Transcript Chapter 9

Chapter 4
ALCOHOL AND OTHER DRUGS
Drugs
 A drug is any chemical substance other than food
or water that affects the mind or body.

a substance that people take to produce a change in their thinking,
consciousness, emotions, bodily functions or behavior.
 Drug Abuse—using drugs in such a way that they harm
one’s health, impair one’s physical or mental functioning,
or interfere with one’s social life.
 No drug is good or bad in and of itself.
Drugs and Culture
 Drugs can be defined as good or as harmful.
 Definitions of drugs vary from society to society
Alcohol part of western culture
 Peyote use as a religious ritual among Native Americans
 Coca and South America

 Definitions vary over time
It is not the objective conditions of drugs—such as
whether or not they are harmful—that makes their use a
social problem.
 Rather, it is the surrounding subjective concerns that
establish them as problems.
 Subjective concerns are not fixed, but change over time.

The Scope of the Problem
 A drug is a substance that people take to produce
a change in their thinking, consciousness,
emotions, or bodily functions or behavior.
 People take many substances to cause such
changes.
 Essential difference among these substances is not
which ones they use, but whether a substance is
socially acceptable or disapproved of.
 Far from being an antidrug society, we are actually
a pro-drug society.
Drugs and Social Diversity
 Definitions of drugs have varied over time in the
United States
 Attitudes toward cocaine
Cocaine early on was seen as a medical panacea
 Racism and cocaine usage

 Founding Fathers and hemp
 Immigrants and drug use
Drug Abuse as a Personal or
Social Problem
 When drug use interferes with someone’s health or how that
person gets along in life, we consider this a personal
problem.
 If large numbers of people become upset about a drug, and
want something done, then that drug becomes part of a
social problem.
 Nicotine and Alcohol as social problems.
 Smoking is the single most preventable cause of premature
death in the U.S.
 Alcohol is more dangerous than its broad social
acceptability would imply.
 Changing views of Alcohol
Changing Views of Alcohol
 Alcohol is one of the most widely used drugs
Alcohol was important in colonial America
 Alcohol became associated with undesirable immigrants

 The Temperance Movement
 The 18th Amendment and Prohibition
 Prohibition

Organized crime
 In 1933 Prohibition ended with the passage of
the Nineteenth Amendment
The Extent of Drug Use
 Most everyone uses some type of drug legal or
illegal
 In 2007 government survey
80% of the population over the age of twelve used some
illicit drug
 Declined after 1980 and rose slightly after 2000

Why do People Use Drugs?
 5 reasons behind use:
1. Therapeutic use
2. Recreational use
3. Escapism
4. Spiritual or psychological use
5. Social Conformity
Use and Abuse
 The distinction between using a drug from
abusing a drug


Use that goes against accepted medical practices
Effect of the drug
• Mental harm
• Physical harm
• Social harm
Addiction and Dependency
 Addiction – a physical or psychological craving
for a drug
Withdrawal symptoms
 Complex

 Dependency – a state in which a person’s body
has adjusted to regular use of a drug

Need for the drug to feel normal
Types of Drugs
 Stimulants – drugs that elevate alertness, changing
a person’s mood by increasing energy
Caffeine
Nicotine
Ritalin
Cocaine and Crack
Amphetamines
Nicotine
 Nicotine is the second most popular
recreational drug in the United States.
 The tobacco industry strives to recruit new
smokers each year.

Spends $13 billion a year promoting cigarettes and
chewing tobacco
 Teens think smoking is more common and
acceptable than it actually is.
 A new study confirms that fewer American
kids are smoking.
National Map
Cigarette Smoking across the United States
 College Students
 Binge drinking—refers to the
heavy consumption of
alcohol over a short period of
time
 Binge drinkers in high school
are three times more likely to
binge in college.
 Alcohol poisoning is the
most life-threatening
consequence of binge
drinking.
Cocaine
 Cocaine has not always been viewed the way
it is now.
Late 1800s, physicians praised cocaine for
medicinal purposes
 By 1910, transformed from medicine into a
dangerous drug

 Harrison Act paved the way for cocaine to be
sold on the black market.
 Has a distinctive medical use
 The most common use of cocaine, however,
is to obtain a high.
 Dysfunctions of cocaine
 “High” is intense and users give up many of the
things they value
 Creates health dysfunctions
 “Crack Babies”: fetuses born addicted to cocaine
because of mother’s drug addiction
 Crack Cocaine
 Violence surrounds crack
 Social history includes racial injustice
 Now, sentences imposed for the use of crack can be
no heavier than those imposed for the use of powder
cocaine.
The Amphetamines
 Amphetamines
 Became popular in the 1920s
 Heavy amphetamine use sometimes accompanied by
behavioral fixations
 “Meth” addiction growing epidemic across the country
 White House Office of National Drug Control Policy runs
television advertisements to discourage meth use, and a
provision of the Patriot Act forces states to now restrict
purchases of pseudoephedrine.
Types of Drugs
 Depressants – drugs that slow the operation
of the central nervous system
 Analgesics
• Over the counter pain relievers
 Sedatives and hypnotics, and alcohol
 Antipsychotics
• Lithium and Haldol
Alcohol
 Alcoholics—people who have severe alcohol-related
problems
 10 million Americans are considered alcoholics.
 Each year 700,000 Americans are treated in substance
abuse centers.
 Billions of dollars per year in reduced productivity and
alcohol-related accidents
Types of Drugs
 Hallucinogens - stimulants that cause some
hallucinations

