1socialization key agents (family)
history, strictness, viewpoints
2socialization
lifelong social experience by which humans develop their potential and learn culture (most important group= peer group use/ attitudes toward use)
3socialization key agents (school)
consquences, policies, norms
4socialization key agents (peer groups)
access, usage, care about image, social acceptance
5socialization key agents (media)
negative consequences, normalizing
6socialiaztion key agents (others)
methods for social control
7environmental exposure
exposure to drug users and the drug itself , regulation and legalization
US pharmaceutical culture= macro level
drugs in household/ school = micro level
how often do you see drugs in the streets you live in?
are drugs accessible?
generally speaking how common is substance use in your society?
8age of inital exposure
early exposure in life = increased likelihood of acceptance and engagement
age of initial exposure is decreasing
9attitude change
views aren’t stagnant, very few viewpoints on drugs are shaped by concrete or empirical facts, they are social constructs, attitudes shape behavior!
10factors that shape user experience
biological: initial sensitivity, gender, etc. cultural: society’s view, tied to environment. social: motivations to use drugs. contextual: how i felt when i tried that drug
11T or F: alcohol consumption increased during the time known as prohibition despite regulation, everyone was doing it!
false
12T or F: alcohol consumption is currently at an all time high
false
13T or F: drug use steadily increased during the 1980s which spurred the “war on drugs”
false
14LSD consumption was at an all time high during the 1960s
false
15drugs
any substance that modifies mind or body functioning
16psychoactive substances
compounds that affect the central nervous system and alter consiousness and/ or perceptions
17is drug use in the US high
yes, when counting all drugs use is VERY high
18drug abuse
the habitual taking or misuse of addictive or illegal drugs outsidr of prescribed recommendations
19drug addiction
chronic, often relapsing brain disease that causes compulsive drug seeking despite harmful consequences
20cocaine/ marijuana physical dependence is…
minir
21indicators of severity
age, solidarity, means of acquiring, motivation, use of multiple drugs, behavior under the influence
22dependence
habitual, compulsive use over a prolonged period of time
23psychological dependence
emotional, mental preoccupation
24physical dependence
physical symptoms associated with abuse
25prevalence rates
the number or percentage of people in the population who use a given druge during a designated period of time
26continuance/ loyalty rates
for a given drug, a figure calculated by comparing the proportion of ‘at least once’ users who have also taken that drug within a more recent time period usually within the past month or year
27what has the greatest user loyalty?
alcohol
28what has the strongest loyalty among illicit drugs?
marijuana
294 types of drug use
1. legal instrumental
2. legal recreational
3. illegal instrumental
4. illegal recreational
30legal instrumental
taking a drug as prescribed for the intended purpose
ex: tylenol for pain relief
31legal recreational
taking licit drugs to achieve a certain mental or psychic state
ex: alcohol
32illegal instrumental
taking licit drugs, without a prescription, to accomplish a specific task or goal
ex: taking someone elses adderall to help you study
33illegal recreational
taking illicit drugs for fun or pleasure
ex: heroin or meth
34key demographic correlate of drug use: age
1st time = 12-17 years old
highest rate of abuse= 18-24 years old (young people)
35key demographic correlate of drug use: gender
males higher than females, but almost the same for 12-18 year olds
female rate rising
36key demographic correlate of drug use: race/ ethnicity
black: 11.3%
white: 9.2%
hispanic/latino: 8.3%
asian: 3.7%
37key demographic correlate of drug use: employment
most employed
38relationship between use and crime
people who do crime more likely to use drugs and people who do drugs more likely to do crime
39social/ economic cost of drug use
medical bills, employment, mental health, relationships, controlling drugs~ $6,120/ second (cost to society)
sources of cost: drugs are more potent, wider availability, drug use is dissseminated across a wider audience, drug industry is profitable
40substance induced disorder
immediate effects of use of discontinuation
ex: intoxication and withdraw
41substance use disorder
combines substance abuse and substance dependence
measured on a continuum from mild to severe
criterion include: tolerance, withdraw, taking more than intended, failure to perform important obligations, great deal of time spent on use, craving for substance, etc.
