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Addiction Treatment covers the biological, psychological, and social aspects of alcoholism,
eating disorders, compulsive gambling, and other addictions. The authors bridge the
gap between the popular twelve-step and harm-reduction approaches, thus illuminating
how practitioners can guide clients down a trusted path that is tailored toward the
clients particular needs. Through a number of first-person narratives about the
experience of addiction, students will discover a realism and depth not commonly
found in textbooks. In addition, the authors include student-friendly topics to draw
students into the material and illustrate the importance of reducing harm within the
biopsychological framework that ties the text together.
3
As a warning to addiction specialists, Volkow (2011) provides basic information on
CHAPTER
ISBN: 978-1-337-28407-3 a powdery stimulant drug that is sold in a small can, called bath salts. These chemicals
act in the brain like stimulant drugs (indeed they are sometimes touted as cocaine substi-
Substance Misuse,
tutes); thus they present a high abuse and addiction liability. These products, as Volkow
warns, have been reported to trigger intense cravings. They can also confer a high risk for
Printed Text + MindTap Helping other medical adverse effects. Some of these may be linked to the fact that, beyond their
Dependence, and
known psychoactive ingredients, the contents of these bath salts are largely unknown,
Professions, 1 term (6 months) which makes the practice of abusing them, by any route, that much more dangerous.
Bath salts have already been linked to an alarming number of emergency room (ER)
the Body
2014 Cengage Learning. All Rights Reserved. This content is not yet final and Cengage Learning
Instant Access
visits across the country (Join Together Staff, 2011). Doctors and clinicians at U.S. poi-
son centers have indicated that ingesting or snorting bath salts can cause chest pains,
increased blood pressure, increased heart rate, agitation, hallucinations, extreme para-
ISBN-13: 978-1-337-53694-3
2014 Cengage Learning. All Rights Reserved. This content is not yet final and Cengage Learning
LEARNING OBJECTIVES sonnel of synthetic substances such as bath salts and others with names such as Spice and
LO7 To discuss individual differences, often genetic, related to susceptibility to alcoholism and other drug
addiction. Cannabis (Marijuana)
Although cannabis at high doses possesses some of the properties of hallucinogens and
The golden age of brain research is right now. at low doses some of the properties of depressants, the DSM-5 (APA, 2013) has a sep-
David Linden (2011, p. 5) arate category for this drug due to its unique behavioral effectscannibis use disorder.
The plant Cannabis sativa (latin for cultivated hemp) grows wild throughout much of
Just imaginea generation of Americans trading in martinis for meds! the tropical and temperate zones of the world (Abadinsky, 2014). Cannabis sativa is the
hemp plant and has varying potency depending on the type of plant, the climate, and the
soil. There is evidence that cannabis was cultivated at Jamestown by the early settlers for
Updated
If you down to reflect
a scotch and soda, the DSM-5,
take a drag of a cigarette, or snort cocaine, trillions
of potent molecules surge through your bloodstream and into your brain. If you inject
the hemp fibers used in rope (Doweiko, 2015). Known variously as Indian hemp, reefer,
marijuana, pot, or grass, cannabis can be smoked in pipes or in a cigarette called a joint,
thisaonds.
edition
drug includes
such as heroin or meth directlythe
into the veins, you get a rush within 30 sec-
Whatever the chosen method of ingestionswallowing, inhaling, or injecting eaten (as in brownies), or drunk.
latest insights into social
psychoactive drugs are absorbed into the bloodstream and carried to the central nervous
system. Unlike many other drugs, such as penicillin, these kinds of drugs pass the blood
hashish is the resin obtained from the flowering tops of the female plant; it is consid-
erably more potent than marijuana (Room, fischer, et al., 2010). Tetrahydro-cannabinol
determinants of health,
brain barrier and cause the release of neurotransmitters (feel-good chemicals) in the brain
(Abadinsky, 2014). Eventually, drugs are detoxified by metabolic processes or eliminated
(ThC), the psychoactive ingredient in marijuana, has been found, in large amounts, in
imported products as well. After marijuana is smoked, the ThC is absorbed by the lungs;
trauma-informed care,
from the body as waste material (Jung, 2010). the longer the smoke is held in the lungs, the higher the dose (Maisto et al., 2015). Smoking
populations, and other ers blood glucose levels, pot smokers often develop voracious appetites. Another possible
timely topics.
43308_ch03_rev03_089-150.indd 91 9/13/16 5:40 PM
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