Comprehending Drug Use , the first full-length critical overview of the use of ethnographic methods in drug research, synthesizes more than one hundred years of study on the human encounter with psychotropic drugs. J. Bryan Page and Merrill Singer create a comprehensive examination of the whole field of drug ethnography-methodology that involves access to the hidden world of drug users, the social spaces they frequent, and the larger structural forces that help construct their worlds. They explore the important intersections of drug ethnography with globalization, criminalization, public health (including the HIV/AIDS epidemic, hepatitis, and other diseases), and gender, and also provide a practical guide of the methods and career paths of ethnographers.

Getting Wrecked provides a rich ethnographic account of women battling addiction as they cycle through jail, prison, and community treatment programs in Massachusetts. As incarceration has become a predominant American social policy for managing the problem of drug use, including the opioid epidemic, this book examines how prisons and jails have attempted concurrent programs of punishment and treatment to deal with inmates struggling with a diagnosis of substance use disorder. An addiction physician and medical anthropologist, Kimberly Sue powerfully illustrates the impacts of incarceration on women's lives as they seek well-being and better health while confronting lives marked by structural violence, gender inequity, and ongoing trauma.

Substance misuse and its pervasive problems is a constant challenge for social work, health and related professionals today. With heightened political and policy emphasis on all aspects of substance misuse, it is paramount that professionals remain up-to-date on current issues and their responsibilities. Based on research and evidence, this book provides a sound basis for grounded and innovative practice. Leading international contributors outline holistic and specialist approaches to policy and practice, and highlight the shift in emphasis from immediate risk minimisation to long-term recovery, the importance of prevention and the pivotal role of workforce development. Issues surrounding work with children and families affected by substance misuse are explored, and ways of implementing new approaches revealed. The book also looks at the impact of the smoking ban in Scotland, and suggests ways to support tobacco use cessation. This book is essential reading for all front-line practitioners working with substance misusers, including social work, health professionals and counsellors.

Tabloid headlines attack the binge drinking of young women. Debates about the classification of cannabis continue, while major public health campaigns seek to reduce and ultimately eliminate smoking through health warnings and legislation. But the history of public health is not a simple one of changing attitudes resulting from increased medical knowledge, though that has played a key role, for instance since the identification of the link between smoking and lung cancer. As Virginia Berridge shows in this fascinating exploration, attitudes to public health, and efforts to change it, have historically been driven by social, cultural, political, and economic and industrial factors, as well as advances in science. They have resulted in different responses to drugs, alcohol, and tobacco at different times, in different parts of the world. Opium dens in London, temperance and prohibition movements, the appearance of new recreational drugs in the 20th century, the changing attitudes to smoking: by taking us through such examples, moulded by socio-economic and political forces, including the growing power of pharmaceutical companies, Berridge illuminates current debates. While our medical knowledge has advanced, other factors help shape our responses, as they have done in the past.

The former editor-in-chief of Details and Star adventures into the fascinating "brave new world" of cannabis, tracing its history and possible future as he investigates the social, medical, legal, and cultural ramifications of this surprisingly versatile plant. Pot. Weed. Grass. Mary Jane. We all think we know what cannabis is and what we use it for. But do we? Our collective understanding of this surprising plant has been muddled by politics and morality; what we think we know isn't the real story. A war on cannabis has been waged in the United States since the early years of the twentieth century, yet in the past decade, society has undergone a massive shift in perspective that has allowed us to reconsider our beliefs. In Brave New Weed, Joe Dolce travels the globe to "tear down the cannabis closet" and de-mystify this new frontier, seeking answers to the questions we didn't know we should ask. Dolce heads to a host of places, including Amsterdam, Israel, California, and Colorado, where he skillfully unfolds the odd, shocking, and wildly funny history of this complex plant. From the outlandish stories of murder trials where defendants claimed "insanity due to marijuana consumption" to the groundbreaking success stories about the plant's impressive medicinal benefits, Dolce paints a fresh and much-needed portrait of cannabis, our changing attitudes toward it, and the brave new direction science and cultural acceptance are leading us. Enlightening, entertaining, and thought-provoking, Brave New Weed is a compelling read that will surprise and educate proponents on both sides of the cannabis debate.

