Addictions Test 1 Study Guide

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Addiction and prison numbers

80% of people behind bars have problems with addictions

Jellinek's 5 types of alcoholics (Curve)

Alpha, Beta, Gamma, Delta, and Epsilon; Curve only depicts Gamma alcoholic

Differences between DSM-IV and DSM-5

DSM-5 no longer dichotomy between abuse and dependence; addiction preferred over dependence, addiction now seen as continuum; gambling now considered in 5

substances originated and which ones are produced

Marijuana (Mexico), Cocaine (Columbia), Opioids (China)

American history of alcohol, prohibition, etc.

More beer than water on Mayflower, Used for varieties of reasons, prohibition was a failure, great depression created need for jobs, double cross

Puritans and the Temperance Movement

Puritans saw alcohol as blessing from God. Drinking became a disruptive force so Dr. Benjamin Rush suggested medical treatment for chronic "inebriates". It was about moderation.

Criterion for diagnosis of Substance Use Disorder

Requires 2 of the following: tolerance, inability to stop, withdrawal problems, excessive spending or effort, use more than intended, to obtain, reduced involvement, continued use

Strengths perspective

Treatment; instead of putting someone down, you bring them back up

Historical Groups on alcohol

Wine was made in the Middle East,Greeks made wine, Islam condemns all alcohol, Rome had self indulgence

concept of addiction

behavior pattern of compulsive substance abuse

Project Match research

confirms the effectiveness of diverse treatments. New measure for recovery is improvement, not total abstinence

various addictive behaviors

eating, shopping, video games

Harm reduction as policy

opposes the criminalization of drug use and views substance misuse as a public health rather than criminal justice concern.

Forms of Harm Reduction

policy and practitioner

Harm Reduction

set of practical strategies and ideas aimed at reducing negative consequences associated with drug use (any positive change)

Harm reduction as practitioner

umbrella term for a set of practical strategies based on motivational interviewing and other strengths-based approaches to help people help themselves by moving from safer use, to managed use, to abstinence, if so desired.


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