Chapter 10 Substance-Related Disorders

1. Chapter 10 Substance-Related Disorders Dr. Ashlea Smith

2. Video clips on Addiction http://www.msnbc.msn.com/id/21134540/vp/8758779#8758779 http://www.msnbc.msn.com/id/21134540/vp/8758784#8758784

3. Debate Marijuana should be legalized v. Marijuana should always be illegal You can also incorporate the legalization of other drugs v. never legalizing all drugs Substance-induced psychosis is a valid defense for committing a serious crime like murder v. is not a valid defense Should the drinking age be lowered?

4. What does the DSM-IV TR SAY? • Substance Abuse • Pattern of use leading to significant distress • At least 1 of the following occurs within a year • A. recurrent use, resulting in failure to fulfill work, school, or home obligations • B. recurrent use in situations that are dangerous • C. Substance-related legal problems • D. Substance use that continues despite social/interpersonal problems

5. Substance Dependence and the DSM? • Pattern of use leading to significant distress • At least 3 of the following: • Tolerance • Withdrawal • Substance taken in large amounts over a longer period than was intended • Desire for substance or unsuccessful efforts to control use • Considerable time spent trying to obtain, use, or recover from the substance • Use in place of important activities • Use continues despite physical and psychological problems

6. Stats on Persons who exhibit substance abuse or dependence • Pg. 275 10.1 • Native Americans 20.2% • Hispanic Americans 9.8% • White Americans 9.6% • African Americans 8.3% • Asian Americans 4.7%

7. Jennifer Before and After

8. Joseph Before and After

9. Theresa Before and After

10. Key terms associated with substance abuse • Stages of use • Routes of administration • Experimentation, use, abuse, dependency “addiction” • Tolerance • Withdrawal

11. Group work assignment • Each of you will be given a specific drug • I want you as a group to find out as much info. as you can on this type of drug • Signs, symptoms, treatment, routes of administration, statistics, etc. • You may use your books, web, personal knowledge etc.

12. Case Study Let’s look at this from the different psychological models • Brandon, a 20 year-old African American male • Lives/Grew up on the streets • Member of the Crypts in California • Father died of a heroin drug overdose • Has a girlfriend who is a flight attendant • Rarely keeps in contact with family members • As a gang initiation he had to steal, rape women, assault/battery others, got “beat in” to the gang, and had to sell drugs as his job within the gang • Peer pressure • Starting using drugs at the age of 9 • Committed a crime due to substance-induced psychosis-committed murder (PCP, MJ, alcohol) • Slit the throat of his 4 month nephew he was babysitting • Auditory commands-Tupac • Came from a family from a lower socioeconomic status • Grew up in South Central LA • Remembers hearing/seeing drive by shootings, and witnessed his cousin being shot over a drug deal went wrong • Dropped out of high school • Did not see his mother much growing up bc she was working 3 jobs