Lecture 2: Intro To Psychopharmacology Flashcards

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1
Q

What is psychopharmacology?

A
  • the study of drugs effect on mood, perception, cognition, & behaviour
  • pharmacology and psychology
  • focuses on psychoactive drugs
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2
Q

What are psychoactive drugs?

A
  • Drugs that effect the CNS (brain and spinal cord)
  • changes in the function and sometimes the structure of our brain
  • PET scan: functional, show where molecules bind (give mildly radioactive substance, will bind in some places [radioactive cocaine, binds more weakly in long-term substance users.. isn’t directly binding to some areas
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3
Q

Psychopharmacology

A

How drugs affect our mood/perception/behaviour/cognition; how they affect our CNS

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4
Q

Behavioural pharmacology

A

From behaviourism
Starts out of how drugs affect behaviour
Often some aspect of operant/classical conditioning (Pavlov, animal models)

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5
Q

Neuropsychopharmacology

A

The study of how drugs affect the nervous system and how these nervous system changes alter behaviour

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6
Q

Why is psychopharmacology important?

A
  • drug use is ubiquitous
    • billion of ppl use psychoactive drugs daily; anti-depressants; coffee; alcohol
  • field provides insight into human behaviour
    • push the system in one way or another; make an inference on how healthy human/animal brain functions
  • addiction is prevalent
    • our solutions are currently unsatisfactory
    • need better solutions to keep ppl safe
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7
Q

What is a drug?

A

“An administered substance that affects physiological functioning.”

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8
Q

Problem with drug definition

A

1) administered

2) affects physiological functioning

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9
Q

“Administered”

A

 Administered: some substance, if they are not administered, they are not a drug – testosterone in our bodies = not a drug, simply a hormone (pill/cream/injection = drug)

 Many experiences are administered: walk in nature, will affect our physiological functioning

 Dopamine: inside your body, is simply a neurotransmitter – outside your body, considered a drug

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10
Q

“Affects physiological functioning”

A

 Affects physiological functioning: does water do this? Yes

(food, vitamins, nutritional supplements – not considered drugs, yet they all affect physiological functioning)

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11
Q

Exogenous

A

From outside the body

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12
Q

Endogenous

A

From within the body

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13
Q

Why are drugs used?

A

Instrumentally and recreationally

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14
Q

Instrumentally

A

o Using the drug to accomplish some sort of specific purpose

 In the morning, drink coffee to wake us up

 Drinking alcohol to relieving stress

 Taking drug to avoid withdrawal – instrumental

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15
Q

Recreational drug use

A

o Using a drug for the sole purpose of experiencing the substances effects

 Drinking alcohol in a recreational way to party and have fun

 Xanax (prescription drug) used recreationally, to experience the effects

 Historically have a problem with doing things fun; often a push to legalize cannabis – marketing shift towards medical marijuana – reframing for instrumental use, important part of legalization (advocating for instrumental drug use)

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16
Q

Trade name

A

Often a marketing skew, not based on anything

  • viagra (sounds vital)
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17
Q

Generic names

A

Chemistry might be incorporated

  • sildenafil
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18
Q

Chemical names

A

Gives complete detail of the chemical structure of a drug

  • 5-{2-(ethyloxy)-5-[4-methylpiperazin-1-yl)sulfonyl]phenyl}-1-methyl-3-propyl-1,6-dihydro-7H-pyrazolo[4,3-d]pyrimidin-7-one
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19
Q

Street name

A

Name used by those who take/sell the drug for the streets

  • blue diamond
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20
Q

Dose

A

o Higher dose = more of the drug, but how much for what person?

o Amount of drug, per body weight

o Milligram per kilogram / microgram per kilogram

o Drug study with rats: rats must be weighed before the drug is administered

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21
Q

Dose-effect/dose-response curve

A

o Lower doses, we might not see the effect – want a higher effect

o Scatter plot; draw line of best fit through

o X axis
 Increasing dose

o Y axis
 Number of individuals responding to the drug
 How strong the effect is felt

o Have to give the drug in different doses; multiple times over different sessions (commonly 3 different doses)

o Have to be based on experimental data; real world phenomenon

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22
Q

ED 50

A

o Median effective dose

o The dose where 50% of the effect was observed or when the effect was observed in 50% of participants

o To find: need to draw it in, from the right

o Only experimentally derive; collecting data in the world

o Effect? Effect is arbitrary

   	Supposed to change our mood? How did the mood change?

