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153 Cards in this Set

  • Front
  • Back
relationship between proof and alcohol content
-alcohol percentage times 2 equals proof of alcohol
-proof of alcohol divided by 2 equals alcohol percentage
how do americans drink most of their alcohol?
-In order Beer, Wine, and Spirits/Liquor
-
Wernke's disease, and what its often related to, what other disorders are common to have with them?
-associated with deficiency of thiamine(B1) and can sometimes be corrected nutritionally.
-Symptoms include decline of intellect, difficulty manipulating objects , impaired problem solving , and ataxia.
-Korasakoff's psychosis is also common-inability to remember recent event or learn new info
fetal alcohol syndrome cause and Symptoms
Cause- mothers use of alcohol during pregnancy

Symptoms- growth retardation before and after birth, abnormal features of the face, small eyes, and flattening of the vertical groove between the nose mouth,abnormal neonatal behavior, and mental retardation.
when the temperance movement became prominent?
late 1700's and early 1800's
what are some of the underlining reason that the temperance movement moved to prohibition?
-the growth of temperance toward abstinence
-that the good and true life was being undermined by immigrants( with their lower standard of morality)
-Irish, Polish and Italian immigrants
what prohibition resulted in?
-organized crime became more organized and more profitable
-less alcohol consumption
-decreased hospital admissions for alcohol dependence and deaths related to alcohol
what percentage of half of all alcohol is consumed by the population?
10%
Physiological effects theory of heavy drinking? (on slides)
-peripheral circulation-increase heat loss from body, while feelings warm
-fluid balance-decreases the antidiuretic hormone responsible for retaining fluid.
-hormonal effects-chronic users have ball shrinkage, impotence in men and reproductive problems in women
what constitutes a drink of alcohol?
-1 drink consists of;
-1 ounce of spirits
-4 ounces of wine
-12 ounces of beer
what alcohol has been correlated with (slides)?
A study compared the stress index and alcohol norms and found a correlation with heavy drinking.
what disease alcohol contributes to?
Aids because of riskier sexual behavior, and stress on your immune system.
how chronic disease states often occur in regards to alcohol?
-BRAIN DAMAGE- alcoholic dementia-caused by tissue loss.

-LIVER DAMAGE
-Fatty liver-alcohol used as liver fuel rather than fatty acids, resulting in fat deposits
-Cirrhosis-takes about 10 years of steady drinking

-Fluid accumulates in the body causing jaundice.

-HEART DISEASE-damage to the heart muscle, coronary artery disease, high blood pressure and stroke

-CANCER-mouth, tongue, larynx, stomach, liver, lung, pancreas, colon, rectum.

-THE IMMUNE SYSTEM-incrase in the freq of TB, pneumonia, yellow fever, cholera, and Hep-B, as well as AIDS.
how the slides classifies marijuana?
is a preparation of a leafy substance form the plant Cannabis
when did the American public took interest in the drug menace marijuana?
in the late 1920's early 1930's, when the sensationalized articles came out concerning weed
what has cannabis been used to treat in the past history?
medically used in 2737 BC in China for gout, rheumatism, malaria, constipation, and absent-mindedness
-
behavioral problem that is more often seen inexperienced users of marijuana?
-Euphoria/stoned/mellow
-possible paranoria/hallucination
-hunger
marijuana studies on animals
-studies demonstrate rats and squirrel monkeys do self administer
what does marijuana withdrawal consist of?
-negative mood states (anxiety, restlessness, depression, irritability)
-disrupted sleep
-decreased food intake
-in some cases aggressive behavior
relationship between LSD and physical dependance?
LSD is not physically addictive, but some people have been known to become psychologically dependent.
all of these hallucinogens are true except?
-phantistica
-indole
-CATECOL- includes mescaline peyote, ecstasy , DOM, MDA, 2-CB, and 2-C-T7
where are hallucinogens found?
-chemicals are found in plants
are hallucinogens man made or natural?
there are man made hallucinogens, all of the chemicals are found in nature
what LSD was used for in 1943? (slides)
-used to try and create a model psychosis for study
-used in psychotherapy to get past roadblocks
-experimental treatment for alcohol dependence
-used in the hope for terminally ill caner patients
-Secret CIA and ARMY research
relationship between LSD and receptors in the brain?

