Tobacco companies had been protecting their turf for decades. They had congressmen in their pocket. They had corrupt scientists who made excuses about nicotine, cancer and addiction. They had hordes of lawyers to threaten anyone,inside the industry or out,who posed a problem. They had a whole lot of money to spend. And they were good at getting people to do what they wanted them to do. After all, they had already convinced millions of Americans to take up an addictive, unhealthy, and potentially deadly habit. David Kessler didn't care about all that. In this book he tells for the first time the thrilling detective story of how the underdog FDA,while safeguarding the nation's food, drugs, and blood supply,finally decided to take on one of the world's most powerful opponents, and how it won. Like A Civil Action or And the Band Played On, A Question of Intent weaves together science, law, and fascinating characters to tell an important and often unexpectedly moving story. We follow Kessler's team of investigators as they race to find the clues that will allow the FDA to assert jurisdiction over cigarettes, while the tobacco companies and their lawyers fight back,hard. Full of insider information and drama, told with wit, and animated by its author's moral passion, A Question of Intent reads like a Grisham thriller, with one exception,everything in it is true.

The classic American struggle between the public interest and corporate interests is perhaps nowhere better illustrated than in the decades-long struggle between the tobacco industry and advocates for public health. The failure of the "global settlement" legislation is now viewed by many public health experts as an historic missed opportunity, and in this extraordinary book, "Smoke in Their Eyes, " Michael Pertschuk brilliantly describes the forces brought to bear.

A lifelong public health leader and tobacco control advocate, Pertschuk provides uncommon insight into the movement and its opposition. Questions that reveal themselves here can be applied to public advocacy as a whole: how can movement leaders gauge and best employ popular support? Who has legitimacy to speak on behalf of a particular public cause? And perhaps most crucially, how is it possible for those whose cause is a moral one to strike political compromise? With a narrative as compelling as the issues it raises, "Smoke in Their Eyes" will be of great interest to everyone from students of public advocacy and political science to general readers.

In a newly enlarged edition of this eye-opening book, David T. Courtwright offers an original interpretation of a puzzling chapter in American social and medical history: the dramatic change in the pattern of opiate addiction--from respectable upper-class matrons to lower-class urban males, often with a criminal record. Challenging the prevailing view that the shift resulted from harsh new laws, Courtwright shows that the crucial role was played by the medical rather than the legal profession.

"Dark Paradise" tells the story not only from the standpoint of legal and medical sources, but also from the perspective of addicts themselves. With the addition of a new introduction and two new chapters on heroin addiction and treatment since 1940, Courtwright has updated this compelling work of social history for the present crisis of the Drug War.

A clear, concise introduction to substance abuse treatment for non-specialist physicians. Provides information on the nature of addiction, brain chemistry, pharmacology, current treatment protocols, and specific populations such as women, adolescents, and the aged.

This is a no-nonsense, practical book for helping organizations rid their workplaces of drug abuse and its serious and costly consequences. The book draws upon the collective experiences of hundreds of organizations that have said "no more, not here" and have grown stronger as a result. The path to a drug-free working environment is straight but narrow. The Drug-Free Workplace:
How to Get There and Stay There delineates the path, always with a view toward avoiding missteps that can lead to trouble.
Bringing a workplace back to safety and profitability is a collaborative and multi-disciplinary effort. Participation necessarily involves professionals from security, safety, human resources, and health. Central to the effort is an enlightened management. Every specialist and manager committed to developing and maintaining a drug-free workplace will find in the pages of this book a wealth of sensible, meaningful information.
A drug-free workplace program cuts costs, increases productivity, reduces loss and wastage, avoids accidents, and literally saves careers, families, and lives. Much is at stake, making the drug-free program deserving of thoughtful deliberation, considerable planning, and careful implementation. Preliminary to the process is understanding the key tasks. All of the tasks are spelled out in this book.

Offers organizations a clear course to enact drug policiesTeaches the ramifications of testing and investigating drug use and abuseAddresses liability issues to keep buisness owners, security managers, and their companies out of court

Drawing on the latest findings from developmental, psychobiological, and social scientific research, DeGrandpre "criticizes America's obsession with performance and quick satisfaction and the country's reliance on Ritalin [as] a performance-enhancing drug" (Natural Health). He cautions that our society-wide rush to more, and faster, stimulation leaves children especially vulnerable to "sensory addictions." Ritalin Nation exposes the shortsightedness of mere biological explanations of ADD and offers some practical guidelines for cultivating a less-hurried existence and promoting a saner, safer community for our children.

