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Chapter 3:
The New Genetics
Alma Villanueva, MA
California State University, Los Angeles
Overview
Genetic Code
The Beginning of Life
Male & Female
Twins
Genotype & Phenotype
Disorders
Genetic Counseling
Genetic Code
Cells
Basic unit of life
Trillions!
Nucleus
Chromosomes
Thread– like structures made up of DNA & protein
23 pairs
DNA (Deoxyribonucleic acid)
2 strands twisted in a double helix
Chemical composition of molecules that contain the genes
Contains all of the information required to build/maintain the
cell
3
Genes
Small section of the chromosome
18,000 – 23,000 genes
Each gene provides a unique recipe to make a protein
4 bases
Code for your traits
A - adenine
T - thymine
C - cytosine
G – guanine
Only 4 possible pairs
A-T; T-A; C-G; G-C
http://mybrainnotes.com/brain-dna-behavior.html
4
Allele
A variation of a gene
Example: the gene for eye color has several variations (alleles);
an allele for blue eye color or an allele for brown eyes
Everyone inherits alleles from sperm & ovum
Genetic diversity
Distinguishes each person
Allows the human species to adapt to pressures of the
environment
Genome
Full set of genes with instructions to make a living organism
Genomes exist for each species
Video about Genes
5
The Beginning of Life
Two Parents, Millions of Gametes
Gamete
Reproductive cell
Sperm or Ovum
Each contains 23 pairs
Zygote
Cell formed with union of Sperm & Ovum
Produce a new individual with 23 chromosomes from each
parent
Conception
http://predictingbabygender.info/tag/intercourse-timing/
Matching genes
Genotype
Organism’s entire genetic inheritance, or genetic potential.
Homozygous (same zygote)
Two genes of one pair that are exactly the same in every letter
of their code
Heterozygous
Two genes of one pair that differ in some way
Usually not an issue
Male of Female?
Humans usually possess
46 chromosomes
44 autosomes and 2 sex chromosomes
SEX chromosome = 23rd pair
Female – XX
Male – XY
Mother’s contain X
Father’s may have X or Y
X chrom. Is larger & more genes
Y contain SRY,
making male hormones & organs
It's a girl!
Uncertain Sex
“ambiguous genitals,” = child's sex is not abundantly clear
a quick analysis of the chromosomes is needed, to make sure
there are exactly 46 and to see whether the 23rd pair is XY or
XX
shown here a baby boy (left) and girl (right).
Too Many Boys?
Is sex selection the parents’ right or a social wrong?
Preference for boys in many areas of world
Ways to prevent female birth
Inactivating X sperm before conception
In vitro fertilization (IVF)
Aborting XX fetuses
My Strength, My Daughter
slogan these girls in New Delhi are shouting at a demonstration
against abortion of female fetuses in India
The current sex ratio of children in India suggests that this
campaign has not convinced every couple.
New Cells
Within hours of conception
23 pairs of chromosomes carrying all the genes duplicate,
forming two complete sets of the genome
Two sets move toward opposite sides of the zygote
the single cell splits neatly down the middle into two cells
By birth = 10 trillion cells
By Adulthood = 37 trillion cells
Stem Cells
Stem Cells
Results from early duplication and division
Are able to produce any other cell
Differentiation
Cells specialize
Placenta- organ that sustains the dev. Person through pregnancy
Sample of the placenta blood can be checked for
genetic/chromosomal disorders
Research
Replicate & try to produce genes to fight diseases and other
medical intervention
May cause havoc, causing cancer or death
Ethical issues
www.scientificamerican.com
Twins
MONOZYGOTIC TWINS
(Identical Twins)
1 in 250 conceptions
Originate from one Zygote that splits apart very early in
development
Incomplete split results in conjoined twins
same genetic instructions but slight variations in phenotype are
possible due to environmental influences
About 1 in 3 twins are monozygotic
Twins
DIZYGOTIC TWINS
(Fraternal Twins)
Formed with 2 separate ova & 2 separate sperm
occurs twice as often as monozygotic twins
Share half of genes, like full siblings
Can look different or very alike
-ovulate
Is it possible for fraternal twins to have different fathers?
Multiples.about.com
Assisted Reproduction Technology (ART)
techniques designed to help infertile couples conceive
and sustain a pregnancy
About 12% of U.S. couples cannot conceive
Infertility
Failure to conceive a child after a year of trying
Subfertile
Less fertile than ideal; not sterile
Woman may take drugs to cause ovulation
Donated sperm
Donor ova & wombs
In Vitro Fertilization (IVF) Involves mixing sperm w/surgically
removed ova from the woman’s ovary and implanting zygote
into a woman’s uterus
Less than 50% success
Slight increase of birth defects/later illnesses
Male/Female Differences
One-third of all fertility problems originate in woman; another
third from man; final third from unknown causes.
Fertility decreases with age; faster decline for women
From Genotype to Phenotype
Genotype instigates body/brain formation
Phenotype is influenced since conception
Phenotype
Observable characteristics of an organism, including
appearance, personality, intelligence, and all other traits
Most traits are
Polygenic
Influenced by many genes
Multifactorial
Influenced by many factors
Genes & environment
A child may have genes for musical genius, but potential is not
realized & environment doesn’t support it
Epigenetics
Do genes determine everything?
Research changed perspective
Epigenetic
Epigenetics- the study of exactly how genes change in form and
expression
Schizophrenia- no single gene, traits arise from a combination
of genes
Gene expression depends on environment
Diseases can be delayed or facilitated, depending on certain
environmental influences (drug abuse, injuries, food, love, care,
etc.)
Current consensus
Genes affect every aspect of behavior
Most environment influences on children raised in the same
home are not shared
Genes elicit responses that shape development
Lifelong, people choose friends and environments that
encourage their genetic predispositions
Genotype and Phenotype
Alcoholism
Genes create addictive pull
Alcoholism is polygenic and culture is pivotal
Risk
Biological sex
Gender
Contexts
Ethnicity
Nature and nurture must combine to create an alcoholic
Human Genome Project
International effort project to map the complete human genetic
code
Officially completed in 2001, but still ongoing
(Started in the 1980s)
Many of our genes are common with other species
Crucial difference is brain size (proportion)
Dominant vs. Recessive
Alleles interact in a Dominant – Recessive pattern
One allele is dominant
One allele is recessive
Dominant = more influential & controls the gene
Ex. Dominant brown eye gene and recessive blue eye gene can
result in hazel eyes
Carrier
Person with a gene that is not expressed (recessive gene)
Dominant - Recessive
Eye Color
Recessive genes
Most recessive genes are NOT harmful
However, some can be
Color blindness, allergies, diseases, learning disabilities
Especially if that recessive gene is located on the X-gene
X-Linked (mother)
Male = XY; Female = XX
Sons have more of a chance to express the recessive gene in
their phenotype
20x more boys are color-blind than girls
Chromosomal & Genetic Problems
More or Fewer than 46 chromosomes
Women’s age
5 to 10% conceptions
1% of born
Abortion, miscarriage
Stillborn, or die within first few days
Chromosomal and Genetic Problems
Down syndrome
Called trisomy-21 because the person has three copies of
chromosome 21
Distinct characteristics (facial shape, hearing problems, muscle
weakness, intellectual dev.)
Fragile X syndrome
Caused by more than 200 repetitions of one triplet on one gene
Most common form of inherited form of inherited mental
retardation
Sickle-cell trait
Offers some protection against malaria
African carriers are more likely than non-carriers to survive
Cystic fibrosis
More common among people with northern European ancestors
Carriers may have been protected against cholera
Genetic Counseling
Consultation & Testing
Recommended for the following:
Family genetic conditions
Previous stillbirths or abortions
Infertile couples
Couples of same ethnic group, esp. relatives
Women over 35 & men over 40
Controversial
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National
Drug Threat
Assessment
Summary
DEA-DCT-DIR-002-15
2014
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Drug Enforcement Administration
2014 National Drug Threat Assessment Summary
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This product was prepared by the DEA’s Strategic Intelligence
Section. Comments and
questions may be addressed to the Chief, Analysis and
Production Section,
at [email protected]
November 2014
DEA-DCT-DIR-002-15
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From the
Administrator..........................................................................
................................................................iii
Scope and
Methodology...........................................................................
.............................................................1
Overview................................................................................
.......................................................................................1
Controlled Prescription
Drugs......................................................................................
.........................................3
Heroin....................................................................................
........................................................................................9
Methamphetamine....................................................................
............................................................................19
Cocaine...................................................................................
....................................................................................23
Marijuana................................................................................
...................................................................................25
Synthetic Designer
Drugs......................................................................................
...............................................31
Outlook...................................................................................
....................................................................................37
Appendix A:
Maps.......................................................................................
...........................................................39
Appendix B:
Tables.....................................................................................
...........................................................45
Appendix C: Glossary of
Acronyms................................................................................
.................................51
Table of Contents
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Respectfully,
Michele M. Leonhart
Administrator
Drug Enforcement Administration
From the Administrator
I am pleased to present the 2014 National Drug Threat
Assessment Summary, a strategic assessment of the threats
posed to our communities by transnational criminal
organizations and the illicit drugs they distribute throughout the
United States. This annual assessment provides policymakers,
law
enforcement personnel, and prevention and treatment specialists
with relevant strategic drug intelligence to assist in formulating
counterdrug policies, establishing law enforcement priorities,
and
allocating resources.
The Drug Enforcement Administration produces the National
Drug Threat Assessment in partnership with local, state, tribal,
and federal agencies. To accurately depict a national-level
perspective of the drug issues facing the United States, the
report integrates the most recently available reporting from law
enforcement and intelligence agencies with the most current
data from public health agencies regarding national substance
abuse indicators. This report also draws on information from
more than 1,200 local, state, tribal, and federal law enforcement
partners who provided input for the assessment.
During the past year, the counterdrug community celebrated
a number of achievements, including the arrest of Joaquin “El
Chapo” Guzman, one of the leaders of the Sinaloa Cartel. These
successes signify major progress in our shared fight against
transnational organized crime, violence, and drug trafficking.
Despite these accomplishments, we still have significant
areas of concern within our country, including the threats
from prescription drug abuse, increased heroin overdoses,
marijuana legalization, and the continued dominance of
Mexican
transnational criminal organizations in the US illicit drug
market.
My thanks to all participating agencies and organizations for
your contributions to this vital report. Your views and opinions
continue to be important and help us to best meet the needs
of the law enforcement, intelligence, prevention, and treatment
provider communities, as well as shape drug policies. I look
forward to collaborating on future initiatives that will protect
our
national security interests abroad and at home.
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Scope and Methodology
The 2014 National Drug Threat Assessment
(NDTA) Summary addresses emerging
developments related to the trafficking and
use of primary illicit substances of abuse and
the nonmedical use of controlled prescription
drugs (CPDs). In the preparation of this
report, DEA considered quantitative data
from various sources (seizures, investigations,
arrests, drug purity or potency, and drug
prices; law enforcement surveys; laboratory
analyses; and interagency production
and cultivation estimates) and qualitative
information (subjective views of individual
agencies on drug availability, information on
the involvement of organized criminal groups,
information on smuggling and transportation
trends, and indicators of changes in smuggling
and transportation methods).
The 2014 NDTA Summary uses information
provided by 1,226 state and local law
enforcement agencies through the 2014
National Drug Threat Survey (NDTS). At a
95 percent confidence level, the 2014 NDTS
results are within 2.59 percentage points of
the estimates reported. NDTS data used in this
report do not imply that there is only one drug
threat per state or region or that only one drug
is available per state or region. A percentage
given for a state or region represents the
proportion of state and local law enforcement
agencies in that state or region that identified
a particular drug as their greatest threat or as
available at low, moderate, or high levels.
Overview
The threat from CPD abuse is persistent and
deaths involving CPDs outnumber those
involving heroin and cocaine combined.
The economic cost of nonmedical use of
prescription opioids alone in the United
States totals more than $53 billion annually.
Transnational Criminal Organizations (TCOs),
street gangs, and other criminal groups,
seeing the enormous profit potential in CPD
diversion, have become increasingly involved
in transporting and distributing CPDs. The
number of drug overdose deaths, particularly
from CPDs, has grown exponentially in the
past decade and has surpassed motor vehicle
crashes as the leading cause of injury death in
the United States. Rogue pain management
clinics (commonly referred to as pill mills)
also contribute to the extensive availability of
illicit pharmaceuticals in the United States. To
combat pill mills and stem the flow of illicit
substances, many states are establishing new
pill mill legislation and prescription drug
monitoring programs (PDMPs).
Heroin abuse and availability are increasing,
particularly in the eastern United States. There
was a 37 percent increase in heroin initiates
between 2008 and 2012. Increased demand
for heroin is largely being driven by a subset
of CPD abusers switching to heroin because
heroin is more available and less expensive.
Further, some OxyContin® abusers switched
to heroin after the reformulation of that drug
made it more difficult to abuse.
Many cities and counties across the United
States, particularly in the Northeast and
Midwest, are reporting increasing heroin
overdose deaths. Some areas are also
reporting overdoses due to heroin tainted
with fentanyl or fentanyl being sold as heroin.
Fentanyl is much stronger than heroin and can
cause even experienced abusers to overdose.
Several drug data sources indicate that
methamphetamine availability is increasing
in the United States; however, drug
demand indicators are less certain. High
methamphetamine availability is directly
related to high levels of methamphetamine
production in Mexico; domestic production
remains low in comparison. The number
of methamphetamine laboratories seized
in Mexico has increased significantly since
2008, and methamphetamine seizures at the
Overview
Scope and Methodology
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Southwest Border increased more than three-
fold over the past five years. Mexico-produced
methamphetamine has extremely high purity
and potency levels. In 2012, purity levels1
averaged close to 90 percent, while prices
remained low and stable.
