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11 Cards in this Set
- Front
- Back
Substance Dependence (DSM-IV)
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3 of the Following:
1. Use, Despite Harm 2. Unsuccessful efforts to control use. 3. Tolerance 4. Withdrawal 5. Use more than intended 6. great deal of time using, obtaining or recovering 7. Interferes with functioning |
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Substance Abuse (DSM-IV)
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1 of the Following:
1. Failure to fulfill obligations 2. Use in physically hazardous situations 3. Substance-related legal problems 4. Social or interpersonal problems |
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Physical Dependence vs. Clinical Dependence (Addiction)
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Physical dependence comes with withdrawal symptoms.
Not all drugs produce physical dependence: Cannabis, Cocaine Physical dependence does not always indicate clinical dependence (addiction): Painkillers, Caffeine |
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Tolerance
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Need more of drug to get same effect.
Can b/c tolerant some effects and not others: Heroin - Tolerance to the euphoria; not the pupil constriction. Barbiturates- Tolerance to pleasurable effects; not to slowed Response Time Amphetamines- Tolerance to euphoric and appetite suppression; not psychotic effects. |
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Cross Tolerance
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Take one drug, tolerant to another.
Occurs with drugs of the same class. E.g., Morphine, heroin Alcohol, barbiturates. |
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Metabolic Tolerance
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Body produces more enzymes to metabolize drug.
-Liver enzymes (30%) |
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Pharmacodynamic Tolerance
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If drug causes increase in Neurotransmitters, then body finds way to decrease NTs.
-Number of receptors decrease -Reuptake pumps increase If drug causes decrease in NTs, body finds way to increase NTs: -Receptors increase -NT released increase |
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Behavioral Tolerance
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Practicing under the influence increases performance while drunk.
(Learning to walk while drunk after many times of practice) |
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Conditioned Tolerance
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Stimuli normally present in drug taking situation b/c conditioned stimuli (CS's) that signal the drug is coming (US)
-Conditioned Compensatory Response: Consuming drug in a new environment: body doesn't have a chance to "get ready" |
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Downregulation and Upregulation
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Downregulation: Reduced response to excessive neurotransmitter.
Upregulation: If a nerve receives too few inputs, cell responds by increasing # of receptors (sensitization) -Reverse tolerance |
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Drug associated stimuli categories (4)
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1. The Drug itself
2. Environmental (People, places, things) 3. Emotional (Stress) 4. Cognitive (Availability) |