tolerance, and how it gets into the blood stream?
-lsd and receptors: stimulate the serotonin 2A subtype of receptors
Two general types of LSD trips and highs?
unlocked secrets and paranoid
D. Halstad used cocaine for?
local anesthesia
what amphetamines have been used to treat?
ephedrine-used in tea in China for hundreds of years. used treat asthma, hyperactivity, and narcolepsy
what stimulants been used for in the past?
local anesthetic, performance enhancers
whether most species self administer cocaine? and to what point?
animals will press lever 100 times, suggesting psychological dependence.
the relation between amphetamines and sexual practice
-decrease in sexual inhibitions
Compare and contrast the two types of cocaine
(crack and powder/cocaine)
(slides)
cocaine power- cannot be smoked, interacts with re-uptake of dopamine, serotonin and norepinephrine. schedule 2
crack-can be smoked and they are crystals. schedule 1
Amphetamines in WWI and WWII?
-help soldiers stake alert during war
-
What neurotransmitters have been studied in relation to amphetamines?
-destruction of catecholamine neurons
-increase the activity of monamine neurotransmitters
how to define the other impulse disorders ?
the essential feature of impulse control disorders is the failure to resist an impulse drive or temptation to perform an act that is harmful to the person or to others
do people in the field debate whether process addictions are really addictions?
yes
Which process addictions are listed in the DSM and which ones are not? (text book)
listed: trichotillomania, pathological gambling, kleptomania, pathological gambling, pyromania, intermittent explosive disorder

not listed: sex addiction, shopping, internet addiction
list of cognitive distortions for Gorski
-euphoric recall
-positive expectancy
-trigger event
-obsession
-compulsion
-craving
what are the different types of 12 step meetings addressed?
-sex, drug, games, gambling, al-non etc.
understand the first AA 12 step meetings, and what has happened since then?
-started in 1935 by Gil Wilson and Dr. Bob, they were Alcoholics
every group has the same format
the relationship between the recovery process and relapse?
-the recovery process assumes multiple relapses, but you have to accept those relapses as part of the recovery process
-
what is the purpose of having the client identify which theory led to his addiction? (text)
to be aware of these warning signs and can help him be more receptive to challenges if they fall into these phases
Does addictive thinking go away?
yes when you find your spiritual awakening
3 levels of desire for a substance (text)
-thought
-urge
-craving
when are cravings in early recovery the strongest? (text)
when a recovering person is feeling overwhelmed by life's stressors or when feeling periods of self-deprecation
What are 3 essentials to relapse prevention are:
-honesty
-open-mindedness
-willingness
did you know ?
that juicing marijuana cannot get you high
Which are the highest selling beers brands?
-Bud light, Budweiser and Coors
Imports account for how much percentage of beer sales?
7 percent.
What import sells the most beer in the US?
Corona
3 examples of generic wines from regions of Europe?
-Chablis
-Burgundy
-Rhine
Varietals have to have at least what percentage of one grape?
51%
3 examples of Varietals
-Chardonnay
-Merlot
-Zinfandel
Brute is the driest of the champagnes?

True or False
True
In what year did people in America like and drank alcoholic beverages?
1700's
Who wrote a pamphlet indicating a connection between heavy drinking of distilled spirits and jaundice, madness, and epilepsy and what year?
Benjamin Rush in 1784
How led the temperance movement?
Doctors or physicians
what is required to make a higher concentration of alcohol?
distillation
Spirit
distilled beverage that contains no added sugar and has at least 20%
beer and wine are made through distillation

