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HTH 378 Chapter 2
Drugs
69
Health Care
Undergraduate 3
01/24/2013

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Term
Fetal alcohol syndrome occurs 1 in every how many births?
Definition
1000
Term
Alcohol related defects occurs 1 in every how many births?
Definition
100
Term
What made the government change from the laissez-faire attitude of the 1800s to one of control?
Definition
research
Term
What research findings made the government change from the laissez-faire attitude of the 1800s to one of control?
Definition
Toxicity associated with the drugs
Dependence, physical or psychological
Crime increased when people used or abused the drugs
Term
Toxic
Definition
poison, deadly, or dangerous
Term
What makes a drug toxic?
Definition
Amount used
How it is used
What the user did while on the drug
Term
Two types of toxicity?
Definition
Physiological toxicity
Behavioral toxicity
Term
Two types of toxic effects?
Definition
acute, chronic
Term
DAWN stands for
Definition
drug abuse warning system
Term
What is DAWN?
Definition
A system for collecting data on drug-related deaths and emergency room visits at some U.S. metropolitan hospitals
Term
What does DAWN collect data on?
Definition
collects data on improper use of legal prescription and over-the-counter drugs as well as illicit drugs
Term
When is alcohol reported?
Definition
Alcohol is reported only in combination with other drugs
Drug-alcohol and drug-drug combinations are very common
Term
DAWN ER visits are normally caused by
Definition
Cocaine
Alcohol-in-combination
Marijuana
Prescription Opioids
Benzodiazepines
Term
DAWN deaths are normally caused by
Definition
Prescription Opioids (not heroin)
Cocaine
Alcohol-in-combination
Benzodiazepines
Methadone
Term
What does DAWN say about how dangerous drugs are
Definition
Simply gives us total deaths/ER visits
Term
What does DAWN not tell us?
Definition
Consider relative danger vs. total impact of the drug
Number of users vs. number of reported problems
Term
Blood-borne illness has a specific toxicity for who?
Definition
those who inject drugs
Term
What four diseases are high risk for injectors?
Definition
AIDS, HIV infection, and hepatitis B and C
Term
Sharing needles passes what
Definition
infectious agents directly into the bloodstream
Term
Places which people can safely shoot up are called
Definition
safe injection facility
Term
Three basic processes of substance dependence?
Definition
Tolerance – over time, tolerance builds. How much of the drug you can take until you “feel” it
Physical dependence - withdrawal
Psychological dependence– the craving, or “the want” of the drug
Term
Tolerance
Definition
Diminished effect on the body after repeated use of the same drug
The body develops ways to compensate for the chemical imbalance caused by the drug
Term
Which drug builds up tolerance most quickly?
Definition
heroin
Term
Trying to get to the level of your first high is called
Definition
chasing the virgin high
Term
Physical dependence
Definition
Physical dependence is defined by the occurrence of a withdrawal syndrome
Term
Tolerance typically precedes what?
Definition
Physical dependence
Term
Pyschological dependence
Definition
Behavior is reinforced by the consequences
Term
What seems to have the highest psychological dependencey?
Definition
Cocaine
Term
What has the most potentially fatal withdrawal?
Definition
alcohol
Term
Early medical model
Definition
true addiction involves physical dependence; key is treatment of withdrawal symptoms (general public saw it as a personal weakness)
Term
Positive reinforcement model
Definition
drugs can reinforce behavior without physical dependence
Term
What is increasingly viewed as the driving force behind repeated drug use.
Definition
psychological dependence
Term
If psychological dependence is increasingly viewed as the driving force behind repeated drug use, what does this refute?
