Ch11 - Ch.11 Substance Use Disorders 03/04/2009 14:30:00...

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Unformatted text preview: Ch.11 Substance Use Disorders 03/04/2009 14:30:00 -Alcohol is the 4 th leading cause of disability world wide - Substance Dependence : refers to a pattern of repeated self-administration that often results in tolerance, the need for increased amounts of the drug to achieve intoxication; withdrawal, unpleasant physical and psychological effects that a person experiences when he or she tries to stop taking the drug - substance abuse : defined in terms of interference with the persons ability to fulfill major role obligations at work or at home, the recurrent use of a drug in dangerous situations, and repeated legal difficulties associated with drug use - Addiction : used informally instead of substance dependence - Drug of abuse : psychoactive substance; a chemical substance that alters a persons mood, level of perception, or brain functioning - hypnotics : drugs that help people sleep - sedatives / axiolytics : drugs for relieving anxiety - narcotic analgesics : opiates used clinically to decrease pain - cannabinoids : produce euphoria and an altered sense of time - polysubstance abuse : people w/ a substance abuse disorder frequently abuse several types of drugs -All forms of abuse: inherent conflict between immediate pleasure and longer term harmful consequences reasons for initial experimentation with a drug, the factors that influence the transition to dependence, and the processes that lead to relapse after initial efforts to change are all similar Case Study: Ernest Hemingways Alcohol dependence Why doe some become dependent on alc? Wound from war and unhappy love affair provoked heavy drinking Liver began to cause him acute pain; told by doc to give up alc; tried to limit consumption to 3 whiskeys before dinner Didnt appear drunk; demonstrated an unusual ability to cut down his drinking or eliminate it all together for brief periods Damaged liver in late 1930s Experienced liver, kidney trouble and poss hemochromatosis edema of the ankles, cramps, chronic insomnia, blood clotting , Unsuccessful treatments for depression and paranoia; shot himself...
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Ch11 - Ch.11 Substance Use Disorders 03/04/2009 14:30:00...

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