What makes one of the most gifted, charismatic and successful young literary agents in New York fall into full-blown crack-addiction: a collapse that would cost him his business, his home, many of his friends and - very nearly - his life? In his utterly compulsive narrative, Bill Clegg leads us through the grimiest back-rooms of Manhattan's underbelly, through scenes of blank-eyed sex and squalor, into the febrile paranoia of a mind gone out of control. Ninety Days begins where Portrait of an Addict as a Young Man ends - and tells the wrenching story of Bill Clegg's battle to reclaim his life. The goal is ninety: just ninety clean and sober days to loosen the hold of the addiction. But as any recovering addict knows, hitting rock bottom is just the beginning. . . Published for the first time in one volume: Bill Clegg's unflinching account of the addiction that nearly ended everything.

With contributions from leading international academics across the biological sciences, this handbook takes a critical look at the key contemporary issues and debates in the field. The 31 chapters are divided into four parts: Part I Determination of Substance Misuse Part II PK and PD in Relation to Patterns of Use Part III Detection and Treatment of Drug and Alcohol Use Part IV Controversies and New Approaches This Handbook is an excellent reference text for the growing number of academics, students, scientists and practitioners in the drug and alcohol studies community, and will be a vital resource to the allied professions involved in work-place drug testing, clinical toxicology, and forensic science.

Parental drug use can cause serious harm to children. Adult Drug and Alcohol Problems, Children's Needs supports practitioners in their work with families where parental drug use leads to concerns about children's welfare. The training resource contains: * summaries of the key messages for practitioners * tools and tips to support effective practice * training and development activities * practice examples from around the UK. This second edition has an increased focus on alcohol misuse and reflects recent changes to both policy and practice. The book will be useful for all individuals and agencies involved with families where parents are struggling with substance abuse, including children's social workers, substance misuse workers, primary care and school staff, criminal justice agencies, obstetric and paediatric teams, substitute carers and a range of voluntary and community services.

Tobacco, alcohol and gambling corporations have been highly effective in stalling, diverting and blocking public health measures. This book provides an original and engaging expose of the ethical issues faced by people and organizations when they accept industry money in ways that facilitate corporate influence with the public and with policy makers. It starts with a detailed examination of the risks of accepting such profits and what might be done to reduce them, then moves on to introduce the concept of a continuum of 'moral jeopardy' which shifts the emphasis from accept/not accept binaries to a focus on the extent to which people are willing to accept funding. This shift encourages people to think and speak more about the risks and to develop clearer positions for themselves. The content will be helpful to those working in government agencies, addiction services, community organizations or anyone interested in reducing the harms of addictive consumption.

Tobacco kills 5 million people every year and that number is expected to double by the year 2020. Despite its enormous toll on human health, tobacco has been largely neglected by anthropologists. Drinking Smoke combines an exhaustive search of historical materials on the introduction and spread of tobacco in the Pacific with extensive anthropological accounts of the ways Islanders have incorporated this substance into their lives. The author uses a relatively new concept called a syndemic-the synergistic interaction of two or more afflictions contributing to a greater burden of disease in a population-to focus at once on the health of a community, political and economic structures, and the wider physical and social environment and ultimately provide an in-depth analysis of smoking's negative health impact in Oceania. In Drinking Smoke the idea of a syndemic is applied to the current health crisis in the Pacific, where the number of deaths from coronary heart disease, cancer, diabetes, and chronic obstructive pulmonary disease continues to rise, and the case is made that smoking tobacco in the form of industrially manufactured cigarettes is the keystone of the contemporary syndemic in Oceania. The author shows how tobacco consumption (particularly cigarette smoking after World War II) has become the central interstitial element of a syndemic that produces most of the morbidity and mortality Pacific Islanders suffer. This syndemic is made up of a bundle of diseases and conditions, a set of historical circumstances and events, and social and health inequities most easily summed up as "poverty". He calls this the tobacco syndemic and argues that smoking is the crucial behavior-the "glue"-holding all of these diseases and conditions together. Drinking Smoke is the first book-length examination of the damaging tobacco syndemic in a specific world region. It is a must-read for scholars and students of anthropology, Pacific studies, history, and economic globalization, as well as for public health practitioners and those working in allied health fields. More broadly the book will appeal to anyone concerned with disease interaction, the social context of disease production, and the full health consequences of the global promotional efforts of Big Tobacco.

