Table of Contents

Preface

Acknowledgements

Part One - Introduction

Chapter 1 - Drugs, Drinks, and Medications

Key Terms

Chapter Objectives

Drug Problems in America

Drugs and Medicines

Drugs Use and People Problems

Basic Definitions

Drug

Medicine

Drug Misuse

Drug Abuse

Psychoactive Drug

Drug Classifications

Drug Problems: Health-Related Consequences

Delay in Seeking Proper Medical Treatment

Reduction in Personal Problem-Solving Effectiveness

Experience of Additional Health Problems

Use of Adulterated Drugs

Suicide

HIV Infection and AIDS

The Drug Scene: An Overview

The Drug-Crime Relationship

The Drug Scene: Prospects for the Future

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 2 - The Allure of Drugs

Key Terms

Chapter Objectives

Why People Use and Abuse Drugs

Altered Consciousness

Social Definition of Drug Abuse

A Drug for Every Ailment

Rebellion Against the Establishment Versus Recreational Use

Using and Abusing Drugs: A Behavioral Analysis

Predisposing Factors in the Use and Abuse of Drugs

Enabling Factors in the use and Abuse of Drugs

Reinforcing Factors in the use and Abuse of Drugs

The Family's Influence on Drug Abuse

Theories on Drug Abuse and Drug Dependence

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 3 - Pharmacology

Key Terms

Chapter Objectives

Pharmacology

How Drugs Enter the Body

Drug Distribution and Elimination

The Blood-Brain Barrier

Metabolism and Excretion

Drug Actions

Factors Influencing Drug Actions

Dose-Response Relationship

Age

Body Weight

Gender

Time

Disease

Mind-Set

Environmental Setting

The Nervous System

Organization of the Nervous System

The Nerve Cell

Neurotransmitters

Drugs and Synaptic Transmission

The Brain

Medulla Oblongata

Pons

Midbrain

Diencephalon

Thalamus

Hypothalamus

Limbic System

Cerebellum

Cerebrum

Drug Dependence

The Continuum of Drug Use and Drug Dependence (Addition)

Criteria for Psychoactive Drug Dependence

Psychological Dependence

Tolerance

Physical Dependence

Withdrawal Syndrome

The Placebo Effect

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Part Two - The Depressents

Chapter 4 - Alcohol

Key Terms

Chapter Objectives

Alcohol in Society

Historical and Cultural Aspects

From Temperance to Prohibition to Repeal

Attitudes Toward Drinking

Ambivalence and the Drinking Society

Drinking Today

Drinking Among College Students

Personal and Social Uses of Alcohol

Social Drinking

Ritualistic Drinking

Dietary Drinking

Drinking for Altered Consciousness

Alcoholic Beverages

Wine

Beer

Distilled Spirits

Equivalent Servings

Alcohol Within the Body

Absorption

Distribution

Oxidation

Intoxication

Mechanism of Impairment

Alcohol and States of Consciousness

Psychological Aspects of Intoxication

Short-Term Effects of Alcohol

Long-Term Effects of Alcohol

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 5 - Alcohol Abuse and Alcoholism

Key Terms

Chapter Objectives

Problem Drinking

Problem Drinking and Alcohol Abuse

Alcohol Abuse and Work Performance

Drinking and Job Behaviors

Work-Related Factors and Alcohol Abuse

Alcohol-Related Law Violations and Violence

Public Intoxication

Driving Under the Influence

Alcohol-Related Crimes of Violence

Alcohol-Related Accidents

Falls

Drownings

Fires

Alcohol-Impaired Driving and Auto Crashes

Prenatal Alcohol Abuse

Fetal Alcohol Syndrome

Principal Features of FAS

Fetal Alcohol Effects or Alcohol-Related Birth Defects

Mechanism of Impairment

Prevention of FAS and FAE

The Family and Problem Drinking

Children of Alcoholics

Co-Dependence

Alcoholism

Overview

Possible Causes of Alcoholism

Signs and Symptoms of Alcoholism

Treatment and Rehabilitation

The Intervention Process

Reduction and Problem Drinking

Parents Who Drink and Their Children

Host and Hostess Responsibilities

For those Who Drink

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 6 - Narcotics

Key Terms

Chapter Objectives

General Characteristics of Narcotics

Classification of Opiods

Medical Use and Addiction

Other Opioid Effects

Narcotics of Natural Origin

Opium

Morphine

Codeine

Thebaine

Semisynthetic Narcotics

Hydromorphone

Oxycodone

Etorphine

Heroin

Synthetic Narcotics

Meperidine

Propoxyphene

Fentanyl

Endogenous Opioids

Historical and Legal Perspectives

Treatment of Narcotic-Dependent Individuals

Detoxification

Maintenance Therapy

Narcotic Antagonists

Therapeutic Communities

Psychotherapeutic Communities

Psychotherapeutic Approaches

Narcotics Anonymous

Acupuncture

A Multimodality Approach to Treatment

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 7 - Sedative-Hypnotics and Inhalants

