Substance Abuse and Family Dynamics Quiz
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Questions and Answers

Which medication is considered a DA antagonist that helps in the treatment of withdrawal symptoms?

  • Alprazolam
  • Haloperidol (correct)
  • Fluoxetine
  • Diazepam

What is one of the primary functions of opiates?

  • Hallucinogen
  • Appetite suppressant
  • Analgesic (correct)
  • Stimulant

What new treatment approach mentioned involves creating antibodies against cocaine?

  • Benzodiazepine prescriptions
  • Antidepressant medication
  • Chlorpromazine therapy
  • Immunological treatment (correct)

Which of the following is NOT a reported cost associated with methamphetamine use?

<p>Increased school enrollment (D)</p> Signup and view all the answers

What is the main approach the parents in the example demonstrate towards discipline?

<p>Authoritarian style (C)</p> Signup and view all the answers

Which of the following conflict management strategies involves a high concern for oneself and low concern for others?

<p>Competing (D)</p> Signup and view all the answers

In the context of family dynamics, what is described as a source of stress and disequilibrium?

<p>Family life cycle changes (D)</p> Signup and view all the answers

What is a characteristic feature of the family described in the case study?

<p>Disengagement among family members (B)</p> Signup and view all the answers

Which conflict management strategy is characterized by acknowledging the issue but not seeking to resolve it?

<p>Address (D)</p> Signup and view all the answers

What role does social learning theory play in conflict management?

<p>It focuses on learned behaviors from observing others. (A)</p> Signup and view all the answers

Among the listed styles, which one is most effective for achieving mutual goals?

<p>Collaborating (B)</p> Signup and view all the answers

What typically influences the choice of conflict management strategies?

<p>Emotional awareness and volatility (B)</p> Signup and view all the answers

What is most affected in a child's development when a parent is using substances?

<p>Emotional availability (D)</p> Signup and view all the answers

What behavior changes might a child exhibit in response to a parent's substance use?

<p>Maladaptive patterns of behavior (A)</p> Signup and view all the answers

What approach does Jarrah House use to support parents and children together?

<p>Child focused practice (D)</p> Signup and view all the answers

Which motive for drinking is primarily associated with using alcohol to cope with negative feelings?

<p>Coping Motives (B)</p> Signup and view all the answers

What theory suggests that individuals drink alcohol to lower tension and anxiety?

<p>Tension Reduction Theory (D)</p> Signup and view all the answers

Which tool is utilized at Jarrah House to assess parenting skills?

<p>Keys Interactive Parenting Scale (KIPS) (D)</p> Signup and view all the answers

What emotional state do mothers often experience when they arrive at Jarrah House?

<p>Shame about their past decisions (B)</p> Signup and view all the answers

Which factor is not a reason individuals might drink under Coping Motives?

<p>Because it helps when feeling confident (A)</p> Signup and view all the answers

What was a significant event that influenced Sarah's relapse into substance use?

<p>Her husband’s death from a drug overdose (B)</p> Signup and view all the answers

Which of the following best describes Enhancement Motives for drinking?

<p>Drinking to increase positive affect (C)</p> Signup and view all the answers

What is a common outcome associated with Conformity Motives for drinking?

<p>Increased feelings of social acceptance (A)</p> Signup and view all the answers

How do parents at Jarrah House typically feel about their coping strategies?

<p>Overwhelmed and uncertain (B)</p> Signup and view all the answers

What service does Jarrah House provide specifically for mothers?

<p>Therapeutic residential support (D)</p> Signup and view all the answers

Which of the following substances is used to help manage the side effects of acute withdrawal from alcohol?

<p>Valium (D)</p> Signup and view all the answers

Which treatment approach emphasizes spiritual development in overcoming alcohol dependence?

<p>Alcoholics Anonymous (AA) (C)</p> Signup and view all the answers

What is a key factor influencing drinking behavior mentioned for sociocultural factors?

<p>Social gatherings revolving around alcohol (B)</p> Signup and view all the answers

What is a treatment aimed at blocking the desire to drink alcohol?