There remains substantial agreement among the international community on many aspects of the contemporary UN drug control regime. However, diverging views on the non-medical and non-scientific use of a range of controlled substances make drug policy an increasingly contested and transitionary field of multinational cooperation. Employing a fine-grained and interdisciplinary approach, this book provides the first integrated analysis of the sources, manifestations and sometimes paradoxical implications of this divergence. The author develops an original explanatory framework through which to understand better the dynamic and tense intersection between policy shifts at varying levels of governance and the regime's core prohibitive norm. Highlighting the centrality of the harm reduction approach and tolerant cannabis policies to an ongoing process of regime transformation, this book examines the efforts of those actors seeking to defend the existing international control framework and explores rationales and scenarios which may lead to the international community moving beyond it.

There remains substantial agreement among the international community on many aspects of the contemporary UN drug control regime. However, diverging views on the non-medical and non-scientific use of a range of controlled substances make drug policy an increasingly contested and transitionary field of multinational cooperation. Employing a fine-grained and interdisciplinary approach, this book provides the first integrated analysis of the sources, manifestations and sometimes paradoxical implications of this divergence. The author develops an original explanatory framework through which to understand better the dynamic and tense intersection between policy shifts at varying levels of governance and the regime's core prohibitive norm. Highlighting the centrality of the harm reduction approach and tolerant cannabis policies to an ongoing process of regime transformation, this book examines the efforts of those actors seeking to defend the existing international control framework and explores rationales and scenarios which may lead to the international community moving beyond it.

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

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.

Recreational drug use is a world-wide phenomenon. Despite the best efforts of governments, the public fascination with drugs shows no signs of abating. With media accounts of illegal drug use often verging on the hysterical, this book provides a refreshingly balanced and honest account of drug use throughout the world, one based on scientific fact, and not on dogma.
The book examines all the drugs currently used throughout the world, looking at their effects and side-effects. Why do peple use drugs? Why do they become addicted? What are the lessons to be learned from making drugs illegal?
Updated for the third edition with chapters rewritten to take account of scientific, epidemiological and political developments since the second edition, and with a new section on the present and future US drug policy from high-profile contributors, the book provides a much needed rational approach to the problem of drug use.

The Mexican drug trade has inspired prejudiced narratives of a war between north and south, white and brown; between noble cops and vicious kingpins, corrupt politicians and powerful cartels. In this first comprehensive history of the trade, historian Benjamin T. Smith tells the real story of how and why this one-peaceful industry turned violent. He uncovers its origins and explains how this illicit business essentially built modern Mexico, affecting everything from agriculture to medicine to economics—and the country’s all-important relationship with the United States. Drawing on unprecedented archival research; leaked DEA, Mexican law enforcement, and cartel documents; and dozens of harrowing interviews, Smith tells a thrilling story brimming with vivid characters—from Ignacia “La Nacha” Jasso, “queen pin” of Ciudad Juárez, to Dr. Leopoldo Salazar Viniegra, the crusading physician who argued that marijuana was harmless and tried to decriminalize morphine, to Harry Anslinger, the Machiavellian founder of the American Federal Bureau of Narcotics, who drummed up racist drug panics to increase his budget. Smith also profiles everyday agricultural workers, whose stories reveal both the economic benefits and the human cost of the trade. The Dope contains many surprising conclusions about drug use and the failure of drug enforcement, all backed by new research and data. Smith explains the complicated dynamics that drive the current drug war violence, probes the U.S.-backed policies that have inflamed the carnage, and explores corruption on both sides of the border. A dark morality tale about the American hunger for intoxication and the necessities of human survival, The Dope is essential for understanding the violence in the drug war and how decades-old myths shape Mexico in the American imagination today.

Drug Abuse: Etiology, Prevention, and Cessation serves as a comprehensive source of information on the topography of, causes of, and solutions to drug problems. The text covers conceptual issues regarding definitions of drug use, misuse, abuse, and dependence. Importantly, the text addresses a variety of theoretical bases currently applied to the development of prevention and cessation programs, specific program content from evidence-based programs, and program processes and modalities. Information regarding etiology, prevention, and cessation is neatly delineated into (a) neurobiological, (b) cognitive, (c) micro-social, and (d) macro-social/physical environmental units. The book is ideally suited as a primary source for students and professionals in chemical dependence programs, clinical and health psychology, public health, preventive medicine, nursing, sociology, and social work, among other fields, on the nature, causes, prevention, and cessation of the abuse of legal and illegal drugs.

