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The Social Dilemma of the Development of a Policy on Intoxicant Use

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Feeling Good and Doing Better

Part of the book series: Contemporary Issues in Biomedicine, Ethics, and Society ((CIBES))

Abstract

It is generally believed that in the area of drug use only two types of behavior are possible—abstinence, or unchecked excess leading to addiction. Despite massive evidence to the contrary, many people remain unshaken in this belief. The conviction persists that because of their pharmacological properties, the psychedelics, heroin, and, to a lesser extent, marihuana cannot be taken on a long-term, regular basis without causing serious problems. Until after 1970, even scientific researchers were strongly influenced by this moralistic view that any kind of illicit drug use was bad and inevitably harmful—“addictive”—and that abstention was the only alternative.1 The unfortunate condition of heroin addicts and other compulsive users was regularly cited as “proof” of this “pharmaco-mythology.”2 Related to that view was the equally strong conviction that individuals who sought out such drugs were almost always suffering from profound personality disorders.

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References

  1. N. E. Zinberg et al., “Patterns of Heroin Use,” Annals of the New York Academy of Sciences 311 (1978), 10–24.

    Article  PubMed  CAS  Google Scholar 

  2. T. S. Szasz, Ceremonial Chemistry: The Ritual Perception of Drugs, Addicts and Pushers, Garden City, New York: Anchor Press/Doubleday, 1975.

    Google Scholar 

  3. M. Heller, The Sources of Drug Abuse, New York: Addiction Services Agency, 1972.

    Google Scholar 

  4. N. E. Zinberg, Drug,Set, and Setting: The Basis for Controlled Intoxicant Use. New Haven, Yale University Press, 1984.

    Google Scholar 

  5. Marijuana and Health. Report of a Study by a Committee of the Institute of Medicine, Division of Health Sciences Policy, Washington, DC, National Academy Press, 1982.

    Google Scholar 

  6. E. Josephson, “Trends in Adolescent Marihuana Use,” in Drug Use: Epidemiological and Sociological Approaches, E. Josephson and E. E. Carroll, eds., Washington, DC, Hemisphere Publishing Corporation, 1974.

    Google Scholar 

  7. Marihuana and Health. Sixth Annual Report to the Congress from the Secretary of Health, Education,and Welfare, 1976. DHEW Publication No. (ADM)77–443, Washington, DC, US Government Printing Office, 1977.

    Google Scholar 

  8. L. N. Robins et al., “Vietnam Veterans Three Years after Vietnam: How our Study Changed our View of Heroin,” in Problems of Drug Dependence, L. Harris, ed., Richmond, Virginia: Committee on Problems of Drug Dependence, 1977.

    Google Scholar 

  9. C. P. Herman and L. T. Kozlowski, “Indulgence, Excess, and Restraint: Perspectives on Consummatory Behavior in Everyday Life,” in Control over Intoxicant Use: Pharmacological, Psychological, and Social Considerations, N. E. Zinberg and W. M. Harding, eds., New York, Human Sciences Press, 1982, 77–88.

    Google Scholar 

  10. Drug Use in America: Problem in Perspective. Second Report of the National Commission on Marihuana and Drug Abuse, Washington, DC, US Government Printing Office, 1973.

    Google Scholar 

  11. N. E. Zinberg and J. A. Robertson, Drugs and the Public, New York, Simon and Schuster, 1972.

    Google Scholar 

  12. N. E. Zinberg, W. N. Harding, and M. Winkeller, “A Study of Social Regulatory Mechanisms in Controlled Illicit Drug Users,” Journal of Drug Issues 7, 1977, 117–133.

    Google Scholar 

  13. N. E. Zinberg, R. C. Jacobson, and W. M. Harding, “Social Sanctions and Rituals as a Basis for Drug Abuse Prevention,” American Journal of Drug and Alcohol Abuse 2,1975, 165–181.

    Article  PubMed  CAS  Google Scholar 

  14. N. E. Zinberg and J. V. DeLong, “Research and the Drug Issue,” Contemporary Drug Problems 3, 1974, 71–100.

    Google Scholar 

  15. D. Maloff et al., “Informal Controls and Their Influence on Substance Use,” in Control over Intoxicant Use: Pharmacological, Psychological, and Social Considerations, N. E. Zinberg and W. M. Harding, eds., New York, Human Sciences Press, 1982.

