This study uses qualitative research techniques to examine heroin use
in Nepal. It explores the life histories of 16 heroin users in Kathman
du, the country's capital, emphasizing those who are street children o
r who are; otherwise displaced. The cases document that the initiation
of use in Nepal is a complex process which includes: certain personal
ity traits; an early history of culturally acceptable use of alcohol,
tobacco, marijuana, or hashish; peer influence; and the specific socia
l setting of users. Outside (i.e., foreign) influences are included in
the mix, but never as a single determinant of drug use. Factors speci
fic to the Nepali scene include the traditional association of forms o
f marijuana with certain religious contexts and the availability of he
roin. An additional factor is the poverty of the urban setting. The ap
proach in Nepal to dealing with drugs primarily involves a realization
of the role played by the interaction between personality and social
setting in the fullest meaning of that term. [Translations are provide
d in the International Abstracts Section of this issue.]