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Drug Policy in World Historical Perspective: The Five Stages of Regulation David T. Courtwright dcourtwr@unf.edu Second Annual Conference International Society for the Study of Drug Policy Lisbon, Portugal, April 3, 2008. Five Stages of Drug Regulation.

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Drug Policy in World Historical Perspective:The Five Stages of RegulationDavid T. Courtwrightdcourtwr@unf.eduSecond Annual Conference International Society for the Study of Drug PolicyLisbon, Portugal, April 3, 2008

five stages of drug regulation
Five Stages of Drug Regulation

1. Sporadic, sometimes fierce, opposition to novel psychoactive drugs in the fifteenth and early sixteenth centuries.

2. Legal, taxed, and fast-expanding global drug trade, mid-seventeenth to mid-nineteenth centuries.

3. Selective restriction and prohibition, late nineteenth to early twentieth centuries.

4. Era of tobacco-alcohol double standard, mid-twentieth century.

5. Re-emergence of ATOD paradigm and movement toward more comprehensive drug control, late twentieth-century to the present.

slide6

Five Stages of Drug Regulation

1. Sporadic, sometimes fierce, opposition to novel psychoactive drugs in the fifteenth and early sixteenth centuries.

2. Legal, taxed, and fast-expanding global drug trade, mid-seventeenth to mid-nineteenth centuries.

3. Selective restriction and prohibition, late nineteenth to early twentieth centuries.

4. Era of tobacco-alcohol double standard, mid-twentieth century.

5. Re-emergence of ATOD paradigm and movement toward more comprehensive drug control, late twentieth-century to the present.

five stages of drug regulation1
Five Stages of Drug Regulation

1. Sporadic, sometimes fierce, opposition to novel psychoactive drugs in the fifteenth and early sixteenth centuries.

2. Legal, taxed, and fast-expanding global drug trade, mid-seventeenth to mid-nineteenth centuries.

3. Selective restriction and prohibition, late nineteenth to early twentieth centuries.

4. Era of tobacco-alcohol double standard, mid-twentieth century.

5. Re-emergence of ATOD paradigm and movement toward more comprehensive drug control, late twentieth-century to the present.

five stages of drug regulation2
Five Stages of Drug Regulation

1. Sporadic, sometimes fierce, opposition to novel psychoactive drugs in the fifteenth and early sixteenth centuries.

2. Legal, taxed, and fast-expanding global drug trade, mid-seventeenth to mid-nineteenth centuries.

3. Selective restriction and prohibition, late nineteenth to early twentieth centuries.

4. Era of tobacco-alcohol double standard, mid-twentieth century.

5. Re-emergence of ATOD paradigm and movement toward more comprehensive drug control, late twentieth-century to the present.

slide13

Sources of Opposition to Nonmedical Drug Use thatIncrease the Likelihood of Restriction or Prohibitionand Generate Labels of “Abuse” or “Addiction”

Group Survival

Deviant

Associations

Direct Harm to

Self and Others

Sinful

Conduct

Social Costs

mortality among physicians in natchez mississippi 1823 1853
Mortality among physicians in Natchez, Mississippi, 1823-1853

Temperate physicians

28 of 37 still alive in 1853

Intemperate physicians

3 of 25 still alive in 1853

“They believed in the hygienic virtues of alcoholic drinks, and taught that doctrine by precept and example.”

-- Samuel A. Cartwright, M.D.

slide16

Sources of Opposition to Nonmedical Drug Use thatIncrease the Likelihood of Restriction or Prohibitionand Generate Labels of “Abuse” or “Addiction”

Group Survival

Deviant

Associations

Direct Harm to

Self and Others

Sinful

Conduct

SocialCosts

slide19

Sources of Opposition to Nonmedical Drug Use thatIncrease the Likelihood of Restriction or Prohibitionand Generate Labels of “Abuse” or “Addiction”

Group Survival

Deviant

Associations

Direct Harm to

Self and Others

Sinful

Conduct

Social Costs

slide22

Sources of Opposition to Nonmedical Drug Use thatIncrease the Likelihood of Restriction or Prohibitionand Generate Labels of “Abuse” or “Addiction”

Group Survival

Deviant

Associations

Direct Harm to

Self and Others

Sinful

Conduct

Social Costs

slide24

Sources of Opposition to Nonmedical Drug Use thatIncrease the Likelihood of Restriction or Prohibitionand Generate Labels of “Abuse” or “Addiction”

Group Survival

Deviant

Associations

Direct Harm to

Self and Others

Sinful

Conduct

Social Costs

five stages of drug regulation3
Five Stages of Drug Regulation

1. Sporadic, sometimes fierce, opposition to novel psychoactive drugs in the fifteenth and early sixteenth centuries.

2. Legal, taxed, and fast-expanding global drug trade, mid-seventeenth to mid-nineteenth centuries.

3. Selective restriction and prohibition, late nineteenth to early twentieth centuries.

4. Era of tobacco-alcohol double standard, mid-twentieth century.

5. Re-emergence of ATOD paradigm and movement toward more comprehensive drug control, late twentieth-century to the present.

five stages of drug regulation4
Five Stages of Drug Regulation

1. Sporadic, sometimes fierce, opposition to novel psychoactive drugs in the fifteenth and early sixteenth centuries.

2. Legal, taxed, and fast-expanding global drug trade, mid-seventeenth to mid-nineteenth centuries.

3. Selective restriction and prohibition, late nineteenth to early twentieth centuries.

4. Era of tobacco-alcohol double standard, mid-twentieth century.

5. Re-emergence of ATOD paradigm and movement toward more comprehensive drug control, late twentieth-century to the present.

slide36

Drug Policy in World Historical Perspective:The Five Stages of RegulationDavid T. Courtwrightdcourtwr@unf.eduSecond Annual Conference International Society for the Study of Drug PolicyLisbon, Portugal, April 3, 2008