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Disorders of Consciousness
-Waking consciousness: Clear, organized alertness
- Disorder of consciousness: A long-term lack of consciousness and
responsiveness (coma)
- Difficult to diagnose
- Persistent vegetative state: Waking state without signs of awareness
Altered States of Consciousness
- Fatigue, delirium, hypnosis, drugs, and euphoria
-Everyone experiences some altered states, such as sleep, dreaming, and daydreaming.
- Heightened awareness
- Marked by changes in quality andpattern of mental activity
Hypnosis
A state of consciousness characterized by focused attention, reduced peripheral awareness, and heightened suggestibility
Ernest Hilgard argued ______ about Hypnosis
- Hypnosis causes a dissociate state, or split in awareness
- The hidden observer is aware of pain but remains in the background
Nonstate theorists argue hypnosis is
a blend of conformity, relaxation, imagination, obedience, and role-playing.
Basic suggestion effect _____ with hypnoisis
Tendency to carry out suggested actions as if involuntarily
what does Hypnosis help with
1. Focused attention on what is said
2. Relax and feel tired
3. Let go and accept suggestions
4. Use vivid imagination
Hypnotizability
How easily a person can become hypnotized
Effects of Hypnosis (
1) Physical ability
2) Memory
3) Amnesia
4) Pain relief
5) Sensory Change
Physical ability
May improve some in sports; does not affect physical strength
Memory
Some evidence it can enhance memory, but frequently increases false memories
Amnesia
Brief memory loss seems to occur
Pain relief
Can relieve pain, especially helpful when chemical painkillers are ineffective
Sensory change
Most effective; possible to alter color vision, hearing sensitivity, time sense, perception of illusion, and other sensory responses
Meditation
-A mental exercise used to alter consciousness
-Heightened awareness and relaxation by interrupting flow of thoughts, worries, and analysis
Mindfulness meditation
Observe own thoughts without reacting to them; achieve
total, nonjudgmental awareness of the world
Concentrative meditation
Attending to a single focal point or mantra
The Relaxation Response
An innate physiological pattern that opposes your body’s
fight-or-flight mechanisms
The Relaxation Response Benifits
- Good for stress control
-Physical benefits such as lowered heart rate, blood
pressure, muscle tension, and other signs of stress, as well
as immune system activity improvement
- May foster mental well-being and positive mental skills,
such as clarity, concentration, and calm
Sleep Patterns
Sleep is an innate biological rhythm: cannot be completely
ignored
Light and dark help
tie sleep rhythms to 24-hour days
Normal range of sleep
7–8 hours per night
Short sleepers
5 hours per night
Long sleepers
9 hours or longer
The Stages of Sleep
Changes in electrical activity in the brain waves show that sleep progresses through several stages every night
Beta waves
awake and alert
Alpha waves
immediately before sleep; slower and larger waves
REM sleep
Dreaming and return of high-frequency brain waves
Non-Rem Sleep
Occurs during all sleep stages
Brain areas associated with imagery and emotion
more active during REM sleep
- Rapid eye movement
- Irregular heartbeat
- Wavering blood pressure and breathing
- Sleep paralysis
- Sharpening or completing consolidation of
memories
Repair/restorative theories of sleep
Replenish and conserve energy and lengthen life
When sleep deprivation occurs
-Susceptibility to microsleeps
- Sleep-deprivation psychosis
- Confusion, disorientation, delusions, and hallucinations
Activation-Synthesis Hypothesis
- Allan Hobson and Robert McCarley
- During REM sleep, lower brain centers are activated in random
fashion
-Brain tries to interpret random information by searching through
stored memories and creates dreams
Neurocognitive Dream Theory
-William Domhoff
- Dreams have much in common with waking thought
- Dreams are a conscious expression of REM sleep processes that sort andstore daily experiences
- No deeper, symbolic meaning to dreams
Insomnia Disorder
Difficulty getting to sleep or staying asleep
Temporary insomnia
Caused by worry, stress, and excitement
Drug-dependency insomnia
Caused by withdrawal from sleeping pills
Alcohol and other depressants may help a person get to sleep but……..
reduce the sleep quality.
