The life of the heroin user: typical beginnings, trajectories and outcomes
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Cambridge [u.a.]
Cambridge Univ. Press
2011
|
| Ausgabe: | 1. publ. |
| Schriftenreihe: | International research monographs in the addictions
|
| Schlagworte: | |
| Online-Zugang: | Cover image Inhaltsverzeichnis |
| Beschreibung: | "Heroin is a worldwide scourge and a seemingly intractable one. The Life of the Heroin User: Typical Beginnings, Trajectories and Outcomes is the first book to apply a biographical approach to the lifecycle of the heroin user from birth until death. Chapters address each stage of the user's life, including childhood, routes to use, the development of dependence, problems arising from addiction, death and options for treatment and prevention. Drawing on over two decades of experience in the field of opium research, Shane Darke examines major theoretical approaches to the development of opiate dependence and the efficacy of treatment options for opiate dependence. Key points are presented at the end of each chapter. The most detailed review available of what is likely to happen to the dependent heroin user, this is an important book for clinicians, researchers and students in the fields of drug and alcohol studies and public health"-- Provided by publisher. |
| Beschreibung: | XV, 188 S. |
| ISBN: | 9781107000636 |
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Datensatz im Suchindex
| _version_ | 1804148405075705856 |
|---|---|
| adam_text | Titel: The life of the heroin user
Autor: Darke, Shane
Jahr: 2011
Contents
List of tables page xi
Foreword by Griffith Edwards xiii
Preface xv
Chapter 1. Heroin and addict careers 1
1.1 Introduction 1
1.2 What are the opioids? 2
1.3 How common is heroin use? 5
1.4 The dependence liability of heroin 6
1.5 The major harms of heroin use 8
1.6 Costs to society 10
1.7 The addict career 12
1.8 Summary 14
Chapter 2. Parents and childhood 16
2.1 Introduction 16
2.2 Social disadvantage 16
2.3 Parents of heroin users 18
2.3.1 Parental substance abuse 18
2.3.2 Parental psychopathology 21
2.4 Genetics and heroin dependence 22
2.5 Childhood sexual and physical abuse 27
2.6 Childhood psychopathology of the heroin user 30
2.7 Summary 32
Chapter 3. Early teenage years: the onset of substance use 34
3.1 Introduction 34
3.2 The gateway hypothesis 34
3.2.1 The evidence for gateway theory 36
vn
viii Contents
3.2.2 Alternative interpretations of drug
initiation sequencing 37
3.3 Trends in the age of substance use initiation 40
3.4 Early licit substance use among heroin users 41
3.4.1 Tobacco 41
3.4.2 Alcohol 42
3.5 Early illicit substance use among heroin users 44
3.5.1 Cannabis 44
3.5.2 Psychostimulants 45
3.6 Early sexual activity 47
3.7 Summary 48
Chapter 4. The mid to late teens: commencing heroin use 50
4.1 Introduction 50
4.2 Initiating heroin use 50
4.2.1 Age of initiation 50
4.3 Routes of heroin administration 55
4.3.1 Injection 55
4.3.2 Smoking 56
4.3.3 Transitions between routes of heroin
administration 58
4.4 The harms of early stage heroin use 59
4.5 Summary 61
Chapter 5. The 20s and 30s: heroin and polydrug use 63
5.1 Introduction 63
5.2 Heroin use patterns 63
5.3 Polydrug use patterns 64
5.3.1 Alcohol 65
5.3.2 Benzodiazepines 66
5.3.3 Psychostimulants 67
5.4 Drug-related problems 68
5.4.1 Overdose 69
5.4.2 Health 70
5.4.3 Psychopathology 74
5.4.4 Social disadvantage 76
5.4.5 Crime 77
5.5 Summary 80
Contents ix
Chapter 6. The drug treatment cycle: remission and relapse 81
6.1 Introduction 81
6.2 What are the main treatments for heroin dependence? 81
6.2.1 Detoxification 82
6.2.2 Drug-free residential rehabilitation 83
6.2.3 Opioid maintenance therapies 85
6.2.4 Antagonist maintenance therapies 89
6.3 The treatment cycle 90
6.4 What does successful treatment achieve? 90
6.4.1 Drug use 90
6.4.2 Drug-related problems 92
6.5 What predicts remission and relapse? 94
6.5.1 Client characteristics 94
6.5.2 Treatment characteristics 96
6.6 Summary 97
Chapter 7. The older heroin user: the 40s and beyond 99
7.1 Introduction 99
7.2 Do heroin users mature out ? 99
7.2.1 The maturing out hypothesis 99
7.3 Drug use patterns of the older heroin user 100
7.4 Morbidity and the older heroin user 104
