CocaineSports heroes, executives, and the homeless -- cocaine permeates every inch of our society, with tragic results. Although casual use of cocaine has clearly declined, the number of daily users, in particular those using crack, continues to climb. Why do people continue to use cocaine? What is its appeal? How does it affect the body and mind? What can a person do if a family member or friend is using cocaine? In the past decade, the introduction of "crack" has increased the popularity of cocaine. Treatments have changed to adapt to this new, cheaper, more widely available drug. This Second Edition of Cocaine -- by three noted psychiatrists from Harvard University and the University of Utah -- highlights the tremendous research effort that has been mounted to discover the most effective way to help cocaine-dependent patients. It covers what cocaine is, the different methods of its use, its effects on the brain and other organs, and its psychological and social consequences for users and those around them -- both at home and in the workplace. This book also covers cocaine addiction -- how it happens, who is at risk, how to treat it, and how to find help. Cocaine includes a list of commonly asked questions about the drug and a self-test to determine if you or someone you love is dependent on cocaine. |
Contents
The Current Cocaine Epidemic | 1 |
Cocaine Use Through History | 5 |
From coca leaf to the American street | 9 |
The manufacture of cocaine | 10 |
The uphill baltle against the cocaine trade | 12 |
The social costs of cocaine use | 13 |
How Cocaine Is Used | 15 |
Smoking cocaine | 18 |
How dependence develops | 95 |
Ellen | 102 |
Cocaine and the Family | 111 |
Family responses to the cocaine user | 113 |
How families try to avoid the pain of cocaine dependence | 115 |
How relatives can help | 122 |
Recovery for the families of cocaine users | 124 |
Cocaine in the Workplace | 127 |
Intravenous cocaine use | 23 |
The Effects of Cocaine on the Body | 27 |
General physical effects of cocaine | 28 |
Medical complications from cocaine use | 29 |
Cocaine overdose how cocaine can kill | 30 |
Effects of longterm cocaine use | 33 |
Medical complications due to effects of cocaine itself | 34 |
Adverse effects of cocaine on pregnancy | 36 |
Medical complications due to drug paraphernalia | 39 |
Medical complications due to adulterants cuts | 45 |
Medical complications due to lifestyle and psychiatric symptoms in cocaine users | 46 |
Cocaine and the Brain | 51 |
Events at the nerve cell junction synapse | 53 |
Effects of cocaine on neurolransmitters | 55 |
Effects of cocaine on brain function and behavior | 57 |
Behavioral effects of longterm cocaine use | 63 |
who is vulnerable? | 68 |
Cocaine Dependence | 71 |
Factors contributing to cocaine dependence | 73 |
The course of cocaine dependence | 93 |
Why cocaine? | 128 |
Hazards of cocaine use in the workplace | 129 |
Cocaine use by executives | 132 |
The response of business | 134 |
The concept of employee assistance | 136 |
Treatment of Cocaine Abuse | 141 |
Getting the cocaine user into treatment | 142 |
Treatment methods for cocaine users | 145 |
How to choose the right type of treatment | 163 |
Pathways to recovery | 167 |
Questions Frequently Asked About Cocaine | 169 |
Questions frequently asked by occasional cocaine users | 171 |
Questions frequently asked by people dependent on cocaine | 175 |
Questions frequently asked by people who treat cocaine users | 179 |
Questions frequently asked by family members of cocaine users | 180 |
SelfTest for Cocaine Dependence | 183 |
Bibliography | 187 |
195 | |