This is the remarkable story of James Lee who, starting in 1895, spent 20 years pursuing all the pleasures and dangers that the Far East had to offer. A twilight world of ports, red light districts, drug dens and secret chambers of vice from Aden to Kyoto

Society's drug problem will persist, and debates over how to solve it will continue, getting nowhere, until we define our terms. This book is an effort to do just that -- to parse the legal, moral, and philosophical underpinnings for any discussion of drug policy.

Does liberal political theory, with its commitment to individual freedom, offer any guidance in the matter of drugs, particularly regarding their legal status? Do the commitments that citizens of liberal democracies make -- commitments to ideals such as rationality, equality, justice, and democratic forms of decision-making -- have implications for drug policy? These are the questions addressed in this volume, which explores the possibilities and limitations of philosophical reflection on this pressing, practical social issue.

The authors, distinguished political and legal philosophers, search out the justification of policies that manage problems of drug consumption and social disintegration, but do so in keeping with the moral and political commitments of a liberal democratic society. Their subjects range from the rationality or irrationality of drug consumption to the scope of liberty; from the proper aims of legislation to the rhetoric of the war on drugs, particularly as deployed by former "Drug Czar" William Bennett.

What does a codependent say to his mate when he wakes up?  
"Good  morning, how am I?"
--Overheard at a Codependents Anonymous meeting

Throughout the world today, more than two million alcoholics and hundreds of thousands of drug addicts, compulsive overeaters, sex addicts, compulsive gamblers, codependents, and other addicts abstain from their addiction, having found a new life by practicing the 12-step program of recovery developed by Alcoholics Anonymous.  Over the years, their practices have evolved into a way of life--the 12-Step Culture.

"I don't remember my first meeting, but I've been told that I talked for a really long time."
--Mary, a member of Narcotics Anonymous

AA to Z is the first book to document the richness and diversity of the lives of recovering people and to provide an encyclopedic look at this unique subculture.  Less self-help than enlightenment and entertainment, AA to Z is comprised of real-life stories of recovering addicts as well as an "addictionary" of recovery terminology.  Everything from the well-known slogan "One Day at a Time" to more esoteric terms like "pigeon" (a lovingly insulting term for a newcomer to the program) and "Wharf Rats" (sober Deadheads) is explained with clarity, insight, and humor.  

"How it works, you ask--slowly and well."
--Cooper, a member of Alcoholics Anonymous

Conversational, witty, and engaging, AA to Z is a must-have for all 12-step participants and their loved ones, and it offers the uninitiated a fascinating firsthand look at one of the most influential yet least-documented cultural movements of our time.

Through interviews with 120 pregnant, or recently delivered, drug-using women, this book examines how pregnant drug addicts make choices about drug use, pregnancy and pre-natal care. To combat the stereotype of the negligent, uncaring and even abusive pregnant drug user, the authors seek to understand the feelings and motivations of the women themselves. How do they decide whether or not to terminate their pregnancy? What are their parents' and family members' attitudes toward their pregnancy? What options are available to them if they choose to keep the baby but kick the habit? The authors present the demographics of their study population and a description of their lives: their childhoods, drug use patterns, relationships and experiences of violence. They delineate women's efforts to manage their pregnancies and reduce the potential harms of drug use during pregnancy. They detail what they call the ""final showdown"" of birth and delivery when months of ambivalence, fear and harm reduction efforts culminate in the glaring light of an institutional setting. Finally, they address the policy implications of their findings.

Reefer Madness, a classic in the annals of hemp literature, is the popular social history of marijuana use in America. Beginning with the hemp farming if George Washington, author Larry "Ratso" Sloman traces the fascinating story of our nation's love-hate relationship with the resilient weed we know as marijuana.

Herein we find antiheroes such as Allen Ginsberg, Robert Mitchum (the first Hollywood actor busted for pot), Louis Armstrong (who smoked pot every day), the Beatles, and more rapscallions standing up for, supporting, smoking, and politicizing the bounties of marijuana.