42diagnostic form; continuum of severity
mild: 2-3 criterion
moderate: 4-5
severe: 6+
43comorbidity
2+ disorders/ illnesses occuring at the same time or in succession within the same individual
ex: drugs use disorder & anxiety, depression, PTSD, bipolar, sleep disorder, eatinf disorder
people with substance use disorders gave higher rates or drug issues
44pharmacological perspective of abuse
the properties if drugs dictate drug related behavior
mind altering/ psychoactive properties set off society (and social science)
45sociology perspective of abuse
external how we view the user
societal conditions help define drugs, drug use, drug abuse, and the social ramifications
objective shapes subjective
46models of addiction: moral
because they choose to and they can choose to stop (or lack of good morals/ moral compass)
advocates for personal responsibility& empowers good choices
judgment based, contributed to stigma, shame, and guilt, may prevent people from seeking health
47models of addiction: medical/ disease
underlying issues/ components/ biologically caused condition driving drug dependence
can be treated not cured
48models of addiction: psychological
internal drives drug behaviors, all drugs use & addiction caused by psychological distress
reduces stigma, addresses underlying reasons for using drugs (influences relapse)
risk of labeling, reliance on behavioral therapy may not work for all addicts, may encourage external blame
49models of addiction: sociocultural
peers, culture, family, and communities drive drug use
promotes responsibility, focus in prevention, helps identify at-risk population
counseling with more people becomes more complex, places blame on culture, may promote culturak stereotypes
50models of addiction: biopsychosocial
the kichen sink, comibed all of them, complex
when factors come together to explain an addiction
captures everything, promoted a multifaceted approach to treatment
can be too complex may lead to “where does one start”
51biological (theoretical) explanation if addiction
focus on genetics and align with the medical/ disease model of addiction exposure theories: chemical level of addiction
psychiatric disorder: comorbidity, other mentak disorder occur in drug addicts due ti a genetic predisposition
52psychological (theoretical) explanation if addiction
whats happening inside triggering outside behavior
2 basic varieties: those emphasizing the mechanism of reunforcemeng and those focused on personality differences:
reinforcement theories: based on idea that behavior is learned ( + and - reinforcement)
personality theories: personality factors a strong catalyst in use and abuse
53sociological (theoretical) explanation if addiction
what happens outside influences use
focuses on how factors EXTERNAL to the drug user impact drug use
*2 types of sociological theories:
1. social influence theories: learning theories, micro exchange state (4 factors influence: priority, duration, frequency, intensity) labeling theory, primary deviance (inconsequential), secondary deviance (begins to identify as deviant)
2. structural influence theories: certain communities with higher rates of drug use and addiction, what is it about communities/ groups driving drug use, social disorganization theory: social factors affect individuals, strain theory,
543 classes of users
opium- chinese immigrants
marijuana- blacks and hispanics
crack/ cocain- inner city minorities
55tolerance
medical needs + availability of products
56technological, medical, and scientific innovations of 1800s led to what
high rates of drug abuse
57innovations allowed for what
increased availability, purer forms, more efficient and effective administrative routes
58prohibition
aimed to control consumption of alcohol
59opium and narcotics control
medical reliance= dangerous dependency
legislation directed at recreational users (asian immigrants)
60dr. wright hamilton
father of narcotics law
61marijuana laws
1914-1931: “local” phase of prohibiton
1930s: “national” phase of prohibiton
marijuana tax act of 1937: effectively criminalizes marijuana
occupational tax
transaction through written order forms imposition of a tax on transfers
62the pure food and drug act
1906
banned interstate commerce in tainted and misbranded food and drugs
did NOT outlaw sale of medications containing problematic drugs
sherley amebdment: prohibits labeling medicines with false claims
1951 durham-humohrey amendment: classifies otc
1962 kefauver-harris amendment: must prove safety and effectiveness of drugs prior to market
