"Anyone with an interest in social history will find this book fascinating. . . . A valuable resource and an interesting read."
-- "Drugs and Alcohol Review"

"The sermons, speeches, medical arguments, and policy papers gathered here adequately convey changing attitudes toward these sometimes licit, sometimes illicit substances. For classes in public policy, reform, or public health or for individuals interested in these areas, this book will be exceedingly informative and useful."
--"Journal of the History of Medicine"

"It is a powerful, clearly written, and well-researched reference on the history of drugs in the U.S...Readers will learn much about the temperance movements and the introduction of cocaine into the American market, including coca Cola products."
--"Choice"

"This volume is an ambitious attempt to provide, through a collection of primary sources, an overview of the US experience with drugs and drug control. . . . "Drugs in America" is a splendidly edited volume, of interest both to the substance abuse specialist and the general reader."
--"Jama: Journal of the American Medical Association"

Most Americans would be surprised to learn that large quantities of beer were brought over on the Puritan ships and that the hallowed Puritans were fond of drink. How many today realize that hemp was once one of our most lucrative cash cropsencouraged by President John Adams and promoted by the Agriculture department? Or that cocaine, opium and heroin had several waves of popularity in this century and the last? Drugs and alcohol have been with us from the start. So have attempts to control or eliminate their use. In the first anthology of its kind, renowneddrug policy expert David Musto chronicles the rise and fall and rise again of the most popular mind altering substances in the Unites States: alcohol, marijuana, cocaine and opiates.

In the section on alcohol we hear the Reverend Lyman Beecher, prominent radical abolitionist and father of Harriet Beecher Stowe, thundering against the evils of alcoholin 1826. We read medical documents that show how the first stirrings of concern about about what is now termed fetal-alcohol syndrome in 1910 turned public opinion against drinking and helped move the country toward Prohibition. The sections on illegal drugs contain surprises as well.

With accessible, jargon-free introductions this anthology puts drug and alcohol use at the center of American culture. At this critical point in the "war on drugs" if we do not appreciate our drug and alcohol history we may become captive to the powerful emotions that lead to draconian repression, exaggeration, or apathy and silence.

The author uses fictitious dialogue, almost novel-like, to explore the nature of drug use and the therapeutic process involved in helping someone overcome the emotional and psychological difficulties that can be associated with their drug use.

Childhood trauma, recovered memories, dissociated states are all addressed in this compelling read.

Three out of four people addicted to heroin probably started on a prescription opioid, according to the director of the Centers for Disease Control and Prevention. In the United States alone, 16,000 people die each year as a result of prescription opioid overdose. But perhaps the most frightening aspect of the prescription drug epidemic is that it's built on well-meaning doctors treating patients with real problems. In Drug Dealer, MD, Dr. Anna Lembke uncovers the unseen forces driving opioid addiction nationwide. Combining case studies from her own practice with vital statistics drawn from public policy, cultural anthropology, and neuroscience, she explores the complex relationship between doctors and patients, the science of addiction, and the barriers to successfully addressing drug dependence and addiction. Even when addiction is recognized by doctors and their patients, she argues, many doctors don't know how to treat it, connections to treatment are lacking, and insurance companies won't pay for rehab. Full of extensive interviews-with health care providers, pharmacists, social workers, hospital administrators, insurance company executives, journalists, economists, advocates, and patients and their families- Drug Dealer, MD, is for anyone whose life has been touched in some way by addiction to prescription drugs. Dr. Lembke gives voice to the millions of Americans struggling with prescription drugs while singling out the real culprits behind the rise in opioid addiction: cultural narratives that promote pills as quick fixes, pharmaceutical corporations in cahoots with organized medicine, and a new medical bureaucracy focused on the bottom line that favors pills, procedures, and patient satisfaction over wellness. Dr. Lembke concludes that the prescription drug epidemic is a symptom of a faltering health care system, the solution for which lies in rethinking how health care is delivered.