True or False
False, Fermentation
Between 1908 and 1917 how many licensed bars closed?
100,000
what and how did residents continue to drink legally and illegally?
legally they drank medicines
illegally they drank at speakeasies
by 1917 what percentage of the population lived in a dry area?
64%
taxes where a major reason alcohol was repelled.
True or False
True
how many people did the federal government kill during the "Chemist War" ?
10,000 people
What country has the highest rates of alcohol dependence, suicide, and death from cirrhosis of the liver?
France
Per capita Americans consumed how much alcohol per year?
-2 gallons of pure alcohol
Which Americans have the highest rate of alcohol related problems?
Irish Americans
what is the avg amount of drinks consumed by people who drink everyday?
3 drinks a day
Do cities or non cities have more drinking problems? and why?
cities, because of social acceptability, social stress and tension
A study compared the stress index and alcohol norms and found a correlation with heavy drinking.

True or False
True
Which gender comprises the greater drinking population?
Male
at what rate is alcohol removed from the liver?
.25 -.30 ounces per hr or half a drink
what is the first thing that alcohol does to you?
lowers inhibitions
is alcohol a depressant??
yes a CNS(central nervous system) depressant
myopia
nearsightedness, affects your reasoning
what percentage of murders had been drinking during the crime in Baltimore?
-Sweden?
-Baltimore: 36%
-Sweden: 70%
What percentages of murder victims had been drinking?
50%
what percentage of people who commit suicide were drinking alcohol?
33% or 1/3
blackout
-time when drinking alcohol where the person is functioning, but wont remember later.
Alcohol or its metabolite acetaldehyde can directly cure tissue.

TRUE OR FALSE
False, it will damage tissue
heavy alcohol use affects every organ

TRUE or FALSE
TRUE
Acute pain
Acute pain begins suddenly and is usually sharp in quality
-acute toxicity accidents per year?
-deaths from car accidents per year?
-accidents deaths- 20,000

-car accident deaths-13,000
how many people per year killed by alcohol poisoning?
1000 per year
hangover
withdrawal from short or long term dependence
congeners
toxins to body
Alcohol has a low sugar content

TRUE OR FALSE
FALSE
Alcohol Dependence Withdrawal Stages
Stage 1-tremor
Stage 2-Hallucinations
Stage 3-Delusions
Stage 4-Seizure
What is genetic vulnerability
50% chance that if one twin develops alcoholism the other one will too
3 types of Cannabis
-Cannabis Sativa-from Asia, grows worldwide mostly used for hemp
-Cannabis Indica-grown for psychoactive properties everywhere
-Cannabis Ruderalis-from Russia
What is THC?
makes marijuana addictive
how much more potent is THC today?
3-4 times more potent
what factors affect potency?
sunshine, moisture, warm weather and portion of plant used
name 3 preparations for Marijuana
-Hashish-resin
-Ganja-dried flowering tops
-Bhang-used to make candy
When was marijuana taxed?
1937
How many chemicals in the plant are cannabinoids?
66
THC is the most pharmacologically active chemical in marijuana

TRUE OR FALSE
TRUE
THC reacts on what receptors?
CB1 and CB2
where are the highest quantity of CB1 found in the body?
-In the cells of the basal ganglia, which coordinates body movement
-hippocampus
-cerebellum
-cerebral cortex
-nucleus accumbens
what are the physiological effects of marijuana?
increased heart rate
what do these studies on marijuana relate to? what do they seem to contradict? (slides)
-the fact that it wasn't found to maintain self administration suggested cannabinoids had a low abuse potential.
-this contradicts that that its the most widely used illicit drug in the world
cognitive effects of marijuana
-slowed processing
-impaired short term memory
-impaired inhibitory control
-loss of sustained concentration
-impaired visuospatial processing
what is cannabis used to treat today?
-Glaucoma
-Wasting because of AIDS
-Decrease in nausea
-Anticonvulsant
which DSM has cannabis withdrawal?
DSM 5 only
what are acute physiological effects of smoking marijuana?
increased heart rate isn't a real threat unless one suffers from heart disease or hyper tension
smoking marijuana is beneficial to the immune system