Cocaine availability rebounded slightly in
2013 compared to 2012. However, it remains
stable at historically low levels throughout
most domestic markets along the East Coast.
These lower levels constitute a new normal
in comparison to pre-2007 levels when US
markets had high levels of cocaine availability
with low prices and high purity. Since 2007
cocaine availability levels in the United States
have fluctuated slightly but continued at
consistently lower levels than prior to 2007.
Marijuana is the most commonly abused drug
in the United States. High availability levels are
due to large-scale marijuana importation from
Mexico, as well as increasing domestic indoor
grows and an increase of marijuana cultivated
in states that have legalized marijuana or
passed state-approved “medical marijuana”2
initiatives. More people use marijuana than
all other illicit drugs combined, and there has
been an increase in the medical consequences
associated with marijuana abuse nationwide.
There was a 62 percent increase in marijuana-
related emergency department visits between
2004 and 2011. Marijuana-related visits were
second only to cocaine in 2011, and nearly
matched the number of cocaine-related
emergency department visits.
The abuse of marijuana concentrates
(“wax,” “butane honey oil,” etc.) is increasing
throughout the United States. These
concentrates can be abused using e-cigarettes
or consumed in edibles, and have significantly
higher tetrahydrocannabinol (THC) levels than
leaf marijuana. In 2013, the THC content of
leaf marijuana averaged 12.55 percent, while
the THC content of marijuana concentrates
averaged 52 percent, with some samples
testing over 80 percent. Highly flammable
butane gas is used to extract the THC from the
marijuana leaf, and has resulted in explosions,
injuries, and deaths.
The abuse of synthetic cannabinoids (“K2,”
“Spice,” “Herbal Incense”) and synthetic
cathinones (“bath salts”) remain a concern, as
these drugs are still available in convenience
stores, head shops, gas stations, and online.
Additionally, synthetic designer drugs being
sold as “Molly” have become increasingly
available and are sold as a substitute for
methylenedioxymethamphetamine (MDMA).
1 Purity refers to the ratio of a drug to the additives,
adulterants, and/or contaminates it contains. Potency is the
ability for the drug to produce euphoria or a “high”.
2 When the term “medical marijuana” is used in this publication
it is exclusively in reference to state-approved “medical
marijuana”. Marijuana is a Schedule I substance under the
Controlled Substance Act with no accepted medical use in
the United States.
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Controlled Prescription Drugs (CPDs)
The threat from CPD abuse is persistent. The
annual economic cost of nonmedical use
of prescription opioids in the United States
was estimated at more than $53 billion in
2011, the most recent data available; lost
productivity and crime account for most (94%)
of these costs. Nationally, 21.5 percent of law
enforcement agencies responding to the 2014
NDTS reported CPDs as the greatest drug
threat, up from 9.8 percent in 2009. (See Table
B1 in Appendix B.) Additionally, 90.6 percent of
law enforcement agencies surveyed indicated
that CPD availability ranges from moderate to
high.
Opioid analgesics, or pain relievers, are the
most common type of CPD abused. The
most common opioid CPDs are oxycodone
(OxyContin®, Roxicodone®, Percocet®),
hydrocodone (Vicodin®, Lorcet®, Lortab®),
oxymorphone (Opana®), and hydromorphone
(Dilaudid®). According to the National Seizure
System (NSS), nearly 1.2 million dosage units
of oxycodone were seized by law enforcement
in 2013, up 535 percent from 2012. (See Table
B2 in Appendix B.) Further, there was a 100
percent increase in hydrocodone seizures from
2012 (41,668 dosage units) to 2013 (83,448
dosage units). Law enforcement officers seized
1,363 dosage units of hydromorphone in 2013,
down from 1,570 in 2012.
Demand and treatment data indicate the
abuse of CPDs is a continuing and significant
problem. According to the National Survey
on Drug Use and Health (NSDUH), while the
number of people reporting current non-
medical use has increased, the statistical rate
of current users has remained relatively steady
over the past several years.
• NSDUH data indicate that in 2012,
6.8 million people aged 12 or older
were current nonmedical users of
psychotherapeutic drugs, 11.5 percent
higher than the number of users (6.1
million) reported for 2011 (See Chart
1.) These 6.8 million users included 4.9
million users of pain relievers, 2.1 million
users of tranquilizers, 1.2 million users of
stimulants, and 270,000 users of
sedatives.3 The number of persons 12
and older who were current nonmedical
users of pain relievers in 2012 (4.9 million)
was statistically similar to the numbers
over the last 10 years.
• CPDs are increasingly the first drug
abused by initiates of illicit drug abuse.
In 2012, an estimated 2.9 million persons
aged 12 or older used an illicit drug for the
first time within the past 12 months. More
than 1 in 4 initiated with nonmedical use
of prescription drugs (26.0 %, including
17.0 % with pain relievers, 4.1 % with
tranquilizers, 3.6 % with stimulants, and
1.3 % with sedatives). (See Chart 2.) This
is second only to marijuana as the first
drug used by most abusers.
• According to the Drug Abuse Warning
Network (DAWN), the estimated number
of emergency department (ED) visits
for nonmedical use of pharmaceuticals
involving prescription opiates/opioids
increased 81 percent—94,448 to
170,939—between 2007 and 2011. The
number of ED visits in Minneapolis/St.
Paul/Bloomington and Phoenix showed
the greatest increase during that same
time period with 115.9 percent and 108.4
percent increases, respectively. (See Table
B3 in Appendix B.)
Controlled Prescription
Drugs (CPDs)
3 Numbers do not add up to 6.8 million because some survey
respondents likely admitted to using more than one type of
psychotherapeutic drug.
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Chart 1. Past Month Nonmedical Use of Types of
Psychotherapeutic Drugs
Among Persons Aged 12 or Older
2007 - 2012
(in Percent)
* Difference between this estimate and the 2012 estimate is
statistically significant at the 0.05 level.
Source: National Survey on Drug Use and Health, 2012
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• Treatment data further reflect the
magnitude of the opioid abuse problem
in the United States. Treatment Episode
Data Set (TEDS) reporting indicates the
number of other (non-heroin) opiate-
related treatment admissions to publicly-
funded facilities increased 89 percent
from 2007 (98,909) to 2011 (186,986),
the latest year for which national-
level data is available. (See Table B4 in
Appendix B.) Further, the number of
treatment admissions for other opiates
in 2011 was greater than the number
of admissions for cocaine (143,827) and
for amphetamines (110,471). According
to TEDS, of the total number of abusers
admitted to publicly-funded facilities for
opiate-related treatment, over 60 percent
reported their frequency of use as daily.
Additionally, the number of admissions
for benzodiazepines has continually risen
since 2006 from 9,265 to 17,460 in 2011.
The number of drug overdose deaths,
particularly from CPDs, has grown
exponentially in the past decade and has
surpassed motor vehicle (MV) crashes as the
leading cause of injury death in the United
States. The number of drug poisoning deaths
now exceeds the number of deaths caused by
MV crashes in 29 states and Washington, DC.
• The National Center for Health Statistics
(NCHS) indicated that mortality data from
2009 suggested a large decline in MV
crash deaths and a continued increase in
prescription drug overdoses, leading to
the conclusion that drug poisoning alone
now causes more deaths than MV crashes
in the United States.
• The NCHS further reported that nearly 90
percent of poisoning deaths were due to
drugs and that drug poisoning mortality
was due primarily to prescription drugs,
especially opioid painkillers.
Chart 2. First Specific Drug Associated with Initiation of Illicit
Drug Use
Among Past Year Illicit Drug Initiates Aged 12 or Older
2012
Source: National Survey on Drug Use and Health, 2012
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• In 2010, West Virginia, a state with a
significant CPD abuse problem, had the
highest rate of drug overdose deaths (28.9
per 100,000 people). This is significantly
higher than the rate in 1999 when it was
4.1 per 100,000 people in the state.
• In 1999, no state had a drug overdose
death rate above 15.0 per every 100,000
residents. In 2010, four states had rates
over 20 per 100,000 residents, and 15
states had rates of 15 or higher per
100,000.
CPD abuse also contributes to increased
thoughts of suicide in the United States.
• A recent National Institute on Drug Abuse
(NIDA)-supported study indicated that
individuals who use prescription opiates
other than as ordered by a doctor are
more likely to consider suicide than those
who use these medications appropriately
or not at all. Both persistent users (those
who initiated use more than two years
ago with continued use in the past year)
and former users (those who initiated
use more than two years ago, with no
use in the past year) reported suicidal
thoughts at significantly higher rates than
individuals who had never used a non-
prescribed opioid medication.4 (See Chart
3.)
State Legislation Aimed at
Combatting Pill Mills
Rogue pain management clinics (commonly
referred to as “pill mills”) contribute to the
extensive availability of illicit pharmaceuticals
in the United States. Pill mill operations are
primarily cash-based businesses and are run
by operators who often don’t see patients or
perform any type of physical exam. It is not
uncommon to see lines of people waiting to
get into these pill mills.
Many states are establishing new legislation in
an effort to combat pill mills and stem the flow
of prescription drugs to abusers. Currently,
44 states and Washington, DC require that a
4 Individuals who reported past-year symptoms consistent
with a diagnosis of opioid dependence were more than
twice as likely as never-users to say that they had considered
self-destruction. The number of individuals who converted
suicidal thoughts into suicide attempts ranged from 7 to 19
percent, with no significant differences between groups.
Source: National Institute on Drug Abuse, the Science of Drug
Abuse & Addiction
Chart 3. Percentage of Respondents Who Had Suicidal
Thoughts
During the Past 12 Months
* p<0.05
** p<0.01
25%
20%
15%
10%
5%
0%
Never Users Former Users** Persistent
Users*
Recent-Onset
Users
Past-Year Users
with
Prescription
Opioid
Disorders*
3%
7%
11%
9%
23%
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patient receive a physical exam by a healthcare
provider, be screened for signs of substance
abuse and addiction, or have a bona fide
patient-physician relationship that includes a
physical exam prior to prescribing. The state
laws differ in their definition of the conditions
in which an exam is required and the
consequences for the physician for prescribing
without a required exam (in some states it
constitutes a criminal liability). Currently,
Maryland, Michigan, Montana, Nebraska, South
Dakota, and Wyoming are the only states that
do not require a healthcare provider to conduct
the exam, the screening, or have a patient-
physician relationship.
• Thirty-two states have a law requiring
or permitting a pharmacist to require
identification (ID) prior to dispensing
a controlled substance. Some of these
states require customers to present an
ID at all times when obtaining controlled
substances, but some state laws limit
the presentation of an ID to only people
unknown to the pharmacists.
• Forty-six states and Washington, DC have
a pharmacy lock-in program under the
state Medicaid plan in which individuals
suspected of misusing controlled
substances must use a single prescriber
and pharmacy.
Prescription Drug Monitoring
Programs
Prescription Drug Monitoring Programs
(PDMPs) are another tool used to reduce the
amount of illicit CPDs available for abuse.
PDMPs are state-run databases used to track
the amount of CPDs prescribed and dispensed
to patients. PDMPs can be used to quickly
identify rogue subscribers, inadvertent
prescribing, and “doctor shopping.” Currently,
49 states have an active PDMP. Missouri and
Washington, DC do not have active PDMPs,
although there is pending legislation for a
PDMP in Washington, DC.
State Prescription Drug Monitoring
Programs
PDMPs vary in each state as to the type of
information collected, who is allowed access
to the data and under what circumstances, the
requirements for use and reporting, including
timeliness of data collection, the triggers
that generate reports, and the enforcement
mechanisms in place for noncompliance.
Drug Quality and Security Act
In November 2013, the Federal Drug Quality
and Security Act (HR 3204) was signed
into law. The Act establishes a system to
track prescription drugs from the time
they are manufactured until they are sold
to the consumer. The Act calls for drug
manufacturers, repackagers, wholesale
distributors, and dispensers to maintain and
to issue key information about each drug’s
distribution history. Within four years of the
law’s establishment, prescription drugs are
to be serialized in a consistent way industry-
wide. This will allow for efficient tracking in
order to respond to recalls and notices of theft
and counterfeiting.
• Only 16 states have someform of
mandatory use of PDMPs for providers.
• Of these16 states, eighthave laws that
require the PDMP to be accessed before
the initial prescribing or dispensing of a
controlled substance.
• Of these16 states, six require accessing
the PDMP in limited situations, such as for
certain prescribers or specific drugs.
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Heroin
The threat posed by heroin in the United
States is increasing in areas across the country,
especially in the Northeast and North Central
regions. According to the 2014 NDTS, 29.1
percent of respondents reported heroin
was the greatest drug threat in their area.
This was more than any other drug except
methamphetamine (31.8 percent.) (See Table
B1 in Appendix B.) The Organized Crime and
Drug Enforcement Task Force (OCDETF) regions
with the largest number of respondents
ranking heroin as the greatest drug threat
were New England, Mid-Atlantic, Great Lakes,
and New York/New Jersey. (See Map A4 in
Appendix A.)
Heroin Source Areas
Four geographic source areas (South America,
Mexico, Southwest Asia, and Southeast Asia)
produce the world’s heroin supply. Since
1977, different regions have dominated the
US market. For the past 20 years, the US retail
heroin market has been roughly divided by the
Mississippi River, with Mexican black tar and
brown powder heroin dominating west of the
Mississippi and South American white powder
heroin more common in the East. Southwest
Asia, while the dominant supplier of most of
the world’s heroin markets, represents a small
portion of the US heroin market. Southeast
Asian heroin has rarely been encountered in
US markets in recent years. In 2012, heroin
from South America accounted for 51 percent
(by weight) of the heroin analyzed through
the DEA Heroin Signature Program. Heroin
from Mexico accounted for 45 percent and
Southwest Asia accounted for four percent.
