Controlled illicit drug use

Michal Nesládek

Abstract

A consumption of illegal drug is traditionally considered to be a pathological phenomenon that inevitably leads to a drug addiction and to health, social or economic damage to both users and their kith and kin. However, research studies that have been carried out during last decades show that long term use of illicit substances in a controlled way is possible and when following of appropriate control mechanisms it effectively prevents the aforementioned problems that are usually linked to the drug use. This article summarizes current knowledge about controlled use of illicit drugs (heroin, cocaine, amphetamines, methamphetamines, marijuana, MDMA/ecstasy and hallucinogens): Individual theoretical models of control achievement are described, which differs in number of influencing variables and in their impact on gaining and maintaining control. Control mechanisms related to all aspects of drug use are considered to be key elements of control, irrespective of particular substance. Self-controlling users demonstrate multifarious patterns of use. Less risky and less intensive methods of use without injection application are prevailing. A typical self-controlling user is an unmarried and childless young man who lives in a relationship. Possible areas that could benefit from the concept of controlled drug use include addiction treatment and prevention.

(Fulltext in Czech)

Keywords

drugs, controlled use, patterns of drug use

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