   	Can vary

   	Sometimes there may be many effects; may separate these
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23
Q

Potency

A

o Some drugs are more potent than others

o Potent = stronger

o If one drug is more potent than another, the more potent drug’s graph will be shifter to the left (take less dose); if a drug is less potent, the graph will be shifted to the right

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24
Q

TD50

A

o Median toxic dose; typically far to the right

o Dose at which 50% of the subjects experience a toxic effects or when the toxic effects are experienced 50% of the time

o Studies done on animals

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25
Q

Therapeutic index

A

TD50/ED50
o Mathematical equation

o Doesn’t tell you a lot; if you have 3 different drugs – can compare

o Greater = margin of safety is larger

o Is not conservative

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26
Q

Certain safety index

A

o Mathematical calculation

o We want to know when anyone has a toxic effect – care about TD1 more, do not want anyone to feel the adverse effects if possible
 Where 1% experience toxic effects

o Want everyone to have the benefits of the drugs, where 99% of the effect is there or 99% experience the effects

o More conservative – certain safety index

o Certain safety index larger (1 vs 7) = 7 is safer, ED is farther from TD

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27
Q

LD50

A

o Median lethal dose; where 50% of individual die at that dose

o To make sure the public is safe

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28
Q

Pharmacodynamics

A

o The physiological actions of the drugs; the actual mechanism

o Bind to glutamate receptor? What change does it cause?

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29
Q

Pharmacokinetics

A

o How drugs are passing through our body

o Administered; stored; do they break down? Pass to the brain undisturbed? Metabolized the in the liver?

o How are they eliminated from the body? Exhaled? Through the urine?

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30
Q

Pharmacogenetics

A

o How differences in our genes, lead to differences in our biological makeup/pharmacodynamics and pharmacogenetics

o Some can tolerate drugs better, more/fewer of an enzyme

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31
Q

Psychoactive drug effects

A
  • objective

- subjective

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32
Q

Objective effects

A

o Drug effects that we are capable of directly measuring

o How does it change heart rate, salivary production, pupil dilation?

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33
Q

Subjective effects

A

o Drug effects that can’t be directly observed

o Affects our memory – have to study indirectly, memory test

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34
Q

How do we acquire info about the world

A
  • authority
  • intuition
  • observation
  • test
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35
Q

Authority

A

o Whose authority? Parents, school teachers, politicians, doctors

o Weakest form: only based on trust in that authority figure – is needed, valuable and useful, we cannot all be authority figures on everything

o Often exploited: humans built to listen to authority (social structure), often to susceptible to authority – to sell you things, generate a false authority, using terms with longstanding authority

o Often their authority does not extend farther than we usually believe it does (Dr. Spock)

36
Q

Dr. Spock

A

 Dr. Spock: child-rearing in the 1950s, they are humans with feelings they need be nurtured and cared for

 Advice: to sleep your baby faced-down

 Based on observation: they will not choke on the vomit

 Not based on scientific data – reasonable inference based on science

 Major danger! Sudden infant death syndrome, happened for years and years

 At risks for respiration problems and SIDS

37
Q

Problem with authority

A

o Often their authority does not extend farther than we usually believe it does (Dr. Spock)

o One problem with authority: bullshit
 “One of the most salient features of our culture is that there is so much bullshit.” -Frankfurt, 1986

 Differs from lies!
 Lying: requires respect for reality
 Bullshit: indifferent to reality, mix/dilute bits of truth with other thoughts – convincing others

 Alternative facts???
 Is not a new problem

 Cf. Socrates and the sophists
 Sophists who taught you how to win an argument no matter the subject – being right more important than being truthful
 Tangible effects: lives lots due to the misrepresentation of facts

