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    Although the types of drugs cheap cialis tablets used and abused in different cultures have varied over time, nearly all societies that have permitted substance use have had separate rules for each gender. Although careful studies of women in the United States have not substantiated this idea (Klassen and Wilsnack 1982), the stereotype is widely accepted and has led to a destructive stigma applied to all chemically dependent women. MARCIA RUSSELL, PH.D.

    BLUME, M.D., C.A.C. Women, Alcohol, and Drugs Historical and Social Factors Abuse of alcohol and other psychoactive drugs predates recorded history. Western thought, dating back as far as the ancient Romans and Israelites (Gomberg 1987.

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