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40 Cards in this Set

  • Front
  • Back
opioids
-heroin, morphine, codeine
-synthetic opioid - methadone
"Soldiers' disease"
morphine dependence
Stimulants
increase CNS activity
faster thinking, not neccessarily better thinking
-cocaine, amphetamines, caffeine
cocaine
-most powerful stimulant known; effects very similar to amphetamines
-inflates energy and confidence
-naturally occurring
-increases dopamine, norepi, and serotonin
- 1st high always the best
cocaine intoxication
poor muscle coordination, grandiosity, bad judgement, anger, aggression, compulsive behavior, anxiety and confusion
free- basing
the pure cocaine basic alkaloid is chemically separated from processed cocaine, vaporized by a flame, and inhaled
cocaine induced psychotic disorder
hallucinations, delusions, or both
dopamine effects of cocaine
prevents reabsorption of dopamine so excessive amounts travel up neurons
cocaine withdrawal symptoms
depression, fatigue, sleep problems, irratability, and anxiety
-may last for weeks or months after drug use stops
crack
a powerful form of free-base cocaine that has been boiled down into crystal balls
amphetamines
synthetic stimulant 1st designed to treat asthma
very similar to cocaine
tolerance builds very quickly
upon stopping, deep depression and extended sleep
methamphetamine
"crank"
-available in crystals to be smoke - crystal meth
-causes neurotoxicity
caffeine
-most widely used stimulant
->3cups = caffeine intoxication
-users experience withdrawal upon stopping
caffeine intoxication
may include symptoms such as restlessness, nervousness, anxiety, stomach disturbances, twitching, and increased heart rate
-grand mal seizure or circulatory failure can occur at doses >10 grams
hallucinogens
"psychedelic drugs"
cause powerful changes in sensory perceptions from increasing normal to inducing illusions - called trips
-lsd, mescaline, psilocybin, and mdma
LSD
-derived from naturally occurring ergot alkaloids
-hallucinosis and synesthesia
-interferes w/ serotonin activity
-flashbacks even yrs after used
hallucinosis or hallucinogen intoxication
a general strengthening of perceptions, particularly visual, along w/ psych changes and physical symptoms
-ppl may focus on small details, colors may seem enhanced, or illusions may be experienced
synesthesia
different senses cross
-ex:colors may be "heard" of "felt"
LSD biggest issues
hallucinations, bad trips, and flashbacks
-tolerance or withdrawal do not usually occur
Cannabis
-most powerful = hashish
- THC is chemical responsible for its effects. More of this in hashish than marijuana.
medicinal uses of cannabis
chronic pain, asthma, to reduce nausea and vomiting after chemo, to improve appetites of AIDS pts
combining substances or polysubstance use
cross-tolerance and synergistic effects
cross-tolerance
tolerance for a substance one has not taken before as a result of using another substance similar to it
synergistic effect
an increase in effects that occurs when more than one substance is acting on the body at the same time; may be more than the sum of the two effects separately
sociocultural explanation of substance abuse
-most likely to develop if living under stressful situations
-more likely to deveop in family/social environ. where it is accepted/valued
psychodynamic view of substance abuse
-poweful dependency needs that can be traced to early yrs
-some respond to early deprivations by developing a substance abuse personality
-
cognitive-behavioral view of substance abuse
-operant conditioning - the pleasure of the high leaves person wanting more
-expectancy - that it will be enjoyable motivates to increase dosage
Richard Soloman's opponent-process theory
The brain is structured in such a way that pleasurable meotions, such as drug-euphoria, inevitably lead to opponent processes - negative aftereffects - that leave the person feeling worse than before
classical conditioning as a cause for substance abuse
cues or objects present at the time drugs are taken may act as conditioned stimuli and come to produce some of the same pleasure brought on by the drug itself
biological view of substance abuse
-genetic predispostion: genetic linkage and molecular biology support this
-biochemical factors: chronic alcohol or benzos lowers GABA; opioids lowers endorphins; cocaine or amphetamines lowers dopamine
reward-deficiency syndrom
their reward center is not readily activated by the usual events in their lives so they turn to drugs to stimulate this pathway
psychodynamic therapies treating substance abuse
-1st guide to uncover and work throug underlying needs and conflicts leadind to disorder
-then try to help change styles of living
-often applied, but not effective alone
behavioral therapies for treating substance abuse
aversion therapy=approach based on principles of classical conditioning; present individuals presented w/ unpleasant stimulus at the very moment they take a drug
-applied more to alcohol
covert sensitization
requires people with alcoholism to imagine extremely upsetting, repulsive, or frightening scenes while they are drinking
contingency management
makes incentives contingent on the submission of drug-free urine speciemens
cognitive-behavioral therapies for substance abuse
behavioral self-control training and relapse-prevention training
behavioral self-control training (BSCT)
-have client keep track of drinking
-writing down times, location, emotions, body changes, they become more aware of the situations that put them at risk for drinking
-they are then taught coping strategies
relapse-prevention training
-assigned many of the same tasks as in BSCT
-also taught to plan ahead of time how many drinks are appropriate
-usually need multiple treatments for success
-also used w/ marijuana and cocaine, as well as paraphilias
biological treatments
-detoxification
-antagonist drugs
-drug maintenance therapy
detoxification
systematic, medically supervised withdrawal from a drug
-may be gradual, taking smaller and smaller amts until they are off drug
-may give other drugs to reduce symptoms (antianxiety for dt's and seizures from alcohol)
-relapse common if no follow-up treatment received