Contents:
List of tables List of figures 1. Introduction 2. An historical overview of the social construction of the British 'drug problem' 3. Measuring the 'problem': drug use in contemporary Britain 4. The British State's legal and medical responses to illicit drug use 5. Illicit drugs: growth and production 6. illicit drugs: markets and market forces 7. Illicit drugs: paying for the goods and assessing the costs 8. 'Forget the myth we're desperados standing on street corners. This is a demand led market' 9. 'Let's get real': contemporary directions in UK drug policy 10. British drug policy in a European context bibliography Index

Hallucinogens: A Forensic Drug Handbook is a comprehensive reference for everyone involved in the identification, investigation, and forensic analysis of hallucinogenic drugs. The text begins with a review of the history of these drugs and their abuse, and then takes an in-depth look at the many different types of hallucinogens, their chemical make-up, how they affect users, how they are manufactured and distributed, and how they can be detected and analyzed.
Hallucinogens covers the most commonly abused drugs such as LSD, MDMA ("Ecstasy"), and PCP ("Angel Dust"), as well as many lesser-known chemical substances that cause similar effects. Chapters have been contributed by leading analysts and investigators around the world, and are highlighted with numerous illustrations. This unique handbook will serve is a cross-disciplinary source of information for forensic toxicologists, law enforcement officers, and others involved in the fight against drugs.
* Brings together comprehensive information on hallucinogenic drugs in one convenient source
* Covers everything from abuse of these drugs to pharmacology, effects, forms, manufacturing methods, distribution, and forensic analysis
* Contains numerous illustrations, chemical structures, and analytic spectra for each drug
* Includes contributions from many of the world's leading investigators and analysts

THE INTERNATIONAL BESTSELLER 'The most brilliant and fascinating book I have read in my entire life' Dan Snow 'A huge contribution... remarkable' Antony Beevor, BBC RADIO 4 'Extremely interesting ... a serious piece of scholarship, very well researched' Ian Kershaw The Nazis presented themselves as warriors against moral degeneracy. Yet, as Norman Ohler's gripping bestseller reveals, the entire Third Reich was permeated with drugs: cocaine, heroin, morphine and, most of all, methamphetamines, or crystal meth, used by everyone from factory workers to housewives, and crucial to troops' resilience - even partly explaining German victory in 1940. The promiscuous use of drugs at the very highest levels also impaired and confused decision-making, with Hitler and his entourage taking refuge in potentially lethal cocktails of stimulants administered by the physician Dr Morell as the war turned against Germany. While drugs cannot on their own explain the events of the Second World War or its outcome, Ohler shows, they change our understanding of it. Blitzed forms a crucial missing piece of the story.

At a world level addiction and the fall-out from substance use is affecting more and more lives. Professionals are increasingly being confronted with puzzling, multifaceted aspects of substance use, whether they work in a clinic, the laboratory or the community.
If you are a member of any caring profession, sooner or later you will encounter problems caused by drugs, alcohol and tobacco. In order to understand substance use and substance users, no single discipline can provide all the answers. In a novel way, this book integrates biological science, social science and clinical experience. It draws together contributions from experts in these diverse and rapidly growing fields, providing the reader with a deeper capacity to engage with problems effectively.
Drink, Drugs and Dependence includes thought-provoking examples, illustrations and test questions to support problem-based learning. Designed to be read consecutively or as a reference text, it will be a welcome resource for all those working in the field of addiction.

Heroin is a drug that myths are made of. Whether smuggled in the stomach of a camel or used as the ultimate symbol of lifestyle chic, no drug has been more argued over and legislated against, no drug has been more subject to misinformation and moral panic.
Heroin Century sets the record straight. It contains a wealth of historical and medical information about this drug which made its first appearance as a miracle medicine over a hundred years ago and makes recommendations for its future in the twenty-first century. Evidence shows that heroin is dangerous principally because it is illegal. The authors argue that a more relaxed relationship between society and the drug would benefit both the economy and public health and safely.
Individual chapters describe the history of heroin production; the makeup of heroin and evolving methods of use; the spread of heroin and international efforts at control; typical "career" patterns of users, ranging from occasional recreational use to destructive dependence; the subjective experience of taking heroin; the association between heroin and crime; the use of heroin in medicine and its effects on physical health; the history of the treatment of heroin dependence; and likely changes in heroin use in the future. The authors have drawn on literary and artistic sources as well as the large pool of scientific literature to compile a comprehensive and fascinating account of this world-changing drug.

Heroin Century makes available a wealth of information about the history, chemistry, pharmacology and medical aspects of heroin in a form accessible to anyone who wishes to participate in the contemporary debate bout society's attitude to drugs.

