Process Addictions Flashcards

1
Q

The 3 C’s (Common Characteristics of Addiction)

A
  1. Compulsive use
  2. loss of Control
  3. continued use despite adverse Consequences
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2
Q

Compulsive Activity (gambling)

A

-conflict between stated intention & actual behaviour
-overcome by irresistible urges/impulses; strong discomfort if not acted upon
-pathological gamblers may beg, borrow, steal
(once triggered, act as if in trance, broken only when experience ends (relapse indicator)

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3
Q

loss of Control (gambling)

A

-the chase (trying to win back money lost)
-double down (double bet to eliminate previous loss)
-end of gambling binge similar to alcoholic blackout
-guilt, remorse, anger, cheated out of $
-loss of predictability ( struggle to maintain limits, unpredictable, intermittent
(other entertainments abandoned to devote more time to gambling)

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4
Q

continued use despite adverse Consequences (gambling)

A

-higher risk for self-destruction than any other behaviour
-longer able to hide behaviour=more debilitating they become
-no obvious signs of addictive intoxication
-family members feel abandoned (wives 4x likely to attempt suicide)
-spouse fears an affair
-gambling not linear like S.A.; up & down
(gambling both the problem & the solution)

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5
Q

Characteristics of Sex Addiction (Level 1/3)

A

Level 1. Behaviours
-normal, acceptable, tolerable
(masturbation, porn, prostitution, multiple affairs)

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6
Q

Characteristics of Sex Addiction (Level 2/3)

A

Level 2. Illegal Behaviours
-victimizing, nuisance crimes
(exhibitionism, voyeurism-sexual stimulation by visual means, obscene phonecalls)

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7
Q

Characteristics of Sex Addiction (Level 3/3)

A

Level 3. Illegal Behaviours
-grave consequences for victims, severe legal consequences for offender
(rape, incest, child molestation)

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8
Q

Progression of the Addiction (Sex) (Phase 1/5)

A
  1. Initiation Phase
    -impact of sexual observations/experiences intense during youth
    -sex D.O.C. to cope/escape
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9
Q

Progression of the Addiction (sex) (Phase 2/5)

A
  1. Establishment Phase
    -repetition of addictive cycle
    -preoccupation, ritualization, sexual acting out
    -then despair, shame, guilt
    -cycle renews
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10
Q

Progression of the Addiction (Phase 3/5)

A
  1. Escalation Phase
    -more frequent acting out
    -more intense, riskier
    -occurs w/greater loss of control
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11
Q

Progression of the Addiction (Phase 4/5)

A
  1. De-Escalation Phase
    -many never experience this phase
    -behaviour may intermittently decrease
    -substituting drugs/alcohol or be sheer will power
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12
Q

Progression of the Addiction (gambling) (Phase 5/5)

A
  1. Acute Phase
    -constantly preoccupied w/gambling cycle
    -becomes isolated/alienated from family/friends
    -only stopped by physical consequence, incarceration or absence of opportunity
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13
Q

5 Processing Addictions (GSSEW)

A

Compulsive Gambling
Compulsive Shopping
Sex Addiction
Eating Disorders
Workaholism

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14
Q

Bulimia Nervosa

A

-restraining food intake for period of time followed by over-intake (bingeing) period
-result is guilt, low self-esteem

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15
Q

Anorexia Nervosa

A

-refusal to maintain healthy body weight thru eating/exercise
-obsessive fear of gaining weight

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16
Q

Binge-Eating

A

-compulsive overeating
-consume huge amounts of food
-out of control, powerless to stop

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17
Q

Qualities of Addiction (4 listed)

A
  1. chronic & subject to relapse
  2. progressive
  3. denial - incapable of seeing problem
  4. potentially fatal
18
Q

Cerebral Cortex

A

-largest site of neural integration of CNS
-key role in attention, perception, awareness, thought, memory, language, consciousness

19
Q

Midbrain

A

portion of CNS assoc. w/vision, hearing, motor control, sleep/wake cycles, arousal, alertness, temp.regulation

20
Q

Old Brain

A

-incl. brain stem, medulla, pons, reticular formation, thalamus, cerebellum, amygdala, hypothalamus, hippocampus
-regulates basic survival functions
-breathing, moving, resting, feeding, emotions, memory