7.4.1 Physical morbidity 104
7.4.2 Psychopathology 107
7.5 Mortality risk and the older heroin user 109
7.6 Summary 109
Chapter 8. Death: rates and causes 111
8.1 Introduction 111
8.2 Rates of mortality 111
8.3 The demography of death amongst heroin users 112
8.3.1 Age and mortality 112
8.3.2 Gender and mortality 113
8.4 Causes of death 114
8.4.1 Overdose 114
8.4.2 Disease 117
8.4.3 Suicide 118
x Contents
8.4.4 Trauma 120
8.5 Summary 121
Chapter 9. Conclusions: an inevitable life and death? 122
9.1 The lifecycle: a retrospective 122
9.2 Clinical implications 123
9.2.1 An inevitable trajectory? 123
9.2.2 Prevention 124
9.2.3 Treatment 125
9.2.4 Harm reduction 129
9.2.4.1 Needle and syringe provision 130
9.2.4.2 Overdose prevention 131
9.2.4.3 Medically supervised injecting centres 132
9.3 Concluding remarks 133
References 135
Index 111
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| physical | XV, 188 S. |
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| spelling | Darke, Shane 1957- Verfasser (DE-588)1034945459 aut The life of the heroin user typical beginnings, trajectories and outcomes Shane Darke 1. publ. Cambridge [u.a.] Cambridge Univ. Press 2011 XV, 188 S. txt rdacontent n rdamedia nc rdacarrier International research monographs in the addictions "Heroin is a worldwide scourge and a seemingly intractable one. The Life of the Heroin User: Typical Beginnings, Trajectories and Outcomes is the first book to apply a biographical approach to the lifecycle of the heroin user from birth until death. Chapters address each stage of the user's life, including childhood, routes to use, the development of dependence, problems arising from addiction, death and options for treatment and prevention. Drawing on over two decades of experience in the field of opium research, Shane Darke examines major theoretical approaches to the development of opiate dependence and the efficacy of treatment options for opiate dependence. Key points are presented at the end of each chapter. The most detailed review available of what is likely to happen to the dependent heroin user, this is an important book for clinicians, researchers and students in the fields of drug and alcohol studies and public health"-- Provided by publisher. Medizin Heroin abuse Heroin abuse Treatment Substance abuse Substance abuse Treatment MEDICAL / Mental Health bisacsh Drogenabhängigkeit (DE-588)4138597-4 gnd rswk-swf Heroin (DE-588)4159621-3 gnd rswk-swf Heroin (DE-588)4159621-3 s Drogenabhängigkeit (DE-588)4138597-4 s b DE-604 http://assets.cambridge.org/97811070/00636/cover/9781107000636.jpg Cover image HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024427352&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Darke, Shane 1957- The life of the heroin user typical beginnings, trajectories and outcomes Medizin Heroin abuse Heroin abuse Treatment Substance abuse Substance abuse Treatment MEDICAL / Mental Health bisacsh Drogenabhängigkeit (DE-588)4138597-4 gnd Heroin (DE-588)4159621-3 gnd |
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| title | The life of the heroin user typical beginnings, trajectories and outcomes |
| title_auth | The life of the heroin user typical beginnings, trajectories and outcomes |
| title_exact_search | The life of the heroin user typical beginnings, trajectories and outcomes |
| title_full | The life of the heroin user typical beginnings, trajectories and outcomes Shane Darke |
| title_fullStr | The life of the heroin user typical beginnings, trajectories and outcomes Shane Darke |
| title_full_unstemmed | The life of the heroin user typical beginnings, trajectories and outcomes Shane Darke |
| title_short | The life of the heroin user |
| title_sort | the life of the heroin user typical beginnings trajectories and outcomes |
| title_sub | typical beginnings, trajectories and outcomes |
| topic | Medizin Heroin abuse Heroin abuse Treatment Substance abuse Substance abuse Treatment MEDICAL / Mental Health bisacsh Drogenabhängigkeit (DE-588)4138597-4 gnd Heroin (DE-588)4159621-3 gnd |
| topic_facet | Medizin Heroin abuse Heroin abuse Treatment Substance abuse Substance abuse Treatment MEDICAL / Mental Health Drogenabhängigkeit Heroin |
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