Depictions of an alcohol-saturated Japan populated by intoxicated salarymen, beer dispensing vending machines, and a generally tolerant approach to public drunkenness, typify domestic and international perceptions of Japanese drinking. Even the popular definitions of Japanese masculinity are interwoven with accounts of personal alcohol consumption in public settings; gender norms that exclude and marginalize the alcoholic. And yet the alcoholic also exists in Japan, and exists in a manner revealing of the dominant processes by which alcoholism and addiction are globally influenced, understood, and classified. As such, this book examines the ways in which alcoholism is understood, accepted, and taken on as an influential and lived aspect of identity among Japanese men. At the most general level, it explores how a subjective idea comes to be regarded as an objective and unassailable fact. Here such a process concerns how the culturally and temporally specific treatment methodology of Alcoholics Anonymous, upon which much of Japan's other major sobriety association, Danshukai, is also based, has come to be the approach in Japan to diagnosing, treating, and structuring alcoholism as an aspect of individual identity. In particular, the gendered consequences, how this process transpires or is resisted by Japanese men, are considered, as they offer substantial insight into how categories of illness and disease are created, particularly the ramifications of dominant forms of such categorizations across increasingly porous cultural borders. Ramifications that become starkly obvious when Japan's persistent connection between notions of masculinity and alcohol consumption are considered from the perspective of the sober alcoholic and sobriety group member.

This book explains the role that peyote-a hallucinogenic cactus-plays in the religious and spiritual fulfillment of certain peoples in the United States and Mexico, and examines pressing issues concerning the regulation and conservation of peyote as well as issues of indigenous and religious rights. Why is mescaline-an internationally controlled substance derived from peyote-given exemptions for religious use by indigenous groups in Mexico, and by the pan-indigenous Native American Church in the United States and Canada? What are the intersections of peyote use, constitutional law, and religious freedom? And why are natural populations of peyote in decline-so much so that in Mexico, peyote is considered a species needing "special protection"? This fascinating book addresses these questions and many more. It also examines the delicate relationship between "the needs of the plant" as a species and "the needs of man" to consume the species for spiritual purposes. The authors of this work integrate the history of peyote regulation in the United States and the special "trust responsibility" relationship between the American Indians and the government into their broad examination of peyote, a hallucinogenic cactus containing mescaline that grows naturally in Mexico and southern Texas. The book's chapters document how when it comes to peyote, multiple stakeholders' interests are in conflict-as is often the case with issues that involve ethnic identity, religion, constitutional interpretation, and conservation. The expansion of peyote traditions also serves as a foundation for examining issues of international human rights law and protections for religious freedom within the global milieu of cultural transnationalism. Explains the complete history of the peyote plant in the United States, presenting views from religions including Native American and Christian churches, the creation and evolution of U.S. law regarding peyote, state and federal legal protections since 1990, reasons for the plant's apparent demise, and arguments for its stronger protection Identifies current peyote protective laws in Mexico and Canada Documents how many U.S. residents, including Native Americans, commonly use peyote as a spirituality enhancer or illegal recreational drug within the United States, or do so as tourists when visiting Mexico

Social workers and other social care professionals regularly face the challenges of working with people with alcohol and other drug problems. Yet many receive little, if any, training for working with these issues. As substance use and its social impact on communities and families rises up the political agenda, this book offers a timely support for social workers and other social care staff working in this area. Supporting people with alcohol and drug problems addresses the current gap in social work and social care education. It provides a combination of research evidence, policy frameworks, and practical hints and tips for good social work practice. Based around practice examples supplied by social workers from both adults' and children's social care, it combines knowledge with action. It also provides an important introduction to the evidence base on assessment, intervention and partnership working with specialist substance use colleagues. This book is for all those working in children's and adults' social work and social care settings who are working with people who use, or have problems with, alcohol and other drugs.

