At the beginning of the twenty-first century, Brazil ranked second only to the United States in the number of reported cases of AIDS. Because Brazil's extensive poverty and inequality, its fragile economic situation, and its limited network of health services, the scarce prevention/intervention resources targeted only the most visible at risk populations -- gay men, sailors, prostitutes, and street children. Virtually forgotten were Brazil's hidden drug users, as well as the tens of millions of individuals living in the country's thousands of favelas, or shantytowns, which are a characteristic part of almost every Brazilian city. In Sex, Drugs, and HIV/AIDS in Brazil the authors examine the emergence of AIDS in Brazil, its linkages to drug use and the sexual culture, and its epidemiology in such populations as cocaine users, "street children," and male transvestite prostitutes. Special attention is focused on an HIV/AIDS community outreach program established in Rio de Janeiro, which represented the first such prevention/intervention program in all of Brazil targeting indigent cocaine users. This 6-year initiative was funded by the U.S. National Institute on Drug Abuse, and carried out by the authors of this book. The research combines anthropological, sociological, and biological perspectives; all data were gathered through empirical and ethnographic techniques.

Prisons today contain large proportions of drug users. Drug Use and Prisons provides the first comprehensive account of patterns of drug use and risk behaviours in prisons, and of the different responses to this feature of prison life. Experts from Europe, North and South America, Africa and Australia, from a variety of professional backgrounds, provide an international perspective on this ongoing problem.

In the past, prisoners were one of the 'hidden populations' of drug users. But with increasing recognition of the potential for the prison setting to act as a conduit for HIV and transmission within the prisoner population and thence into the community, failure to face this prospect is no longer an option for public health researchers or policymakers, nor for those working in the prison system.

Storming Heaven is a riveting history of LSD and its influence on American culture. Jay Stevens uses the "curious molecule" known as LSD as a kind of tracer bullet, illuminating one of postwar America's most improbable shadow-histories. His prodigiously researched narrative moves from Aldous Huxley's earnest attempts to "open the doors of perception" to Timothy Leary's surreal experiments at Millbrook; from the CIA's purchase of millions of doses to the thousands of flower children who turned on and burned out in Haight-Ashbury. Along the way, this brilliant, novelistic work of cultural history unites such figures as Allen Ginsberg, Cary Grant, G. Gordon Liddy, and Charles Manson. Storming Heaven irrefutably demonstrates LSD's pivotal role in the countercultural upheavals that shook America in the 1960s and changed the country forever.

This book offers a comprehensive, yet condensed, overview of this enormous field of study in an attempt to help readers in the field of human health understand the different facets of this ever-growing problem. It provides detailed discussions that include the history,chemistry, biology, epidemiology, and salient characteristics of the most important substances of abuse. The authors provide clear and comprehensive explanations of available treatment options and address important social issues connected to substance abuse. The book is an important source of practical, up-to-the minute information, making it a necessity for anyone who must have ready access to accurate, concise information regarding substance abuse.

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Preventing Substance Abuse is an informal guide to successful programs for treating specific substance abuse problems, identifying their origins, implementation, outcomes, and, where possible, contacts for obtaining additional information. The emphasis is on information documented from outcomes of successful interventions rather than on theories of what should work or what works under experimental conditions. Key features include easy-to-follow charts and graphs and an appendix summarizing the National Structured Evaluation (mandated by Congress) of substance abuse prevention.

The nightly news and other media provide a constant reminder of illegal drug transport over American borders and along routes between various U.S. cities. The general public is well aware that law enforcement efforts to address the foreign supply and trafficking of illegal drugs into the United States is an ongoing battle.This useful and readable compendium gives a fascinating account of how illegal drugs are transported into and around the United States and throughout its neighborhoods. Criminologist and geographer George F. Rengert takes a unique approach to the problem of illegal drug distribution and U.S. drug markets. Using maps and charts to illustrate his findings, Rengert applies spacial diffusion models to the illegal drug trade and explains why certain drugs are transported and found in different parts of the country. For example, the highest concentration of marijuana plants is not on either coast, but rather across the middle of the United States--throughout what is known as the corn belt. At the local level Rengert assesses the patterns and processes that interconnect drug sales and neighborhood deterioration and change.The book also addresses the important issues of how illegal drugs in this country operate on wholesale and retail levels and ways in which law enforcement at the federal, state, and local levels contend with this widespread problem. Using ethnographic material to provide real-life examples, Rengert explores how drug dealers on the street expand spatially and predictably in their neighborhoods. He illustrates how this knowledge helps law enforcement in efforts to get these drugs off the streets.

