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Abnormal
Psychology
Fourth Edition
Oltmanns and Emery
Copyright Prentice Hall 2004
PowerPoint Presentation
Prepared By
Fred W. Whitford
Montana State University
Copyright Prentice Hall 2004
Chapter 11
Substance Use Disorders
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Overview
• Substance Dependence
• Substance Abuse
– Addiction
• Drug Abuse
– Psychoactive Substance
• Polysubstance Abuse
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Overview
• Case Study:
– Ernest Hemingway’s Alcohol
Dependence
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Commonly Abused Drugs
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Typical Symptoms and
Associated Features
• The Concept of Substance
Dependence
– Tolerance and Withdrawal
• Tolerance
– Metabolic Tolerance
– Pharmacodynamic Tolerance
– Behavioral Conditioning Mechanisms
• Withdrawal
– Delirium Tremens
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Comparison of Various
Psychoactive Substances
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Typical Symptoms and
Associated Features
• Alcohol
– Short Term Effects
– Consequences of Prolonged Use and
Abuse
• Nicotine
– Short Term Effects
– Consequences of Prolonged Use and
Abuse
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Typical Symptoms and
Associated Features
• Amphetamine and Cocaine
– Short Term Effects
– Consequences of Prolonged Use and
Abuse
• Opiates
– Short Term Effects
– Consequences of Prolonged Use and
Abuse
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Typical Symptoms and
Associated Features
• Brief Case Study:
– Feelings After Injecting Heroin
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Typical Symptoms and
Associated Features
• Barbiturates and Benzodiazepines
– Short Term Effects
– Consequences of Prolonged Use and
Abuse
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Typical Symptoms and
Associated Features
• Cannabis
– Marijuana
– Hashish
– Short Term Effects
– Consequences of Prolonged Use and
Abuse
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Typical Symptoms and
Associated Features
• Hallucinogens and Related Drugs
– MDMA
– LSD
– PCP
– Short Term Effects
– Consequences of Prolonged Use and
Abuse
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Classification
• Brief History of Legal and Illegal
Substances
• DSM-IV-TR
– Substance Dependence
– Substance Abuse
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Classification
• Proposed Subtypes
• Course and Outcome
• Other Disorders Commonly
Associated with Addictions
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Epidemiology
• Prevalence of Alcohol Abuse and
Dependence
– Gender Differences
• Prevalence of Drug and Nicotine
Dependence
• Risk for Addiction Across the
Life Span
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Epidemiology
• Brief Case Study:
– Ms E.
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Etiological Considerations and *
Research
• Social Factors
• Biological Factors
– Genetics of Alcoholism
• Twin Studies
• Adoption Studies
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Etiological Considerations and *
Research
• Neuroanatomy and
Neurochemistry
• Dopamine and Reward Pathways
• Endogenous Opioid Peptides
– Endorphins
– The Serotonin Hypothesis
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Etiological Considerations and *
Research
• Research Close-Up:
– The Swedish Adoption Studies
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Etiological Considerations and *
Research
• Psychological Factors
– Expectations About Drug Effects
– Attention Allocation
• Integrated Systems
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Etiological Considerations and *
Research
• Research Methods:
– Risk, Risk Factors, and Studies of
High-Risk Samples
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Treatment
• Detoxification
• Medications During Remission
• Self-Help Groups: Alcoholics
Anonymous
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Treatment
• Cognitive Behavior Therapy
– Coping Skills Training
– Relapse Prevention
• Abstinence Violation Effect
– Short-Term Motivational Therapy
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Treatment
• Brief Case Study:
– Relapse to Heroin Use
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Treatment
• Outcome Results and General
Conclusions
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Treatment
• Getting Help
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