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THE CRIMINAL PERSONALITY The Criminal Personality Volume III: The Drug User by SAMUELY O CHELSON, Ph.D., M.D. and STANTONE. SAMENOW, Ph.D. Clinicl Psychlogist, Alexandri, Virgini A JASON AONSON BOOK ROWMAN & LITTLEFIELD PUBLISHERS, INC. Lanham· Boulder· Ne York· Toronto· Oxford In Memory of Dr. Samuel Yochelson The views expressed by the authors do not necessarily reflect the opinions, oficial policy, or position of Saint Elizabeth's Hospital, the National Institute of Mental Health, the Alcohol, Drug Abuse, and Mental Health Administration, or the U.S. Department of Health, Education, and Welfare. Samuel Yochelson, Ph.D., M.D. Stanton E. Samenow, Ph.D. A JASON ARONSON BOOK ROWMAN & LITTLEFIELD PULISHERS, INC. Published in the United States of America by Rowman & Littlefeld Publishers, Inc. A wholly owned subsidiary of The Rowman & Littlefeld Publishing Group, Inc. 4501 Forbes Boulevard, Suite 200, Lanham, Maryland 20706 www.rowmanlittlefield.com PO Box 317 Oxford OX2 9RU,UK Copyright © 1986 by Kathryn Yochelson and Stanton E. Samenow. First Jason Aronson Inc. sofcover edition-I 994 First Rowman & Littlefield edition 2004 Al rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior perission of the publisher. Library of Congress Cataloging-in-Publication Data Yochelson, Samuel 1906-1976 The criminal personality. Contents: v.I. A profile for change. v.2. The change process. v.3. Our odyssey with the drug-using criminal. Includes bibliographies and index. 1. Criminal psychology-Collected works. I. Samenow, Stanton E., 1941- , joint author. II. Title. [DNLM: I. Criminal psychology. HV 6080 Y54c] ISBN 0-87668-901-2 (hardcover) ISBN 1-56821-244-5 (sofcover) 75-13507 Printed in the United States of America eTT he paper used in this publication meets the minimum requirements of American National Standard for Information Sciences-Permanence of Paper for Printed Library Materials, ANSIINISO Z39.48-1992. Contents PREFACE .•......•...................................•..........•........•.•....•...•...••..•...•...•.••...•••••• i 1. OUR ODYSSEY WITH THE DRUG-USING CRIMINAL. ••••••••••••••••••••••••••••• 1 The Mental Makeup of the Drug-Using Criminal .••.......•..•........... 3 Achieving Change in the Drug-Using Criminal. ................•...•...•.1 3 Conclusion ..•..............•..•..•..•.••..............•.•..••.........•....••..• 18 2. M AND DRUGS: A PERSPECIVE ON DRUG ABUSE •••••••••••••••••••••••••••1 9 Incidence of Drug Use. .•..••...............................................•.•2 2 The Organic Viewpoint: Physical Depndence. ..•.•.............••...•..2 The Psychologic Viewpoints ..........•...................•........•....•.•..2 6 . The Psychoanalytic Viewpoint. ....................................•..•••...2 7 Drugs Used to Defend Against Painful Mental States• ..................3 0 Drugs Used to Achieve Expanded Mental States• .•.......•........••...•3 2 Conceptualizing a Drug-User Personality. ......•.........................3 3 Criticisms of Psychologcal Explanations. ........•.•...........••.•...•..3 6 The Sociologic Viewpoint. •........ ; ...••..........................•...•.....3 9 Drug Effects. ..............................•..........................••.•••.•..5 0 The Nature of Addiction ..................••...........•......................5 2 Opiates ...................................................................•••...•. 55 Cocaine ................................................................•......••• 61 Amphetamines and Amphetamine-like Compounds. .....•.••....•..••6 Depressants ...................................................................•. 67 Volative Substances. ....••......••.•......•..•.........•......•......•••....•.6 9 Marijuana ..........................•...........•.•..............•...•..•••...... 72 Hallucinogens or Psychotomimetic Drugs. ..•....•..•.•........••.••••••.8 0 Polydrug Use ....•...............•........••...............•...........•....•...8 5 Alcohol ...................................•....•............................•.... 87 Bibliography ...................••.••... , .......•..........•..•........•....••... 91 v v Content 3. TH DRUG-USING CRIMINAL' WAY OF LIFE• •••••••••••••••••••••••••••••••••1 25 The Childhood of the Potential Drug-Using Criminal: An Overview. ...............................................................1 25 The Drug User and His Family. ..............................•.•........•.. 128 The Drug User's Neighborhood· and Associates. .......................1 34 The Drug User at Shool. ................................................... 138 TheDrugUser atWork ...............................•......................1 42 The Drug User in the Military ....................... .......................1 45 Acquisition and Distribution of Drugs ...................................1 49 Antisocial Patters ..................•........................................1 52 The Drug User in Confnement.� .......................................... 154 Bibliography .................................................................. 158 4. TOWARD A CONCEPUAL UNDERSTANDING: THE HIGH, THE NOD, THERUSH,CRAVING,ANDADDICION• •.•••••••••1 61 The High .......................................................................1 62 The Nod ........................................................................ 168 The Rush .......................................................................1 69 Craving .............................................................