The book that revolutionized the psychotherapist's approach to treating alcoholism

When it was first published in 1985, Treating the Alcoholic challenged traditional psychotherapeutic approaches to alcoholism treatment. Since then, thousands of mental health professionals, using Dr. Stephanie Brown's treatment model, have found renewed faith in their ability to help alcoholic patients achieve lasting recovery.

The book begins by studying the experiences of people who have stopped drinking and provides firsthand descriptions of the inevitable emotional, physical, and psychological problems that follow. Dr. Brown then offers a model for treatment that replaces the notion of abstinence as a static state with a dynamic, process-oriented "continuum of recovery" principle. She translates the twelve steps of Alcoholics Anonymous into psychological terms, taking particular care to explain the crucial notion of "loss of control." Perhaps the most surprising element of Dr. Brown's model is her emphasis on the triadic therapeutic relationship in which therapist, patient, and AA counselor work in partnership to ensure ongoing recovery.

Once considered a radical departure from the conventional wisdom, Treating the Alcoholic offers a now-proven approach that enables psychiatrists, psychologists, social workers, alcoholism counselors, and other mental health professionals to understand the dynamics of alcoholism and make profound contributions to the recovery process.

Philippe Bourgois's ethnographic study of social marginalization in inner-city America, won critical acclaim when it was first published in 1995. For the first time, an anthropologist had managed to gain the trust and long-term friendship of street-level drug dealers in one of the roughest ghetto neighborhoods--East Harlem. This new edition adds a prologue describing the major dynamics that have altered life on the streets of East Harlem in the seven years since the first edition. In a new epilogue Bourgois brings up to date the stories of the people--Primo, Caesat, Luis, Tony, Candy--who readers come to know in this remarkable window onto the world of the inner city drug trade. Philippe Bourgois is Professor and Chair of the Department of Anthropology, History and Social Medicine at the University of California, San Francisco. He has conducted fieldwork in Central America on ethnicity and social unrest and is the author of Ethnicity at Work: Divided Labor on a Central American Banana Plantation (Johns Hopkins University Press, 1989). He is writing a book on homeless heroin addicts in San Francisco. 1/e hb ISBN (1996) 0-521-43518-8 1/e pb ISBN (1996) 0-521-57460-9

From ancient times to the present day, Iranian social, political, and economic life has been dramatically influenced by psychoactive agents. This book looks at the stimulants that, as put by a longtime resident of seventeenth-century Iran, Raphael du Mans, provided Iranians with "damagh," gave them a "kick," got them into a good mood. By tracing their historical trajectory and the role they played in early modern Iranian society (1500-1900), Rudi Matthee takes a major step in extending contemporary debates on the role of drugs and stimulants in shaping the modern West.

At once panoramic and richly detailed, "The Pursuit of Pleasure" examines both the intoxicants known since ancient times--wine and opiates--and the stimulants introduced later--tobacco, coffee, and tea--from multiple angles. It brings together production, commerce, and consumption to reveal the forces behind the spread and popularity of these consumables, showing how Iranians adapted them to their own needs and tastes and integrated them into their everyday lives.

Matthee further employs psychoactive substances as a portal for a set of broader issues in Iranian history--most notably, the tension between religious and secular leadership. Faced with reality, Iran's Shii ulama turned a blind eye to drug use as long as it stayed indoors and did not threaten the social order. Much of this flexibility remains visible underneath the uncompromising exterior of the current Islamic Republic."

Self-help organizations across the world have attracted millions of individuals seeking to address addiction problems with drugs or alcohol. This book provides an integrative, international review of research that focuses on how these organizations affect individual members and whether self-help groups and formal health care systems can work together to combat substance abuse. In addition, it offers practical strategies for individual clinicians and treatment systems on how to interact with self-help organizations.

