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This book is the outcome of the First International Congress on Drugs and Alcohol to be held in Israel. Both the conference and this volume grew out of the need to overcome the specious man-made barriers which continue to separate intervention plans and efforts in the broad field of substance use and misuse. This need demands that all of us become aware not only of the differences which may separate our concerns, but also of the similarities in our goals and endeavors. We are obligated to draw together toward a common effort for the common good. The conference was designed to facilitate the exploration ot generic ~ssues. This volume is designed to document a variety of factors which are basic to the defining, selection, planning, implementation, and evaluation of substance use and misuse intervention. This book is not a traditional proceedings volume. Because the needs of a listening audience are quite different from those of the solitary reader, and the roles of a workshop or plenary session participant are also dissimilar from those of the reader, not all of the Congress presentations are included, and the articles that are included have undergone major revi sions. Current intervention needs and options demand a broad spectrum of clearly defined roles for all who are or should be involved. Hence these issues, among others, served as guidelines in the preparation of the revised articles.
Psychopharmacologist Ronald K. Siegel draws on 20 years of groundbreaking research to provide countless examples of the intoxication urge in humans and animals. Presenting his conclusions on the biological and cultural reasons for the pursuit of intoxication, Siegel offers recommendations for curbing the negative effects of drug use in Western culture by designing safe intoxicants.
The variety of viewpoints expressed in this book illustrate the many contro versies surrounding MDMA [1]. On the one hand, the proponents ofMDMA use believe this agent offers a unique psychoactive effect that may have important clinical applications, especially in the field of psychotherapy. On the other hand, the scientific data concerning the neurotoxic effects of the drug are unequivocal. The most striking feature of the human information of MDMA is the paucity of data that has been generated on the drug since it was patented in 1914. As pointed out by Beck (Chapter 6) and others, a clear need exists for better epidemiological and clinical data on MDMA. In the absence of such data, arguments both for and against the cotinued use ofMDMA with humans will be difficult to support. Unfortunately, the currently available data must be used to develop rational policies for potential human users of MDMA. At the present time, there are no data indicating that recreational doses of MDMA permanently damage the human brain. Nonetheless, based on a review of the contents of this book as well as on informal discussions with approximately 200 recreational users of MDMA, the following personal observations suggest that MDMA is radically different from other recreational drugs.