38
Q

Intuition

A

(effortless knowledge, « gut feeling »)

o Commonly a starting point in science

o Draws from life (anecdotal) experience: so much information coming into your head is inaccurate – part of the intuition, so much going on in life cannot absorb all the information

o Sometimes correct

o Often wrong

39
Q

Problems with intuition

A

 Illusory correlation: no correlation between two sets of data, no relationship between these 2 variable – although the data could be misleading / astoundingly similar

 Susceptible to bias

 Overconfidence

40
Q

Illusory correlation

A

no correlation between two sets of data, no relationship between these 2 variable – although the data could be misleading / astoundingly similar

 See a statistical relationship, but not an actual one – not related

 Humans are meaning-making machines: designed to sense patterns – often see sense/patterns where no pattern exists

 Correlation does not equal causation

 The number of ashtrays increasing in the house, probability of getting lung cancer increases… so it’s the ashtray? No, it’s the cigarettes

 The 3rd variable problem; influencing both things we are observing

41
Q

Susceptible to bias

A

 Eugenics; « social philosophy » to take something as legitimate and good science, and extrapolate that ??? //

Natural selection extended unto humans – take those who have desirable traits and they should have lots of children, and those with undesirable traits should not procreate

 Presume that there is desirable traits; and that they knew what they were

 White dudes… biased
 Women = meek, small, white, fair
 Men = strong

 Exterminating whole groups of people/sterilization (happened in Canada!)

 Studying IQ based on race???

42
Q

Overconfidence

A

 The Dunning-Kruger effect

 You are never more confident, than when you know basically nothing about an event – overconfident

 Confidence quickly drops – realize all of the things you do not know

 Mount Stupid in the Valley of Despair

 The more experience, the less confidence you have… does bounce back eventually, but never again achieve the heights of mount stupid

43
Q

Observation

A

o Critical to good science: empiricism (scientific, systematic, measurement)

o Works best with objective measures

o Still not enough to acquire the best information about the world…

     	Which ball will hit the ground first when dropped from the same height?
                 	They land at the same time, although people think that the heavier one will hit the ground first
     	Naturalism: collection of old dead things, needed to observe and test those observations
44
Q

Problems with observation

A
  • bias/limited explanatory power
    - frontal lobotomy
    - vaccines and autism
45
Q

Frontal lobotomy

A

 Saw a report where a chimpanzee was no longer frustrated when aggravated, after frontal lobotomy – decided to test this on « disruptive humans »

 Many non-consenting individuals received: children, psych patients, women more than men (consent could be given by husband or father)

 Doctors office, drive needle in pupil, swish up the front of the brain

 No therapeutic benefits

 Tens of thousands of people

 Dr.: shot by one of his patients, clearly still upset - paralyzed

46
Q

Vaccines and autism

A

 Andrew Wakefield

 Study in small group of individuals, who got the mumps vaccine also had autism

 100% of ASD individuals had the measles/mumps vaccine – everyone gets these vaccines

 No control group

 Developing a discrediting vaccine – trying to create a competing drug

 Led to the movement against vaccines

47
Q

Scientific skepticism

A
  • Question authority and intuition
  • Question your senses
  • Question knowledge, beliefs
  • Systematic doubt and continual testing

• BUT be careful of extreme skepticism/extreme postmodernity: these are the tools of obfuscation
o How can we ever really know anything?
 Some senses, true
 Pushing you away from asking the difficult/important questions
 Our models of the world are amazingly accurate

48
Q

The scientific method

A

Obersvation and testing

  • Observation
  • Idea
  • Consult past research
  • Hypothesis
  • Design study to test hypothesis
  • Ethical approval
  • Collect data
  • Analyze data
  • Modify and repeat (if hypothesis is wrong), or…
  • Consider implications of results, build theories
49
Q

Good science (5)

A
  • materialism
  • universalism
  • communality
  • disinterestedness
  • organized skepticism
50
Q

Materialism

A

o Presumption that everything in the universe has a physical basis: matter or energy
o Can be measured directly or indirectly
o Everything corresponds to physical laws – love has a physical basis; addiction