    Google Scholar 

  16. Zinberg, Harding, and Winkeller, op. cit.

    Google Scholar 

  17. W. M. Harding and N. E. Zinberg, “The Effectiveness of the Subculture in Developing Rituals and Social Sanctions for Controlled Drug Use,” in Drugs, Rituals and Altered States of Consciousness, B. M. du Toit, ed., Rotterdam, Netherlands, A. A. Balkema, 1977, 111–133.

    Google Scholar 

  18. Zinberg, op. cit.

    Google Scholar 

  19. . N. Boris, N. E. Zinberg, and M. Boris, “Social Education for Adolescents,” Psychiatric Opinion 15, 1978, 32–37.

    Google Scholar 

  20. Drug Abuse Films, Washington, DC, National Coordinating Council on Drug Education, 1973.

    Google Scholar 

  21. US Cabinet Committee on Drug Abuse Prevention, Treatment, and Rehabilitation. Recommendations for Future Federal Activities in Drug Abuse Prevention. Report of the Subcommittee on Prevention, Washington, DC, US Government Printing Office, 1977.

    Google Scholar 

  22. P. M. Wald and A. Abrams, “Drug Education,” in Dealing with Drug Abuse: A Report to the Ford Foundation, New York, Praeger Publishers, 1972.

    Google Scholar 

  23. M. S. Goodstadt, Myths and Mythologies in Drug Education: A Critical Review of the Research Evidence. Research on Methods and Programs of Drug Education, Toronto, Addiction Research Foundation of Ontario, 1974.

    Google Scholar 

  24. B. Swift, N. Dorn, and A. Thompson, Evaluation of Drug Education: Findings of a National Research Study of Effects on Secondary School Students of Five Types of Lessons Given by Teachers, London, Institute for the Study of Drug Dependence, 1974.

    Google Scholar 

  25. Yankelovich, Skelly, and White, Inc. Students and Drugs: A Report of the Drug Abuse Council, Washington, DC, Drug Abuse Council, 1975.

    Google Scholar 

  26. R. E. Mogar and C. Savage, “Personality Change Associated with Psychedelic (LSD) Therapy: A Preliminary Report.” Psychotherapy Theory and Research Practice 1, 1954, 154–162.

    Article  Google Scholar 

  27. E. S. Robbins, W. A. Frosch, and M. Stern, “Further Observations on Untoward Reactions to LSD,” American Journal of Psychiatry 124, 1967, 393–401.

    PubMed  CAS  Google Scholar 

  28. A. Huxley, The Doors of Perception, New York, Harper and Row, 1954.

    Google Scholar 

  29. A. T. Weil, The Natural Mind, Boston, Houghton Mifflin, 1972.

    Google Scholar 

  30. Robbins, Frosch, and Stern, op. cit.

    Google Scholar 

  31. Drug Use in America, op. cit.

    Google Scholar 

  32. W. H. McGlothlin and D. O. Arnold, “LSD Revisited: A Ten-Year Followup of Medical LSD,” Archives of General Psychiatry 24, 1971, 35–49.

    PubMed  CAS  Google Scholar 

  33. H. L. Barr et al., LSD: Personality and Experience, New York, WileyInterscience, 1972.

    Google Scholar 

  34. H. S. Becker, “History, Culture, and Subjective Experience: An Exploration of the Social Bases of Drug-Induced Experiences,” Journal of Health and Social Behavior 8, 1967, 163–176.

    Google Scholar 

  35. Robins et al., op. cit.

    Google Scholar 

  36. N. E. Zinberg, “Heroin Use in Vietnam and the United States: A Contrast and Critique,” Archives of General Psychiatry 26, 1972, 486–498.

    PubMed  CAS  Google Scholar 

  37. Robins et al., op. cit.

    Google Scholar 

  38. C. P. O’Brien, “Experimental Analysis of Conditioning Factors in Human Narcotic Addiction,” Pharmacological Review 27, 1975, 535–543.