21
Q

How the Brain gets Addicted

A

-rewire neural circuits
-repeated behaviours/pursuits rewarding (high) in spite of serious repercussions

22
Q

Escape Gamblers

A

-depressant high
-seek emotional numbing, trance-like state, anonymity
-slots are best, solely chance, little skill
-progression from recreational to compulsive in as little as weeks to months

23
Q

Compulsive Overeating (Food Addiction)

A

-need to eat high-fat, high-sugar, high-salt foods in large amounts when not hungry
-copious health problems (obesity/mental health)

24
Q

DSM-V 3 Forms of Chemical Abuse (1)

A
  1. Substance Abuse Disorders
    -maladaptive chemical substance use leads to clinically significant outcomes/distress
    -recurrent legal problems
    -failure to perform @ work, school, home
    -physically hazardous behaviours (DWI)
25
Q

DSM-V 3 Forms of Chemical Abuse (2)

A
  1. Substance Dependency Disorders
    -loss of control how much substance is used, once begun
    -manifests in 7 symptoms:
  2. tolerance
  3. withdrawal
  4. using more than intended
  5. can’t control use
  6. great deal time to obtain/use substance
  7. life activities given up/reduced
  8. continued us despite adverse consequences
26
Q

DSM-V 3 Forms of Chemical Abuse (3)

A
  1. Substance-Induced Disorders
    -manifests same symptoms as depression/mental health disorders
    -direct result of S.U.
    -symptoms cease shortly after discontinuing S.U.
27
Q

Common Signs of Compulsive Gambling

A

-misuse of time
-obsession with gambling & fixing debts
-embezzlement, employee/familial theft, illegal activity
-lying to conceal gambling activity

28
Q

3 DSM-V Categories Commonly Used to Classify Sex Addiction (1)

A
  1. Paraphilia
    -recurrent, intense, sexually arousing fantasies, sexual urges/behaviours:
    >non-human objects
    >suffering/humiliation of self/partner
    >children/non-consenting persons
    >occur over @least 6mnths
    >clinically significant distress in all life areas
29
Q

3 DSM-V Categories Commonly Used to Classify Sex Addiction (2)

A
  1. NOS Sexual Disorders(not otherwise specified)
    -sexual disturbances don’t meet criteria for specific sexual disorder
    -neither sexual dysfunction or paraphilia
30
Q

3 DSM-V Categories Commonly Used to Classify Sex Addiction (3)

A
  1. Impulse Control Disorder
    -less common
31
Q

Compulsive Buying - Identity-Related

A

-high materialistic values
-belief material goods central life goals
-main route to identity, success, happiness

32
Q

Compulsive Buying -
Emotional-Social

A

-address “ideal self,” improve social image & express themselves
-perceived self-esteem benefits
-often impulsive & triggered by both env. cues & beliefs buying can relieve neg. affect/provide self-definition

33
Q

Compulsive Gambling

A

-different levels
-can destroy financial status, career, family

34
Q

Compulsive Shopping

A

-resulting un-opened items long forgotten
-need unnecessary
-acquiring something fills perceived hole

35
Q

Sex Addiction

A

-multiple forms
-often risky behaviour connected w/mental health
-many don’t use protection

36
Q

Eating Disorders

A

-most involve focusing too much on weight, body shape & food
-leads to dangerous eating behaviours, seriously affect ability to get nutrition body needs

37
Q

Workaholism

A

-person who works compulsively
-inability to limit amount of time spent on work despite neg. consequences
-damage to relationships/health

38
Q

Characteristics of Sex Addiction (3 levels listed)

A

Level 1. Behaviours
Level 2. Illegal Behaviours
Level 3. Illegal Behaviours w/grave consequences to victim, severe legal consequences for offender

39
Q

Progression of the Addiction (5 Phases listed) (IEEDA)

A
  1. Initiation Phase
  2. Establishment Phase
  3. Escalation Phase
  4. De-escalation Phase
  5. Acute Phase
40
Q

DSM-V 3 Forms of Chemical Abuse (listed)

A
  1. Substance Abuse Disorders
  2. Substance Dependency Disorders
  3. Substance-Induced Disorders
41
Q

3 DSM-V Categories Commonly Used to Classify Sex Addiction (listed)

A
  1. Paraphilia
  2. NOS Sexual Disorders
  3. Impulse Control Disorder