(See Chart 4.)
South American, Southeast Asian, and
Southwest Asian heroin are white, off-white, or
tan powders, and are usually found in Eastern
US markets where white powder heroin is
Heroin
Chart 4. Source of Origin for US Wholesale-level Heroin
Seizures
1977 - 2012
Source: Heroin Signature Program
10 Unclassified
2014 National Drug Threat Assessment Summary
Unclassified
preferred. Mexican heroin traditionally is sold
in brown powder and black tar forms, and is
usually found in Western US markets.
Increasing Availability
Reporting from federal, state, and local law
enforcement agencies indicates heroin
availability is increasing throughout the nation.
According to the 2014 NDTS, 61.7 percent of
respondents said heroin availability was high
or moderate in their areas. In addition, 54.7
percent of respondents reported that heroin
availability was increasing and 53.8 percent
said that heroin demand was increasing.
Seizure data also indicate a substantial increase
in heroin availability in the United States.
According to NSS data, heroin seizures in the
United States increased 87 percent over five
years, from 2,540 kilograms in 2009 to 4,761
kilograms in 2013. (See Chart 5.) Traffickers
are also transporting heroin in larger amounts.
The average size of a heroin seizure in 2009
was 0.86 kilograms; in 2013, the average heroin
seizure was 1.56 kilograms.
Seizures at the Southwest Border are also rising
as Mexican TCOs increase heroin production
and transportation. Heroin seizures at the
border more than doubled over five years, from
2009 (846 kilograms) to 2013 (2,196 kilograms).
(See Chart 6.) During that time, the average
seizure size increased from 2.9 kilograms to 3.8
kilograms and the number of seizure incidents
increased from 295 incidents to 580 incidents.
Abusers Switching from CPDs to
Heroin
Increased demand for and abuse of heroin
is largely being driven by a subset of CPD
abusers switching to heroin. Treatment and
law enforcement officials across the nation
report increases in heroin abuse due to people
switching from CPDs. A recent NSDUH study
found that heroin abuse was 19 times higher
among those who had previously abused
pain reliever CPDs. The study also found that
four out of five recent heroin initiates had
previously abused pain reliever CPDs. While
the number of CPD abusers switching to
heroin abuse is a relatively small percentage
(an estimated 3.6%) of the total number of
CPD abusers, it represents a large percentage
of heroin initiates (79.5%). Those who switch
from abusing CPDs to abusing heroin do so
because of availability, price differences, and
the reformulation of OxyContin®, a commonly
abused prescription opioid.
Chart 5. US Heroin Seizures
2009 - 2013
Source: National Seizure System
11Unclassified
2014 National Drug Threat Assessment Summary
Unclassified
Reasons for CPD abusers to switch to abusing
heroin
• Decreasing availability of CPDs vs.
increasing availability of heroin
CPD availability in many areas has been curbed
by enforcement and legislative efforts against
illicit pill mills and unscrupulous physicians.
Implementation of PDMP databases …
Chapter 1: Introduction
CHDV 1400
Alma Villanueva, MA
California State University of Los Angeles
Overview
Understanding Human Development
All kinds of people: Culture, Ethnicity, & Race
Science
Caution & Challenges
Human Development
Science of Human Development:
Seeks to understand how and why people change over time
3 crucial elements
Science, People, & Change
Multidisciplinary
Variety of academic disciplines
3
The Scientific Method
5 STEPS:
CURIOSITY
Based on a theory (set of ideas)
HYPOTHESIS (testable prediction)
TEST HYPOTHESIS
Empirical (observable) evidence
CONCLUSIONS (support hypothesis?)
REPORT Results (share)
4
6th STEP
REPLICATION
Repeating procedures & methods with different participants
Research is shared via conferences, publications, etc.
Big Bang Theory explains Scientific Method
5
Nature-Nurture Debate
Historic & ongoing debate
Nature: Genetic influence
Nurture: Environment influence
How much are we influenced by nature and nurture? Not which
Nature always affects nurture
Nurture always affects nature
6
3 DOMAINS
Biosocial: biology, neuroscience, and medicine
Body, genes, nutrition, health
Cognitive: psychology, linguistic, education
Memory, language, thought
Psychosocial: economics, sociology, & history
Emotions, social skills, friends
PG. 7 (10th ed.)
Speaking babies
- maturation of brain, vocal cords
Brain can link objects to words
People to talk to them
Developmentalists study everyone: All kinds of people
Difference-equals-deficit error
Belief that being different means you are lacking.
Misbelief & fallacy
Human tendency to jump to conclusions
E.g. sexual orientation
Social construction
Idea built & constructed by society
Not based on objective reality
Powerful & affects human thought
Example: Culture, Ethnicity, & Race
Misuse & leads to DEDE
Social Constructions
Culture: System of shared beliefs, norms, behaviors,
expectations that persist overtime
Family, community, college
Ethnicity/Ethnic Group: People whose ancestors were born in
the same region (nationality) and who often share a language,
culture and religion
Race: Categorizes people via physical features (outward
appearances).
Socioeconomic status
SES (“social class”)
Income, occupation, education, residence
SES affects every aspect of development.
How? Why?
Critical Period
A time when something must occur to ensure normal dev.
E.g.
Human embryo grows arms and legs, hands and feet, toes and
fingers all within 28 to 54 days after conception
Anti nausea drug (Thalidomide) after day 54 okay, but not
before
After that, it’s too late
Humans never grow new limbs
Critical Periods are rare
12
Sensitive Period
A time where certain dev. occurs more easily & may be difficult
later.
Example: Language
If children do not start speaking b/n ages 1 to 3, grammar may
be impaired later.
13
Urie Bronfenbrenner
Ecological-Systems Approach
Microsystem
Immediate surroundings
Exosystem
Local institutions
Macrosystem
Large context
Mesosystem
Interaction b/n other systems
Chronosystem
Time, historical context
Historical Change
Cohort
Group of people who share similar life experiences
Technology, war, cultural shifts, etc.
Plasticity
Like plastic, human traits can be molded
Yet, still maintain a certain identity
Hope & Realism
People can change over time but new behavior depends partly
on what already has happened
Example: Child physically abused may grow into a loving
parent
Dynamic Systems
Human development is:
Ongoing
Ever-changing
Connected to all other parts
Scientific Method
Methods of testing the hypothesis
Observation
Unbiased
Natural or laboratory
Experiment
What causes what
Surveys
Large population
Questionnaires, phone interviews, US Census
Experimentation
INDEPENDENT VARIABLE (IV)
Affects the DV
Variable that can have an effect
DEPENDENT VARIABLE (DV)
Depends on the IV
Variable that may change as a result
SMOKING CIGARETTES & THE RISK OF CANCER
IV = Smoking Cigarettes
DV = Cancer
Experimentation
Experimental group
Gets the treatment
Control group
Does not get tx
Space Jam
Cross-sectional Research
Quick/Least Expensive
Group of people of same age are compared with another group
of people of another age
Collect data once & compare groups
Example: Comparing 2 and 5 year olds on obesity
May be missing information
Longitudinal
Collecting data on the same person over a long period of time
Example: Studying the long term effects of child abuse on
adolescent emotional development
What are some drawbacks?
Cohort-sequential
Cross-sectional + Longitudinal
Studying several groups of people of different ages and
following them over many years
Caution & Challenges
Misinterpreting Correlations
Depending too heavy on numbers
Ignoring ethics
Correlation
Correlation is NOT causation
Correlation indicates a relationship
Positive: both variables increase or decrease
Negative: one variable increase, the other decreases
Zero: no connection
Example:
From Birth to 9
(+) Age and height
(-) Age and napping
(0) Age and # of toes
Quantity & Quality
Quantitative Data
Numbers, percentages
Qualitative Data
Interviews, narratives
Ethics
Code of Ethics
Set of moral rules researchers must follow
Institutional Review Board (IRB)
Group ensuring research follows guidelines
Chapter 5: The first 2 years – Biosocial
Development
CHDV 1400
California State University, Los Angeles
Alma Villanueva, MA
Overview
BODY CHANGES
SLEEP
BRAIN DEVELOPMENT
PERCEIVING & MOVING
SURVIVING IN GOOD HEALTH
Body Size
4 months – weight 2x
12 months – weight 3x
Slows down after the first year
Weight is mostly fat
3
Percentile
# that indicates rank compared to other similar people of same
age
0 to 100
50th percentile– Average
Why is it useful?
Failure to Thrive : Serious medical condition in early infancy
insufficient weight gain or inappropriate weight loss)
4
Importance of Sleep
Good sleep
Normal brain development
Emotional regulation
Learning
Academic success
Psychological adjustment
Sleep deprivation
Poor health
Physical or psychological problems
5
Sleep
15 to 17 hours/day
Hours decrease with maturity
Full-term & well-fed babies sleep more
6
REM
½ newborns sleep is REM
Rapid Eye Movement
Flickering eyes & rapid brain waves
Indicates dreaming
Until about 3 mos.
7
Brain Development
Newborn skull size - disproportionately large
By 2 y/o – almost 75% of adult weight
Head circumference measurement
Head-sparing – protects the brain’s dev. during malnutrition
Brain
Development
Neurons- nerve cell
Most are created prenatally
Far more than infant will need
Important in processing brain messages
Where are they located?
Brain stem
automatic responses
(heartbeat, breathing, temperature)
Mid-brain
emotions/memory
Cortex
70% of neurons
Outer layers of the brain
Thinking, feeling, & sensing
Prefrontal Cortex
Most prolonged development
Virtually inactive in infancy
Gradual growth
Planning
Impulse control
Anticipation
Brain Cells
Each Neuron contains 1 Axon & Many Dendrites
Axons – Sends electrochemical signal to dendrites of another
neuron
Dendrites – Receives electrochemical signals from an axon of
another neuron
Synapses – the way of communication b/n 2 neurons (axon &
dendrite)
Neurotransmitters carry information for the axons to send
Brain Development
Transient Exuberance
Huge increase of dendrites
5 fold increase birth – 2years
Temporary
Pruning
Unused connections atrophy & die
Environment is important
Experience
Experience-expectant brain functions
Brains need and expect certain basic common experiences
Must occur for normal brain development
People to see, things to grab, etc.
Experience-dependent brain functions
Brain functions depend on particular experiences
Might happen
Culture and family specific
Additional skills developed over the life span (that the brain
does not expect)
e.g. making an igloo
Harming the Brain
Lack of stimulation
Over stimulation
Stress
Shaken Baby Syndrome
Breaks neural connections
Preventing SBS
Severe social deprivation
Genie Wiley
Sensation & Perception
At birth, sensation (detecting a stimulus) is apparent
See, hear, smell, taste, touch
Vision last to mature
Perception (making sense of it) comes a bit later with exp.
Requires cognition
Movement
What is the growth pattern for a human being?
Gross Motor Skills
Large body movements
Arms, legs
Crawling (8 – 10 mo.)
Environment
Not all infants crawl – isn’t a must
Walking
3 factors to walk
Muscle strength
Brain maturation with the motor cortex
Practice
9 monthsStep when held10 monthsStand momentarily12
monthsWalk unassisted
Fine Motor Skills
Small body movements
Hands, fingers, toes
Picking up a coin, drawing, feeding
6 months – stare and grab wanted object
1 year – pincer movement & self feeding
Surviving in Good Health: Immunization
Between 1950 & 2010, about 2 billion children died before age
5
Immunization: Protection against disease via antibodies
Dramatic Success
Small pox
Polio
Measles
Problems w/ immunization
Parents afraid of side effects
Risk of disease > risk of side effects
No access to rural areas
2 to 3 million children die/year
Nutrition
“Breast is Best”
Colostrum – thick, high-calorie fluid at birth
Sterile & Body Temp.
Iron, Vitamins & nutrients
Digestible
Protects from diseases, obesity, diabetes, & heart disease
Breast is best
Preterm babies
Milk adjust with age (quality)
Milk adjust in quantity to demand
Add digested food about 6 months
World Health Organization (WHO) recommends continued
breastfeeding up to 2 years but at least 12 months
Malnutrition
Protein-calorie malnutrition
Infant doesn’t get enough food
Severe illness, weight loss, death
Stunting
Failure to grow normal height due to chronic malnutrition
Wasting
Severely underweight due to chronic malnutrition
Chapter 2: Theories
CHDV 140
Alma Villanueva, MA
California State University of Los Angeles
Overview
What theories do
Grand Theories
Newer Theories
What theories contribute
Developmental Theory
Provides a framework for explaining patterns & problems of
development
Developmental Theory
What do theories do?
Produce hypotheses
Generate discoveries
Offer guidance
Facts & Norms
Norm: An average or usual event
Reflects biological & social pressures
Deviations are not necessarily deficits
Theories are NOT facts
Never true or false
Never good or bad
Grand Theories
Psychoanalytic
Behaviorism
Cognitive
Psychoanalytic Theory
Inner drives
Deep motives
Unconscious
Childhood
Sigmund Freud 1856 – 1939
Austrian physician
Patients with mental illness
Dreams, fantasies, uncensored thoughts
Early childhood is crucial
8
Psychosexual Stages
Children derive erotic pleasure from diff. body parts in each
stage
Satisfaction in each stage needed
BIRTH – 1 ORALTONGUE, LIPS & GUMSSUCKING &
FEEDING1 – 3 ANALANUSTOILET TRAINING &
EXPELLING FECES3 – 6 PHALLICPENISGENITAL
STIMULATION (BOYS VS. GIRLS)6 – 11
LATENCYLATENTFOCUS ON SCHOOL
&SPORTSADOLESCENCEGENITALGENITALSSEXUAL
STIMULATION
Conflicts
Each stage has potential conflicts
How people deal with them, determines personality patterns
Conflicts rooted in childhood show in adulthood
Example:
Erik Erikson 1902 – 1994
Freud’s follower
Stressed family and culture
–not sexual urges
Psychosocial Stages
People experience a conflict in each
Resolution to crisis depends on person & environment
PSYCHOSOCIAL STAGES
TRUST VS. MISTRUST
AUTONOMY VS. SHAME & DOUBT
INITIATIVE VS. GUILT
INDUSTRY VS. INFERIORITY
IDENTITY VS. ROLE CONFUSION
INTIMACY VS. ISOLATION
GENERATIVITY VS. STAGNATION
INTEGRITY VS. DESPAIR
BEHAVIORISM
Conditioning & Social Learning
“Why don’t we make what we can observe the real field of
psychology? Let us limit ourselves to things that can be
observed, and formulate laws concerned only with those... We
can observe behavior – what the organism does or says.”