Key Terms

Chapter Objectives

Introduction

Drugs that Calm and Promote Sleep

Motivational Factors in Misuse and Abuse

General Characters

Historical Perspectives

Barbiturates

Barbiturate Overdose

Barbiturate Dependence

Barbiturate Withdrawal

Nonbarbiturate Sedative-Hypnotics

Chloral Hydrate

Glutethimide

Methaqualone

Other Nonbarbiturate hypnotics

Self-Care for Inducing Sleep

Minor Tranquilizers

Meprobamate

Benzodiazepines

Rohypnol

Other Antianxiety Medications

Inhalants

Reasons for Use

General Effects

Categories of Abuse Inhalants

Health Hazards

Prevention of Inhalant Abuse

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Part Three - The Stimulants

Chapter 8 - Tobacco

Key Terms

Chapter Objectives

Introduction

Tobacco: America's Smoke-Drug

Source of Pleasure and Disease

Personal Decisions with Social Consequences

Patterns and Trends of Tobacco Use

Profile of Tobacco Users

The Changing Cigarette

The Evolutions of Tobacco Regulation

The Nonsmokers' Liberation Movement

Specific Efforts at Restriction

Psychological Aspects of Smoking

A New Product for Personal Needs

A Learned Behavior

Psychological Rewards

Factors in Smoking Behavior

Health Consequences of Smoking

Constituents of Tobacco Smoke

Nicotine Addiction

Research Findings

Passive Smoking

Smoking and Cardiovascular Disease

Smoking and Lung Cancer

Laboratory Experiments

Autopsy Studies

Chronic Obstructive Lung Disease

Pulmonary Emphysema

Chronic Bronchitis

Smokeless Tobacco

Typical Users

Origins of Modern Use

Cancer and Smokeless Tobacco

Noncancerous and Precancerous Oral Effects and Smokeless Tobacco Use

Nicotine Exposure and Smokeless Tobacco

Rewards Versus Risks

Reducing the Risks

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 9 - Cocaine and other "Chemical Uppers"

Key Terms

Chapter Objectives

Introduction

Chemical Uppers

Basic Perspectives

Common Effects

Various Use Patterns

Drug Dependence and Compulsive Behavior

Cocaine

Unique Characteristics

Medical Uses

Historical and Legal Aspects

Patterns of Using Cocaine

Oral Use

Snorting

Intravenous Injection

Combined Use with Depressants

Freebasing

Crack Smoking

Effects of Cocaine

Mechanism of Action

Major Influencing Factors

Some Undesirable Effects

Cocaine Babies

Life-Threatening Consequences

Amphetamines

Effects of Amphetamines

Amphetamine Dependence

Historical and Legal Aspects

Medical Uses and Amphetamines

Caffeine

Historical Aspects

Effects of Caffeine

Caffeinism

Caffeine Dependence and Tolerance

Caffeine, Pregnancy, and Birth Defects

Caffeine and Diseases

Reducing Caffeine Intake

Methcathinone

Effects of Methcathinone

Manufacture and Control of Cat

Ephedrine

Other Plant Stimulants

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Part Four - The Mind-Expanding Euphoriants

Chapter 10 - Psychedelics and Phencyclidine

Key Terms

Chapter Objectives

Introduction

The Psychedelic State; Mind Expansion

Major Characteristics

Psychological Hazards

Types of Psychedelic Experiences

The Range of Response

Pharmacological Effects

Historical Aspects

Early Use of Mushrooms

Religious Use of Peyote

Laboratory Synthesis

Nonmedical Use

Illegal and Popular

Lysergic Acid Diethylamide

The LSD Trip

LSD Hazards

The Other Psychedelics

Peyote and mescaline

Psylocybine

DMT

Morning Glory Seeds

Nutmeg

MDA

MDMA

DOM(STP)

