NCJ Number
107392
Journal
International Journal of Offender Therapy and Comparative Criminology Volume: 31 Issue: 2 Dated: (1987) Pages: 179-187
Date Published
1987
Length
9 pages
Annotation
This article traces the historical evolution of coca and cocaine use and reviews contemporary clinical aspects of recreational cocaine use.
Abstract
Cocaine is a powerful stimulant of relatively short duration, and low margin of safety, and a local anesthetic of high efficiency and toxicity. Its legitimate medical use has narrowed over the years; but as an illicit substance, cocaine has considerable popularity. Cocaine is referred to as the 'champagne of drugs.' According to epidemiological data, 28.7 percent of young adults (18-25 years old) have tried cocaine. The euphoric properties of cocaine can produce psychic dependence, and its chronic use can consume users' incomes. Polydrug abuse is common. Most cases of cocaine intoxication are mild; and adverse reactions are usually self-limited, with full recovery occurring in 24 hours. The more serious cases require brief psychiatric hospitalization and treatment with diazepam. The treatment of chronic cocaine abusers has few effective guidelines. Reported treatment methodologies include a behavioral approach based on contingency contracting, self-help groups, psychotherapy, and methylphenidate treatment. All of these methodologies have limitations. 59 references.