John B. Watson
John B. Watson 1878 – 1958
Argued if psychology was true science, we should examine only
what we see & measure
Not the hidden urges & thoughts
“ Give me a dozen healthy infants, well-formed, and my own
specified world to bring them up in and I'll guarantee to take
any one at random and train him to become any type of
specialist I might select – doctor, lawyer, artist, merchant-chief
and, yes, even beggar-man and thief, regardless of his talents,
penchants, tendencies, abilities, vocations, and race of his
ancestors. I am going beyond my facts and I admit it, but so
have the advocates of the contrary and they have been doing it
for many thousands of years. [Behaviourism (1930), p. 43] ”
Behaviorism
Studying observable behavior
Aka Learning Theory
Describes how people learn & develop habits
Learning happens in small increments
Conditioning – Process where responses become linked to a
specific stimuli
S – R (stimulus-response) conditioning
Ivan Pavlov 1849 – 1936
Dog Experiment
Classical conditioning: Learning process when a meaningful
stimulus is connected with a neutral stimulus
Bell Sound – Neutral
Food – Meaningful
food & play
White Coat Syndrome- U.S 80+
B.F. Skinner 1904 – 1990
Operant Conditioning
Learning process when a particular action is followed by
rewards or punishments
Rewards (pleasant consequence) = repeated action
Punishment (unpleasant consequence) = does not repeat
Operant Conditioning
Rewards & punishments depends on the child
Asking to leave the classroom may be a reward
Reinforcement – consequences that increase the frequency of a
particular action
Each person responds differently to reinforcements &
punishments
The difference between classical and operant conditioning Vid
Social Learning Theory
An extension of behaviorism that emphasizes the influence of
other people
People learn through observation & imitation of others, not just
reinforcements
Modeling: the central process of learning – observing the
actions of others & copying them
Self-Efficacy – Belief in one’s abilities to achieve success
Learned from watching others succeed
Cognitive Theory
Piaget & Information Processing
Focusing on changes in people’s thoughts
Our thoughts shape our attitude, beliefs, and behaviors
Jean Piaget 1896 – 1980
First major cognitive theorist
How children think is more important than what they know
Cognitive Theory
Cognitive Equilibrium – a state of mental balance
Humans seek it and intellectually advance
When people experience new things, they may be confused
(disequilibrium)
Equilibrium
To seek equilibrium, people cognitively adapt
Assimilation – new experiences are reinterpreted to fit into old
ideas
Accommodation – old ideas are restructured to include new
experiences (people adjust)
Example
Your friend did something completely unexpected
(disequilibrium)
You can assimilate & decide they didn’t mean it – they must be
upset or I must have seen the wrong thing
OR you can accommodate & change your view of your friend
Stages of Cognitive DevelopmentBirth – 2 SensorimotorSenses
& Motors; Learning is active2 – 6 PreoperationalMagical &
poetic thinking; use language; egocentric6 – 11 Concrete
OperationalLogical, interpret objectively; limited to concrete
thought (what they see)12 – adulthood Formal Operational
Abstract & hypothetical; reason analytically
Information Processing Theory
Newer version of cognitive theory
Inspired by computers & its efficiency
Not a single theory but a framework characterized by many
research programs
Information Processing
Cognition begins with input picked up by the 5 senses,
processed by the brain, stored in memory and finishes off with
an output
Focus on relationship b/n one person’s thinking & another’s.
Older theories
European-American Men
Outdated
Limitations in technology & perspective
Sociocultural Theory
Vygotsky & beyond
Humans develop from the dynamic interaction with their
surrounding society
Culture is an integral part of everyday dev.
Lev Vygotsky (1896 – 1934)
Pioneer of sociocultural perspective
Observed how cultures influenced children
Focused on how child learns from the community
Sociocultural Theory
Apprenticeship in thinking – cognition developed w/ skilled
members of society
Guided Participation – process of learning from others who
guide & teach
ZPD
Zone of Proximal Development
The skills, knowledge, and concepts that the learner is close to
acquiring BUT cannot yet master without help
Example: Riding a bicycle
The Universal Perspective:
Humanism & Evolution
We are one species, sharing universal impulses & needs
Humanism: stresses that all humans have a potential for GOOD
& all have the same basic needs (regardless of culture, gender,
etc.)
Maslow’s Hierarchy of Needs
1. Physiological – food, water, air, warmth
2. Safety – protected from death/injury
3. Love & belonging – friends, family, community, religion
4. Esteem – respected by community & self
5. Self-actualization – become oneself – fulfilling unique
potential while appreciating all of humanity
Evolution Theory
Darwin
2 basic drives = Survival & Reproduction
These needs shape life
Selective Adaptation – genes needed for survival are selected &
over time, more prevalent
Eclectic Perspective
Most developmentalist adapted this idea
Apply aspects of various theories of development, not picking
one
Chapter 6: First 2 Years (COGNITIVE)
Alma Villanueva, M.A
Overview
Piaget
Information Processing
Memory
Language
Theories of Language
PIAGET
Infants are ACTIVE learners
Piaget’s Periods of Cognitive Development
Sensorimotor Period (birth-2 years)
3 stages
broken into 6 sub-stages
3
Primary Circular Reactions – (SELF)
Stage 1 (birth – 1 month)
REFLEXES – helps infant understand the world
Sucking, grasping, staring, listening
Stage 2 (1 – 4 months)
FIRST ACQUIRED ADAPTATIONS
Intentionality
Grabbing bottle to suck
4
Secondary Circular Reactions (OBJECTS & PEOPLE)
Stage 3 (4 – 8 months)
MAKING INTERESTING SIGHTS LAST
Repeat actions with pleasing responses
Stage 4 (8 – 12 months)
NEW ADAPTATION & ANTICIPATION
Means to an end
Goal-directed behavior
Object Permanence
Realization that objects exist even when no longer seen
About 8 months, infants can understand this concept (Piaget)
Further researched needed
5
Tertiary Circular Reactions
Stage 5 (12 – 18 months)
NEW MEANS THROUGH ACTIVE EXPERIMENTATION
“Little scientists”
Act
Stage 6 (18 – 24 months)
NEW MEANS THROUGH MENTAL COMBINATIONS
Think about consequences
Deferred Imitation- copying behavior seen hours or even days
earlier
Example
6
Information Processing
Compare infants to computers
Habituation (getting accustomed to an experience after repeated
exposure) correlates w/later cognitive ability
2 aspects of cognition:
Affordances (input) & Memory (output)
Affordances
People perceive objects differently
Environment Affords (offers) many opportunities
Ball, Chair?
How do the affordances of our textbook differ from someone
who is 1 mos., 12 mos., and 20y/o?
Affordance
What affordances are perceived and acted upon?
Sensory awareness
Immediate motivation
Current development
Past experience
Visual Cliff
False illusion
Experience and age will affect which affordance is perceived
Fear, no fear?
Visual Cliff
Movement & People
Infants are attracted to 2 affordances:
DYNAMIC PERCEPTION
Primed to focus on movement & change
PEOPLE PREFERENCE
Universal – fascinated by people
Voice recordings of their mothers vs. strangers (happy)
7 mos- match recordings to mother & stranger
3mos only to mothers
Smile 2x fast, longer, & more brightly
Memory
Experience & brain maturation
Memory is linked with language & words
Infants lack exp. & words
Memory fades
Crib mobile experiment
Memory
Reminder session aided memory
Could remember after two wks
Information may be stored, but processing time to retrieve
information is important
What develops in the first 2 years?
Language
Universal sequence
Language begins with sound
Infants learn prenatally
Newborns prefer mom’s language over unheard
Language
N
Child-directed speech
“Motherese”
Baby talk
High-pitched, Simple, Repetitive
Babbling
6 – 9 months
Repetition of certain syllables
Ba-ba-ba
Native language
First words
6- 15 month olds understand more than what they can
communicate
Language
Holophrase
Single word that is used to express a whole meaning
“DADA?”
“DADA!”
Intonation
Variation of tone & pitch
A lot of intonation early on
Recognize native intonation & adjust pitch
Naming Explosion
Sudden increase in vocabulary, begins around 18 mos
Grammar
Word order- all the methods that language uses to communicate
meaning
Theories of Language
3 types of theories
Theory 1: Infants Need to be TAUGHT
Behaviorists
Operant conditioning
3 core ideas
Parents are expert teachers
Frequent repetition is instructive
Well- -spoken children
Infants Need to be TAUGHT
How much will a child learn to speak?
Depends on parent-child response
More talkative mother = more talkative child
Theory 2: Social Impulses Foster Infant Language
Social-pragmatic Theory
Humans are social beings
Infants learn for 1 reason = communication
Learning from TV?
Theory 3: Infants Teach THEMSELVES
Language is innate
Experience Expentact
Noam Chomsky
Young children all master basic grammar – same age
Language Acquisition Device (LAD)
Mental structure enabling human to learn language
Grammar, vocab, intonation
Hybrid Theory
Which of the 3 are correct?
All of them
Each theory valid for some aspects of language
Term Paper: Students will write a short (2-3 page) paper. This
will provide students the opportunity to develop academic
writing skills and to explore a course topic in more depth.
Details and guidelines are included at the end of the syllabus.
All papers must be turned in at the beginning of class on the due
date listed in the syllabus, otherwise it is considered 5% late.
Each additional day, the paper will have a 10% deduction.
Term Paper
This assignment will be completed in 3 parts:
(1) Draft, which is due week 4
(2) During week 11th students must bring in their work to have
it peer reviewed (worth 5pts)
(3) Final TermPaper due week 12th.
Goal: The purpose of this paper is to be aware of the current
issues involved in child and adolescent development and
incorporate it with course material. Students will have a chance
to use critical thinking and analysis while creatively developing
a possible alternative to the issue.
Instructions:
a. Search for a current (within the past year) news article about
a story or issue involving infants, children, or adolescents. E.g.
Childhood obesity, Teenage pregnancy, Infant physically abused
by guardian, etc.
b. Ask yourself, how does this story influence a child’s
biosocial, cognitive, or psychosocial development (the 3
sections of our book)? You will pick ONE area to focus on.
· Biosocial – physical, brain, motor skills, health, nutrition, etc.
· Cognitive – memory, intelligence, language, thinking, etc.
· Psychosocial – emotional, relationships, family, friends, play,
etc.
Draft
a. Pick a news article & bring it to class
b. Type a 1-paragraph summary of the article (double space)
c. Indicate which area you will relate the article to: biosocial,
cognitive, or psychosocial.
Term Paper
You will type a 5-paragraph essay:
1. Introduction – hook, background, & thesis statement
2. Summary of news article
3. Relation to course material (biosocial, cognitive, or
psychosocial)
· Must include terms/vocabulary used in the textbook or lecture
· Must discuss at least one theory/theorist
4. Possible solution(s) to the issue
· Be creative & develop a plausible solution to resolve or
prevent this problem.
5. Conclusion
Format:
· Double spaced, 12 size font, Times New Roman,
· APA Title page, 1”margins, header, & reference page (no
abstract needed)
Running head: CHILD DEVELOPMENT 1
CHILD DEVELOPMENT 2
CHDV Draft Paper
Kenia Trujillo
Child Development
Professor
Alma Villanueva
September 16, 2016
Introduction
Healthy development is very crucial to the growth of all
infants. The life of children revolves around their caregivers or
parents. Parents and caregivers are the sources of safety, love,
security, nurturance, support and understanding for children. It
is the right of every child to get a safe life free from abuse. In
this paper, we shall review an article on child abuse by parents
and the influence of the story to a child’s psychological
development.
It was the 6th of July in South Australia where a biological
father and stepmother were arrested for frequently abusing their
young girl and boy (Candice Prosser, 2016). The children were
bitten, tied in trees, locked out of the house, put under cold
conditions such as under cold showers and the girl raped by the
father. These abuses by the parents created an environment of
fear and degradation for the two children. The trauma they
caused to these kids cannot be erased.
Child abuse does not end the time the abuse ends, it is long
lasting and can severely affect daily development. Child abuse
encroaches upon the trust at the core of a child’s relationship
with the world. The moment this relationship becomes betrayal,
a damaging scheme or customary main beliefs develops. This
negative core schema often affects a person’s ability to create
and endure important affections throughout life. Physical child
abuse leads to unhappy life in the future. It may cause isolation
or social disconnection from friends leading to an increased risk
of living alone. Also child, abuse can result in behavioral health
effects such as suicidal behavior and the augmented likelihood
of drug abuse. Depression, low self-esteem, and aggressive
behaviors are believed to be influenced by child abuse. These
effects lead to poor development as psychological development
is concerned.
Due to the increased abuse, psychological development of
infants has been affected. To solve this problem, several
strategies should be laid down. Such include intervening to
reduce harm and abuse, strengthening economic supports,
enhancing parental skills and providing quality care and
education. Most abuse is caused by parents being unable to
provide for their children. These are some of the strategies can
help solve the problem of child abuse leading to a healthier
child development.
