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“We get the families started as early as possible,” says Dr. Catherine Lord. There’s one hitch in this plan, she adds: “It’s a rare day when there’s a girl.”

This American pattern on drug policy, with harsh penalties for some and sympathetic treatment for others, thus has a long history, writes Dr. Carl Hart.

“... certain personality traits and the presence of other psychiatric disorders may confer added risk to a range of other problems, like criminal activity,” said Dr. Deborah Glasofer.