51
Q

Universalism

A

o When we observe the world, all of our observations are structured
o Objective, reliable, universally accepted way of doing something

52
Q

Communality

A

o The methods and results of a scientific study, are open to all

o Allows for (1) replication, and (2) avoid manipulation of data/misrepresentation

o So many drug studies, just went missing, when they had bad results – never published

o Problem: no one wants to publish negative results

o Foundational growth
 Studying flatworms, fish
 Standard: worm researchers – because they shared all their data with each other, the field developed much faster
 Other groups hiding the data

53
Q

Disinterstedness

A

o A researcher shouldn’t have a stake in the outcome

o Billions of dollars in drug development; more likely to skew/misrepresent the data

54
Q

Organized skepticism

A

o Based on the scientific merit of the information; was this peer-reviewed, what are the methods?

55
Q

Developing a theory

A

“Theory”
o Common use does not equal scientific use
o An idea, a concept, that connects many different aspects of our observations, to explain/describe a much larger thing
o Example: gravity (the moon, the sun, the waves, things dropping on the ground)

• Organize and explain a variety of facts/descriptions/observations

• Falsifiable
o Can be tested

• Generate new knowledge

• Parsimonious
o Two competing explanations; the simpler one is likely to be the best/right

56
Q

Pseudoscience

A
  • Often relies on authority
  • Emphasis on scientific-sounding jargon
  • Not falsifiable
  • Poor/no methodology
  • Poor/no/anecdotal evidence
  • Not peer reviewed
  • Ignores/conflicts with known/existing evidence
  • Vague claims

• Often reinforces status quo or a worldview
o Testosterone = more masculine, do not lead to demonstrable changes in their behaviour
o Can travel really easily – strong effects
o In contact with children, a woman – aggressive, growing hair

• Does not facilitate further research

57
Q

Science is NOT…

A
  • A dogma (it’s simply a method)
  • Scientists (its simply a method)
  • Pharmaceutical companies (its simply a method)
  • Doctors (its simply a method)
58
Q

Science is as good as it currently gets…

A
  • Science’s history is full of questionable characters, but the scientific method remains our best way of acquiring information about the world
  • Scientific models of the world may be incomplete, but they’re certainly more accurate than any others
  • Ignoring the best available evidence leads to tangible harm and misfortune
  • Whether or not you believe in science, large institutions do and are using it (facebook, casinos)
59
Q

Types of research

A
  • basic

- applied

60
Q

Basic research

A

o Understanding the fundamental mechanisms; how they work; cause and effect; without thought in mind on how the science will be applied

61
Q

Applied research

A

o Using basic research and applying it to real world problems

o Everyone wants applied research, but you cannot create applied research/solve the problem, without basic research

o Canadian funding, shifted towards applied science – about 10 years ago… need basic!!

62
Q

Researching the effects of psychoactive drugs

A

Conceptual variable

Operational variable

63
Q

Operational variable

A

Our measured variable, represents the conceptional variable

Ex. Score on memory test

64
Q

Conceptual variable

A

Psychological concepts, cannot be directly measured

Ex. Love, memory, attention

65
Q

4 general categories of variable

A
  • independent
  • dependent
  • situational
  • participant
66
Q

Independent varibale

A

a) Independent variables: what the researcher manipulates (drug study, the dosage of the drug – compared to a placebo group)

67
Q

Dependent variable

A

b) Dependent variables (response variables): the response to the independent variables (score on the memory test; the reaction time/accuracy)

68
Q

Situational variable

A

c) Situational variables: aspects of the testing environment; what time of day; the lab space; the temperature
 Need to be held constant; held in relation to what we are testing

69
Q

Participant variable

A

d) Participant variables: how old; man/woman; socioeconomic status

70
Q

Relationships between variables

A

• Non-experimental method: correlation research
o No true independent variable: unethical (testing addiction)
o Main problem: not directly controlling variable, might have the…
• Issue with correlation: the 3rd variable problem
• Experimental method

