OUTLINE FOR LECTURE NOTES IN PSYC 405

Remember, this information is most helpful if you READ AHEAD AND USE THE OUTLINE TO PREPARE FOR CLASS BEFORE YOU GET THERE!

Chapter 10

I. Chapter 10: Substance Related Disorders and Impulse Control Disorders

....A. Symptoms:

.........1. Up to 11, depending on drug

.........2. Uses Specifiers: Mild (2-3), Moderate (4-5), Severe, 6 or more

....B. Characteristics

.........1. Assessment Difficult: MICA, Neuroplasticity and drugs

.........2. Many drugs: Clicking on this link may take you to a chart on illicit drugs and their effects.

....C. Type of Addictive Substances

.........1. Chemicals resembling Neurotransmitters

.........2. Depressants and Mechanisms

.............a. Alcohol (GABA)

.............b. Sedatives: Barbs, Benzos, Hypnotics (GABA)

.........3. Stimulants

.............a. Methylxanthines: Caffeine (Adenosine)

.............b. Nicotine (Ne)

.............c. Amphetamines (Ne)

.............d. Cocaine (D)

.........4. Opiates/opiods: Opium, Heroin, Morphine, Synthetic Pain Killers: (Endorphines)

.........5. Hallucinogenics

.............a. Cannabis (Acetylcholine) (Acetylcholine)

.............b. LSD etc.(SR)

.........6. Others

.........7. Gambling Addiction

.........8. Fetal alcohol syndrome (Presented here or in Childhood Disorders)

....C. Causes (Different order than in text)

........1. Biological

...........a. Neurological: Nucleus accumbens

...........b. Neurological: Molecular structure of the substance, neurotransmitters, synapse

...........c. Genetic Vulnerability (predisposition, not cause)

........2. Psychosocial

...........a. Psychological (positive AND negative reinforcement)

...........b. Socio-culture factors

....D. Treatments

.........1. Major Approaches:

............a. Disease model (Brain becomes changed through addiction, not reverse)

............b. Psychosocial variables (AA, outpatient, residential, community)

............c. Equifinality cause = integrative model to treatment

...............1. "Treatment packages"

...............2. Key factor: Length of treatment, not type (3-6 months)

...............3. Click here for US Government treatment fact sheet.

...............3. A Model of Change Theory: "Changing For Good" Book by Prochaska, Norcross, and Diclemente. Perennial Currents, 1995.

....................a. Six stages of change

........................1. Precontemplation = no awareness, denial

........................2. Contemplation = acknowledgment

........................3. Preparation = planning to act in next month

........................4. Action = stopping

........................5. Maintenance = preventing relapse

........................6. Termination = moved beyond

....................b. Structured method: Accurate assessment + treatment for stage

....E. The Drug War: Clicking here may allow you to see the war on drugs in "action." Caution: Linking to this site does not mean agreement with its social or political viewpoints or values only the "clock" is of interest for this course.

..........1. Wrong war?

..........2. Wrong method?

..........3. Criminalization vs. Decriminalization vs. Legalization

II. Impulse Control Disorders

.....A. Types

.....B. Knowledge

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