This textbook surveys the current knowledge on substance use disorders (SUD), summarizing scientific evidence from numerous fields. It uses a biopsychosocial framework to integrate the many factors that contribute to addictions, from genetic predispositions, neurological responses caused by drugs, co-occurring psychiatric disorders, personality traits, and developmental conditions to cultural influences. Real-life vignettes and first-person accounts build understanding of the lived experience of addiction. The currently accepted practices for diagnosis and treatment are presented, including the role of 12-step programmes and other mutual-assistance groups. The text also investigates the research methods that form the foundation of evidence-based knowledge. The main body text is augmented by study guideposts such as learning objectives, review exercises, highlighted key terms, and chapter summaries, which enable more efficient comprehension and retention of the book's material.

This book explores the outcomes of Sweden's aim to create a 'drug-free society' on the lived realities, health, and welfare of people who use drugs, and on the dynamics of Swedish drug use. Drawing on a wealth of empirical data, including extensive interview testimony and participant observation from years of fieldwork conducted in Sweden, the book debunks the widely-believed myth that Sweden is a progressive, liberal, inclusive state. In contrast to its liberal reputation, Sweden has criminalised the use of drugs and allows for compulsory treatment for those with drug dependencies. The work argues that Swedish law and policy cannot be demonstrated to have decreased drug use as intended, with the law used instead as a means with which to displace people who use drugs from public spaces in Sweden's cities. And where the law has failed in its ambition to decrease drug use, Swedish law and policy have increased and exacerbated the problems, dangers, and harms that can be associated with it. People who use drugs in Sweden experience considerable and endemic difficulties with health, violence, abuse, and social exclusion, stigma, and discrimination as a result of Sweden's drug laws, policies, and discourses.

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.

Note: This is the bound book only and does not include access to MyCounselingLab (R) with Pearson eText. To order MyCounselingLab (R) with Pearson eText packaged with the bound book, use ISBN 0134387457. In an accessible writing style, Fisher and Harrison's Substance Abuse: Information for School Counselors, Social Workers, Therapists and Counselors presents succinct, practical coverage of alcohol and other drug prevention, treatment, and recovery for generalist students, prospective mental health professionals, and allied professionals. It includes basic information on substances of abuse and focuses on clinically relevant knowledge on such topics as cultural competence, co-occurring disorders, other behavioral addictions, children and families, and ethics and confidentiality. Each chapter includes clinical application cases and questions for further discussion. The new edition inclues a new chapter on "Co-Occurring Disorders and Other Special Populations," new information on cultural competencies and intervening with special populations such as the elderly and LGBTQQI, and new information on risk factors for alcohol and other drugs for culturally and ethnically diverse populations. Also available with MyCounselingLab (R) This title is also available with MyCounselingLab-an online homework, tutorial, and assessment program designed to work with the text to engage students and improve results. Within its structured environment, students see key concepts demonstrated through video clips, practice what they learn, test their understanding, and receive feedback to guide their learning and ensure they master key learning outcomes.

Very Short Introductions: Brilliant, Sharp, Inspiring Addiction is a subject which straddles public and personal interests; societal and criminal justice concerns; and family, social, and medical responses. It is a continuing area of uncertainty and concern for society and professionals trained in the field. This Very Short Introduction presents the basic facts about addiction: what it is, how and why it develops, how it is treated, and how society can respond to it. Addictions to both illicit drugs and licit drugs (e.g., alcohol) are covered, as is the possibility that certain behaviours not involving drug use (e.g., compulsive gambling) can qualify as addictions. Keith Humphreys provides a jargon-free account of our present understanding of addiction, from treatment evaluations to studies on the effects of public policies. He also illuminates the personal experience of addiction and recovery. Humphreys considers why some people become addicted and others do not, what treatments exist to help people who are addicted, and how the laws and regulations society establishes about drugs affects the rate and experience of addiction. ABOUT THE SERIES: The Very Short Introductions series from Oxford University Press contains hundreds of titles in almost every subject area. These pocket-sized books are the perfect way to get ahead in a new subject quickly. Our expert authors combine facts, analysis, perspective, new ideas, and enthusiasm to make interesting and challenging topics highly readable.

