181lec2 - WEBSITE http:/mocolab.org/Courses/Psyc181.html

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1 Lec 2:  Overview and History  of Drug Abuse in America and Overview of Pharmaceutical Industry Psych 181: Dr. Anagnostaras, Lec. 2 WEBSITE    http://mocolab.org/Courses/Psyc181.html LOGIN AND PASSWORD: “marijuana” Email this question = you die!!!
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2 Problem of Drug Abuse Drug addiction includes 45 million smokers (20.9%) 7 million hard drug addicts (2%) 12 million alcoholics (4%) 18 million alcohol abusers (6%) 4 million prescription drug abusers (1%) 15 million regular users of marijuana? Addiction is the cause of compulsive smoking and smoking is the number one preventable cause of death in the US. About 430,000 people die from smoking-related illness in US each year – 1/5 of all deaths! (US Surgeon General/CDC)
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3 Smoking is a behavioral problem • 1 in 5 Americans smoke • 1 out of 4 smokers die from the habit, and live an average of 15.1 years less than their life expectancy • 70% of smokers have tried to quit at least once, 46% try each year. Most quitters try 5-7 times before they succeed. (only 2.5% succeed each year) • Only 1 in 5 Physicians have received training in smoking cessation • Few effective treatments for addiction
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4 Problems associated with hard drug abuse Pretty much everything bad: • organized crime (esp. cocaine and heroin) • political instability • violent crime • divorce • poverty • homelessness • accidents • absenteeism • incarceration (20% state, >60% federal) • other mental illness (depression, anxiety, schizophrenia) • other health problems: AIDS (37%) hepatitis (26% of Hep C) heart disease tooth decay stroke drug-exposed infants death
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5 What is Drug Abuse? The use of any drug, "in a manner that deviates from the approved medical or social patterns in a given culture .” (Jaffe) • A social problem • Some drugs may be considered abused in one situation but not others (alcohol) • Some drugs may be considered abused if used at all (heroin, extasy) • Some cultures may use drugs and not consider them abuse (peyote, bhang) • Drug does not have to be addictive (LSD)
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6 What is Drug Abuse? Medical definition: Also takes into account the pattern of use e.g., Am. Psychiatric Assoc. (DSM- 5) identifies 11 criteria 2 (moderate) or 4 (severe) of which must be met to diagnose a specific drug use disorder: (1) recurring substance use that interferes with major role obligations (work, school, home) (2) recurrent use in situations where it is dangerous (3) continued use despite social & interpersonal problems caused by use (e.g., fights) (4) tolerance, (5) withdrawal with or without physical dependence (6) take larger amounts than intended (7) desire to quit (8) great deal of energy is spent in securing supply (9) important activities (work, school, social) are given up because of drug use (10) substance use continues despite knowledge of negative effects (11) craving/strong desire to use the substance These types of definitions stress excessive use that results in socially or medically inappropriate behavior
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7 What is Drug Abuse?
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This note was uploaded on 04/01/2011 for the course PSYCH 181 taught by Professor Fick during the Spring '11 term at University of Tennessee.

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181lec2 - WEBSITE http:/mocolab.org/Courses/Psyc181.html

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