Halgin6e ppt ch13

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Richard P. Halgin Susan Krauss Whitbourne University of Massachusetts at Amherst slides by Travis Langley Henderson State University Abnormal Psychology Clinical Perspectives on Psychological Disorders 5e yright © The McGraw-Hill Companies, Inc. Permission required for reproduction or displ

Transcript of Halgin6e ppt ch13

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Richard P. Halgin

Susan Krauss Whitbourne

University of Massachusetts at Amherst

slides by Travis Langley

Henderson State University

Abnormal Psychology

Clinical Perspectives on Psychological Disorders 5e

Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

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Chapter 1

Substance-Induced Disorders

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Over one quarter have abused or been dependent on drugs during their lifetime.

More than half (51%) of all Americans have used nonprescription or illegal drugs for nonmedical purposes.

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Key Terms

SUBSTANCE INTOXICATION – Temporary behavioral or psychological changes due to substance accumulation.

TOLERANCE – After repeated use of a substance, state in which the individual would have to increase amount used to achieve the same effects.

SUBSTANCE WITHDRAWAL – Set of physical and psychological disturbances experienced when substance is discontinued.

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Substance Use Disorders

SUBSTANCE ABUSE - Maladaptive substance use that leads to significant impairment or distress.

SUBSTANCE DEPENDENCE - Addiction.

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Alcohol

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Patterns of Use and Abuse

Approximately 5% of Americans are considered heavy drinkers.

One in seven has history of alcohol abuse or dependence.

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Effects of Alcohol Use

Immediate Effects Sedating Central Nervous System

Depressant Potentially Fatal in Excess

Alcohol Effects

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Immediate Effects Sedating Central Nervous System

Depressant Potentially Fatal in Excess

POTENTIATION compounds these effects.

Alcohol Effects

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Effects of Alcohol Use

Long-Term Effects Tolerance

Heavy drinkers tend to increase intake, thereby increasing likelihood of bodily damage.

Alcohol Effects

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Effects of Alcohol Use

Long-Term Effects Tolerance Dementia

Wernicke’s or Korsakoff’s Liver damage Zinc deficiency

The list goes on and on . . . .

Alcohol Effects

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THEORIES OF ALCOHOL DEPENDENCE

BIOLOGICAL Runs in families Genetic markers and genetic mapping

PSYCHOLOGICAL Expectancy model Abstinence violation effect

SOCIOCULTURAL Family, community, & cultural stressors Children of alcoholics at greater risk

Theories of Alcohol Dependence

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TREATMENT FOR ALCOHOL DEPENDENCE

BIOLOGICAL Medications to control withdrawal symptoms. Medications as aversive agents.

PSYCHOLOGICAL Cue exposure method. Relapse prevention therapy.

ALCOHOLICS ANONYMOUS 12-step program treating alcoholism as

disease. Spiritually based, providing social support.

Alcohol Treatment

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• In Alcoholics Anonymous, a drinking binge by an alcoholic who succumbs to temptation is attributed not to moral failing but to biological process.

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• Another tenet of AA is that alcoholics are never cured.

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TREATMENT FOR ALCOHOL DEPENDENCE

Cue exposure method: A behavioral approach to alcohol treatment in which the individual is given a priming dose of alcohol, which initiates the craving for more alcohol; the person is then urged to refuse further alcohol.

Relapse prevention therapy: A treatment method based on the expectancy model, in which individuals are encouraged not to view lapses from abstinence as signs of certain failure.

Alcohol Treatment

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Substances Other Than

Alcohol

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Stimulants

Amphetamines & Methamphetatmines

Cocaine

Caffeine

Stimulant

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Cannabis

Marijuana

THC

Hashish

Cannabis

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Hallucinogens

LSD

Psilocybin

PCP

Hallucinogens

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Opioids

Natural Opioids: Opium Morphine Heroin

Synthetic Opioids Methadone Codeine

Opioids

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Sedatives, Hypnotics, and Anxiolytics

SEDATIVES have calming effects on the central nervous system.

HYPNOTICS have sleep-inducing qualities.

ANXIOLYTICS are antianxiety medications.

Sedatives, Hypnotics, & Anxiolytics

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TREATMENT

BIOLOGICAL Substances to block or reduce craving.

BEHAVIORAL Contingency management.

COGNITIVE Help modify thoughts, expectancies,

behaviors concerning drugs.

Treatment

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