"Drug Use in the Context of American Culture." Alcohol is such a big part of American life today that we rarely stop to consider our pattern of drinking. We drink wine with dinner, or have a few drinks after work, or even a few beers while watching a ball game, but when a pattern of drinking begins to emerge, it can become a problem. In the 1970s substance abuse in the United States was substantially higher than it is now. Over the last few years there has been a change in this trend. This is true among certain subgroups, such as adolescent, and in relation to certain drugs, such as marijuana. The use of alcohol, tobacco, and illicit drugs is widespread in our society and is associated with an increased risk for many different health problems. “There are more deaths, illnesses, and disabilities from substance abuse than from any other preventable health condition. Of the two million U.S. deaths each year, more than one in four attributable to alcohol, illicit drug, or tobacco use.” (Robert Wood Johnson Foundation, 1993, p. 8) In some societies, alcohol is associated with violent and anti-social behavior, while in others drinking behavior is peaceful. This is related to different cultural beliefs about alcohol, and expectancies regarding the effects of alcohol. Analysis of cross-cultural research reveals four near-universal ‘constants’, proscription of solitary drinking, prescription of sociability, social control of consumption and behavior, and restrictions on female and ‘underage’ drinking. The truth is drinking is, in all cultures, a social activity, and most societies have specific, designated environments for drinking. The 1960s were the heyday of illegal drug use. Hippies smoked marijuana, kids in ghettos pushed heroin, and a Harvard professor named Timothy Leary, urged the world to try LSD. In 1972, 60% of Americans thought that marijuana was physically addictive. Research shows that marijuana is not physically addictive, but it can be psychologically addictive. In the late ‘70s and early ‘80s drugs became more glamorous, without becoming better understood. As drug use increased over the years, Americans began to see it as a problem. By the mid-80s, the introduction of crack cocaine turned youth drug use into a truly terrifying issue. Crack was cheap, plentiful and highly addictive. By the last decade of the millennium, it appeared that fewer people were using drugs. The recent upswing in the use of heroin and "club drugs" was startling. "Ecstasy and crystal meth are popular in California, meth is big in the Midwest, and the New Jersey Turnpike is just ‘the Heroin Highway’.” The decline in illicit drug use by the Nation’s adolescents since the mid-to late-1990s has leveled off. Among 8th, 10th, and 12th graders, most measures of illicit drug use remained unchanged from 2009-2010. Trends in lifetime use of amphetamine and methamphetamine indicate statistically significant declines from peak-year use among all three grades. Many people do not understand why or how others become addicted to drugs. It can be wrongfully assumed that drug abusers lack moral principle or willpower and that they could stop using drugs simply by choosing to change their behavior. Drug addiction is a complex disease, and quitting takes more than good intentions. So what is the U.S. doing to reduce the consumption of psychoactive substances? The most effective way to treat drug addiction seems to be a combination of medication and behavioral therapies. Other substances can be used as substitutes for a drug, for instance methadone can replace heroin. Such substitutes act like the drug in some ways without inducing some of the more harmful effects. Another treatment often used is behavioral therapies that replace the motivation to use drugs with the motivation to engage in other behaviors. Effective public health programs can reduce the overall health burden of drug use, and treatment must be accessible to all in need. “Reference Page” Substance Abuse in the United States: The Extent of the Problem Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK16378/ Jennifer Robinson, (2002) Decades of Drug Use: Data from the '60s and '70s Retrieved from http://www.gallup.com/poll/6331/decades-drug-use-data-from-60s-70s.aspx (Revised March 2011) NIDA InfoFacts: Understanding Drug Abuse and Addiction Retrieved from http://www.drugabuse.gov/infofacts/understand.html The World Health Organization (2004) Psychoactive Drugs Tobacco, Alcohol, and Illicit Substances Retrieved from http://www.greenfacts.org/en/psychoactive-drugs/index.htm (Revised April 2011) NIDA InfoFacts: Nationwide Trends Retrieved from http://www.nida.nih.gov/infofacts/nationtrends.html Florida Institute of Technology (2010) Facts about Alcohol and Drug Abuse Retrieved from http://www.fit.edu/caps/articles/facts.php Social Issues Research Center. Social and Cultural Aspects of Drinking Retrieved from http://www.sirc.org/publik/drinking3.html