Definition
drugs that aren't physically addicting aren't addicting
Term
Substance abuse
Definition
A maladaptive pattern of substance use, leading to clinically significant impairment or distress as manifested by one or more of the following occuring in the same 12 month period
Term
Four potential things of substance abuse
Definition
Recurrent use with the inability to fulfill major obligations
Using in situations where it is physically dangerous for them to use
Substance related legal problems
Continued use despite recurrent social and interpersonal problems
Term
Substance dependence
Definition
A maladaptive pattern of substance use, leading to clinically significant impairment or distress as manifested by three or more of the following occurring in the same 12 month period
Term
What are some of the things of substance dependence
Definition
Tolerance
Withdrawal
Larger amounts or over longer perios
Continued use
Persistant desire or unsuccessful efforts to cut down
Time
Give up activities
Term
What is DSM-IV-TR
Definition
APA diagnostic criteria for abuse and dependence
Complex behavioral definaitions
Term
Dependence can occur with or without
Definition
physiological dependence (i.e., withdrawal)
Term
What reflects the perspective that drugs themselves are evil?
Definition
war on drugs
Term
What are the 7 drug use models
Definition
Early Medical Model
Positive Reinforcement Model
Biological Model
Hereditary
Family Disorder
Disease Model
Biopsychosocial Model
Term
Biological model
Definition
Is dependence due to biochemical or physiological actions in the brain?
Term
Do we have a way to scan the genetics and know that someone is an addict?
Definition
Nope
Term
What do drugs and pleasurable activities release in the brain?
Definition
dopamine
Term
Is there an addictive personality?
Definition
No way to know if the drug or the drug use changes a person’s personality
Term
What personality has been linked to drug use?
Definition
Sensation seeking
Term
What two behaviors are associated with addictive behaviors
Definition
Difficulty in impulse control
Antisocial behavior
Term
Alcohol dependence often exists in what kind of family?
Definition
dysfunctional
Term
what are the seven roles?
Definition
Addict
Enabler
Co-dependent
Scapegoat
Mascot
Lost Child
Hero
Term
Founders of AA characterized alcohol dependence as
Definition
a disease
Term
In some states, it is illegal to purchase needles without a
Definition
prescription
Term
Physical dependence means the body has _______ to the drug’s presence
Definition
adapted
Term
Over time, this becomes the biggest reason users report they continue to use
Definition
psychological dependence
Term
Three parts of psychological dependence?
Definition
High frequency of use
Craving for the drug
Tendency to relapse after stopping use
Term
Hero
Definition
(Typically oldest child, will take attention to them because they appear to be the “perfect child.” Excels in something or multiple things). Generally will get an upper graduate degree. Typically a medical degree, to help people. Their family did not take advantage of their knowledge, so they are trying to impart knowledge on people. They generally choose to marry addicts and will become co-dependents and enablers.
Term
Lost child
Definition
(Generally middle children. Loners.) May become actively involved in online worlds and lives. Very distant individuals, so they struggle with relationships
Term
Mascot
Definition
(Generally the middle or youngest children. The entertainers, putting on a show. Tend to be funny.) May become entertainers. Their relationships are very superficial. They want to know about someone, but don’t want to share.
Term
Scapegoat
Definition
(Get in trouble to take attention off addict. “Problem child.” They take the blame.) Very angry people, can make abusive relationships. Tends to be a user.
Term
Chief enabler
Definition
(normally the spouse, can be oldest child)
Term
Two parts of alcoholism as a disease
Definition
Once you have it, you will always have it.
You can treat it and be in recovery, but you still have it
Term
Two parts of alcoholism as not a disease
Definition
There are ways to test and treat the effects of alcoholism but not the disease itself
There is some disagreement over how to define disease as well
Term
The disease model suggests that
Definition
Addiction is an illness
Term
The disease model says that addiction comes about as the result of
Definition
healthy neurochemical or behavioral processes
Term
If it is a disease....?
Definition
where did it come from
Term
Biopsychosocial
Definition
Dependence is related to dysfunctions of
Biology
Personality
Social Interactions
Term
Four aspects of a drugs and crime
Definition
Drug use may change a person’s personality
People under the influence may commit crimes (e.g., many cases of homicide, domestic violence, etc.)
Crimes may be carried out to obtain money for drugs
Drug use is a crime
Term
It is prevalent to have crimes committed under the influence of
Definition
alcohol
Term
We want to protect society from the dangers of some types of drug use =
Definition
legitimate social purpose
Term
Some laws are not developed as part of a rationally devised plan and may not be _______ or _______
Definition
realistic, effective
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