A TELEGRAPH BOOK OF THE YEAR. An undercover investigation into the synthetic-drug epidemic. A new group of chemicals is radically transforming the recreational-drug landscape. Known as novel psychoactive substances (NPS), they range from so-called 'legal highs' like Spice, to synthetic opioids - most famously, the deadly fentanyl. Designed to replicate the effects of established drugs like cocaine, ecstasy, marijuana, and heroin, NPS are synthesised in laboratories. They are cheap to produce and easy to transport. They are also extremely potent and often deadly. Originally developed for medicinal purposes, and then hijacked by rogue chemists, who change their molecular structures to stay ahead of the law, these chemicals' effects can be impossible to predict. What we do know is that they have triggered the biggest drug epidemic that America has ever seen, and which is now spreading internationally. In Fentanyl, Inc., award-winning journalist Ben Westhoff goes undercover to investigate the shadowy world of synthetic drugs - becoming, in the process, the first journalist to infiltrate a Chinese fentanyl lab. He tracks down the drug baron in New Zealand who unintentionally helped to start the synthetic-drug revolution; prowls St. Louis streets with a former fentanyl dealer to understand how the epidemic started; and chronicles the lives of addicts and dealers, families of victims, law enforcement officers, and underground drug-awareness organisers in the US and Europe. Fentanyl, Inc. is essential reading on a global calamity we are only just beginning to understand.

Adolescence is a turbulent period, a time when young people are particularly prone to risky behaviour, such as drug use and unprotected sex. Risk Takers provides a comprehensive view of youthful involvement with drinking, smoking, illicit drug use, and sexual activity. In particular, the authors explore the evidence linking alcohol, drug use, disinhibition and risky sex. They discuss these issues in relation to evidence suggesting that some forms of risk-taking are interconnected. Though some young people are especially prone to take risks due to poverty and social advantage, the authors emphasize that risk-taking is commonplace adolescent behaviour, difficult to restrain or curb. They remind us that past attempts to reduce youthful alcohol and drug misuse have produced disappointing results, and they also point out that most young people have not modified their sexual behaviour in the light of the risks of AIDS. Risk-taking is unlikely to be prevented by mass media campaigns or bland slogans such as Just Say No. The authors examine the effectiveness of preventive strategies and public policy and emphasize the importance of harm-minimization strategies.

First Published in 2000. Routledge is an imprint of Taylor & Francis, an informa company.

The drug trade is a growth industry in most major American cities, fueling devastated inner-city economies with revenues in excess of $100 billion. In this timely volume, Sam Staley provides a detailed, in-depth analysis of the consequences of current drug policies, focusing on the relationship between public policy and urban economic development and on how the drug economy has become thoroughly entwined in the urban economy.

The black market in illegal drugs undermines essential institutions necessary for promoting long-term economic growth, including respect for civil liberties, private property, and nonviolent conflict resolution. Staley argues that America's cities can be revitalized only through a major restructuring of the urban economy that does not rely on drug trafficking as a primary source of employment and income-the inadvertent outcome of current prohibitionist policy. Thus comprehensive decriminalization of the major drugs (marijuana, cocaine, and heroin) is an important first step toward addressing the economic and social needs of depressed inner cities.

Staley demonstrates how decriminalization would refocus public policy on the human dimension of drug abuse and addiction, acknowledge that the cities face severe development problems that promote underground economic activity, and reconstitute drug policy on principles consistent with limited government as embodied in the U.S. Constitution and Bill of Rights. Designed to cross disciplinary boundaries, Staley's provocative analysis will be essential reading for urban policymakers, sociologists, economists, criminologists, and drug-treatment specialists.

The "war on drugs" has traditionally held total abstinence as its target. The contributors to this book argue that abstinence is not the only solution. They believe that existing methods of treatment and control have been inadequate in controlling or improving drug problems and they propose a radical alternative: reducing the harm associated with the use of illicit drugs. International in scope, the book covers a broad range of drugs, and of social and individual problems. The spread of HIV infection, which has been described as a greater threat to individual and public health than drug misuse is also considered. The contributors give an overview of the current theories and practices that have helped to minimize the harmful effects of drugs and describe national and city-level strategies towards drug problems. They also cover the drug policies of several agencies and organizations world-wide, including police, doctors, community groups and local authorities. This book should be of interest to professionals and students of social policy and criminology, policy-makers, local governments and health professionals.

