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UW-Madison SOCWORK 453 - Drug Terminology and Their Use

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II. Cultural conceptions of substance use and problem use: an ethnographic approachIII. Cultural use of substances: Marking transitionsIV. First assignment informationV. To do listJoe has sign in sheet todayI>clicker registration due Today, but extending deadline to ThursdayFirst assignment (eCHECKUP paper) due Thursday, September 25Academic integrity quiz due Thursday, September 18Talk to Sheilah if you have problemsMust submit this before you submit paper otherwise paper will be considered lateSheilah and Joe’s leaving promptly todaySee them Thursday and next week’s office hoursAny questions on eCHECKUP paper?Lab day, guest lecture scheduled before assignment due. Not time in class to ask questions about it. Email Joe or Sheilah, or go to office hours if we have questions.Talking about types of drugsHow to define drugs when we talk about them in our papers. And talk about drugs to others that can convey accuracy and meaning.Classification by General effects:Most common way to talk about drugs among scientists or treatment professionals.Drugs referred to as:Stimulants (uppers): things that bring you up, energize you, keep you awake.Opposite: Depressant drugs (downers). Some slow down breathing, slow down heart rate. Physical effects and what happens when you take them.Psychedelics (all-arounders) effects less easy to nail down. They do a bunch of different things to you. Hallucinogens are included in this. Even cannabis is included in this. Effects are different for different people.Classes and Drugs within the classes:Stimulants: Cocaine, Amphetamines, CaffeineCaffeine: wakes you up, makes heart beat fasterDepressants: Alcohol, Benzodiazepines (e.g., Xanax), Opiates (e.g., Vicodin)Alcohol: makes you sleepy, reaction times slows down, can disturb your sleep patterns if you don’t get proper sleep mood different or perceptions different, very depressing hangover effects. Alcohol is a depressant because of what it does to you physically.Psychedelics: Indoles (e.g., LSD), Cannabis, Phenylalkylamines (e.g., Peyote), EcstasyEcstasy: some effects like stimulants yet that is because it is sometimes cut with speed. But overall it is considered a psychedelic.Classification by “street names”:(slang) what do people actually refer to drugs. Terms people use that are not clinicians…Useful to know to talk to clients and understand what is going onScientific name: Cannabis sativa or indicaStreet names: weed, dope, bud, kush, marijuana, mary jane, pot, grass, ganja, refer, smoke, greenClassification by ControlDrugs referred to as ways in whether or not they are illegalDifferent restrictions on drugs whether local law, state law, or federal lawWeed legal in a few states, legal for medical use in others. Remains prohibited in states like Wisconsin.-Cannot say whether drug is just legal, could be illegal somewhere else.DEA: federal agency along with Congress, decide what drugs are considered to be illegal or not. Decide what is legal or not to use.Schedule of Controlled Substances:Controlled Substances Act of 1970Drug Enforcement Agency and Food and Drug Administration(what drugs legal or not) –does drug have acceptable medical use or notIf there are some medical uses than the drug is restricted to different extends.Misuse and addiction potential: DEA comes in and says high in potential for misuseSchedule 1 (drugs federally no acceptable medical use) Highest misuse and additional potential. Examples: Cannabis, LSDSchedule II Restricted medical use. High misuse and addiction potential. Examples: Cocaine, opiatesSchedule III Restricted medical use. Moderate misuse and addiction potential. Examples: less pure opiatesSchedule IV Restricted medical use. Lower misuse and addiction potential. Examples: Benzo’sSchedule V Restricted, some over the counter. Lowest misuse and addiction potential. Examples: some cold medicinesEventually marijuana will probably become legal federally. 2 states have it fully legalized. Most states have at least medical clubs to use for medical use or recreational use. Now we see opposite of prohibition…Ritalin, Adderall seen as Schedule II.Some drugs sold over the counter, Schedule V.Talking about patterns of useDefining consumption(use and consumption)Few ways to measure this:DurationFor how long did you use forQuantityHow much of substance did you ingestFrequencyHow often did you use (how many times in a day)Duration: For how long?Overall duration of lifetime useNumber of years since initiation (since started)At what age did you start using ______?Sustained useNumber of hoursNumber of days“Benders” : sustained use over multiple days. Something who is drinking all day all day next day and more. Basically binging…Frequency: How often?Times per dayDays per week (0 to 7)Times per month (0 to 31)Quantity: How much?A lot easier for drugs legal or prescribed.Weight, concentration, volumeQuantity is harder to accurately measure for illicit drugs and some supplementsAlcohol: will say percentage of alcoholDrugs that you buy on street, or illegal drugs, don’t come with information. Hard to know what you are getting.Chart about 1 Standard DrinkEfforts to standardize what 1 drink is. About 5% of alcohol is considered 1 drink. (12 fl oz of regular beer) Any more than that is considered more than 1 drink. 40 ounce bottle of beer, more ounces might have higher alcohol content. Or 1.5 ounce shot is same amount of alcohol.Example: “Binge drinking”Per the National Institute on Alcohol Abuse and Alcoholism:Binge drinking is a pattern of drinking that brings blood alcohol concentration (BAC) levels to 0.08 g/dLTypically means 4 drinks for women and 5 drinks for men-in about 2 hoursIf someone is lighter or heavier, amount of blood alcohol concentration may be higher or lower.Talking about clinical conditionsDSM-5 Substance use disorder:Used by medical professionals, social workers, anything to do with addiction, mental health, etc. They will use this book to make a diagnosis.Highly debated…Reason why it is valued, also reasons why it introduces complexity into clinical diagnosis’sSome are not culturally recognizable“Bible of psychiatric disorders”Symptom of Craving added to DSM-5Craving: Having a persistent and strong urge to useCan only think about that, need to have it in order to move onLot of anxiety involved. Feel like you need that drug to move on, if you don’t have it a lot of anxiety involved. Maybe if you do have it, cannot use it in situation you


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UW-Madison SOCWORK 453 - Drug Terminology and Their Use

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