Nick Manning tells the story of the therapeutic community movement, analyses the leading British community, the Henderson Hospital and examines the development of therapeutic communities in Australia. This book should be of interest to students and professionals in sociology, social policy, medicine, psychology.

What is 'addiction'? What does it say about us, our social arrangements and our political preoccupations? Where is it going as an idea and what is at stake in its ongoing production? Drawing on ethnographic research, interviews and media and policy texts, this book traces the remaking of addiction in contemporary Western societies.

Based on findings from a sample of nearly 1,100 Puerto Ricans living in the New York area, this book posits that adhering to traditional cultural values (for example, the family) has the socially desirable consequence of discouraging such deviant behaviors as substance abuse. The authors conclude that promoting specific values will not prevent certain individual and social ills; rather, promoting a sense of tradition' itself is needed.

Should marijuana be legalized? Since 2012 four US states have legalized commercial for-profit marijuana production and use, while Washington DC has legalized possession, growth and gifting of limited amounts of the plant. Other states, and even cities, have decriminalized possession, allowed for medical use, or reduced possession to a misdemeanor. While marijuana is forbidden by international treaties and by national and local laws across the globe, polls show that public support for legalization has continued to increase steadily over time. So why does the issue of marijuana legalization continue to be so controversial? One short answer is that it is an extremely complicated business, with approaches toward legalization just within the United States varying widely. What's more, not all supporters of "legalization " agree on what it is they want to legalize: Just using marijuana? Growing it? Selling it? Advertising it? If sales are to be legal, what regulations and taxes should apply? Different forms of legalization have demonstrated very different results. This second edition of Marijuana Legalization: What Everyone Needs to Know (R) provides readers with a non-partisan primer covering everything from the risks and benefits of using marijuana to what is happening with marijuana policy in the United States and abroad. The authors discuss the costs and benefits of legalization at the state and national levels and explore the "middle ground " of policy options between prohibition and commercialized production. The book also considers the personal impact of marijuana legalization on parents, heavy users, medical users, employers, and even drug traffickers.

A former drug addict turned behavioural neuroscientist reveals how drugs work in the brain ― and what we can do to fight addiction.

Judith Grisel was a daily drug user when she began to consider that her addiction might have a cure, one that she herself could perhaps discover by studying the brain. Now, after twenty-five years as a neuroscientist, she shares what she and other scientists have learned about addiction, enriched by captivating glimpses of her personal journey.

In Never Enough, Grisel reveals the unfortunate bottom line of all regular drug use: there is no such thing as a free lunch. All drugs act on the brain in a way that diminishes their enjoyable effects and creates unpleasant ones with repeated use. Delving into the science of one of the world’s most pressing health problems, she reveals what is different about the brains of addicts even before they first pick up a drink or drug, and highlights the changes that take place in the brain and behaviour as a result of chronic using.

With compassion and clarity, Grisel describes what drove her to addiction, what helped her recover, and her belief that a ‘cure’ for addiction will not be found in our individual brains but in the way we interact with our communities.

.In Our Right to Drugs, Thomas Szasz shows that our present drug war started at the beginning of this century, when the American government first assumed the task of protecting people from patent medicines. By the end of World War I, however, the free market in drugs was but a dim memory, if that. Instead of dwelling on the familiar impracticality or unfairness of our drug laws, Szasz demonstrates the deleterious effects of prescription laws which place people under lifelong medical tutelage. The result is that most Americans today prefer a coercive and corrupt command drug economy to a free market in drugs.