Tom Carnwath is a Consultant Psychiatrist currently working with drug misuse services in Manchester. Ian Smith has trained in sociology and is currently Service Development Manager for drug services in Manchester.

Working with Substance Misusers is a practical handbook for students and those who work with people who misuse drugs or alcohol. Written by experienced teachers and clinicians, the book introduces:
* the substances themselves
* theories relevant to substance use and misuse
* the skills necessary to work with this client group
* the broad range of approaches to treatment
* particular problems of specific groups.

The reader is encouraged to read and reflect on the material in relation to their own practice. To help this process, each topic has an identified set of learning objectives. Activities designed to reinforce learning include discussion points, case studies, role plays and group exercises.

Working with Substance Misusers makes clear the connection of theory to practice and encourages a skills-based, but reflective, approach to work in this complex field. Cutting across professional boundaries, it provides both new and more experienced practitioners with a key text.

At a world level addiction and the fall-out from substance use is affecting more and more lives. Professionals are increasingly being confronted with puzzling, multifaceted aspects of substance use, whether they work in a clinic, the laboratory or the community.
If you are a member of any caring profession, sooner or later you will encounter problems caused by drugs, alcohol and tobacco. In order to understand substance use and substance users, no single discipline can provide all the answers. In a novel way, this book integrates biological science, social science and clinical experience. It draws together contributions from experts in these diverse and rapidly growing fields, providing the reader with a deeper capacity to engage with problems effectively.
Drink, Drugs and Dependence includes thought-provoking examples, illustrations and test questions to support problem-based learning. Designed to be read consecutively or as a reference text, it will be a welcome resource for all those working in the field of addiction.

bThe growing use of illicit drugs among women has become a major concern for health professionals and social services. The reluctance of drug-using women to seek help from drug agencies and to disclose their use of drugs to ante-natal, midwifery and social services is now officially recognised by government agencies. However, devising an appropriate strategy that will overcome these fears will not be easy without a better understanding of their causes and effects.
Drug Misuse and Motherhood gives drug-using mothers a voice. Based on longitudinal research and in-depth interviews it provides new insights and much-needed information in five key areas:
* family life
* pregnancy
* motherhood
* service delivery and development
* implications for policy.
The user-perspective of this book is balanced by the professional viewpoint on the same issues. It offers a unique source of data for researchers and fresh inspiration for practitioners working in the field.

eBook available with sample pages: PB:0415271959 EB:0203166396

Heroin is a drug that myths are made of. Whether smuggled in the stomach of a camel or used as the ultimate symbol of lifestyle chic, no drug has been more argued over and legislated against, no drug has been more subject to misinformation and moral panic.
Heroin Century sets the record straight. It contains a wealth of historical and medical information about this drug which made its first appearance as a miracle medicine over a hundred years ago and makes recommendations for its future in the twenty-first century. Evidence shows that heroin is dangerous principally because it is illegal. The authors argue that a more relaxed relationship between society and the drug would benefit both the economy and public health and safely.
Individual chapters describe the history of heroin production; the makeup of heroin and evolving methods of use; the spread of heroin and international efforts at control; typical "career" patterns of users, ranging from occasional recreational use to destructive dependence; the subjective experience of taking heroin; the association between heroin and crime; the use of heroin in medicine and its effects on physical health; the history of the treatment of heroin dependence; and likely changes in heroin use in the future. The authors have drawn on literary and artistic sources as well as the large pool of scientific literature to compile a comprehensive and fascinating account of this world-changing drug.

Heroin Century makes available a wealth of information about the history, chemistry, pharmacology and medical aspects of heroin in a form accessible to anyone who wishes to participate in the contemporary debate bout society's attitude to drugs.

Tom Carnwath is a Consultant Psychiatrist currently working with drug misuse services in Manchester. Ian Smith has trained in sociology and is currently Service Development Manager for drug services in Manchester.

