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chance of not being destroyed by drug abuse even if he or she becomes involved later.
SOCIAL DEVIANCE THEORY (p. 90)
There appear to be several powerful interacting factors which determine
The following appear to be the chief factors which produce the special vulnerability of social deviants to addiction. They are deficient in daily pursuits which are reinforced by and bring satisfaction to the larger society; they are not deterred from unusual behavior by counteranxiety, which in the "mature" adult can be partially identified as inhibitions; because of these deficiencies they are especially susceptible to short-term satisfactions, and if drugs are available they can themselves rapidly manipulate their personal state.
One of the most difficult problems in the etiology of the addictions, and one which apparently has a direct connection with specific effects of drugs, is concerned with the use of a particular agent when others are equally available. Alcohol and opiates, although having some effects in common, perhaps even some common effects on conflict and anxiety, frequently produce diametrically opposite actions. lt thus seems apparent that alcohol and opiates differentially but specifically alter the probability of occurrence of particular classes of responses.
Briefly, in this connection, it is assumed for the general case that the behavioral equipment of the individual is composed of specific responses or response patterns which have certain probabilities of occurrence (strength) in any given situation. Since different responses of the individual differ in strength, they form a response hierarchy for a given situation ranging from the response which is most likely to that which is least likely to occur (Hull 1934; Miller and Dollard 1941). As an organizing principle in research on psychopharmacology, and for its applicability to the addictions, it is hypothesized that drugs rearrange the individual's response hierarchy in ways which are specific for a particular drug and for a given situation.
BIOLOGICAL RHYTHM THEORY (p. 262)
The chronobiological control theory suggests that an individual who perceives himself or herself in a helpless situation, in terms either of behavioral or internal events, may resort to drug use in an effort to achieve some degree of perceived control over these experiences, especially when other nondrug alternatives are not available or have been found ineffective. ln summarizing what is known about these early drug experiences, Gorsuch and Butler (1976a) suggest that initial drug use may occur (1) to respond to a state of physical pain; (2) to deal with mental anguish; (3) to provide relief from boredom through sensation seeking. Future research must focus on the sources of the physical/mental pain and how a particular strategy is selected in order to cope with such pain.
INTERACTIVE FRAMEWORK (p. 95)
ln our current conception, we believe that initiation of drug use,
DRUG SUBCULTURES THEORY (p. 110)
lnitiation to drug use was studied carefully in the 1970s (Johnston et al. 1978; Jessor and Jessor 1977; Jessor 1979; Kandel 1975, 1976, 1978b). All studies show that initiation to marijuana is critical to the initiation to other drugs (except alcohol). Three major factors have been identified in the initiation of marijuana: (1) prior use of alcohol, (2) predisposing factors (sex, family cohesion, political conservatism/ leftism, ethnicity, religiosity, etc.), and (3) friends' use of marijuana. Borrowing from reference-group (Sherif and Sherif 1964), differentialassociation (Sutherland 1939), and social-learning (Akers 1977) theory, drug-subculture theory hypothesizes that the predisposing factors indicate the influence of the parent culture upon youths; parent culture values may also influence the choice of friends and patterns of friendship choice. The activities of friendship cliques are also strongly influenced by the peer culture. Many peer groups, following peer culture values and conduct norms, expect group members to engage in various forms of unconventional behavior of which cigarette and alcohol use are usually begun earliest. ln addition, one or more peer group members may, through contact with other friends, by following examples given in the mass media, or by learning via other informal communication (Fine and Kleinman 1979), also orient themselves toward the cannabis subculture and begin use. As the proportion of the peer group or other friends (or other reference group) using marijuana increases, the probability that any individual member will begin using marijuana increases steadily (Kandel 1978b). Nonusers may be directly pressured by friends ("Are you afraid to try pot? lt's harmless and gives a great high ") or indirectly pressured because of the belief that most of their friends are using marijuana (even though they may not be) or the feeling that use is expected by their friends.
