3.3.1 Synapses, Drugs, And Addictions 2

Question 1

Hallucinogens attach to serotonin ____ __ receptors and provide stimulation at inappropriate times or for longer than usual durations.

Answer 1

type 2A

Question 2

The drug ___________ (MDMA, or “ecstasy”), is a stimulant at low doses, increasing the release of dopamine and producing effects similar to amphetamine or cocaine.

Answer 2

Methylenedioxymethamphetamine

Question 3

At higher doses, MDMA also releases serotonin, altering ____ and ____ like hallucinogenic drugs.

Answer 3

perception and cognition

Question 4

Many people use MDMA at dance parties to increase their energy levels and pleasure. However, after the effects wear off, users experience ____ and ____.

Answer 4

lethargy and depression

Question 5

In moderate amounts ____ relaxes people and decreases anxiety.

Answer 5

alcohol

Question 6

In larger amounts, alcohol causes ____ ____, ____ ____, and ruins lives.

Answer 6

health problems, impairs judgement

Question 7

____ or alcohol dependence is the habitual use of alcohol despite medical or social harm.

Answer 7

Alcoholism

Question 8

Alcohol facilitates response at the GABA receptor, the brains main inhibitory site. It also blocks activity at the glutamate receptors, the brain’s main excitatory site. Both the GABA effect and glutamate effect lead to a decrease in ____ ____.

Answer 8

brain activity

Question 9

Studies of twins and adoptees confirm a strong influence of ____ on vulnerability to alcoholism.

Answer 9

genetics

Question 10

People with ______ alcoholism develop alcohol problems gradually, usually after age 25, and may or may not have relatives with alcohol abuse.

Answer 10

Type 1 (or Type A)

Question 11

Those with ______ alcoholism have more rapid onset, usually before age 25. Most are men, and most have close relatives with alcohol problems.

Answer 11

Type 2 (or Type B)

Question 12

One identified gene in alcoholism controls variations of the _____ ____ receptor, one of the five known types of dopamine receptor.

Answer 12

dopamine type 4

Question 13

The dopamine type 4 receptor has two common forms, short and long. The ____ ____ is less sensitive, and people with the long form report stronger than average cravings for additional alcohol after having one drink.

Answer 13

long form

Question 14

Another key gene in alcoholism controls COMT, an ____ that breaks down dopamine after its release. Some people have a less active form of this ____ and others have a more active form.

Answer 14

enzyme

Question 15

The more active form of the COMT enzyme breaks down more dopamine and therefore ____ ____ People with that gene tend to be more impulsive – to choose immediate reward instead of bigger rewards later.

Answer 15

decreases reinforcement.

Question 16

____ ____ also contributes to the risk for alcoholism.

Answer 16

Parental environment

Question 17

Nearly everyone was an addiction recognises that the habit does more harm than good. As the addiction progresses, the pleasure becomes ____ while the costs and risks ____. And yet the person remains preoccupied, unable to quit.

Answer 17

weaker : increase

Question 18

As an addiction develops, many of its effects, especially the enjoyable effects, decrease. That decrease is called ____.

Answer 18

tolerance

Question 19

The effects of drug cessation are called ____. As the body comes to expect the drug, it reacts strongly when the drug is absent.

Answer 19

withdrawal

Question 20

Explanations of addiction 1. One explanation that theorists have advanced to explain addiction is that it is an attempt to avoid ____ ____.

Answer 20

withdrawal symptoms

Question 21

Explanations of addiction 2. A modified explanation is that someone with an addiction learns to use the substance to ____ ____ ____.

Answer 21

cope with stress

Question 22

Explanations of addiction 3. Another hypothesis is that a drug user learns to associate cues with a drug. Later, even after a long period of abstinence, exposure to those cues triggers a ____ ____.

Answer 22

renewed craving

Question 23

Although escape from withdrawal symptoms and conditioned responses to cues are important, they seem insufficient to explain the way in addiction completely ____ someone’s life.

Answer 23

dominates

Question 24

Somehow, the addiction hijacks the persons motivations. It changes the ____ so that other kinds of reinforcing experiences become less powerful, less able to compete with the drug.

Answer 24

brain

Question 25

After some drinks ethyl alcohol, enzymes in the liver metabolise it to ____, a poisonous substance. An enzyme, ____ dehydrogenase, then converts ____ to acetic acid, a chemical that the body uses for energy.

Answer 25

acetaldehyde

Question 26

People with a weaker gene for acetaldehyde dehydrogenase metabolise acetaldehyde more ____.

Answer 26

slowly

Question 27

If one drinks too much alcohol, they accumulate acetaldehyde, which produces ____ of the face, increased ____ rate, ____, ____, ____ pain, impaired ____, and ____ damage.

Answer 27

flushing, heart, nausea, headache, abdominal, breathing, tissue

Question 28

The drug disulfiram, which goes by the trade name ____, antagonises the effects of acetaldehyde dehydrogenase by binding to its copper ion. The effect is becoming sick when drinking alcohol.

Answer 28

Antabuse (disulfiram)

Question 29

____ is an artificial substance invented in the 1800s as a supposedly safer alternative for people who were trying to quit morphine.

Answer 29

Heroine

Question 30

____ is similar to heroine and morphine but has the advantage that can be taken orally.

Answer 30

Methadone

Question 31

Methadone taken orally gradually enters the blood and then the brain, so its effects rise slowly, avoiding the rush experience. Because it is ____ slowly, the withdrawal symptoms are also gradual.

Answer 31

metabolised