<p>Naltrexone (A)</p> Signup and view all the answers

What does the right-hand side of the framework visually represent?

<p>Child's development outcomes (D)</p> Signup and view all the answers

Which drinking motive is characterized by drinking to enhance social experiences?

<p>Social Facilitation Motives (A)</p> Signup and view all the answers

What is directly connected to child development outcomes according to the framework?

<p>Parental emotional regulation (A)</p> Signup and view all the answers

How can substance use issues in parents impact their children?

<p>By reducing parental availability (D)</p> Signup and view all the answers

Which of the following is NOT mentioned as a factor affecting parental emotional regulation?

<p>Financial stability (A)</p> Signup and view all the answers

In the context of the theoretical framework, what constitutes the 'child’s development outcomes'?

<p>Emotional, behavioral, psychological health (B)</p> Signup and view all the answers

Which factor is implied to have a direct effect on parents' emotional availability to their children?

<p>Experiencing community pressures (A)</p> Signup and view all the answers

Which statement best reflects the role of parental mental health concerning child development?

<p>It directly influences the emotional well-being of children. (B)</p> Signup and view all the answers

What is a critical area to focus on in student presentations regarding this framework?

<p>Key definitions and major concepts (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Amotivation Syndrome?

<p>Excessive goal setting (D)</p> Signup and view all the answers

When did the production of a prehistoric mixed fermented beverage occur in China?

<p>7000 BC (D)</p> Signup and view all the answers

What is meant by 'Intoxication' as defined in Substance Use terms?

<p>Reversible substance specific syndrome due to substance intake (D)</p> Signup and view all the answers

Which of these factors do NOT influence intoxication?

<p>Person's willpower (A)</p> Signup and view all the answers

What does tolerance refer to in the context of substance use?

<p>Decreased effect of substance with continued use (A)</p> Signup and view all the answers

Which statement is true regarding alcohol use patterns based on the DSM-5 criteria?

<p>Continued use despite interpersonal problems suggests alcohol use disorder (D)</p> Signup and view all the answers

The physician Simeon Seth linked excessive wine drinking with which health issue?

<p>Inflammation of the liver (B)</p> Signup and view all the answers

What is a common effect of substance withdrawal?

<p>Relieving cravings through alternative substances (A)</p> Signup and view all the answers

What is a key characteristic of Substance Abuse as defined in DSM-IV TR?

<p>Can lead to legal issues (D)</p> Signup and view all the answers

What distinguishes alcohol from other psychoactive drugs in Canada?

<p>It is the most common drug used (C)</p> Signup and view all the answers

Flashcards

Methamphetamine Addiction Costs

The annual economic burden of methamphetamine use in the United States is estimated at $23.4 billion. This includes costs related to lost lives, productivity, drug treatment, law enforcement, and crimes committed.

Methamphetamine Withdrawal Symptoms

Withdrawal from methamphetamine can be severe and include symptoms like extreme fatigue, anhedonia (lack of pleasure), intense cravings, and potential for relapse.

Chlorpromazine & Haloperidol for Methamphetamine Withdrawal

Chlorpromazine and Haloperidol are medications used to manage methamphetamine withdrawal symptoms by blocking dopamine receptors. Chlorpromazine is less potent than Haloperidol (50x).

Immunological Treatment for Cocaine Addiction

This approach uses antibodies created against cocaine, which bind to the drug and prevent it from reaching the brain. This can help prevent the effects of cocaine and reduce cravings.

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Opiates' Two Primary Functions

Opiates primarily serve as analgesics (pain relievers) and sedatives (calming agents) due to their effects on the nervous system.

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Tension Reduction Theory

The theory suggests that people drink alcohol to reduce feelings of tension and stress. They believe alcohol will lower anxiety and increase pleasure.

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Expectancy Theory

This theory explains that people's expectations about the effects of alcohol influence their drinking behavior. If they expect alcohol to make them feel good, they are more likely to drink.