71
Q

Causality

A
  • covariation of cause and effect
  • temporal precedence
  • no more plausible alternative explanation
72
Q

Covariation of cause and effect

A

o If the cause is there the effect happens, the cause isn’t there the effect does not happen

o Injection epinephrine = increase heart rate (what if you are excited? – not always true)

73
Q

Temporal precedence

A

o You do not know what is going on in that persons life at that time

o Creatures of time: show ideally that cause happened first, then the effect happens afterwards

74
Q

No more plausible alternative explanation

A

o Often comparing competing ideas against each other; to insure you have found the right one

o Parsimony – the most plausible explanation

75
Q

Clinical drug studies

A
  • independent variable - dosage of drugs
  • placebo as control
  • treatment arms
  • blinded procedures
76
Q

Placebo as control

A

o Exception: if treatment already exists
o Animal trials: « vehicle » - no drug in the solution/drug…
o Creating a new drug – testing is it better than the best available medication on the market?

77
Q

Treatment arms

A

o Different levels/amounts of the independent variables, what dose

o Low dose; high dose; medium dose; placebo group

78
Q

Blinded procedures

A

Single blind

Double blind

Open label

79
Q

Single blind

A

participant doesn’t know which treatment arm they are in – human are susceptible to expectations – participants keen to help the research

80
Q

Double blind

A

both the participant and the researcher does not know who are in which treatment arm – administrator will be looking for a specific responses, removing information to avoid biases

81
Q

Open label

A

blind experiments sometimes unethical; experimental methods/cancer treatments, potentially dangerous, needs to be clear to the participant what dosage they are receiving, keeping them away of the risks – necessary in some drug studies (placebo group, but they know they are not receiving the drug!)

82
Q

Animals for model research

A

• Animals are used for psychopharmacological research: (extended human lifespan by about 10 years)

o Understand basic mechanisms, genetics, etc.
 (Fruit fly is great model for genetics; rat brains are similar to human brains)

o Bc there are no viable alternatives
 Giving heroin to undergraduates

o Bc they have high predictive value

o Have a number of protections in place (e.g. CCAC, ACC): federal, provincial, institutional levels

83
Q

Human research - ethics

A

• Ethical considerations must be made
o Federally mandated committees review human research proposals
o Informed consent: warned of potential risks, right to back out at anytime without penalty

84
Q

Therapeutic drug development

A

1 Identify disorder to treat
-Decisions include feasibility and profitability concerns

2 Drug synthesis* (first sometimes)
-Chemists synthesize experimental compounds

3 Biological experimentation -High-throughput screening methods provide basic biological information about compounds. Results are sent to chemists and guide synthesis of further compounds.

4 Focused screening methods - Focused testing occurs with most promising compounds identified during Stage 3

5 Safety pharmacology
-Tests identify adverse effects and toxic doses

6 Clinical trials
- Most effective and safest compounds tested from previous stages are tested in humans. Regularly approval sought after positive clinical findings.

85
Q

Clinical trials

A

Phase 1 - Determine a drug’s most likely and frequent adverse effects to occur during treatment; No toxic, lethal effects - Low dose of the drug given short term -Normally healthy volunteers if feasible

Phase 2 - Determination of therapeutic effectiveness; experimental drug may be compared to standard medical treatment; adverse effects continue to be monitored
Where most drugs fail; no beneficial effects - May be higher dose of drug, but still given short term -Participants with disorder to be treated

Phase 3 - Further determination of therapeutic effectiveness; experimental drug may be compared to standard medical treatment; adverse effects continue to be monitored
-Doses selected based on Phase 2 results, but likely given long term -Participants with disorder to be treated, but more inclusive for other populations and those with coexisting conditions

Phase 4 - Occurs after FDA approves a drug for the market; might address remaining questions or concerns about the drug; goal is to further determine features of a drug’s therapeutic effectiveness and adverse effects - Dose selected on Phase 3 results, but likely given long term -Participants with disorder to be treated, might focus on unique effects in different populations or certain other medical conditions; choice of participants may come from results of Phase 3