With a new afterword by Michael Simmons, who has written for Rolling Stone, LA Weekly, and High Times, on the progress of the hemp movement and the importance of medical marijuana, Reefer Madness is a classic that goes on.

The challenge: How to raise children in a drug-filled society and prevent substance abuse

Dr. Schwebel's Recommendations: Start when your children are youngCreate a family climate for communicationShow your children how to meet their needs without drugsHelp kids understand the dangers of drugsHelp them learn to resist peer pressureTeach your children how to make wise decisionsEstablish give-and-take discussions with teensStay alert to potential drug problems and know how to respond

How to listen and what to say in order to accomplish these goals is what Saying No Is Not Enough is all about. Now in its second edition, this valuable prevention and intervention guide for parents and professionals by Dr. Schwebel, one of the nation's experts, presents his complete, step-by-step program, refined and time-tested over the last twenty-five years.

What's New in This Second Edition: A full chapter on tobaccoRecommendations about parents discussing their own substance useWhat to do about drug testingMore on marijuana, the myths vs. the realitiesMore on how to deal with lying and dishonestyMore on intervention for parents whose kids are already harmfully involved with drugs

Substance Use and Misuse is a comprehensive and practical text that covers the core elements of substance use and misuse in both acute and community settings. The text reflects those areas in which health-care professionals are assuming greater responsibility for those people misusing psychoactive substances. It adopts a skills-orientated approach, providing a framework of good clinical practice and is written by a group of clinicians and academics. This book is an invaluable tool for undergraduate and postgraduate students, educators and clinical practitioners in all branches of nursing, midwifery and health visiting. It is also relevant to others in the healing professions as well as generic and specialist health-care professionals.

* emphasis placed on prevention
* an up-to-date, practical and comprehensive text for students and practitioners in health care
* adopts a skills-orientated approach, supported by the latest research and case vignettes
* written by experts in clinical practice, management, education and research

For more than a decade, Howard Clinebell's Understanding and Counseling the Alcoholic has been considered the standard work in the field. This updated edition of Clinebell's earlier book expands his work on counseling to encompass the care of persons with drug addiction, behavioral addictions, multiple addictions, and co-dependency. The volume includes a new annotated bibliography.

"This is the most comprehensive summary on understanding and counseling persons with addictions of which I am aware. The book should be part of every counselor's library." --Anderson Spickard, M.D., Professor of Medicine, Vanderbilt Internal Medicine Associates

"This invaluably revised work on addiction is inclusive and comprehensive. Building upon seminal research in alcoholism, this expansive explication of the etiology, treatment, and after-care of those afflicted and affected by addictions provides a pragmatic proposal of care for all practitioners. It gleans the best from the past, appropriates the research of the present, and provides a vision of what effective care might be in the future.--Robert H. Albers, Professor of Pastoral Theology at Luther Seminary and Editor of The Journal of Ministry

With the aim of showing how educators can use their skills to inform practical action on problematic drug issues, this text identifies the drug issues emerging in the classroom and highlights strategies for dealing with them.

Manual of Therapeutics for Addictions

Edited by Norman S. Miller, MD, Mark S. Gold,MD, and David E. Smith, MD

Here is a much-needed practical guide to the effective diagnosis and treatment of alcohol and drug addictive disorders. Designed to meet the diverse needs of family and primary care physicians, psychiatrists and mental health professionals, and medical students and residents, this authoritative text offers clear, step-by-step recommendations on the selection and application of both pharmacological and psychosocial therapies. Arranged in an easy-to-use outline format, Manual of Therapeutics for Addictions:

• Covers the pharmacology, neurochemistry, and treatment options for alcohol and such drugs as marijuana, cocaine, and opiates
• Includes material on eating, sexual, and gambling addictions
• Contains age-, cultural-, and gender-specific information for diagnosis and treatment
• Addresses relevant medical complications and psychiatric interactions
• Features contemporary topics such as managed care, minority concerns, and forensic issues

Your spouse complains about your drinking. Your boss suggests Alcoholics Anonymous. You know you have a problem. You need a solution; you need a miracle. The authors ask readers to imagine such a miracle: Suppose that while you are asleep tonight a miracle happens and your problem is solved, just like that! Because you were sleeping, you didnt know that this miracle occurred. What is the first thing tomorrow morning that will let you know that there has been a miracle and that your problem is solved? From that "first thing," the authors help readers to imagine a future where drinking is not a problem and to specify small, concrete, obtainable goals that will make that future a reality. Neither the humiliation of "hitting bottom" nor a lifetime commitment to AA is necessary to make this approach work. Instead the individual learns to recognize exceptions (times when drinking is not a problem), catch himself "doing things right," handle setbacks, and revise the "miracle picture" when things arent working. Highly practical, The Miracle Method is a radically new and effective approach to problem drinking.

