Chapter 11 Substance-Related, Addictive, and Impulse-Control Disorders Flashcards
Substance-related and addictive disorders
- A class of disorders that affects the way people think, feel, and behave.
- Range of problems associated with the use and abuse of drugs such as alcohol, cocaine, heroin, and other substances people use to alter the way they think, feel, and behave. These are extremely costly in human and financial terms.
Impulse-control disorders
- Disorder that deprives a person of the ability to resist acting on a drive or temptation
- Disorders in which a person acts on an irresistible, but potentially harmful, impulse.
Polysubstance use
Use of multiple mind- and behavior- altering substances, such as drugs.
Substance use
The ingestion of psychoactive substances in moderate amounts that does not significantly interfere with social, educational, or occupational functioning.
Substance intoxication
A physiological reaction, such as impaired judgement and motor ability, as well as mood change, resulting from the ingestion of a psychoactive substance.
Substance abuse
A pattern of psychoactive substance use leading to significant distress or impairment in social and occupational roles and in hazardous situations.
Dependence
A maladaptive pattern of substance use characterized by the need for increased amount to achieve the desired effect, negative physical effects when the substance is withdrawn, unsuccessful efforts to control its use, and substantial effort expended to seek it or recover from its effects. Also known as addiction.
Substance
Chemical compounds that are ingested to alter mood or behavior.
Psychoactive substances
Substances, such as drugs, that alter mood or behavior
Tolerance
Need for increased amounts of a substance to achieve the desired effect, and a diminished effect with continued use of the same amount.
Withdrawal
Severely negative physiological reaction to removal of a psychoactive substance, which can be alleviated by the same or a similar substance.
Antisocial personality disorder
Cluster B (dramatic, emotional, or erratic) personality disorder involving a pervasive pattern of disregard for and violation of the rights of others.
Depressants
- These substances result in behavioral sedation and can induce relaxation. They include alcohol (ethylalcohol) and the sedative and hypnotic drugs in the families of barbiturates (for example, Seconal) and benzodiazepines (for example, Valium, Xanax)
Stimulants
These substances cause us to be more active and alert and can elevate mood. Included in this group are amphetamines, cocaine, nicotine, and caffeine.
Opiates
The major effect of these substances is to produce analgesia temporarily (reduce pain) and euphoria. Heroin, opium, codeine, and morphine are included in this group.
Hallucinogens
These substances alter sensory perception and can produce delusions, paranoia, and hallucinations. Cannabis and LSD are included in this category.
Other Drugs of Abuse
Other substances that are abused but do not fit neatly into one of the categories here include inhalants (for example, airplane glue), anabolic steroids, and other over-the-counter and prescription medications (for example, nitrous oxide). These substances produce a variety of psychoactive effects that are characteristic of the substances described in the previous categories.
Gambling Disorder
As with the ingestion of the substances just described, individuals who display gambling disorder are unable to resist the urge to gamble which, in turn, results in negative personal consequences (e.g., divorce, loss of employment).
Alcohol-related disorders
Cognitive, biological, behavioral, and social problems associated with alcohol use and abuse.
Fermentation
Decomposition process by which yeasts, water, and sugar form alcohol.
Breathalyzer test
Measure of alcohol intoxication that uses a breath sample because some consumed alcohol is vaporized in the lungs and exhaled.
Gamma-aminobutyric acid (GABA)
Neurotransmitter that reduces activity across the synapse and thus inhibits a range of behaviors and emotions, especially generalized anxiety.
Glutamate system
Excitatory neurotransmitter system that may be the avenue by which alcohol affects cognitive abilities.
Withdrawal delirium (delirium tremens/DTs)
Frightening hallucinations and body tremors that result when a heavy drinker withdraws from alcohol.
Dementia/neurocognitive disorder
- The decline in intellectual abilities through, for example, excess consumption of alcohol.
Wernicke-Korsakoff syndrome
- Organic brain syndrome resulting from prolonged heavy alcohol use, involving confusion, unintelligible speech, and loss of motor coordination. It may be caused by a deficiency of thiamine, a vitamin metabolized poorly by heavy drinkers.
Fetal alcohol syndrome (FAS)
Pattern of problems including learning difficulties, behavior deficits, and characteristic physical flaws, resulting from heavy drinking by the victim’s mother when she was pregnant with the victim.
Alcohol dehydrogenase (ADH)
Enzyme that helps humans metabolize alcohol. Different levels of its subtypes may account for different susceptibilities to disorders such as fetal alcohol syndrome.
Four-stage model for the progression of alcoholism- Jellinek
- Prealcoholic stage
- Prodromal stage
- Crucial stage
- Chronic stage
Prealcoholic stage
First of E. Morton Jellinek’s four stages identified in the progression of alcoholism, involving occasional drinking with few serious consequences.
Prodromal stage
Second of E. Morton Jellinek’s four stages identified in the progression of alcoholism, featuring heavy drinking but with few outward signs of a problem.
Crucial stage
Third of four of E. Morton Jellinek’s four stages identified in the progression of alcoholism, involving a loss of control of drinking and occasional binges of heavy drinking.
Chronic stage
Final of four of E. Morton Jellinek’s four stages identified in the progression of alcoholism, where the individual’s primary daily activities revolve around obtaining and drinking alcohol.
Barbiturates
Sedative (and addictive) drugs including Amytal, Seconal, and Nembutal that are used as sleep aids.
Benzodiazepines
Antianxiety drugs including Valium, Xanax, Dalmane, and Halcion also used to treat insomnia. Effective against anxiety (and, at high potency, panic disorder), they show some side effects, such as some cognitive and motor impairment, and may result in substance dependence. Relapse rates are extremely high when the drug is discontinued.
Amphetamine use disorders
Psychological, biological, behavioral, and social problems associated with amphetamine use and abuse.
Cocaine-use disorders
Cognitive, biological, behavioral, and social problems associated with the use and abuse of cocaine.
Tobacco-related disorders
Cognitive, biological, behavioral, and social problems associated with the use and abuse of nicotine.
Dopamine
Neurotransmitter whose generalized function is to activate other neurotransmitters and to aid in exploratory and pleasure-seeking behaviors (thus balancing serotonin). A relative excess of dopamine is implicated in schizophrenia (although contradictory evidence suggests the connection is not simple), and its deficit is involved in Parkinson’s disease.
Opiates
Addictive psychoactive substances such as heroin, opium, and morphine that cause temporary euphoria and analgesia (pain reduction)
Opioid-related disorders
A class of disorder associated with opiate use
Opioids
Family of substances including opiates and endorphins, as well as synthetic variants such as methadone, that have a narcotic effect.
Cannabis (marijuana)
- Cannabis sativa
2. Dried flowers and leaves of the hemp plant; a hallucinogen that is the most widely used illegal substance
Cannabis use disorders
Psychological, biological, behavioral, and social problems associated with Cannabis disorders and use.
Cannabinoids
Family of chemicals in marijuana believed to be responsible for its mood-and behavior-altering ability
Tetrahydrocannabinols (THC)
Most common active chemicals in marijuana responsible for its ability to alter mood and behavior.