This is a groundbreaking collection of essays highlighting the links between contemporary society's over-reliance on both media and drugs. We have developed into a culture that is over-reliant upon pharmaceutical and recreational drugs; where drugs are incessantly advertised and promoted to us via our mass media. Like drugs, communication media alter the way we interact with the world; they direct our attention in various ways, sometimes enabling certain behaviors and experiences, and prohibiting others. The contributors to this cutting-edge collection apply media ecological concepts to consider how drugs function as communication technologies; literally media in and for the human sensorium. In these essays, drugs are considered as communication media in a practical sense, not merely in the metaphorical way they tend to be discussed in the popular press. Media and drugs are thus conceived as communicative tools that enhance and/or inhibit physical, social and symbolic experience - our ways of seeing and being in the world. "Drugs & Media: New Perspectives on Communication, Consumption and Consciousness" is the first book to examine this parallel, promoting a critical awareness of the significant impact of drugs and media on individuals, society and our wider human culture.

This book offers a new approach to help students to understand problematic substance use across a range of social work practice settings. Written from both an anti-discriminatory and evidence-based perspective, the book highlights successful responses to the issues. Each chapter includes reflective exercises and examples of further reading, challenging students to critically reflect on their practice. The book provides a detailed understanding of: " Historical and current policy relating to prohibition and drug use " A range of substances and their potential effects on service users " Models of best practice including screening and assessment, brief intervention, motivation approaches and relapse prevention " Particular issues and needs of a diverse range of service user groups This will be an essential text for social work students taking courses in substance use and addiction. It will also be valuable reading for qualified social workers and students taking related courses across the health and social care field.

This book offers a new approach to help students to understand problematic substance use across a range of social work practice settings. Written from both an anti-discriminatory and evidence-based perspective, the book highlights successful responses to the issues. Each chapter includes reflective exercises and examples of further reading, challenging students to critically reflect on their practice. The book provides a detailed understanding of: " Historical and current policy relating to prohibition and drug use " A range of substances and their potential effects on service users " Models of best practice including screening and assessment, brief intervention, motivation approaches and relapse prevention " Particular issues and needs of a diverse range of service user groups This will be an essential text for social work students taking courses in substance use and addiction. It will also be valuable reading for qualified social workers and students taking related courses across the health and social care field.

This revised and updated third edition is a highly practical guide to the steps that counselors can take on a day-to-day basis to help those who have problems with their use of alcohol. It is the key book recommended by most alcohol counseling courses in the UK, including the Scottish national alcohol counselors training scheme. This highly acclaimed text provides clear guidance for counselors and demonstrates the need to treat every client as an individual, attempting to understand and therefore enable the client to understand, what they are doing and why. The book has been thoroughly revised to take into account the current political, social and counseling context surrounding alcohol use. It now includes a wider range of case-studies and many new ideas which will help students and trainees develop the skills and strategies they need for working with their clients. Backed up with detailed case studies and useful resource material, the Third Edition of this bestselling text will continue to be invaluable for all practitioners, both those specializing in work with alcohol misusers and those who encounter problem drinkers in the context of a more general counseling practice.

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Ever since the Shanghai convention in 1909, the threat posed to human well-being by drug abuse has led countries around the world to take action to deal with their drug problems. There are wide variations in the policies pursued, but most countries try to reduce both the supply of and the demand for drugs. Unfortunately, there is little research consensus on the respective merits of these two approaches or about the best ways to pursue them. Consequently, control and prevention policies are mostly driven by political considerations, economic realities and cultural expectations, though research has played an important part in formulating and evaluating treatments for drug addiction. This volume reviews studies on drug abuse prevention and treatment strategies under five main areas: 1. Reducing supply - strategies to control the flow of drugs from production to retail distribution; 2. Reducing demand - prevention of drug use at all stages of involvement and consumption levels; 3. Reducing harm - promoting situational risk reduction practices for regular users, addicts and recreational users; 4. Reducing addiction - drug treatment options for various groups in various settings; and 5. Drug policies and prescriptions - focused on debates about prohibition and legalization.