Conclusion
In conclusion, child development is paramount to every
child’s future. It is imperative for the society to establish a
framework of prevention strategies, to prevent child abuse so
that psychological development in children can be enhanced.
References
Candice Prosser (2016), Children locked in cages, tied to trees,
assaulted by parents, court told
http://www.abc.net.au/news/2016-07-06/children-locked-
in-cages,-tied-to-trees,-raped court hears/7574428

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Chapter 3 The New GeneticsAlma Villanueva, MACalifornia S.docx

  • 1. Chapter 3: The New Genetics Alma Villanueva, MA California State University, Los Angeles Overview Genetic Code The Beginning of Life Male & Female Twins Genotype & Phenotype Disorders Genetic Counseling Genetic Code Cells Basic unit of life Trillions! Nucleus Chromosomes Thread– like structures made up of DNA & protein 23 pairs DNA (Deoxyribonucleic acid) 2 strands twisted in a double helix Chemical composition of molecules that contain the genes
  • 2. Contains all of the information required to build/maintain the cell 3 Genes Small section of the chromosome 18,000 – 23,000 genes Each gene provides a unique recipe to make a protein 4 bases Code for your traits A - adenine T - thymine C - cytosine G – guanine Only 4 possible pairs A-T; T-A; C-G; G-C http://mybrainnotes.com/brain-dna-behavior.html 4 Allele
  • 3. A variation of a gene Example: the gene for eye color has several variations (alleles); an allele for blue eye color or an allele for brown eyes Everyone inherits alleles from sperm & ovum Genetic diversity Distinguishes each person Allows the human species to adapt to pressures of the environment Genome Full set of genes with instructions to make a living organism Genomes exist for each species Video about Genes 5 The Beginning of Life Two Parents, Millions of Gametes Gamete Reproductive cell Sperm or Ovum Each contains 23 pairs Zygote Cell formed with union of Sperm & Ovum Produce a new individual with 23 chromosomes from each parent Conception http://predictingbabygender.info/tag/intercourse-timing/
  • 4. Matching genes Genotype Organism’s entire genetic inheritance, or genetic potential. Homozygous (same zygote) Two genes of one pair that are exactly the same in every letter of their code Heterozygous Two genes of one pair that differ in some way Usually not an issue Male of Female? Humans usually possess 46 chromosomes 44 autosomes and 2 sex chromosomes SEX chromosome = 23rd pair Female – XX Male – XY Mother’s contain X Father’s may have X or Y X chrom. Is larger & more genes Y contain SRY, making male hormones & organs It's a girl! Uncertain Sex
  • 5. “ambiguous genitals,” = child's sex is not abundantly clear a quick analysis of the chromosomes is needed, to make sure there are exactly 46 and to see whether the 23rd pair is XY or XX shown here a baby boy (left) and girl (right). Too Many Boys? Is sex selection the parents’ right or a social wrong? Preference for boys in many areas of world Ways to prevent female birth Inactivating X sperm before conception In vitro fertilization (IVF) Aborting XX fetuses My Strength, My Daughter slogan these girls in New Delhi are shouting at a demonstration against abortion of female fetuses in India The current sex ratio of children in India suggests that this campaign has not convinced every couple. New Cells Within hours of conception 23 pairs of chromosomes carrying all the genes duplicate, forming two complete sets of the genome Two sets move toward opposite sides of the zygote the single cell splits neatly down the middle into two cells By birth = 10 trillion cells
  • 6. By Adulthood = 37 trillion cells Stem Cells Stem Cells Results from early duplication and division Are able to produce any other cell Differentiation Cells specialize Placenta- organ that sustains the dev. Person through pregnancy Sample of the placenta blood can be checked for genetic/chromosomal disorders Research Replicate & try to produce genes to fight diseases and other medical intervention May cause havoc, causing cancer or death Ethical issues www.scientificamerican.com Twins MONOZYGOTIC TWINS (Identical Twins) 1 in 250 conceptions Originate from one Zygote that splits apart very early in development Incomplete split results in conjoined twins same genetic instructions but slight variations in phenotype are
  • 7. possible due to environmental influences About 1 in 3 twins are monozygotic Twins DIZYGOTIC TWINS (Fraternal Twins) Formed with 2 separate ova & 2 separate sperm occurs twice as often as monozygotic twins Share half of genes, like full siblings Can look different or very alike -ovulate Is it possible for fraternal twins to have different fathers? Multiples.about.com Assisted Reproduction Technology (ART) techniques designed to help infertile couples conceive and sustain a pregnancy About 12% of U.S. couples cannot conceive Infertility Failure to conceive a child after a year of trying Subfertile Less fertile than ideal; not sterile Woman may take drugs to cause ovulation Donated sperm Donor ova & wombs In Vitro Fertilization (IVF) Involves mixing sperm w/surgically removed ova from the woman’s ovary and implanting zygote
  • 8. into a woman’s uterus Less than 50% success Slight increase of birth defects/later illnesses Male/Female Differences One-third of all fertility problems originate in woman; another third from man; final third from unknown causes. Fertility decreases with age; faster decline for women From Genotype to Phenotype Genotype instigates body/brain formation Phenotype is influenced since conception Phenotype Observable characteristics of an organism, including appearance, personality, intelligence, and all other traits Most traits are Polygenic Influenced by many genes Multifactorial Influenced by many factors Genes & environment A child may have genes for musical genius, but potential is not realized & environment doesn’t support it
  • 9. Epigenetics Do genes determine everything? Research changed perspective Epigenetic Epigenetics- the study of exactly how genes change in form and expression Schizophrenia- no single gene, traits arise from a combination of genes Gene expression depends on environment Diseases can be delayed or facilitated, depending on certain environmental influences (drug abuse, injuries, food, love, care, etc.) Current consensus Genes affect every aspect of behavior Most environment influences on children raised in the same home are not shared Genes elicit responses that shape development Lifelong, people choose friends and environments that encourage their genetic predispositions
  • 10. Genotype and Phenotype Alcoholism Genes create addictive pull Alcoholism is polygenic and culture is pivotal Risk Biological sex Gender Contexts Ethnicity Nature and nurture must combine to create an alcoholic Human Genome Project International effort project to map the complete human genetic code Officially completed in 2001, but still ongoing (Started in the 1980s) Many of our genes are common with other species Crucial difference is brain size (proportion) Dominant vs. Recessive Alleles interact in a Dominant – Recessive pattern One allele is dominant One allele is recessive Dominant = more influential & controls the gene
  • 11. Ex. Dominant brown eye gene and recessive blue eye gene can result in hazel eyes Carrier Person with a gene that is not expressed (recessive gene) Dominant - Recessive Eye Color Recessive genes Most recessive genes are NOT harmful However, some can be Color blindness, allergies, diseases, learning disabilities Especially if that recessive gene is located on the X-gene X-Linked (mother) Male = XY; Female = XX Sons have more of a chance to express the recessive gene in their phenotype 20x more boys are color-blind than girls Chromosomal & Genetic Problems More or Fewer than 46 chromosomes Women’s age
  • 12. 5 to 10% conceptions 1% of born Abortion, miscarriage Stillborn, or die within first few days Chromosomal and Genetic Problems Down syndrome Called trisomy-21 because the person has three copies of chromosome 21 Distinct characteristics (facial shape, hearing problems, muscle weakness, intellectual dev.) Fragile X syndrome Caused by more than 200 repetitions of one triplet on one gene Most common form of inherited form of inherited mental retardation Sickle-cell trait Offers some protection against malaria African carriers are more likely than non-carriers to survive Cystic fibrosis More common among people with northern European ancestors Carriers may have been protected against cholera Genetic Counseling Consultation & Testing Recommended for the following: Family genetic conditions
  • 13. Previous stillbirths or abortions Infertile couples Couples of same ethnic group, esp. relatives Women over 35 & men over 40 Controversial Unclassified Unclassified Unclassified National Drug Threat Assessment Summary DEA-DCT-DIR-002-15 2014 Unclassified 2014 National Drug Threat Assessment Summary Unclassified
  • 14. Unclassified 2014 National Drug Threat Assessment Summary Drug Enforcement Administration 2014 National Drug Threat Assessment Summary Unclassified This product was prepared by the DEA’s Strategic Intelligence Section. Comments and questions may be addressed to the Chief, Analysis and Production Section, at [email protected] November 2014 DEA-DCT-DIR-002-15 Unclassified Unclassified This page intentionally left blank. 2014 National Drug Threat Assessment Summary i 2014 National Drug Threat Assessment Summary Unclassified
  • 15. UnclassifiedUnclassified From the Administrator.......................................................................... ................................................................iii Scope and Methodology........................................................................... .............................................................1 Overview................................................................................ .......................................................................................1 Controlled Prescription Drugs...................................................................................... .........................................3 Heroin.................................................................................... ........................................................................................9 Methamphetamine.................................................................... ............................................................................19 Cocaine................................................................................... ....................................................................................23 Marijuana................................................................................ ...................................................................................25 Synthetic Designer Drugs...................................................................................... ...............................................31 Outlook................................................................................... ....................................................................................37
  • 16. Appendix A: Maps....................................................................................... ...........................................................39 Appendix B: Tables..................................................................................... ...........................................................45 Appendix C: Glossary of Acronyms................................................................................ .................................51 Table of Contents 2014 National Drug Threat Assessment Summary 2014 National Drug Threat Assessment Summary ii Unclassified Unclassified Unclassified This page intentionally left blank. 2014 National Drug Threat Assessment Summary iii 2014 National Drug Threat Assessment Summary Unclassified
  • 17. Unclassified Unclassified Respectfully, Michele M. Leonhart Administrator Drug Enforcement Administration From the Administrator I am pleased to present the 2014 National Drug Threat Assessment Summary, a strategic assessment of the threats posed to our communities by transnational criminal organizations and the illicit drugs they distribute throughout the United States. This annual assessment provides policymakers, law enforcement personnel, and prevention and treatment specialists with relevant strategic drug intelligence to assist in formulating counterdrug policies, establishing law enforcement priorities, and allocating resources. The Drug Enforcement Administration produces the National Drug Threat Assessment in partnership with local, state, tribal, and federal agencies. To accurately depict a national-level perspective of the drug issues facing the United States, the report integrates the most recently available reporting from law enforcement and intelligence agencies with the most current data from public health agencies regarding national substance abuse indicators. This report also draws on information from more than 1,200 local, state, tribal, and federal law enforcement partners who provided input for the assessment. During the past year, the counterdrug community celebrated
  • 18. a number of achievements, including the arrest of Joaquin “El Chapo” Guzman, one of the leaders of the Sinaloa Cartel. These successes signify major progress in our shared fight against transnational organized crime, violence, and drug trafficking. Despite these accomplishments, we still have significant areas of concern within our country, including the threats from prescription drug abuse, increased heroin overdoses, marijuana legalization, and the continued dominance of Mexican transnational criminal organizations in the US illicit drug market. My thanks to all participating agencies and organizations for your contributions to this vital report. Your views and opinions continue to be important and help us to best meet the needs of the law enforcement, intelligence, prevention, and treatment provider communities, as well as shape drug policies. I look forward to collaborating on future initiatives that will protect our national security interests abroad and at home. 2014 National Drug Threat Assessment Summary 2014 National Drug Threat Assessment Summary iv Unclassified Unclassified 2014 National Drug Threat Assessment Summary Unclassified This page intentionally left blank.
  • 19. 1Unclassified 2014 National Drug Threat Assessment Summary Unclassified Scope and Methodology The 2014 National Drug Threat Assessment (NDTA) Summary addresses emerging developments related to the trafficking and use of primary illicit substances of abuse and the nonmedical use of controlled prescription drugs (CPDs). In the preparation of this report, DEA considered quantitative data from various sources (seizures, investigations, arrests, drug purity or potency, and drug prices; law enforcement surveys; laboratory analyses; and interagency production and cultivation estimates) and qualitative information (subjective views of individual agencies on drug availability, information on the involvement of organized criminal groups, information on smuggling and transportation trends, and indicators of changes in smuggling and transportation methods). The 2014 NDTA Summary uses information provided by 1,226 state and local law enforcement agencies through the 2014 National Drug Threat Survey (NDTS). At a 95 percent confidence level, the 2014 NDTS results are within 2.59 percentage points of the estimates reported. NDTS data used in this
  • 20. report do not imply that there is only one drug threat per state or region or that only one drug is available per state or region. A percentage given for a state or region represents the proportion of state and local law enforcement agencies in that state or region that identified a particular drug as their greatest threat or as available at low, moderate, or high levels. Overview The threat from CPD abuse is persistent and deaths involving CPDs outnumber those involving heroin and cocaine combined. The economic cost of nonmedical use of prescription opioids alone in the United States totals more than $53 billion annually. Transnational Criminal Organizations (TCOs), street gangs, and other criminal groups, seeing the enormous profit potential in CPD diversion, have become increasingly involved in transporting and distributing CPDs. The number of drug overdose deaths, particularly from CPDs, has grown exponentially in the past decade and has surpassed motor vehicle crashes as the leading cause of injury death in the United States. Rogue pain management clinics (commonly referred to as pill mills) also contribute to the extensive availability of illicit pharmaceuticals in the United States. To combat pill mills and stem the flow of illicit substances, many states are establishing new pill mill legislation and prescription drug monitoring programs (PDMPs).
