CHAPTER 3GENDER IDENTITY AND DRUG ADDICTION IN EUROPE: DESCRIPTIVE ANALYSIS OF THEBIBLIOGRAPHY 1The comparative study on the subject of gender <strong>identity</strong> and <strong>drug</strong> addiction isdef<strong>in</strong>ed <strong>in</strong> this first phase accord<strong>in</strong>g to an essentially bibliographical and cognitivepo<strong>in</strong>t of view. It has enabled certa<strong>in</strong> prelim<strong>in</strong>ary type considerations that highlight the<strong>in</strong>terest from a po<strong>in</strong>t of view of specificity and the importance of relapses from thepo<strong>in</strong>t of view of treatment with reference to the <strong>Europe</strong>an context <strong>in</strong> which it wascarried out (Spa<strong>in</strong>, Italy, Germany, France, Portugal).The first evident observation is that, both from a scientific and from an operativeprofessional po<strong>in</strong>t of view, the problem of <strong>drug</strong> addiction was confronted <strong>in</strong> <strong>Europe</strong>from an almost exclusively mascul<strong>in</strong>e po<strong>in</strong>t of view. This was founded on thesupposition that the knowledge and relative data on <strong>drug</strong>-addicted men can begeneralised and no dist<strong>in</strong>ction accord<strong>in</strong>g to gender is necessary.In <strong>Europe</strong> the evolution of literature has revealed itself to be much slower and it isstill actually <strong>in</strong> a prelim<strong>in</strong>ary stage unlike <strong>in</strong> the USA where there has been a grow<strong>in</strong>gawareness s<strong>in</strong>ce the 1980’s that female <strong>drug</strong> addiction should be regarded as a specificand autonomous theme mak<strong>in</strong>g up a conceptual plan (Blume, 1990; Nelson-Zlupko,1996).The bibliographic research has <strong>in</strong> fact highlighted the lack of or limited supply ofthese cognitive elements regard<strong>in</strong>g this problem even though it can also represent animportant prelim<strong>in</strong>ary <strong>in</strong>troduction and start<strong>in</strong>g po<strong>in</strong>t for more detailed reflections andfor the def<strong>in</strong>ition of future l<strong>in</strong>es of research.In particular, not only should the general lack of scientific contributions on female<strong>drug</strong> addiction be noted, but also the difficulty due to factors of methodological orderof analysis and comparison of the other data and contributions determ<strong>in</strong>ed by theresearchers of the countries <strong>in</strong>volved.1The overall analysis of the <strong>Europe</strong>an literature was based on the f<strong>in</strong>al reports of the <strong>in</strong>dividual countriesparticipat<strong>in</strong>g <strong>in</strong> the research, <strong>in</strong> particular: P. Stocco, L. De Fazio, Italy; H. Broemer (Germany); A. Houel,F. Venner (France); J.J. Llopis Llacer (Spa<strong>in</strong>).45
With regard to this, the problematic deriv<strong>in</strong>g from the lack of protocol ofregistration of the data on <strong>drug</strong> addiction at a <strong>Europe</strong>an level should be underl<strong>in</strong>ed. Thishas also made any attempt to quantify the phenomena <strong>in</strong> different countries difficult,both <strong>in</strong> general and accord<strong>in</strong>g to sex. It has also contributed to a sort of “unisex” visionof the problem.This is despite that fact that some time ago or to be more exact <strong>in</strong> 1996, the<strong>Europe</strong>an Council noted that female <strong>drug</strong> addiction had undergone a noticeableevolution <strong>in</strong> recent years <strong>in</strong> that women are gradually consum<strong>in</strong>g levels similar to men.The first <strong>Europe</strong>an country to show an <strong>in</strong>terest <strong>in</strong> the problematic women and <strong>drug</strong>swas Germany. Already back <strong>in</strong> the 1970’s <strong>in</strong> cl<strong>in</strong>ical circles the phenomena began to bedealt with <strong>in</strong> terms of gender <strong>identity</strong> and the opportuneness of provid<strong>in</strong>g specifictreatment and prevention programmes which began to be experimented a short whilelater, start<strong>in</strong>g <strong>in</strong> the 1980’s (Leopold, Steffan, 1994; Broemer, Huber, 1996; LeopoldSteffan, 1996).In Spa<strong>in</strong>, on the other hand, the <strong>in</strong>terest shown <strong>in</strong> female <strong>drug</strong> addiction is quite low,with contributions which are above all of a popular type and limited to the affirmationof the specificity and differences with respect to the male without actually confront<strong>in</strong>gthe problem (Orte Socias, 1997). Similarly, <strong>in</strong> Italy the existence of specificcontributions revealed itself to be quantitatively very limited pay<strong>in</strong>g very little <strong>in</strong>terestat a qualitative level. More over, they were papers of a more popular character or werebased on samples that were not representative of the actual situation <strong>in</strong> the country(Malagoli Togliatti, 1993; Coluccia, Traverso, Ferretti, 1996).In France, the topic was developed due to the emergency that arose with thephenomena of HIV (Ingold 1996) while the Portuguese scientists brought forwardcontributions regard<strong>in</strong>g the problem of pregnancy and maternity for <strong>drug</strong> addictsalthough they generally showed scarce <strong>in</strong>terest <strong>in</strong> the subject women and <strong>drug</strong>s.Due to the aforementioned difficulties of comparison dictated by the lack ofuniform methodologies, the phenomena of female <strong>drug</strong> addiction <strong>in</strong> <strong>Europe</strong>an circlesoutl<strong>in</strong>es itself as superficial and imprecise.Furthermore, the same consideration is true of American literature which quotes afrequency of women <strong>drug</strong> addicts equivalent to 20-25%.From a quantitative po<strong>in</strong>t of view, the number of <strong>drug</strong> addicts <strong>in</strong> Germany withoutdist<strong>in</strong>guish<strong>in</strong>g the sexes varies between an estimated 100,000 and 150,000 with anaverage age of 25 to 35. This distribution can be compared to that found <strong>in</strong> France,Denmark and Holland where there are 100-200 consumers of hard <strong>drug</strong>s per 100,000<strong>in</strong>habitants. In Italy and Spa<strong>in</strong> this ratio seems to be higher and corresponds toapproximately 250-300 <strong>drug</strong> addicts per 100,000 <strong>in</strong>habitants (Heckmann et al.,1993;Vogt, 1995).As far as the distribution accord<strong>in</strong>g to sex is concerned, the literature underexam<strong>in</strong>ation does not allow us to hazard hypotheses even if a generic m<strong>in</strong>or frequency46
- Page 1: Women drug abuse in Europe:gender i
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- Page 10 and 11: INDEXPagePreface(by P. Stocco, A. C
- Page 12 and 13: PREFACEThis book presents a series
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- Page 70 and 71: BEST PRACTICES(*)The aim of this pa
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VADEMECUMOne of the main aims of th
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An MMP is seen as contra-indicated
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11) Improving the activity of infor
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34) During pregnancy addicted women
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IREFREA:Drug-addiction and gender i
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9) If no, why? (multiple choices)1:
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19) What was the result? (multiple
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• Could you explain the reason of
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38) If your partner used to take dr
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5: danger of diseases ❒ 48.56: ba
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60) Present relationship: (only 1 a
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75) Which were your worries? (multi
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6: drug-addiction ❒ 86.67: prejud
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• How did doctors and the staff b
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LEGAL DIMENSION113) Have you actual
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• Have you ever felt discriminate
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137) How old were you when you real
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BIBLIOGRAPHYAgnoletto V., Cesarani
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Booth, R. et al. (1991) “Intraven
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Cuskey, W (1982) “Female Addictio
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Gatti U., Marugo M. I., Malfatti D.
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Lejeun-E C. (1997) “Prise en char
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Modonutti G.B. (1996) “ Modelli d
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Ravenna M. (1993) Adolescenti e dro
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Swift, W., Copeland, J. Y Hall, W.
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I R E F R E AIREFREA is a european