TRUE OR FALSE
True
a-motivational syndrome
dont have the motivation, diminished motivation
when did marijuana use peak?, how many people were using?
1978-1979 at 60%
what percentage of people used marijuana in 1992?
32%
what percentage used marijuana in 2005?
45%
Define kleptomania
inability to refrain from the urge to steal items for reasons other than personal use or financial gain.
Define intermittent explosive disorder
behavioral disorder characterized by extreme expressions of anger, often to the point of uncontrollable rage, that are disproportionate to the situation at hand
Define pyromania
Pyromania is an impulse control disorder in which individuals repeatedly fail to resist impulses to deliberately start fires, in order to relieve tension, for gratification or relief.
pathological gambling
is an urge to continuously gamble despite harmful negative consequences or a desire to stop.
trichotillomania
compulsive urge to pull out (and in some cases, eat) one's own hair leading to noticeable hair loss
impulse control disorder
class of psychiatric disorders characterized by impulsivity
process/behavioral addiction
addiction is described as a pattern of maladaptive behaviors that results in negative consequences similar to those of substance dependence.
which the only non- substance related disorder?
pathological gambling
hypersensitivity
-a greater sensitivity to stress and a more acute feeling of emotional discomfort than those not addicted.
-"sunburn" of emotions
personalizing
an individual makes a neutral event seem personal, as if the event took place out of malice, without objective evidence of this having occurred.
false sense of entitlement
a feeling that something is owed
fortune telling
believing you know what will happen days, weeks, or months in advance.
projection
defense mechanism originally identified by Freud that has particular relevance to the addicted individual
catastrophizing
when someone takes a problem and focuses on the worst-case scenario possible, making the problem seem overwhelming.
fear of emotion
trying to control emotions, in fear of becoming out of control
minimizing
reducing the severity of the problem or the consequences of the problem
rationalization
providing good reasons instead of the true reasons.
justifying
explaining the past or recent drug/alcohol use in a manner that makes it a normal reaction
the first tier of addiction recovery is what kind of recovery?
cognitive approach
what is REBT? and who invented it?
Rational Emotive Behavioral Therapy and Albert Ellis
What is CBT and who invented it?
Cognitive Behavioral Therapy and Beck
Who invented Rational Recovery?
Trimpey
who invented relapse prevention?
Gorski
5 stages of chain of behavior
-activating behavior-trigger core beliefs
-core beliefs-exist prior to even
-thoughts-about the event
-feelings-about the event
-behavior-in reaction to the event
Cognitive challenging (Ellis Formula)
A=Activating even
B=beliefs about the even behavioral consequences
C=emotional
D=Disputing Intervention
E=Effective Philosophy
F=New Feelings
3 D's
-detect
-debate
-discrimination
another aspect of cognitive challenging?
reframing-different way of looking at things
why is reason challenging so important?
addiction is a disease that distorts reality
mindfulness helps towards anxiety

TRUE OR FALSE
TRUE
Mindfulness, Based, Cognitive, Therapy
or MBCT
what kind of drugs are found in the Catechol?
CATECHOL- includes;
-mescaline peyote, ecstasy , synthetics or amphetamines derivatives
tolerance, and how it gets into the blood stream?
tolerance develops rapidly and absorbed through the gastrointestinal ract
define 2 categories of reservations
type 1- future success
type 2- situational reservation
pretrial intervention
if they send me to jail i am getting high
stipulations
once stipulation is over they will use again
Reservations: of little consequence
i found out i had cancer, i would use drugs
Reservations: considerations
if my mom died I would use
is procrastination a character trait that can lead to substance abuse?
yes
3 keys to developing a relapse prevention plan
-detailed, reasonable, workable
relapse triggers (internal)
-anger
-loneliness
-grief
-rejection
-happy-camaraderie
-character traits
examples of no caring about consequences of a relapse
lead to an "i-dont-care-what-happens-to-me-" attitude.
speedballing
cocaine and heroine at the same time, cocaine speeds up your body ad heroine slows you down