Drug users are no longer a mad, bad or immoral minority. Using drugs is normal for the chemical generation, and the drug that defines them is ecstasy. This book about ecstasy users' lives is based on one of the biggest government-funded projects ever undertaken and gives voice to the chemical generation for the first time. The effects of the manufacture, distribution and use of ecstasy are now being felt across much of the globe. In the UK, where the study was conducted, over fifty per cent of young people use drugs, a quarter of them regularly. The people in this book are ordinary, decent, family-loving people, with normal lives, normal problems and normal aspirations. Through their own words we hear how they first started using ecstasy, how they use it in different ways, why clubbing and raving are so important, how good sex is on ecstasy, how they chill out, how they come down, what problems they encountered and why they quit. And what happened to these normal people when they used ecstasy? Nothing. Yet. This path breaking book ends by trying to answer the questions on the lips of every member of the chemical generation: what are the long-term effects of ecstasy? Because we can't answer them, the authors claim, we are failing in our duty to our children: telling them not to take ecstasy is alienating and pointless.

Drug users are no longer a mad, bad or immoral minority. Using drugs is normal for the chemical generation, and the drug that defines them is ecstasy. This book about ecstasy users' lives is based on one of the biggest government-funded projects ever undertaken and gives voice to the chemical generation for the first time. The effects of the manufacture, distribution and use of ecstasy are now being felt across much of the globe. In the UK, where the study was conducted, over fifty per cent of young people use drugs, a quarter of them regularly. The people in this book are ordinary, decent, family-loving people, with normal lives, normal problems and normal aspirations. Through their own words we hear how they first started using ecstasy, how they use it in different ways, why clubbing and raving are so important, how good sex is on ecstasy, how they chill out, how they come down, what problems they encountered and why they quit. And what happened to these normal people when they used ecstasy? Nothing. Yet. This path breaking book ends by trying to answer the questions on the lips of every member of the chemical generation: what are the long-term effects of ecstasy? Because we can't answer them, the authors claim, we are failing in our duty to our children: telling them not to take ecstasy is alienating and pointless.

The growing use of illicit drugs among women has become a major concern for health professionals and social services. The reluctance of drug-using women to seek help from drug agencies and to disclose their use of drugs to ante-natal, midwifery and social services is now officially recognised by government agencies. However, devising an appropriate strategy that will overcome these fears will not be easy without a better understanding of their causes and effects.
Drug Misuse and Motherhood gives drug-using mothers a voice. Based on longitudinal research and in-depth interviews it provides new insights and much-needed information in five key areas:
* family life
* pregnancy
* motherhood
* service delivery and development
* implications for policy.
The user-perspective of this book is balanced by the professional viewpoint on the same issues. It offers a unique source of data for researchers and fresh inspiration for practitioners working in the field.

Tobacco control leaders were extremely proud of the movement's achievements in the state of Minnesota. In sharing their perspectives and experiences with Mark Wolfson, they found a way of making sure that the story would get told. His training in social movements had given him an appreciation of the importance of understanding the social infrastructure on which movements are built, and Minnesota had built heavily on the infrastructure of health care and public health. What became apparent is that the struggle against the tobacco industry in Minnesota involved a close, collaborative relationship between government (or "state") actors and the leaders of the tobacco control movement.
Wolfson develops both of these themes: building on the infrastructure of health, and state-movement interpenetration, to understand the emergence, growth, and outcomes of the tobacco control movement in Minnesota. He focuses on the advantages and constraints associated with these two related themes. He goes beyond the case study method to assess the generalizability of the pattern, and whether the same sort of movement can be used by other states in North America, and even in other countries and their social movements.
How has the tobacco control movement become such a significant and successful force in shaping public policy, social norms, and the habits of millions of Americans? In this first such detailed study by a sociologist, Wolfson documents how the movement has grown over nearly three decades by building an infrastructure of health organizations and health professionals, and by fostering relationships with government. Rich in survey data, extensive interviews, and archival sources, this text is essential reading for courses in social problems, social movements, and public health. The general reader will also find it engaging, given the issues of tobacco use as an addiction and a social problem.
"Mark Wolfson" is associate professor and director for community Research, Department of Public Health Science, Wake Forest University School of Medicine. His research has been funded by both governmental and private research grants.

The second volume in Routledge's new series with the Hagley Center for the History of Business, Technology and Society, Boys and Their Toys places class and work at the core of gender formation. Covering topics from the turn-of-the-century to the present, Boys and Their Toys reveals how masculine roles were and are made.
negotiating the divide between 'respectable manhood' and 'rough manhood', this book explores masculinity at work and at play through provocative essays on labor unions, railroads, vocational training programs, and NASCAR racing.
This groundbreaking collection brings new insight into the complexities of masculinity and its relationship to class and society. It is a fresh and original exploration of gender, business and culture that is sure to appeal to readers of Gail Bederman and Michael Kimmel.