Disorders of arousal
Sleepwalking, sleep talking, and sleep se-xxx
Nightmares
Bad dreams that take place during REM sleep
Sleep terrors
Person suffers total panic and may hallucinate frightening dream images into the bedroom
Sleep apnea
Breathing stops for a period of time
Sudden infant death syndrome
(SIDS) baby dies during the sleep process
Narcolepsy
Sudden sleep attacks, occur anywhere, any time, triggered by high emotion (cataplexy)
Psychoactive Drug
Capable of altering attention, emotion, judgment, memory,
time sense, self-control, or perception
Stimulant
Type of psychoactive drug that increases activity in the body and nervous system
Depressant
Type of psychoactive drug that decreases, or
slows down, activity in the body and nervous system
Drug-Altered Consciousness
- Social-recreational use: Pleasure or relaxation
- Intensive use: Daily use with elements of dependence
- Compulsive use: Intense use and extreme dependence
Reasons for Drug Abuse (6)
-Coping Efforts
-Effects on the brain (good or bad)
-Dependcy
-Withdrawl Symptomps
-Drug Tolerance
-Psycological depencey
Coping efforts
Self-defeating attempt to cope with life
Effects on the brain
Addictive drugs stimulate the brain’s reward circuitry
- Nucleus accumbens release dopamine, a neurotransmitter that intensifies feelings of pleasure
Dependency
To maintain bodily comfort, a physical dependence exists
Withdrawal symptoms
Physical illness and discomfort from removal
of a drug
Drug tolerance
Progressive decrease in responsiveness to a
drug
Psychological dependence
Feeling that drug is necessary to maintain well-being
Stumulants
Up-Up and away
Different Stimulants (6)
1) Amphetamines
2)Cocaine
3) MDMA
4)Caffeine
5) Nicotin
6) Carcinogen
Amphetamines
- Type of synthetic stimulant
- Medical use: Treating hyperactivity and overdoses of depressant drugs
- Misuse: Staying awake, attempt to improve mental or physical performance
- Attention deficit hyperactivity disorder (ADHD)
Cocaine
- Feelings of alertness, euphoria, well-being, energy, and pleasure
- Affects central nervous system and is more quickly metabolized than amphetamines
- Capacity for abuse similar to heroin
- Anhedonia: Inability to feel pleasure, typical withdrawal
symptom
MDMA
-Ecstasy or molly
- Chemically similar to amphetamine
- Produces hallucinations
-Brain cells release extra dopamine, epinephrine, and serotonin
- Users more likely to also abuse alcohol
- Long-term anxiety and depression
Caffeine
Most frequency used psychoactive drug in North America
- Blocks chemicals that inhibit nerve activity
-Dependence, insomnia, irritability, racing heart, elevated body
temperatures
- Breast cysts, bladder cancer, heart problems, high blood pressure
Nicotine, chewing tobacco, snuff
Third most widely used psychoactive drug (after caffeine and alcohol)
- Withdrawal causes headaches, sweating, cramps, insomnia, digestive upset, irritability, cravings
Carcinogen
Cancer-causing substance
Best way to quit bad substances
Scheduled gradual reduction, which reduces the length of time between cigarettes
Depressants
Down and Out
Different type of depressants (6)
1) Opioids
2) Barbiturates
3) Tranquilizers
4) GHB
5) Alcohol
Opioids
-Sleep and pain relief
-Heroin, morphine, codeine, oxycodone, fentanyl
- Feeling of euphoria, reduction of anxiety
-High levels result in impaired breathing, death
- Harm-reduction strategy: Methadone to reduce negative
consequences of addiction
Barbiturates
- Sedatives that depress brain activity
- Used to calm people and induce sleep
- Low dosages: Similar to alcohol
- Higher dosages: Severe mental confusion or hallucinations
- Loss of consciousness, severe depression of brain centers that
control heartbeat and breathing
Tranquilizers
- Anxiety and tension reduction
- Valium, Xanax, Librium
- Rohypnol: common date rape drug
- Physical dependence, severe depression that may lead to suicide
GHB
-Central nervous system depressant
- Low dosage: Euphoria, desire to socialize, mild loss of inhibition
- As doses increases: nausea, loss of muscle control, sleep or loss of consciousness
- Potentially fatal doses are only three times normal dose
Alcohol
-As a depressant, reduces inhibition, producing relaxation and euphoria
-Large amounts: failure to consolidate (“blacking out”), loss of consciousness
Alcohol myopia
Thinking and perception becomes dulled or shortsighted
Binge drinking
Five (four for females) or more drinks in a short time
-Because brain is still developing into the early twenties, binge drinking in young adults results in a loss of as much as 10 percent of brain power
Hallucinogens
1) LSD
2) PCP
3) Psylocibin
LSD (lysergic acid diethylamide) and PCP (phencyclidine)
-LSD is one of the best-known hallucinogens.
- Produces mystic type experiences and psychotic-like disturbances
PCP
-PCP is an anesthetic and has stimulant and depressant effects.
- Both affect neurotransmitter systems that carry messages between brain cells.
Psylocibinn ( 5 points)
-Magic Mushrooms”
- Attaches to and activates receptors, or binding sites, for the brain chemical serotonin
- Hallucinogenic, time distortion, moodalterations
- Increased heart rate and blood pressure, nausea, confusion, paranoia
- Increased interest in use as a treatment for depression and PTSD
Marijuana
(Speical Snow Flake)
Cannabis
- THC (tetrahydrocannabinol) and CBD (cannabidiol) are two psychoactive chemicals in cannabis.
-Sense of euphoria, well-being, relaxation, altered sense of time, and perceptual distortions
- In high doses: Paranoia, hallucinations, and delusions
- Works by activating neurons with endocannabinoid receptors in the brain
- No overdose deaths reported, but still creates harm
- 1 out of 10 adults can form a dependence on cannabis
Cannabis (continued):
Nonusers are reported to be healthier, earn more, and more satisfied with their lives than users
Long-term effects of Cannibis
Interfere with menstrual cycles, ovulation, higher rate of miscarriages, harm to developing fetuses
Medical cannabis
Can impact stress and pain, but like any other drug, can lead to abuse