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Drug Use and Abuse

Eighth Edition

Chapter 2
Drug Use Yesterday
and Today

© 2019 Cengage. All rights reserved.


Historical Overview

• Drugs: used for a variety of reasons in different


cultures for thousands of years
• Earliest drug use: ingestion of alcohol; plants with
psychoactive properties
• Prior to the beginning of the 20th century: relatively
few restrictions on drug availability

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Addiction in History
• Several million Chinese men and women were
addicted to opium by the mid-1800s. This photograph
depicts a Chinese man smoking opium
in a den around
1905.

© 2019 Cengage. All rights reserved.


Drug Use in the United States

• 19th century: opium, morphine, marijuana, heroin, and


cocaine could be obtained easily without prescription.
• Marijuana in the 1800s: liquid extract used by
physicians as a general all-purpose medication
• Nonmedical use of marijuana increased in the 1920s,
probably in part a reaction to alcohol Prohibition.

© 2019 Cengage. All rights reserved.


Drugs and Their Times (1 of 2)

• Different drugs have enjoyed periods of popularity in


the United States.
• Cocaine: widely used in medicines and tonics in late
1800s and early 1900s. Regained popularity in the
1960s through today, in various forms.
• Amphetamines: used relatively widely during the 1930s

© 2019 Cengage. All rights reserved.


Drugs and Their Times (2 of 2)

• Minor tranquilizers and inhalants: used in the 1950s


• LSD : popular in the 1960s
• Heroin: increasingly popular in recent years
• New synthetic substances: “bath salts” synthetic
marijuana, and fentanyl
• Current trend: “club drugs,” such as MDMA, GHB,
Methamphetamine

© 2019 Cengage. All rights reserved.


Medical Drugs and Illegal Use

• Parallel between psychoactive substances in medicinal


forms and the abuse of these drugs
• Many illegal drugs have been used for medicinal
purposes at some time.
• Substances developed as medications are often used
in nonmedicinal ways.
• Impossible to separate medical and nonmedical uses
of drugs

© 2019 Cengage. All rights reserved.


Development of Drug Laws

• Legislation: main mechanism for establishing formal


guidelines about drugs
• Drug laws in the United States: began at turn of the
20th century
• First federal drug legislation:1906 Pure Food and Drug
Act, mandating listing of types and amounts of drugs
contained in medicines

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Major Drug Legislation

• 1914 Harrison Narcotics Tax Act: regulated the legal


supply of certain drugs; resulted in the establishment of
drug treatment centers for opiate addicts.
• Alcohol Prohibition: 1920–1933, Eighteenth
Amendment to Constitution prohibited the production,
sale, transportation, and importing of alcohol all over
the United States.
• Prohibition was repealed due to lack of public support.

© 2019 Cengage. All rights reserved.


Prohibition’s Failure
• In order to drink during the Prohibition, customers
turned to speakeasies, saloons operating without
licenses.

© 2019 Cengage. All rights reserved.


Post-Prohibition Legislation

• 1930s: establishment of Federal Bureau of Narcotics


• Marijuana Tax Act of 1937: authorized producers,
manufacturers, importers, and dispensers of the drug
had to register and pay annual license fee.
• 1940s–1970s: federal legislation ineffective in curbing
drug use and dependence

© 2019 Cengage. All rights reserved.


Controlled Substances Act

• 1970 Controlled Substances Act: classified drugs


according to legitimate medical uses and potential for
abuse and dependence.
• Law enforcement today relies on those classifications.
• This act also set standard for penalties for drug
manufacture and trafficking.

© 2019 Cengage. All rights reserved.


Ever-Evolving Laws

• Legislation is regularly added in response to changes


in drug-use patterns.
• Example: 2009 Family Smoking Prevention and
Tobacco Control Act: gave FDA broad control over
marketing and sale of tobacco
• Example: 2010 Fair Sentencing Act, 2012 Synthetic
Drug Abuse Prevention Act: responses to rates of use
of cocaine and synthetic marijuana

© 2019 Cengage. All rights reserved.

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