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PSY 325 (99)
Lecture

PSY 325 NOV 30 2012.doc

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Department
Psychology
Course
PSY 325
Professor
Karen Milligan
Semester
Fall

Description
PSY 325 L12 11/30/12 **ADDED IN LECTURE CLASS #12: SUBSTANCEABUSE PSY325, SECTION 2 LEARNING OBJECTIVES • LEARN DSM-IV-TR CRITERIAFOR SUBSTANCE ABUSE DISORDERS • BECOME FAMILIAR WITH DIFFERENT CLASSES OF SUBSTANCES AND SYMPTOMS OF INTOXICATION AND WITHDRAWAL • UNDERSTAND SUBSTANCE USE FROM BIOLOGICAL, PSYCHOLOGICAL PERSPECTIVES • LEARN KEYAPPROACHES TO TREATMENT, BIOLOGICALAND PSYCHOLOGICAL • DEVELOPAN UNDERSTANDING OFASPECIAL POPULATIONAT RISK – MOTHERS WITH SUBSTANCE ABUSE ISSUES SUBSTANCE USE: KEYTERMS SUBSTANCE INTOXICATION -EFFECTS WHEN IT'S TAKEN INTO THE BODY SUBSTANCE WITHDRAWAL -TIME AFTER STOPPING THE USE SUBSTANCE ABUSE -NEGATIVE IMPACTS ON BODY SUBSTANCE DEPENDENCE *TERMS USEDACROSS SUBSTANCES BUT SYMPTOMS VARY BY SUBSTANCE 5 CATEGORIES 1. CNS DEPRESSANTS (E.G., ALCOHOL, BARBITURATES, BENZODIAZEPINES, AND INHALANTS) 2. CNS STIMULANTS (E.G., COCAINE, AMPHETAMINES, NICOTINE, AND CAFFEINE) 3. OPIOIDS (E.G., HEROIN AND MORPHINE) 4. HALLUCINOGENSAND PHENCYCLIDINE (PCP) 5. CANNABIS “CLUB DRUGS” (E.G., ECSTASY, GHB, KETAMINE, AND ROHYPNOL) PSY 325 L12 DATE RAPE DRUGS SUBSTANCE INTOXICATION • BEHAVIOURALAND PSYCHOLOGICAL CHANGES OCCUR DUE TO IMPACT ON CNS • CHANGES IN PERCEPTION, DECREASEDATTENTION, COGNITIVE BLURRING, SLEEP DISTURBANCE • INTERPERSONAL CHANGES ◦ MORE SOCIAL, WITHDRAWN,AGGRESSIVE, IMPULSIVE • SYMPTOMS DEPEND ON WHAT IS TAKEN, HOW MUCH, TIME PERIOD, AND TOLERANCE (EG: ALCOHOLTOLERANCE) • CAN DEPEND ON PERSONAL EXPECTATIONSAND ENVIRONMENT SUBSTANCE WITHDRAWAL • ASET OF PHYSIOLOGICALAND BEHAVIOURAL SYMPTOMS THAT RESULT WHENASUBSTANCE IS NO LONGER TAKENAFTER APERIOD OF USE • MUST SIGNIFICANTLY IMPACT ON FUNCTIONING ◦ WOULD NOT INCLUDE CAFFINE WITHDRAWL • CAN LAST DAYS TO MONTHS SUBSTANCE ABUSE DSM IV-TR • 1+ IN 12-MONTH PERIOD: ◦ FAILURE TO FULFILL IMPORTANT OBLIGATIONS AT WORK, HOME, OR SCHOOLASARESULT OF SUBSTANCE USE ◦ REPEATED USE OF THE SUBSTANCE IN SITUATIONS IN WHICH IT IS PHYSICALLY HAZARDOUS TO DO SO ◦ REPEATED LEGAL PROBLEMSASARESULT OF SUBSTANCE USE ◦ CONTINUED USE OF THE SUBSTANCE DESPITE REPEATED SOCIAL OR LEGAL PROBLEMS AS ARESULT OF USE ** LEADS TO SIGNIFICANT IMPAIRMENT OR DISTRESS SUBSTANCE DEPENDENCE DSM-IV-TR PSY 325 L12 SUBSTANCE USE LEADING TOAT LEAST 3 OR MORE: • TOLERANCE, AS DEFINED BY EITHER ◦ THE NEED FOR MARKEDLY INCREASEDAMOUNTS OF THE SUBSTANCE ARE NEEDED TO ACHIEVE INTOXICATION OR DESIRED EFFECT ◦ MARKEDLY DIMINISHED EFFECT WITH CONTINUED USE OF THE SAME AMOUNT OF THE SUBSTANCE • WITHDRAWAL, AS MANIFESTED BY EITHER ◦ THE CHARACTERISTIC WITHDRAWAL SYNDROME FOR THE SUBSTANCE ◦ THE SAME ORACLOSELY RELATED SUBSTANCE IS TAKEN TO RELIEVE OR AVOID WITHDRAWAL SYMPTOMS • THE SUBSTANCE IS OFTEN TAKEN IN LARGER AMOUNTS OR OVERA LONGER PERIOD THAN WAS INTENDED • THERE IS APERSISTENT DESIRE OR UNSUCCESSFUL EFFORT TO CUT DOWN OR CONTROL SUBSTANCE USE • AGREAT DEAL OF TIME IS SPENT IN ACTIVITIES NECESSARYTO OBTAIN THE SUBSTANCE, USE THE SUBSTANCE, OR RECOVER FROM ITS EFFECTS • IMPORTANT SOCIAL, OCCUPATIONAL, OR RECREATIONALACTIVITIES ARE GIVEN UP OR REDUCED BECAUSE OF SUBSTANCE USE • THE SUBSTANCE USE IS CONTINUED DESPITE KNOWLEDGE OF HAVING APERSISTENT OR RECURRENT PHYSICAL OR PSYCHOLOGICAL PROBLEM CAUSED BY OR EXACERBATED BYTHE SUBSTANCE. ROUTES OFADMINISTRATION • INJECTION, SMOKING, AND SNORTING ◦ RAPID AND EFFICIENTABSORPTION ◦ MORE LIKELY TO LEAD TO OVERDOSE • DEPENDENCE IS MORE LIKELYWHEN ◦ FASTACTING ON CNS-FASTER INTOXICATION ◦ EFFECTS OF SUBSTANCE WEAR OFF QUICKLY DEPRESSANTS • SLOW THE ACTIVITY OF THE CENTRAL NERVOUS SYSTEM (CNS) PSY 325 L12 • RELAXED • SLEEPY • DECREASE CONCENTRATION • IMPAIR THINKINGAND MOTOR SKILLS ALCOHOL • INTOXICATION ◦ MORE CONFIDENT RELAXED, EUPHORIC, LESS INHIBITED ◦ INCREASED DOSES – SIMILAR TO DEPRESSION: FATIGUE, LOW MOTIVATION ◦ SLURRED SPEECH, MOTOR AND THINKING IMPAIRMENT,ATTENTION AND MEMORY IMPAIRMENT, COMA • WITHDRAWAL ►DRINK WHEN THEYWAKE UP TO DECREASE WITHDRAWAL SYMPTOMS ◦ AUTONOMIC HYPERACTIVITY (RAPID PULSE >100), ANXIETY, SWEAT, HALLUCINATIONS, VOMITING ◦ 3 STAGES – SHAKES CONVULSIVE SEIZURES ◦ DELIRIUM TREMENS -INCREASE IN TEMPERATURE RISE, AND PREFFIERRALVASCULAR SYSTEM • RELATED TO GABAAND SERATONIN • DEPENDS ON HOW FULLYOUARE • WHERE YOU TAKE IN THE ALCOHOL (EG: DRINK, ANALTO BYPASS LIVER AND FASTER INTOXICATION) • ABLE TO HAVE ACOMPLETE RECOVERY LONG TERM EFFECTS OFALCOHOLABUSE • HYPERTENSION + INCREASED TRIGLYCERIDES AND “BAD” CHOLESTEROL ► HEART DISEASE • MALNUTRITION • CNS DISTURBANCE – NUMBNESS, VISUALACUITY IMPAIRED • ALCOHOL INDUCEDAMNESIC DISORDER ◦ WERNICKE’S PSY 325 L12 ENCEPHALOPATHY -MENTAL CONFUSION, DISORIENTAITION ◦ KORSAKOFF’S PSYCHOSIS -LOSS OF MEMORY FOR SHORTAND SOMETIMES TERM MOMORIES • ALCOHOL INDUCED DEMENTIA • LOSS OF INTELLECTUALABILITIES (JUDGEMENT, CHANGE OF PERSONALITY, AND LACK OF PROBLEM SOLVINGABILITIES) 9% EXPERIENCE THIS STIMULANTS • COCAINE, AMPHETAMINES • ACTIVATE THE CENTRAL NERVOUS SYSTEM, CAUSING FEELINGS OF ENERGY, HAPPINESS, AND POWER,ADECREASED DESIRE FOR SLEEP, ANDADIMINISHEDAPPETITE • INCREASE IN BLOOD PRESSURE,AND RISK OF HEARTATTACKS • SHORT HALF-LIFE – WEARS OFF QUICKLY • DEVELOPTOLERANCE BIOLOGYAND COCAINE USE AMPHETAMINES • DEXEDRINE, BENZEDRINE, CRYSTAL METH • INTOXICATION ►FEELINGS OF EUPHORIA, SELF-CONFIDENCE, ALERTNESS, AGITATION, AND PARANOIA • PERCEPTUAL ILLUSIONS AND DELUSIONS – RANGE FROM KNOWING THEYARE NOT REALTO DEVELOPING SUBSTANCE- INDUCED PSYCHOTIC DISORDER • REDUCE THE AVAILABILITY OF DOPAMINE RECEPTORS • TOLERANCE DEVELOPS QUICKLY (AS DOES DEPENDENCE) CRYSTAL METH • SHORT-TERM -ANXIETY, DEPRESSION, MENTAL CONFUSION, PSYCHOSIS, FATIGUE, AND HEADACHES • ORAL HYGIENE PROBLEMS IN LONG TERM CAUSED BY DRY MOUTH, TEETH GRINDING, AND JAW CLENCHING AMPHETAMINES • USE TO KEEP UPWITH THE PACE PSY 325 L12 • WITHDRAWAL = MOOD INSTABILITY, MEMORY LOSS, CONFUSION, PARANOID THINKING,AND PERCEPTUAL ABNORMALITIES • MEDICAL PROBLEMS – CARDIOVASCULAR • LEGAL PROBLEMS NICOTINE • IMPACTS CENTRALAND THE PERIPHERAL NERVOUS SYSTEMS. • IMPACTS ON DOPAMINE, NOREPINEPHRINE, SEROTONIN, AND THE ENDOGENOUS OPIOIDS (NATURALLY OCCURING)THAT HAVING A REINFORCING EFFECT (ACTUAL
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