Have the nations of the world begun to converge with respect to drug policy? Which countries have remained apart from the international dialogue? Which have taken steps to forge new, more liberal policies stressing education, treatment, and alternative community-based intervention? Focusing specifically on cannabis, cocaine, and heroin, Illicit Drug Policies, Trafficking, and Use the World Over presents a brief history and analysis of the current laws and policies regarding illicit drugs-widely considered to be a growing international health threat-in twenty five different countries. With its wide breadth of data and analysis, this volume will be valuable for both scholars and students of this seemingly intractable social, legal, and political problem.

While evidence-based policy is an emerging rhetoric of the desire by and for governments to develop policies based on the best available evidence, drug policy is an area where particular challenges abound. This book is a detailed and comprehensive examination of the contours of drug policy development through the consideration of the particular roles of science, media, and interest groups. Using Belgium as the primary case-study, supplemented by insights gathered from other countries, the author contributes to a richer understanding of the science-policy nexus in the messy, real-world complexities of drug policy. Change or Continuity in Drug Policy: The Roles of Science, Media, and Interest Groups is the first book to bring together policy and media theories, knowledge utilisation models, and public scholarship literature. As such, the book provides unique insights relevant to aspects of change or continuity in drug policies in Europe and beyond. This book will be of great value to undergraduate and graduate students, as well as to academics, practitioners and policymakers with interest in the science-policy nexus with a particular focus on the drug policy domain.

Drawing together international research from the fields of geography, alcohol studies, sociology, psychology and childhood studies, Jayne and Valentine explore children's understandings and experiences of alcohol consumption and the role of alcohol in family life. Chapters address both extra-familialnorms about parenting and drinking cultures which are generated in wider society (through law/regulation, media/advertising and social networks etc.) and intra-familialnorms including the modelling behaviour of family members attitudes to alcohol, drinking habits and practices, rules and guidance, and initiating children to drinking. Based on empirical research undertaken in the UK, and drawing on studies from around the world, Childhood, Family, Alcohol advances theoretical debates and offers insights relevant to policy and practice by: * adopting a cross-generational perspective on drinking cultures * exploring pre-teen children's understandings of alcohol * focusing on the significance of the spaces of everyday family life * considering adult alcohol consumption, drinking practices and drunken performativities * reflecting on social/individualized consumption, social reproduction, adult-children interaction and materialities * showing the importance of non-(and more-than) representational understanding of the complexities of childhood, family life and alcohol consumption.

"The Economics of Excess" discusses both standard and behavioral economics as they apply to addiction, indulgence, and social policy.
Chapter One provides a thorough discussion of economic models of addiction. The model developed in most detail takes into account both standard and behavioral approaches. The next three chapters examine specific indulgences: smoking, drinking, and overeating. The heart of this book is its comprehensive discussion of what is often referred to as the "new paternalism." Many economists are now challenging the more traditional belief that, unless they are harming others, people should be left to their own indulgences. As more and more economists are arguing for policies that are designed to protect people from themselves, this book offers a serious, yet accessible, discussion of the pros and cons of such interventions.
Written in an approachable style, this book will serve researchers who are new to the economics of addiction and students in a variety of economics and policy courses alike.

"The Economics of Excess" discusses both standard and behavioral economics as they apply to addiction, indulgence, and social policy.
Chapter One provides a thorough discussion of economic models of addiction. The model developed in most detail takes into account both standard and behavioral approaches. The next three chapters examine specific indulgences: smoking, drinking, and overeating. The heart of this book is its comprehensive discussion of what is often referred to as the "new paternalism." Many economists are now challenging the more traditional belief that, unless they are harming others, people should be left to their own indulgences. As more and more economists are arguing for policies that are designed to protect people from themselves, this book offers a serious, yet accessible, discussion of the pros and cons of such interventions.
Written in an approachable style, this book will serve researchers who are new to the economics of addiction and students in a variety of economics and policy courses alike.

