Joseph Westermeyer – författare

This book is written specifically for family or primary care physicians who encounter substance abuse in their daily practice. A Clinical Guide to Drug and Alcohol Problems provides a comprehensive overview to help diagnose and treat these problems. The first five chapters provide basic information on historical and cultural issues, plus the pharmacology of all abused drugs the physician is likely to come into contact with and the epidemiology and etiology of substance abuse problems. The author then addresses the clinical manifestions and course of addiction; diagnostic techniques; principles of clinical management, treatment, and rehabilitation of addictive and other associated medical disorders; and guidelines for public health approaches to the problem.

This volume, is developed from a collaborative study sponsored by the World Health Organization over a period of five years, the result of the combined effort of over 30 experts working in 19 different countries. The book presents a comprehensive survey of the development, policy, and procedures of methadone maintenance in countries with experience in this treatment. In addition to presenting a general overview of methadone's role in treating opioid addiction, the volume also focuses on specific questions of current interest, particularly the critical issue of methadone maintenance in the prevention of AIDS. Public health specialists and policymakers will find this book an invaluable source of information about what can be expected from methadone maintenance programs and why such programs have achieved some success in the rehabilitation of opiate users, while so many other attempts in this area have failed.Following an introductory chapter, the contributors look at the impact of AIDS epidemiology on methadone policy. The role of methadone in addressing intravenous drug abuse and unsafe sex practices in drug dependent persons is explored in an attempt to assess the ability of methadone maintenance programs to stem the spread of AIDS. Subsequent chapters review the world literature on methadone in treating opioid dependency, explore national policies and practices regarding methadone maintenance, present an international survey of methadone's role, and analyze the present state of research on methadone. A bibliography and index complete the volume.

Opium production and use connote international intrigues, illicit wealth, and social degeneracy to industrialized societies. The experiences and attitudes of those growing and using opiumin poppy-producing areas are not always so dramatic or so negative. For a total of three years between 1965 and 1975, Joseph Westermeyer practiced medicine and studied the function of opiumin Laos, where it is a cash crop, and from 1975 to 1982 he spent an additional six months studying opium addiction in other parts of Asia. His work gives a clear picture of the very different ways opium and its use are regarded in a developing agricultural society.   Opium is a mainstay of the highland economy in Laos. Ease of Transport gives the poppy great advantage over other cash crops, although growers readily abandon its cultivation for work or animal husbandry that offers a higher profit. Opium can sometimes be used without addiction as a recreational intoxicant or folk medicine, but addiction is always a possibility, especially among the growers of the poppy themselves. Opium consumption can initially enhance productivity, but its long-term use is generally debilitating, and the biomedical, psychological, and familial problems commonly associated with drug addiction also occur in Laos. Westermeyer describes heroin as well as opium addiction, includes a chapter on Caucasian addicts, and evaluates indigenous and medical treatments for addiction. He shows how, lacking the cross-cultural perspective offered here, attempts by the United States to restrict opium flow have had little regard for the effect of narcotics policy on other countries, and actually opens the way for heroin use in Laos.   Westermeyer''s careful documentation is supplemented by individual vignettes that give a sense of the complex and often unpredictable reality of drug use. HIs analysis will change many stereotypic notions of opiate use in Asia, as it takes into account the myriad views and needs of people living under vastly different circumstances.   Opium production and use connote international intrigues, illicit wealth, and social degeneracy to industrialized societies. The experiences and attitudes of those growing and using opiumin poppy-producing areas are not always so dramatic or so negative.

Originally published in 1986, Refugee Mental Health in Resettlement Countries reviews the research on refugee social and psychological problems, presents recent studies on adjustment problems among refugees, and outlines clinical approaches to refugee patients at the time. One-third of the book considers issues and concerns relevant to child and adolescent refugees, which reflects their increased numbers in recent refugee movements and their different needs. The book is divided into four main parts: the first part provides important background information about refugee mental health in general; the second has descriptions of recent projects; the third makes specific treatment and assessment suggestions; and the fourth provides a summary and suggestions for the future. Today it can be read in its historical context.

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