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Addiction Lesson 16 What is a drug addict? Historically weak-willed moral degenerate Portrayal inaccurate & inappropriate heroin use vs. runner’s high ~ Definitions Abuse Use beyond social norms No dependence Addiction Compulsive self-administration Dependence ~ Drug Addiction Addiction vs dependence Historically required... Tolerance & withdrawal Opiates & barbiturates Cocaine & other stimulants no tolerance or withdrawal animals self-administer ~ Common Elements Excessive use & Duration of use: Exceeds acceptable social norms Progression: Worsens with time Loss of Control: Unable to control amount. preoccupation with getting/using drug Impairment In: Social, Economic, legal, or physical health ~ A Components Model of Addiction (Griffiths, 1996) Salience Preoccupation Mood Modification Why? Tolerance Diminished response Withdrawal abstinence unpleasant feelings Conflict w/ individuals or other activities Relapse reversion to addictive behavior after abstinence ~ Other Addictions? Chocolate? Caffiene? Gambling? Sex? Overeating? Shoppng? Internet? 1. 2. 3. 4. 5. 6. 7. Excessive? Mood Modification? Salience? Tolerance? Withdrawal? Conflict? Relapse? Mood modification & motivation? Euphoriant Self-medication ~ Drug Addiction Physiological vs. Psychological? (morphine) (cocaine) Physiological factors Morphine NT and receptors no drug deficient synaptic activity Cocaine DA in nucleus accumbens ~ Drug Addiction Withdrawal vs. Craving morphine vs. cocaine Psychological factors Morphine take more drug to escape withdrawal negative reinforcement Cocaine take more drug to experience euphoria positive reinforcement ? ~ Dependence Liability: Learning Reinforcement Characteristics Positive reinforcers Negative reinforcers Aversive aftereffects Classical & Operant Conditioning RFT magnitude RFT Delay Schedule of RFT ~ Dependence Liability: Individual Motivation Important but Elusive Mood modification Personality Inconsistent Data Genetics Clear Contribution Susceptibility predisposition Alcoholism & P3 ~ Dependence Liability: Environmental Availability Ease of Administration Cost financial legal physical Acceptability society, family, peers ~ All things considered, which drugs have the highest dependence liability? Legal Cheap Available Easy to administer Socially acceptable (relatively) Advertising Classical Conditioning Targets youths ~