Drugs, Culture & Society

Drugs, Culture & Society 832:350:04 Fall 2013 Mon/Wed 1 :30-3 :00 Lucy Stone Hall B105 Alexandra Lopez, MA, LCADC, SAC, CPS, CCS, ICCS Email: [email protected]

(Syllabus should be viewed in Landscape Orientation)

Course Overview This course is designed to explore the relevant and historical impact of drugs on society. Students will examine historical, societal, psychological, behavioral and familial perspectives of substance use and abuse. Social, global and personal implications will be presented and discussed with a focus on current trends and process addictions. Topics of review and exploration will also include culture and drug use, pharmacology and physiology of mood altering substances, historical and current treatment options, and the journey through relapse and recovery. Trending subject matter will include the sensationalization of drugs and addiction by the media as well as health care reform and the impact of policy and legislation on prevention, intervention and recovery. Class will consist of lecture, discussion, guest lecture, relevant reading and videos and interactive class presentations. Students will also participate in on line discussions with peers.

Required Texts Sheff, N. (2008). Tweak: Growing up on methamphetamines. New York: Atheneum Books for Young Readers. Sheff, D. (2008). beautiful boy. A fathers journey through his sons addiction. New York: Mariner Books, Houghton Mifflin Harcourt.

COURSE OBJECTIVES include, but are not limited to, the following:

1. Students will identify and describe the history of drugs from a historical perspective. Students will demonstrate an understanding of the social progression from moral disposition to todays understanding of addiction as a disease of the brain.

2. Students will demonstrate an understanding of the concept of worldview and culture and its impact on social and political stigma related to addiction.

Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04 3. Students will demonstrate an understanding of the disease concept and etiology of addictions and addictive behaviors to include the impact of co-occurring substance use disorders on medical and psychological disorders and the potential for substance use disorders to mimic and coexist with medical and psychological disorders.

4. Students will demonstrate an understanding of the physiology and pharmacology of substances of abuse including new trends and substances.

5. Students will demonstrate an understanding of the importance of family, social networks, and community systems in the treatment of substance use disorders.

6. Students will demonstrate knowledge of process addictions including but not limited to eating disorders, gambling, shopping, hoarding, sex, gaming and technology and the prevalence of these conditions in our society.

7. Students will demonstrate an understating of the global impact of addiction including social, political and financial concerns in our society and abroad.

8. Students will demonstrate the ability to assess an individual’s stage of dependence, change, or recovery based on an holistic interpretation of the disease.

9. Students will demonstrate an understanding of the alternative uses, including medicinal, philosophical and cultural practices in various cultures.

Course Policies  Confidentiality: Due to the nature and subject matter of this course, students may share their personal experiences. This information is private and should not be repeated outside of this class.  Our academic environment is designed for learning, so remember to keep an open mind.  Every assignment is due on the specified date listed in the syllabus. No late assignments will be accepted unless approved by the instructor in advance of the deadline. Approved late assignments will receive an automatic one half-grade deduction.  This class depends heavily on student interaction and participation. Students are expected to attend class regularly and be active participants in discussions and lectures. Attendance will be taken at every class. After one absence (excused or not), each successive missed class will effect the students overall participation grade.

Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04  University Attendance Policy: Students are expected to attend all classes; if you expect to miss one or two classes, please use the University absence reporting website https://sims.rutgers.edu/ssra/ to indicate the date and reason for your absence. An email is automatically sent to me. Excused absences will be at the discretion of the instructor and must be reported prior to the class start time. In order for lateness to be excused, the instructor must receive notification via text or smartphone message. Persistent lateness will be cause for course grade deduction. *Excused absences must be reported on line and to the instructor prior to the start of class. Students are entitled to two excused absences per semester. After 2 absences, your final grade may be affected.  Students must comply with all university standards on academic conduct (see attached Statement of Academic Integrity)  Cell phones must be turned off during class.  Laptops are permitted for taking notes and looking up course-related material. All other uses (instant messaging, games, Social Networking, web surfing, etc.) will result in having to turn off your computer. Second offenses will result in barring your computer from the classroom.  Written assignments must be submitted using 12 -point font, typed double- spaced. Papers must be submitted in a PC compatible format that can be read and opened by the instructor. All papers must be submitted via the SAKAI assignment drop box on the date they are due.  Communication between scheduled class dates and times will be done via e-mail and on SAKAI Announcements. Students are responsible for checking e- mail and SAKAI regularly. I can be reached via e-mail at [email protected] or at [email protected].

