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Chapter 14

Chapter 14 on The Use and Abuse of Psychoactive Drugs

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Health Sciences
Health Sciences 1001A/B
Bert Carron

White 1 Chapter 14: The Use and Abuse of Spectrum of Psychoactive Substance Use: Beneficial  Casual/Non- Psychoactive Drugs ProblematicProblematicChronic Dependence Substance Use, Abuse, and Dependence  Looks at addiction based on societal impact  “Psychoactive” – a blanket term to include Higher Than Average Risk for Trying Illegal Drugs: drugs and other substances  Drugs – chemicals other than food that are  Males intended to affect the structure or function of  Young the body  Exposure through family and peers  Prescription Meds (antibiotics,  Disinterest in school antidepressants)  Risk-taking persona  Over the Counter Substances (alcohol,  Poverty, easy access tobacco, caffeine)  Illegal Substances (LSD, heroin) Less Common Among:  American Psychiatric Association (APA) says  Good school attendance Substance Abuse involves 1 of:  Good grades  Recurrent use resulting in failure to fulfill major responsibilities at work,  Strong personal identities  Religious school, home  Recurrent use in situations in which it is  Good parental relationship  Independent thinkers physically hazardous (i.e. before driving)  Recurrent substance related legal  Families have clear drug policy and deal with problems conflicts constructively  Continued use despite persistent social Treatment for Substance Abuse problems caused by effects of substance  No single best method  APA says Substance Dependence involves 3 or  Relapse rate is high for all treatment more over a 12 month period of:  Professional (treatment centres)  Developing a tolerance  Non-professional (self-help groups)  Withdrawal  Programs must deal with reasons behind abuse,  Taking it in larger amounts or over a help develop behaviours, attitudes, social longer period than intended support system  Expressing a persistent desire to cut  Young often unable to seek help on own down on substance use  Lots of time getting, taking, or Myths About Addiction recovering from the substance  Need to reach rock bottom before getting help  Decreased importance of school, work, recreational activities  Have to want to be treated to get better  Continuing use despite knowing its  It’s a willpower problem creating a psychological/physical  Can’t be treated with medications problem  It’s treated behaviourally, so it must be a behavioural problem  People addicted to one drug are addicted to all White 2 Video: HBO Addiction Addictive Behaviour Examples  Usually aged between 18-25, rarely over 30  Compulsive Gambling  Advances in treatment as a brain disease  Compulsive Exercising  “Saturday Night in a Dallas ER”  Work Addiction  Parkland Memorial Hospital has  Sex/Love Addiction majority drug/alcohol related injuries  Compulsive Shopping  Both physiological effects, and others  Internet Addiction (i.e. sped heart rate, also stabbed)  Compulsive Eating  95% alcohol dependents start before 21  Alcohol use is one of the most expensive diseases in society  Drug use expanded in Canada in 60s and 70s and  “A Mother’s Desperation” declined til mid 90s when rose again  Donna has
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