Luigi Zoja argues that the pervasive abuse of drugs in our society can in large part be ascribed to a resurgence of the collective need for initiation and initiatory structures: a longing for something sacred underlies our culture's manic drive toward excessive consumption. In a society without ritual, the drug addict seeks not so much the thrill of a high as the satisfaction of an inner need for a participation mystique in the dominant religion of our times: consumerism.
Significant changes have taken place in the policy landscape surrounding cannabis legalization, production, and use. During the past 20 years, 25 states and the District of Columbia have legalized cannabis and/or cannabidiol (a component of cannabis) for medical conditions or retail sales at the state level and 4 states have legalized both the medical and recreational use of cannabis. These landmark changes in policy have impacted cannabis use patterns and perceived levels of risk. However, despite this changing landscape, evidence regarding the short- and long-term health effects of cannabis use remains elusive. While a myriad of studies have examined cannabis use in all its various forms, often these research conclusions are not appropriately synthesized, translated for, or communicated to policy makers, health care providers, state health officials, or other stakeholders who have been charged with influencing and enacting policies, procedures, and laws related to cannabis use. Unlike other controlled substances such as alcohol or tobacco, no accepted standards for safe use or appropriate dose are available to help guide individuals as they make choices regarding the issues of if, when, where, and how to use cannabis safely and, in regard to therapeutic uses, effectively. Shifting public sentiment, conflicting and impeded scientific research, and legislative battles have fueled the debate about what, if any, harms or benefits can be attributed to the use of cannabis or its derivatives, and this lack of aggregated knowledge has broad public health implications. The Health Effects of Cannabis and Cannabinoids provides a comprehensive review of scientific evidence related to the health effects and potential therapeutic benefits of cannabis. This report provides a research agendaâ€"outlining gaps in current knowledge and opportunities for providing additional insight into these issuesâ€"that summarizes and prioritizes pressing research needs.
Drug abuse persists as one of the most costly and contentious problems on the nation's agenda. Pathways of Addiction meets the need for a clear and thoughtful national research agenda that will yield the greatest benefit from today's limited resources. The committee makes its recommendations within the public health framework and incorporates diverse fields of inquiry and a range of policy positions. It examines both the demand and supply aspects of drug abuse. Pathways of Addiction offers a fact-filled, highly readable examination of drug abuse issues in the United States, describing findings and outlining research needs in the areas of behavioral and neurobiological foundations of drug abuse. The book covers the epidemiology and etiology of drug abuse and discusses several of its most troubling health and social consequences, including HIV, violence, and harm to children. Pathways of Addiction looks at the efficacy of different prevention interventions and the many advances that have been made in treatment research in the past 20 years. The book also examines drug treatment in the criminal justice setting and the effectiveness of drug treatment under managed care. The committee advocates systematic study of the laws by which the nation attempts to control drug use and identifies the research questions most germane to public policy. Pathways of Addiction provides a strategic outline for wise investment of the nation's research resources in drug abuse. This comprehensive and accessible volume will have widespread relevanceâ€"to policymakers, researchers, research administrators, foundation decisionmakers, healthcare professionals, faculty and students, and concerned individuals.
Drug Addiction and Families is an exploration of the impact of drug use on families, and of the extent to which current practice meets the needs of families as well as problem drug users. Drawing on a substantial research Marina Barnard examines the effects of drug use not only on drug users themselves, but also their extended families.
"This book is about taking the head off an evil witch". With these words Marion Woodman begins her spiral journey, a powerful and authoritative look at the psychology and attitudes of modern women. Marion Woodman continues her remarkable exploration of women's mysteries through case material, dreams, literature and mythology, in food rituals, rape symbolism, Christianity, imagery in the body, sexuality, creativity and relationships.
Luigi Zoja views the origin and evolution of the father from a Jungian perspective. He argues that the father's role in bringing up children is a social construction that has been subject to change throughout history - and looks at the consequences of this, along with the crisis facing fatherhood today. The Father will be welcomed by people from a wide variety of disciplines, including practitioners and students of psychology, sociology and anthropology, and by the educated general reader.
In Cultivating the Soul Luigi Zoja argues that the soul's 'cultivation' underpins all cultural phenomena. The author examines the mythopoetic function in human beings by locating Psychoanalysis within the history of the Western world and firmly rooting it in the classical tradition. When, for example, Zoja links psychoanalytic narration with the epic-tragic narration in Greek civilization, he is establishing a remarkable kind of continuity, one which transcends centuries of economic, political and social change to insist on the timeless human need to tell a life story with passion in order to make sense of it. Zoja's masterful knowledge of the classical world is here used dialectically, to understand and explicate our modern-day predicaments. Whether employing classical notions, like hubris, (to analyze the modern phenomenon of arrogant acquisitiveness), or deploying a contemporary perspective on antiquity (to examine, for instance Homer's own technique of "mass communication"), Zoja's words fall like a sword cutting through to the core of what he sees as the inertia of much contemporary thinking. The author explores what he sees as the failure in the formation of a contemporary European identity. Lacking formative myths, with psyches mutilated by the failure of the mythopoetic function, today's citizens are left with little other than an economic reality called "Europe" to orient them. It is in such a context that Zoja claims a crucial role for Psychoanalysis in elucidating cultural, social and political phenomena. Eighteen essays grapple with thinkers from Plato to Hillman, Bloch to Ortega, Michelangelo to Rilke, and Nietzsche to Freud and Jung.
This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products.
All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.
Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