Throughout the book, Szasz stresses the consequences of the fateful transformation of the central aim of American drug prohibitions from protecting us from being fooled by misbranded drugs to protecting us from harming ourselves by self-medication--defined as drug abuse. And he reminds us that the choice between self-control and state coercion applies to all areas of our lives, drugs being but one of the theaters in which this perennial play may be staged. A free society, Szasz emphasizes, cannot endure if its citizens reject the values of self-discipline and personal responsibility and if the state treats adults as if they were naughty children. In a no-holds-barred examination of the implementation of the War on Drugs, Szasz shows that under the guise of protecting the vulnerable members of our society--especially children, blacks, and the sick--our government has persecuted and injured them. Leading politicians persuade parents to denounce their children, and encourage children to betray their parents and friends--behavior that subverts family loyalties and destroys basic human decency. And instead of protecting blacks and Hispanics from dangerous drugs, this holy war has allowed us to persecute them, not as racists but as therapists--working selflessly to bring about a drug-free America. Last but not least, to millions of sick Americans, the War on Drugs has meant being deprived of the medicines they want-- because the drugs are illegal, unapproved here though approved abroad, or require a prescription a physician may be afraid to provide. The bizarre upshot of our drug policy is that many Americans now believe they have a right to die, which they will do anyway, while few believe they have a right to drugs, even though that does not mean they have to take any. Often jolting, always stimulating, Our Right to Drugs is likely to have the same explosive effect on our ideas about drugs and drug laws as, more than thirty years ago, The Myth of Mental Illness had on our ideas about insanity and psychiatry.

The appetite for illicit drugs in the UK continues to grow and diversify. Young Britons consume more drugs than their peers anywhere else in Europe. Why and how has this happened and why have all official efforts to stem drug 'abuse' so far failed. Will the new UK drugs strategy fair any better? This unique collection of contemporary studies from the frontline by a leading social research group describes the drugs landscape in an accessible and authoritative way.

It is apparent that the current literature fails to systematically describe and examine the diverse value and ethical issues that arise in relation to alcohol abuse. This volume attempts to fulfil this void by addressing the most basic scientific and philosophical questions about the causes of alcoholism, their implications for individual responsibility and the most basic public policy questions that stem from clinical medicine and public health.

As khat chewing has become a popular Ugandan pastime, it is seen as a threat to law and order. Traders and consumers are harassed by the police, and one district authority has banned khat. New production areas, such as Uganda, share many common features with established khat production in Ethiopia and Kenya. By telling of the story of khat, the book will serve as a vehicle for the analysis of social change, development priorities and shifting ethnic identities in Uganda over the last 80 years.

This book is the first to trace the evolution of anti-drugs policies at European Union level from the late 1960s to the present. Phases of drug policy development, key policy actors and institutions are described with particular reference to the influence of transnational networks of expertise. Policy development is placed in the context of both European integration and a broad harmonization of international policies against drug trafficking. Concerns are also raised about secretive and anti-democratic features on intergovernmental EU decision-making.

Takes the recent wave of German autobiographical writing on illness and disability seriously as literature, demonstrating the value of a literary disability studies approach. In the German-speaking world there has been a new wave - intensifying since 2007 - of autobiographically inspired writing on illness and disability, death and dying. Nina Schmidt's book takes this writing seriously as literature,examining how the authors of such personal narratives come to write of their experiences between the poles of cliche and exceptionality. Identifying shortcomings in the approaches taken thus far to such texts, she makes suggestions as to how to better read their narratives from the stance of literary scholarship, then demonstrates the value of a literary disability studies approach to such writing with close readings of Charlotte Roche's Schossgebete(2011), Kathrin Schmidt's Du stirbst nicht (2009), Verena Stefan's Fremdschlafer (2007), and - in the final, comparative chapter - Christoph Schlingensief's So schoen wie hier kanns im Himmel gar nicht sein! Tagebuch einer Krebserkrankung (2009) and Wolfgang Herrndorf's blog-cum-book Arbeit und Struktur (2010-13). Schmidt shows that authors dealing with illness and disability do so with an awareness of their precarious subject position in the public eye, a position they negotiate creatively. Writing the liminal experience of serious illness along the borders of genre, moving between fictional and autobiographical modes, they carve out spaces from which they speak up and share their personal stories in the realm of literature, to political ends. Nina Schmidt is a postdoctoral researcher in the Friedrich Schlegel Graduate School of Literary Studies at the Freie Universitat Berlin.

