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PSY 335A Drugs and Behavior

Three credit hours

Fall Semester, 2004 at Houghton College

Paul Young, Department of Psychology

1:15 - 2:30 p.m. Tuesday and Thursday

Office: Academic Building B - 324 Phone: 567-9308

On Campus extension: 3080 e-mail: paul.young@houghton.edu

Office hours: 2:15 - 3:05 p.m. MWF; 10 - 10:50 a.m. TR; or by appointment

Professor's schedule

For a printer-friendly copy of the syllabus, click here.

 

Course Description

Principles of action and categorical analysis of psychoactive drugs; their physiological, psychological, and societal effects; patterns and causes of their use and abuse in individuals and societies; and systems of drug education.

Course Syllabus

General objectives. To understand and be able to compare

  • the major categories of psychoactive drugs;
  • their physiological, psychological, and societal effects;
  • patterns and causes of their use and abuse in individuals and societies; and
  • systems of drug education.
Learning outcomes. At the end of this course, you should be able to
  • predict the likely effect on behavior of various psychoactive substances;
  • identify drugs by their physiological, psychological, and social effects on human beings, and
  • evaluate their potential for abuse.
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General course arrangement.

Week 1: Basic terminology and principles of drug use: Chapter 1

Week 2: Drug addiction and preventing abuse: Chapters 15 and 16.

Week 3: Drug regulations and the nervous system: Chapters 2 and 3

Week 4: Principles of drug action: Chapters 4 and 5

Week 5: Stimulants: Chapter 6

Week 6: Common stimulants: Chapters 7 and 8

Week 7: Depressants and inhalants: Not in textbook

Weeks 8 and 9: Alcohol: Chapter 9

Week 10: Opiates: Chapter 10

Week 11: Marijuana: Chapter 11

Week 12: Psychedelics and hallucinogens: Chapter 12

Week 13: Psychiatrically useful drugs: Chapter 13

Week 14: Drugs for modifying bodily functions: Chapter 14

Required textbook.

Maisto, S.A., Galizio, M. & Connors, G.J. (2004) Drug use and abuse, 4e. Belmont, CA:      Wadsworth.

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Major assignments and expectations

Attendance: Attend all classes. If you must miss a class, please let me know before the class session. Work missed because of unexcused absence may not be replaced.

1. Read assigned material in the textbook and elsewhere, and use it to contribute to class discussions. Occasional, unannounced in-class or electronic writing assignments or quizzes will draw on your reading. You must read all of the assigned material, whether it is covered in class or not. Most readings will be useful in class discussion. As missed quizzes and other in-class assignments may not be replaced, perfect attendance is to your advantage. 15%

2. Three content examinations

    Thursday, October 7...............................15%
    Tuesday, November 9.............................15%

    Monday, December 13, 4 - 6 p.m............15%

3. Paper or project (videotape, PowerPoint class presentation, Web site) on a topic approved by the instructor. 20%

  • Estimated paper length is 20 pages, and electronic projects should demonstrate an equivalent amount of scholarship, including source citations and a reference list, in APA format. For example, an equivalent PowerPoint project would have over 40 content slides, with appropriate animations, illustrations, graphs, weblinks, and audio/video segments.
  • Submit a proposal of one page in length by September 14, which explains your topic, tells why you want to do your paper on that topic, and lists the 20 best sources you have found so far.
  • The final draft of the paper or project will be due November 18, and will be marked out of 20%. Correct English usage is expected.
  • Use at least 20 primary, scholarly sources, including at least fifteen (15) journal articles. The journals may be either paper or electronic, but non-journal websites do not count toward the required 20 sources.
  • In your paper or project, show a clear explanation of the topic, including relevant research and case reports. Incorporate your own analysis of the research and debates, and make connections with other issues in psychology and in faith. Conclude with your thoughtful evaluation of the topic..
  • Suggested topics:
    • Any drug or small family of drugs (eg. opiate antagonists), including history of its use and abuse, pharmacology, therapeutic potential, and current street status.
    • Issues surrounding legalization of all drugs or any category of currently illicit compounds, such as marijuana.
    • Targeted drug education methods.
    • Treatment for addiction to a family of drugs, eg. heroin.
    • Drug treatment of a particular mental disorder.
    • A grant proposal for a drug abuse recovery support service either in Allegany County or in your home county or city, under the SAMHSA grant program.
  • Student electronic projects, both PowerPoints and websites, may give you some ideas, but you should not use them as models for the quality of work expected.
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4. Find and read current, relevant articles in newspapers, public affairs magazines, and popular magazines. These articles must deal with statistics about drug use, opinions or policy about drug use, development of new drugs, discovery of new uses for existing drugs, or discovery of side effects of drugs. A compendium of articles, many of which are relevant to this learning activity, is available from the National Clearinghouse for Alcohol and Drug Information. The compendium is updated daily.