Concepts of Addictive Substances and Behaviours across Time and Place presents fascinating new historical and social scientific research examining the temporal and spatial variations in the ways that addiction problems are understood and addressed in European societies. The book illustrates the changing and versatile nature of language use, of stakeholders concepts and ideas, and of the popular, professional and political discourse around addiction. The arguments that unfold concern the various cultural components invested in the ways in which the problems are viewed and addressed. A framework is presented for discussing these circumstances in view of current knowledge-based governance at a local, regional and global level. Concepts of Addictive Substances and Behaviours across Time and Place is based on research from ALICE RAP (Addiction and Lifestyles in Contemporary Europe, Reframing Addictions Project), a multidisciplinary European study of addictive substances, and behaviours in contemporary society. This is an essential resource for public health professionals, stakeholders influencing policy for addictive substances and behaviours, students, and academics looking to better understand the historical and geographical variations of addictive behaviours across in Europe and the role of stakeholder involvement in the construction of addiction prevention policy.

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.

This textbook surveys the current knowledge on substance use disorders (SUD), summarizing scientific evidence from numerous fields. It uses a biopsychosocial framework to integrate the many factors that contribute to addictions, from genetic predispositions, neurological responses caused by drugs, co-occurring psychiatric disorders, personality traits, and developmental conditions to cultural influences. Real-life vignettes and first-person accounts build understanding of the lived experience of addiction. The currently accepted practices for diagnosis and treatment are presented, including the role of 12-step programmes and other mutual-assistance groups. The text also investigates the research methods that form the foundation of evidence-based knowledge. The main body text is augmented by study guideposts such as learning objectives, review exercises, highlighted key terms, and chapter summaries, which enable more efficient comprehension and retention of the book's material.

Addiction to illicit drugs is a pressing social concern across greater China, where there are likely several million drug addicts at present. This research breaks new ground by examining Chinese people's stories of drug addiction. Chinese Stories of Drug Addiction systematically evaluates how drug addiction is represented and constructed in a series of contemporary life stories and filmic stories from mainland China, Taiwan and Hong Kong. These stories recount experiences leading up to and during drug addiction, as well as experiences during drug rehabilitation and recovery. Through analysis of these contemporary life stories and filmic stories, the book presents a comprehensive picture of how Chinese people from both inside the experience of drug addiction and outside of it make sense of a social practice that is deemed to be highly transgressive in Chinese culture. It employs a blended discourse analytic and narrative analytic approach to show how salient cultural, political and institutional discourses shape these Chinese stories and experiences. Complementing existing humanities research which documents the historical narrative of drug addiction in China at the expense of the contemporary narrative, the book also provides health and allied professionals with a rich insight into how Chinese people from different geographical locations and walks of life make sense of the experience of drug addiction. Moving beyond historical narrative to examine contemporary stories, Chinese Stories of Drug Addiction offers a valuable contribution to the fields of Chinese studies and personal health and wellbeing, as well as being of practical use to health professionals.

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.

Impact of Addictive Substances and Behaviours on Individual and Societal Well-being outlines an innovative and fascinating new framework for understanding the harm that addictive substances and behaviours can cause. Taking a holistic approach and with well-being as a central tenet, it demonstrates how using different methods can lead to a more just and evidence-based approach to dealing with addictions. Presenting the latest and most comprehensive research, the expert team of authors examines the harm caused by addictive substances and behaviour, factors that contribute to addictions, and current European approaches to governing addictive substances and behaviours. It is both legal and illegal drugs, and behaviour that cause harm. For the world as a whole, cigarettes were the second largest cause of ill health and early death in 2010, alcohol the fifth, and illegal drugs the eighteenth. Regular and sustained heavy engagement in addictive substances and behaviour also impacts on quality of life and material living conditions. The well-being framework outlined here for understanding this impact places particular emphasis on the reciprocal relationship between well-being and drug use: well-being can be a driver of the heavy use of addictive substances and behaviours, and also compounds the harm done. Furthermore, the response of society can increase the harm caused by drug use, and stigma, social exclusion, and the actions of the criminal justice system can impair individual and societal well-being considerably. Impact of Addictive Substances and Behaviours on Individual and Societal Well-being is based on the research from ALICE RAP, a multidisciplinary European study of addictive substances and behaviours in contemporary society. A timely addition to the field, this book is essential reading for those wanting to make a real impact in the field of addiction prevention policy, including public managers, practitioners, public health professionals, and stakeholders influencing policy for addictive substances and behaviours, as well as academics.

