HLTH 237 Chp. 5-7 Flashcards

1
Q

What are the key biological theories of addiction?

A
  1. Disease/Medical Model
  2. Neurobiology
  3. Genetic Theory
  4. Allergy Theory
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2
Q

How does the disease/medical model explain addiction?

A
  • Addiction is a chronic, fatal disease process involving changes in brain function.
  • Substance use is involuntary and some individuals are biologically susceptible.
  • Requires medical care and often follows a U-shaped disease progression with rehabilitation and abstinence as recovery.
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3
Q

What is the U-shaped disease progression described in the disease model?

A
  • Starts with integrated or social use.
  • Progresses to preoccupation, blackouts, and loss of control.
  • Ends with chronic obsession, hitting rock bottom, and a choice between recovery or death.
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4
Q

What are the main criticisms of the disease model of addiction?

A
  • Limited empirical support for the idea of addiction as a disease.
  • Fails to fully explain substance use as a socially constructed phenomenon.
  • The binary view (diseased/not diseased) oversimplifies addiction.
  • Fails to address stigma and shame effectively.
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5
Q

What are the reasons for the popularity of the disease model?

A
  • First model to challenge the moral model.
  • Provides a simple explanation for a complex issue.
  • Economic and social benefits for the medical community.
  • Forms the foundation of programs like Alcoholics Anonymous.
  • Avoids addressing broader social reforms.
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6
Q

What does the neurobiological theory suggest about addiction?

A
  • Repeated drug exposure alters brain structures responsible for rewards, motivation, and learning.
  • Changes in intracellular signaling, synaptic plasticity, and the dopamine system make stopping drug use difficult.
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7
Q

What role does dopamine play in addiction?

A

Dopamine is critical in directing and rewarding goal-related behavior. Drugs increase dopamine activity, reinforcing substance use and creating dependence.

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8
Q

What are the criticisms of neurobiological theories?

A
  • Reduces addiction to a purely biological process, ignoring psychological and social factors.
  • Similar brain adaptations occur with other environmental stimuli, not just drugs.
  • It’s essentially a rebranding of the disease model.
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8
Q

What does the genetic theory propose about addiction?

A
  • Addiction is partially inherited, with genes influencing the metabolism and processing of substances like alcohol.
  • Evidence from adoption and twin studies shows familial patterns of addiction.
  • Genetic influence ranges from 30–70% depending on substance, gender, and culture
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8
Q

What evidence supports the genetic theory of addiction?

A
  • Adopted children are more likely to develop dependence if their biological relatives were dependent.
  • Twin studies show higher concordance rates for addiction among identical twins.
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9
Q

What are the limitations of genetic theories of addiction?

A
  • No “addiction gene” has been discovered.
  • Genetics are not fully deterministic and do not explain all cases.
  • Ignores psychological, social, and environmental influences.
  • Offers no direct treatment options based solely on genetics.
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10
Q

What does the allergy theory suggest about addiction?

A
  • Addiction arises from allergic reactions to substances, leading to loss of control.
  • It was influential in early Alcoholics Anonymous (AA) literature.
  • However, no specific mechanisms or pathways have been identified, and the theory lacks scientific evidence.
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11
Q

How do biological theories fit within the broader framework of addiction?

A

Biological factors provide predispositions to addiction but must be understood in conjunction with psychological and sociological explanations.

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12
Q

What is the role of neuroplasticity in addiction?

A

Neuroplasticity refers to the brain’s ability to adapt to repeated drug use, altering both structure and function, which reinforces addictive behaviors and makes cessation difficult.

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13
Q

How does the biopsychosocial model integrate biological theories?

A

Biological factors (e.g., genetics, neurobiology) are combined with psychological (e.g., trauma, coping mechanisms) and social (e.g., environment, relationships) factors to create a comprehensive understanding of addiction.

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14
Q

What are the key psychological theories of addiction?

A
  • Learning Theory
  • Personality Theory
  • Psychodynamic Theory
  • Humanistic Theory
  • Attachment Theory
  • Rational Theory
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15
Q

What does personality theory suggest about addiction?

A
  • Addiction is linked to traits like impulsivity, reward-seeking, emotional instability, and low frustration tolerance.
  • There is no definitive “addictive personality,” but certain traits (e.g., narcissism, nonconformity) may increase susceptibility.
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15
Q

How does learning theory explain addiction?

