Diversity Issues in Substance Abuse Treatment and Research

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Springer Science & Business Media, 2007 M06 2 - 229 pages
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lthough the term “diversity” is widely used, there is often no agree- A ment as to its meaning or how attention to diversity should be - erationalized within the context of programming or research. This text provides a foundation for the examination of such issues, with sugg- tions for the integration of various approaches into substance use tre- ment programs and research. The impetus for this work derived from multiple interactions over a period of several years with colleagues, s- dents, research participants, and community-based providers, who noted the frequent inattention paid to such concerns in the context of treatment and research, often despite an acknowledgment of a group’s particular historical legacy in the United States and the impact of that history on the initiationandprolongationofsubstanceusewithinaspeci?edcommunity, or the barriers to treatment that may have resulted. Chapter 1 de?nes what is meant by diversity through an examination ofrelatedterms,suchas“culture,”“ethnicity”“race,”“sex,”“gender,”and “sexual orientation. ” Clearly, this discussion does not and cannot re?ect all possible permutations of human existence that re?ect diversity. For instance, although the text does make mention of considerations related to religious differences and cognitive capacity, neither is highlighted as a separatetopic. Additionally,theemphasisonspeci?edgroupsisnotmeant to imply that other groups, such as Euro-Americans or heterosexual men, do not have concerns that may differ from those of other communities and that deserve consideration in the development and implementation of programs and research endeavors. However trite it may seem, one text cannot do it all.

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Contents

Introduction
1
Barriers to Addressing Difference
16
Usage and Outcomes
26
The Development of Drug Policy
37
Use Abuse and Policy
43
Use Abuse and Policy
57
Use Abuse and Policy
63
Considering the Historical and Cultural
79
Historical and Cultural Context
116
Considering the Historical and Cultural
127
Queer Communities
135
Diversity Issues in Treatment
145
Developing CultureCentric Approaches
153
Diversity Issues in Addiction and Treatment
165
References
175
Index
223

Historical and Cultural Context
90
Historical
105

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Page 9 - What, then, is a race? It is a vast family of human beings, generally of common blood and language, always of common history, traditions and impulses, who are both voluntarily and involuntarily striving together for the accomplishment of certain more or less vividly conceived ideals of life.
Page 46 - ... its primary intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the achievement of its primary intended purposes. (i) The term "cosmetic...
Page 9 - Yinger (1994) as a segment of a larger society whose members are thought, by themselves and/or others, to have a common origin and to share important segments of a common culture and who, in addition, participate in shared activities in which the common origin and culture are significant ingredients, (p.
Page 19 - A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period...
Page 65 - To the dispensing or distribution of any of the aforesaid drugs to a patient by a physician, dentist, or veterinary surgeon registered under this Act in the course of his professional practice only...
Page 46 - Pharmacopeia, or any supplement to them, (2) intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals, or (3) intended to affect the structure or any function of the body of man or other animals, and which does not achieve any of its principal intended purposes...
Page 47 - In a sense, the tobacco industry may be thought of as being a specialized, highly ritualized and stylized segment of the pharmaceutical industry. Tobacco products, uniquely, contain and deliver nicotine, a potent drug with a variety of physiological effects. . . . Thus a tobacco product is, in essence, a vehicle for delivery of nicotine.
Page 51 - The debasing and baneful influence of hashish and opium is not restricted to individuals but has manifested itself in nations and races as well. The dominant race and most enlightened countries are alcoholic, whilst the races and nations addicted to hemp and opium, some of which once attained to heights of culture and civilization have deteriorated both mentally and...

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