Ending Discrimination Against People with Mental and Substance Use Disorders
Ending Discrimination Against People with Mental and Substance Use Disorders

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-09-03

Total Pages: 171

ISBN-13: 0309439124

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Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Framing Drug Use
Framing Drug Use

Author: J. Fitzgerald

Publisher: Springer

Published: 2015-06-29

Total Pages: 403

ISBN-13: 1137482249

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This book examines the forces that shape psychoactive drug use. The approach, informed by poststructuralist semiotics, culture, phenomenology and contemporary theories of affect, illuminates the connections between drugs, bodies, space, economy and crime.

Framing Drug Use
Framing Drug Use

Author: J. Fitzgerald

Publisher: Palgrave Macmillan

Published: 2014-01-14

Total Pages: 289

ISBN-13: 9781349694273

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This book examines the forces that shape psychoactive drug use. The approach, informed by poststructuralist semiotics, culture, phenomenology and contemporary theories of affect, illuminates the connections between drugs, bodies, space, economy and crime.

Risk and Substance Use
Risk and Substance Use

Author: Susanne MacGregor

Publisher: Routledge

Published: 2020-02-17

Total Pages: 231

ISBN-13: 1351033484

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This interdisciplinary collection examines the role that alcohol, tobacco and other drugs have played in framing certain groups and spaces as ‘dangerous’ and in influencing the nature of formal responses to the perceived threat. Taking a historical and cross-national perspective, it explores how such groups and spaces are defined and bounded as well as the processes by which they come to be seen as ‘risky’. It discusses how issues of perceived danger highlight questions of control and the management of behaviours, people and environments, and it pays attention to the way in which sanctions and regulations have been implemented in a variety of often inconsistent ways that frequently impact differently on different sections of the population. Bringing together a range of case studies drawn from different countries and across different periods of time, the chapters collected here illustrate issues of marginalisation, stigmatisation, human rights and social expectations. It is of interest to a diverse audience of historians, philosophers, human geographers, anthropologists, sociologists and criminologists interested in substance use and misuse, deviance, risk and power among other topics.

College Drinking and Drug Use
College Drinking and Drug Use

Author: Helene Raskin White

Publisher: Guilford Press

Published: 2011-11-14

Total Pages: 321

ISBN-13: 1606239953

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Substance use among college students can result in serious academic and safety problems and have long-term negative repercussions. This state-of-the-art volume draws on the latest research on students' alcohol and drug use to provide useful suggestions for how to address this critical issue on college campuses. Leading researchers from multiple disciplines examine the prevalence and nature of substance use by students; biological and neuropsychological considerations; psychological and social aspects; prevention; and policy. Exemplary programs are presented -- including brief interventions, comprehensive prevention programs, and recovery support programs -- enhancing the utility of the book for campus-based clinicians and administrators. This title is part of The Duke Series in Child Development and Public Policy, edited by Kenneth A. Dodge and Martha Putallaz.

Strung Out
Strung Out

Author: Erin Khar

Publisher: Harlequin

Published: 2020-02-25

Total Pages: 296

ISBN-13: 1488056323

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“This is a story she needed to tell; and the rest of the country needs to listen.” — New York Times Book Review “This vital memoir will change how we look at the opioid crisis and how the media talks about it. A deeply moving and emotional read, STRUNG OUT challenges our preconceived ideas of what addiction looks like.” —Stephanie Land, New York Times bestselling author of Maid In this deeply personal and illuminating memoir about her fifteen-year struggle with heroin, Khar sheds profound light on the opioid crisis and gives a voice to the over two million people in America currently battling with this addiction. Growing up in LA, Erin Khar hid behind a picture-perfect childhood filled with excellent grades, a popular group of friends and horseback riding. After first experimenting with her grandmother’s expired painkillers, Khar started using heroin when she was thirteen. The drug allowed her to escape from pressures to be perfect and suppress all the heavy feelings she couldn’t understand. This fiercely honest memoir explores how heroin shaped every aspect of her life for the next fifteen years and details the various lies she told herself, and others, about her drug use. With enormous heart and wisdom, she shows how the shame and stigma surrounding addiction, which fuels denial and deceit, is so often what keeps addicts from getting help. There is no one path to recovery, and for Khar, it was in motherhood that she found the inner strength and self-forgiveness to quit heroin and fight for her life. Strung Out is a life-affirming story of resilience while also a gripping investigation into the psychology of addiction and why people turn to opioids in the first place.

Framing Drug Use
Framing Drug Use

Author: J. Fitzgerald

Publisher: Springer

Published: 2015-06-29

Total Pages: 403

ISBN-13: 1137482249

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This book examines the forces that shape psychoactive drug use. The approach, informed by poststructuralist semiotics, culture, phenomenology and contemporary theories of affect, illuminates the connections between drugs, bodies, space, economy and crime.