In this updated edition of Substance Abuse and the Family, Michael D. Reiter examines addiction through a family systems lens which considers a range of interconnected contexts, such as biology and genetics, family relationships, and larger systems. Chapters are organized around two sections: Assessment and Treatment. Examining how the family system organizes around substance use and abuse, the first section includes contributions on the neurobiology and genetics of addiction, as well as chapters on family diversity, issues in substance-using families, and working in a culturally sensitive way. The second half of the book explores various treatment options for individuals and families presenting with substance abuse issues, providing an overview of the major family therapy theories, and chapters on self-help groups and the process of family recovery. The second edition has many useful additions including a revision of the family diversity chapter to consider sexual and gender minorities, brand new chapters on behavioral addictions such as sex and gambling, and a chapter on ethical implications in substance abuse work with families. Additional sections include information on Multisystemic Therapy, Behavioral Couples Therapy, Motivational Interviewing, and Twelve-Step Facilitation. Each chapter now contains a case application to help demonstrate treatment strategies in practice. Intended for undergraduate and graduate students, as well as beginning practitioners, Substance Abuse and the Family, 2nd Ed. remains one of the most penetrating and in-depth examinations on the topic available.

Fully updated, this matter-of-fact handbook includes the most recent discoveries about drug use, including new information on electronic smoking devices, abuse of prescription stimulants and the opioid crisis. "Lively, highly informative, unbiased, [and] thorough" (Addiction Research & Theory), Buzzed surveys drugs from caffeine to heroin to reveal how these drugs affect the body, the different "highs" they produce and the circumstances in which they can be deadly. Neither a "Just Say No" treatise nor a "How to" manual, Buzzed is based on the conviction that people make better decisions with accurate information at hand.

Social media has helped boost the culture of intoxication, a central aspect of young people's social lives in many Western countries. Initial research suggests that these technologies enable highly-nuanced, targeted marketing and innovations - creating new virtual spaces that alter the dynamics and consequences of drinking cultures in significant ways. Youth Drinking Cultures in a Digital World focuses on how pervasive social networking technologies contribute to drinking cultures. It brings together international contributions from leading researchers in this emerging field to explore how new technologies are reconfiguring the key themes, traditional interests, practices and concerns of alcohol-related research with young people. It is particularly concerned with three important areas, namely: identities, social relations and power alcohol marketing and commercialisation public health and regulating alcohol promotion. This innovative book includes original research and commentary and is a must-read for academics and researchers in the areas of public health, psychology, sociology, media studies, youth studies and alcohol studies.

In recent years, the reduction of alcohol-related harm has emerged as a major policy issue across Europe. Public health advocates, supported by the World Health Organisation, have challenged an approach that targets problem-drinking individuals, calling instead for governments to control consumption across whole populations through a combination of pricing strategies, restrictions on retail availability and marketing regulations. Alcohol, Power and Public Health explores the emergence of the public health perspective on alcohol policy in Europe, the strategies alcohol control policy advocates have adopted, and the challenges they have faced in the political context of both individual states and the European Union. The book provides a historical perspective on the development of alcohol policy in Europe using four case studies - Denmark, England, Scotland and Ireland. It explores the relationship between evidence, values and power in a key area of political decision-making and considers what conditions create - or prevent - policy change. The case studies raise questions as to who sets policy agendas, how social problems are framed and defined, and how governments can balance public health promotion against both commercial interests and established cultural practices. This book will be of interest to academics and researchers in policy studies, public health, social science, and European Union studies.

