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4 views that influence behavior
socialization, environmental exposure, age of initial exposure, & attitude change
socialization
lifelong social experience by which humans develop their potential & learn culture
key agents: criminal justice system, media, PEERS, school and location
environmental exposure
exposure to drug users and the drugs themselves (how often do you see drugs in your area? accessible? how common?)
age of initial exposure
often an increased likelihood of acceptance of and engagement in things we are exposed to in early life
attitude change
viewpoints aren't stagnant (views of weed in the past decade have changed) the changes in attitude are influential
legal instrumental (Goode)
taking drugs as prescribed/intended
legal recreational (Goode)
taking licit (legal) drugs to achieve a certain mental or psychic state (coffee, cigs, drinking)
illegal instrumental
taking illicit drugs without a prescription to accomplish a certain task/goal (unprescribed adderall to study)
illegal recreational
taking illicit drugs for fun and pleasure
drug abuse
the habitual taking or misuse of addictive or illegal drugs outside of prescribed recommendations (extra Advil/supplements/coffee)
drug addiction
chronic, often relapsing brain disease that causes compulsive drug seeking (despite harmful consequences)
drug dependence
Psychological: emotional & motivational withdrawal symptoms (craving, mental preoccupation)
Physical: body becomes accustomed to the presence of a drug (normal to body)physical symptoms
Models of Addiction
moral, medical, psychological, sociocultural, biopsychosocial models
moral model
why an addict is an addict (belief they are bad people, belief they choose to abuse drugs)
medical model
people abuse drugs because of some biologically caused condition (views addiction as treatable not curable, chronic and long term)
biopsychosocial model
factors of biological, psychological and sociological together influence/cause addiction
social influence theories
drug use is learned like other behaviors, focuses on roles of significant others, start out as blank slates
social structural theories
(broader view) elements of organization of society act as motivation and or shape the drug use behavior. (college)
neurotransmitters
(function of the CNS) messengers sent by neurons (the key) to receptor (the lock) for brain communication
(drugs act like key, harder the drug, the better fitting key)
agonistic drugs
interacts to produce some cellular response
(shot of dopamine=direct binding)
(coke=indirect binding)
antagonistic drugs
interacts & prevents or hinders a response (direct/indirect acting) narcan (blocks/stops)
Effective Dose (ED)
"active dose", dose needed to produce a therapeutic effect (recommended dose of Advil is 2)
ED50 means 50% of population will need that dose
Lethal dose (LD)
quantity of drug require to kill specific population (toxicity)
routes of administration
crucial, influences drug effects
(most effective=inhalation)
acute effects of use
(immediate) puking, slurred speech
chronic effects of use
(long term) liver failure
tolerance
pharmacological, cross and behavioral
pharmacological tolerance
the effects on related neurons (have to take more)
cross tolerance
refers to the fact that the same principle oof diminishing effects applies across similar drug types (tolerance to heroin=tolerance to morphine)
behavioral tolerance
reflects how an experienced user learns to compensate for drug effects (functioning alcoholics, more used to it)
drug scheduling
determined by drug's accepted medical use and the potential to be abused
(schedule 1=most dangerous)
Psychomotor stimulants
Amphetamines (potent CNS stimulant)
Cocaine
enhances activity in CNS, increases levels of dopamine, enhances serotonin transmitters, blocks reuptake
first era of coke
use by South American Indians, native Peruvians, component of religious ceremonies, chewed on coca leaves, mild effects
second era of coke
19th century, isolated by Niemann, widespread use, marketed in OTC meds, legal downfall was results of stereotyping black users
third era of coke
1980's, crack cocaine era, much cheaper, more profitable, short period of coke explosion, rates of use were comparatively low, even lower for crack
Hallucinogens
active receptors in the brain that are normally triggered by serotonin neurotransmitters
inhalant drug effects
produce pleasurable effect via CNS depression (similar to alc) uncommon addiction
sudden sniffing syndrome
can happen the first time, shuts down CNS, kills you
side effects of inhalant abuse
light headed, hallucinations, brain damage, hearing loss, bone marrow damage.
who is using inhalants?
kids, most common in 12-13 year olds, easy access
types of inhalants
volatile solvents (liquids vaporize at room temp)
aerosols (sprays that contain solvents)
gases (found in household/commercial products)
nitrite (poppers, used for sexual enhancement)
percentage of 8th graders who abuse inhalants?
8% of middle schoolers, 1 in 5 had tried by 8th grade
key intoxicating ingredient in marijuana
THC, acts on cannabinoid system, plants contain more than 500 chemicals
2 types of marijuana
SATIVA- uplifting, appetite stimulant, higher THC, lower CBD, pain reliever
INDICA- relaxation, calm, higher CBD
marijuana first used?
used for help fibers in early time, tea sed as medicine and for religion
weed is classified as what?
hallucinogens, sedative, narcotic, stimulant, psychometric
medical utility of marijuana
pain relief (analgesic) for cancer, migraines, etc.
antidepressant, anti-seizure, appetite stimulant, muscle relaxation, anti-asmatic
subculture
special population whose members share similar values and patterns of related behaviors that differ from large population. (college students, police) internal and external subcultural factors that impact member's drug use
2 commonly abused performance enhancing drugs
anabolic steroids and human growth hormones
anabolic steroids
growth of skeletal muscle, development of male sexual characteristics (bodybuilders and weightlifters)
oral/injectable
human growth hormone
synthetic version of growth hormone, most common uses are not FDA-approved
commonly used drugs within rave subcultures
MDMA (ecstasy), ketamine, GHB, rohypnol (much harder valium), LSD
intravenous drug subculture
Before HIV/AIDS, people who liked injecting drugs, had to have a lot of trust, bonded this way
primary prevention
(universal) target whole population, provide education and support before problems occur
secondary prevention
families in need of deescalation, assessment strategies, early intervention, healthy alternatives, team approach
tertiary prevention
interventions, assessments and diagnosis, referral for treatment, case management, re-entry
drug preventions
scare tactic: coercion, extreme emphasis on negative effects
comorbity
more than 1 mental illness, can't treat like regular drug addiction due to two different issues.
Modalities of treatment
detox, harm reduction, short/long term, residential/non residential