Drug Addiction and Drug Policy: The Struggle to Control Dependence (Mind Brain Behaviour Initiative)

284 Pages·2001·0.88 MB·English

by  Philip B. Heymann

Drug Addiction and Drug Policy

Drug Addiction and Drug Policy
The Struggle to Control Dependence
Edited by
Philip B. Heymann
William N. Brownsberger
Harvard University Press
Cambridge, Massachusetts
London, England / 2001
Copyright © 2001 by the President and Fellows of Harvard College
All rights reserved
Printed in the United States of America
Library of Congress Cataloging-in-Publication Data
Drug addiction and drug policy: the struggle to control dependence/edited by Philip B.
Heymann and William N. Brownsberger.
p. cm.
Includes bibliographical references.
ISBN 0-674-00327-6 (alk. paper)
1. Substance abuse–United States. 2. Substance abuse–United States–Prevention.
3. Drug abuse–United States–Prevention. 4. Drug abuse–Government policy–United
States. 5. Narcotics, Control of–United States. 6. Drugs of abuse–Law and legisla-
tion–United States. I. Heymann, Phillip B. II. Brownsberger, William N.
RC564.65 .D785 2001
362.29′0973–dc21 00-054486
To Jim Harpel, whose belief in the project, enthusiasm,
determination, good humor, and financial support made
this book possible, with the appreciation of all the authors

Contents
Introduction: Drug Policy with a New Focus 1
Philip B. Heymann
1 Toward a Balanced Drug-Prevention Strategy: 18
A Conceptual Map
Mark H. Moore
2 Drug Users and Drug Dealers 51
William N. Brownsberger
3 Is Addiction a Chronic, Relapsing Disease? 81
Gene M. Heyman
4 Is Drug Addiction a Brain Disease? 118
Sally L. Satel
5 If Addiction Is Involuntary, How Can Punishment Help? 144
George E. Vaillant
6 Controlling Drug Use and Crime with Testing, Sanctions, 168
and Treatment
Mark A.R. Kleiman
7 Limits on the Role of Testing and Sanctions 193
William N. Brownsberger
vii
viii Contents
8 How Should Low-Level Drug Dealers Be Punished? 206
Jonathan P. Caulkins and Philip B. Heymann
9 Reflections on Drug Policy and Social Policy 239
David Boyum and Peter Reuter
Postscript 265
Philip B. Heymann
Contributors 273
Drug Addiction and Drug Policy