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Social construction
concerns the meaning placed on an object, event or behavior by a society
Deviance
the fact or state of departing from usual or accepted standards especially in social or sexual behavior
Views of deviance surrounding drug use are highly influenced by what?
drug of choice
time
place
purpose
user demographics
True or False? Alcohol consumption increased during the time known as prohibition — despite regulation, everyone was doing it
False
True or False? Alcohol consumption is currently at an all-time high
False
True or False? Drug use steadily increased during the 1980s which spurred the war on drugs
False
True or False? LSD consumption was at an all-time high during the 1960s
False
Socialization
lifelong social experience by which human develop their potential + learn culture
What are the key agents of socialization?
family
school
peer group
mass media
Environmental exposure
exposure to drug users + the drugs themselves
greater exposure + social attitudes shape individual ideas about use
Age of initial exposure
often have an increased likelihood of acceptance of + engagement in thing we are exposed to early in life
Attitude change
viewpoints aren’t stagnant
changes in attitudes toward drug use are influential
What are the 4 factors that shape individual views + the likelihood of drug use?
socialization
environmental exposure
age if initial exposure
attitude change
What are the 4 factors that impact a drug user’s experience?
biological
cultural
social
contextual
Biological factors
initial sensitivity, gender
Cultural factors
society view of a drug
Social factors
motivations
Contextual factors
how did I experience the drug
Biological, cultural, social, and contextual factors shape what?
experimentation + outcome
Attitudes + experiences = what?
continued use
Drugs
any substances that modify mind and/or body functioning
Psychoactive substances
drug compounds that affect the central nervous system + alter consciousness and/or perceptions
Licit drugs
legal drugs
illicit drugs
illegal drugs
Examples of licit drugs
alcohol
tobacco
marijuana
prescription medication
Examples of illicit drugs
heroin
methamphetamine
marijuana
prescription medication
Drug abuse
the habitual taking or misuse of addictive or illegal drugs
outside of the prescribed recommendations
Drug addiction
chronic, often relapsing brain disease that causes compulsive drug seeking
despite the harmful consequences
initial use is typically a voluntary decisions; over time, brain changes impeded self-control
What are the common assumptions about drug users?
lack moral principles
lack willpower
can choose to change their behavior
Psychological dependence
state that involves emotional-motivational withdrawal symptoms
mental preoccupation
craving the stimulation, elation
Physical dependence
occurs when the body becomes accustomed to the presence of a drug
What are Goode’s 4 types of drug use?
1) legal instrumental
2) legal recreational
3) illegal instrumental
4) illegal recreational
Legal instrumental
taking drugs as prescribed + for the intended purpose
ex. ADHD meds
Legal recreational
taking licit drugs to achieve a certain mental or psychic state
ex. drinking caffeine
Illegal instrumental
taking illicit drugs, w/out a prescription, to accomplish a specific task or goal
performance enhancer drugs
Illegal recreational
taking illicit drugs for fun or pleasure
ex. heroin
Prevalence rates
the number or percentage of people in the population who use a given drug during a designated time period
What do prevalence rates tell us?
use during a specified period of time
can compare the commonness of use of different drugs during the same time span
What can’t we understand based on prevalence rates?
a clear picture of problematic use
Continuance rates
for a given drug, a figure calculated by comparing the proportion of “at least one time” users who have also taken that drug within a more recent time period, usually either the past month of the past year
Continuance Rates
Large circle= ?
Small circle = ?
large circle = all people who have used
small circle = use in the last month
What is the most popular illicit drug?
marijuana
What is the #1 used substance?
alcohol
Age of initiation
most people use drugs for the 1st time when they are teenagers
initiate drug of choice alcohol, marijuana
Prevalence of use, by age are highest amongst who?
highest amongst young adults (18-24)
Gender
drug use is higher for males than females
overall rate of use is nearly double for males
Race/Ethnicity - what is the highest to lowest percentage of use?
black/african american
white
hispanic/latino
asian
Education level
presents w/ an inverse relationship
highest drug use amongst those that did not graduate high school
DOES NOT hold for drinking
Substance-induced disorder
immediate effects of use or discontinuation
Substance use disorder
combines the previous categories of substance abuse + substance dependence
Continuum of severity
mild = 2-3
moderate = 4-5
severe = 6+
The pharmacological perspective
the properties of drugs dictate drug-related behavior
Pharmacological effects → ?
social effects
The sociological perspective
societal conditions help define drugs, drug use, drug abuse + social ramifications
The objective shapes what?
