Addictions Test 1 Study Guide
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.