Suitable for 2nd and 3rd year students taking courses on drug use/misuse principally in departments such as Sociology, Law, Cultural and Media Studies, and Psychology. Also particularly relevant for students taking courses leading to a profession, such as nurses and social workers. The use of illegal drugs is widespread in many societies. Within many western societies particular concern has been focused on the nature and extent of illegal drug use amongst young people. In much of the media coverage an impression is often conveyed that the use of illegal drugs other than cannabis is a one way street leading inevitably to addiction, destitution, family breakdown and death. This impression fails to grasp the fact that most drug users do not become addicts and most addicts do not die. The perception of addiction as a fixed end point characterised by personal and social dissolution fails to recognise that many dependent drug users, even after a period of prolonged dependent drug use, nevertheless still manage to overcome their dependence upon illegal drugs. This process of recovery, either with or without the assistance of helping agencies, has been variously described by researchers, drug counsellors, clinicians and others.

Contents:
About the Authors. 1. The Internationalization of US Illicit Drug Control Policy Jurg Gerber and Eric L. Jensen 2. Toward an Explanation of the Persistence of Failed Policy: Binding Drug Policy to Foreign Policy, 1930-1962 Kevin F. Ryan 3. The International System of Drug Control: Developments and Trends Hans-Jorg Albrecht 4. Hong Kong Mark S. Gaylord 5. American Influence on British Drug Policy Philip Bean 6. Drug Policy in Australia - Our Own? Margaret Hamilton 7. Drug War: Canadian Style Patricia G. Erickson and David L. Haans 8. The War on Drugs in Taiwan Furjen Denq and Hsiao-Ming Wang 9. The Drug War in Latin America: Ten Years in a Quagmire Eugene E. Bouley Jr 10. Exporting the War to the Netherlands and Dutch Alternatives Ineke Haen, Marshall and Henk van de Bunt 11. Drug Policies in the Federal Republic of Germany: Development, Trends and Influences From North America Hans-Jorg Albrecht 12. Switzerland's Drug Policy as an Alternative to the American War on Drugs? Martin Killias

Though drug use was widespread in the nineteenth century, the negative influence of narcotics was mostly unknown. Cinema of the early twentieth century was instrumental in making viewers aware of the harmful effects of drugs. Throughout the decades, images of drugs such as marijuana, LSD, and heroin in films impacted-both negatively and positively-the national perception of their use. In fact, the use, popularity, and opinion of certain drugs often follow their status on the big screen. In Hooked in Film, John Markert takes a close look at the correlation between social policies and the public view of drugs and their portrayals in film. In this volume, Markert examines the changing social attitudes toward illegal drugs and their cinematic depictions from as early as the 1894 film Chinese Opium Den to the present. The first section of this book focuses on the demonization of drugs between 1900 and 1959, followed by an assessment of marijuana on the big screen after 1960, when the drug was shown as part of everyday life with no serious consequences. Post-1960 depictions of heroin use, which have remained consistently negative, are also analyzed. Markert then takes a close look at the portrayals of powdered cocaine after the 1960s and the emergence of crack in the mid-1980s. Finally, Markert discusses hallucinogens, Ecstasy, and methamphetamines and their roles on the big screen. Tracking hundreds of films spanning more than a century, Hooked in Film looks at camp classics like Reefer Madness, comedies such as Cheech and Chong's Up in Smoke, Dazed and Confused, and Pineapple Express, and dramas, including Panic in Needle Park and Requiem for a Dream. Scholars and students of cinema, popular culture, media studies, and sociology will find this book a valuable examination of how cinematic portrayals of drugs have changed over time, and how those images have influenced public perception of drugs and even public policy.

This edited volume introduces the latest advances in quantitative methods and illustrates ways to apply these methods to important questions in substance use research. The goal is to provide a forum for dialogue between methodologists developing innovative multivariate statistical methods and substance use researchers who have produced rich data sets.

Reflecting current research trends, the book examines the use of longitudinal techniques to measure processes of change over time. Researchers faced with the task of studying the causes, course, treatment, and prevention of substance use and abuse will find this volume helpful for applying these techniques to make optimal use of their data.

