Lecture 16 Flashcards
Addiction involved all of the following behaviours, except:
A) Compulsiveness
B) Loss of control
C) Resistance
D) Continued Use
C
Define psychoactive drugs
define as a substance capable of influencing brain systems linked to mood/emotion/perception, as well as reward and pleasure - “drug” for simplicity
Review
Psychoactive drugs: include psychopharmaceutical medications as well as both legal and illegal “drugs”:
◦ Antidepressants
◦ Prescription opioids (post surgery or dental work) including medications like codeine
◦ Tobacco (nicotine)
◦ Coffee, rea, energy drinks (caffeine)
◦ Beer, wine, spirits, etc. (alcohol)
◦ Cannabis (THC)
◦ Hallucinogens (“magic” mushrooms, LSD, MDMA, psilocybin) ◦ Stimulants (cocaine, amphetamine)
What are the 4 things on the spectrum of psychoactive substance use
- beneficial
- non-problematic
- problematic
- chronic dependent
explain beneficial on the spectrum
- use that has positive health, spiritual and/or social impacts
ex. medicinal use as prescribed, moderate consumption of alcohol
explain non-problematic on the spectrum
- recreational, casual or other use that has negligible health or social effects
explain problematic on the spectrum
- use at an early age, or use that begins to have negative health impacts for individuals, family/friends or society
ex. use by minors, impaired driving, binge consumption
explain chronic dependent on the spectrum
- use that has become habitual and compulsive despite negative health and social effects
What are the 3 criterias that ICD-11 focuses on about dependence?
- impaired control over substance use
- substance use becoming an overriding priority in the user’s life;
- tolerance to or withdrawal symptoms from the drug
any 2 qualify as a diagnosis of substance independence
in the DSm-V, what is dependence replaced with?
- dependence replaced with substance use disorder, diagnosed on presence of 2/11 criteria related to use
Alcoholic Anonymous (AA) and similar groups (Narcotics Anonymous) have fostered what?
- fostered a predominant narrative regarding treatment and recovery in relation to addiction
What was founded in 1930s in the US?
- The emergence of AA coincided with the medicalization of addiction and reliance on doctors to treat it
- controversial as a frontline response to problematic alcohol use
What does the AA model claim?
- claims that people with addiction are intrinsically predisposed to addiction
What does the history of the medical model of addiction begin with?
- begins with US inebriate reformatory movement
- doctors adopted the medical model, but also capitalizing on the temperance movement and increasing public concern about alcohol
How did the doctors draw from both models noted earlier? (disease vs. temperance model)
- alcohol as an inherently addictive substance leading certain people to need medical intervention
- alcoholism as a disease that affects particular people put doctors in central position in countering alcohol problems