 

Bring a synopsis of one article to class for possible discussion each week. Post at least 10 of your synopses in the class shared folder, and include the bibliographic reference (including the URL of electronic material) for the article you have read. You may post these synopses on your own schedule, but you may gain credit for no more than one synopsis per week. (Total value: 10%)

The shared folder for the class is available in Outlook. Go to Public Folders/ All Public Folders/ Academic/ Classes/ YoungP/Drugs&BehaviorF04. For future convenience, drag the folder up into your Favorites folder.

Remember that items you post to the discussion forum may be read by any member of the class, including the teacher. However, nobody outside the class has access to your contributions.

5. Applied project. Take your pick of two of the following. If you prefer, suggest an alternative for my approval. Complete the projects, write a one page report on each, and submit the reports by November 30, for 5% each.

 

a. Visit a drug rehabilitation center. Interview counselors, administrators, and patients about the role of the center. Ask what opportunities for service learning there are at the center . What is the potential for a Houghton College group partnering with this agency?

b. Attend an open meeting of Alcoholics Anonymous, Al-Anon, Alateen, or a similar 12-Step group. Then, with another student, investigate the need for a 12-step program of any sort at Houghton, and discuss and describe how one could be established.

c. Take a free visit at a weight loss clinic. Does the clinic use 12-step ideas? Which ones? How could a Houghton College group form a partnership with this clinic?

d. Call drug-information hotlines (but not a crisis hotline, unless you are in a crisis). Inquire about two separate drugs of abuse. In your report, evaluate how helpful the line was to you. Should a hotline of any sort be established at Houghton, or in your home town? What are the specific problems that such a hotline could address?

e. Design and conduct an opinion poll about druguse, drug abuse, drug education, or drug abuse services, using a sample of at least 50 people who are over the age of 18. Consult with me as you prepare your questions, and report your results clearly.

f. Explore the training and credentialing requirements to become a drug abuse counselor in your home state. What would you still need to do to become credentialed?


Web Sites of Interest

The APA site is an award-winning connection to the resources of the Association, including membership and an on-line copy of the APA Monitor, the APA's newspaper. Highly recommended. The FDA site is a dependable, easily-used site with wide-ranging links. Highly recommended.
  • National Institutes of Health
  • Web of Addictions: A commercial site which offers current drug information from an anti-drug abuse perspective. 
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Review sheets

Examination One

Examination Two

Examination Three

Drugs and behavior review sheet for Examination 1

OTC prescription therapeutic
recreational licit illicit
main effects EEG-shift sympathomimetic
parasympathomimetic side effects chemical name
generic name trade name street name
mithradatism tolerance tachyphylaxis
acute tolerance mixed tolerance metabolic tolerance
physiological tolerance behavioral tolerance conditioned tolerance
cross tolerance reverse tolerance sensitization
physiological dependence abstinence syndrome habituation
addiction agonist antagonist
synergistic pharmacokinetics pharmacodynamics
all methods of administration efficacy un-ionized
Henderson-Hasselbalch barriers placental "barrier"
pKa ion trapping distribution half-life
elimination half-life accumulation dosing steady-state
dose-response curve potency slope
FDA dosage Orphan Drug Act, 1983
behavioral medicine psychopharmacology neuropsychopharmacology
gateway drugs drug illicit drug use
deviant drug use drug misuse drug abuse
DAWN marker variables risk factors
protective factors gateway drugs psychological dependence
dopamine hypothesis laissez-faire moral model
medical model intervention detoxification
cold turkey substitution Antabuse
ionotropic receptors metabotropic receptors acetylcholine
monoamine neurotransmitters amino acid neurotransmitters peptide neurotransmitters

2. Essay questions: This is not an exhaustive list, but if you can answer these, you will probably do quite well on the exam.

