Behavior: A Plague Without Boundaries

Plague Without Boundaries Crack, once a problem of the poor, invades the U.S. middle class

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The scene is South Central Los Angeles, but it could as easily be Detroit, Grand Rapids or Kansas City. A young white male driving a 1989 Thunderbird slowly circles one of the worst blocks in the city. He nods toward a group of blacks hanging out at a corner. As his smartly dressed date whirs up her electric window, a clamoring pack of drug dealers surrounds the car. Money is hastily exchanged for a tiny cellophane bag of off-white crystals. The car peels away, fleeing the inner city, headed toward suburban safety. But the driver of the Thunderbird, his supply exhausted, will be back in only three hours, slowly circling the block.

This is not the picture of the crack epidemic portrayed by the nightly news. On TV, crack addicts are almost invariably blacks and Hispanics from the ghetto. In real life, the problem is much broader: the number of white middle- and upper-class crack users may equal -- or even exceed -- the total from poor minority communities. No government studies break down crack use by economic status, but William Hopkins, a leading narcotics expert working for the state of New York, estimates that 70% of New York City's drug users are affluent. Across the U.S., drug counselors report rising numbers of professionals -- doctors, nurses, accountants, professors -- trying to kick crack habits gone out of control. "We've got Wall Street executives who buy crack in the middle of the day and smoke it in the office," says Alan Horowitz, program director at A.C.I., a treatment center in New York City. "We had one air- traffic controller at J.F.K. airport who was smoking crack on his breaks."

Crack, a smokable form of cocaine, is a drug that might have been designed for use on the job. It is easy to conceal, since it burns with virtually no odor, and the gratification is swift: an intense, almost sexual euphoria that lasts only about five minutes and is not accompanied by such telltale side effects as alcohol's slurred speech and heroin's drowsiness.

The problem of crack abuse among the affluent is especially disturbing because it comes at a time when the middle class seemed to be weaning itself from recreational drugs. Between 1985 and 1988, the number of casual drug users in the U.S. dropped from 23 million to 14.5 million, according to the National Institute on Drug Abuse. But according to another federal study, the number of Americans using crack cocaine at least once a week increased by one- third during that period, from under 650,000 to more than 860,000. "The poor people in the ghetto aren't buying all that cocaine," says William Smith, clinical director of California's Phoenix House. "This is a plague that knows no class or racial boundaries."

Psychologists say upwardly mobile Americans who turn to crack share personality traits that may make them vulnerable to the drug's siren call. Dr. Jeffrey Rosecan, director of the Cocaine Abuse Treatment Program at Manhattan's Columbia-Presbyterian Medical Center, sketches a profile of the typical crack user: a man in his 30s or 40s, single or divorced, with a high- pressure job, little inner peace and a history of moderate drug use and heavy drinking. "They're extremists, hard drivers, workaholics," says Rosecan. "With an all-or-nothing personality and a history of drug experimentation, you've got a formula for disaster when this person tries crack."

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