Module 10: Substance-Related, Addictive, and Personality Disorders Flashcards
rates of illicit drug use over time have …
substantially declined since 1980’s
major components of drug dependence (3)
(1) desire to seek and imbibe substance (2) inability to control consumption of substance (3) experience of (-) emotions when substance is unattainable
delirium tremens
abuse of alcohol
adolescent drug use vs drug use after 20
adolescent using drugs are 4x more likely to become addicted
disorders involving same neurological processes as drug addiction (8)
ADD, affective d’s, anxiety d’s, bulimia, gambling, pathological, personality d’s, sexual addiction
neurotransmitter activity associated w/ pleasurable aspects of drug use
dopamine increases
brain parts stimulated by ventral tegmental area and involved in drug addiction (4)
(1) nucleus accumbens (most important) (2) prefrontal cortex (3) dorsal striatum (4) amygdala
brain area associated with loss of control, compulsive use, craving, and denial of drug problem
prefrontal cortex
most common drug abuse disorder in US
alcohol use disorder
rates of alcohol use disorder in males and females
males 42%; females 20%
reasons alcohol use is substantially lower in some regions (Middle East, Asia)
(1) Muslim countries ban its use (2) Asian genetic factors make alcohol unpleasant
part of digestive system that absorbs majority of consumed alcohol
small intestine
forms of alcohol that enter bloodstream faster
carbonated alcohol (alcohol soft drinks, champagne)
forms of alcohol that enter bloodstream slower
those w/ food value (beer)
males are considered heavy drinkers if they consume
more than 4 drinks per day or 14 drinks per week
females are considered heavy drinkers if they consume
more than 3 drinks per day or 7 drinks a week
relationship b/w cannabis use and psychotic symptoms/mental disorders
(+) relationship; paranoia and schizophrenia
least potent hallucinogen
mescaline
most potent hallucinogen
LSD
neurotransmitter that stimulates same receptors as opioids
endorphins
cocaine high versus high of other drugs
cocaine high is extremely short (15-40 minutes)
cocaine increases dopamine levels in brain by
blocking reuptake of dopamine (usually happens through dopamine transporter)
methamphetamine permanently reduces functioning in what neurons (2)
dopamine and serotonin
largest cause of preventable disease/disability/death in US
tobacco
substance tolerance
requiring more drug/substance for similar effect
substance tolerance in gambling addiction
needing to bet more to have same level of excitement
cognitive-emotional processes involved in gambling addiction (4)
(1) behavioral conditioning (2) environmental cues that trigger desire to gamble (3) impulsiveness (4) impaired executive functioning
behavioral conditioning in gambling addiction
gamblers are rewarded on a variable ratio reinforcement schedule, which is tough to extinguish
effectiveness of drug education in reducing drug usage rates
by themselves, not effective
reasons AA is not considered psychological or medical treatment (2)
(1) not operated by healthcare professionals (2) programs have no interest in improving programs based on research results
alternative approach to alcohol abuse besides AA
CBT and controlled drinking approach
methadone (3)
(1) agonist drug (2) treats opioid addiction (3) similar to abused drug w/out high to prevent withdrawal
naltrexone
(1) antagonist drug (2) blocks dopamine receptors so that other drugs can’t create dopamine effects
disulfiram (antabuse)
aversive drug used to treat alcoholic abuse
disorders from ODD or ECCENTRIC disorders cluster A (3)
(1) schizoid (2) paranoid (3) schizotypal-personality disorder
disorders from DRAMATIC, EMOTIONAL, or ERRATIC disorder cluster B (4)
(1) antisocial (2) borderline (3) histrionic (4) narcissistic-personality disorder
disorders from ANXIOUS or FEARFUL disorders cluster C (3)
(1) avoidant (2) dependent (3) OCPD
characteristics of a healthy self (4)
(1) identity (2) self-direction (3) positive interpersonal relationships (4) intimacy w/ others
big five personality traits
openness, conscientiousness, extroversion, agreeableness, neuroticism
mild version of schizophrenia
odd-eccentric personality disorder
criteria for antisocial personality disorder (7)
(1) failure to observe social norms (2) deceitfulness (3) failure to plan ahead (4) irritability/aggressiveness»_space; physical fights (5) reckless disregard for others’ safety (6) irresponsibility (7) lack of remorse when another is hurt
characteristics of psychopath (3)
(1) moral insanity (2) total lack of empathy for others (3) fear of punishment
brain of a psychopath
lack of functioning in prefrontal cortex
cutting and burning oneself is associated w/ which personality disorder
borderline personality disorder
behaviors of histrionic personality disorder (2)
excessively emotional and engage in attention-seeking behaviors
major symptoms of narcissistic personality disorder (3)
(1) grandiose views of self (2) strong need for admiration (3) lack of empathy for others
dependent personality disorder (2)
clingy and submissive
avoidant personality disorder (2)
(1) avoidance of activities involving others or activities where they can be criticized (2) close relationships because they feel inferior
OCD vs OC-personality disorder
OCD focused on things outside themselves; OCPD focused on controlling one’s domain
OC-personaltiy disorder and control
controlling things is a way of life, not a behavior
(T/F) drug usage is a relatively modern phenomenon, dating back only to the time of the Early Greek City States
FALSE
(T/F) hallucinogens tend not to produce dependence or addiction
TRUE
(T/F) those diagnosed w/ 1 personality disorder are likely to be diagnosed w/ another personality disorder + other mental illnesses
TRUE