CLP-4143 Lecture Notes - Lecture 10: Motivational Interviewing, Classical Conditioning, Methadone
Document Summary
Lecture 10: theories and treatments of substance use disorders. Genetics: . 48 concordance in mz twins and . 32 in dz twins. Neurotransmitter effects: dopamine reward pathways are augmented by essentially drugs and abuse. Personality trait theories: trait disinhibition increases risk. Seeing the people around you or drug being a part of the environment. Disease model: assume individual cannot modify use. Harm-reduction model: assume individual can modify use. No empirical support for one over the year. Antagonist drugs block or change the effects of the addictive drugs by reducing reinforcement (naloxone) and making it uncomfortable to consume the substance (antabuse). Supportive meds help during withdrawal. (antidepressants and benzos) Substitute less intense drugs to reduce withdrawal. This reduces extreme withdrawal symptoms and the goal is to taper of heroine then methadone. Cue exposure and response prevention: exposure to cues for substance use, prevent actual drinking/drug use. Covert sensitization therapy: use imagery to associate alcohol use with unpleasant images.