  • How can we launch a nationwide drug menace?
  • Explain the practical and theoretical issues surrounding drug classification.
  • Describe seven ways drugs may be classified.
  • Explain Ray and Ksir's four revolutions in drug use. Evaluate the claims made.
  • Explain four principles of psychoactive drugs.
  • What methods are used in drug epidemiology. To what extent is each method useful?
  • What factors, according to epidemiological research, correlate with drug misuse and abuse? Explain how age, gender, socioeconomic status, and personality relate to drug use. Outline and explain the risk factors and the protective factors for drug abuse.
  • Explain and evaluate two social attitudes toward drug use. In what ways may control be justified?
  • Do drugs cause crime? Include the more cynical view.
  • Compare and contrast three explanations of drug addiction.
  • What are the DSM-IV criteria for substance dependence? Do behavioral addictions meet the criteria?
  • What cognitive changes may occur in the process of treatment for drug addiction?
  • Compare and contrast three treatment goals.
  • What are the stages of treatment for addiction?
  • Explain, with examples, the various approaches to (methods for) treatment of addiction.
  • How can contingency contracting and conjoint therapies be applied to drug addiction problems? Are they effective?
  • Compare, contrast, and evaluate three models for the prevention of drug abuse.
  • Of the specific tactics for drug abuse prevention (in any population or populations you like), identify and explain three that you believe have the most potential for actually being effective. Explain why you think those three are more likely to be effective than others.
  • Outline the structure of the brain, with special reference to the effects of drugs in each brain area.
  • Describe the various routes of drug administration. What are the advantages and disadvantages of each method?
  • Calculate the relative fat solubility of a drug of a particular pH and pKa in solutions of particular pH, using the Henderson-Hasselbalch equation.
  • How do drug half-lives relate to the effectiveness of a dose of a drug?
  • Label the components of a typical dose-response curve.
  • Describe how drug action is terminated and drugs are eliminated from the body.
  • Are particular populations of people more likely than others to demonstrate problem drug use?
  • If there are differences in drug problems in different populations, what demographic factors seem to contribute to drug use?

3. Computation problems. This link is to exercises in computing various drug problems, including dose problems and Henderson-Hasselbalch ratios. An answer key is also available.

Drugs and behavior review sheet Examination 2

1. Terms.
 
mithradatism tolerance tachyphylaxis  
acute tolerance mixed tolerance metabolic tolerance  
physiological tolerance behavioral tolerance conditioned tolerance  
cross tolerance reverse tolerance sensitization  
ED50 LD50 Therapeutic Index safety margin 
FDA approval process limited human trials  broad clinical trials  sensitivity reports
general anaesthetic Orphan Drug Act (1983) Pure Food and Drug Act (1906)

Sherley Amendment

Harrison Narcotics Act Marijuana Tax Act Food, Drugs & Cosmetics Act  
Kefauver-Harris Amendments FDA DEA ONDCP
non-barbiturates methaqualone redistribution  
GABAA receptor  GABAB receptor  BDZ receptor  BARB receptor 
risk/benefit analysis  barbiturates non-barbiturates  benzodiazepines 
ethyl alcohol  thiopental  secobarbital  phenobarbital
general anaesthetics  glutethimide methaqualone tranquillizers 
meprobamate  dicarbamate  paradoxical effects  REM rebound 
"Love drug" chlordiazepoxide  diazepam  flumazenil 
nordiazepam oxazepam  baclofen panic disorders 
phobias  obsessive-compulsive disorder stress disorders  long-acting benzodiazepines
second-generation anxiolytics  antiepileptic drugs  alprazolam  buspirone
zolpidem  hydantoins  carbamazepine  valproic acid 
disulfiram isopropyl alcohol  methanol  ethanol
bromide fluid mosaic model  chloral hydrate Mickey Finn
methyl hydrate  inhalants toluene  nitrous oxide
ether  hypoxia  acetaldehyde  fermentation
distillation  fortification mixed beverages proof 
moonshiner’s test Gin Lane Beer Street flavinoids
Albertus Magnus Cisco US system Gin epidemic
Whiskey Rebellion Plato Triangular trade amphetamine
Bennies speed/ice/crystal sympathomimetic anorectic

caffeine

fen-phen and sibutramine

ephedrine

clonidine

theobroma cacao

adenosine receptor

snuff

theophylline

theobromine

methylxanthines

Coffea arabica

kola
cacao

ilex

camellia sinensis

Mickey Finn  
nucleus accumbens stereotypy methylphenidate pemoline
Adderall phentermine/phenmetrazine dexfenfluramine ephedrine/phenylephrine
Erythroxylon coca cocaine base or paste freebase Niemann
benzoylecgonine cocaethylene transporter proteins xanthine derivatives

