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40 Cards in this Set
- Front
- Back
opioids
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-heroin, morphine, codeine
-synthetic opioid - methadone |
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"Soldiers' disease"
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morphine dependence
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Stimulants
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increase CNS activity
faster thinking, not neccessarily better thinking -cocaine, amphetamines, caffeine |
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cocaine
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-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 |
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cocaine intoxication
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poor muscle coordination, grandiosity, bad judgement, anger, aggression, compulsive behavior, anxiety and confusion
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free- basing
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the pure cocaine basic alkaloid is chemically separated from processed cocaine, vaporized by a flame, and inhaled
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cocaine induced psychotic disorder
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hallucinations, delusions, or both
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dopamine effects of cocaine
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prevents reabsorption of dopamine so excessive amounts travel up neurons
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cocaine withdrawal symptoms
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depression, fatigue, sleep problems, irratability, and anxiety
-may last for weeks or months after drug use stops |
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crack
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a powerful form of free-base cocaine that has been boiled down into crystal balls
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amphetamines
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synthetic stimulant 1st designed to treat asthma
very similar to cocaine tolerance builds very quickly upon stopping, deep depression and extended sleep |
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methamphetamine
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"crank"
-available in crystals to be smoke - crystal meth -causes neurotoxicity |
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caffeine
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-most widely used stimulant
->3cups = caffeine intoxication -users experience withdrawal upon stopping |
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caffeine intoxication
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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 |
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hallucinogens
"psychedelic drugs" |
cause powerful changes in sensory perceptions from increasing normal to inducing illusions - called trips
-lsd, mescaline, psilocybin, and mdma |
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LSD
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-derived from naturally occurring ergot alkaloids
-hallucinosis and synesthesia -interferes w/ serotonin activity -flashbacks even yrs after used |
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hallucinosis or hallucinogen intoxication
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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 |
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synesthesia
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different senses cross
-ex:colors may be "heard" of "felt" |
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LSD biggest issues
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hallucinations, bad trips, and flashbacks
-tolerance or withdrawal do not usually occur |
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Cannabis
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-most powerful = hashish
- THC is chemical responsible for its effects. More of this in hashish than marijuana. |
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medicinal uses of cannabis
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chronic pain, asthma, to reduce nausea and vomiting after chemo, to improve appetites of AIDS pts
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combining substances or polysubstance use
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cross-tolerance and synergistic effects
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cross-tolerance
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tolerance for a substance one has not taken before as a result of using another substance similar to it
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synergistic effect
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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
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sociocultural explanation of substance abuse
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-most likely to develop if living under stressful situations
-more likely to deveop in family/social environ. where it is accepted/valued |
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psychodynamic view of substance abuse
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-poweful dependency needs that can be traced to early yrs
-some respond to early deprivations by developing a substance abuse personality - |
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cognitive-behavioral view of substance abuse
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-operant conditioning - the pleasure of the high leaves person wanting more
-expectancy - that it will be enjoyable motivates to increase dosage |
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Richard Soloman's opponent-process theory
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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
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classical conditioning as a cause for substance abuse
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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
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biological view of substance abuse
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-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 |
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reward-deficiency syndrom
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their reward center is not readily activated by the usual events in their lives so they turn to drugs to stimulate this pathway
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psychodynamic therapies treating substance abuse
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-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 |
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behavioral therapies for treating substance abuse
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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 |
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covert sensitization
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requires people with alcoholism to imagine extremely upsetting, repulsive, or frightening scenes while they are drinking
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contingency management
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makes incentives contingent on the submission of drug-free urine speciemens
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cognitive-behavioral therapies for substance abuse
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behavioral self-control training and relapse-prevention training
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behavioral self-control training (BSCT)
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-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 |
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relapse-prevention training
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-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 |
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biological treatments
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-detoxification
-antagonist drugs -drug maintenance therapy |
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detoxification
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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 |