Aisling Creegan's childhood was dominated by an abusive, alcoholic mother, who tortured her at every turn. From insults through beatings and being threatened with a butcher's knife, Aisling endured unthinkable suffering at the hands of the woman who should have loved her unconditionally. Yet in the midst of this trauma, Aisling was able to rely on the one person she knew she could trust - herself. Possessed of an incredible imagination and remarkable resilience, Aisling found escape in the little things in life: lying in a field on a sunny day; drawing; Matchbox cars; and her teddy bear, Panda. Aisling's power to imagine an alternative world enabled her to hold on and make it to adolescence and the freedom she had longed for since childhood. But the scars of the past take time to heal, and when Aisling suffered a breakdown it took her on a surprising path to freedom - and forgiveness. I Am Someone is an extraordinary memoir about female cruelty, and ultimately female strength and endurance. 'Searingly honest ... brings you straight into the inner world of someone pushed to the limits' Lynn Ruane

To this day, the perception persists that China was a civilisation defeated by imperialist Britain's most desirable trade commodity, opium - a drug that turned the Chinese into cadaverous addicts in the iron grip of dependence. But, as this new edition of Narcotic Culture brilliantly shows, the real scandal in Chinese history was not the expansion of the drug trade by Britain in the early nineteenth century, but rather the failure of the British to grasp the consequences of prohibition. They reveal that opium actually had few harmful effects on either health or longevity; in fact, it was prepared and appreciated in highly complex rituals with inbuilt constraints preventing excessive use. Opium was even used as a medicinal panacea in China before the availability of aspirin and penicillin. But as a result of the British effort to eradicate opium, the Chinese turned from the relatively benign use of that drug to heroin, morphine, cocaine, and countless other psychoactive substances. The transition from a tolerated opium culture to a system of prohibition produced a 'cure' that was far worse than the disease. Delving into a history of drugs and their abuses, Narcotic Culture is part revisionist history of imperial and twentieth-century Britain and part sobering portrait of the dangers of prohibition.

This is the first detailed account of the economic lives of women drug users. It is located at the boundaries of three disciplines - criminology, anthropology, and sociology - and based on three years of in-depth ethnographic fieldwork in New York City. Set in a neighbourhood plagued by drug use and AIDS, the book reveals the economic lives of a group of women whose options have been severely circumscribed, not only by drug use, but also by poverty, racism, violence, and enduring marginality. It is a fascinating account, with Maher drawing extensively on the women's own words, describing how structures and relations of gender, race and class, are articulated by divisions of labour in the street-level drug economy. The book challenges the impoverished set of characterizations which dominate the literature, critiquing both feminist and non-feminist representations that view women lawbreakers as driven by forces beyond their control. It graphically illustrates the role of the drug economy as a site of cultural reproduction by drawing attention to the specific practices by which gender and race dimensions of inequality are constituted and contested in street-level drug markets. This is a rich, nuanced, and theoretically sophisticated study of "crime as work" which will be compelling reading for all those interested in the ways in which women deal with the intersection of gender, race, and work.

This is a comprehensive review of the pharmacological effects of alcohol and the mechanisms underlying the pathogenesis of alcoholism. The book draws on general pharmacology, neuropharmacology, and alcohol studies to explore its theme. The second volume in the ALCOHOL AND ALCOHOLISM series, it focuses on the pharmacologic mechanisms underlying the development of alcoholism. The first section on basic pharmacology is concerned with those aspects that are common to all of alcohol's effects. These include pharmacokinetics, general metabolism, and cross-tolerance. The second section on neuropharmacology describes the effects of alcohol on various brain functions, including circulation and metabolism. The third section provides an in-depth review of the neurobiology of physical dependence, withdrawal, and physiological tolerance. The book as a whole gives a comprehensive and authoritative picture of the complex pharmacologic actions of alcohol, particularly on the nervous system. For clinicians and researchers in the field of alcohol and alcoholism, it will serve as a fundamental reference.

Drug-Crime Connections challenges the assumption that there is a widespread association between drug use and crime. Instead, it argues that there are many highly specific connections. The authors draw together in a single volume a wide range of findings from a study of nearly 5,000 arrestees interviewed as part of the New English and Welsh Arrestee Drug Abuse Monitoring (NEW-ADAM) programme. It provides an in-depth study of the nature of drug-crime connections, as well as an investigation into drug use generally among criminals and the kinds of crimes that they commit. They explore topics that previously have fallen outside the drug-crime debate, such as gender and drugs, ethnicity and drugs, gangs, guns, drug markets, and treatment needs. The book provides both an up-to-date review of the literature and a concise summary of a major study on the connection between drug use and crime.