12. Women and Adolescents

A desperate young woman who has been addicted to crack cocaine for some years is considering entering treatment—for a second time. The last time, it just didn’t work. “Maybe I just wasn’t ready,” she said. “I have a very irrational fear of gaining back a lot of the weight that I lost when I started using crack. Extra weight has been a lifelong problem for me and I have a hard time dealing with it.” Also, there were many more men than women in her treatment group. “Whether they did or not, the men didn’t seem to have much sympathy for my problems.” She also felt her responses to issues and questions were a little different from the men’s, and she withdrew emotionally. “I never had much confidence around older men, and ...

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