LSD
• Most famous of the hallucinogens
• Reached height of media attention in mid-1960s with hippie culture

Peyote
• Widely practiced among Native Americans
• Can be used legally—but only by members of the Native American Church
for religious purposes

Psilocybin (PCP)
• Phencyclidine Hydrochloride also called Angel Dust
• Affects the central nervous system, making it difficult to speak

Ecstasy
• Popular party drug
• Side effects for some are mental confusion and anxiety
Types of Drugs
 Cannabis
 Marijuana
 Hashish
 Third most popular recreational drug in the United
States
 Health consequences of marijuana use

Studies have not confirmed findings
 Smoking marijuana impairs motor coordination and
reduces awareness of external stimuli
 Associated with Amotivational Syndrome

Lethargy, loss of concentration, and drifting from long-range
goals
Use of Selected Drugs by the U.S. Population, 1979–2007
Drugs and Other Social Problems
 Problems of Family Life
 Drug
use and child neglect
• Effect inhibitions
• Effect judgment
 Impacts family relationships and roles
• Codependency among family members
 Financial problems
 Educational (school) problems
 Legal problems
Drugs and Other Social Problems
Homelessness
 60% of homeless men and women have a
drinking problem
 Drugs and homelessness
Drugs cause homelessness
Homelessness leads to drug use
Drugs and Other Social Problems
Health Problems
 Many people die from the use of illegal and legal drugs
 Effects physical and psychological well being
 Prenatal exposure
Premature delivery
 Low birth weight
 Birth defects

 Sharing needles and HIV
 U.S. Center for Disease Control and Prevention
 Needle exchange program and the reduction in the spread of
HIV
 Educational information on the sterilization of needles
Drugs and Other Social Problems
Crime
 Drug use and crime
3/4 of federal prison inmates have a
history of substance abuse
Drug enforcement policies cause crime
Drug related violence in Mexico
Drugs and Other Social Problems
Global Poverty
 Illegal drugs in the U.S. are a part of the global
economy
 Poverty in poor nations and the production of
drugs
Opiates in Afghanistan & Asia
 Hashish from Middle East and West Africa
 Marijuana from Mexico, Cuba, and Central America
 Cocaine from South America

 Source of income and capital for poor nations
 Demand for drugs from rich nations
Social Policy: Responding to the Drug Problem
Strategies to Control Drugs
 Interdiction – stopping drugs from entering our
country
 DEA
 U.S
Customs Service
 Border Patrol
 U.S. military
 Education
 Dare (Drug Abuse Resistance Education)
 Treatment
 In and out patient treatment
 Counseling and group support such as AA
Federal Minimum Sentencing
Guidelines
The War on Drugs
 The Nixon Era: Drugs as “ Public Enemy Number
One”
Created the DEA – Overseas our government antidrug
operations
 Nixon administration and treatment programs

 Main thrust was enforcement over treatment
The War on Drugs
The Reagan Era
 Defining the drug problem as moral challenge
 “Just say No”
 Increased the federal budget to fight the drug
problem
 Mandatory jail time
 Seizure of property
The War on Drugs
The Bush Years (1989-1992): The War Goes
On
 Office of National Drug Control Policy
 Tough laws
The War on Drugs
The Clinton Era: More of the Same
 Treatment over incarceration
 Later years tougher enforcement
War on Drugs
 George W Bush
 Terrorism took public attention away from drugs
 Looked at prosecution as primary strategy
War on Drugs
 Obama
 Aims to eliminate racial disparity in sentencing
 Aims to reduce both supply and demand
Social Policy: Responding to the Drug
Problem
Counterpoint: Decriminalization
 Removing the current criminal penalties that
punish drug users
 Zurich, Switzerland: Legalization that Failed
 Netherlands: Legalization that Works
Structural-Functional Analysis: Regulating
Drug Use
 The functions of a drug for the operation of
society
Social and cultural functions
Economic functions
 Drugs as dysfunctional for the operation of
society
The more disruptive a drug’s effects, the
stronger measures society takes
Symbolic-Interaction Analysis: The
Meaning of Drug Use
 The social meanings and definitions that people
attach to a drug, its use and users
Sacred
 Religious rituals
 Harmful

 How individuals make sense out of drugs
Social-Conflict Analysis:
Power and Drug Use
 Focus is on how power and wealth shapes social
life and society
 Power and drug laws
 Power and the regulation and enforcement of laws
 Power and punishment
Conservatives: Just Say No
 Moral values in the analysis of the drug problem
 Lack of family and religion at the heart of the
problem
 Drug use as a function of self-centered pleasure
seeking
 Drugs cause crime and the erosion of morality
 Get tough on drug dealers and users
Liberals: Reform Society
 Personal choice and freedom
 Treatment and education approach
 Tolerant view of “soft drugs”
 Legalization of marijuana
 Support law enforcement for “hard drugs”
Radical Views: Right-Wing Libertarians
and the Far Left
 Libertarians – people who favor the greatest




individual freedom possible
Oppose government efforts to regulate drugs
Favor individual choice and freedom
Drug use should be left up to the individual
Radical left drug laws reflect the interest of the
dominant group