Addiction Flashcards

1
Q

What can addiction be defined as?

A
  • progression from normal to excessive engagement in practices people enjoy/feel compelled to do
  • often with harmful results
  • a social construct
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2
Q

What does the abnormal part of addiction vary within

A
  • social groupings
  • geographical location
  • time in history
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3
Q

What are the main psychological mechanisms in drug dependence?

A
  • classical conditioning
  • operant conditioning
  • automatic behaviours
  • positive reinforcement
  • negative reinforcement
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4
Q

What is classical conditioning?

A
  • a neutral stimulus elicits a response if its associated with an unconditioned (biological) stimulus
  • forms an association between 2 stimuli
  • works when primary reinforcement is consistent
  • cues trigger craving
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5
Q

What is operant conditioning?

A
  • forms an association between a behaviour and its consequence
  • strength of behaviour modified by punishment/reward
  • drug feeling rewarding to an individual
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6
Q

What are automatic behaviours?

A
  • behaviour leading to reward
  • dopamine release in core of nucleus accumbens
  • ‘if in same sitatuon I would do it again’
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7
Q

What is positive reinforcement?

A
  • behaviour leading to pleasurable sensations are likely to get repeated
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8
Q

In drug taking what are positive reinforcements?

A
  • pleasurable sensations
  • satisfaction of biological needs (cocaine and nicotine reduce hunger)
  • social reinforcement (group membership)
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9
Q

What is negative reinforcement?

A
  • behaviour that stops/avoids negative sensations fast so likely to be repeated
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10
Q

In drug taking what are negative reinforcements?

A
  • reduction of habitual stress levels
  • reduction of acute distress
  • reduction of withdrawal symptoms
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11
Q

Why does withdrawal discomfort normally occur?

A

Due to neuroadaptation during drug use

- when not used, creates a negative reinforcement for using the drug

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12
Q

Why are classical conditioning, positive and negative reinforcement different?

A

Do not require insight/conscious decision

- behaviour simply triggered by craving bypassing most of cognition

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13
Q

What does individual sensitivity to positive drug effects depend on?

A
  • biological and genetic factors
  • expectancies
  • high stress levels
  • absence of other sources of pleasure/gratification
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14
Q

What does individual sensitivity to negative drug effects depend on?

A
  • biological sensitivity to drug after effects
  • intensity to withdrawal discomfort
  • reactions to withdrawal discomfort
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15
Q

What are the effects of addiction of personality and mental health?

A
  • sensation seeking/impulsivity
  • social deviance (being able to cope with peer pressure)
  • anxiety/depression
  • ability to cope withdrawal discomfort
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16
Q

What are the social and environment factors of addiction?

A
  • access to drugs
  • social acceptability of drug use
  • facilitation
17
Q

What other factors contribute to the addictiveness of drugs?

A
  • speed of delivery (injecting vs. snorting)
  • concentration (beer vs. spirits)
  • presence of other facilitating chemicals
  • prohibition/war on drugs
18
Q

What treatments are available for addiction?

A
  • detoxification
  • adversion therapies (Antabuse)
  • motivation therapies (groups, AA)
  • CBT for coping skills
  • drug substitutes (methadone, NRT)
  • treatments for withdrawal relief
  • abstinence focused treatments have limited efficacy and efforts usually lost to relapse