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Substance Related
alcohol, cannabis, opioids, nicotine, caffeine
Alcohol Use Disorder
Symptoms:
larger amounts/longer period than interest
unsuccessful efforts to cut down
time spent in activities related to alcohol
craving - strong desire/need
Failure to fulfill obligations
continued use despite physical pr psychological problems
social or recreational activities reduced
use in physically hazardous situations
continued use despite physical or psychological problems
tolerance - increased amount of alcohol for desired effect
Withdrawal - physiological symptoms experienced when not drinking, can be drinking to avoid problems
Need 2-3 symptoms (mild) for DSM diagnosis
Moderate (4-5 symptoms)
Severe (6 or more symptoms)
Jellinek’s Model
4-stage model of how alcohol level progresses
1. Prealcoholic - drinking in social situations
2. Prodromal - drinks a bit heavier but not terrible, drinking in secret
3. Crucial - individuals lose control of their drinking, blackouts start to occur, idea that one drink leads to a binge
4. Chronic - daily drinking, health problems
Causes of Alcoholism
Genetics - through twin studies, adoption studies
40-60% risk applied to genetics
Tension - Reduction hypothesis - idea that drinking alcohol is reinforced by the positive symptoms
Alcohol Expectancy Theory - beliefs about alcohol, idea that drinking of the reinforcement you expect to get
Personality Factors - sensation - seeking, novelty-seeking
impulsive/aggressive behaviors
Cultural factors
Gambling Disorder
Symptoms:
preoccupation with gambling - lead up/ looking at the schedule
increased amounts of money for excitement
unsuccessful efforts to stop
restless, irritable when trying to stop
gambling to escape problems
lying to conceal gambling
jeopardizing other areas of life
relying on others for money
“Chasing losses” - on bad streak, but keep going to try to break even