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Coping Motives for Drinking

People drink to avoid, escape, or manage negative emotions. They use alcohol as a way to cope with distress.

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Enhancement Motives for Drinking

Individuals drink to increase positive feelings and sensations. They seek to enhance their mood and experience pleasure.

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Social Facilitation Motives for Drinking

People drink to make social interactions more enjoyable and enhance positive social experiences.

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Conformity Motives for Drinking

Individuals drink to avoid social rejection and fit in with a group.

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Antabuse

A medication used to treat alcohol dependence. It blocks the breakdown of alcohol, causing unpleasant side effects if the person drinks.

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Naltrexone

A medication that reduces the cravings for alcohol by blocking the effects of alcohol on the brain.

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Valium & Diazepam

These medications are used to manage the symptoms of alcohol withdrawal, such as anxiety and tremors.

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Alcoholics Anonymous (AA)

A self-help group for people with alcohol dependence. Members provide emotional support and guidance through a 12-step program.

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Amotivation Syndrome

A state characterized by a lack of motivation, low energy, little planning or goal setting, and a general apathy towards activities.

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Alcohol Use Disorder

A pattern of alcohol use that leads to significant problems in a person's life. It is marked by at least two of the listed symptoms within a 12-month period.

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Tolerance (Alcohol)

A physiological adaptation to alcohol where the body needs increasingly larger amounts to achieve the desired effect.

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Withdrawal (Alcohol)

A set of unpleasant physical and mental symptoms that occur when a person who is dependent on alcohol stops or reduces their intake.

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Substance Use

The act of taking a psychoactive drug or substance in moderate amounts without significant interference in one's life.

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Intoxication

A temporary state of impaired functioning caused by a substance. It is reversible and includes things like impaired judgment or slowed reflexes.

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Factors Influencing Intoxication

A variety of factors can influence the level of intoxication from a substance, including dosage, duration of use, tolerance, time since last use, age, weight, gender, food consumption, sleep, medications, expectations regarding the substance, and the environment.

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Alcohol: Ancient History

Alcohol, specifically beer, has a long history, with evidence suggesting its production and consumption in both Egypt and China as far back as 4200 BC and 7000 BC respectively.

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Ancient Warnings about Alcohol

Throughout history, there have been warnings about the dangers of excessive alcohol consumption. Ancient philosophers and scholars like Plato, Aristotle, and Hippocrates highlighted the negative consequences of drunkenness.

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Alcohol Use in Canada

Alcohol is the most commonly used substance by Canadians.

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Family Life Cycle Changes

Shifts in family structure, roles, and responsibilities over time, such as marriage, birth of children, or the departure of children from the home. These changes often lead to stress and readjustment for families.

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Interpersonal Conflict

Disagreements, tension, or hostility between individuals within a family. It can range from minor disagreements to major conflicts.

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Sources of Interpersonal Conflict

Factors that contribute to conflicts, often related to scarce resources like time, money, or attention, or differing values and beliefs.

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Conflict Management Strategies

Approaches to address conflicts effectively, ranging from avoidance to collaboration. They are learned through personal experiences, observations, and cultural influences.

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Competing Conflict Style

A conflict management style focused on asserting one's own needs and goals, often at the expense of others. This style prioritizes winning and achieving personal goals.

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Avoiding Conflict Style

A conflict management style where individuals choose to withdraw or avoid engaging in the conflict, often due to fear of confrontation or a lack of assertiveness.

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Accommodating Conflict Style

A conflict management style where individuals prioritize the needs and desires of others, often at the expense of their own. This style is characterized by being passive and yielding.

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Collaborating Conflict Style

A conflict management style focused on finding solutions that meet everyone's needs and goals. This style promotes open communication and mutual respect for all parties involved.

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Pup Model

The Parents Under Pressure (Pup) model explains the connection between parental stress and child development outcomes, focusing on the impact of parental mental health on child emotional, behavioral, and psychological well-being.

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Parental Emotional Regulation

Parental emotional regulation refers to the ability of parents to manage their own emotions, especially in challenging situations, and to regulate their behavior in a way that promotes positive child development.