  • 21. Heroin abuse and availability are increasing, particularly in the eastern United States. There was a 37 percent increase in heroin initiates between 2008 and 2012. Increased demand for heroin is largely being driven by a subset of CPD abusers switching to heroin because heroin is more available and less expensive. Further, some OxyContin® abusers switched to heroin after the reformulation of that drug made it more difficult to abuse. Many cities and counties across the United States, particularly in the Northeast and Midwest, are reporting increasing heroin overdose deaths. Some areas are also reporting overdoses due to heroin tainted with fentanyl or fentanyl being sold as heroin. Fentanyl is much stronger than heroin and can cause even experienced abusers to overdose. Several drug data sources indicate that methamphetamine availability is increasing in the United States; however, drug demand indicators are less certain. High methamphetamine availability is directly related to high levels of methamphetamine production in Mexico; domestic production remains low in comparison. The number of methamphetamine laboratories seized in Mexico has increased significantly since 2008, and methamphetamine seizures at the Overview Scope and Methodology
  • 22. 2 Unclassified 2014 National Drug Threat Assessment Summary Unclassified Southwest Border increased more than three- fold over the past five years. Mexico-produced methamphetamine has extremely high purity and potency levels. In 2012, purity levels1 averaged close to 90 percent, while prices remained low and stable. Cocaine availability rebounded slightly in 2013 compared to 2012. However, it remains stable at historically low levels throughout most domestic markets along the East Coast. These lower levels constitute a new normal in comparison to pre-2007 levels when US markets had high levels of cocaine availability with low prices and high purity. Since 2007 cocaine availability levels in the United States have fluctuated slightly but continued at consistently lower levels than prior to 2007. Marijuana is the most commonly abused drug in the United States. High availability levels are due to large-scale marijuana importation from Mexico, as well as increasing domestic indoor grows and an increase of marijuana cultivated in states that have legalized marijuana or passed state-approved “medical marijuana”2 initiatives. More people use marijuana than all other illicit drugs combined, and there has been an increase in the medical consequences
  • 23. associated with marijuana abuse nationwide. There was a 62 percent increase in marijuana- related emergency department visits between 2004 and 2011. Marijuana-related visits were second only to cocaine in 2011, and nearly matched the number of cocaine-related emergency department visits. The abuse of marijuana concentrates (“wax,” “butane honey oil,” etc.) is increasing throughout the United States. These concentrates can be abused using e-cigarettes or consumed in edibles, and have significantly higher tetrahydrocannabinol (THC) levels than leaf marijuana. In 2013, the THC content of leaf marijuana averaged 12.55 percent, while the THC content of marijuana concentrates averaged 52 percent, with some samples testing over 80 percent. Highly flammable butane gas is used to extract the THC from the marijuana leaf, and has resulted in explosions, injuries, and deaths. The abuse of synthetic cannabinoids (“K2,” “Spice,” “Herbal Incense”) and synthetic cathinones (“bath salts”) remain a concern, as these drugs are still available in convenience stores, head shops, gas stations, and online. Additionally, synthetic designer drugs being sold as “Molly” have become increasingly available and are sold as a substitute for methylenedioxymethamphetamine (MDMA). 1 Purity refers to the ratio of a drug to the additives, adulterants, and/or contaminates it contains. Potency is the
  • 24. ability for the drug to produce euphoria or a “high”. 2 When the term “medical marijuana” is used in this publication it is exclusively in reference to state-approved “medical marijuana”. Marijuana is a Schedule I substance under the Controlled Substance Act with no accepted medical use in the United States. 3Unclassified 2014 National Drug Threat Assessment Summary Unclassified Controlled Prescription Drugs (CPDs) The threat from CPD abuse is persistent. The annual economic cost of nonmedical use of prescription opioids in the United States was estimated at more than $53 billion in 2011, the most recent data available; lost productivity and crime account for most (94%) of these costs. Nationally, 21.5 percent of law enforcement agencies responding to the 2014 NDTS reported CPDs as the greatest drug threat, up from 9.8 percent in 2009. (See Table B1 in Appendix B.) Additionally, 90.6 percent of law enforcement agencies surveyed indicated that CPD availability ranges from moderate to high. Opioid analgesics, or pain relievers, are the most common type of CPD abused. The most common opioid CPDs are oxycodone (OxyContin®, Roxicodone®, Percocet®),
  • 25. hydrocodone (Vicodin®, Lorcet®, Lortab®), oxymorphone (Opana®), and hydromorphone (Dilaudid®). According to the National Seizure System (NSS), nearly 1.2 million dosage units of oxycodone were seized by law enforcement in 2013, up 535 percent from 2012. (See Table B2 in Appendix B.) Further, there was a 100 percent increase in hydrocodone seizures from 2012 (41,668 dosage units) to 2013 (83,448 dosage units). Law enforcement officers seized 1,363 dosage units of hydromorphone in 2013, down from 1,570 in 2012. Demand and treatment data indicate the abuse of CPDs is a continuing and significant problem. According to the National Survey on Drug Use and Health (NSDUH), while the number of people reporting current non- medical use has increased, the statistical rate of current users has remained relatively steady over the past several years. • NSDUH data indicate that in 2012, 6.8 million people aged 12 or older were current nonmedical users of psychotherapeutic drugs, 11.5 percent higher than the number of users (6.1 million) reported for 2011 (See Chart 1.) These 6.8 million users included 4.9 million users of pain relievers, 2.1 million users of tranquilizers, 1.2 million users of stimulants, and 270,000 users of sedatives.3 The number of persons 12 and older who were current nonmedical users of pain relievers in 2012 (4.9 million)
  • 26. was statistically similar to the numbers over the last 10 years. • CPDs are increasingly the first drug abused by initiates of illicit drug abuse. In 2012, an estimated 2.9 million persons aged 12 or older used an illicit drug for the first time within the past 12 months. More than 1 in 4 initiated with nonmedical use of prescription drugs (26.0 %, including 17.0 % with pain relievers, 4.1 % with tranquilizers, 3.6 % with stimulants, and 1.3 % with sedatives). (See Chart 2.) This is second only to marijuana as the first drug used by most abusers. • According to the Drug Abuse Warning Network (DAWN), the estimated number of emergency department (ED) visits for nonmedical use of pharmaceuticals involving prescription opiates/opioids increased 81 percent—94,448 to 170,939—between 2007 and 2011. The number of ED visits in Minneapolis/St. Paul/Bloomington and Phoenix showed the greatest increase during that same time period with 115.9 percent and 108.4 percent increases, respectively. (See Table B3 in Appendix B.) Controlled Prescription Drugs (CPDs) 3 Numbers do not add up to 6.8 million because some survey respondents likely admitted to using more than one type of psychotherapeutic drug.
  • 27. 4 Unclassified 2014 National Drug Threat Assessment Summary Unclassified Chart 1. Past Month Nonmedical Use of Types of Psychotherapeutic Drugs Among Persons Aged 12 or Older 2007 - 2012 (in Percent) * Difference between this estimate and the 2012 estimate is statistically significant at the 0.05 level. Source: National Survey on Drug Use and Health, 2012 5Unclassified 2014 National Drug Threat Assessment Summary Unclassified • Treatment data further reflect the magnitude of the opioid abuse problem in the United States. Treatment Episode Data Set (TEDS) reporting indicates the number of other (non-heroin) opiate- related treatment admissions to publicly- funded facilities increased 89 percent from 2007 (98,909) to 2011 (186,986), the latest year for which national-
  • 28. level data is available. (See Table B4 in Appendix B.) Further, the number of treatment admissions for other opiates in 2011 was greater than the number of admissions for cocaine (143,827) and for amphetamines (110,471). According to TEDS, of the total number of abusers admitted to publicly-funded facilities for opiate-related treatment, over 60 percent reported their frequency of use as daily. Additionally, the number of admissions for benzodiazepines has continually risen since 2006 from 9,265 to 17,460 in 2011. The number of drug overdose deaths, particularly from CPDs, has grown exponentially in the past decade and has surpassed motor vehicle (MV) crashes as the leading cause of injury death in the United States. The number of drug poisoning deaths now exceeds the number of deaths caused by MV crashes in 29 states and Washington, DC. • The National Center for Health Statistics (NCHS) indicated that mortality data from 2009 suggested a large decline in MV crash deaths and a continued increase in prescription drug overdoses, leading to the conclusion that drug poisoning alone now causes more deaths than MV crashes in the United States. • The NCHS further reported that nearly 90 percent of poisoning deaths were due to drugs and that drug poisoning mortality was due primarily to prescription drugs,
  • 29. especially opioid painkillers. Chart 2. First Specific Drug Associated with Initiation of Illicit Drug Use Among Past Year Illicit Drug Initiates Aged 12 or Older 2012 Source: National Survey on Drug Use and Health, 2012 6 Unclassified 2014 National Drug Threat Assessment Summary Unclassified • In 2010, West Virginia, a state with a significant CPD abuse problem, had the highest rate of drug overdose deaths (28.9 per 100,000 people). This is significantly higher than the rate in 1999 when it was 4.1 per 100,000 people in the state. • In 1999, no state had a drug overdose death rate above 15.0 per every 100,000 residents. In 2010, four states had rates over 20 per 100,000 residents, and 15 states had rates of 15 or higher per 100,000. CPD abuse also contributes to increased thoughts of suicide in the United States. • A recent National Institute on Drug Abuse (NIDA)-supported study indicated that
  • 30. individuals who use prescription opiates other than as ordered by a doctor are more likely to consider suicide than those who use these medications appropriately or not at all. Both persistent users (those who initiated use more than two years ago with continued use in the past year) and former users (those who initiated use more than two years ago, with no use in the past year) reported suicidal thoughts at significantly higher rates than individuals who had never used a non- prescribed opioid medication.4 (See Chart 3.) State Legislation Aimed at Combatting Pill Mills Rogue pain management clinics (commonly referred to as “pill mills”) contribute to the extensive availability of illicit pharmaceuticals in the United States. Pill mill operations are primarily cash-based businesses and are run by operators who often don’t see patients or perform any type of physical exam. It is not uncommon to see lines of people waiting to get into these pill mills. Many states are establishing new legislation in an effort to combat pill mills and stem the flow of prescription drugs to abusers. Currently, 44 states and Washington, DC require that a 4 Individuals who reported past-year symptoms consistent with a diagnosis of opioid dependence were more than
  • 31. twice as likely as never-users to say that they had considered self-destruction. The number of individuals who converted suicidal thoughts into suicide attempts ranged from 7 to 19 percent, with no significant differences between groups. Source: National Institute on Drug Abuse, the Science of Drug Abuse & Addiction Chart 3. Percentage of Respondents Who Had Suicidal Thoughts During the Past 12 Months * p<0.05 ** p<0.01 25% 20% 15% 10% 5% 0% Never Users Former Users** Persistent Users* Recent-Onset Users Past-Year Users with Prescription
  • 32. Opioid Disorders* 3% 7% 11% 9% 23% 7Unclassified 2014 National Drug Threat Assessment Summary Unclassified patient receive a physical exam by a healthcare provider, be screened for signs of substance abuse and addiction, or have a bona fide patient-physician relationship that includes a physical exam prior to prescribing. The state laws differ in their definition of the conditions in which an exam is required and the consequences for the physician for prescribing without a required exam (in some states it constitutes a criminal liability). Currently, Maryland, Michigan, Montana, Nebraska, South Dakota, and Wyoming are the only states that do not require a healthcare provider to conduct the exam, the screening, or have a patient- physician relationship.
  • 33. • Thirty-two states have a law requiring or permitting a pharmacist to require identification (ID) prior to dispensing a controlled substance. Some of these states require customers to present an ID at all times when obtaining controlled substances, but some state laws limit the presentation of an ID to only people unknown to the pharmacists. • Forty-six states and Washington, DC have a pharmacy lock-in program under the state Medicaid plan in which individuals suspected of misusing controlled substances must use a single prescriber and pharmacy. Prescription Drug Monitoring Programs Prescription Drug Monitoring Programs (PDMPs) are another tool used to reduce the amount of illicit CPDs available for abuse. PDMPs are state-run databases used to track the amount of CPDs prescribed and dispensed to patients. PDMPs can be used to quickly identify rogue subscribers, inadvertent prescribing, and “doctor shopping.” Currently, 49 states have an active PDMP. Missouri and Washington, DC do not have active PDMPs, although there is pending legislation for a PDMP in Washington, DC. State Prescription Drug Monitoring Programs
  • 34. PDMPs vary in each state as to the type of information collected, who is allowed access to the data and under what circumstances, the requirements for use and reporting, including timeliness of data collection, the triggers that generate reports, and the enforcement mechanisms in place for noncompliance. Drug Quality and Security Act In November 2013, the Federal Drug Quality and Security Act (HR 3204) was signed into law. The Act establishes a system to track prescription drugs from the time they are manufactured until they are sold to the consumer. The Act calls for drug manufacturers, repackagers, wholesale distributors, and dispensers to maintain and to issue key information about each drug’s distribution history. Within four years of the law’s establishment, prescription drugs are to be serialized in a consistent way industry- wide. This will allow for efficient tracking in order to respond to recalls and notices of theft and counterfeiting. • Only 16 states have someform of mandatory use of PDMPs for providers. • Of these16 states, eighthave laws that require the PDMP to be accessed before the initial prescribing or dispensing of a controlled substance. • Of these16 states, six require accessing the PDMP in limited situations, such as for
  • 35. certain prescribers or specific drugs. 8 Unclassified 2014 National Drug Threat Assessment Summary Unclassified This page intentionally left blank. 9Unclassified 2014 National Drug Threat Assessment Summary Unclassified Heroin The threat posed by heroin in the United States is increasing in areas across the country, especially in the Northeast and North Central regions. According to the 2014 NDTS, 29.1 percent of respondents reported heroin was the greatest drug threat in their area. This was more than any other drug except methamphetamine (31.8 percent.) (See Table B1 in Appendix B.) The Organized Crime and Drug Enforcement Task Force (OCDETF) regions with the largest number of respondents ranking heroin as the greatest drug threat were New England, Mid-Atlantic, Great Lakes, and New York/New Jersey. (See Map A4 in Appendix A.)
