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Theories on Drug Abuse: Selected,Contemporary DOCUMENT RESUME \E11.203 259- CG 015 242. AUTHOR Lettieri, Dan J., Ed.: And Others TITLE Theories on Drug Abuse: Selected,Contemporary Berspectives.; Research Monograph 30. ' INSTITUTION Metrotec Research Associates, Washington, D.C. '.SPONS AGENCY National inst. on DrUg Abuse (DHHS), Rockville, Md. Div. of Research, REPORT NO , ADM-B0-967 ,l PUB DATE,. Mat 90 CONTRACT ADM-271-7973625 NOTE, 526p. AVAI'LABLE FROM Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402. FARE PRICE MF027PC22 Pius. 'Postage. DESCRIPTORS Pnthologies: *Prua rrug Addiction: g Edutation: Family Influence:illegal Drug Use Ind viduai Characteristics: *interpersonal Relationship:, loPersonality Traits; *PsychOlogical Patterns: Self Esteem: *Social Influences: *Theories: Youth Problems ABSTRACT This volume presents various theoreticalOrientations and perspectives, of the drug abuse research field, derived frOm. the social and biothedical sciences. The first section contains a separate theoretical overview.for.each of the 43 theories or perspectives. The second section contains five chapters which correspond:_to the five components of a drUg abuie theory, i.e., initiation, continuation, transition and use to abuse, cessation, and relapse. A series of guides, devised tofacilitate comparison and contrast of the theories, lists: '01 all contributing theorists and their professional affiliations`: (2) classifications of the theories into' fourcategories ofone'sfaationship- to ,self,', to others, to.society, and to nature:: (31, identificationsof the' theories by academic --dTh6Taline:(4) corresponding page.numlperg.fot each theory and its overview.:,and (5)a concise, comparative summary of each theory. Suggestions for the use of this referenpe are also included. (A'u'hor /NRB) ***ii-**********,(***************!Ic*************************** * IReproductor:-; siapplid. by EDPS are the best that can be made ..fros the original document.*********************************************************************** U S DEPARTMENT OF HEALTH, EDUCATION I WELFARE NATIONAL INSTITUTE OF EDUCATION THIS DOCUMENT HAS BEEN REPRO. DUCED EXACTLY AS RECEIVED FROM THE PERSON OR ORGANIZATION'ORIGIN AToNG IT POINTS OF VIEW OR OPINIONS STATED DO NOT NECESSARILY REPRE SENT OFFICIAL NATIONAL INSTITUTE OF EDUCATION POSITION OR POLICY THEORIES ON DRUG ABUSE Selected Contemporary Perspectives Editors: DAN J. LETTIERII Ph.D. MOLLIE SAYERS HELEN WALLENSTEIN PEARSON NIDA Research Monograph 30 March 1980 DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service tr) Alcohol, Drug Abuse, and Mental Health Administration CD National Institute on Drug Abuse CD Division of Research 5600 iishors Lane Rockville, Maryland 20857 Por sale the Superintendent of Documents. U.S. bovernpelirl'rIntlug ()Rice Washington. D.C. 20402 2 The NIDA Research Monograph sericl is prepared by theDivision of Research of the National Institute on Drug Abuse, Its primary objectiveIs to providp critical re views of research problem areas and techniques; the contentof state-oftheart conferences, Integrative research reviews and significantoriginal research. Its dual publication emphasis is rapid and targeted disseminationto 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 Neuropsychiatncinstitute 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 Now lis, Ph.D. Office of Drug Education. DHEW Washington, D C Lee Robins, Ph.D. Washington University School of Medicine St Louis. Missouri NIDA Research Monographseries 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 Porklawn building, 5600 Fishers Lone, Rockville, Maryland 20857 3 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 materialis 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 catalotg 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 Wondolin Astra Davidson, used with permission of the artist r iv Contents FOREWORD xi A GUIDE TO THE VOLUME xill Part 1 THEORETICALPERSPECTIVES 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 Dorrald W. Goodwin 12 INTERACTIVE MODELS OF NONMEDICAL DRUGUSE Richard L. Gorsuch 18 AN EXISTENTIAL THEORY OF DRU,G DEPENDENCE George B. Greaves 24 AN EGO/SELFTHEORY.OF SUBSTANCE DEPENDENCE: A CONTEMPORARY. PSYCHOANALYTIC PERSPECTIVE Edward J. Khantzian 29 A GENERAL THEORYOFADDICTION 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 CHRONICDRUG ABUSE James V. Spotts and Franklin C. Shontz 59 DRUG USE AS A PROTECTIVE SYSTEM Leon Wurmser 71 Theories on One's Relationship toOthers PSYCHOLOGICAL, SOCIAL, ANDEPIDEMIOLOGICAL FACTORS IN JUVENILE DRUG USE Isidor 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 Harris E. Hill ALCOHOL 90 FRAMEWORK FOR AN INTERACTIVETHEORY OF DRUG USE George J. Huba, Joseph A. Wingard, and Peter M. Gentler 95 A SOCIAL-PSYCHOLOGICALFRAMEWORK FOR STUDYING DRUG USE Richard Jessor and Shirley Jessor 102 TOWARD A THEORY OF DRUGSUBCULTURES Bruce D. Johnson 110 DEVELOPMENTAL STAGES IN ADOLESCENT DRUG INVOLVEMENT DeniseB. 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 THEdOMBINATION 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 QF 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 Relationelp to Society THE SOCIAL BASES OF DRUG-INDUCEDEXPERIENCES 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 ( CONTENTS (Continued) A THEORY OF DRUG DEPENDENCE BASEDON ROLE, ACCESS TO, AND ATTITUDES TOWARDDRUGS Charles Winick 225 THE SOCIAL SETTING AS A CONTROL MECHANISM IN-INTOXICANT USE Norman E. Zinberg 236 Theories on. One's Relationshipto 'Nature ADDICTION TO PLEASURE: A BIOLOGICALAND SOCIAL-PSYCHOLOGICAL THEORY OF ADDICTION Nils Bejerot 246 'METHADONE MAINTENANCE: A THEORETICAL PERSPECTIVE Vincent P. Dole and Marie E. Nyswander 256 A CHRONOBIOLOGICAL CONTROLTHEORY Mark Hochhauser 262 A BIOANTHROPOLOGICAL OVERVIEW OFADDICTION Doris F. Jonas and A. David Jonas 269 EMERGING CONCEPTS CONCERNINGDRUG ABUSE William R. Martin 778 SOMATOSENSORY AFFECTIONALDEPRIVATION (SAD) THEORY OF DRUG AND ALCOHOLUSE . James W. Prescott 286 THEORY OF ALCOHOL AND DRUG ABUSE: A GENETIC APPROACH Marc A. Schuckit 297 .OPIATE RECEPTORS AND THEIR IMPLICATIONS FOR DRUG ADDICTION 'Eric J. Simon 303 9 viii r CONTENTS; Part 2 THEORY COMPONENTS 310 CONTENTS--PART 2 313 INITIATION 336 CONTINUATION TRANSITION: USE TO ABUSE 357 378 CESSATION 402 RELAPSE 421 REFERENCES ix 10 Foreword One of the more striking aspects of drug research over the last few years is the relative upsurge of various models and theories explaining, wholly or In part, the problems of drug abuse.In fact, this rapid growth has signaled the need for a single, concise, and widely available volume which would allow Interested researchers to discover the exist- ence, diversity, convergence, and
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