63the comprehensive drug abuse prevention and control act of 1970
“controlled substances act” *replaced all prior drug legislation
focused on how we police and discipline drugs instead of education or prevention
divider substances with abuse potential into categories based on the degree of their abuse potential and clinical usefulness
created drug schedules (based on abuse potential and medical utility)
ex: heroin schedule 1 no medical utility, very high abuse potential
64schedule 1
high abuse potential no medical use- illegal
ex: heroin, LSD, marijuana, ecstasy, peyote
65schedule 2
high abuse potential, some medical use - controlled
ex: vicodin, cocaine, meth, oxycontin, adderal
66schedule 3-5
low abuse potential, medical use - controlled with lesser penalties
67homeostasis
process wherby the body maintains balance while adjusting for these things: property of a system that regulates its internal environment
tends to maintain a stable, relativeky constant condition of properties
68importance of homeostasis
ensures organisms/ cells can function normally if they can’t they may get sick or die
69mechanism for controlling homeostasis
nervous and endocrine system
70key components of the nervous system
gila= glue guys
neurons= nerve cells that conduct the homeostatic function of the brian and other parts of NS
recivers, neurotransmitters
71nervous system communication within (key actors)
neurotransmitters
72drug receptors
special proteins in the receiving neurons and other target cells
73impact of drugs on the NS
releases dopamine, serotonin, and endorphins
74agnostic effect
2 drugs who have opposite effects on the body
aids in enhancement or production
stimulation
imitates neurotransmitter
75antagonistic effect on the NS
blocks reception, works against drug
1+1=0
76additive drug mixing effect
1+1=2
77synergistic effect
amplifies outcome increases good decreases bad
multiplies 1+1=4
78key components if the CNS impacted by psychoactive substances
spinal cord, brain stem, brain
79automatic NS
regulates involuntary bodily processes, including heart rate, respiration, digestion and pupil contraction; operates automatically without conscious direction
80sympathetic effects
fight or flight
81parasympathetic nervous system
calms the body
82somatic NS
voluntary movement and sensory information
83endocrine system
hormones
85drug action
outcome of the chemical interaction with the body’s neurochemical system
takes place at the molecular level
86drug effect
occurs after drug action; resulting human response of behavior
drug action+ personal characteristics+ environment= drug effect
87acute druge effect
short term effect that takes place within the period of use or immediately after
ex: getting high, dying from OD
88chronic drug effect
long term effects that occur after continued usage
ex: cirrhosis of the liver (direct effect), HIV contraction (indirect effect)
89direct drug effect
those resulting for the long term acting of the deug itself
90indirect drug effect
result of circumstances of use
91effective dose
“active dose”
dose needed to produce a given effect
% of the population for which that dose has the desired effect
92lethal dose
the quantity of a given deug required to kill a specified population
refers to a drugs toxicity
93ED/LD ratio
measure if toxicity
margin of safety
larger ratio= more safe
94larger ED/LD ratio/ smaller
more safe drug
more dangerous
95tolerance
repeated adminstration produces diminishing effects
96pharmacological tolerance
effect on related neurons
97cross tolerance
same principles of diminishing effects applies across similar drug types
98behavioral tolerance
refelcts how an experienced user learns to compensate for drug effects
i.e. being a better drunk driver
99route of administration
method of ingestion
influences drug effect
100dose
the amount of particular drug ingested
drugs usually echibit a drug/dose response curve
101purity
refers to the fact that batches vary in the percentage of drug contained
102potency
quantity of drug taken to produce a given action
103what is the principal social psychological factor in determining drug abuse
motovation
104T or F: psychoactive theories explain addiction interms of gentics and biochem patterns
false
105which of the following is not a potential result of mixing 2 psychoactive substances
- additve
- synergistic
- agonistic
- antagonistic
106which of the following is not in the 4 classes of legal chemicals
- fda approved drugs
- social drugs
- prescription drugs
- over the counter drugs