  • 36. Heroin Source Areas Four geographic source areas (South America, Mexico, Southwest Asia, and Southeast Asia) produce the world’s heroin supply. Since 1977, different regions have dominated the US market. For the past 20 years, the US retail heroin market has been roughly divided by the Mississippi River, with Mexican black tar and brown powder heroin dominating west of the Mississippi and South American white powder heroin more common in the East. Southwest Asia, while the dominant supplier of most of the world’s heroin markets, represents a small portion of the US heroin market. Southeast Asian heroin has rarely been encountered in US markets in recent years. In 2012, heroin from South America accounted for 51 percent (by weight) of the heroin analyzed through the DEA Heroin Signature Program. Heroin from Mexico accounted for 45 percent and Southwest Asia accounted for four percent. (See Chart 4.) South American, Southeast Asian, and Southwest Asian heroin are white, off-white, or tan powders, and are usually found in Eastern US markets where white powder heroin is Heroin Chart 4. Source of Origin for US Wholesale-level Heroin Seizures 1977 - 2012
  • 37. Source: Heroin Signature Program 10 Unclassified 2014 National Drug Threat Assessment Summary Unclassified preferred. Mexican heroin traditionally is sold in brown powder and black tar forms, and is usually found in Western US markets. Increasing Availability Reporting from federal, state, and local law enforcement agencies indicates heroin availability is increasing throughout the nation. According to the 2014 NDTS, 61.7 percent of respondents said heroin availability was high or moderate in their areas. In addition, 54.7 percent of respondents reported that heroin availability was increasing and 53.8 percent said that heroin demand was increasing. Seizure data also indicate a substantial increase in heroin availability in the United States. According to NSS data, heroin seizures in the United States increased 87 percent over five years, from 2,540 kilograms in 2009 to 4,761 kilograms in 2013. (See Chart 5.) Traffickers are also transporting heroin in larger amounts. The average size of a heroin seizure in 2009 was 0.86 kilograms; in 2013, the average heroin seizure was 1.56 kilograms.
  • 38. Seizures at the Southwest Border are also rising as Mexican TCOs increase heroin production and transportation. Heroin seizures at the border more than doubled over five years, from 2009 (846 kilograms) to 2013 (2,196 kilograms). (See Chart 6.) During that time, the average seizure size increased from 2.9 kilograms to 3.8 kilograms and the number of seizure incidents increased from 295 incidents to 580 incidents. Abusers Switching from CPDs to Heroin Increased demand for and abuse of heroin is largely being driven by a subset of CPD abusers switching to heroin. Treatment and law enforcement officials across the nation report increases in heroin abuse due to people switching from CPDs. A recent NSDUH study found that heroin abuse was 19 times higher among those who had previously abused pain reliever CPDs. The study also found that four out of five recent heroin initiates had previously abused pain reliever CPDs. While the number of CPD abusers switching to heroin abuse is a relatively small percentage (an estimated 3.6%) of the total number of CPD abusers, it represents a large percentage of heroin initiates (79.5%). Those who switch from abusing CPDs to abusing heroin do so because of availability, price differences, and the reformulation of OxyContin®, a commonly abused prescription opioid. Chart 5. US Heroin Seizures
  • 39. 2009 - 2013 Source: National Seizure System 11Unclassified 2014 National Drug Threat Assessment Summary Unclassified Reasons for CPD abusers to switch to abusing heroin • Decreasing availability of CPDs vs. increasing availability of heroin CPD availability in many areas has been curbed by enforcement and legislative efforts against illicit pill mills and unscrupulous physicians. Implementation of PDMP databases … Chapter 1: Introduction CHDV 1400 Alma Villanueva, MA California State University of Los Angeles Overview Understanding Human Development All kinds of people: Culture, Ethnicity, & Race
  • 40. Science Caution & Challenges Human Development Science of Human Development: Seeks to understand how and why people change over time 3 crucial elements Science, People, & Change Multidisciplinary Variety of academic disciplines 3 The Scientific Method 5 STEPS: CURIOSITY Based on a theory (set of ideas) HYPOTHESIS (testable prediction) TEST HYPOTHESIS Empirical (observable) evidence CONCLUSIONS (support hypothesis?) REPORT Results (share)
  • 41. 4 6th STEP REPLICATION Repeating procedures & methods with different participants Research is shared via conferences, publications, etc. Big Bang Theory explains Scientific Method 5 Nature-Nurture Debate Historic & ongoing debate Nature: Genetic influence Nurture: Environment influence How much are we influenced by nature and nurture? Not which Nature always affects nurture Nurture always affects nature 6 3 DOMAINS
  • 42. Biosocial: biology, neuroscience, and medicine Body, genes, nutrition, health Cognitive: psychology, linguistic, education Memory, language, thought Psychosocial: economics, sociology, & history Emotions, social skills, friends PG. 7 (10th ed.) Speaking babies - maturation of brain, vocal cords Brain can link objects to words People to talk to them Developmentalists study everyone: All kinds of people Difference-equals-deficit error Belief that being different means you are lacking. Misbelief & fallacy Human tendency to jump to conclusions E.g. sexual orientation Social construction Idea built & constructed by society Not based on objective reality Powerful & affects human thought Example: Culture, Ethnicity, & Race Misuse & leads to DEDE
  • 43. Social Constructions Culture: System of shared beliefs, norms, behaviors, expectations that persist overtime Family, community, college Ethnicity/Ethnic Group: People whose ancestors were born in the same region (nationality) and who often share a language, culture and religion Race: Categorizes people via physical features (outward appearances). Socioeconomic status SES (“social class”) Income, occupation, education, residence SES affects every aspect of development. How? Why? Critical Period A time when something must occur to ensure normal dev. E.g. Human embryo grows arms and legs, hands and feet, toes and fingers all within 28 to 54 days after conception Anti nausea drug (Thalidomide) after day 54 okay, but not
  • 44. before After that, it’s too late Humans never grow new limbs Critical Periods are rare 12 Sensitive Period A time where certain dev. occurs more easily & may be difficult later. Example: Language If children do not start speaking b/n ages 1 to 3, grammar may be impaired later. 13 Urie Bronfenbrenner Ecological-Systems Approach Microsystem Immediate surroundings Exosystem Local institutions Macrosystem Large context Mesosystem
  • 45. Interaction b/n other systems Chronosystem Time, historical context Historical Change Cohort Group of people who share similar life experiences Technology, war, cultural shifts, etc. Plasticity Like plastic, human traits can be molded Yet, still maintain a certain identity Hope & Realism People can change over time but new behavior depends partly on what already has happened Example: Child physically abused may grow into a loving parent Dynamic Systems Human development is: Ongoing Ever-changing
  • 46. Connected to all other parts Scientific Method Methods of testing the hypothesis Observation Unbiased Natural or laboratory Experiment What causes what Surveys Large population Questionnaires, phone interviews, US Census Experimentation INDEPENDENT VARIABLE (IV) Affects the DV Variable that can have an effect DEPENDENT VARIABLE (DV) Depends on the IV Variable that may change as a result SMOKING CIGARETTES & THE RISK OF CANCER IV = Smoking Cigarettes DV = Cancer
  • 47. Experimentation Experimental group Gets the treatment Control group Does not get tx Space Jam Cross-sectional Research Quick/Least Expensive Group of people of same age are compared with another group of people of another age Collect data once & compare groups Example: Comparing 2 and 5 year olds on obesity May be missing information Longitudinal Collecting data on the same person over a long period of time Example: Studying the long term effects of child abuse on adolescent emotional development What are some drawbacks?
  • 48. Cohort-sequential Cross-sectional + Longitudinal Studying several groups of people of different ages and following them over many years Caution & Challenges Misinterpreting Correlations Depending too heavy on numbers Ignoring ethics Correlation Correlation is NOT causation Correlation indicates a relationship Positive: both variables increase or decrease Negative: one variable increase, the other decreases Zero: no connection Example: From Birth to 9 (+) Age and height (-) Age and napping (0) Age and # of toes Quantity & Quality Quantitative Data
  • 49. Numbers, percentages Qualitative Data Interviews, narratives Ethics Code of Ethics Set of moral rules researchers must follow Institutional Review Board (IRB) Group ensuring research follows guidelines Chapter 5: The first 2 years – Biosocial Development CHDV 1400 California State University, Los Angeles Alma Villanueva, MA Overview BODY CHANGES SLEEP BRAIN DEVELOPMENT PERCEIVING & MOVING SURVIVING IN GOOD HEALTH
  • 50. Body Size 4 months – weight 2x 12 months – weight 3x Slows down after the first year Weight is mostly fat 3 Percentile # that indicates rank compared to other similar people of same age 0 to 100 50th percentile– Average Why is it useful? Failure to Thrive : Serious medical condition in early infancy insufficient weight gain or inappropriate weight loss) 4
  • 51. Importance of Sleep Good sleep Normal brain development Emotional regulation Learning Academic success Psychological adjustment Sleep deprivation Poor health Physical or psychological problems 5 Sleep 15 to 17 hours/day Hours decrease with maturity Full-term & well-fed babies sleep more 6 REM ½ newborns sleep is REM Rapid Eye Movement Flickering eyes & rapid brain waves
  • 52. Indicates dreaming Until about 3 mos. 7 Brain Development Newborn skull size - disproportionately large By 2 y/o – almost 75% of adult weight Head circumference measurement Head-sparing – protects the brain’s dev. during malnutrition Brain Development Neurons- nerve cell Most are created prenatally Far more than infant will need Important in processing brain messages Where are they located? Brain stem automatic responses (heartbeat, breathing, temperature) Mid-brain emotions/memory
  • 53. Cortex 70% of neurons Outer layers of the brain Thinking, feeling, & sensing Prefrontal Cortex Most prolonged development Virtually inactive in infancy Gradual growth Planning Impulse control Anticipation Brain Cells Each Neuron contains 1 Axon & Many Dendrites Axons – Sends electrochemical signal to dendrites of another neuron Dendrites – Receives electrochemical signals from an axon of another neuron Synapses – the way of communication b/n 2 neurons (axon & dendrite) Neurotransmitters carry information for the axons to send
  • 54. Brain Development Transient Exuberance Huge increase of dendrites 5 fold increase birth – 2years Temporary Pruning Unused connections atrophy & die Environment is important Experience Experience-expectant brain functions Brains need and expect certain basic common experiences Must occur for normal brain development People to see, things to grab, etc. Experience-dependent brain functions Brain functions depend on particular experiences Might happen Culture and family specific Additional skills developed over the life span (that the brain does not expect) e.g. making an igloo Harming the Brain Lack of stimulation Over stimulation Stress
  • 55. Shaken Baby Syndrome Breaks neural connections Preventing SBS Severe social deprivation Genie Wiley Sensation & Perception At birth, sensation (detecting a stimulus) is apparent See, hear, smell, taste, touch Vision last to mature Perception (making sense of it) comes a bit later with exp. Requires cognition Movement What is the growth pattern for a human being? Gross Motor Skills Large body movements Arms, legs Crawling (8 – 10 mo.) Environment
  • 56. Not all infants crawl – isn’t a must Walking 3 factors to walk Muscle strength Brain maturation with the motor cortex Practice 9 monthsStep when held10 monthsStand momentarily12 monthsWalk unassisted Fine Motor Skills Small body movements Hands, fingers, toes Picking up a coin, drawing, feeding 6 months – stare and grab wanted object 1 year – pincer movement & self feeding Surviving in Good Health: Immunization Between 1950 & 2010, about 2 billion children died before age 5 Immunization: Protection against disease via antibodies
  • 57. Dramatic Success Small pox Polio Measles Problems w/ immunization Parents afraid of side effects Risk of disease > risk of side effects No access to rural areas 2 to 3 million children die/year Nutrition “Breast is Best” Colostrum – thick, high-calorie fluid at birth Sterile & Body Temp. Iron, Vitamins & nutrients Digestible Protects from diseases, obesity, diabetes, & heart disease Breast is best Preterm babies Milk adjust with age (quality) Milk adjust in quantity to demand Add digested food about 6 months
  • 58. World Health Organization (WHO) recommends continued breastfeeding up to 2 years but at least 12 months Malnutrition Protein-calorie malnutrition Infant doesn’t get enough food Severe illness, weight loss, death Stunting Failure to grow normal height due to chronic malnutrition Wasting Severely underweight due to chronic malnutrition Chapter 2: Theories CHDV 140 Alma Villanueva, MA California State University of Los Angeles Overview What theories do Grand Theories Newer Theories What theories contribute
  • 59. Developmental Theory Provides a framework for explaining patterns & problems of development Developmental Theory What do theories do? Produce hypotheses Generate discoveries Offer guidance Facts & Norms Norm: An average or usual event Reflects biological & social pressures Deviations are not necessarily deficits Theories are NOT facts Never true or false Never good or bad Grand Theories Psychoanalytic Behaviorism Cognitive Psychoanalytic Theory Inner drives Deep motives Unconscious Childhood
  • 60. Sigmund Freud 1856 – 1939 Austrian physician Patients with mental illness Dreams, fantasies, uncensored thoughts Early childhood is crucial 8 Psychosexual Stages Children derive erotic pleasure from diff. body parts in each stage Satisfaction in each stage needed BIRTH – 1 ORALTONGUE, LIPS & GUMSSUCKING & FEEDING1 – 3 ANALANUSTOILET TRAINING & EXPELLING FECES3 – 6 PHALLICPENISGENITAL STIMULATION (BOYS VS. GIRLS)6 – 11 LATENCYLATENTFOCUS ON SCHOOL &SPORTSADOLESCENCEGENITALGENITALSSEXUAL STIMULATION Conflicts Each stage has potential conflicts How people deal with them, determines personality patterns Conflicts rooted in childhood show in adulthood