2. Essay questions: This is not an exhaustive list.

  1. Explain the many manifestations of tolerance.
  2. Can someone be harmed by a dosage of a drug to which tolerance has been developed? How?
  3. Describe the various routes of drug administration. What are the advantages and disadvantages of each method?
  4. Label the components of a typical dose-response curve.
  5. Describe how drug action is terminated and drugs are eliminated from the body.
  6. What are the categories of CNS depressants? Give an example of each.
  7. Outline the progressive stages of CNS depression or sedation from drugs.
  8. Outline and explain Julien's principles of CNS depressant action.
  9. What are polysynaptic pathways, and why are they the first to be depressed?
  10. What is GABA?  What does it do?
  11. What is a GABA receptor?  How is its action affected by barbiturates and benzodiazepines?
  12. Why is usage of barbiturates declining?
  13. How do the pharmacokinetics of barbiturates lead to their sub-classification?
  14. Outline the pharmacological and psychological effects of the barbiturates.
  15. What are the mechanisms whereby tolerance develops to barbiturates? Is barbiturate tolerance uniform?
  16. What are the risks of physical and psychological dependence on barbiturates?
  17. Explain the hypothesis that general anaesthetics work by disrupting flow of ions across the neuron membrane.
  18. Outline six types of inhalants, with examples of each.
  19. What are the special risks associated with inhalant abuse?
  20. Outline and explain the progression of legislative control of drugs during the 20th century. What are the principles that have gradually emerged in the process? In what sequence?
  21. Outline the process of drug testing and approval as governed by the FDA.
  22. Describe the historical development of the CNS depressants, showing how each reputed advance ended up producing additional problems.
  23. Explain the action of the barbiturates. What factors differentiate the short- and long-acting forms?
  24. When and for what reasons are the benzodiazepines preferable to earlier compounds such as the barbiturates?
  25. How do the benzodiazepines, both agonists and antagonists, work? What do they do pharmacologically and behaviorally?
  26. Outline the anxiety disorders for which benzodiazepines are effective.
  27. Describe the pharmacokinetics and pharmacodynamics of the benzodiazepines. Should older people use them? Why not?
  28. Describe the pharmacokinetics of ethyl alcohol.
  29. Describe the pharmacodynamics of ethyl alcohol.
  30. Present a history of alcohol use and abuse.
  31. Outline, with explanations, the chronic effects of alcohol consumption on body systems.
  32. What is the history of amphetamine use and abuse?
  33. How do the effects of amphetamines change with increasing dosage?
  34. How does drug usage relate to AD/HD?
  35. Outline the history of cocaine use and abuse.
  36. Explain the preparation of the various forms of cocaine. How effective is each form?
  37. Why was powdered cocaine HCl popular with the upper middle class? Why was crack cocaine use epidemic in inner city neighbourhoods?
  38. Evaluate the research on crack babies.
  39. What are the pharmacodynamics of cocaine? What are its short term and long term side effects?
  40. How does tolerance to cocaine develop?
  41. Outline the plant sources of xanthines.
  42. What are the pharmacodynamic effects of caffeine?
  43. Explain the pharmacokinetics and pharmacodynamics of caffeine.
  44. Outline the research over reproductive effects of caffeine. What do you recommend?
  45. What is the mechanism responsible for caffeine withdrawal?
  46. Since nicotine is now known to act to enhance dopamine activity in the nucleus accumbens, should it be classed with caffeine or with amphetamine and cocaine?
  47. What are the side effects of caffeine? Are there any fetal effects?
  48. What are the various methods for administering nicotine? What are the relative blood levels produced by each method? Explain the advantages and disadvantages of the various routes of administration of nicotine.
  49. Describe the pharmacodynamics of nicotine.
  50. Outline the side effects of nicotine.
  51. How can we treat nicotine addiction?

Click here for Review sheet for examination 3

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Classroom PowerPoint Slides


Set 1: Chapter 1. Terms, classification, interactions, drug effects, Ray & Ksir's revolutions, epidemiology

Set 2: Chapter 2. Drug control attitudes and reasons, drugs and crime.

Set 3 : Chapter 2. Regulation of drug use. (Go to slides near the end of the presentation.)

Set 4: Chapter 15. Addiction, explanations, DSM-IV criteria, treatment goals and methods.

Set 5 : Chapter 16. Methods for prevention of drug use and abuse.

Set 5a: Chapter 3. The nervous system and drug action.

Set 6 : Chapter 4. Pharmacokinetics.

Set 7: Chapter 4, continued. Pharmacodynamics Chapter 5 Psychopharmacology

Set 8: Chapter 6. Stimulants. Cocaine, amphetamines, ephedrine & co., weight-loss drugs

Set 9: Chapters 7 & 8. More stimulants. Nicotine and caffeine.

Set 10: Depressants. (not in textbook)

Set 11: Chapter 13: Benzodiazepines

Set 12: Chapter 13. Psychotherapeutic drugs

Set 13: Chapter 9. Alcohol 1

Set 14: Chapter 9. Alcohol 2

Set 15: Chapter 10. Opioids

Set 16: Chapter 11. Marijuana

Set 17: Chapter 12. Psychedelics and hallucinogens

Set 18: Chapter 14. Drug miscellany: Steroids

Set 19: Chapter 14. Drug miscellany: NSAIDS and herbal remedies

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Copyright 1998 Paul D. Young Last updated 30 September, 2004.

 

 

 

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