1. Copyright Prentice Hall 2004 Abnormal Psychology Fourth Edition Oltmanns and Emery

2. Copyright Prentice Hall 2004 PowerPoint Presentation Prepared By Fred W. Whitford Montana State University

3. Copyright Prentice Hall 2004 Chapter 11 Substance Use Disorders This multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission of any image over a network; preparation of any derivative work, including the extraction, in whole or in part, of any images; any rental, lease, or lending of the program.

4. Copyright Prentice Hall 2004 Substance DependenceSubstance Dependence Substance AbuseSubstance Abuse –Addiction Drug AbuseDrug Abuse –Psychoactive Substance Polysubstance AbusePolysubstance Abuse*Overview

5. Copyright Prentice Hall 2004 Case Study:Case Study: –Ernest Hemingway’s Alcohol Dependence *Overview

6. Copyright Prentice Hall 2004* Commonly Abused Drugs

7. Copyright Prentice Hall 2004 The Concept of Substance DependenceThe Concept of Substance Dependence –Tolerance and Withdrawal ToleranceTolerance –Metabolic Tolerance –Pharmacodynamic Tolerance –Behavioral Conditioning Mechanisms WithdrawalWithdrawal –Delirium Tremens * Typical Symptoms and Associated Features

8. Copyright Prentice Hall 2004* Comparison of Various Psychoactive Substances

9. Copyright Prentice Hall 2004 AlcoholAlcohol –Short Term Effects –Consequences of Prolonged Use and Abuse NicotineNicotine –Short Term Effects –Consequences of Prolonged Use and Abuse * Typical Symptoms and Associated Features

10. Copyright Prentice Hall 2004 Amphetamine and CocaineAmphetamine and Cocaine –Short Term Effects –Consequences of Prolonged Use and Abuse OpiatesOpiates –Short Term Effects –Consequences of Prolonged Use and Abuse * Typical Symptoms and Associated Features

11. Copyright Prentice Hall 2004 Brief Case Study:Brief Case Study: –Feelings After Injecting Heroin * Typical Symptoms and Associated Features

12. Copyright Prentice Hall 2004 Barbiturates and BenzodiazepinesBarbiturates and Benzodiazepines –Short Term Effects –Consequences of Prolonged Use and Abuse * Typical Symptoms and Associated Features

13. Copyright Prentice Hall 2004 CannabisCannabis –Marijuana –Hashish –Short Term Effects –Consequences of Prolonged Use and Abuse * Typical Symptoms and Associated Features

14. Copyright Prentice Hall 2004 Hallucinogens and Related DrugsHallucinogens and Related Drugs –MDMA –LSD –PCP –Short Term Effects –Consequences of Prolonged Use and Abuse * Typical Symptoms and Associated Features

15. Copyright Prentice Hall 2004 Brief History of Legal and Illegal SubstancesBrief History of Legal and Illegal Substances DSM-IV-TRDSM-IV-TR –Substance Dependence –Substance Abuse *Classification

16. Copyright Prentice Hall 2004 Proposed SubtypesProposed Subtypes Course and OutcomeCourse and Outcome Other Disorders Commonly Associated with AddictionsOther Disorders Commonly Associated with Addictions*Classification

17. Copyright Prentice Hall 2004 Prevalence of Alcohol Abuse and DependencePrevalence of Alcohol Abuse and Dependence –Gender Differences Prevalence of Drug and Nicotine DependencePrevalence of Drug and Nicotine Dependence Risk for Addiction Across the Life SpanRisk for Addiction Across the Life Span*Epidemiology

18. Copyright Prentice Hall 2004 Brief Case Study:Brief Case Study: –Ms E. *Epidemiology

19. Copyright Prentice Hall 2004 Social FactorsSocial Factors Biological FactorsBiological Factors –Genetics of Alcoholism Twin StudiesTwin Studies Adoption StudiesAdoption Studies* Etiological Considerations and Research

20. Copyright Prentice Hall 2004 Neuroanatomy and NeurochemistryNeuroanatomy and Neurochemistry Dopamine and Reward PathwaysDopamine and Reward Pathways Endogenous Opioid PeptidesEndogenous Opioid Peptides –Endorphins –The Serotonin Hypothesis * Etiological Considerations and Research

21. Copyright Prentice Hall 2004 Research Close-Up:Research Close-Up: –The Swedish Adoption Studies * Etiological Considerations and Research

22. Copyright Prentice Hall 2004 Psychological FactorsPsychological Factors –Expectations About Drug Effects –Attention Allocation Integrated SystemsIntegrated Systems* Etiological Considerations and Research

23. Copyright Prentice Hall 2004 Research Methods:Research Methods: –Risk, Risk Factors, and Studies of High-Risk Samples * Etiological Considerations and Research

24. Copyright Prentice Hall 2004 DetoxificationDetoxification Medications During RemissionMedications During Remission Self-Help Groups: Alcoholics AnonymousSelf-Help Groups: Alcoholics Anonymous*Treatment

25. Copyright Prentice Hall 2004 Cognitive Behavior TherapyCognitive Behavior Therapy –Coping Skills Training –Relapse Prevention Abstinence Violation EffectAbstinence Violation Effect –Short-Term Motivational Therapy *Treatment

26. Copyright Prentice Hall 2004 Brief Case Study:Brief Case Study: –Relapse to Heroin Use *Treatment

27. Copyright Prentice Hall 2004 Outcome Results and General ConclusionsOutcome Results and General Conclusions*Treatment

28. Copyright Prentice Hall 2004 Getting HelpGetting Help*Treatment