Understanding the Syllabus:  The syllabus should be read prior to the start of the course! The syllabus should be your guide to the semester; however, because of the “sensitivity” and “complexity” of many of the topics, class time will often be taken up by discussion, case studies and related topics. As a result, we may go “off topic” or we may not achieve the expected goal for the date on the syllabus. Be advised that you will still be responsible for the reading – and I will work to be sure to cover all topics on the syllabus within the next week. Explanation and expectations for all assignments are listed in this syllabus!!  All Readings should be done prior to class and are listed in the syllabus by week. Students are expected to be prepared to participate in class discussions based on articles, videos and lectures. Class discussion on readings/videos will count towards your class participation grade. Copies of articles will not be provided unless they are listed in the 4th column of the syllabus.  All links to the Additional Links/Readings/ Videos (5th Column) are on the SAKAI course site under Resources. All readings are to be done on your own time and should not be done during class time. The Course PowerPoint (The Disease of Addiction) can be found under the class resources on SAKAI.  Additional articles, readings, etc. are encouraged and welcomed! If you find something of interest, please share it with me via e mail and I will share it with the class and you will be given full credit for your find! Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04  Movies and Videos in column 4 will be shown in class during class time. Any videos /articles in Column 5 are the responsibility of the student. If you have no access to renting or borrowing these films, please see me. If you miss a class when a film is shown, you are responsible for viewing the film on your own time. The films will be an integral part of class discussions and the final exam.  All Handouts listed in column 4 are on SAKAI. If you miss a class, or misplace a handout, it is your responsibility to print out and review the handout on your own time. Questions on missed material are welcomed and encouraged as long as the reading has been completed.  The TV Series Hoarders and Intervention: These are your responsibility and should be watched on your own time!. Links are available on SAKAI. You must watch one episode, of either show per week (can be older episodes).  ***The exam review is scheduled during class time listed on the calendar. Because the review is scheduled during class time, all students are expected to be present. If you miss the exam review, there will be no alternate times/options for the review. (Individual cases with emergency excuses only can be discussed privately with the instructor).  You are expected to keep up with the reading of both primary texts. Beautiful Boy should be read before TWEAK. You can read ahead – however, you should be careful to not confuse the themes and assignments listed for the second half of the semester. Please note that you are encouraged to read ahead on any additional articles/links, (column 5). This will keep you updated and prepared throughout the semester. Many of the readings and the videos are short – so use your time wisely and efficiently!  On line assignments/discussions will be announced in class and will count towards your participation. They must be completed during the scheduled time announced by the instructor.

*Assignments and Topics are Listed for Each Week: Section 04 Calendar Fall 2013 Date General Topic Lecture/Discussion Topics for the Week Text/Film Additional Text/Reading for this Topics by Week Handout week: ON YOUR OWN

Week 1 Course Overview • Expectations/Syllabus Review Introduction of Texts  A Brief History of Course Goals & Objectives to Learning • Explanation of Assignments Drugs: Video 9/4 Introduction of Addiction & Worldview • Introduction of Texts The Faces of Addiction:  Understanding • Introduction of Themes of Addiction Video Addiction: A Chronic Condition

On Going: Hoarders & beautiful boy/1-65 Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04 Intervention 1 Episode Per wee

Week 2 Drugs & Society: The History of  Defining Worldview beautiful boy/66-121 Substance Use and Abuse  The Myths of Addiction  Common Myths About 9/9  Definition of Addiction: History, Addiction : HBO Stigma & Myths Handout: Worldview  What’s Your Worldview?  HBO: Understanding Addiction: Addiction & the Brain

