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       Forces of habit: Addiction tough to beat


       By Jerry D. Spangler and James Thalman Deseret News staff writers Editor's note: Abuse of alcohol and drugs is a Utah epidemic. One out of 20 Utahns has a substance abuse problem needing treatment. The Deseret News examines addiction in a five-part series focused through the eyes of former and current addicts as they run the gantlet of political, social, economic and medical factors associated with those addictions. Roger Ashworth smirks when asked about anti-drug slogans. Roger Ashworth is supervised as he takes his methadone at Discovery House. He had a $700-a-day drug habit that he funded by stealing. Laura Seitz, Deseret News " 'Just say no.' 'Choose Life.' I didn't choose life, that's for sure," Ashworth says, briefly looking down as if he's watching his 19 years as an addict cross the clinic's vinyl floor. He pauses another second, thumbing his ring emblazoned with the initials CTR — "choose the right." "It wasn't life; it was something else," he says, absentmindedly taking up the straw in the soda cup that was dry at least four sips ago. "My life became my drugs. It was like I was the drugs. That's all I did, that's all I wanted, that's all I was." When he was arrested and jailed for shoplifting in 1997, Ashworth had been choosing the wrong for some time. He had a $700-a-day heroin and cocaine habit. He was underwriting it mostly by stealing expensive items like faucets and front door handles from home improvement stores, then trading them in at the customer service desk for money or vouchers. "It was pretty common to make $1,500 in three hours." He shot seven years and who knows how much money up his arm before he stopped for good two years ago. He first started getting high in school, still going to church on Sundays, "as normal and everyday as any kid." By the time he kicked, his need to not get sick far outweighed any desire to get high. "It's a very different motivation just to keep well," says Ashworth, who at 38 stays that way on a daily dose of methadone. "At some point with everyone, the high flips over to needing the drug just not to get sick. Every day after that becomes a chase, and finally you just can't do it any more. You just wear out, and you stop, or else you die. But one way or the other, you stop." Substance abuse is hardly a problem confined to festering crack houses or the shadows just off the State Street neon. It reaches into virtually every social, religious and economic group in the state. There are suburban moms addicted to pain pills, euphemistically called "Sandy candy," and working-class dads grappling with secret heroin habits. There are children far too young to carry the monkey; there are grandparents too old to remember their last moment of clarity. They come from good

      ABC News Homepage: I Can't Help Myself!


      Watching TV, you'd think the whole country is addicted to something: drugs, food, gambling - even sex or shopping. In Canada, some lawyers are suing the government, saying it is responsible for getting people addicted to video slot machines. (ABCNEWS.com) "The United States has elevated addiction to a national icon. It's our symbol, it's our excuse," says Stanton Peele, author of The Diseasing of America. There are conflicting views about addiction and popular treatments. So, we talked with researchers, psychologists and "addicts" and asked them: Is addiction a choice?

      Addiction Research on Tobacco and Tobacco-Related Cancers


      Goal Understand the causes of tobacco use, addiction, and related cancers and apply this knowledge to their prevention and treatment. Opportunity We have an unprecedented opportunity to reduce the enormous burden of tobacco use on our nation's public health. The investment proposed here will enable us to gather knowledge that will inform policy makers and public health practitioners about the best strategies for preventing and treating tobacco use and tobacco-related cancers. Supporting information: Identifying and Targeting Populations at High Risk for Tobacco Use Developing Optimal Smoking Prevention and Cessation Strategies Capitalizing on Social, Legal and Public Policy Developments Tobacco Statistics Identifying and Targeting Populations at High Risk for Tobacco Use We have made enormous progress in understanding at the molecular level the transformation of a normal cell to a cancer cell following exposure to tobacco carcinogens. Scientists have: Identified many cancer-causing agents contained in tobacco smoke. Shown that different tobacco products and methods of nicotine delivery influence the type and quantity of exposure to these agents. Determined that these multiple agents seem to induce similar changes, regardless of the cell's location in the body.

      Buprenorphine


      The Drug Addiction Treatment Act of 2000 (DATA 2000) expands the clinical context of medication-assisted opioid addiction treatment by allowing qualified physicians to dispense or prescribe specifically approved Schedule III, IV, and V narcotic medications for the treatment of opioid addiction in treatment settings other than the traditional Opioid Treatment Program (i.e., methadone clinic). In addition, DATA 2000 reduces the regulatory burden on physicians who choose to practice opioid addiction therapy by permitting qualified physicians to apply for and receive waivers of the special registration requirements defined in the Controlled Substances Act.

      National Institute on Drug Abuse - Drug Addiction Research and the Health of Women


      The mission of the National Institute on Drug Abuse (NIDA) is to lead the Nation bringing the power of science to bear on drug abuse and addiction. Common Drugs of AbuseAcid/LSDAlcoholCocaineClub DrugsDrug TestingHeroinInhalantsMarijuanaMDMA/EcstasyMethamphetamineNicotinePCP (Phencyclidine)Prescription MedicationsPrevention ResearchSteroidsStress & Drug AbuseTreatment ResearchTrends and Statistics National Institute on Drug Abuse Drug Addiction Research and the Health of Women Editors: Cora Lee Wetherington, Ph.D., Women's Health Coordinator Adele B. Roman, M.S.N., R.N., Deputy Women's Health Coordinator -------------------------------------------------------------------------------- If you have the Acrobat 3.0 reader plug-in for Netscape (no plug-in available for Internet Explorer) click on the one of the links below and you will be able to view and/or print out the pages. If you do not have the plug-in, or you use Internet Explorer, you will need to download the document to your hard drive and get Adobe Acrobat Reader (no-cost) in order to view it. Below is a list of available documents with links set up for downloading the files. Get Adobe Acrobat Reader -------------------------------------------------------------------------------- Table of Contents Foreword-------i Drug Addiction Research and the Health of Women-------1 Loretta P. Finnegan, M.D. Role of the Office of Research on Women's Health-------5 Vivian W. Pinn, M.D. Women and Substance Abuse: A New National Focus-------13 Susan J. Blumenthal, M.D., M.P.A. Women and Addiction in the United States-1850 to 1920 -------33 Stephen R. Kandall, M.D. Women and Addiction in the United States- 1920 to the Present-------53 Stephen R. Kandall, M.D. Keynote Address: Neurobiological Correlates of the Addictions: Findings From Basic and Treatment Research-------81 Mary Jeanne Kreek, M.D. Epidemiology The Epidemiology of Substance Use and Dependence Among Women-------105 Denise B. Kandel, Ph.D.; Lynn A. Warner, M.P.P.; and Ronald C. Kessler, Ph.D. Biological/Behavioral Mechanisms Cocaine Abuse and Reproductive Function in Women-------131 Nancy K. Mello, Ph.D. Stress-Related Psychopathology as a Vulnerability Factor in Drug-Taking: The Role of Sex-------151 D. Caroline Blanchard, Ph.D. Biological/Behavioral Mechanisms Panel Gender Differences in Cocaine Self-Administration in Rats: Relevance to Human Drug-Taking Behavior-------165 David C.S. Roberts, Ph.D., and Rachel Phelan, M.Sc. The Relevance of Stress and Eating to the Study of Gender and Drug Use-------173 Neil E. Grunberg, Ph.D., and Laura Cousino Klein, M.S. Translating Basic Research on Drugs and Pregnancy Into the Clinical Setting-------187 James R. Woods, Jr., M.D.