In this health-conscious age there is increasing concern about tobacco smoking and inappropriate consumption levels of alcohol. Alcoholism poses an important occupational health problem which can affect an individual's personal welfare and limit his or her efficiency at work. There is concern about the increasing availability of drugs in society, the link between drug-taking and the spread of HIV in society, and the ways in which substance misuse generates more violence within society. Both excessive alcohol consumption and drug-taking may dispose an individual to antisocial actions and lead to criminal activities. By examining the underlying biological and psychological nature of these behaviours the book is intended to inform its readers of current advances in a number of relevant disciplines and to demonstrate some of the problems in collecting and interpreting information from particular groups. 2

Drug trafficking breeds massive crime, which does more damage than addiction itself. The cure lies not where the drugs are produced but in consumer countries, mainly in the West. We are losing this war, and Richard Clutterbuck examines four radical alternatives: suppression, severe enough to work without infringing civil liberties; decriminalization, Dutch style; wider licensing of drugs under government control; and licensed legalization, controlling drugs as we control alcohol. He urges debate, research and experiment to decide the best way.

This powerful study immerses the reader in the world of homelessness and drug addiction in the contemporary United States. For over a decade Philippe Bourgois and Jeff Schonberg followed a social network of two dozen heroin injectors and crack smokers on the streets of San Francisco, accompanying them as they scrambled to generate income through burglary, panhandling, recycling, and day labor. "Righteous Dopefiend" interweaves stunning black-and-white photographs with vivid dialogue, detailed field notes, and critical theoretical analysis. Its gripping narrative develops a cast of characters around the themes of violence, race relations, sexuality, family trauma, embodied suffering, social inequality, and power relations.The result is a dispassionate chronicle of survival, loss, caring, and hope rooted in the addicts' determination to hang on for one more day and one more 'fix' through a 'moral economy of sharing' that precariously balances mutual solidarity and interpersonal betrayal.

This fascinating history of international drug trafficking in the first half of the twentieth century follows the stories of American narcs and gangsters, Japanese spies, Chinese warlords, and soldiers of fortune whose lives revolved around opium. The drug trade centered on China, which was before 1949, the world's largest narcotic market. The authors tell the interlocking stories of the many extraordinary personalities_sinister and otherwise_involved in narcotics trafficking in Asia, Europe, and the United States. Drawing on a rich store of U.S., British, European, Japanese, and Chinese archives, this unique study will be invaluable for all readers interested in the drug trade and contemporary East Asian history.

Many of the questions related to the treatment of drug addiction originate from the confusion that still characterizes this issue, even though biology is irreversibly changing our outlook on the physiology and psychopathology of the mind. In fact, prejudices stemming from the archaic concept of mind-body dualism are so difficult to eradicate that even a skilled psychiatrist may find it hard to distinguish a psychiatric symptom from a socially transgressive behavior. The dilemma becomes even more salient for drug addiction, since many of the substances which induce abuse and dependence are illegal, and their production, trade and use are forbidden by law. If the use of heroin is connoted as a crime, it may become controversial to recognize its chronic sequelae as a disease. Hence, withdrawal symptoms may alternatively be attributed to drug effects, or labelled as immoral attitudes arising from a vicious personality. However, the physician's judgement, which has to be merely instrumental at improving the patient's quality of life, should never be influenced by such complex setting. In fact, the only concern of the physician must be that of ascertaining the causes of symptoms and of removing them: if symptoms are induced by the toxic effect of a drug, he has to use the most effective antidote, and then proceed towards a detoxification; if they are due to withdrawal, a substitutive substance should be given initially. In the case of narcotics, substitutive therapy on a maintenance basis may become mandatory.

Recognition of the relationship between alcohol abuse and adverse prenatal outcomes is reflected in the warning labels on every alcoholic beverage sold in the United States. Because alcohol abuse has serious consequences for both individuals and society as a whole, much research has been devoted to this problem. Fetal Alcohol Syndrome provides straightforward facts regarding the impact of alcohol consumption as it affects the development of the embryo and fetus. Surveying current research of fetal alcohol syndrome and its related problems, the book addresses the immediate effects on development at various stages. Long-term action of prenatal alcohol exposure later in life is also considered. A chapter devoted to assessing the behavior of children who were prenatally exposed to alcohol emphasizes the necessity of longitudinal studies of fetal alcohol syndrome. This important reference offers a thorough overview of a problem that cannot be ignored.

