Cocaine Abuse: Behavior, Pharmacology,
and Clinical Applications
Stephen T. Higgins, Jonathan L. Katz
Synopsis
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Cocaine abuse remains a major public health problem and contributes
to many of our most disturbing social problems, including the spread of infectious disease,
crime, violence, and neonatal drug exposure. Cocaine abuse results from a complex interplay
of behavioral, pharmacological, and neurobiological determinants. While a complete understanding
of cocaine abuse is currently beyond us, significant progress has been made in preclinical research
on fundamental determinants of this disorder. These advances are critically reviewed in the first
section of this volume. Important advances also have been made in characterizing the clinical
pharmacology of cocaine, and those advances have been extended to understanding individual
vulnerability to cocaine abuse, development of effective treatments, and discussions of policy.
Those advances are critically reviewed in the third section of this volume. Contributors to the book
were selected because of their status as internationally recognized leaders in their respective areas
of scientific expertise. Moreover, each is a proponent of the importance of a rigorous, interdisciplinary
scientific approach to effectively addressing the problem of cocaine abuse. As such, this volume offers
a coherent, empirically-based conceptual framework for addressing cocaine abuse that has continuity
from the basic research laboratory through the clinical and policy arenas. Each of the specific
chapters is sufficiently detailed, in-depth and current to be valuable to informed readers with
specific interests while also offering a comprehensive overview for those who might be less informed
or have broader interests in cocaine abuse. This blend of critical review within each chapter with an
explicitly conceptual continuity that spans all of the chapters will make this volume a unique
contribution to cocaine abuse in particular and substance abuse in general.
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