•........... 171 Addiction .................................................•.................... 173 Psychosomatic Withdrawal-like Symptoms ............................ 177 Bibliogaphy ..................•............................................... 181 5. DRUGSASFACILITATORS ••••••••••••••••••••••••••••••.•••••••••••••• •.••••.•.•. 185 Drugs a Facilitators of Crme .............................................1 87 Drugs a Potentiators of Sexual Performance .......................... 198 Drugs a Facilitators of Criminal Equivalents ..........................2 0 Drugs a Facilitators of Religous Experience. ..........................2 11 Drugs a Facilitators of Depresion and Suicide. .......................2 13 A Note on Facilitation of Psychosis. ......................................2 16 Bibliography .................................................................. 218 6. THCHOICEOFADRUG• •••••••••••••••••••••••••••••••••••••••••••••••••••••••••2 19 Opiates ...•.....•............................................................... 220 Stimulants .....•.........................................•..................... 221 Depressants .................................................................... 2 Marijuana ......................................................................2 Hallucinogens ........................•........................................ 225 Alcohol ........................... .............................................. 227 Polydrug Use. .................................................................2 29 Bibliogaphy .................................................................. 230 Contents v i 7. TREATMNT OF T DRUG USER •••••••••••••••••••••••••••••••••••••••••••••••2 33 Motivation for Treatment. ...•...........•................•••••.•..•..•.••.2 35 Exter Deerrence .•...............................••......•...••......••...2 37 Sociologc Measures. •................................................•......2 41 Psychiatric-Psychologic Approaches. ..................................•2 49 Medically Oriented Approaches. ..........................................2 67 Other Approaches. ...........................................................2 93 The Current Situation ...............................................••.•.... 305 Bibliogaphy .................................................................. 307 THE DRUG-USING CRIMINA IN A PROGRAM FOR CHANGE• ••••••••••••••••3 35 Pitfalls During Early Contacts with the Drug-Using Criminal. ......3 40 The Closed Channel When the Criminal Is on Drugs ..•.............•. 344 Self-pity and the Refusal to Endure. .....•................................ 345 Psychosomatic Symptoms in the Drug-Using Criminal. .............. 349 Failure to Take Responsible Initiatives. .................................. 35 1 The Development of a Neurotic Reaction ................................ 353 Drugs: The Instant Antidote to Boredom and Self-Pity. ..............3 54 Alcohol: Opening the Door to Criminality. ............................. 356 Once aDrug-UsingCrinal, Always a Drug-Using Criminal. ......3 59 Bibliography ..................•.............................•................. 36 INDEX ••••••••••••.•••••••••••••••••••••.••••••••••••••••••••••••••••••• •••••••••••••••••• 361 8. Preface THIS BOK IS the third in the series Te Criminal Personalty. The material in this volume, as in the others, is based on the research conducted by the late Dr. Samuel Yochelson. A psychiatrist, Dr. Yochelson spent the last ffteen years of his life (1961-1976) as Director of the Program for the Investigation of Criminal Behavior at Saint Elizabeths Hospital i Washington, D.C. His goal was to understand the causes of criminal behavior and, more important, to find a method by which he could help lawbreakers become responsible citi­ zens. At Dr. Yochelson's invitation, I joined the progam in 1970. The first chapter of Volume I is titled "The Reluctant Converts." The title refers not to the criminals Dr. Yochelson studied and treated but, rather, to himself and to me. We were reluctant to abandon concepts and procedures that we had used and found effective in earlier work with responsible people who were emotionally disturbed. But abandon the familiar we did. For as Dr. Yochelson conducted what he retrospectively referred to as a "search," not a "re-search," he developed a new, detailed understanding of who the criminal is and of the neessity of adopting different methods of dealing with him. Volume I contains a detailed profle of the criminal's thinking patters -how the criminal views himself and the world. Volume II presents the approach development. by Dr. Yochelson as he helped criminals become reponsible citizens. This third volume about the drug-using criminal, outlined before Dr. Yochelson's death in 1976, also draws exclusively from his findings. The book was written btween late 1976 and mid-1978, and I have recently updated sections of it. For their help in this project, I would like to thank Mr. John Lewin for his work as research assistant and Mrs. Sylvia L. Samenow for her editorial suggestions. Since Dr. Yo chelson's death, I have been in practice as a psychologist and consultant, having lef Saint Elizabeths Hospital in 1978. In my clinical work, while evaluating and counseling offenders, I repatedly have found confrmation of Dr. Yochelson's concepts and procedures. Although crimi- i

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