Practice Principles and Pharmacology - Eastern Illinois …实践原则和药理学-伊利诺斯东部….ppt

Practice Principles and Pharmacology CSD 5970 Counseling the Chemically Dependent Review We can’t separate ourselves from our history! What we see depends on the lenses that we use (including treatment orientation). Have we learned from our experience with prohibition? Treatment, Self-Help, and Recovery Substance Abuse Practice Designated treatment facilities Health care Child welfare Financial assistance Mental health Anywhere people seek help! Today Some definitions Pharmacology Substance Abuse Practice Personal Bias and Perspective Challenges for recovering folks Challenges for non-recovering folks Challenges for everyone Some Terms Use Misuse Abuse Addiction Habituation Dependence Use From Lawson and Lawson The intake of a chemical substance into the body with the goal of somehow altering one’s state of consciousness. (Use may or may not cause problems) Misuse Using a chemical with some physically, psychologically, socially, or legally adverse consequence (often carries moral implications). Cultural Implications? Abuse Chronic, recurrent misuse of chemicals. (This term should, perhaps, be left for such situations as child abuse, animal abuse, and self-abuse. The term chemical abuse tends to anthropomorphize chemicals by making them the object of the abuse) Abuse DSM IV criteria. Failure to fulfill a major life function. Use in situations where it is physically hazardous. Persistent or recurrent social or interpersonal problems caused or exacerbated by the effect of the substance. Recurrent legal problems related to the substance. Addiction A cellular change that occurs with increased use of most depressant drugs. The primary clinical features are the development of tolerance and the development of withdrawal symptoms upon removal of the drug. Habituation The repetition of behavior. (This behavior is often anxiety reducing for the individual) Dependence Physical dependency is much the same as addiction. Psychological dependence is a state that oc