Exam 1: Definitions and Epidemiology of Substance Use, Abuse, and Disorders

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With the current trend in tobacco use, which scenario below do you predict will likely happen within the next ten years?

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According to the American Psychiatric Association APA), substance abuse and substance dependence are both defined as "a maladaptive pattern of substance use leading to clinically significant impairment or distress." How does the APA differentiate between substance abuse and substance dependence? How would you succinctly define each term?

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The American Psychiatric Association (APA) differentiates between substance abuse and substance dependence based on the severity and impact of the individual's substance use.

Substance abuse is defined as a maladaptive pattern of substance use that leads to clinically significant impairment or distress, but does not necessarily involve physical dependence on the substance. This may include recurrent use in situations that are physically hazardous, legal problems related to substance use, or continued use despite social or interpersonal problems caused by the substance.

Substance dependence, on the other hand, is characterized by a more severe and chronic pattern of substance use, leading to physiological dependence and tolerance. This means that the individual experiences withdrawal symptoms when they stop using the substance, and they require increasing amounts of the substance to achieve the desired effects.

In summary, substance abuse involves problematic substance use that leads to impairment or distress, while substance dependence involves a more severe and chronic pattern of use, leading to physical dependence and tolerance.

Using your own words, compare and contrast the following terms: heavy drinking, problem drinking, alcoholism, binge drinking, alcohol abuse, alcohol addiction. How would you describe responsible drinking? Chapter 2 The Etiology of Addiction

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Heavy drinking, problem drinking, alcoholism, binge drinking, alcohol abuse, and alcohol addiction are all related to excessive alcohol consumption, but they have different meanings and implications.

Heavy drinking refers to consuming a large amount of alcohol on a regular basis, often exceeding the recommended limits for moderate drinking. Problem drinking is a broader term that encompasses any drinking behavior that causes negative consequences in a person's life, such as health problems, relationship issues, or legal troubles.

Alcoholism, also known as alcohol use disorder, is a chronic disease characterized by a strong craving for alcohol, loss of control over drinking, and withdrawal symptoms when not drinking. Binge drinking involves consuming a large amount of alcohol in a short period, typically leading to intoxication.

Alcohol abuse refers to a pattern of drinking that leads to harm or distress, while alcohol addiction involves physical and psychological dependence on alcohol. Responsible drinking, on the other hand, involves consuming alcohol in moderation and being mindful of the potential risks and consequences. This may include setting limits on the amount of alcohol consumed, avoiding drinking and driving, and being aware of the effects of alcohol on one's health and well-being. Responsible drinking also involves being aware of one's own tolerance and knowing when to stop drinking to avoid negative outcomes.

Which phrase shows the correct ranking of drug use over a lifetime for all races and ages, from most to least used?

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According to Jellinek and Bowman, chronic alcoholism includes .

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Which drugs continue to be the most popular with young users?

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What is the best rationale for calling alcoholism a disease?

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Suppose you suspect a 15 year old of using drugs. What is the most likely drug he is using, given that this drug was the most commonly used drug among 14 and 15 year olds in 2007?

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Reviewing the list of drugs in Table 1-1, consider your impressions about drug use by 8th graders. Then analyze the lifetime use of drugs by 8th graders given in the table. Excluding the data for Illicit Drugs, rank the five most-used drugs and the five least-used drugs. Explain your reaction to these rankings based on your impressions before your analysis. Do any of the data surprise you? Do they align with your impressions before analysis?

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Marijuana was once legal in the United States but was prohibited in 1937. Some states currently allow the use of marijuana for medicinal purposes. What are some of the historical uses for marijuana in Mexico that might also justify medicinal use today?

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A 45-year-old woman you know drinks two alcoholic beverages every night after work. She gets up the next morning for work and performs her duties successfully. She does not suffer from any physical or psychological problems. She does not drink on weekends. This woman is definitely .

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Narcotics______the central nervous system.

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defines) both alcoholism and drug addiction as diseases.

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Eighty-five percent of general practitioners agreed that alcoholism was a disease, whereas only 50 percent of medical school faculty did. What prediction might you make based on this statement?

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Present an argument either for or against the legalization of marijuana. Consider the statistics and other information provided in this chapter. You may use your knowledge of the issue outside of the information presented in the chapter. For example, consider the validity of marijuana as a "gateway" drug to other, more dangerous drugs. Also consider the historical and current uses of marijuana.

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Which phrase describes the illicit use of a legal drug?

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A 45-year-old man you know drinks three alcoholic beverages every night after work. He gets up the next morning for work and performs his duties successfully. He has high blood pressure and gout but does not suffer from any other physical or psychological problems. He does not drink on weekends. This man is .

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Fetal alcohol syndrome is a pattern of defects that can develop in a fetus in association with high levels of alcohol consumption during pregnancy, but not all women who drink alcohol during pregnancy give birth to babies with fetal alcohol syndrome. What is the best advice regarding alcohol for women who are pregnant?

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According to Jellinek and Bowman, alcohol addiction is a disorder characterized by an) .

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Dramatize a short scene in which a parent is speaking to his or her high school student to discourage the student's use of alcohol or illicit drugs. Use the statistics in this chapter to fortify your script. Then explain the difficulties that a parent might encounter in trying to talk to a child about alcohol or illicit drug use. Consider the difficulties you had in writing your script.

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