A
  • Addiction is driven by operant conditioning.
  • Positive Reinforcement: Reward increases likelihood of drug use.
  • Negative Reinforcement: Withdrawal symptoms decrease with continued use.
  • Over time, positive reinforcement diminishes due to habituation and extinction.
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16
Q

What are the main criticisms of personality theory in addiction?

A
  • nconsistent patterns linking personality traits to addiction.
  • Unclear whether traits cause addiction or result from it.
  • Personality factors explain only a small proportion of addiction cases.
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17
Q

How does humanistic theory explain addiction?

A
  • Addiction arises from unmet needs in Maslow’s hierarchy (e.g., safety, belonging, self-esteem).
  • Drug use becomes a response to frustration, boredom, or an inability to reach potential.
  • Dependency is viewed as a rational response to unresolved needs.
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18
Q

What does attachment theory suggest about addiction?

A
  • Addiction stems from insecure attachments in childhood, such as neglect or inconsistent caregiving.
  • Substance use replaces interpersonal relationships and helps regulate emotions in individuals with attachment disorders.
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18
Q

What are the levels in Maslow’s hierarchy of needs?

A
  • Physiological: Basic survival needs like food and water.
  • Safety: Health, financial security, and order.
  • Belongingness: Social connections and love.
  • Self-Esteem: Confidence and respect from others.
  • Self-Actualization: Realizing one’s potential.
  • Transcendence: Helping others reach their potential.
19
Q

What are the three main types of childhood attachment?

A
  1. Secure Attachment: Caregiver provides comfort and reliability, leading to healthy emotional regulation.
  2. Ambivalent-Insecure Attachment: Caregiver is inconsistent, leading to extreme distress when they leave.
  3. Avoidant-Insecure Attachment: Result of neglect or rejection, leading to avoidance of caregivers.
19
Q

What is disorganized attachment, and how does it relate to addiction?

A
  • Results from inconsistent or unpredictable caregiving.
  • Leads to confusion and emotional dysregulation in children, increasing vulnerability to addiction later in life.
20
Q

What role does operant conditioning play in addiction?

A
  • Drug use is reinforced by rewards (positive reinforcement).
  • Withdrawal symptoms are avoided by continued use (negative reinforcement).
20
Q

How does withdrawal fit into learning theory?

A

Withdrawal symptoms act as a form of negative reinforcement, motivating continued substance use to avoid discomfort.

21
Q

How do positive and negative reinforcement differ in learning theory?

A
  • Positive Reinforcement: A rewarding stimulus increases the likelihood of behavior (e.g., euphoria from drug use).
  • Negative Reinforcement: Removing an unpleasant stimulus increases behavior (e.g., alleviating withdrawal symptoms).
21
Q

How does rational theory explain substance use?

A
  • Rational individuals strive for health and longevity.
  • When they understand the long-term harm of substances, they reduce use.
  • However, this theory does not fully account for addiction due to the influence of other psychological and social factors.
22
Q

What are habituation and extinction in learning theory?

A
  • Habituation: Reduced response to a drug with repeated use.
  • Extinction: Gradual loss of reinforcement for drug use over time.
23
Q

What unmet needs contribute to addiction in humanistic theory?

A

Boredom, frustration, lack of belonging, and failure to achieve self-esteem or self-actualization lead to substance use as a coping mechanism.

24
Q

How does attachment theory link addiction to emotional regulation?

A

Individuals with insecure or disorganized attachments struggle to regulate emotions and use substances as a substitute for healthy relationships.

25
Q

What are the main criticisms of rational theory?

A
  • It assumes people will act rationally when given information about substance harms.
  • It fails to account for emotional, social, and environmental influences on addiction.
26
Q

How do psychological theories fit into the biopsychosocial model?

A

Psychological theories highlight internal processes like learning, personality, and attachment, which interact with biological and social factors to influence addiction.

27
Q

What is the central focus of sociological theories of addiction?

A

Sociological theories emphasize the role of culture, social environment, and societal structures in influencing substance use, misuse, and dependence.

27
Q

What is cultural theory, and how does it explain drug use?

A

Culture consists of shared thoughts, beliefs, and expectations within a social group.
Cultural norms influence attitudes toward drug use, misuse, and acceptable behaviors.
Drug use patterns include healing, customary regular use, occasional use, and excessive use.