The lure of drugs and alcohol is capturing today's youth in its fatal grip and may ultimately destroy our nation's future generations. The vicious cycle of abuse is one that parents, teachers, counselors, and other citizens decry on a daily basis. Dr. Thomas Milhorn, an expert on adolescent drug abuse, provides crucial information on all the major drugs of abuse - including depressants, narcotics, stimulants, cannabinoids, inhalants, steroids, and hallucinogens - and their lethal consequences. Dr. Milhorn contends that in order to confront the monster that is destroying our children's health and quality of life, we must first understand the psyche of drug and alcohol abusers and the natural progression of the disease of addiction. This respected physician and physiologist reveals the harmful combinations currently in vogue in the drug world and the shortand long-term effects they have on the body, and discusses ways to recognize and pinpoint the telltale signs of a user. He explores the question of why adolescents abuse drugs, as well as special issues affecting young female addicts. This powerful book also examines the fatal relationship between drugs and AIDS, and includes a brief history of AIDS, and lifesaving advice on AIDS prevention. Dr. Milhorn skillfully assesses the various inpatient and outpatient treatment choices. He realistically portrays the intense physical and emotional stages the user will pass through before becoming drug free, as well as the stresses placed upon families during the recovery process. As this valuable book relates, both parents and teachers have clearly defined roles, and each can use his or her own brand of influence to aid the adolescent on the journey back to a healthy mind and body. Finally, Dr. Milhorn presents a list of successful options available if a first treatment attempt should fail. We live in a society wh ere 12-year-olds are budding alcoholics and children are bombarded in school hallways with solicitations to ex

The recent surge in the use of crack/cocaine in Britain has rightly been a cause for concern. In this book Philip Bean has brought together some of the most respected authorities on the subject to report on their recent research. Chapters include studies on the supply and use of crack/cocaine in London and Glasgow, on the projected epidemic in use, on treatment on the rights of users as well as placing the subject in its historical perspective.

From the 1950s 'girl junkie' to the 1990s 'crack mom', Using Women investigates how the cultural representations of women drug users have defined America's drug policies in this century. In analyzing the public's continued fear, horror and outrage wrought by the specter of women using drugs, Nancy Campbell demonstrates the importance that public opinion and popular culture have played in regulating women's lives. The book will chronicle the history of women and drug use, provide a critical policy analysis of the government's drug policies and offer recommendations for the direction our current drug policies should take. Using Women includes such chapters as 'Sex, Drugs and Race in the Age of Dope'; 'Regulating Adolescents in the Postwar US'; 'Fifties Femininity'; and 'Regulating Maternal Instinct'.

Why do so many people feel compelled to drink alcohol or take drugs? And why do so many men drink and so many women refrain? Using ideas from social anthropology, this book attempts to provide a novel answer to these questions. The introduction surveys both gender and addiction. It points out that we cannot say what men or women are really like, in any culturally innocent sense, for gender is always, even in the realm of biology, a cultural matter. The ethnographic chapters, ranging from Ancient Rome to modern Japan, similarly suggest how any substance - from alcohol to tea to heroin - inevitably takes its meaning or reality in the cultural system in which it exists.
This book will be of interest to medical anthropologists, medical sociologists, anyone with an interest in the contemporary direction of anthropology as well as those working in the fields of alcohol and addiction.

Why do so many people feel compelled to drink alcohol or take drugs? And why do so many men drink and so many women refrain? Using ideas from social anthropology, this book attempts to provide a novel answer to these questions. The introduction surveys both gender and addiction. It points out that we cannot say what men or women are really like, in any culturally innocent sense, for gender is always, even in the realm of biology, a cultural matter. The ethnographic chapters, ranging from Ancient Rome to modern Japan, similarly suggest how any substance - from alcohol to tea to heroin - inevitably takes its meaning or reality in the cultural system in which it exists.
This book will be of interest to medical anthropologists, medical sociologists, anyone with an interest in the contemporary direction of anthropology as well as those working in the fields of alcohol and addiction.

AIDS and drug addiction is a topic of great and growing concern. AIDS first appeared among intravenous drug users in Europe in 1984, three years after the first cases were seen among homosexuals. This epidemic has spread more rapidly among intravenous drug users than in any other risk group. The high rates of HIV-1 seroprevalence among drug users in France, Italy, and Spain account for 85% of the total number of AIDS in intravenous drug users in Europe. It is anticipated that HIV-infected drug users will soon place a heavy burden on both drug treatment facilities and specialized health care units. The HIV-1 epidemic will also cross the former iron curtain. This contribution covers the wide and complex scene of drug problems and addiction as a whole. It gives researchers an opportunity to obtain background information on the spread of HIV and AIDS among intravenous drug users as well as on the clinical and psychological effects of HIV-1 infection and AIDS in Europe. The topics reviewed include surveys of intravenous drug use, HIV prevalence, detoxification, risk reduction, changing health behaviors, evaluating AIDS interventions and the impact of methadone maintenance treatment. This monograph will be of value to all clinicians, researchers, and policy makers who are concerned with the connection between intravenous drug use and AIDS.