This book is written by a New York City clinican who has worked with hundreds of crack cocaine patients individually and in group contexts. Drawing on her firsthand experience, Dr Barbara Wallace presents a practical treatment approach that was developed for crack patients but is generally applicable to chemical dependency problems. The first half of the book explains the social, biological and psychological factors in crack addiction and the various barriers to treatment and reviews clinically relevant theoretical issues. The second half of the book presents specific clinical techniques for assessment and treatment. After describing the treatments that work and those that hold promise, Dr. Wallace details techniques for the assessment phase, including elements of an effective clinical interview and strategies for engaging the ambivalent crack addict in treatment. The author also recommends techniques to help crack patients avoid relapse, examines the process of relapse in crack patients and explains the need for a multifaceted strategy to address the multideterminants of relapse.

Although the media focus on the rise of cocaine use and the evils of its abuse, the public receives little real information about the scope of the problem and its treatment. This timely, practical, and honest volume gets to the heart of the cocaine addiction problem. Cocaine Solutions not only addresses the difficulties experienced by addicts and their families in coping with the devastating financial, emotional, and psychological toll that addiction takes, it also identifies specific sources of help that exist for addicts and their families. Both recovered drug addicts themselves, the authors discuss some of the obstacles to recovery and the ways to overcome them. Cocaine Solutions includes the stories of recovering addicts to illustrate firsthand what addicts'lives are like, giving you a better understanding of the people who are afflicted with the disease of addiction. This important book is required reading for a wide audience--cocaine addicts, potential addicts, the families of addicted or potentially addicted persons, professionals who see addiction daily in their patients, and anyone who is interested in the problem of cocaine addiction.

Treating Drug Abusers provides a clear, practical guide to current approaches in the treatment of drug-taking. Written by practitioners for practitioners, it takes a psychological perspective to the problem. The authors include detailed case studies of particular treatments, focusing on, among other things, relapse and its prevention, family therapy, and the transmission of the HIV virus.

Bacchus in Romantic England describes real drunkenness among writers and ordinary people in the Romantic age. It grounds this 'reality' in writings by doctors and philanthropists from 1780 onwards, who describe an epidemic of drunkenness. These commentators provide a context for the different ways that poets and novelists of the age represent drunkards. Wordsworth writes poems and essays evaluating the drunken career of his model Robert Burns. Charles Lamb's essays and letters reveal a real and metaphorical preoccupation with his own drinking as a way of disguising his personal suffering; his companion Coleridge writes drinking songs, essays about drunkenness, and meditations about his own weakness of will that show both festive inebriety and consciousness of an inward abyss; Coleridge's son Hartley, whose fate his father had prophesied, experiences drunkenness as the life-long humiliation described in his poems and letters. Keats's complex dionysianism runs through 'Endymion' and the late odes, setting him at odds with his temperate hero Milton. Men in the Romantic age, such as Sheridan, Byron, Moor, and Clare, celebrate rowdy friendship with tales and songs of drinking; Romantic women novelists such as Smith, Edgeworth and Wollstonecraft depict these men stumbling home to abuse their wives. Although excessive drinking is real in the period, observers and participants can still maintain ambivalence about its power to release or to debase the human being.

Heroin is a fascinating drug to most people. It is often referred to as the "hardest drug." By this logic, people might start with alcohol, work up to marijuana and maybe LSD. Then they reach to cocaine or methamphetamine. And finally, at the end of the journey is heroin. But like most things about heroin, this is more myth than reality. For non-users, this mythic power is exciting. And writers for the last century have been more than willing to pander to such readers in pulp and art novels all the way up to television crime novels. But it is rare for the most people to get a real look at what is, after all, the very core of what heroin is about for its users. To users, the interest is obvious. But ignorance of the the details of drug use among heroin users is rife -- usually based on what the author calls "old junkie tales." The difference between such folklore and the truth is often the difference between life and death. Heroin User's Handbook reveals the largely hidden world of heroin use based upon actual work with users and countless scholarly books and articles. And it does it in an extremely readable, non-technical manner -- even while providing detained and accurate information. The book discusses all aspects of heroin use: the acquisition of drugs, the administration of them, health risks, legal issues, social aspects, and addiction and detox. It provides the non-heroin world with a detailed look inside a very rarefied subculture. But it also provides the those in the heroin using world life-saving information.