Chemical Variations

Phencyclidine

Effects of PCP

PCP Overdose

Historical Aspects

Legal Prohibition

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 11 - Marijuana

Key Terms

Chapter Objectives

Introduction

Marijuana: A Brief Description

Historical and Legal Aspects of Marijuana

The Marijuana Tax Act

Decriminalization and Legalization of Marijuana

Antiparaphernalia Laws

The Current Scene

Potency is Up

Effects More Clearly Understood

Age of First Use

Domestic Production

Marijuana and THC

Cannabinoids

Tetrahydrocannnabinol

THC Content

Paraquat

Metabolism of THC

Urine Testing for THC

The Marijuana High

Behavioral and Psychosocial Effects

The Role of Neurotransmitters

Acute Effects

Automobile Accidents

Anxiety/Panic Reaction

Tolerance and Dependence

Passive Marijuana Smoking

Chronic Effects: Areas of Concern

Amotivational Syndrome

Flashback

Mental Illness

Ther Respiratory System

The Cardiovascular System

Reproduction and Sexual Function

The Immune System

In Conclusion

Medical Uses of Marijuana

Synthetic THC

Legalization of Medical Marijuana

Therapeutic Value

Glaucoma

Chemotherapy - Causes Nausea and Vomiting

Additional Medical Uses

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Part Five - Medicines

Chapter 12 - Over-the-Counter Drugs

Key Terms

Chapter Objectives

Introduction

Our Fascination with Drugs

Benefits and Risks

Drug Misuse

Over-the-Counter Versus Prescribed Drugs

Classification of OTC Drugs

Analgesics

Salicylates

Versatility of Aspirin

Side Effects of Aspirin

Nonsalicylates

Weight-Control Products

Cold Remedies

Sleep Aids

Stimulants

Herbal Remedies

Self-Medication

Guidelines for Self-Medication

Safety and Effectiveness of OTC Drugs

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 13 - Prescription Drugs

Key Terms

Chapter Objectives

Introduction

Prescribed Drugs: Potent Chemotherapeutic Agents

The Benefit-Risk Equation

Prescriptions and Drug Labels

Reading a Prescription

Labels on Prescribed Medicines

Using Prescribed Drugs Wisely

Frequently Used Prescription Drugs

Prescription Drug Classes

Oral Contraceptives

Combination OCs

Estrogen Hormone Agents

Progestin Hormone Agents

Side Effects of Oral Contraceptives

Noncontraceptive Benefits

The Future of Drug-Based Contraception

Emergency "Morning After" Oral Contraception

Chemically Induced Abortion

Other New Drugs of Interest

Side-Effects and Adverse Reactions of Prescribed Drugs

Secondary Side Effects of Medicines

Therapeutic Index

Preventive measures

Polypharmacy: Drug-Drug Interactions

Food-Drug Interactions

Drug Information for Patients

Generic Drugs

Drug Names

Chemical Equivalence versus Bioavailability

Generic Drug Prescription

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Part Six - New Dimensions of Drugging, Drinking, Medicating and Prevention

Chapter 14 - Alcohol and other Drugs in Special Populations

Key Terms

Chapter Objectives

Introduction

Alcohol and Drug Use and Abuse Among Women

Closing the Gender Gap

Gender-Related Hazards

Sexual Dysfunction

Connecting Substance Abuse with Sex and Violence

Psychoactive Drugs and Pregnancy

Female Athletes and Drugs

Racial and Ethnic Minorities

African Americans

Hispanic Americans

Native Americans and Alaskan Natives

Asians and Pacific Islanders

Drug Use and Abuse Among Athletes

Ergogenic Drugs

Anabolic-Androgenic Steroids

Dangerous Alternatives to Anabolic-Androgenic Steroids

Creatine

Recreational Drugs

Alcohol and Drug Use and Abuse Among the Elderly

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 15 - Drug-Abuse Prevention

Key Terms

Chapter Objectives

Introduction

Prevention: The War on Drugs

General Strategies of Preventing Drug Abuse

Supply Reduction Strategy

Demand Reduction Strategy

Inoculation Strategy

The Macroapproach

Intervention Levels of Abuse Prevention

Primary Prevention Level

Secondary Prevention Level

Early Detection and Referral

The Intervention Process

Tertiary Prevention level

Substance Abuse in the Workplace

Drug Testing in the Workplace

Employee Assistance Programs

Drug Law Enforcement

Routine Enforcement Techniques

Federal Law Enforcement Agencies

Federal Control Mechanisms

State Legal Control mechanisms

The Antiparaphernalia Movement

Drug Laws of Other Nations

Alternative Behaviors as Alcohol and Other Drug Abuse Prevention

Responsible Uses as Alcohol and Other Drug Abuse Prevention

Situational Responsibilities

Health Responsibilities

Safety Responsibilities

The Role of the Family

Drug Abuse: A Family Affair

Identification of Drug Use and Abuse

Guidelines for Parental Intervention

Understanding the Stages of Adolescent Chemical Use

The Family and Primary Prevention

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Chapter 16 - Alcohol, Tobacco, and Other Drug Prevention Education

Key Terms

Chapter Objectives

Introduction

Basic Considerations: The What and Why of Alcohol; Tobacco; and Other Drug Prevention Education

Goals of ATOD Education in the Schools

Healthy People 2000 Objectives

Planning and Strategies: The How of Alcohol, Tobacco, and Other Drug Education

Educational Planning

Curricular Strategies

Some Concluding Thoughts

Resources for ATOD Education

Key Elements of Effective Durricula

Prepackaged ATOD Curricula

School Policies on Alcohol and Other Drugs

Elements of a comprehensive Policy

Student Assistance Programs

Chapter Summary

World Wide Web Sites

Review Questions and Activities

References

Appendix A: A Resource Guide for ATOD

Information

Glossary

Index


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