Lecture+22+Addictive+Disorders(11,7)

Lecture+22+Addictive+Disorders(11,7) - Addictive Disorders:...

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Addictive Disorders: one of country’s major mental and health problem Very prevalent in our society Alcoholism eating disorders (especially bulimia) Solutions: (competing models) “Disease” problem is that it implies person has NO responsibility for their behavior 2. “Mental Disorder” the symptoms are behavioral The deficiencies in coping skills should be treated through cognitive therapy 3. It is a disorder of the self that requires self psychology Fragmentation Factoids: Alcoholism 1 in 7 people meet criteria for alcohol abuse The average life span of an alcoholic is 12 years shorter than the average citizen Alcoholism increases the risk of suicide The mental health community has been polarized on questions??? What is an addiction? How do we understand it? How do we treat it? Self-help: has been a very prominent force in the field
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AA ACOA 12 step Overeaters anonymous Conflict between self help groups and professionals Most agree on: Bio-Psycho-Soc-[Spiritual, (Miller, UNM)] How do bio-psych-soc factors interact? Biological Factors Alcoholism Genetic component to developing alcoholism (much research with adopted twins) Parents If both parents are alcoholic you have a greater risk than if only one was alcoholic Children from alcoholic parents are able to drink large amounts without being intoxicated Sons of Alcoholic Fathers, Substance “P” Fetal Alcohol Syndrome Fetal Alcohol Syndrome midbrain: nucleus accumbens Brain Police GABA turns off reward-pleasure system Different types of Alcoholism Type I : Large Genetic Component
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(don’t seem to have “controlled drinking”) “Functional genomics” is concerned with how genes work to influence addiction Type II : Combination Biological and Environmental Factors Cultural Factors: Different Ethnic groups have different relationship with alcohol Irish Culture (high rates of alcoholism) Irish Tend to be: Alcohol seems to be a way to express affect Erases inhibition, reduces anxiety regarding emotional connectedness Asia France: has the highest per capita rate of alcohol consumption Global gender difference 1978: 39% of adult men had a psychological dependence on alcohol 10% of adult men were alcoholics Late 80’s: men consumed 75% of alcohol Observed changes in drinking patterns suggests that in the Future : The ratio of male to female problem drinkers will decrease Women tend to NOT “hold their booze” as well as men women metabolize alcohol less quickly than men Campton, et al.,
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about 75% of alcoholics also have an additional psychiatric disorder Socio-cultural factors in terms of gender differences in drinking Cultural Support More accepted for males Funny prank for males ‘Blasted’, ‘toasted’, ‘wasted’ not negative words for males Drinking is not only socially mandatory for men it is mandatory in terms of fulfilling a component of the masculine role in many
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This note was uploaded on 10/08/2011 for the course PSY 120 taught by Professor Donnely during the Spring '08 term at Purdue University-West Lafayette.

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Lecture+22+Addictive+Disorders(11,7) - Addictive Disorders:...

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