Tough Love is hope. It is help. It is a way of recovery for drug abusers, and a positive, supportive program for their families. Tough Love is a gift of love and a gift of life for those who practice its plan. It is a book for all parents, especially those whose children are now on drugs or are exposed to those who use drugs. Pauline Neff has gathered enthralling, real-life accounts of young drug users who needed help and of their parents' role in seeing that they received it. Eight families describe, in very graphic, heartrending terms, how their children successfully beat the drug habit through The Palmer Drug Abuse Program. PDAP is a privately financed twelve-step program, similar to the steps of AA. Ms. Neff explains each step to show how families can interpret and work through these steps in their own lives. Thousands of young people have found help through this method. Families have been reunited, and parents' own lives have been changed drastically in the process. If you are a parent of a young person in America today, Tough Love may be the most important book you will ever read. It may save your life.

This volume provides an in-depth look at the genetic influences that contribute to the development of alcoholism. Part I: Epidemiologic Studies contains five chapters that examine the various approaches employed in the study of the genetics of alcoholism. It provides a historical perspective and details all the essentials of this subject. Part II: Selective Breeding Studies highlights the results of research involving the selective breeding of rodents. This type of research has produced homogenous strains exhibiting specific behavioral responses considered significant in the development and maintenance of alcohol dependence. The studies presented in Part III: Phenotypic Studies investigate and analyze phenotypic markers that serve as correlates to the genotypic determinants of alcoholism. Through its broad scope, this volume provides for the first time a panoramic view of the knowledge available on the hereditary influences of alcoholism.

Drunk driving is most often viewed as criminal behavior that is best addressed through the justice system. However, in this new book H. Laurence Ross argues that drunk driving is more than a criminal issue. It is an inevitable consequence of American society's almost total dependence on automobile transportation and acceptance of the liberal use of alcohol as a part of leisure. Ross offers a more practical approach to the problem of drunk driving, one that combines criminal deterrence with other efforts to reduce the number of deaths caused by drivers under the influence of alcohol. Ross first discusses the deterrence approach to controlling drunk driving, contending that well-publicized law-enforcement campaigns aimed at increasing the certainty and swiftness of punishment are more successful than highly punitive laws that the target population does not expect to be applied. Ross then shows how society can couple its legal attack on drunk driving with institutional responses. His policy agenda includes proposals to: - reduce the consumption of alcohol by increasing liquor taxes and restricting the marketing of alcoholic beverages; - deter automobile use in situations associated with drinking by such means as establishing curfews on driving by young people and subsidizing alternative transportation during drinking hours; - diminish deaths currently associated with drunk driving by instituting measures that improved car and highway safety generally.

Work on female drinking and female drug and alcohol abuse is proliferating because interest and productivity in alcohol research has expanded. In this work, the editors' primary focus is on the abuse of alcohol, its biological effects, behavioral effects, abuses, and problems. This book updates where this field is at the moment. The first five chapters deal with basic issues of biology, epidemology, and anthropology. The next five chapters deal with substance abuse including antecedents, consequences, comorbidity, fetal effects, special populations, and illicit drug use. Two chapters which follow are concerned with related disorders, that is, smoking and eating disorders. The final chapters cover treatment and prevention.

The popular image of alcoholism is one of families devastated by violence and torn by dramatic conflict. The authors of this book paint a very different picture, offering powerful evidence that most chronic alcoholics live out their lives in intact, relatively quiet family environments. However, they show that living in an alcoholic family - one in which alcoholism is the central theme around which family life is organized - has profound effects on family members, both drinkers and nondrinkers, and that these effects can be carried from generation to generation in complex ways.