subjective
The moral model of addiction
people use + abuse drugs b/c they choose to
The medical/disease model of addiction + what are the assumptions
People abuse drugs b/c of some biologically caused condition
Assumes addiction is:
a progressive disease; advances through stages
chronic, long-term
can be treated, not cured
The psychological model of addiction
drugs are a coping mechanism + addiction is driven by psychological stress
The sociocultural model of addiction
familial, peer, and cultural influences play a primary role in substance abuse; need to examine the addict in relation to their environment
The biopsychosocial model of addiction
many factors including biological, psychological, and sociological together can influence or cause addiction
Theoretical explanations of addiction: Biological
biological explanations for addiction often focus on genetics + align w/ the disease model of addiction
specific physical mechanisms → experimentation/abuse
biological factors as the core contributing element according to biological theories
drugs as positive reinforcers
exposure theories
Comorbidity
two or more disorders or illnesses occurring in the same person (at the same time or in succession)
Theoretical explanations of addiction: Psychological
psychological explanations for addiction focus on mental + emotional states
theories fall into 2 categories
reinforcement theories
personality theories
Reinforcement theories
behavior is learned (positive or negative)
Personality theories
personality factors are a strong catalyst for use + abuse
factor of focus varies
Theoretical explanations of addiction: Sociological
focus on how factors external to the drug user impact drug use
don’t examine the characteristics of the individual but of the situation, social relationships or social structural position
2 types
social influence theories
structural influence theories
Social influence theories define + list the theories
focus on the roles of significant others; learning theories propose that behaviors are learned
differential association theory
social learning theory
labeling theory
subcultural learning theory
Differential association theory define + what impacts influence
it’s through associations that individuals learn values, attitudes + motivations for deviant behavior
Impacts influence:
Priority
how early in life did one form this association
Duration
how long
Frequency
how often does one come into contact
Intensity
Learned attitudes, techniques + opportunities → deviance
Social learning theory
drug use is learned like other behaviors
learning occurs though interaction w/ primary + secondary groups
attitudes + techniques + meanings = behavior
Labeling theory
explains the process by which people come to view themselves as deviant
Primary deviance
inconsequential, no lasting impression (often time not labeled)
Secondary deviance
develops when the individual begins to identify as deviant
Subcultural learning theory
highlights the role of socialization by others + group influence
drug subcultures have a normative code, elements of which are considered deviant in the broader society
Structural influence theories define + list
these theories focus on how elements of the organization of society act as motivation and/or shape drug use behavior
social disorganization theory
mertons anomie/strain theory
agnew’s general strain theory
social control/bonding theory
Social disorganization theory
social factors adversely affect individuals
lack of integration + attachment to conventional action is key
Merton’s Anomie/strain theory
when societies are characterized by an imbalance in social order it creates conditions favorable to crime + deviance
Angew’s general strain theory
builds from Merton’s theory
Sources of strain:
1) the failure to achieve goals
2) the removal of positively valued stimuli that one already possesses
ex. death of a parent
3) presentation w/ negatively valued stimuli
ex. abuse
Social control/bonding theory
the more bonded you are the less likely you are to be a drug user
attachment to others + commitment to goals + involvement in conventional means + beliefs = bonded within society
development of strong bonds to society will keep people from deviating
Homeostasis
process whereby the body maintains balance while adjusting for these things
property of a system that regulates its internal environment
tends to maintain a stable, relatively constant condition of properties
Homeostasis regulation
the process/adjustments made by your body, naturally w/out effort
receptor
control center
effector
internal adjustments facilitated by the release of regulatory chemicals
Glia
non-neuronal cells that help maintain homeostasis
Neurons
nerve cells that conduct the homeostatic functions of the brain + other parts of the nervous system
Synapse define + what does the excitatory + inhibitory do
point of communication between neurons
excitatory = increased activity
inhibitory = diminish/reduce activity
Neurotransmitters
the messengers sent by neurons
brains chemical messengers
Neuron to neuron communication
networks of neurons pass messages back + forth among the structures in the brain, spinal cord + nerves
Receptors
brains chemical receivers
Transporters
brains chemical recyclers
Drug receptors
special proteins in the receiving neurons + other target cells
help regulate activity in the cells in the nervous system + throughout the body
What are the transmitters frequently associated w/ drug abuse?
dopamine
serotonin
endorphins
Agonistic effects
interacts to produce some cellular response
direct-binding; indirect-binding
Antagonistic effects
interacts + prevents or hinders a response
direct-acting; indirect-acting
Reticular activating system (RAS)
controls the brains arousal
Basal ganglia
controls involuntary + finely tuned motor skills
Limbic system
emotional activity, memory
Cerebral cortex
receives sensory input
Insula
pleasure pathways, motivation
Hypothalamus
regulates other elements of the nervous system
Autonomic nervous system
neurons of the ANS located within the brain+ spinal cord but project outside of the CNS (to involuntary muscles, organ, glands)
What are the 2 functional components of the ANS?
sympathetic
fight or flight
parasympathetic
rest + digest
The endocrine system
consists of glands that secrete hormones directly into the bloodstream
regulates:
metabolism
growth
tissue repair
sexual behavior