Assesses the information on drinking casualties - the victims of accidents, poisonings and violence - and how it can be used to develop preventative policies and programmes. This book should be of interest to health planners, policy makers, professionals and students of medical sociology.

Discover fresh perspectives on alcoholism treatment and research with this enlightening new book describing the work of researchers at the Novosibirsk Medical Institute, USSR. By using specific examples of their studies in Siberia, the reserachers offer an innovative approach to the treatment of addictive disorders in general. Instead of focusing on the drinking behavior itself, the treatment focuses on the relation of the problem to the interaction of economic, social, and psychological factors. To address the question of whether alcoholics should all be treated in the same way, or if alcholism treatment should be more individualized in approach, chapters are devoted to the differences between alcoholism in women, adolescents, and alchoholics who are afflicted with "rapid development of alcholism syndrome." The research examples in Addictive Disorders in Arctic Climates benefits professionals involved in the treatment of alcholism by introducing new perspectives and broadening contemporary research.

First Published in 1989. Routledge is an imprint of Taylor & Francis, an informa company.

Now you can discover for yourself the principles behind the Twelve Steps as they occur in Scripture through this best-selling New Testament.

You will find an introduction to the Twelve Steps of recovery with each step listing recovery meditations and related recovery scriptures. As you read and meditate on Serenity, you will begin to see how the God of the Bible speaks directly to your needs. He will liberate you from debilitating addictions to restore you to wholeness and a perfect relationship with Him.

Using narrative accounts from a sample of 69 New York City-based musicians of various genres who are self-acknowledged heroin users, the book addresses the reasons why these musicians started using heroin and the impact heroin had on these musicians' playing, creativity, and careers.

As the drug abuse epidemic evolves, so do the tools needed to understand and treat it. Accordingly, Epidemiology of Drug Abuse takes the long view, cogently outlining what the book calls "the natural history of drug abuse" and redefining its complex phenomena to reflect our present-day knowledge. Twenty-six eminent contributors discuss the state and future of the field, balancing the practical concerns involved in gathering drug abuse data with the ethics of using the information.

- Current thinking on pathways and etiology, as well as medical, psychological, and social sequelae of drug abuse
- Proven, up-to-date methodologies for assessment
- Challenges of gathering data from high-risk and other user populations
- Sampling and application issues
- Uses, sources, and limitations of treatment data
- Analytical papers applying the methodologies to specific and global studies
- The role of epidemiology studies in developing prevention strategies

With this multifaceted approach to the subject, Epidemiology of Drug Abuse provides researchers and educators with a reference that sheds significant light on infrequently covered areas. In addition, its breadth and accessibility of coverage make it a teaching text suitable to courses in epidemiology, public health, and drug abuse.

In this ground-breaking book, Michael Clemmens offers a new model of treatment for long-term recovery which goes beyond the traditional "disease" paradigm. Working from the belief that a fuller life for the recovering addict is grounded on a foundation of abstinence, the author explores a "self-modulation" approach which leads to a change in the behavior from within the individual while developing and expanding connection with others.

This excellent book is a concise yet thorough examination of the important and emerging field of the study of biological risk factors in drug abuse. Historically, drug abuse research has concentrated on the contributions of environmental and behavioral factors as the major influences on addiction. The revelatory studies in this volume examine the genetic contributions to drug taking behavior through the use of animal models, cellular experiments and human clinical studies. Behavioral and Biochemical Issues in Substance Abuse provides for the first time in one volume, up-to-date, easily digested reviews of topics concerning biological and genetic factors in drug abuse. Medical researchers in all areas of alcoholism and drug abuse, researchers in pharmacology, psychology, psychiatry and neuroscience, and clinicians interested in biological approaches to alcoholism and drug abuse problems will benefit greatly from this valuable resource. Authoritative contributors clearly demonstrate the capability of genetic factors to modulate the reinforcing or rewarding effects of drugs, thereby altering their addictive potential. In addition to gaining comprehension of the biological factors affecting addiction, a greater understanding of genetics related to drug abuse will enable future research to control biological factors, leading to more accurate studies of behavioral and environmental influences on drug and alcohol abuse.