Drug Use for Grown-Ups
Drug Use for Grown-Ups

Author: Dr. Carl L. Hart

Publisher: Penguin

Published: 2022-01-11

Total Pages: 305

ISBN-13: 1101981660

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“Hart’s argument that we need to drastically revise our current view of illegal drugs is both powerful and timely . . . when it comes to the legacy of this country’s war on drugs, we should all share his outrage.” —The New York Times Book Review From one of the world's foremost experts on the subject, a powerful argument that the greatest damage from drugs flows from their being illegal, and a hopeful reckoning with the possibility of their use as part of a responsible and happy life Dr. Carl L. Hart, Ziff Professor at Columbia University and former chair of the Department of Psychology, is one of the world's preeminent experts on the effects of so-called recreational drugs on the human mind and body. Dr. Hart is open about the fact that he uses drugs himself, in a happy balance with the rest of his full and productive life as a researcher and professor, husband, father, and friend. In Drug Use for Grown-Ups, he draws on decades of research and his own personal experience to argue definitively that the criminalization and demonization of drug use--not drugs themselves--have been a tremendous scourge on America, not least in reinforcing this country's enduring structural racism. Dr. Hart did not always have this view. He came of age in one of Miami's most troubled neighborhoods at a time when many ills were being laid at the door of crack cocaine. His initial work as a researcher was aimed at proving that drug use caused bad outcomes. But one problem kept cropping up: the evidence from his research did not support his hypothesis. From inside the massively well-funded research arm of the American war on drugs, he saw how the facts did not support the ideology. The truth was dismissed and distorted in order to keep fear and outrage stoked, the funds rolling in, and Black and brown bodies behind bars. Drug Use for Grown-Ups will be controversial, to be sure: the propaganda war, Dr. Hart argues, has been tremendously effective. Imagine if the only subject of any discussion about driving automobiles was fatal car crashes. Drug Use for Grown-Ups offers a radically different vision: when used responsibly, drugs can enrich and enhance our lives. We have a long way to go, but the vital conversation this book will generate is an extraordinarily important step.

Addiction
Addiction

Author: Gene M. Heyman

Publisher: Harvard University Press

Published: 2010-10-15

Total Pages: 213

ISBN-13: 0674057279

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In a book sure to inspire controversy, Gene Heyman argues that conventional wisdom about addictionÑthat it is a disease, a compulsion beyond conscious controlÑis wrong. Drawing on psychiatric epidemiology, addictsÕ autobiographies, treatment studies, and advances in behavioral economics, Heyman makes a powerful case that addiction is voluntary. He shows that drug use, like all choices, is influenced by preferences and goals. But just as there are successful dieters, there are successful ex-addicts. In fact, addiction is the psychiatric disorder with the highest rate of recovery. But what ends an addiction? At the heart of HeymanÕs analysis is a startling view of choice and motivation that applies to all choices, not just the choice to use drugs. The conditions that promote quitting a drug addiction include new information, cultural values, and, of course, the costs and benefits of further drug use. Most of us avoid becoming drug dependent, not because we are especially rational, but because we loathe the idea of being an addict. HeymanÕs analysis of well-established but frequently ignored research leads to unexpected insights into how we make choicesÑfrom obesity to McMansionizationÑall rooted in our deep-seated tendency to consume too much of whatever we like best. As wealth increases and technology advances, the dilemma posed by addictive drugs spreads to new products. However, this remarkable and radical book points to a solution. If drug addicts typically beat addiction, then non-addicts can learn to control their natural tendency to take too much.

Judging Addicts
Judging Addicts

Author: Rebecca Tiger

Publisher: NYU Press

Published: 2012-12-03

Total Pages: 210

ISBN-13: 0814785964

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The number of people incarcerated in the U.S. now exceeds 2.3 million, due in part to the increasing criminalization of drug use: over 25% of people incarcerated in jails and prisons are there for drug offenses. Judging Addicts examines this increased criminalization of drugs and the medicalization of addiction in the U.S. by focusing on drug courts, where defendants are sent to drug treatment instead of prison. Rebecca Tiger explores how advocates of these courts make their case for what they call “enlightened coercion,” detailing how they use medical theories of addiction to justify increased criminal justice oversight of defendants who, through this process, are defined as both “sick” and “bad.” Tiger shows how these courts fuse punitive and therapeutic approaches to drug use in the name of a “progressive” and “enlightened” approach to addiction. She critiques the medicalization of drug users, showing how the disease designation can complement, rather than contradict, punitive approaches, demonstrating that these courts are neither unprecedented nor unique, and that they contain great potential to expand punitive control over drug users. Tiger argues that the medicalization of addiction has done little to stem the punishment of drug users because of a key conceptual overlap in the medical and punitive approaches—that habitual drug use is a problem that needs to be fixed through sobriety. Judging Addicts presses policymakers to implement humane responses to persistent substance use that remove its control entirely from the criminal justice system and ultimately explores the nature of crime and punishment in the U.S. today.