Theories on Drug Abuse - Selected Contemporary ...

[Pages:531] THEORIES ON DRUG ABUSE

Selected Contemporary Perspectives

Editors: DAN J. LETTIERI, Ph.D. MOLLIE SAYERS HELEN WALLENSTEIN PEARSON

NIDA Research Monograph 30 March 1980

DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Alcohol, Drug Abuse, and Mental Health Administration National Institute on Drug Abuse Division of Research 5600 Fishers Lane Rockville, Maryland 20857

For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D.C. 20402

The NIDA Research Monograph series is prepared by the Division of Research of the National Institute on Drug Abuse. Its primary objective is to provide critical reviews of research problem areas and techniques, the content of state-of-the-art conferences, integrative research reviews and significant original research. Its dual publication emphasis is rapid and targeted dissemination to the scientific and professional community.

Editorial Advisory Board

Avram Goldstein, M.D.

Addiction Research Foundation Palo Alto, California

Jerome Jaffe, M.D.

College of Physicians and Surgeons Columbia University, New York

Reese T. Jones, M.D.

Langley Porter Neuropsychiatric lnstitute University of California San Francisco, California

William McGlothlin, Ph.D.

Department of Psychology, UCLA Los Angeles, California

Jack Mendelson, M.D.

Alcohol and Drug Abuse Research Center Harvard Medical School McLean Hospital Belmont, Massachusetts

Helen Nowlis, Ph.D.

Office of Drug Education, DHEW Washington, D.C.

Lee Robins, Ph.D.

Washington University School of Medicine St. Louis, Missouri

NIDA Research Monograph series

William Pollin, M.D. DIRECTOR, NIDA Marvin Snyder, Ph.D. DIRECTOR, DIVISION OF RESEARCH, NIDA Robert C. Petersen, Ph.D. EDITOR-IN-CHIEF Eleanor W. Waldrop MANAGING EDITOR

Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857

THEORIES ON DRUG ABUSE

Selected Contemporary Perspectives

The National Institute on Drug Abuse has obtained permission from the copyright holders to reproduce certain previously published material as noted in the text. Further reproduction of this material is prohibited without specific permission of the copyright holders. All other material, except short quoted passages from copyrighted sources, is in the public domain and may be used and reprinted without permission. Citation as to source is appreciated.

The U.S. Government does not endorse or favor any specific commercial product or commodity. Trade or proprietary names appearing in this publication are used only because they are considered essential in the context of the studies reported herein.

Library of Congress catalog card number 80-600058

DHHS publication number (ADM) 80-967 Printed 1980

NIDA Research Monographs are indexed in the Index Medicus. They are selectively included in the coverage of Biosciences Information Service, Chemical Abstracts, Psychological Abstracts, and Psychopharmacology Abstracts.

Publication development services provided by METROTEC, Inc., under contract No. 271-79-3625 with the National Institute on Drug Abuse.

Cover art by Wendelin Astra Davidson, used with permission of the artist.

iv

Contents

FOREWORD

xi

A GUIDE TO THE VOLUME

xiii

Part 1

THEORETICAL PERSPECTIVES AND OVERVIEWS

Theories on One's Relationship to Self

AN INTERACTIONAL APPROACH

TO NARCOTIC ADDICTION

David P. Ausubel

4

THE CAP CONTROL THEORY OF DRUG ABUSE

Steven R. Gold

8

THE BAD-HABIT THEORY OF DRUG ABUSE

Donald W. Goodwin

12

INTERACTIVE MODELS OF NONMEDICAL DRUG USE

Richard L. Gorsuch

18

AN EXISTENTIAL THEORY OF DRUG DEPENDENCE

George B. Greaves

24

AN EGO/SELF THEORY OF SUBSTANCE DEPENDENCE:

A CONTEMPORARY PSYCHOANALYTIC PERSPECTIVE

Edward J. Khantzian

29

A GENERAL THEORY OF ADDICTION

TO OPIATE-TYPE DRUGS

Alfred R. Lindesmith

34

THEORY OF DRUG USE

Harvey Milkman and William Frosch

38

v

CONTENTS (Continued)

AN AVAILABILITY-PRONENESS

THEORY OF ILLICIT DRUG ABUSE

Reginald G. Smart

46

PERCEIVED EFFECTS OF SUBSTANCE

USE: A GENERAL THEORY

Gene M. Smith

50

A LIFE-THEME THEORY OF CHRONIC DRUG ABUSE

James V. Spotts and Franklin C. Shontz

59

DRUG USE AS A PROTECTIVE SYSTEM

Leon Wurmser

71

Theories on One's Relationship to Others

PSYCHOLOGICAL, SOCIAL, AND EPIDEMIOLOGICAL

FACTORS IN JUVENILE DRUG USE

lsidor Chein

76

INCOMPLETE MOURNING AND ADDICT/

FAMILY TRANSACTIONS: A THEORY

FOR UNDERSTANDING HEROIN ABUSE

Sandra B. Coleman

83

THE SOCIAL DEVIANT AND INITIAL

ADDICTION TO NARCOTICS AND ALCOHOL

Harris E. Hill

90

FRAMEWORK FOR AN INTERACTIVE THEORY OF DRUG USE

George J. Huba, Joseph A. Wingard, and Peter M. Bentler

95

A SOCIAL-PSYCHOLOGICAL FRAMEWORK

FOR STUDYING DRUG USE

Richard Jessor and Shirley Jessor

102

TOWARD A THEORY OF DRUG SUBCULTURES

Bruce D. Johnson

110

DEVELOPMENTAL STAGES IN

ADOLESCENT DRUG INVOLVEMENT

Denise B. Kandel

120

SELF-ESTEEM AND SELF-DEROGATION

THEORY OF DRUG ABUSE

Howard B. Kaplan

128

vi

CONTENTS (Continued)

THE IOWA THEORY OF SUBSTANCE ABUSE

AMONG HYPERACTIVE ADOLESCENTS

Jan Loney

132

REINFORCEMENT AND THE COMBINATION OF EFFECTS:

SUMMARY OF A THEORY OF OPIATE ADDICTION

William E. McAuliffe and Robert A. Gordon

137

ADDICTION TO AN EXPERIENCE: A SOCIAL-

PSYCHOLOGICAL-PHARMACOLOGICAL

THEORY OF ADDICTION

Stanton Peele

142

A FAMILY THEORY OF DRUG ABUSE

M. Duncan Stanton

147

SELF-ESTEEM THEORY OF DRUG ABUSE

R.A. Steffenhagen

157

BIOLOGICAL, PSYCHOGENIC, AND

SOCIOGENIC FACTORS IN DRUG DEPENDENCE

W.K. van Dijk

164

A THEORY OF OPIOID DEPENDENCE

Abraham Wikler

174

Theories on One's Relationship to Society

THE SOCIAL BASES OF DRUG-INDUCED EXPERIENCES

Howard S. Becker

180

DRUG ABUSE AS LEARNED BEHAVIOR

Calvin J. Frederick

191

PSYCHOSOCIAL THEORY OF DRUG ABUSE:

A PSYCHODYNAMIC APPROACH

Herbert Hendin

195

TOWARD A SOCIOLOGY OF DRUG USE

Irving F. Lukoff

201

ACHIEVEMENT, ANXIETY, AND ADDICTION

Rajendra K. Misra

212

THE NATURAL HISTORY OF DRUG ABUSE

Lee N. Robins

215

vii

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