1. Substance Use and Abuse
2/19/2019
Substance Use and Abuse
Dr. Alan H. Teich
Chap 7 - Sarafino

2. Substance Abuse Addiction Substance Abuse: Physical Dependence
2/19/2019
Substance Abuse
Addiction
Physical Dependence
Psychological Dependence
Substance Abuse:
clear, persistent pattern of pathological use
abuse has led to at least one of the following:
missing obligations
putting self or others at risk
legal difficulties
serious social or interpersonal problems

3. Why People Smoke Starting smoking Regular smoking
2/19/2019
Why People Smoke
Starting smoking
Psychosocial pressures during teen years
Regular smoking
4th cigarette predicts regular smoking
Parent, sibling, or friends who smoked
Perceived lack of parent concern
Peer pressure
Positive attitudes about smoking
Attitude that smoking would not harm health
Psychological reasons
Heredity

4. 2/19/2019
Nicotine
Nicotine Regulation Model
Biobehavioral Model

5. Smoking & Health Cancer Cardiovascular Disease COPD CHD & Stroke
2/19/2019
Smoking & Health
Cancer
Cardiovascular Disease
CHD & Stroke
COPD

6. Preventing Smoking Public Health Approaches School Programs
2/19/2019
Preventing Smoking
Public Health Approaches
School Programs
Psychosocial Perspective
Social Influence Approaches
Life Skills Training

7. Quitting Smoking “Cold Turkey” Oral substitutes
2/19/2019
Quitting Smoking
“Cold Turkey”
Oral substitutes
Alone or with buddy system
Use cognitive strategies
Reinforcers and punishers “

8. Treatments for Quitting Smoking
2/19/2019
Treatments for Quitting Smoking Rx
Aversion therapies
Self-management approaches Rx

9. Succeeding at Quitting Smoking
2/19/2019
Succeeding at Quitting Smoking
Relapse prevention
Stress
Social support
Beliefs and attributions
lapses: abstinence violation effect (AVE)
Fears of weight gain

10. Why People Use and Abuse Alcohol
2/19/2019
Why People Use and Abuse Alcohol
Starting to drink
social and cultural factors
learning
Problem drinkers
Heredity

11. Drinking Alcohol and Health
2/19/2019
Drinking Alcohol and Health
Problems
Light / moderate drinking
lower morbidity & mortality

12. Tx for Alcohol Abuse Programs: abstinence or control? AA
2/19/2019
Tx for Alcohol Abuse
Programs: abstinence or control? AA
Insight Therapy
Cognitive-Behavioral Methods

13. Tx Issues Considerations Relapse Cost Matching Tx to the individual
2/19/2019
Tx Issues
Considerations
Cost
Matching Tx to the individual
Relapse

14. Drug Use and Abuse Types and Effects of Drugs
2/19/2019
Drug Use and Abuse
Types and Effects of Drugs
Stimulants: produce physiological and psychological arousal
Depressants: decrease arousal and increase relaxation
Hallucinogens: produce perceptual distortions
Narcotics: opiates that relieve pain

15. 2/19/2019
Who Uses Drugs and Why?
Age
Gender
Sociocultural Differences

16. Preventing and Stopping Drug Abuse
2/19/2019
Preventing and Stopping Drug Abuse
Teach resistance (“Just say ‘NO!’”)
Most promising treatments include behavioral and cognitive methods
For narcotic addiction, chemical treatment may be necessary such as methadone