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Impact of Parent Stress on Children

Stress on parents, such as substance use issues, mental health challenges, or social disconnection, can impact their emotional availability to their children, leading to negative behavioral and developmental outcomes.

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Developmental Outcomes for Children

This refers to the overall well-being of a child, encompassing their emotional, behavioral, and psychological health and development.

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Community as a Support System

A strong community acts as a buffer against parental stress, providing crucial support networks and resources for parents.

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Substance Use and Mental Health Issues

These issues in parents can directly influence their emotional availability to their children, impacting their development.

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Direct Impact of Parent Stress on Children's Behaviors

When overwhelmed by stress and unable to regulate their emotions, parents may struggle to provide consistent care, which can lead to negative behavioral patterns in children.

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Importance of Early Intervention

Early identification and intervention are crucial for addressing the impact of parental stress on child development, promoting positive outcomes.

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Emotional Availability in Addiction

The parent's capacity to be emotionally present and responsive to their child's needs. This is significantly impacted by substance use, leading to missed cues and inconsistent care.

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Maladaptive Behaviour Patterns in Children of Addicts

Children of parents with substance use disorders often learn unhealthy coping mechanisms by observing and experiencing their parent's behaviour. This can include mimicking the drug use or developing emotional dysregulation.

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Prenatal Exposure to Substance Use

Children exposed to substances while in the womb can experience developmental and health complications due to the drugs affecting the developing fetus.

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Jarrah House - Child-Focused Approach

A residential treatment program for women with substance use disorders and their children. They prioritize building on parental strengths and addressing challenges to strengthen the family unit.

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KIPS (Keys Interactive Parenting Scale)

A tool used by Jarrah House to assess parenting skills and identify areas for improvement in mothers recovering from substance use.

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Shame in Recovery

Parents struggling with substance use often experience shame and guilt associated with their past actions and their impact on their children. It is essential to create a safe space to discuss these feelings and foster hope for the future.

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Benefits of Programs Like Jarrah House

Programs that provide treatment for women with substance use disorders while allowing them to remain with their children offer a vital support system, enabling them to access care and rebuild their lives.

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Child Protection Reports in Addiction Recovery

Concerned professionals may file child protection reports if they believe a child's safety is at risk due to parental substance use. This can occur even when the parent is actively seeking treatment.

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Study Notes

Drug Effects & Drug Interactions

  • Lecture focused on pharmacological properties and drug effects.
  • Topics include: action, when effects are measured, dosage, and route of administration.
  • Dose-response curve describes relationship between drug dose and effect.
  • Shows desired effect, side-effects, and lethal doses.
  • ED50 is the dose required for 50% of the population to respond.
  • LD50 is the dose required for 50% of the population to show a lethal effect.
  • A biphasic curve refers to curves where the effect changes direction, as seen with the effect of alcohol.
  • Non-Specific drug effects are: not specific to the drug’s action, organismic effects, environmental effects.

Organismic Effects

  • Age, weight, biological rhythms, physiological state, genetics, and expectations can influence drug effects.

Environmental Effects

  • Setting of drug use (e.g., alcohol use in a social setting)
  • Placebo effect - an inert treatment that can trigger a response.
  • Nocebo effect - negative expectations can induce symptoms or illness.
  • Placebo effect vs. nocebo effect.

Drug interactions

  • Additive effect - combined effect equals the sum of individual effects.
  • Synergistic effect - combined effect is greater than the sum.
  • Antagonism - combined effect less than the sum (e.g., drugs offset each other)

Tolerance

  • Increased drug amounts to achieve same effect.
  • Different types of tolerance: functional, metabolic, protracted, acute, behavioral, cross-tolerance.

CNS Stimulants

  • Cocaine, Crack (free base or hydrochloride), Amphetamines, Methylphenidate, Methamphetamine.
  • Subcategories include synthetics, pharmaceuticals, and illicit manufacturing.
  • Methylxanthines: caffeine (coffee), theophylline (tea), theobromide (chocolate).