This work examines the social, political and health policy contexts within which alcohol treatment policy has emerged and changed since 1950. Three themes are highlighted as particularly relevant to an examination of policy trends:;The emergence and evolution of a 'policy community' spear-headed by psychiatrists in the 1960s but broadening to include other profession and the voluntary sector by the 1980s. This text traces professional changes and tensions and their effects on the formation and implementation of policy into the '90s.;The role of research which influenced the nature and direction of policy. Changing approaches to alcohol treatment reveal the increasing uses of research as the rationale for social and health policy decisions and illustrate the move towards a contractor relationship between research workers and policy makers.;The changing conceptions and competing paradigms of the problem tracing the effect of ideological shifts on the balance between treatment responses and prevention and public health approaches to complex social medical problems such as alcoholism.;Within these broad themes, the text portrays the pressures and tensions on government departments, the

Trauma represents a loss of connection with the self and can affect ability the to engage in comfortable long-term intimacy. Unresolved trauma often times is the reason why people self-medicate. It is a shutting down of affect, dissociation from the heat of a painful or terrifying moment, a repression of unbearable feelings. Relational trauma happens a little bit at a time. Feeling unseen, misunderstood, neglected or rejected by the people we want most to be loved by is, over time, a traumatizing experience. Our need to be seen is core to valuing ourselves, to experiencing us as vital people, important to those close to us and with the potential to find a meaningful place in the world. Sociometrics offers layers of healing, many small incremental moments of healing that cumulatively help to peel back the layers of the onion revealing ever deepening and widening aspects of both the self and the self in relation to others. Sociometrics is a therapeutic role-playing practice built upon the foundation of Psychodrama and Sociometry, the pioneering group therapy concepts developed by fin-de-siecle Viennese psychiatrist Jacob Levy Moreno. Psychodrama and Sociometry have been organically embraced in the addictions field as a method of treating this kind of relational trauma. Role-play in a therapeutic environment allows a full range of mind-body emotions and physical motions to be part of the treatment process. Words, rather than being used in some hapless attempt to describe an experience one can barely remember, can come bursting forward into the here and now towards the right person at the right place at the right time. But the open-ended nature of each can make it difficult to do with safety and containment. Sociometrics solve that problem by creating an experiential process that is both healing and educational. This practice also incorporate the most up-to-date research on trauma, grief and related issues such as depression, anxiety, somatic issues and PTSD. Sociometrics is designed to fit easily into the existing programming of an addiction treatment canter or group therapy. Because they bring trauma issues forward through the stricture of the Floor Check (a series of guided emotional prompts), they remove the necessity for a lecture only approach to healing. Each time a "symptom" is explored for example, there is time for sharing how that symptom might manifest for each client and to hear how that symptom might manifest for others. This creates many "teachable and healable" moments across the room as symptoms come alive through each individual. As clients share they normalize problems and regulate their string emotions through sharing and feeling "held" by others engaged in a similar process. Resilience is natural built as they stand in the center of their own story. Emotional literacy and relational skills are strengthened and feelings are translated into words and communicated to others.

Contents:
Acknowledgments. Introduction. PART 1: DRUG TRAFFICKERS. 1: The Good Old Days: reciprocity and public service. 2: Going for Cover: trafficking as a sideline. 3: Things Get Nasty: enter the criminal diversifier. 4: Contested Streets: retailing into the 1990s. PART 2: ENFORCEMENT STRATEGIES 5: Policing Localities: street operations. 6: Inner City Drug Squads: surveillance and but operations. 7: Policing Localities: street operations. PART 3: KEY ISSUES IN DRUG ENFORCEMENT. 8: Informants and Stings: tradition and innovation in plainclothes work. 9: Intelligence Rules: the centralisation of British policing. 10: The Punishment Illusion: your money and your life?. Conclusion: A Little Knowledge. Appendix: Extracts form ACPO's `Broome Report'. Bibliography. Subject Index. Author Index.

Much is made of spirituality these days-in recovery and in the culture at large-but what, exactly, does spirituality mean? Is it something different to different people? How is it discovered, nurtured, expressed? And, perhaps most important, why does it matter? To the thicket of questions surrounding the subject, this book brings a clear vision and a thoughtful approach that will help us find our way to the very heart of spirituality. Writing simply and directly, Abraham Twerski shows how spirituality-independent of religion-is central to emotional and mental health, and is a key to being truly and profoundly human. Founder and medical director of the Gateway Rehabilitation Center in Pittsburgh, Pennsylvania, Abraham J. Twerski is a rabbi, psychiatrist, chemical dependency counselor, and the author of many books, including Addictive Thinking: Understanding Self-Deception.

The accompanying Participant's Workbook to the SSC is written to engage clients and encourage active participation in treatment and responsible living. Phase I: Challenge to Change: Building Knowledge and Skills for Responsible Living Phase II: Commitment to Change: Strengthening Skills for Self-Improvement, Change, and Responsible Living Phase III: Taking Ownership of Change: Lifestyle Balance and Healthy Living SAGE offers treatment and training programs for mental health providers that you can easily incorporate into your existing programs.