Randol Contreras came of age in the South Bronx during the 1980s, a time when the community was devastated by cuts in social services, a rise in arson and abandonment, and the rise of crack-cocaine. For this riveting book, he returns to the South Bronx with a sociological eye and provides an unprecedented insider's look at the workings of a group of Dominican drug robbers. Known on the streets as "Stickup Kids", these men raided and brutally tortured drug dealers storing large amounts of heroin, cocaine, marijuana, and cash. As a participant observer, Randol Contreras offers both a personal and theoretical account for the rise of the Stickup Kids and their violence. He mainly focuses on the lives of neighborhood friends, who went from being crack dealers to drug robbers once their lucrative crack market opportunities disappeared. The result is a stunning, vivid, on-the-ground ethnographic description of a drug robbery's violence, the drug market high life, the criminal life course, and the eventual pain and suffering experienced by the casualties of the Crack Era. Provocative and eye-opening, "The Stickup Kids" urges us to explore the ravages of the drug trade through weaving history, biography, social structure, and drug market forces. It offers a revelatory explanation for drug market violence by masterfully uncovering the hidden social forces that produce violent and self-destructive individuals. Part memoir, part penetrating analysis, this book is engaging, personal, deeply informed, and entirely absorbing.

This book presents a new approach to covering the basic principles and major topics found in a typical psychopharmacology course, while adding the newest exciting and controversial findings in the study of drug use, misuse and abuse. Included in this text are major drugs typically covered in an undergraduate psychopharmacology course, including caffeine, nicotine, cocaine, amphetamines including methamphetamine, alcohol, opiates, marijuana, the hallucinogens, antipsychotics, antidepressants, and antianxiety medications. Moreover, the content emphasizes the latest scientific findings in the field, including advances in imaging the living brain.

In "a brilliant antidote to all the...false narratives about pot" (American Thinker), an award-winning author and former New York Times reporter reveals the link between teenage marijuana use and mental illness, and a hidden epidemic of violence caused by the drug-facts the media have ignored as the United States rushes to legalize cannabis. Recreational marijuana is now legal in nine states. Advocates argue cannabis can help everyone from veterans to cancer sufferers. But legalization has been built on myths-that marijuana arrests fill prisons; that most doctors want to use cannabis as medicine; that it can somehow stem the opiate epidemic; that it is beneficial for mental health. In this meticulously reported book, Alex Berenson, a former New York Times reporter, explodes those myths, explaining that almost no one is in prison for marijuana; a tiny fraction of doctors write most authorizations for medical marijuana, mostly for people who have already used; and marijuana use is linked to opiate and cocaine use. Most of all, THC-the chemical in marijuana responsible for the drug's high-can cause psychotic episodes. "Alex Berenson has a reporter's tenacity, a novelist's imagination, and an outsider's knack for asking intemperate questions" (Malcolm Gladwell, The New Yorker), as he ranges from the London institute that is home to the scientists who helped prove the cannabis-psychosis link to the Colorado prison where a man now serves a thirty-year sentence after eating a THC-laced candy bar and killing his wife. He sticks to the facts, and they are devastating. With the US already gripped by one drug epidemic, Tell Your Children is a "well-written treatise" (Publishers Weekly) that "takes a sledgehammer to the promised benefits of marijuana legalization, and cannabis enthusiasts are not going to like it one bit" (Mother Jones).

