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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
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 |
|
|
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2. Essay questions: This is not an exhaustive list.
- Explain the many manifestations of tolerance.
- Can someone be harmed by a dosage of a
drug to which tolerance has been developed? How?
- Describe the various routes of drug administration.
What are the advantages and disadvantages of each method?
- Label the components of a typical dose-response
curve.
- Describe how drug action is terminated
and drugs are eliminated from the body.
- What are the categories of CNS depressants?
Give an example of each.
- Outline the progressive stages of CNS depression
or sedation from drugs.
- Outline and explain Julien's principles
of CNS depressant action.
- What are polysynaptic pathways, and why
are they the first to be depressed?
- What is GABA? What does it do?
- What is a GABA receptor? How is its
action affected by barbiturates and benzodiazepines?
- Why is usage of barbiturates declining?
- How do the pharmacokinetics of barbiturates
lead to their sub-classification?
- Outline the pharmacological and psychological
effects of the barbiturates.
- What are the mechanisms whereby tolerance
develops to barbiturates? Is barbiturate tolerance uniform?
- What are the risks of physical and psychological
dependence on barbiturates?
- Explain the hypothesis that general anaesthetics
work by disrupting flow of ions across the neuron membrane.
- Outline six types of inhalants, with examples
of each.
- What are the special risks associated with
inhalant abuse?
- 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?
- Outline the process of drug testing and approval as governed by
the FDA.
- Describe the historical development of the CNS depressants, showing
how each reputed advance ended up producing additional problems.
- Explain the action of the barbiturates.
What factors differentiate the short- and long-acting forms?
- When and for what reasons are the benzodiazepines
preferable to earlier compounds such as the barbiturates?
- How do the benzodiazepines, both agonists
and antagonists, work? What do they do pharmacologically and behaviorally?
- Outline the anxiety disorders for which
benzodiazepines are effective.
- Describe the pharmacokinetics and pharmacodynamics
of the benzodiazepines. Should older people use them? Why not?
- Describe the pharmacokinetics of ethyl
alcohol.
- Describe the pharmacodynamics of ethyl alcohol.
- Present a history of alcohol use and abuse.
- Outline, with explanations, the chronic
effects of alcohol consumption on body systems.
- What is the history of amphetamine use and
abuse?
- How do the effects of amphetamines change
with increasing dosage?
- How does drug usage relate to AD/HD?
- Outline the history of cocaine use and
abuse.
- Explain the preparation of the various forms
of cocaine. How effective is each form?
- Why was powdered cocaine HCl popular with
the upper middle class? Why was crack cocaine use epidemic in inner
city neighbourhoods?
- Evaluate the research on crack babies.
- What are the pharmacodynamics of cocaine?
What are its short term and long term side effects?
- How does tolerance to cocaine develop?
- Outline the plant sources of xanthines.
- What are the pharmacodynamic effects of
caffeine?
- Explain the pharmacokinetics and pharmacodynamics
of caffeine.
- Outline the research over reproductive effects
of caffeine. What do you recommend?
- What is the mechanism responsible for caffeine
withdrawal?
- 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?
- What are the side effects of caffeine? Are
there any fetal effects?
- 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.
- Describe the pharmacodynamics of nicotine.
- Outline the side effects of nicotine.
- 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
Psychology
home page
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Copyright 1998 Paul
D. Young Last updated 30 September, 2004.
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