This innovative volume:

• introduces the use of latent curve methods for describing individual trajectories of adolescent substance use over time;
• explores methods for analyzing longitudinal data for individuals nested within groups, such as families, classrooms, and treatment groups;
• demonstrates how different patterns of missing data influence the interpretation of results;
• reports on some recent advances in longitudinal growth modeling;
• illustrates methods to assess mediation when there are multiple mediating pathways underlying an intervention effect;
• describes methods to identify moderating relations in structural equation models;
• demonstrates the use of structural equation models to evaluate a preventive intervention;
• applies epidemic modeling techniques to understand the spread of substance use in society;
• illustrates the use of latent transition analysis to model substance use as a series of stages; and
• applies logistic regression to prospectively predict smoking cessation.

This title discusses the phenomenon of smoking as a behavioural disease and the associated costs. The author details the consequences of smoking, in addition to the detrimental effects caused by second-hand tobacco smoke exposure as a health risk to children as well as to the general public. The central contribution of Joshua's work is to address these concerns in terms of the issues of free choice and the market. Considering the various restrictive policies designed to reduce smoking's prevalence, including the banning of smoking in public places, and the inclusion of warning labels on cigarette packets, Joshua carefully analyses potential economic remedies to the problem of smoking, notably the Pigovian tax. Finally, the book concludes with a highly relevant discussion of corporate social responsibility, and the role that this might play in anti-smoking projects. This is the first title in a four volume series 'The Economics of Addictive Behaviours', which consists of three further volumes on alcohol abuse, illicit drug abuse and overeating.

This is a comprehensive clinical resource for addiction counselors who want to learn about the psychological components of the problem, for individual therapists--dynamic, cognitive, and behavioral--who want to understand systems approaches in order to draw on a broader repertoire of useful interventions, and for couple and family therapists who want to learn more about the intrapsychic, biological, and pharmacological aspects of addiction. Dr. Jerome D. Levin takes the reader down the parallel paths of addiction treatment and individual and family therapy until they meet on the bridge of actual clinical practice. Practitioner, professor, prolific author, and respected authority in the field, Dr. Levin uses approaches to the treatment of alcoholism as a model for illustrating how theory, research, technique, and flying by the seat of the professional pants can integrate into a therapeutic style to help substance abusers and their partners and families.

"Adolescent Relationships and Drug Use" explores the communicative and relational features of adolescent drug use. It focuses on peer norms, risk, and protective factors and considers how drugs are offered to adolescents, examining such factors as who makes the offers and how they are resisted, where the offers take place, and what relationship exists between the persons making the offers and the persons receiving them. Unlike other studies of drug resistance, this work examines the communication processes that affect adolescents' ability to effectively resist drug offers. Michelle Miller and her colleagues study how personal qualities, communication skills, and relationships with others affect an individual's ability to resist offers of drugs.
This volume provides a detailed analysis of drug resistance in the context of such factors as relationships, types of drugs, family and peer group relationships, personality, and situations. It places drug use and resistance in a living, relational context, and offers the first comprehensive communication and relational approach to drug resistance. The authors argue for the development of a relational and communication competence model of drug resistance, and suggest unique approaches for future drug prevention efforts.
In describing the social and relational processes of drug resistance and then linking intervention techniques to the adolescents' relational world, this work makes a major contribution toward understanding drug use among adolescents. It informs relationship, communication, and psychology research, assists drug and health research by presenting new ways of considering the issue, and enlightens drug resistance practice by demonstrating a new approach to prevention. As such, it makes an effective and invaluable contribution to the ongoing efforts to reduce drug use among adolescents.

The facts about LSD

A new book on LSD is long overdue, but this was worth waiting for. The material is thoughtful and carefully prepared, and the collection brings the topic into the 1990s. The book should be in every library, and read by everyone interested in the American drug scene.
--James A. Inciardi, Ph.D., professor and director, Center for Drug and Alcohol Studies, University of Delaware

The authors offer an insightful look at LSD use and provide an essential resource for parents, counselors, and educators. Far from fading out after the 1960's LSD has in fact never gone away, and the percentage of high school seniors using the drug is now only slightly lower than it was twenty years ago. The book examines why young people in the 1990s are using LSD--its appeal, its experience, and where kids are getting it. Solidly researched and dispassionately written, this book weaves current studies and anecdotes with recent statistics to create a vivid, complete, and credible picture of contemporary LSD use.