Understanding and Working with Substance Misusers explores the complex nature of addiction and the challenges involved in responding effectively through policy and practice. It examines the biopyschosocial elements of addiction to substances (including alcohol) and, draws together key research findings from these fields to present a new framework for integrating theory and practice. The book argues that the best way to understand addictions is as examples of "complex self organising systems", which comprise many interacting component parts. In so doing, it addresses the problem of service users presenting with multiple needs (including poly drug use, mental health problems, criminal behaviour, unemployment and relationship difficulties) and the challenges that this poses for policy makers, services commissioners and practitioners alike. This book fills the need for a text which makes the complex issues surrounding substance misuse accessible to both students and practitioners. As such, it fosters a multidisciplinary and critically reflective approach to policy and practice.

An effective treatment to help those with addictions Victims of drug addiction, chronic illness, and mental illness all too often are overwhelmed with the affliction called hopelessness. Oxford Houses succeed because their substance abuse treatment approach instills the most powerful medicine-hope for recovery. Rescued Lives: The Oxford House Approach to Substance Abuse provides a comprehensive thought-provoking look at just how the innovative Oxford House model inspires positive action on one of our country's most serious problems-substance abuse. This powerful book presents the success stories of the people living in these community homes and explains just how it has worked for them. Rescued Lives: The Oxford House Approach to Substance Abuse gives an insightful review of Oxford House's history and the development of the approach. Residents' stories reveal the treatment process on the road to recovery, allowing readers to glimpse the path each individual must travel to gain entrance and assimilate into the House community. As the residents gain more control over themselves living substance free, the reader discovers the importance of relationships and reframing of self in the recovery process. This powerful book can provide hope to those individuals who feel they have lost themselves in alcohol, drugs, and mental illness. Foreword by substance abuse scholar Bill White. Topics in Rescued Lives: The Oxford House Approach to Substance Abuse include: * an overview of substance abuse in today's society * a history of Oxford House to the present * substance abuse treatment approaches * the process of a resident's entrance and assimilation * providing hope and living substance free * the nationwide expansion of Oxford Houses * recovery, and what it means to women, children, and families * criminal offenders in Oxford House * how the Oxford House model is constructed in order to help disenfranchised individuals from society * the nine Oxford House Traditions * a review of the strong evidence that Oxford House works -and why * and more! Rescued Lives: The Oxford House Approach to Substance Abuse is enlightening reading for educators and students of psychology, sociology, urban studies, education, and other courses designed to prepare students for careers in the helping professions. This book is also essential for practicing clinicians, anyone concerned with society's problems and those impacted by substance abuse and mental illness.

Hells Angels and fallen televangelist Ted Haggard. Cross-country truckers and suburban mothers. Trailer parks, gay sex clubs, college campuses, and military battlefields. In this fascinating book, Frank Owen traces the spread of methamphetamine--meth--from its origins as a cold and asthma remedy to the stimulant wiring every corner of American culture.
Meth is the latest "epidemic" to attract the attention of law enforcement and the media, but like cocaine and heroin its roots are medicinal. It was first synthesized in the late nineteenth century and applied in treatment of a wide range of ailments; by the 1940s meth had become a wonder drug, used to treat depression, hyperactivity, obesity, epilepsy, and addictions to other drugs and alcohol. Allied, Nazi, and Japanese soldiers used it throughout World War II, and the returning waves of veterans drove demand for meth into the burgeoning postwar suburbs, where it became the "mother's helper" for a bored and lonely generation.
But meth truly exploded in the 1960s and '70s, when biker gang cooks using burners, beakers, and plastic tubes brought their expertise from California to the Ozarks, the Southwest, and other remote rural areas where the drug could be manufactured in kitchen labs. Since then, meth has been the target of billions of dollars in federal, state, and local anti-drug wars. Murders, violent assaults, thefts, fires, premature births, and AIDS--rises in all of these have been blamed on the drug that crosses classes and subcultures like no other.
Acclaimed journalist Frank Owen follows the users, cooks, dealers, and law enforcers to uncover a dramatic story being played out in cities, small towns, and farmcommunities across America. "No Speed Limit" is a panoramic, high-octane investigation by a journalist who knows firsthand the powerful highs and frightening lows of meth.