  • 61. Example: Erik Erikson 1902 – 1994 Freud’s follower Stressed family and culture –not sexual urges Psychosocial Stages People experience a conflict in each Resolution to crisis depends on person & environment PSYCHOSOCIAL STAGES TRUST VS. MISTRUST AUTONOMY VS. SHAME & DOUBT INITIATIVE VS. GUILT INDUSTRY VS. INFERIORITY IDENTITY VS. ROLE CONFUSION INTIMACY VS. ISOLATION GENERATIVITY VS. STAGNATION INTEGRITY VS. DESPAIR BEHAVIORISM Conditioning & Social Learning “Why don’t we make what we can observe the real field of psychology? Let us limit ourselves to things that can be observed, and formulate laws concerned only with those... We can observe behavior – what the organism does or says.” John B. Watson John B. Watson 1878 – 1958
  • 62. Argued if psychology was true science, we should examine only what we see & measure Not the hidden urges & thoughts “ Give me a dozen healthy infants, well-formed, and my own specified world to bring them up in and I'll guarantee to take any one at random and train him to become any type of specialist I might select – doctor, lawyer, artist, merchant-chief and, yes, even beggar-man and thief, regardless of his talents, penchants, tendencies, abilities, vocations, and race of his ancestors. I am going beyond my facts and I admit it, but so have the advocates of the contrary and they have been doing it for many thousands of years. [Behaviourism (1930), p. 43] ” Behaviorism Studying observable behavior Aka Learning Theory Describes how people learn & develop habits Learning happens in small increments Conditioning – Process where responses become linked to a specific stimuli S – R (stimulus-response) conditioning Ivan Pavlov 1849 – 1936 Dog Experiment Classical conditioning: Learning process when a meaningful stimulus is connected with a neutral stimulus Bell Sound – Neutral Food – Meaningful food & play White Coat Syndrome- U.S 80+
  • 63. B.F. Skinner 1904 – 1990 Operant Conditioning Learning process when a particular action is followed by rewards or punishments Rewards (pleasant consequence) = repeated action Punishment (unpleasant consequence) = does not repeat Operant Conditioning Rewards & punishments depends on the child Asking to leave the classroom may be a reward Reinforcement – consequences that increase the frequency of a particular action Each person responds differently to reinforcements & punishments The difference between classical and operant conditioning Vid Social Learning Theory An extension of behaviorism that emphasizes the influence of other people People learn through observation & imitation of others, not just reinforcements Modeling: the central process of learning – observing the actions of others & copying them Self-Efficacy – Belief in one’s abilities to achieve success Learned from watching others succeed Cognitive Theory Piaget & Information Processing
  • 64. Focusing on changes in people’s thoughts Our thoughts shape our attitude, beliefs, and behaviors Jean Piaget 1896 – 1980 First major cognitive theorist How children think is more important than what they know Cognitive Theory Cognitive Equilibrium – a state of mental balance Humans seek it and intellectually advance When people experience new things, they may be confused (disequilibrium) Equilibrium To seek equilibrium, people cognitively adapt Assimilation – new experiences are reinterpreted to fit into old ideas Accommodation – old ideas are restructured to include new experiences (people adjust) Example Your friend did something completely unexpected (disequilibrium) You can assimilate & decide they didn’t mean it – they must be upset or I must have seen the wrong thing OR you can accommodate & change your view of your friend Stages of Cognitive DevelopmentBirth – 2 SensorimotorSenses & Motors; Learning is active2 – 6 PreoperationalMagical &
  • 65. poetic thinking; use language; egocentric6 – 11 Concrete OperationalLogical, interpret objectively; limited to concrete thought (what they see)12 – adulthood Formal Operational Abstract & hypothetical; reason analytically Information Processing Theory Newer version of cognitive theory Inspired by computers & its efficiency Not a single theory but a framework characterized by many research programs Information Processing Cognition begins with input picked up by the 5 senses, processed by the brain, stored in memory and finishes off with an output Focus on relationship b/n one person’s thinking & another’s. Older theories European-American Men Outdated Limitations in technology & perspective Sociocultural Theory Vygotsky & beyond Humans develop from the dynamic interaction with their surrounding society Culture is an integral part of everyday dev.
  • 66. Lev Vygotsky (1896 – 1934) Pioneer of sociocultural perspective Observed how cultures influenced children Focused on how child learns from the community Sociocultural Theory Apprenticeship in thinking – cognition developed w/ skilled members of society Guided Participation – process of learning from others who guide & teach ZPD Zone of Proximal Development The skills, knowledge, and concepts that the learner is close to acquiring BUT cannot yet master without help Example: Riding a bicycle The Universal Perspective: Humanism & Evolution We are one species, sharing universal impulses & needs Humanism: stresses that all humans have a potential for GOOD & all have the same basic needs (regardless of culture, gender, etc.) Maslow’s Hierarchy of Needs 1. Physiological – food, water, air, warmth 2. Safety – protected from death/injury
  • 67. 3. Love & belonging – friends, family, community, religion 4. Esteem – respected by community & self 5. Self-actualization – become oneself – fulfilling unique potential while appreciating all of humanity Evolution Theory Darwin 2 basic drives = Survival & Reproduction These needs shape life Selective Adaptation – genes needed for survival are selected & over time, more prevalent Eclectic Perspective Most developmentalist adapted this idea Apply aspects of various theories of development, not picking one Chapter 6: First 2 Years (COGNITIVE) Alma Villanueva, M.A Overview Piaget
  • 68. Information Processing Memory Language Theories of Language PIAGET Infants are ACTIVE learners Piaget’s Periods of Cognitive Development Sensorimotor Period (birth-2 years) 3 stages broken into 6 sub-stages 3 Primary Circular Reactions – (SELF) Stage 1 (birth – 1 month) REFLEXES – helps infant understand the world Sucking, grasping, staring, listening Stage 2 (1 – 4 months) FIRST ACQUIRED ADAPTATIONS Intentionality Grabbing bottle to suck
  • 69. 4 Secondary Circular Reactions (OBJECTS & PEOPLE) Stage 3 (4 – 8 months) MAKING INTERESTING SIGHTS LAST Repeat actions with pleasing responses Stage 4 (8 – 12 months) NEW ADAPTATION & ANTICIPATION Means to an end Goal-directed behavior Object Permanence Realization that objects exist even when no longer seen About 8 months, infants can understand this concept (Piaget) Further researched needed 5 Tertiary Circular Reactions Stage 5 (12 – 18 months) NEW MEANS THROUGH ACTIVE EXPERIMENTATION “Little scientists” Act
  • 70. Stage 6 (18 – 24 months) NEW MEANS THROUGH MENTAL COMBINATIONS Think about consequences Deferred Imitation- copying behavior seen hours or even days earlier Example 6 Information Processing Compare infants to computers Habituation (getting accustomed to an experience after repeated exposure) correlates w/later cognitive ability 2 aspects of cognition: Affordances (input) & Memory (output) Affordances People perceive objects differently Environment Affords (offers) many opportunities Ball, Chair? How do the affordances of our textbook differ from someone who is 1 mos., 12 mos., and 20y/o?
  • 71. Affordance What affordances are perceived and acted upon? Sensory awareness Immediate motivation Current development Past experience Visual Cliff False illusion Experience and age will affect which affordance is perceived Fear, no fear? Visual Cliff Movement & People Infants are attracted to 2 affordances: DYNAMIC PERCEPTION Primed to focus on movement & change PEOPLE PREFERENCE Universal – fascinated by people Voice recordings of their mothers vs. strangers (happy)
  • 72. 7 mos- match recordings to mother & stranger 3mos only to mothers Smile 2x fast, longer, & more brightly Memory Experience & brain maturation Memory is linked with language & words Infants lack exp. & words Memory fades Crib mobile experiment Memory Reminder session aided memory Could remember after two wks Information may be stored, but processing time to retrieve information is important What develops in the first 2 years? Language Universal sequence Language begins with sound
  • 73. Infants learn prenatally Newborns prefer mom’s language over unheard Language N Child-directed speech “Motherese” Baby talk High-pitched, Simple, Repetitive Babbling 6 – 9 months Repetition of certain syllables Ba-ba-ba Native language First words 6- 15 month olds understand more than what they can communicate
  • 74. Language Holophrase Single word that is used to express a whole meaning “DADA?” “DADA!” Intonation Variation of tone & pitch A lot of intonation early on Recognize native intonation & adjust pitch Naming Explosion Sudden increase in vocabulary, begins around 18 mos Grammar Word order- all the methods that language uses to communicate meaning Theories of Language 3 types of theories Theory 1: Infants Need to be TAUGHT
  • 75. Behaviorists Operant conditioning 3 core ideas Parents are expert teachers Frequent repetition is instructive Well- -spoken children Infants Need to be TAUGHT How much will a child learn to speak? Depends on parent-child response More talkative mother = more talkative child Theory 2: Social Impulses Foster Infant Language Social-pragmatic Theory Humans are social beings Infants learn for 1 reason = communication Learning from TV? Theory 3: Infants Teach THEMSELVES Language is innate
  • 76. Experience Expentact Noam Chomsky Young children all master basic grammar – same age Language Acquisition Device (LAD) Mental structure enabling human to learn language Grammar, vocab, intonation Hybrid Theory Which of the 3 are correct? All of them Each theory valid for some aspects of language Term Paper: Students will write a short (2-3 page) paper. This will provide students the opportunity to develop academic writing skills and to explore a course topic in more depth. Details and guidelines are included at the end of the syllabus. All papers must be turned in at the beginning of class on the due date listed in the syllabus, otherwise it is considered 5% late. Each additional day, the paper will have a 10% deduction. Term Paper This assignment will be completed in 3 parts: (1) Draft, which is due week 4 (2) During week 11th students must bring in their work to have it peer reviewed (worth 5pts) (3) Final TermPaper due week 12th.
  • 77. Goal: The purpose of this paper is to be aware of the current issues involved in child and adolescent development and incorporate it with course material. Students will have a chance to use critical thinking and analysis while creatively developing a possible alternative to the issue. Instructions: a. Search for a current (within the past year) news article about a story or issue involving infants, children, or adolescents. E.g. Childhood obesity, Teenage pregnancy, Infant physically abused by guardian, etc. b. Ask yourself, how does this story influence a child’s biosocial, cognitive, or psychosocial development (the 3 sections of our book)? You will pick ONE area to focus on. · Biosocial – physical, brain, motor skills, health, nutrition, etc. · Cognitive – memory, intelligence, language, thinking, etc. · Psychosocial – emotional, relationships, family, friends, play, etc. Draft a. Pick a news article & bring it to class b. Type a 1-paragraph summary of the article (double space) c. Indicate which area you will relate the article to: biosocial, cognitive, or psychosocial. Term Paper You will type a 5-paragraph essay: 1. Introduction – hook, background, & thesis statement 2. Summary of news article 3. Relation to course material (biosocial, cognitive, or psychosocial) · Must include terms/vocabulary used in the textbook or lecture · Must discuss at least one theory/theorist 4. Possible solution(s) to the issue · Be creative & develop a plausible solution to resolve or prevent this problem.
  • 78. 5. Conclusion Format: · Double spaced, 12 size font, Times New Roman, · APA Title page, 1”margins, header, & reference page (no abstract needed) Running head: CHILD DEVELOPMENT 1 CHILD DEVELOPMENT 2 CHDV Draft Paper Kenia Trujillo Child Development Professor Alma Villanueva September 16, 2016 Introduction Healthy development is very crucial to the growth of all infants. The life of children revolves around their caregivers or parents. Parents and caregivers are the sources of safety, love, security, nurturance, support and understanding for children. It is the right of every child to get a safe life free from abuse. In
  • 79. this paper, we shall review an article on child abuse by parents and the influence of the story to a child’s psychological development. It was the 6th of July in South Australia where a biological father and stepmother were arrested for frequently abusing their young girl and boy (Candice Prosser, 2016). The children were bitten, tied in trees, locked out of the house, put under cold conditions such as under cold showers and the girl raped by the father. These abuses by the parents created an environment of fear and degradation for the two children. The trauma they caused to these kids cannot be erased. Child abuse does not end the time the abuse ends, it is long lasting and can severely affect daily development. Child abuse encroaches upon the trust at the core of a child’s relationship with the world. The moment this relationship becomes betrayal, a damaging scheme or customary main beliefs develops. This negative core schema often affects a person’s ability to create and endure important affections throughout life. Physical child abuse leads to unhappy life in the future. It may cause isolation or social disconnection from friends leading to an increased risk of living alone. Also child, abuse can result in behavioral health effects such as suicidal behavior and the augmented likelihood of drug abuse. Depression, low self-esteem, and aggressive behaviors are believed to be influenced by child abuse. These effects lead to poor development as psychological development is concerned. Due to the increased abuse, psychological development of infants has been affected. To solve this problem, several strategies should be laid down. Such include intervening to reduce harm and abuse, strengthening economic supports, enhancing parental skills and providing quality care and education. Most abuse is caused by parents being unable to provide for their children. These are some of the strategies can help solve the problem of child abuse leading to a healthier child development. Conclusion
  • 80. In conclusion, child development is paramount to every child’s future. It is imperative for the society to establish a framework of prevention strategies, to prevent child abuse so that psychological development in children can be enhanced. References Candice Prosser (2016), Children locked in cages, tied to trees, assaulted by parents, court told http://www.abc.net.au/news/2016-07-06/children-locked- in-cages,-tied-to-trees,-raped court hears/7574428