This is both a fascinating history of the formative years of Alcoholics Anonymous, as well as the bitter-sweet tale of the troubled man Bill W. always referred to as "my sponsor." In 1934, Ebby Thatcher called an old drinking buddy to tell him about the happiness he was finding in sobriety. His friend's name was Bill Wilson, and this book is the story of their life-long friendship. It is both a fascinating history of the formative years of Alcoholics Anonymous, as well as the bitter-sweet tale of the troubled man Bill W. always referred to as "my sponsor." "Deeply informative and moving, a valuable contribution to the history of A.A. A 'must' reading for anyone interested in one of the more fascinating chapters in A.A.'s history."--Nell Wing, Retired A.A. Archivist and Bill Wilson's Secretary

Cannabis has never been a more controversial substance in Britain. Over the last decade it has been reclassified twice, has been the subject of a range of official investigations and scientific studies, and has provoked media campaigns and all manner of political gesturing. Cannabis Nation seeks to understand this period by placing it back into the historical context of the long-term story of cannabis and the British. It takes up where its predecessor, Cannabis Britannica: Empire, Trade, and Prohibition, 1800-1928 (2003) left off. James Mills traces the story back into the last days of the Empire, when Britain controlled cannabis-consuming societies in Asia and Africa even while there was little taste for the drug back home. He shows that cannabis was caught up in control regimes established to deal with opium and cocaine consumption, while it fell out of favour as a medicine. As such, when migration after the Second World War brought the Empire's cannabis-consumers to the UK, they faced hostile attitudes towards their favourite intoxicant. From that time on a growing number of groups and agencies took an interest in cannabis. Ambitious bureaucrats in the Home Office saw in it an opportunity to draw resources in to the Drugs Branch, while the police began to use laws related to it for a number of other purposes. Experts ranging from pharmacologists to sociologists formed committees on the subject, and its association with colonial migrants lent it an exotic aura to the politically-minded of the 1960s counter-culture and the working-class youth of Britain's inner cities. Since the 1970s governments were content to devolve responsibility to the police for working out the best legal approach to the substance, and efforts to wrestle this back from them proved difficult a decade ago. Cannabis Nation considers all of these trends, details the often eccentric characters that have shaped them, and concludes that current positions and arguments on cannabis can only be properly assessed if their historical origins are clearly understood.

Methamphetamine abuse is a significant problem in the United States. It is used by nearly 530,000 Americans ages 12 and older, but the effects are devastating to family and friends of addicts. In this book, the authors present topical research on the abuse, health effects and treatment options of methamphetamine. Some of the topics discussed include the effects of methamphetamine exposure during brain development on cognition and markers of cognitive function; what rodent activity can tell us about methamphetamine abuse; sigma receptors as a potential target for methamphetamine abuse and dependence and methods for confirmatory analysis of methamphetamine in biological samples.

In recent years, British drug policy has undergone a transformation: tackling 'drug-driven' crime through criminal justice interventions has arguably become the central priority and focus. The 'criminal justice turn', as the authors refer to current UK drugs policy, is based on three simple and linked assumptions: drug-driven property crime is a major driver of local area crime rates, especially in deprived neighbourhoods; the criminal justice system can be used to target these drug-motivated offenders and direct them into treatment; and treatment can lead to significant reductions in their offending. Tough Choices: Risk, Security and the Criminalization of Drug Policy explores a series of questions about the 'criminal justice' turn in British drugs policy, from why it happened at all to what led policy to unfold in the way that it did, by analyzing policy documents and over 200 interviews conducted with key players in the policy development and implementation process. At the practice level, the authors explore how the strategic vision of the drug-crime 'problem' has shaped the ways in which drug-using offenders are identified, targeted and managed - in other words, why the implementation of the Drug Interventions Programme on the ground has taken the forms that it has. This is addressed through a detailed examination of practice in three local areas. Both the emergence of this new policy direction and its implementation in practice can best be understood as part of a wider transformation in governance in which risk-based thinking has become central to the ways in which we seek to address our contemporary insecurities. The book is based on a 30-month ESRC-funded research project on the Drug Interventions Programme and draws on the extensive empirical data generated during the project.