There is a clear sense in which sport has played, and continues to play an important role in the normalization and legitimization of routine, excessive and problem drinking; sport and alcohol have become inextricably linked. Alcohol companies provide funding in the form of sponsorship, fans consume alcohol when watching, and players celebrate, bond and relax with alcohol. Sport and Alcohol: an ethical perspective aims to critically examine the various ways in which sport and alcohol interact. In doing so, the book casts an ethical eye over the following topics: Society's relationship with alcohol Sponsorship and marketing of alcohol through sport and its effect on children Sport's alcohol-tolerant ethos, problematic drinking practices and rituals Punishment and discipline in relation to athletes' drink-related bad behavior Alcoholism in the context of sport and the need for a greater understanding of the condition, how it develops and what can be done The status of athletes as role models Offering a much-needed critical assessment of an important issue in contemporary sport and society, Sport and Alcohol is essential reading for those interested in the social, cultural or philosophical study of sport in general and sport and alcohol in particular.

Departing from largely ineffective medically-oriented approaches to the problems of drug abuse/education, the contributors to this volume present relevant empirical findings and theoretical models within a comprehensive psychosocial framework, which draws upon recent advances in understanding the physiological, psychological, interpersonal, and social forces that are the causes of youthful drug addiction.

Doping - the use of performance-enhancing substances and methods - has long been a high-profile issue in sport but in recent years it has also become an issue in wider society. This important new book examines doping as a public health issue, drawing on a multi-disciplinary set of perspectives to explore the prevalence, significance and consequences of doping in wider society. It introduces the epidemiology of doping, examines the historical context, and explores the social, behavioural, legal, ethical and political aspects of doping. The book also discusses possible interventions for addressing the problem on organisational and societal levels. Doping and Public Health incorporates the latest research to provide a comprehensive guide to the key aspects of doping as a social phenomenon. Divided into six parts, this collection of studies offers detailed insight into: ideals of health and fitness in today's society reasons behind the use of doping medical and social consequences of doping the importance of a doping-free society challenges to the detection and prevention of doping the global anti-doping movement. This book is a valuable resource for sport students, instructors and sport professionals, and will also be of interest to educators and policy-makers working in the areas of health, criminology, sociology and law.

Trauma, trauma-related disorders, substance use, and addictive disorders often co-occur, and frequently play a role in the problems and issues that social workers contend with in their practice with individuals, families, and communities. Research shows that there is a relationship between trauma-related symptoms and problematic use of substances and other addictive behaviors. Individuals who experience these co-occurring problems have better outcomes when their issues are addressed with integrated treatment approaches. Trauma-informed care and trauma-specific treatment are therefore important components of effective social work interventions. This book examines various types of trauma, such as intergenerational trauma, adverse childhood events, childhood sexual abuse, and minority stress, amongst various populations and settings, including Native Americans, homeless youth, drug court participants, and LGB adolescents. It also explores the challenges in delivering trauma services in outpatient addiction treatment settings. Furthermore, it provides practical information on how to implement trauma-informed approaches in addiction treatment, and offers insights into the experience of a trauma survivor who is also recovering from a substance use disorder. This book was originally published as a special issue of the Journal of Social Work Practice in the Addictions.

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.

First published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.

This proposed book draws on the expertise of 35 experts in the field of Addiction Medicine to provide the reader with a current and comprehensive view of addiction as related to women, pregnancy, newborns, infants and children. The volume begins by placing current attitudes towards addicted women in a historical context, and continues with contributions on the relationship of gender to substance abuse research, addiction as a general health issue in women, and ethical dilemmas faced when approaching drug use during pregnancy. The volume discusses high-risk pregnancies and HIV infection related to maternal drug abuse. It details specific pharmacotherapy such as methadone and buprenorphine, and assesses society's punitive view toward illicit drug using women. Finally, the book describes outcomes of newborns, infants and children born following intrauterine drug exposure. Health providers in many related disciplines, specialists in Addiction Medicine, social workers and ethicists are among those who will gain insight into the complex interdisciplinary matrix of abuse in women, its unique relationship to pregnancy, and its impact on drug-exposed children. This book was published as a special issue in the Journal of Addictive Diseases.