Drug Use and Abuse This page intentionally left blank Drug Use and Abuse A Comprehensive Introduction SIXTH EDITION Howard Abadinsky St.John’sUniversity Australia•Brazil•Canada•Mexico•Singapore•Spain UnitedKingdom•UnitedStates DrugUseandAbuse:AComprehensiveIntroduction,SixthEdition HowardAbadinsky SeniorAcquisitionsEditor,CriminalJustice: PermissionsEditor:BobbieBroyer CarolynHendersonMeier ProductionService:AntimaGupta,ICCMacmillanInc. AssistantEditor:RebeccaJohnson PhotoResearcher:BilliePorter EditorialAssistant:BethMcMurray CopyEditor:BarbaraWillette MarketingManager:TerraSchultz CoverDesigner:YvoRiezebosDesign MarketingAssistant:EmilyElrod CoverImage:Topleft:PhotodiscRed/GettyImages; MarketingCommunicationsManager:TamiSchultz topright:istockphoto.com;bottom:JohnStill/Photographer’s ProjectManager,EditorialProduction:JennieRedwitz Choice/GettyImages CreativeDirector:RobHugel Compositor:ICCMacmillanInc. ArtDirector:VernonBoes TextandCoverPrinter:ThomsonWest PrintBuyer:JudyInouye (cid:1)2008,2004ThomsonWadsworth,apartofTheThomson ThomsonHigherEducation Corporation.Thomson,theStarlogo,andWadsworthare 10DavisDrive trademarksusedhereinunderlicense. Belmont,CA94002-3098 USA ALLRIGHTSRESERVED.Nopartofthisworkcoveredbythe copyrighthereonmaybereproducedorusedinanyformorby anymeans—graphic,electronic,ormechanical,including photocopying,recording,taping,Webdistribution,information storageandretrievalsystems,orinanyothermanner—without Formoreinformationaboutourproducts,contactusat: thewrittenpermissionofthepublisher. ThomsonLearningAcademicResourceCenter 1-800-423-0563 PrintedintheUnitedStatesofAmerica Forpermissiontousematerialfromthistextorproduct, 1 2 3 4 5 6 7 11 10 09 08 07 submitarequestonlineat http://www.thomsonrights.com. LibraryofCongressControlNumber:2007921613 Anyadditionalquestionsaboutpermissionscanbe submittedbye-mailto ISBN-13:978-0-495-09339-8 [email protected]. ISBN-10:0-495-09339-4 Photo Credits p.2:(cid:1)RichardHutchings/PhotoEdit p.230:(cid:1)APImages p.18:(cid:1)APPhoto/TheHeraldLeader,PabloAlcala p.243:(cid:1)APPhoto/LeeMariner p.33:(cid:1)Bettmann/Corbis p.273:(cid:1)IndexStockImagery p.41:(cid:1)Bettmann/Corbis p.292:(cid:1)GregSmith/Corbis p.97:(cid:1)APPhoto/CP,StephenThorne p.309:(cid:1)FrancoisedeMulder/Corbis p.101:(cid:1)VCG/GettyImages p.348:(cid:1)AmyC.Etra/PhotoEdit p.130:(cid:1)J.Pickerell/TheImageWorks p.381:(cid:1)OwenFranken/GettyImages p.134:(cid:1)JanineWiedelPhotolibrary/Alamy p.382:(cid:1)TonyFreeman/PhotoEdit p.168:(cid:1)BrandXPictures/Alamy p.407:(cid:1)A.Ramey/PhotoEdit p.177:(cid:1)APPhoto/DavidZalubowski p.415:(cid:1)FioraLeeuwenberg/Corbis p.187:(cid:1)MichaelJang/GettyImages p.212:(cid:1)Imagesource/Photolibrary Brief Contents CHAPTER 1 An Introduction to Drug Abuse 1 CHAPTER 2 Drug Use and Legislation: A History 29 CHAPTER 3 Drugs and the Nervous System 73 CHAPTER 4 Depressants 92 CHAPTER 5 Stimulants 126 CHAPTER 6 Hallucinogens, Club Drugs, Marijuana, and Inhalants 157 CHAPTER 7 The Sociology of Drug Abuse 183 CHAPTER 8 The Psychology of Drug Abuse 204 CHAPTER 9 Drug Abuse Treatment 222 CHAPTER 10 Drug Abuse Prevention 269 CHAPTER 11 The Business of Drugs and the Drug-Terrorism Connection 288 v vi BriefContents CHAPTER 12 Drug Laws and Law Enforcement 324 CHAPTER 13 Drug Abuse Policy 363 CHAPTER 14 Drug Decriminalization and Harm Reduction 393 GLOSSARY 423 REFERENCES 430 NAME INDEX 469 SUBJECT INDEX 478 Contents PREFACE xvii CHAPTER 1 An Introduction to Drug Abuse 1 Drugs: Reaching a Definition 4 Drug Abuse and Addiction 5 Drug Abuse Continuum 6 Addiction 7 Definition Determines Response 8 Drugs of Abuse 9 Depressants 9 Stimulants 9 Hallucinogens, ‘‘Club Drugs,’’ Marijuana/Cannabis, and Inhalants 9 Estimating the Extent of the Drug Problem 12 National Survey on Drug Use and Health 13 Monitoring the Future 13 Drug Abuse Warning Network 14 NNICC Narcotics Intelligence Estimates 15 vii viii Contents Pulse Check 15 Arrestee Drug Abuse Monitoring 16 Drug Use: How Many, How Much? 17 Prescription Drug Abuse 18 Connection Between Drugs and Crime 20 Research on Adolescents 21 Research on Adults 22 Drugs and Violence 25 Summary 27 Review Questions 27 CHAPTER 2 Drug Use and Legislation: A History 29 Alcohol and the Temperance Movement 30 National Prohibition 32 Opium: A Long History 34 Morphine and Heroin 36 China and the Opium Wars 37 The First Opium War 39 The Second Opium War 40 The Chinese Problem and the American Response 40 Twentieth-Century Efforts and Legislation 43 The Pure Food and Drug Act 43 China and the International Opium Conference 43 The Harrison Act 45 Case Law Results 47 Narcotics Clinics and Enforcement 48 The Uniform Drug Act 50 Cocaine: From Coca to Crack 52 Nineteenth-Century Use 53 Cocaine in the Twentieth Century 54 Marijuana: From Immigrants to the Counterculture 56 Early Marijuana Legislation and Literature 56 Counterculture Use and Changing Laws 58 Amphetamines: Speed and Ice 60 Barbiturates 61 Tranquilizers and Sedatives 61 Contents ix Hallucinogens 61 Government Action After World War II 64 A Turn Toward Treatment 65 Comprehensive Drug Abuse Prevention and Control Act of 1970 66 The Drug Scare of the 1980s 68 Into the Twenty-First Century 69 Summary 70 Review Questions 71 CHAPTER 3 Drugs and the Nervous System 73 Neurological Theories of Drug Abuse 74 The Disease Model 74 Arousal Theory 75 Genetic Predisposition 76 Limitations in the Neurological Study of Drug Abuse 76 Polydrug Use 78 Psychoactive Substances and the Central Nervous System 79 The Brain 80 Neurons 81 Neurotransmitters 83 Drug Ingestion 87 Tolerance 88 Drug Cues and Sexual Dysfunction 89 Summary 90 Review Questions 91 CHAPTER 4 Depressants 92 Endorphins 93 Stress and Addiction 94 Heroin 95 Effects of Heroin 99 Tolerance for Heroin 103 Heroin Withdrawal 103 Medical Use of Heroin 104 Dangers of Heroin Use 105 Oxycodone 106