Carl Hart Video Flashcards

1
Q

According to Dr. Hart, about what percentage of drug users are not addicts?

A

80-90%

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2
Q

What 3 people did Dr. Hart cite had used drugs in the past, but were still functioning members of society?

A

Bill Clinton
George Bush
Barack Obama

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3
Q

Instead of incarcerating or treating drug users medically, Dr. Hart advocates for a focus on teaching drug users what?

A

How to use drugs safely

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4
Q

What example does Dr. Hart give of a person who didn’t know how to use drugs safely?

A

Police officer who ate too many pot brownies and called 911, thinking he was dying

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5
Q

In observing methamphetamine use in the laboratory, Dr. Hart found that meth had what effect on attention?

A

Improved performance on sustained attention tasks

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6
Q

Dr. Hart’s verbal fluency experiment with meth used what two treatment groups? How many participants? What was the task? What was the result?

A

Treatment groups: meth or placebo
4 participants
Summarize film watched as part of group
Meth improved verbal fluency

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7
Q

In Dr. Hart’s studies on methamphetamine, what route of administration was primarily used? Was the dose similar to that taken by illicit users, or a more moderate one?

A

Oral

Moderate dose

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8
Q

In Dr. Hart’s comparison studies of methamphetamine and D-amphetamine (Adderall), how did the drugs compare in terms of blood pressure, sense of “high”, and creation of a desire to continue administration? What is the difference between the two drugs at the molecular level?

A

Similar effects on blood pressure, “high”, and choice to continue taking drug
Meth has an extra methyl group over D-amphetamine

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9
Q

PET imaging allows visualization of what in terms of the effects of drug use?

A

Dopamine binding

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10
Q

Many PET studies show (lower/unaffected/higher) dopamine binding in methamphetamine abusers. Dr. Hart says that there is (little/much) overlap between dopamine binding of meth users and non-meth users. He says that when determining cognitive impairment, people should be compared against a _____, taking into account what 2 things?

A

Lower
Much
Norm
Age and level of education

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11
Q

Dr. Hart says that giving animals who have not been previously exposed to meth a large dose of the drug has what effect on their dopaminergic cells? How is that different from animals who have developed a tolerance to meth?

A

Naive animals who are given a large dose of meth: destruction of dopaminergic cells
Animals who have developed a tolerance to meth: effect not seen

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12
Q

Dr. Hart says that the majority of drug abuse research is funded by what institution? What effect does that have on the focus of the research? He feels that this focus is consistent with what kind of mentality?

A

National Institute on Drug Abuse
Focus of research is drug abuse and addiction (pathology), not effects of drug use itself
“War on drugs” mentality

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13
Q

Dr. Hart says that the greater the focus on _____ of drug use, the less likely that the ____ of drugs will be known and that people won’t be ____ on how to use drugs ____.

A

Pathology
Effects
Educated
Safely

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14
Q

Dr. Hart feels that “misleading” the public on drugs has what effect on “addiction industry participants?” Dealing with the problems of the poor? What demographic does he feel is unfairly targeted as a result of this “misleading?”

A

Increases the budget of “addiction industry participants” (law enforcement, treatment providers, politicians, scientists, the media, etc.)
Prevents addressing the real problems of the poor (unemployment, poor education, poor nutrition)
Blacks

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15
Q

Arguments that ___ people using ____ (drug) were dangerous led to the passage of an act in the ____ (decade) that punished ___ (form of drug) users more severely than ____ (other form of drug) users. What effect did this law ultimately have?

A
Black
Cocaine
1980s
Crack
Powder
Law ultimately led to large rates of Black incarcerations  (disproportionate to demographics of crack users)
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16
Q

What is the difference between powder and crack cocaine? Why does Dr. Hart argue that they are the “same drug?”

A

Powder cocaine is a salt form of the molecule, so it cannot be smoked (crack cocaine can)
Effects of powder cocaine when injected are the same as those of crack cocaine when smoked

17
Q

Dr. Hart advocates what following solutions to the “misleading” of the public on drug use:

1) Regarding science?
2) Regarding accountability?
3) Regarding narrative?
4) Regarding legality of drugs?

A

1) Understanding the science (and knowing its limitations)
2) Holding major players in the “addiction industry” accountable and calling out racial discrimination
3) Talking about drug use that has not led to addiction
4) Decriminalizing drug use