CNS Drug Effects

  • The primary effect is sympathomimetic (similar to amphetamines).
  • Local anesthetic effects can occur when the drug interacts with peripheral neurons.
  • Impacts of use on mood, fatigue, sociability and more.

Cocaine

  • An alkaloid from the Erythroxylon coca plant- indigenous to Western South America.
  • Used in religious, social, and traditional contexts.
  • Produces both a stimulating and anesthetic effect on the body.
  • Cocaine production is discussed (paste extraction and HCL powder).

Cocaine Pharmacodynamics

  • Indirect agonist for dopamine (high affinity), norepinephrine (high affinity), and serotonin (modest affinity).
  • Blocks monoamine re-uptake and increases glutamate.
  • Impacts (moderate dose): alleviation of fatigue; increased resistance to boredom; anorectic effect; elevated mood.
  • Impacts (high dose): altered time perception; increased vigilance; psychomotor stimulation.

Cocaine Withdrawal

  • Symptoms that occur when stopping cocaine use: vivid or unpleasant dreams; depression; intense cravings; stimulant psychosis.

Amphetamines

  • Synthetic analog of ephedrine
  • Effects include increased alertness, energy, focus, thirst suppression, and "rush."
  • Long term effects - tolerance, psychological effects/dependence.

Methamphetamine

  • Derivation from amphetamines.
  • Effects: dental problems, malnutrition, skin infections; heart failure, psychosis.

Opiates

  • Analgesics (pain reducing) and sedatives.
  • History: Sumerians, Egyptians, Greeks, Middle East.
  • Includes morphine, codeine, meperidine, Methadone, Talwin, Fentanyl, Heroin, Percodan, Vicodin, Darvon.
  • Pharmacokinetics: discussion of administration, absorption, distribution, metabolism, and excretion.
  • Heroin rapidly converts to Morphine in the brain.
  • Key difference between Morphine and heroin, regarding lipid solubility and brain penetration.

Endorphins

  • Neuropeptides that function as neurotransmitters.
  • Interact with opioid receptors (mu, kappa, and delta).
  • Process pain stimuli (natural pain killers).
  • Two classes of endorphins: endorphins, Enkephalins, and Dynorphins.
  • These are natural chemicals that bind to the opioid receptors in the brain.

Opiate Effects

  • Analgesia, respiratory depression, excitement.
  • GI tract impairment, and euphoria.
  • Tolerance: functional tolerance, down-regulation of endorphin/receptor system, and induction of drug metabolizing enzymes in the liver.

Cannabis

  • History: Medicinal, recreational, and cultural use.
  • Key chemical - Delta-9-Tetrahydrocannabinol (THC) and Cannabidiol (CBD).
  • Forms include: smoked, chewed, eaten, vaped, and topical use.
  • Absorption is rapid via lungs (if smoked), slow otherwise.
  • Effects and duration of effects.

Alcohol

  • Originated from the fermentations of grain, honey or fruit
  • Warnings regarding alcohol and harmful use through the ages.
  • Historical use in different communities.
  • DSM-5 criteria, including impaired control, social impairment, risky use, and pharmacological criteria.
  • Biological causal factors, psychological vulnerabilities and social influences on drug use.
  • Tolerance, physiological dependence or addiction.

Family

  • Family defined by a variety of factors (structure, function, relations).
  • Structural and functional definitions vary: • structural - who lives in the household, legal contacts, blood relations. • functional - relationship in the family, sharing resources, and commitment to/ identification with other family members
  • Family cycle, issues can arise.
  • Different approaches to family functioning across cultures.
  • Stages of family development, including single young adult, couple, family with children, family with adolescents, launching grown children, and family in later life.
  • Biological, psychological and social perspectives on the causes of parental substance abuse and its outcomes for families.

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Description

Test your knowledge on the impacts of substance abuse, specifically methamphetamine, and its associated costs. This quiz also delves into family dynamics, conflict management strategies, and social learning theory. Engage with various concepts surrounding addiction treatment and family discipline approaches.

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