" The problems and needs of rural substance abusers vary from those of abusers in urban areas. Accordingly, the means of treatment must acknowledge and address these differences. Despite this call for specialized care, no theoretically grounded therapy has yet been made available to rural patients. Behavioral Therapy for Rural Substance Abusers, developed and piloted over three years by University of Kentucky faculty and staff and substance abuse counselors in rural eastern Kentucky, provides a model for effective treatment for this segment of the population. A two-phase outpatient treatment, this approach combines group and individual sessions in an environment that is both comfortable and useful for the client. The success of this method lies in its regional approach to therapy. Rather than using role-playing techniques to examine old behaviors, therapy is designed around storytelling activities. Rural patients respond more positively to such time-honored traditions and thus become active participants in their own treatment. This manual offers a clear and well-constructed guide through the strategies of Structured Behavioral Outpatient Rural Therapy (SBORT). Supplemented with illustrations, sample exercises, and case studies, Behavioral Therapy for Rural Substance Abusers is a vital tool in meeting the treatment needs of an otherwise ignored rural population.

Public sector human service organizations have unique problems of employee motivation and productivity, both on the professional and direct service levels. Martin examines these problems in detail and offers practical solutions based on his own extensive personal experience in the field. Written for professional, supervisory, and administrative practitioners in the human services field, the book offers thorough, straightforward coverage of motivation to work, job satisfaction and commitment, work attitudes and barriers to productivity, motivational problems associated with decertification, reward and incentive systems, human factors and performance, and a realistic discussion of recruitment problems peculiar to public sector human service organizations.

to the Animal Models Volumes This volume describes animal models of drug addiction. Because of increasing public concern over the ethical treatment of animals in research, we felt it incumbent upon us to include this general preface in order to indicate why we think further research using animals is necessary. Animals should only be used when suitable alternatives are not available, and humans can only be experimented upon in severely proscribed circumstances. Alternative procedures using cell or tissue culture are inadequate in any models requiring assessments of behavioral change or of complex in vivo p- cesses. However, when the distress, discomfort, or pain to the animals outweighs the anticipated gains for human welfare, the research is not ethical and should not be carried out. It is imperative that each individual researcher examine his/ her own research from a critical moral standpoint before eng- ing in it, and take into consideration the animals' welfare as well as the anticipated gains. Furthermore, once a decision to p- ceed with research is made, it is the researcher's responsibility to ensure that the animals' welfare is of prime concern in terms of appropriate housing, feeding, and maximum reduction of any uncomfortable or distressing effects of the experimental conditions.

In 1898 Heroin, the Bayer trademark name for diacetylmorphine, was commercially introduced to every corner of the Earth. Contrary to common assertion, Heroin was not recommended for treatment of morphine or opium habits. Rather, Heroin filled a desperate need for a powerful cough suppressant. The leading causes of death at that time, tuberculosis and pneumonia, were linked to uncontrollable coughing. Heroin performed well in preliminary testing by the manufacturer and upon release was hailed for its effectiveness.

Although Heroin is a morphine derivative, for several years it was thought not to be particularly habit forming. Its addictive potential became apparent especially in the United States, where its sale was pretty much unrestricted until 1914. Heroin's prominent use among teen-aged gangs in New York City prompted the city's health commissioner in 1919 to characterize that use as an American disease.

This book examines the drug dealer in contemporary society from an interdisciplinary perspective and considers the increasingly blurred demarcation between illegitimate and legitimate drug markets. It explores the motives and drivers of those involved in drug supply and dispels common and stereotypical myths and misconceptions surrounding illegal drug markets and those who operate within them. The drug dealer has become one of our foremost contemporary ‘folk devils’. Those who trade in substances prohibited by law are the subject of array of inaccurate myths and urban legends. Criminology has tended either to shoehorn drug dealers into neat typologies or portray them as ‘victims’ of an uncaring, predatory post-modern society. In reality, we know relatively little about the complex and diverse world of drug markets and our concentration inevitably falls on low-end ‘retail’ dealers who operate in the most visible sectors of the illegal economy. Bringing together an international group of experts, this book considers perspectives from around the world, including UK, USA, South America, Spain, India and Australia. This book will be of interest to students and researchers across criminology, law, sociology, criminal justice and public health, and will be essential reading for those taking courses on drugs, drug markets and substance misuse.

