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© 2011 McGraw-Hill Higher Education. All rights reserved.

Drug Use: An Overview

Chapter 1

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Talking About Drug Use

  • Who is taking the drug?
  • What drug are they taking?
  • When and where is the drug being used?

© 2011 McGraw-Hill Higher Education. All rights reserved.

Talking About Drug Use

  • Why is the drug being used?
  • Vicodin prescribed for pain relief vs. Vicodin used for pleasurable feelings
  • How is the drug being taken?
  • Chewing coca leaves vs. snorting cocaine
  • How much of the drug is being used?
  • Two beers vs. ten shots of tequila

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Four Principles of Psychoactive Drugs

  • Both the size and the quality of a drug’s effect depend on the amount the individual has taken
  • The effects of any psychoactive drug depend on the individual’s history and expectations
  • Drugs, per se, are not good or bad
  • Every drug has multiple effects

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Key Concepts and Definitions

  • Drug
  • Any substance, natural or artificial, other than food, that by its chemical nature alters structure or function in a living organism
  • Psychoactive drug
  • A drug that specifically affects thoughts, emotions, or behavior
  • Illicit drug
  • A drug that is unlawful to possess or use

© 2011 McGraw-Hill Higher Education. All rights reserved.

Key Concepts and Definitions

  • Deviant drug use
  • Drug use that is not common within a social group and is disapproved of by the majority
  • Drug misuse
  • Use of drugs or chemicals in greater amounts than prescribed by a doctor, or for purposes other than, those intended by the manufacturer
  • Drug abuse
  • Substance use in a manner, an amount, or in situations such that it causes social, occupational, psychological, or physical problems

© 2011 McGraw-Hill Higher Education. All rights reserved.

Key Concepts and Definitions

  • Drug dependence
  • A more precise term than addiction
  • A state in which an individual uses a drug so frequently or consistently that it would be difficult for the person to stop
  • May be physiological and/or psychological

© 2011 McGraw-Hill Higher Education. All rights reserved.

Humans and Drugs
Throughout History

  • Enhancing spiritual experiences
  • Major economic roles in societies past
  • Development of legal pharmaceuticals
  • Beginnings of the “war on drugs”
  • Today’s economic impact of psychoactive drugs

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Extent of Drug Use

  • Not easy to get accurate information on
  • Number of drug users
  • How much is imported and sold
  • Usage of even alcohol, tobacco, and prescription drugs

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Marijuana use among persons ages 12-25, by age group:
1971-2006 (National Survey on Drug Use and Health)

In 2008 the percentage use for the age groups of 18-25 and 12-17 remained the same as they were in 2005; 16.5% and 6.7% respectively.

© 2011 McGraw-Hill Higher Education. All rights reserved.

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Figure 1.2 from text

© 2011 McGraw-Hill Higher Education. All rights reserved.

Trends in reported drug use within the past 30 days for young adults ages 18 to 25 (National Survey on Drug Use and Health)

© 2011 McGraw-Hill Higher Education. All rights reserved.

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Figure 1.3 from text

© 2011 McGraw-Hill Higher Education. All rights reserved.

Correlates of Drug Use

  • Correlate = a variable that is statistically related to another variable, such as drug use
  • IMPORTANT: Correlates are not causes
  • Socioeconomic status does not correlate well with drug use
  • Personality problems are poor predictors of drug use

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Correlates of Drug Use

  • Risk factors include:
  • Community, parental, and peer attitudes and behaviors
  • Antisocial/problem behaviors
  • Poor school performance
  • Protective factors include:
  • Involvement in religious activities
  • Perceived risk of drug use

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Limitations of Correlation Studies

  • Does smoking marijuana cause the user to get lower grades? Or is it the kids who are already getting low grades who are more likely to smoke marijuana?

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Antecedents of Drug Use

  • Antecedent = a factor that occurs before an event such as the initiation of drug use
  • Still not labeled “causes”
  • Examples of antecedents
  • Aggressiveness
  • Conduct problems
  • Poor academic performance
  • Attachment to a drug-using peer group
  • Parental and community norms that support drug use

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Gateway Substances

  • Alcohol and tobacco are sometimes considered gateways to the use of illicit drugs

  • Gateway substances are perhaps best thought of as early indicators of a basic pattern of deviant behavior resulting from a variety of risk factors

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Motives for Drug Use

  • We all do things that we know, logically, we should not do
  • Eating too much
  • Driving too fast
  • Drinking too much
  • Identification with a deviant subculture is a key factor
  • Fads and cultural trends influence what drugs are used

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© 2011 McGraw-Hill Higher Education. All rights reserved.

Motives for Drug Use

  • Characteristics of drugs can reinforce their use
  • Altered states of consciousness

  • Societal, community, and family factors play an important role in whether an individual tries a drug

  • Drug factors play an important role in whether an individual continues to use a drug

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