2. 2 Chapter 12 The Nature of Substance Dependence and Abuse
3. 3 Chapter Main Points Substance Dependence Substance Abuse Alcohol Dependence Nicotine Dependence Other Psychoactive Drugs Substance Dependence: Theory and Therapy
4. 4 Nature of Substance Dependence and Abuse Substance Dependence: Preoccupation with the drug Unintentional overuse Tolerance Withdrawal
5. 5 Nature of Substance Dependence and Abuse Substance Dependence: Persistent desire or efforts to control drug use The abandonment of important social, occupational, or recreational activities for the sake of drug use Continued drug use despite serious drug-related problems
6. 6 Nature of Substance Dependence and Abuse Substance Abuse: Recurrent, drug-related failure to fulfill major role obligations Recurrent drug use in physically dangerous situations Drug-related legal problems Continued drug use despite social or interpersonal problems
8. 8 Alcohol Dependence The Personal Cost of Alcohol Problems: Immediate effects of alcohol Long-term effects of alcohol abuse
9. 9 Alcohol Dependence Groups at Risk for Alcohol Abuse and Dependence: Gender Race, ethnicity, and religion Age
10. 10 Treatment of Alcohol Dependence Medical Detoxification: Getting alcohol out of the person’s system and seeing him or her through the withdrawal symptoms
11. 11 Treatment of Alcohol Dependence Multimodal treatments Support groups: Alcoholics Anonymous Outpatient and brief treatments Motivational interviewing Relapse prevention Matching
15. 15 Other Psychoactive Drugs Depressants: Opiates and Opioids: Induce relaxation and reverie Provide relief from anxiety and pain Opium, Morphine, Heroin, Methadone
16. 16 Other Psychoactive Drugs Depressants: Barbiturates: Powerful sedative drugs Alleviate tension and bring about relaxation and sleep Tranquilizers and Nonbarbiturate Sedatives: Used in treatment of anxiety disorders and stress-related physical disorders
17. 17 Other Psychoactive Drugs Stimulants: Amphetamines: A group of synthetic stimulants which reduce feelings of boredom or weariness Users find themselves alert, confident, full of energy, and generally ready to take on the world
19. 19 Other Psychoactive Drugs Hallucinogens: LSD: Interfere with the processing of information in the nervous system, causing hallucinations PCP: Cheap, easily available, and often mixed with other substances Behavioral toxicity
20. 20 Other Psychoactive Drugs Marijuana and Hashish: Similar, but milder, effects as other hallucinogens Is Marijuana Dangerous? Marijuana as a Medical Treatment
21. 21 Substance Dependence: Theory and Therapy The Psychodynamic Perspective: Drugs and conflict Acquiring self-care The Behavioral Perspective: Psychological and biochemical rewards Learning not to abuse drugs
22. 22 Substance Dependence: Theory and Therapy The Family Systems Perspective: Behavioral couple therapy Family therapy The Cognitive Perspective: Thinking about drugs Cognitive-behavior therapy
23. 23 Substance Dependence: Theory and Therapy The Neuroscience Perspective: Genetic studies Biochemical studies Endorphins Dopamine Drug treatment for drug dependence
24. 24 Substance Dependence: Theory and Therapy The Sociocultural Perspective: Drugs and poverty Harm reduction
25. 25 Recapping the Main Points Substance Dependence Substance Abuse Alcohol Dependence Nicotine Dependence Other Psychoactive Drugs Substance Dependence: Theory and Therapy
26. 26 End of Chapter 12 The Nature of Substance Dependence and Abuse