1. WHY A FOCUS ON ADDICTIVE BEHAVIORS?
Study of Drug Use and Misuse Important
A part of life in our culture - pervasive
Affects everyone: we all have choices to make about what we do and don’t do, what we ingest and what we avoid
Can have harmful consequences for individual, family, community, and society
Substance use disorders are both preventable and treatable
We are constantly being presented with information about licit and illicit substances and activities - how do we evaluate it?

2. OVERARCHING PRINCIPLES
Study of Drug Use and Misuse has Experiential and Scientific Basis
Drugs are Neither Good Nor Bad: Context
The Continuum: Drug Use, Misuse, and Dependence
All Drugs and Potentially Addictive Behaviors Have a History and Cultural Context
e.g., religious, spiritual usage; use for health / medical reasons

3. Drug Use, Misuse, and “Addiction”
What is a drug?
What is an addiction? An addict?
___________
Themes associated with “addiction”
Conceptions and definitions vary

4. Drug Use by High School Seniors
Figure 1-1
1-2

5. SUBSTANCE USE DISORDERS:
DSM-IV CRITERIA FOR SUBSTANCE DEPENDENCE
- need at least 3 of the following within 12-month period
-symptoms present at least 1 month or occur repeatedly over time
Tolerance
(physical dependence present)
Withdrawal
Substance taken in larger amounts or over a longer period than intended (loss of control)
Persistent desire, or unsuccessful efforts, to cut down or control substance use

6. CRITERIA FOR SUBSTANCE DEPENDENCE (con’t)
Much time spent in activities needed to obtain, use, and recover from the substance
Important social, family, school, work, or recreational activities are given up or reduced because of the substance use
Substance use is continued despite knowing that physical or psychological problems are likely to be caused or exacerbated by the substance

9. College binge drinking
Harvard College Alcohol Study:
43% binge drank in prior 2 weeks (48% men; 39% women)
about 65% of the members of frats/sor. Binged
Reasons for drinking
“get drunk” 39% 52%
READ: Alcohol in the Lives of College Women