9/11 Drugs & Society: The History for National Geographic DrunkOn: Hoarders & Intervention: 1 Per Substance Use and Abuse and Disorderly/Video Week First Assignment: In Class Oral Presentation: Topic Distribution

Week 3 Understanding Drugs: Pharmacology of  Introduction of the Disease Model of beautiful boy/121-182  Mouse Party Abuse Addiction  Brain Regions Tied to 9/16 • Discussion of Signs, Symptoms of Class PowerPoint Addictive Choices Addiction  Mouse Party • Physiological & Psychological Effects  The New Science of of Substances Addiction: Genetics & the Brain In Class Presentations  Terence Gorski: The Disease Model of Addiction 9/18 Understanding Drugs: Pharmacology of In Class Presentations continued Russell Brand: Abuse Addiction/Video On Going : Hoarders & Intervention

Week 4 Understanding Addiction  Intro: Bio psycho-social-spiritual Modelbeautiful boy/183-250  When is Someone Addicted? of Addiction  Brain Regions Tied to 9/23  The Stages of Addiction Addictive Choices ID’d • Addiction: A Brain Disease  Psychological or Physical

In Class Presentations Continued

Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04 9/25 Addiction Defined On Going : Hoarders & In Class Presentations Intervention 1 Per Week

Week 5 Addiction and the Family  The Impact of Addiction on the  Claudia Black – Family beautiful boy 251-317(end) Family Roles 9/30  Family Roles  Claudia Black:  The Elephant in the Living Room: Children of Denial - Living With Addiction Growing Up with Addiction  A Mothers Desperation  Co-Dependency  HBO: Addiction Among Adolescents

10/2 Addiction & the Family Film: Rachel Getting Film & Discussion/ Continued Married

Week 6 Addiction & the Family  Adolescents & Addiction  HBO: Five Things to  Codependency Know About 10/7  Common Themes of Addiction Reading: TWEAK 1-61 Adolescents Brain  Children of Addicted Families Development and Use  Who Succumbs to Addiction… Amy Winehouse Article

10/9 Addiction & the Family, Cont’d On Going Assignment : Hoarders Paper 1 Due: Beautiful Boy & Intervention Week 7 Drugs & the Law: Understanding  Social Acceptance of Substances Something’s Wrong With  Substance Abuse & the Law 10/14 Implications  Addiction & the Law: DWI’s, etc. Aunt Diane : Film • The Worst Has Happened Guest Lecturer  MADD Statistics TWEAK/ 62-130  Saturday Night in a Dallas ER  Prisons & Drug Offenders

10/16 Drugs and the Law On Going: Hoarders & Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04 Intervention 1 Per Week Week 8 Process Addictions: Beyond the Drug  Defining and Assessing Process  An Introduction to Process Addictions: Eating Disorders, TWEAK/ 131-194 Addictions 10/21 Gambling, Sex Addiction, etc. • Understanding Process  Understanding Co-occurring Addictions Disorders

10/23 Process Addictions: Beyond the Drug Film: THIN

Week 9 Mental Health and Addiction  Review of THIN TWEAK: 195-263  Mental Illness: The Stigma  Understanding Mental Health/ of Silence 10/28 Medications and Beyond  What is Spirituality?  Co-occurring Disorders • Spirituality: An Important Tool In Addiction Recovery • Modern Mothers New Little Helper 10/30 Spirituality and Recovery/Medicine and  Understanding the Role of spirituality in • On Going: Hoarders & Beyond recovery Intervention 1 Per Week  Alternatives to Traditional Treatment  The 12 Step Model  Holistic Treatment & Recovery

Week 10 Treatment & Recovery  Review of treatment/recovery TWEAK/ 264-319 • Promoting Wellness & options Recovery Through Self Help 11/4  Relapse as a Part of recovery Groups  Alcoholics Anonymous  Treatment Approaches for Drug Addiction