The actual initiation to marijuana use almost always occurs among relatively close friends, from whom the nonuser learns the smoking techniques and how to define the sensations of intoxication as a pleasurable and valuable experience (Becker 1963; Orcutt 1978; Akers et al. 1979). Thus, cannabis subcultural values and conduct norms are mediated through the peer group. The precise order of events leading to marijuana use probably varies from case to case, and the causal order, if it exists, has yet to be untangled.
lnitiation to the nonmedical use of drugs other than marijuana generally occurs after marijuana initiation and subsequent use. lnitiation to the cannabis subculture (and to the alcohol misuse subculture) teaches the critical value common to all drug subcultures—the desire to get "high" via the consumption of substances. After this value is learned, euphoric experiences continue to reinforce it, and, as a result, other substances are frequently and easily redefined as potential sources of enjoyment. The neophyte user may also be expected to initiate the use of one or more other substances, to which he or she may be introduced by friends or other associates, thus becoming involved in the multiple-druguse subculture (Single et al. 1974).
lnitiation to the heroin-injection subculture is strongly influenced by having heroin-using friends that may have been gained via extensive involvement in selling marijuana and other drugs (Johnson 1973) and after relatively extensive use of cannabis and other drugs (O'Donnell and Clayton 1979).
DEVELOPMENTAL STAGES THEORY (p. 120)
The findings that different social psychological factors predict adolescent initiation into different stages of drug use provide evidence for the existence of stages. We have combined the notion that adolescent drug use involves sequential stages with a longitudinal research design in which the population at risk for initiation into each of the stages could be clearly identified. This has allowed us to assess the relative importance of various factors in predicting initial transitions into various types of drug behaviors. The three sequential stages of adolescent drug use are hard liquor, marijuana, and other illicit drugs. Each of four clusters of predictor variables—parental influences, peer influences, adolescent involvement in various behaviors, and adolescent beliefs and values—and single predictors within each cluster assume differential importance for each stage of drug behavior. Prior involvements in a variety of activities, such as minor delinquency and use of cigarettes, beer, and wine, are most important for predicting hard liquor use. Adolescents' beliefs and values favorable to the use of marijuana and association with marijuana-using peers are the strongest predictors of initiation into marijuana. Poor relations with parents, feelings of depression, and exposure to drug-using peers are most important for predicting initiation into illicit drugs other than marijuana.
Thus, at the earliest levels of involvement, adolescents who have
SELF-DEROGATION THEORY (p. 128)
Drug use/abuse patterns are among alternative deviant patterns adopted
By virtue of the (actual) association between past membership group experiences and the development of intensely distressful negative self-attitudes, the person loses motivation to conform to and becomes motivated to deviate from membership group patterns. Simultaneously, the unfulfilled self-esteem motive prompts the subject to seek alternative (that is, deviant) response patterns which offer hope of reducing the experience of negative (and increasing the experience of positive) self-attitudes.
Which of several deviant patterns is adopted will be a function of the person's history of experiences influencing the visibility and subjective evaluation of the self-enhancing/self-devaluing potential of the pattern(s) in question.
Given the predisposition to adopt some form of deviance, an illicit drug use pattern (rather than patterns of theft, interpersonal violence, suicide, etc.) would be adopted insofar as (perhaps due to the availability of the drug) the behavior was apparent in the environment, the person did not anticipate adverse consequences (e.g., loss of control, incarceration), and did anticipate self-enhancing outcomes (e.g., acceptance by a positive reference group, anesthetization of selfrejecting feelings).
EGO/SELF THEORY (P- 29)
My work with drug dependency has focused on individuals in whom the
The nature of the ego and self disturbances of certain individuals leaves them more prone to begin drug use. The nature of these ego and self disturbances is related to failures or deficiencies in drive/ affect defense, self-esteem, and self-care. Having failed to develop adequate internal mechanisms for coping with internal drives and emotions, the addiction-prone individual is constantly involved with a range of behaviors and activities, including drug use, in the external world to serve the needs for a sense of well-being, security, and pleasure. Shaky or rigid defenses and low self-esteem cause him or her to turn more exclusively to the external environment for the satisfaction of such needs and wants. Wurmser (1974) has referred to this predisposition as an "addictive search" and has expanded eloquently on how such predispositions are part of the necessary and sufficient causes that lead to addiction. lt is the constant search and hunger for satisfactions from one's environment interacting with the more incidental and adventitious influences such as exposure to drugs, availability, and peer-group pressures that determine the initiation of and experimentation with drug use.