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Is Addiction a Disease?
Overview
38
Accounting
Pre-School
03/25/2013

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Term
The continued use of the drug despite negative consequences
Definition
drug abuse
Term
the bridge between abuse and addiction
Definition
Compulsion
Term
Symptoms have never met the criteria for dependence
Definition
Substance Abuse
Term
"I'm a town drunk"--- three or more within 12 months
Definition
DSM-IV criteria for Substance Dependent
Term
seek intoxicants in the wild: Marula tree?
Definition
elephants
Term
seek intoxicants in the wild: Eucalyptus
Definition
koala bear
Term
seek intoxicants in the wild: green/yellow lichen
Definition
Bighorn sheep
Term
seek intoxicants in the wild: opium poppies
Definition
water buffalo
Term
The "Disease Model"
Definition
Organ --> Defect --> Symptoms of Disease
Term
Incarceration in the US
Definition
highest rate per capita in the world (2.3 million); 1/100 behind bars
Term
higher functions- maintain control over the rest of the brain; planning, motivating action, memory, emotion, also communicates with the REWARD SYSTEM
Definition
Prefrontal Cortex
Term
collection of neurons located in the forebrain; close associations with the VTA; Functions: Reward,s Salience, Laughter/pleasure, preservation
Definition
Nucleus Accumbens (NAcc)
Term
located in the midbrain atop the brainstem, one of the most primitive parts of the brain, synthesizes DA and transports to NAcc via axons
Definition
Ventral Tegmental Area (VTA)
Term
Rats preferentially self-administer stimuli to the Reward Centers
Definition
of the Midbrain
Term
The Midbrain is your SURVIVAL brain; it handles:
Definition
eat! kill! (defend) sex! drug!
Term
dysregulation of the midbrain dopamine system (pleasure center) resultling in the symptoms of decreased brain functioning, specifically: loss of control, craving/suffering, persistent drug use despite negative consequences
Definition
Addiction
Term
something stands out against the landscape of life, predominating over all other stimuli; cues for BOTH pleasure and pain send DA coursing through the NAc to attract our attention --> Survival mechanism
Definition
Salience
Term
With each use, DA floods the system: (The cycle)
Definition
reinforcing the memory, pushing other stimuli into the background
Term
Animal studies: dendrites in the NAc bloom -->
Definition
increasing synaptic connections; changes can remain in place for months to years
Term
DA floods the system (the progression)
Definition
reinforcing memory, pushing other stimuli into the background, the midbrain becomes less affected by the frontal cortex
Term
The volume of the frontal cortex is "dialed down" (progression)
Definition
reduction in grey matter, damage to neurons, reduction in metabolic capacity, downward spiral of loss of control
Term
cocaine, amphetatamines stimulate the release of
Definition
Dopamine
Term
LSD stimulates release of
Definition
serotonin (SER)
Term
heroin stimulates release of
Definition
endorphins (END)
Term
benzodiazepines stimulates
Definition
GABA
Term
nicotine stimulates
Definition
acetylcholine (ACH)
Term
alcohol stimulates
Definition
glutamate (GLU) and (GABA)
Term
marijuana stimulates
Definition
endocannabinoids (ENCB)
Term
associated with decreased DA receptors in the midbrain
Definition
D2R2 allele
Term
attributable to genetic factors
Definition
about 40-60% of the vulnerability to addiction
Term
The prevalence of addiction (all substances) in the population is approximately
Definition
10-15%
Term
The hippocampus is very important in the cycle of addiction because
Definition
it facilitates the storage of specific memories related to drug use
Term
Good example of a correlation between non-human animal and human neuro and neuroendocrine changes
Definition
hamster menstrual cycle synchronization and the Wellesley effect
Term
When Dr. Olds began his experiments with rodents and brain stimulation, the thinking was that addication was "centered" in the frontal cortex. His experiments:
Definition
suggested that addiction was "centered" in the midbrain
Term
There is no one gene responsible for addiction; however _____ % of vulnerability to addiction is attributable to genetics
Definition
40-60%
Term
Different addictive drugs cause different overt effects. For example, cocaine is very stimulating and oxycodone is typically sedating. However, addictive drugs seem to cause what common neural effect?
Definition
They all stimulate dopamine in the midbrain
Term
Coffee
Definition
is not truly addictive; is not associated with significant dopamine secretion from the midbrain; and though has a minor withdrawal is not typically with an unrelenting mental compulsion to drink it
Term
Used mind-altering substances
Definition
George W. Bush, William J. Clinton, John F. Kennedy
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