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CHAPTER #7 – DRUG USE/ABUSE
***WHY IS THIS THE MOST IMPORTANT
ISSUE FOR COLLEGE STUDENTS?*********
WHAT IS THE BEST SOLUTION?
PREVENTION (TWO ASPECTS)
A. _______
B. _________
THREE MEANS OF PREVENTION:
a. PRIMARY: REDUCING THE DESIRE
_______AND WORKPLACE
PROGRAMS
b. SECONDARY:
_____________ EARLY AND TREAT
c. TERTIARY:
TARGET DRUG USERS
HOSPITALIZATION
INTENSE ___-_______
ADDICTIVE BEHAVIOR IN MANY AREAS:
SHOPPING, EATING, GAMBLING, SEX, TV
VIDEOGAMES, _________, WORK
ALCHOL AND DRUGS
PROCESS OF ADDICTION:
A. EXPOSURE: TO A DRUG/BEHAVIOR
THEY FIND _____________
B. COMPULSION: EXPOSURE CONTINUES
DESPITE __________ CONSEQUENCES
_________ BEHAVIOR DISINTEGRATES
*INFLUENCED BY PERSONALITY,
________ AND _____________
C. LOSS OF CONTROL: AVOIDS
___________ FEELINGS FOR A
___________ HIGH
 CANNOT ________ BEHAVIOR
 ADDICTIONS CONTINUE TO GET
______ SERIOUS
 FREQUENTLY PEOPLE HAVE MORE
THAN ____ ADDICTION
INTERVENTION AND TREATMENT
EITHER THROUGH IN/OUT PATIENT
*_________ COUNSELING
* TEEN COUNSELING
* ____________ SUPPORT GROUP
I. ALCOHOLICS ANONYMOUS
II. _____________ ANONYMOUS
III. _____________ ANONYMOUS
CO-DEPENDANCE:
*SOMEONE WHO IS ______ TO THE
ADDICTED PERSON
* BECOMES UNAWARE OF THEIR OWN
FEELINGS AND __________
* BECOME FOCUSED ON PROTECTING
AND __________ WITH ADDICTED
INDIVIDUAL
*RESULTS IN ________ BEHAVIOR,
ADDICTIONS AND PHYSICAL _________
IN THE CODEPENDANT PERSON
DRUG TERMINOLOGY:
Drug: Any substance, natural or artificial, other
than _____, that by its chemical or physical nature
alters structure of function in the ______
organism.
Psychoactive Drugs: Drugs alter user’s _______,
behavior, perception or moods to include
_________, depressants, hallucinogens, ________
and inhalants.
Medicines:Used to heal unhealthy tissue such as
anti_______, oral _________ (?) diuretics,
hormone replacement and anti-___________
Dependence: Need to continue using a drug for
two reasons- __________or psychological.
a. Physical Dependence:
*when body cells have become _____on drug
* continued use is required – body has
_______ to drug’s presence
* body needs drug to maintain its _________
* if drug is not taken, ________ illness results
Withdrawal Illness
 uncomfortable, toxic response of the body
trying to maintain homeostasis
 _____ to ______ irritability
 depression and ____________
 more severe if _________
Tolerance
*result of __________ use
* intake of same dose has __________ effect
* user starts needing ________ doses
* depressant and opiates can cause
________tolerance
* tolerance from one drug can carry over to
another drug in the same __________
(Known as _______-tolerance)
b. Psychological Tolerance
*people believe that they need the drug to
maintain a sense of well-being
* crave drug for ___________reasons
* abrupt withdrawal will _____ be as severe
as with someone who is physiologically
dependent
*some drugs can lead to both P/P dependence
i. narcotics
ii ___________ narcotics
***some psychological drugs can lead to
physiological dependence
i. ____________
ii. _____________
iii. _____________
Drug Use and Misuse
Drug Use: describes drug taking in most general
way
Drug Misuse: __________use of legal drugs
intended to be medications.
(can occur when patient misunderstood
instructions ….also, … when drug is _____ used
for intended condition.)
Abuse: use of legal or illegal drug in a way that is
detrimental to _______ or well-being
*costs are _______ like loss of job, family,
marriage, self-esteem and health…even death!
DYNAMICS OF DRUG ABUSE
Individual factors
i. __________ Pre-disposition
ii. Personality traits, attitudes, beliefs
a. _________ of norms
b. resistant to ___________
c. ____________
d. ****____________ youth
iii Interpersonal skills/self-esteem
a. usually _______ in these skills
b. low _____-esteem
c. score lower on ________
d. no __________ support
iii. Environmental factors
a. _____ and _______(disorganized)
b. early exposure to drugs as child
(family name suggests wrong side
of the “tracks”)
iv. School
a. poor ____________ at school
b. peer pressure
c. _________ and social norms/treatment
v.
Societal Factors
a. Youth Subculture
a. ages 12-17
b. have _____expectations, behaviors
and dress code
c. ___________ with gate drugs
(_______, nicotine, marijuana)
b. Modelling/Advertising
a. celebrities..”the _______ people”
b. ________who glamorize drugs
c. Self-care Movement
a. use of drugs for self-medication can
________ problems w/o physician
Effects of Drug Use on Central Nervous System
*Drugs alter function of _____________ by
blocking or changing transmission
 By combining drugs you can alter
_____________effects
 __________effect – taking different drugs
in the same category at the same time
(1+1 +5)…often fatal
 Addictive effect – increase dosage for the
same “_____”
 ___________ effect – Use of one drug
intensifies the use of a second drug
 ____drugs: psychoactive effect at bars
 _________ effect: Use second drug to
cancel the effect of the first drug
(ie. Depressant to cancel out stimulant)
DRUG CLASSIFICATION
(TABLE 7-2, PG. 223)
SIX CATEGORIES
a. _____________
b. ____________
c. _____________
d. ____________
e. ____________
f. _____________
A. Stimulants
Function: _____ and activate the ___, with
acceleration of __, __, Brain Function
Examples: ______, coffee, tea, chocolate, soda
___________ (ma huang)
________________ (manufactured)
Crystal Methionone (pure form)
_________ – calms children, excites adults
Cocaine – quick ___________ - snorted
_____________ Cocaine – smoked
B. Depressants
Function: _________, slow-down user
Examples: Alcohol, __________(sleeping
compounds), ___________ (reduce anxiety),
Rohypnol – used in Clubs, sleepy state
C. Hallucinogens
Functions: Produce hallucinations
Examples: Psychedelic and designer drugs
(LSD/PLP)
Effects include ________ (smelling colors and
touching music) and ________ (years down the
road)
D. Cannabis
Function: Mild hallucinations
Example: _____________ (THC) –
Effects are same as hallucinogens with some
medical use (____________)
E. Narcotics
Function: __________ pain and induce _______
Example: ________ – As Natural element derived
as opiate from poppy seed or ____________
created by altering morphine as in Heroin
*Synthetic narcotics are used as post surgical ____
killers like Demerol and ______________
F. Inhalants
Function: No ______ purpose – induce drunk like
effect
Examples: Glue, ______ thinner, markers, aerosol
What is Society’s Response to Drug Use
a. __________ – laws and public policy to
combat ownership, distribution and usage
b. Legalize drugs – ________
c. Drug _______ – rationally, employed people
won’t use drugs?(where used?)
d. _____________ and Support (colleges)
e. __________________ Society
Treatment:
a. ___________
b. ____________
c. __________________