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.

Tobacco, among the most popular consumer products of the twentieth century, is under attack. Once a behavior that knew no social bounds, cigarette smoking has been transformed into an activity that reflects sharp differences in social status.

"Unfiltered" tells the story of how anti-smoking advocates, public health professionals, bureaucrats, and tobacco corporations have clashed over smoking regulation. The nations discussed in this book--Australia, Canada, Denmark, France, Germany, Japan, the United Kingdom, and the United States--restrict tobacco advertising, tax tobacco products, and limit where smoking is permitted. Each is also struggling to shape a tobacco policy that ensures corporate accountability, protects individual liberty, and asserts the state's public health power.

"Unfiltered" offers a comparative perspective on legal, political, and social conflicts over tobacco control. The book makes a unique contribution to our understanding of how scientific evidence, global health advocacy, individual risk assessments, and governmental interests intersect in the crafting of tobacco policy. It features national case studies and cross-cultural essays by experts in health policy, law, political science, history, and sociology. The lessons in "Unfiltered" are crucial to all who seek to understand and influence tobacco policy and reduce tobacco-related mortality worldwide.

Use this important intervention to improve your practice with substance-using youths and their families!This vital book gives you a detailed review of a National Institute on Drug Abuse-funded, long-term clinical trial of the Family Empowerment Intervention (FEI). The subjects are youths who have been arrested and processed at the Hillsborough County Juvenile Assessment Center and their families. With information on the conceptual foundations and clinical practices of the intervention and an examination of its one-year and longer-term impact on these youths' recidivism and psychosocial functioning, Family Empowerment Intervention: An Innovative Service for High-Risk Youth and Their Families will help you provide better services to these difficult-to-serve clients.Bringing you up-to-date on all aspects of this unique intervention, this book: examines the pressing need for this kind of intervention gives you an essential overview of the FEI describes the selection process for subject involvement in the project and the methods of data collection used examines the FEI's impact on crime as well as its short- and long-term impact on and drug and alcohol use suggests ways to improve the FEIComplete with dozens of easy-to-understand tables and figures as well as five helpful appendixes, this well-referenced volume is essential reading for anyone working with this highly volatile population. Make it a part of your collection today!

Drug courts offer offenders an intensive court-based treatment program as an alternative to the normal adjudication process. Begun in 1989, they have since spread dramatically throughout the United States. In this interdisciplinary examination of the expanding movement, a distinguished panel of legal practitioners and academics offers theoretical assessments and on-site empirical analyses of the workings of various courts in the United States, along with detailed comparisons and contrasts with related developments in Britain. Practitioners, politicians, and academics alike acknowledge the profound impact drug courts have had on the American criminal justice system. From a range of disciplinary perspectives, contributors to this volume seek to make sense of this important judicial innovation. While addressing a range of questions, Drug Courts also aims to achieve a careful balance between focused empirical studies and broader theoretical analyses of the same phenomenon. The volume maintains an analytical concentration on drug courts and on the important practical, philosophical, and jurisprudential consequences of this unique form of therapeutic jurisprudence.

Drug courts depart from the practices and procedures of typical criminal courts. Prosecutors and defense counsel play much-reduced roles. Often lawyers are not even present during regular drug court sessions. Instead, the main courtroom drama is between the judge and client, both of whom speak openly and freely in the drug court setting. Often accompanying the client is a treatment provider who advises the judge and reviews the client's progress in treatment. Court sessions are characterized by expressive and sometimes tearful testimonies about the recovery process, and are often punctuated with applause from those in attendance. Taken together, the chapters provide a variety of perspectives on drug courts, and extend our knowledge of the birth and evolution of a new movement. Drug Courts is an essential reference for courses in criminology, the sociology of drugs and deviance, and the philosophy of law and punishment.