    Google Scholar 

  39. C. P. O’Brien, personal communication, 1978.

    Google Scholar 

  40. N. E. Zinberg, “The Search for Rational Approaches to Heroin Use,” in Addiction: A Comprehensive Treatise, P. G. Boume, ed., New York, Academic Press, 1974.

    Google Scholar 

  41. L. N. Robins and J. E. Helzer, “Drug Use among Vietnam Veterans: Three Years Later,” Medical World News, October 27, 1975.

    Google Scholar 

  42. Robins et al., op. cit., 1977.

    Google Scholar 

  43. N. E. Zinberg, “G.I.’s and O.J.’s in Vietnam,” The New York Times Magazine Section, December 5, 1971.

    Google Scholar 

  44. Accident Facts—1981, Chicago, Illinois, National Safety Council, 1982.

    Google Scholar 

  45. N. E. Zinberg, “Alcohol Addiction: Toward a More Comprehensive Definition,” in Dynamic Approaches to the Understanding and Treatment of Alcoholism, M. H. Bean and N. E. Zinberg, ed., New York, Free Press, 1981, 97–127.

    Google Scholar 

  46. Marihuana: A Signal of Misunderstanding. First Report of the National Commission on Marihuana and Drug Abuse, Washington, DC, US Government Printing Office, 1972.

    Google Scholar 

  47. Drug Use in America, op. cit.

    Google Scholar 

  48. Domestic Council Drug Abuse Task Force, White Paper on Drug Abuse: A Report to the President, September 1975, Washington, DC, US Government Printing Office, 1975.

    Google Scholar 

  49. Strategy Council on Drug Abuse, Federal Strategy for Drug Abuse and Drug Traffic Prevention, Washington, DC, US Government Printing Office, 1976.

    Google Scholar 

  50. Report to the President, from the President’s Commission on Mental Health, Washington, DC, US Government Printing Office, 1978.

    Google Scholar 

  51. Drug Use in America, op. cit.

    Google Scholar 

  52. Marijuana and Health, op. cit.

    Google Scholar 

  53. Marihuana Survey—State of Oregon, Washington, DC, Drug Abuse Council, January 28, 1977.

    Google Scholar 

  54. Impact Study of S.B. 95, California Health and Welfare Agency, Office of Narcotics and Drug Abuse, 1976.

    Google Scholar 

  55. An Evaluation of the Decriminalization of Marihuana in Maine, Augusta, Maine, Office of Alcoholism and Drug Abuse Prevention, 1978.

    Google Scholar 

  56. Maine: A Time/Cost Analysis of the Decriminalization of Marihuana in Maine, Augusta, Maine, Office of Alcoholism and Drug Abuse Prevention, 1979.

    Google Scholar 

  57. Marijuana and Health, op. cit.

    Google Scholar 

  58. Zinberg, op. cit., 1984.

    Google Scholar 

  59. Szasz, op. cit.

    Google Scholar 

  60. J. Kaplan, “Practical Problems of Heroin Maintenance,” in Control over Intoxicant Use: Pharmacological, Psychological, and Social Considerations, N. E. Zinberg and W. M. Harding, eds., New York, Human Sciences Press, 1982, 159–172.

    Google Scholar 

  61. M. H. Moore, “Limiting Supplies of Drugs to Illicit Markets,” in Control over Intoxicant Use: Pharmacological, Psychological, and Social Considerations, N. E. Zinberg and W. M. Harding, eds., New York, Human Sciences Press, 1982, 183–200.

    Google Scholar 

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Zinberg, N.E. (1984). The Social Dilemma of the Development of a Policy on Intoxicant Use. In: Murray, T.H., Gaylin, W., Macklin, R. (eds) Feeling Good and Doing Better. Contemporary Issues in Biomedicine, Ethics, and Society. Humana Press. https://doi.org/10.1007/978-1-4612-5168-2_3

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  • DOI: https://doi.org/10.1007/978-1-4612-5168-2_3

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-4612-9594-5

  • Online ISBN: 978-1-4612-5168-2

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