinking scene is very much a social one where students support one another through nights of drinking games, rituals and rites of passage. Drawing on over 400 student accounts, 25 intensive interviews, and one hundred hours of field research, Vander Ven sheds light on the extremely social nature of college drinking. Giving voice to college drinkers as they speak in graphic and revealing terms about the complexity of the drinking scene, Vander Ven argues that college students continue to drink heavily, even after experiencing repeated bad experiences, because of the social support that they give to one another and due to the creative ways in which they reframe and recast violent, embarrassing, and regretful drunken behaviors. Provocatively, Getting Wasted shows that college itself, closed and seemingly secure, encourages these drinking patterns and is one more example of the dark side of campus life.

This book examines certain cases where social and psychological issues are present among adolescents and adults with substance abuse problems. Topics discussed include cross-cultural parent-child relations; prevention strategies for parents on adolescent smoking; the national youth anti-drug media campaign; cocaine-dependent patients with antisocial personality disorder and cognitive performance in chronic street drug users.