Drug misuse is a major challenge for health professionals in the twenty-first century, and community pharmacy holds a key place in the management of prescribed medication, the provision of health education and promotion messages to drug users. Two decades ago there would have been no need for a book which described the role of community pharmacy in services for drug users, however, with the increasing numbers of individuals injecting drugs and the advent of HIV, community pharmacists have found themselves caught in ever-expanding demand for their services. The quality practice of tomorrow will hinge on there being trained and competent practitioners working in a variety of community pharmacy settings.
This book aims to provide the reader with a grounding in the historical, research and practical aspects of community pharmacy and drug misuse. It is written by experienced professionals using a practical and evidence-based approach, aimed at all students of pharmacy, pre-registration pharmacists, community pharmacists working with drug users and anyone involved in developing and managing primary health care for drug misusers.

eBook available with sample pages: HB:0415282896

Recent years have seen a growth in the numbers of studies of substance abuse and dependence in adolescence, focusing on prevalence, risk factors, comorbidity, course and outcome. At the same time, numerous prevention and intervention strategies have been developed. Substance Abuse and Dependence in Adolescence presents a comprehensive review of state-of-the-art empirical and practical information on this topic.
Cecilia A. Essau, along with an eminent group of international researchers and clinicians, summarises the most recent empirical findings and state-of-the-art knowledge on substance abuse and dependence in adolescence and includes comprehensive information on prevention and treatment. Substance Abuse and Dependence in Adolescence contains:
* general issues related to substance use disorders
* epidemiology, comorbidity, course, outcome and risk factors
* the prevention and intervention of substance abuse and dependence
* a discussion of progress and unresolved issues in substance use disorders
* recommendations for future studies in the field.
Substance Abuse and Dependence in Adolescence will be an invaluable resource for students, researchers, and other professionals working in the fields of psychology, psychiatry, paediatrics, social work and other mental health professions.

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It inspired written testimonials from William McKinley, Thomas Edison, and Sarah Bernhardt; merited a medal from Pope Leo XIII; produced "exhilaration and lasting euphoria" in Sigmund Freud. Once the stimulant of choice of the enlightened and the elite, cocaine has become, a century later, a plague, ravaging the lives of millions. This book is the first to draw together all the facts about this pervasive drug - from its natural occurrence in a tea-like native South American plant to its devastating appearance as crack in the inner cities of the United States. Drawing on the latest work in medicine, psychiatry, neuroscience, pharmacology, epidemiology, social work, and sociology, the volume is a highly accessible reference on the history and use of cocaine, its physical and psychological effects, and the etiology and epidemiology of cocaine addiction. It also provides a critical evaluation of the pharmaceutical agents and psychosocial interventions that have been used to treat this addiction. Author Jerome J. Platt answers such basic questions as: What is cocaine? What forms does it come in? How is it administered? What does it do? What are the medical complications of cocaine addiction? What are the treatments, and how successful are they? Uniquely comprehensive, Cocaine Addiction makes all the latest information on this urgent subject readily available to medical professionals and practitioners, social workers and scholars, and anyone who cares to know more about this perennially troubling drug.

Retaining the focus and spirit of the widely adopted and acclaimed first edition, The Drug Legalization Debate, Second Edition, offers several alternatives and addresses the major issues involved in the continuing drug legalization debate. This volume delves into the history of drug use and abuse in America and the federal government's approach to drug control-including deterrence, treatment, education, and prevention. Chapters confront topics such as the decriminalization of marijuana, the risk of the war on drugs, an enlightened legalization policy, and discussion of the ethical and legal dilemmas at stake. Updates of retained chapters and new chapters deal with drug use trends of the '90s, including the use of cannabis as a wonder drug and a look at whether legalizing drugs would really reduce violent crime. In addition, the second edition features a substantive introduction and closes with Paul Stares' acclaimed piece titled "Drug Legalization: Time for a Real Debate." Students and professionals in substance abuse, criminology, sociology, psychology, and social work will find this book essential reading.