Though any psychoactive substance can be revered or reviled as a drug, as people's cultural norms shift, ultimately its status is determined in law by the state. This publication explores the regulation of drugs - alcohol and cannabis to heroin and cocaine - and practices such as social drinking and public injecting under political regimes. Drugs are discussed in their geographical contexts: the colonial legacy of cannabis prohibition for bioprospecting in Africa; the veracity of the persistent notion of the narco-state; Turkey's governance of drinking amid civil unrest; and alcohol's place in the neoliberal political economy of Ireland. In addition, drug policies are examined: from problems in managing drug-related litter in the UK to supervised injecting facility provision in Australia; harm reduction in Canada; and the global network of drug policy activists. Place is significant, but porous borders, territorial overlaps and multi-scalar linkages are influential in remaking the world through current challenges to the 'war on drugs'. This book was originally published as a special issue of Space & Polity.

Have the nations of the world begun to converge with respect to drug policy? Which countries have remained apart from the international dialogue? Which have taken steps to forge new, more liberal policies stressing education, treatment, and alternative community-based intervention? Focusing specifically on cannabis, cocaine, and heroin, Illicit Drug Policies, Trafficking, and Use the World Over presents a brief history and analysis of the current laws and policies regarding illicit drugs_widely considered to be a growing international health threat_in twenty five different countries. With its wide breadth of data and analysis, this volume will be valuable for both scholars and students of this seemingly intractable social, legal, and political problem.

Contents:
Preface 1. Philip Bean and Teresa Nemitz Introduction 2 Joy Mott What Should Work: guidelines on the clinical management of opioid dependence in the UK 3. Ken Checinski and Hamid Ghodse Types of Treatments for Types of Patients 4. Michael Gossop Developments in the Treatment of Drug Problems 5. Colin Brewer Psychological and Pharmacological Components of Treatment 6. Douglas Longshore, Michael Prendergast and David Farrabee Coerced Treatment for Drug-Using Criminal Offenders 7. Nicholas Seivewright and Muhammad Iqbal Treating Patients with Comorbidities 8. Jay Carver Drug Testing as a Necessary Prerequisite for Treatment and for Crime Control 9. Philip Bean and Andrew Ravenscroft Therapeutic Addicts Revisited 10. Tammy L. Anderson and Lana Harrison Therapeutic Community Drug Treatment in the U.S. Criminal Justice System 11. Paul Hayes Treating Drug Users: the role of the National Treatment Agency for substance misuse 12. Philip Bean Linking Treatment Services to the Criminal Justice System 13. Joris Casselman Motivation Enhancement in Clients Referred from the Criminal Justice System

This book addresses the history of harm reduction. It evaluates the consequences and constraints, stakes and costs of the policy of needle exchange for the purposes of harm prevention and health research. Vitellone situates the syringe at the centre of empirical research and theoretical analysis, challenging existing accounts of drug injecting which treat the syringe as a dead device that simply facilitates social action between humans. Instead, this book complicates the relationship between human and object - injecting drug user and syringe - to ask what happens if we see the object as an intra-active part of the sociality that constitutes injecting practices. And what kinds of methods are required to generate a social science of the syringe that is able to measure injecting sociality? Social Science of the Syringe develops material methodologies and epistemologies of injecting drug use to enact the syringe as an object of intellectual inquiry. It draws on the methodologies of social anthropology, Actor-Network-Theory, Deleuze's empiricism and new feminist materialism to move towards materially-engaged knowledge production. This interdisciplinary approach improves understandings of the causes and effects of injecting behaviour and the problem of needle sharing, as well as providing a more robust empirical framework to evaluate the motivations and consequences of drug use and drug policy. This book will appeal to researchers and students interested in the sociology of health and illness, STS, Actor-Network Theory, empirical sociology, medical anthropology, social and cultural anthropology, addiction theory and harm reduction.

From over-the-counter cough syrups and prescribed painkillers to street economies of heroin and fentanyl, opioid substances and uses have ignited global debates about national drug policy reform. This book is the first to focus on these issues in South Africa, through a range of disciplinary perspectives.

In twelve chapters, scholars from community medicine, pharmacology, social science and the humanities, along with civic actors and researchers, present their evidence-based arguments and insights, and explore possibilities for harm reduction approaches in South Africa. Chapters cover three core areas: dilemmas of drug policy; contradictions of care and treatment; and the issue of stigma.