An ideal book for those coming to the anthropology of drugs for the first time, filling a surprisingly big gap in the literature Includes many case studies, such as drug tourism, the opioid crisis and 'county lines' in the UK as well as global examples from the Philippines, Mexico, North America and Europe Helps connect the anthropology of drugs to issues highly relevant to professional working in drug treatment, health, social work and mental health

The number of people incarcerated in the U.S. now exceeds 2.3 million, due in part to the increasing criminalization of drug use: over 25% of people incarcerated in jails and prisons are there for drug offenses. Judging Addicts examines this increased criminalization of drugs and the medicalization of addiction in the U.S. by focusing on drug courts, where defendants are sent to drug treatment instead of prison. Rebecca Tiger explores how advocates of these courts make their case for what they call "enlightened coercion," detailing how they use medical theories of addiction to justify increased criminal justice oversight of defendants who, through this process, are defined as both "sick" and "bad." Tiger shows how these courts fuse punitive and therapeutic approaches to drug use in the name of a "progressive" and "enlightened" approach to addiction. She critiques the medicalization of drug users, showing how the disease designation can complement, rather than contradict, punitive approaches, demonstrating that these courts are neither unprecedented nor unique, and that they contain great potential to expand punitive control over drug users. Tiger argues that the medicalization of addiction has done little to stem the punishment of drug users because of a key conceptual overlap in the medical and punitive approaches--that habitual drug use is a problem that needs to be fixed through sobriety. Judging Addicts presses policymakers to implement humane responses to persistent substance use that remove its control entirely from the criminal justice system and ultimately explores the nature of crime and punishment in the U.S. today.

Substance abuse is one of higher education's worst problems not only in terms of financial but also human cost. Drawing upon current theory and research, this handbook arrives at practical solutions to these problems. While there are divergent models of research and practice in substance abuse which have led to competing models of intervention, treatment, and prevention, this book seeks to reconcile those differences. It allows the reader to understand substance abuse from theoretical/research perspectives and guides the reader from conceptualization to programming to intervention with the substance abusing student.

The book is divided into three parts. The first deals with ways of conceptualizing substance-abuse and the models which have been the basis for developing intervention strategies. Theories of how substance abuse problems develop are discussed and some suggestions are given as to how these theories may guide prevention, intervention, and treatment. The second part focuses on how one should establish policies and programming on campus, and how these programming and policy decisions can help in prevention strategies. The final part outlines how one can assess, intervene, and provide treatment for a substance abuser. Included here is a chapter on self-help groups and how they may be used in support of treatment and aftercare.

Methamphetamine not only destroys the lives of those who become addicted to it, but affects all corners of society, including innocent children. This important book follows the case of rural Illinois, where in the mid-1990s methamphetamine production and misuse became a significant problem and, as a result, child welfare professionals saw an influx onto their caseloads of children whose parents were involved with the drug. The authors' account of the problems the children face, and of the efforts to help them, sheds useful light on possibilities for many other situations.
Applying a case-based, mixed-methods approach that capitalizes on rich qualitative data, the book examines parental methamphetamine misuse from a sociocultural perspective. Using extensive child welfare investigation data, participant observation, and in-depth interviews, the authors describe the perilous home lives of rural children whose parents misuse methamphetamine, where they are exposed to maltreatment, criminal behavior, and environmental danger. Many children end up with significant emotional and behavioral problems, especially posttraumatic symptoms, that will stay with them for years. Based on this descriptive information and the existing clinical literature, the authors designed a relationship- and narrative-based mental health program, "Life Story Intervention," that draws on rural communities' strengths, such as their storytelling traditions. Pilot data from the program, shared here, suggests some positive results of the intervention on children's psychological functioning.
Eradication of the problems caused by methamphetamine abuse will require years more of concerted effort and collaboration such as that described in this book. Social work and child welfare professors and students, researchers, practitioners, and policy-makers will find inspiration in this account of the success that can result, with this issue and others, when practitioners and researchers join forces to understand complex social phenomena and design, implement, and assess effective interventions.