11/6 Treatment & Recovery Handout: 12 Steps of AA Guest Lecturer/ AA Community On Going : Hoarders & (Tentative) Intervention 1 Per Week

Week 11 Cultural Implications and Addiction  Understanding culture in the context of TWEAK: end/Epilogue  Cultural Competency; Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04 11/11 disease Impact on Addiction  Cultural Implications of Addiction: Research, treatment, recovery  Addiction Today: Technology & Media 11/13 Cultural Implications of Addiction The FACEBOOK Experiment (reviewed in TWEAK/ Epilogue class) On Going : Hoarders & Intervention; 1 Per Week

WEEK 12 Current Trends in Addiction: Global  The Costs of Addiction/Drugs Implications  The Prescription Drug Epidemic  Waiting to Inhale Video 11/18  Medical Marijuana: The Debate • Rutgers Student Killed  Alternative Uses for Drugs/Substances- • The Global Health Costs of Are They All Bad? Addiction • Saturday Night in a Dallas ER: Video • The Daily Targum and the Legalization of Marijuana

11/20 Current Trends in Addiction: Global Film: Things We Lost in the Fire Implications Paper 2 Due : TWEAK

Prevention & Intervention  Personal Loss / Social Implications  Who Succumbs to Addiction  Legal Aspects and Who Is Left Unscathed? WEEK 13  Intervention VS. Prevention NY Times.com 11/25  Review and Discussion of Global • Lindsay Lohan Admits Policy Cocaine Use, Three Rehab Visits • Could Intervention Have Saved a Star?

On Going : Hoarders & Intervention 1 Per Week 11/27 No Class – Thanksgiving Break Week 14 Drugs and Society: Our New World  The Future of Addiction Studies  He Said He Said Views  The Application of Disease Model  Texas Meth Videos 12/2 in Health Care  Methamphetamine Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04  Media and Addiction Addiction  I am Your Disease / Handout 12/4 Drugs and Society: Our New World Views WEEK 15 FINAL EXAM REVIEW IN CLASS TBA 12/9 12/11 TBA: As Scheduled by University  Course Assignments 1. In-Class Oral Presentation (5%) Students will be required to research mood -altering substances/chemical as assigned in class and then present their findings to the class. These assignments will be presented in class/orally. In-Class presentations will take during class time as per the syllabus. Students must submit a written outline of their presentation & research including references. (1 Page) Students should include the following in their presentations:  The pharmacology of the substance  Physiological impact on the brain/body & addictive qualities  Any Alternative Uses of Substance (historical or current)  Current trends related to the substance  Is this Substance Addictive

 In class oral presentation topic will be assigned in class.

 2. Beautiful Boy: Themes of Addiction Paper (20%) Due on Friday October 9, 2013 before midnight

Students will be expected to read both texts and submit two written papers based on the readings and the assigned “Themes of Addiction”. Themes will be introduced, defined and discussed during class time allowing the student the opportunity to interpret the text, as they see it, while applying acquired knowledge of the disease of addiction. Students must reference the assigned text as well as additional readings, movies and videos in their journals in order to receive full credit. Papers must be a minimum of 5 pages long/ maximum of 6 pages double spaced 12-point font.

Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04  The following themes must be discussed in the Beautiful Boy Paper in addition to other expected points listed below. They should be clearly identified either in BOLD or Underlined throughout the paper. o Love o Betrayal/trust o Guilt/Shame o Isolation/loss o Forgiveness/Letting Go

 You Must reference “Rachel Getting Married” /Film  You must include reference/discussion of a minimum of 5 Additional Readings/Videos (from row 5 in the syllabus) from the first half of the semester in this paper.  You must discuss either Hoarders or Intervention  You must share/present your opinion in this paper  You Must Bold all references to additional Articles

 See SAKAI for details on paper and submission criteria.