Opioids in South Africa invites wider conversation, asking us to imagine policy responses that can better protect the constitutional dignity, health and access to healthcare of people using drugs as well as of their families and communities.

This volume provides a serious examination of substance use prevention research and practice as components of the continuum from health promotion through to prevention and health care in sub-groups and in the general population. Extensive background chapters provide portals into the evolution of the field and the cutting edge research being conducted on the etiology, epidemiology, and genetics of substance use and abuse. The global nature and health burden of substance use and abuse incorporates assessments of the serious problems related to the prevention of legal substance use (i.e., alcohol and tobacco) and how lessons learned in those arenas may apply to the prevention of illicit substance use. Research and practice chapters detail a range of effective evidence-based programs, policies and practices and emerging prevention interventions from the literatures on the family and school contexts in addition to innovations involving mindfulness and the social media. Continued advancements in substance use prevention research, practice, training, and policy are projected. Included among topics addressed are: Progression of substance use to abuse and substance use disorders The tobacco prevention experience: a model for substance use prevention? Policy interventions: intended and unintended influences on substance use Qualitative methods in the study of psychoactive substance use Use of media and social media in the prevention of substance use Supporting prevention science and prevention research internationally The array of research accomplishments and real-world methods presented in Prevention of Substance Use merits the attention of a variety of researchers and practitioners, including public health professionals, health psychologists, and epidemiologists.

Drug use is widely understood in terms of its subjects, substances and settings. But what happens when these distinctions start to blur? Injecting Bodies in More-than-Human Worlds moves away from a hierarchical conceptualisation of drug use based on its subjects and their objects, offering unique and fresh insights into the complex world of injecting drugs. Focussing on the Deleuzian notion of bodies-in-process, Dennis proposes a new and timely approach to drugs where agency materialises in relation to others - human and not. Using rich, ethnographic data to demonstrate bodies' in/capacities to act through their relationality, Dennis carefully maps out where bodies are thought, practised, lived and intervened-with: caught in tension between pleasure and addiction, activity and passivity, 'becoming-other' and 'becoming-blocked', and making and breaking habits. Arguing for a deeper engagement both with how bodies are enacted and with our collective responsibility to bring them together in healthier ways, this volume offers a unique intervention into the sociology of drugs and, more widely, health and illness. It will appeal to students and researchers interested in fields such as Science and Technology Studies, Sociology and Social Policy, Drugs and Addiction, and Health and Medical Anthropology.

Alcohol and other drugs of abuse cause significant physi ological changes, especially during development. The effects on the infant and child range from severe mental retardation to mild changes in activity and neurological functions. Although the level of intake needed to cause fetal damage is not clear, the magnitude of the problem is significant, with many long-term sequelae. As a result, it becomes critical to better diagnose and manage drug and alcohol use during pregnancy. This must involve special training for health care professionals. In addi tion, recognition of the psychosocial factors affecting alcohol use, especially by youth and young adults, is critical to modi fying behavior, and thus reducing fetal alcohol exposure. Cultural considerations can also come into play in modi fying alcohol and drug use by women so as to reduce fetal damage. The trends in alcohol and drug use by youth forecast rising levels of damage to infants. These children will need extensive medical and educational care for years to decades. Clearly, understanding of the role women must take in modifying their alcohol and drug use during pregnancy will facilitate changes in our cultural and educational practices that will help reduce fetal trauma from alcohol.

In Alcohol, Cocaine, and Accidents leading experts provide concise yet focused scientific reviews of the role of alcohol and cocaine in automotive, aviation, and aquatic accidents. The authoritative contributors present both applied research and epidemiological studies, with emphasis on the prevention of injuries through an increased use of appropriate educational labels, law enforcement, and personal and community-based prevention programs. In addition to detailed topical coverage, the articles suggest prevention strategies and provide supporting data for the role of treatment in reducing accidents.
Alcohol, Cocaine, and Accidents will be of interest to substance abuse researchers, law enforcement officials, treatment providers, policy makers, and legislators responsible for regulating alcohol and drug use, as well as safety issues in all areas of transportation.