This book examines the drug dealer in contemporary society from an interdisciplinary perspective and considers the increasingly blurred demarcation between illegitimate and legitimate drug markets. It explores the motives and drivers of those involved in drug supply and dispels common and stereotypical myths and misconceptions surrounding illegal drug markets and those who operate within them. The drug dealer has become one of our foremost contemporary ‘folk devils’. Those who trade in substances prohibited by law are the subject of array of inaccurate myths and urban legends. Criminology has tended either to shoehorn drug dealers into neat typologies or portray them as ‘victims’ of an uncaring, predatory post-modern society. In reality, we know relatively little about the complex and diverse world of drug markets and our concentration inevitably falls on low-end ‘retail’ dealers who operate in the most visible sectors of the illegal economy. Bringing together an international group of experts, this book considers perspectives from around the world, including UK, USA, South America, Spain, India and Australia. This book will be of interest to students and researchers across criminology, law, sociology, criminal justice and public health, and will be essential reading for those taking courses on drugs, drug markets and substance misuse.

Based on a conference held at Ohio State University, this volume focuses on the unique mental health needs of ethnic minorities. Four sections cover psychopathology; advances in assessment; advances in treatment; the current state of knowledge including university, professional, and government roles. Each section presents an introduction to its theme as well as three papers. The papers individually relate the section theme to three ethnic groups: Black, Hispanic, and Asian Americans. Distinguished by its developmental as well as clinical orientation, this graduate level textbook is also an excellent reference for professionals in the fields of mental health, social work, education, and medicine.

The field of Minority Mental Health promises to produce research which will promote the welfare of ethnic minorities and contribute to the understanding of nonminorities. Toward this goal, the editors and contributors of "Mental Health of Ethnic MinoritieS" review the current state of knowledge as it relates to mental health problems, assessment, and treatment. They suggest new directions for research. They also provide a vehicle to disseminate research findings to the service provider, professional training programs, and the graduate student.

A balanced and straightforward survey of the key issues, facts, and controversies surrounding the use and abuse of harmful drugs in the United States and abroad. Drug Use: A Reference Handbook presents a vast collection of facts and information about the major issues that drive the world's never-ending drug problem. An examination of five substances-tobacco, alcohol, cannabis, heroin, and cocaine-presents eye-opening facts about their relationship to politics, policies, big business, and war. Historical overviews and descriptions of the makeup and effects of each drug-such as the derivation of heroin from the opium poppy-segue into an analysis of the risk factors, patterns, and controversies regarding their use. Biographies profile key players related to the substance-use problem, and reports on drug use in the United States and selected countries are viewed from a worldwide perspective, offering a thought-provoking exploration of drug use, its problems, and policies. Chronology of key events related to the major substances, such as the Taliban's 2000 ban on opium cultivation in Afghanistan, the world's largest opium producer Glossary of terms commonly used in discussing drugs and drug use, such as the meanings of use, abuse, and addiction

Addiction research has a long history, but it is only recently that experimental psychologists and neuroscientists have begun to investigate the cognitive aspects of addictive behaviours. This has revealed a complex inter-play of cognitive mechanisms that subserve subjective experiences associated with addiction, such as drug craving. This has led to a marked increase in interest in the potential of such research to elucidate, for example, the processes that may lead to relapse following abstinence. Although research into the relationship between cognitive processes and addictive behaviours is currently an area of substantial growth and interest, this book has brought together the state-of-the-art in this research. As the field matures such a monograph is timely and will serve to capture the current state of knowledge, as well as identifying directions for future research. Within the book, current research and theoretical models have been synthesised by leading authors in the field of cognition and addiction, with a particular emphasis on widely investigated substances of abuse such as alcohol, nicotine, cocaine and opiates. The individual authors, all of whom are high profile researchers of international standing, have provided a series of chapters that cover mechanisms that underpin cognitive processes in addiction and their application to specific addictive behaviours.