3. TWEAK: Themes of Addiction (20%) Due on Due: 11/20/2013

Themes to be discussed in paper: o Manipulation o Grandiosity o Denial /escape o Forgiveness/Letting Go o Spirituality  You must reference/discuss “Thin” & “There’s Something Wrong With Aunt Diane” in this paper  You must include reference/discussion of a minimum of 5 Additional Readings/Videos (from row 5 in the syllabus) from the first half of the semester in this paper (in BOLD)  You must share/present your opinion in this paper  You must include mention of either Hoarders or Intervention Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04  You must include a 6th page with a comparison of the two texts. This paper should be a 6 pages in length .

4. Class Participation (35%) *As the course design depends heavily on class participation, students will be graded on a scale from 60% -100% for their participation. A grade of 90%-100% would require a student to clearly demonstrate that course readings were done, engage in class discussions through insightful questions, and play an active role to moving the course forward. Attendance will be considered in the total participation grade.

*As a part of class participation, students will be asked to discuss the texts as well as class films during scheduled class times. Students will also be asked to watch and discuss popular television/on line series related to course topics on their own time. These discussions will count towards the class participation final grade! The purpose of this ongoing assignment is to think critically about the Sensationalization & Glamorization of drugs in modern culture. Students are asked to watch one episode of either show per week for the entire semester. You must watch either/or:

 Intervention: GRB Productions for A&E Network < http://www.aetv.com/intervention/index.jsp >  Hoarders: A&E Television Networks (2011) < http://www.aetv.com/search/schedule.do? keywords=Hoarders&Search.x=0&Search.y=0 >

*Students will also be asked to participate in on line discussions throughout the semester. These will be announced during the semester and will be posted on SAKAI. Participation in online discussions will count as a percentage under class participation. (5%)

5. Final Examination (20%) This exam will consist of brief essay-style questions designed to help students synthesize the material covered throughout the semester. The review will take place during class time (TBA). All students must be present for this review. Final exam dates and specifics will be announced during the semester and may be subject to change based on the academic calendar.

Extra Credit: Opportunities for “extra credit” may be available be assigned during the semester.

Office Hours:

Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04 Office hours available by appointment. Appointments can be arranged before or after scheduled class times or via e mail [email protected].

Grading Policy:

Letter % Range A 90-100 % B+ 85-89.99 % B 80-84.99 % C+ 75-79.99 % C 70-74.99 % D 60-69.99 % F <60%

Academic Integrity: Academic integrity is essential to the success of the educational enterprise and breaches of academic integrity constitute serious offenses against the academic community. Every member of that community bears a responsibility for ensuring that the highest standards of academic integrity are upheld. Only through a genuine partnership among students, faculty, staff, and administrators will the University be able to maintain the necessary commitment to academic integrity.

The University administration is responsible for making academic integrity an institutional priority and for providing students and faculty with effective educational programs and support services to help them fully understand and address issues of academic integrity. The administration is also responsible for working with other members of the academic community to establish equitable and effective procedures to deal with violations of academic integrity.

The faculty shares the responsibility for educating students about the importance and principles of academic integrity. Individual faculty members are also responsible for informing students of the particular expectations regarding academic integrity within individual courses, including permissible limits of student collaboration and, where relevant, acceptable citation format. Finally, all members of the faculty should report all violations of academic integrity they encounter.

Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04 Students are responsible for understanding the principles of academic integrity fully and abiding by them in all their work at the University. Students are also encouraged to report alleged violations of academic integrity to the faculty member teaching the course in which the violation is alleged to have occurred.

All members of our community must be confident that each person's work has been responsibly and honorably acquired, developed, and presented. Any effort to gain advantage not given to all students is dishonest, whether or not the effort is successful. A violation of academic honesty is a breach of trust, and will result in penalties, including possible suspension or expulsion. When in doubt about plagiarism, paraphrasing, quoting, or collaboration, consult the course instructors.

For additional information, go to: http://academicintegrity.rutgers.edu/students.shtml

Drugs, Culture & Society Alexandra Lopez, MA, LCADC, SAC, CPS, DRCC, CCS, ICCS Fall 2013 832:350:04