'Lucy Inglis has done a wonderful job bringing together a wide range of sources to tell the history of the most exciting and dangerous plants in the world. Telling the story of opium tells us much about our faults and foibles as humans - our willingness to experiment; our ability to become addicts; our pursuit of money. This book tells us more than about opium; it tells us about ourselves.' - Peter Frankopan, author of The Silk Roads 'The only thing that is good is poppies. They are gold.' Poppy tears, opium, heroin, fentanyl: humankind has been in thrall to the 'Milk of Paradise' for millennia. The latex of papaver somniferum is a bringer of sleep, of pleasurable lethargy, of relief from pain - and hugely addictive. A commodity without rival, it is renewable, easy to extract, transport and refine, and subject to an insatiable global demand. No other substance in the world is as simple to produce or as profitable. It is the basis of a gargantuan industry built upon a shady underworld, but ultimately it is a farm-gate material that lives many lives before it reaches the branded blister packet, the intravenous drip or the scorched and filthy spoon. Many of us will end our lives dependent on it. In Milk of Paradise, acclaimed cultural historian Lucy Inglis takes readers on an epic journey from ancient Mesopotamia to modern America and Afghanistan, from Sanskrit to pop, from poppy tears to smack, from morphine to today's synthetic opiates. It is a tale of addiction, trade, crime, sex, war, literature, medicine and, above all, money. And, as this ambitious, wide-ranging and compelling account vividly shows, the history of opium is our history and it speaks to us of who we are.

An extensively researched account of the ups and downs in the history of uppers Uppers. Crank. Bennies. Dexies. Greenies. Black Beauties. Purple Hearts. Crystal. Ice. And, of course, Speed. Whatever their street names at the moment, amphetamines have been an insistent force in American life since they were marketed as the original antidepressants in the 1930s. On Speed tells the remarkable story of their rise, their fall, and their surprising resurgence. Along the way, it discusses the influence of pharmaceutical marketing on medicine, the evolving scientific understanding of how the human brain works, the role of drugs in maintaining the social order, and the centrality of pills in American life. Above all, however, this is a highly readable biography of a very popular drug. And it is a riveting story. Incorporating extensive new research, On Speed describes the ups and downs (fittingly, there are mostly ups) in the history of amphetamines, and their remarkable pervasiveness. For example, at the same time that amphetamines were becoming part of the diet of many GIs in World War II, an amphetamine-abusing counterculture began to flourish among civilians. In the 1950s, psychiatrists and family doctors alike prescribed amphetamines for a wide variety of ailments, from mental disorders to obesity to emotional distress. By the late 1960s, speed had become a fixture in everyday life: up to ten percent of Americans were thought to be using amphetamines at least occasionally. Although their use was regulated in the 1970s, it didn't take long for amphetamines to make a major comeback, with the discovery of Attention Deficit Disorder and the role that one drug in the amphetamine family-Ritalin-could play in treating it. Today's most popular diet-assistance drugs differ little from the diet pills of years gone by, still speed at their core. And some of our most popular recreational drugs-including the "mellow" drug, Ecstasy-are also amphetamines. Whether we want to admit it or not, writes Rasmussen, we're still a nation on speed.

In thirteen chapters, twenty-four authors share their analyses, concerns, and conclusions in several domains including the: meaning and dynamics of multiculturalism affecting prevention intervention, relative risks and knowledge gaps across ethnic groups, social trends affecting health risks and substance abuse, lessons learned from substance abuse research and prevention, role of the media, promises and limits of the new public health paradigm for assessment, policy development, assurance of preventive services, and social action and empowerment for prevention in partnership with the public.