Luigi Zoja argues that the pervasive abuse of drugs in our society can in large part be ascribed to a resurgence of the collective need for initiation and initiatory structures: a longing for something sacred underlies our culture's manic drive toward excessive consumption. In a society without ritual, the drug addict seeks not so much the thrill of a high as the satisfaction of an inner need for a participation mystique in the dominant religion of our times: consumerism.

This is the first volume that focuses on the lifespan neurobehavioral factors likely to determine susceptibility to alcohol abuse and its consequences. The chapters offer careful analysis of the effects of ethanol on the fetus, the infant, the adolescent, and the adult. The authors include behavioral neuroscientists and clinical neuropsychologists. Their topics range from the neurochemical and neuroanatomical consequences of prenatal alcohol to the cognitive consequences of prenatal alcohol on preschool and school-age children. The impact of genetics on sensitivity to alcohol is considered in terms of analytic tests using techniques of behavioral genetics and molecular biology. The consequences of exposure to alcohol during breastfeeding are described in experiments with human infants. The alcoholism that develops in adulthood is analyzed through the experimental study of relapse from alcohol deprivation and assessment of neuropsychological impairments and treatment for alcoholics. Drawing on extensive research that has applied techniques from molecular neurobiology and tests of learning and memory to the clinical assessment and treatment of alcoholics. The volume answers recent questions raised by the National Institute of Alcohol Abuse and Alcoholism and the National Institute of Drug Abuse about the role of early experience in susceptibility to later abuse of alcohol and other drugs. Although epidemiological studies can describe the problem, solutions in terms of mechanisms that mediate these effects will be found only with the kinds of experimentally oriented approaches the chapter authors describe.

In 1989 Jennifer Johnson was convicted of delivering a controlled substance to a minor. That the minor happened to be Johnson's unborn child made her case all the more complex, controversial, and ultimately, historical. Stephen R. Kandall, a neonatologist and pediatrician, testified as an expert witness on Johnson's behalf. The experience caused him to wonder how one disadvantaged black woman's case became a prosecutorial battlefield in the war on drugs. This book is the product of Kandall's search through the annals of medicine and history to learn how women have fared in this conflict and how drug-dependent women have been treated for the past century and a half. Kandall's sleuthing uncovers an intriguing and troubling story. Opium, laudanum, and morphine were primary ingredients in the curative "powders" and strengthening "tonics" that physicians freely prescribed and pharmacists dispensed to women a hundred and fifty years ago. Or a woman could easily dose herself with narcotics and alcohol in the readily available form of "patent" medicines sold in every town and touted in popular magazines ("Over a million bottles sold and in every one a cure!"). For the most part unaware of their dangers, women turned to these remedies for "female complaints," such as "womb disease" and "congestion of the ovaries," as well as for "neurasthenia," a widespread but vague nervous malady attributed to women's weaker, more sensitive natures. Not surprisingly, by the latter half of the nineteenth century the majority of America's opiate addicts were women. The more things change, the more they remain the same: Substance and Shadow shows how, though attitudes and drugs may vary over time--from the laudanum of yesteryear to the heroin of the thirties and forties, the tranquilizers of the fifties, the consciousness-raising or prescription drugs of the sixties, and the ascendance of crack use in the eighties--dependency remains an issue for women. Kandall traces the history of questionable treatment that has followed this trend. From the maintenance clinics of the early twenties to the "federal farms" of mid-century to the detoxification efforts and methadone maintenance that flourished in the wake of the Women's Movement, attempts to treat drug-dependent women have been far from adequate. As he describes current policies that put money into drug interdiction and prisons, but offer little in the way of treatment or hope for women like Jennifer Johnson, Kandall calls our attention to the social and personal costs of demonizing and punishing women addicts rather than trying to improve their circumstances and give them genuine help.

This authoritative overview of drugs and society today examines: whether a process of `normalization' of drugs and drug use is under way; the debate over prohibition versus legislation; `drugs' and `users' as `other' or `dangerous'; drugs and dance cultures; drug use among young women; images of `race' and drugs; medical responses to drugs; policing strategies and controlling drug users; drug control and sport; and the question of prohibition versus liberalization.