27
Q

How do subcultural theories explain substance use?

A
  • Subcultures, such as youth groups or university students, create environments where drug use norms are shaped.
  • Feelings of alienation or lack of belonging can push individuals toward substance use within specific subcultures.
28
Q

What are the four cultural patterns of drug use, and provide an example for each?

A
  • Abstinent: Drug use is prohibited (e.g., Middle Eastern nations).
  • Ambivalent: Mixed attitudes based on context (e.g., Morocco).
  • Permissive: Use is acceptable but public impairment is discouraged (e.g., Canada).
  • Ultra-Permissive: Excessive use occurs, often during rapid social change (e.g., Russia).
    *
29
Q

What cultural factors reduce alcohol-related problems?

A
  • Clear and uniform rules governing alcohol use.
  • Social sanctions against excessive use.
  • Early exposure to moderate, responsible use.
  • Uniform discouragement of drunkenness.
30
Q

What role does deviant behavior play in substance use?

A
  • Deviance involves violating societal norms.
  • What is considered deviant varies by context (e.g., cannabis is deviant in Canada but normal in Jamaica).
  • Media and societal labeling can reinforce negative behaviors, pushing individuals toward continued drug use.
31
Q

How does media influence perceptions of deviant drug use?

A

Media sensationalizes substances like crack cocaine or methamphetamine, creating stigmas and labels that cast users as societal outcasts.

31
Q

What does Marxist theory suggest about substance dependence?

A
  • Substance dependence results from socioeconomic struggles and class oppression.
  • Wealthy groups maintain power by creating laws that perpetuate inequality and restrict opportunities for marginalized groups.
  • Addiction is linked to poverty, social exclusion, and lack of meaningful work.
31
Q

How does availability-control theory explain drug use?

A
  • Substance use is influenced by availability and formal controls, such as taxation, advertising restrictions, and limiting sales.
  • Greater availability leads to higher use, while higher prices and strict regulations discourage use.
32
Q

How does environmental stress contribute to addiction?

A
  • Stressful environments (e.g., low SES, war zones) increase substance dependence.
  • Examples: U.S. soldiers in Vietnam and the “Rat Park” experiment, which showed that stress and isolation lead to higher drug use.
32
Q

Why do sociological theories lack specificity about individual substances?

A

Sociological theories focus on broader patterns of use, not the unique properties of specific substances, and how societal factors influence behaviors differently over time and context.

33
Q

How do sociological explanations of drug use vary?

A
  • They depend on the person, time, and situation.
  • Examples: Alcohol is legal in Canada but illegal in some Middle Eastern countries; cannabis is normalized in Jamaica but stigmatized in others.
34
Q

What are the four patterns of drinking identified in cultural theory, and how do they differ?

A
  • Healing: Used for medicinal purposes.
  • Customary: Regular but moderate use.
  • Intermittent:Used for special occasions.
  • Excessive: Heavy, problematic use often tied to cultural stress.
34
Q

What is the relationship between socioeconomic status (SES) and substance u

A

Lower SES is associated with higher stress levels and limited access to coping resources, leading to increased substance misuse and dependence.

35
Q

How does alienation contribute to drug use in subcultures?

A

Alienated individuals who feel disconnected from society may find a sense of belonging in subcultures where drug use is normalized or celebrated.

35
Q

Why is a holistic approach important in sociological theories of addiction?

A

Sociological theories emphasize that addiction arises from a combination of cultural, environmental, and societal factors, requiring integrated solutions.

36
Q

How does class struggle influence addiction in Marxist theory?

A

Wealthy elites maintain control by creating systems that marginalize poorer groups, leading to substance dependence as a coping mechanism for economic and social inequality.

37
Q

What does the “Rat Park” experiment reveal about addiction?

A

Addiction rates decrease in enriched, low-stress environments with social connections, highlighting the role of environment in substance use.

38
Q

How does social capital relate to deviant behavior and substance use?

A

Communities with lower social capital—less trust, cohesion, and shared resources—tend to have higher rates of substance misuse and deviant behavior.

39
Q

What is the key takeaway of sociological theories regarding substance misuse?

A

Addiction is not just an individual issue but a societal one, influenced by culture, social norms, environment, and systemic inequalities.