By Philip B. Heymann, William N. Brownsberger, David Boyum, Jonathan Caulkins, Gene M. Heyman, Mark Kleiman, Mark H. Moore, Peter Reuter, Sally Satel, George E. Vaillant
This booklet is the fruits of 5 years of impassioned conversations between exclusive students in legislation, public coverage, medication, and biopsychology, in regards to the so much tough questions in drug coverage and the learn of addictions. As those intensely argued chapters convey, the most obvious solutions are continually attractive yet usually unsuitable. Do drug addicts have an ailment, or is their dependancy below their regulate? should still they be taken care of as sufferers, or as criminals? demanding the normal knowledge in either the psychiatric neighborhood and the enforcement group, the authors exhibit the falsity of those ordinary dichotomies. They argue that the true query is how coercion and aid can be utilized jointly to lead addicts towards efficient lifestyles. Written in transparent and forceful language, with no ideological blinkers and with shut realization to empirical information, this ebook has whatever to educate either amateur and professional within the fields of drug habit and drug coverage. The authors' resistance to sloganeering from correct or left will bring up the standard of public dialogue of a posh factor, and give a contribution to the administration of 1 of the main painful and enduring difficulties of yank society.
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Extra resources for Drug Addiction and Drug Policy: The Struggle to Control Dependence (Mind Brain Behaviour Initiative)
Conclusion No doubt prevention must be an important part of drug policy. But in deciding what role prevention must play, it is important to be clearer than we have been in deﬁning what we mean by prevention, and more accurate in our attribution of preventive effects to particular policy instruments. We might all think that the best way to solve the drug problem is through primary preventive efforts designed to eliminate social conditions—such as poverty and racial discrimination—that in- A Conceptual Map 47 ﬂuence the underlying propensities for using drugs.
This is important because it determines whether the user became intoxicated or not. In principle, one can smoke a little pot, or take a little cocaine, and suffer no more impact on judgment or physical skill than if one consumed a martini, or a cup of strong coffee. (Note: I am not saying that these drugs are equally dangerous. Indeed, one of the things that makes drugs like heroin and cocaine particularly dangerous is precisely that it seems to be hard for users to keep the use of these drugs below intoxicating levels in any given episode.
The second part measures the period of time over which drug use is maintained. This is important because it tells us how addicted or de- 26 Drug Addiction and Drug Policy pendent the user has become. Combining the two dimensions, one could describe a continuum that went from “casual, intermittent users” at one end to “intensive, chronic users” at the other. “Casual” and “intensive” refer to the short-term rate of consumption; “intermittent” and “chronic” refer to the period over which consumption continues.