While there have always been norms and customs around the use of drugs, explicit public policies--regulations, taxes, and prohibitions--designed to control drug abuse are a more recent phenomenon. Those policies sometimes have terrible side-effects: most prominently the development of criminal enterprises dealing in forbidden (or untaxed) drugs and the use of the profits of drug-dealing to finance insurgency and terrorism. Neither a drug-free world nor a world of free drugs seems to be on offer, leaving citizens and officials to face the age-old problem: What are we going to do about drugs?
In Drugs and Drug Policy, three noted authorities survey the subject with exceptional clarity, in this addition to the acclaimed series, What Everyone Needs to Know(r). They begin, by defining "drugs," examining how they work in the brain, discussing the nature of addiction, and exploring the damage they do to users. The book moves on to policy, answering questions about legalization, the role of criminal prohibitions, and the relative legal tolerance for alcohol and tobacco. The authors then dissect the illicit trade, from street dealers to the flow of money to the effect of catching kingpins, and show the precise nature of the relationship between drugs and crime. They examine treatment, both its effectiveness and the role of public policy, and discuss the beneficial effects of some abusable substances. Finally they move outward to look at the role of drugs in our foreign policy, their relationship to terrorism, and the ugly politics that surround the issue.
Crisp, clear, and comprehensive, this is a handy and up-to-date overview of one of the most pressing topics in today's world.
What Everyone Needs to Know(r) is a registered trademark of Oxford University Press

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

Cannabis, marijuana, pot, ganja - it goes by many names - is by far the most widely used illegal substance, and accounts for more arrests than any other drug. Barely a week goes by without this drug appearing in the newpapers, and politicians have famously tied themselve in knots, trying to decide just how to deal with this recreational drug. While there have been many drug policy books on other substances - both legal and illegal, few have focused on this drug. Cannabis Policy: Moving beyond Stalemate is unique in providing the materials needed for deciding on policy about cannabis in its various forms. It reviews the state of knowledge on the health and psychological effects of cannabis, and its dangerousness relative to other drugs. It considers patterns and trends in use, the size and character of illicit markets, and the administration of current policies, including arrests and diversion to treatment, under the global prohibition regime. It looks at the experience of a number of countries which have tried reforming their regimes and softening prohibition, exploring the kinds of changes or penalties for use for possession: including depenalization, decriminalization, medical control, and different types of legalization. It evaluates such changes and draws on them to assess the effects on levels and patterns of use, on the market, and on adverse consequences of prohibition. For policymakers willing to look outside the box of the global prohibition regime, the book examines the options and possibilities for a country or group of countries to bring about change in, or opt out of, the global control system. Throughout, the book examines cannabis within a global frame, and provides in accessible form information which anyone considering reform will need in order to make decisions on cannabis policy (much of which is new or has not been readily available). This book will be essential for those involved in policymaking and be of interest to a wide range of readers interested in drugs and drug policy, as well as being an excellent supplementary text for university courses in criminology, policy science, social science, or public health. Published with the BECKLEY FOUNDATION PRESS

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.

"The Smoking Book" is built on the foundation of two questions: how does it feel to smoke, and what does smoking mean? Lesley Stern muses on these questions through intersecting stories and essays. Stern writes of addictions and passionate attachments, of the body and bodily pleasure, of autobiography and cultural history. Smoking is Stern's seductive pretext, her way of entering unknown and mysterious regions. The book begins with accounts of growing up on a tobacco farm in colonial Rhodesia, reminiscences that permeate subsequent excursions into precolonial tobacco production and postcolonial life in Zimbabwe, as well as vignettes set in Australia, the United States, Scotland, Italy, Japan and South America. Stern has written a book, at once personal and international, that weaves the intimate act of a solitary person smoking a cigarette into a broad cultural picture of desire, exchange, fulfilment and the acts that bind people together, either in lasting ways or through ephemeral encounters.

The problems of substance abuse affect not only the abuser but the people involved in his or her life. Family members and significant others often confront therapists, requesting recommendations on how they can contribute to the abusers recovery. The traditional attitude of therapists has been that the substance abuser cannot be helped until he or she is motivated. Therefore, significant others have typically been given little advice or guidance. Family Recovery offers clinicians a structured, research-based approach to working with significant others involved with substance abusers. Unilateral family therapy offers methods for therapists to improve the well-being of concerned significant others of substance abusers and to teach them how to restructure their relationship to the abuser in ways that may enhance the substance abuser's motivation to change. Family Recovery will be useful to both experienced clinicians and those who are training to be clinical social workers, clinical psychologists, family therapists, and substance abuse counselors.