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Socialization
lifelong social experience by which humans develop their potential and learn culture
environmental exposure
exposure to drug users and the drugs themselves
Age of initial exposure
increased likelihood of acceptance early in life
Attitudinal change
changes in attitudes toward drug use are influential
Abuse
The habitual taking or misuse of addictive or illegal drugs
dependence
psychological and physical dependence to a drug
Addiction
chronic, often relapsing brain disease that causes comulsive drug seeking
Neurotransmitters
the brains chemical messengers
Agnostic effects
interacts to produce some cellular response (Direct binding; indirect binding)
Antagonistic effects
interacts and prevents/hinders a response (Direct acting; indirect acting)
Drug Action
the outcome of the chemical interaction with the body’s neurochemical system
Drug effect
occurs after the drug action takes place; is the resulting human response or behavior
ED/LD ratio
a measure of toxicity, the margin of safety (larger is more safe, smaller is more dangerous
Purity
how much of a given substance that is the psychoactive substance is said to be
Potency
the quantity of a drug taken to produce a given action (greater potency = greater effect)
Drug mixing effects
Antagonistic (nullifying), Additive (Sum of each), Synergistic (multiplying effect)
Routes of administration
method of ingestion, crucial because it influences the drug effect (smoking most effective, then intravenous)
Toxicity
lethal dose, quantity of a given drug required to kill a specific population
Tolerance
Diminished effects resulting from repeated administration
Pharmacological tolerance
the effect on related neurons
Cross tolerance
refers to the fact that the same principle of diminishing effects applies across similar drug types
Behavioral tolerance
reflects how an experienced user learns to compensate for drug effects
Moral model
people use and abuse drugs because of the choice to (1800s-1900s)
Medical/disease model
people abuse drugs because of some biologically caused condition
Psychological model of disease
Drugs are a coping mechanism and addiction is driven by psychological stress
Sociocultural model of disease
familial, peer, and cultural influences play a primary role in substance abuse; need to examine the addict in relation to their environment
Biopsychosocial model
many factors, including biological, psychological, and sociological together can influence or cause addiction
Social influence theories
Focus on the roles of significant others and draw from DAT (Social learning theory, labeling theories, subculutral learning theories)
Social structural theories
focus on how elements of the organization of society act as and/or shape drug use behavior (Social disorganization theory, anomie theory, general strain theory, social bonding theory)
Drug scheduling
Divides substances into categories based on their degree of abuse potential and their clinical usefulness (medical utility)
3 eras of cocaine
First: harmonious use. Second: isolated, became popular, racial tensions. Crack cocaine era: widespread use of crack in 1985, super profitable
Crack
processed cocaine in crystal form that is smoked and absorbed into the bloodstream through the lungs
cocaine
powdered substance commonly administered through the nose
Hallucinogens
Pschedelics, from the Greek root meaning mind revealing. cause emotions to swing widly, cause real world sensations to appear unreal, sometimes frightening
Dissociative drugs
alter perceptions of sight, sound, and connections with one’s surrounding
Depersonalization
The feeling of being unreal, disconnected from one’s self
Inhalants
Terms that encompasses a variety of substance taken for their psychoactive effects via inhalation. produce pleasurable effects via CNS depression
Cannabis/Marijuana
Generally, act as a depressant drug, slows the messages traveling between the brain and the body. Key intoxicating ingredient is THC
Subculture
Special population whose members share similar values and patterns of behaviors that differ from the larger population
How understanding subculture trends informs understanding of broader patterns
tells a more complete story, impacts overall trends, should consider in efforts to prevent and treat
Explanations for drug use among adolescents
lack coping skills, maintain poor self-images, social insecurity, closely linked to parent/family factors and dynamics
Primary prevention programs
Interpersonal factors, small group factors, systems level
Secondary prevention programs
Assessment strategies, early intervention, team approach, healthy alternatives, recovery role models
Tertiary prevention programs
Assessment and diagnosis, referral for treatment, case management, reentry
Harm reduction programs
non-judgmental resources, strategies to reduce consequences
community based prevention programs
coordinated programs amongst multiple organizations
school based drug prevention
programming based on targeted students
school based prevention through law enforcement
prohibitionist philosophy, doesnt consider public health alternatives
family based prevention programs
focus on parent-child interactions
individual based drug prevention and treatment
addresses biological, psychological, and social factors
Education strategies
provide information and focus on shaping values, beliefs, and attitudes in an attempt to influence behavior
Modalities of treatment
Detoxification, Abstinence-based harm reduction, short-term, long-term, residential, non-residential