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IPV and meth conference. April 27th. Level I (Lab) Chemicals Process Product (meth) Caretaker Behavior. Neglect Hyper sexuality Violence and aggression. Level II (Heavy use; distributing).

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slide2

Level I (Lab)

  • Chemicals
  • Process
  • Product (meth)
  • Caretaker Behavior
    • Neglect
    • Hyper sexuality
    • Violence
  • and aggression

Level II (Heavy use;

distributing)

slide3

“Parents who are addicted to drugs have a primary commitment to chemicals, not to their children.”

Beckwith, 1989

psychoactive substances and sexual behaviors
Psychoactive Substances and Sexual Behaviors
  • My sexual drive is increased by the use of the following substance(s)

Rawson R; Matrix Instit., CA

psychoactive substances and sexual behaviors1
Psychoactive Substances and Sexual Behaviors
  • My use of the following substance(s) has made me become obsessed with sex and/or made my sex drive abnormally high.

Rawson R; Matrix Instit., CA

psychoactive substances and sexual behaviors2
Psychoactive Substances and Sexual Behaviors
  • My sexual behavior under the influence of the following substance(s) caused me to feel sexually perverted or abnormal

Rawson R; Matrix Instit., CA

sexual abuse
Sexual Abuse
  • Meth increases sexual arousal in adults
  • Pornography copious and accessible
  • Children unsupervised around multiple strangers (drug buyers and associates)
  • Children may be sexually abused by their own parents, prostituted for drugs, or forced to view sexual acts, pornography
methamphetamine violence and aggression
Methamphetamine, Violence and Aggression

(27 – 80%)

  • Methamphetamine Abuse and Emergency Department Utilization. Richards J; WJM, April 1999, Vol 170, No. 4.
  • The Toll of Methamphetamine on the Trauma System. Tominaga G, et al.; Arch Surg 2004;139:844-847.
  • Abuse and Violence History of Men and Women in Treatment for Methamphetamine Dependence; Cohen J, et al.; Am J Addict, 12:377-385, 2003.
  • Psychiatric Symptoms in Methamphetamine Users; Zweben J, et al. Am J Addict, 13:181-190, 2004.
  • Methamphetamine in Psychiatric Emergencies; Szuster R. Hawaii Medical Journal, 49(10); Oct.1990.
methamphetamine use and violence sommers i baskin d j drug issues winter 2006 pp 77 96
Methamphetamine Use and Violence; Sommers I, Baskin D. J Drug Issues; Winter 2006; pp.77-96.
  • Meth based violence may be more likely to occur within private domestic contexts (51% in this study) due to longer lasting high.
  • “Pharmacology is not destiny….”
  • “…violent behavior resulted from a complex interaction among a variety of social, personality, environmental and clinical factors whose relative importance varied across situations and time.”
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CONTROL Subjects

Brain Serotonin Transporter Density and Aggressionin Abstinent Methamphetamine Abusers

Sekine, et al.

Arch Gen Psychiatry. 2006;63:90-100

  • 12 abstinent meth users
  • Use: 6 years (1.5 to 11)
  • Abstinent: 1.6 yrs (0.5 – 5)
  • Matched controls (education, alcohol)
  • Abused only methamphetamine
  • No history of psychiatric, antisocial or intermittent explosive disorders
  • No history of increased aggression before the use of methamphetamine.

METHAMPHETAMINE Abuser

slide11

CONTROL Subjects

Brain Serotonin Transporter Density and Aggressionin Abstinent Methamphetamine Abusers

Sekine, et al.

Arch Gen Psychiatry. 2006;63:90-100

  • Global, severe reduction in serotonin transporters
  • All had psychosis during methamphetamine use

METHAMPHETAMINE Abuser

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Serotonin Transporter Density

Serotonin Transporter Density

  • Serotonin transporter density was closely associated with the magnitude of aggression in methamphetamine abusers
  • Methamphetamine abusers showed increased levels of aggression compared with controls.

Meth Use, years

Aggression Score

Sekine, et al. Arch Gen Psychiatry. 2006;63:90-100

children s experiences of methamphetamine use in the home
Children’s experiences of methamphetamine use in the home

Case Series: Mental Health Needs and Perspectives of Rural Children Reared by Parents Who Abuse Methamphetamine*

*Ostler T, et al. J Am Acad Child Psych. 46:4, April 2007.

slide14
Case Series: Mental Health Needs and Perspectives of Rural Children Reared by Parents Who Abuse Methamphetamine*
  • Children reported:
    • clear emotional pain (74%)
    • negative relationships with parents(78%)
    • absence of social support, isolation (52%)
    • some joined in the violence to protect their mothers or siblings
  • Most children displayed:
    • significant emotional or behavior problems (57%)
    • posttraumatic or dissociative symptoms (61%)

*Ostler T, et al. J Am Acad Child Psych. 46:4, April 2007.