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burn-out
emotional exhaustion
Dopamine-Releasing Behaviors
1. Food (Bulimia/Binging) 2. Relationships (Codependency) 3. Gambling 4. Sex 5. Cults 6. Performance (Workaholism) 7. Collection/Accumulation (Shopping) 8. Aggression/Rage/Violence 9. Media/Entertainment
process addictions
activity or process compulsive repetition of mood altering behaviors such(eating gambling) not universally accepted as distinct disorder
Workaholism
1. Job central to identity/self-esteem (job is master status) 2. Health, relationships, spirit. neglected 3. Postpone rest and vacations 4. Takes on extra work 5. Perfectionism --> overly busy 6. Use of work to avoid intimacy 7. Effect to control via job role (control of family) 8.…
Chemical dependency vs Process addictions
Most process addicts have pre-existing mental disorders (?) A significant minority of chemically dependent people have diagnosis prior to onset of abuse Process addictions grade off into bad habits
Dopamine-Releasing Behaviors
—Food (Bulimia & Binge Eating) —Sex —Relationships (“Codependency,” Control) —Gambling —Cults —Performance (“Work-aholism”) —Collection/Accumulation (Shopping) —Aggression/Rage/Violence —Media/Entertainment
burn-out
emotional exhaustion
stress defn
over engagement over reactive emotions urgency and hyperactivity loss energy anxiety disorders biological damage
burn-out
disengagement emotionally detached helplessness and hopelessness loss of motivation,ideals and hope depression emotional damage
sexual addiciton
most are abuse victims women may be underrepresented
Key Traits of Sexual addiction
Out-of-control ; Compulsive Obsessed - Neglect of other activities for sex Inordinate amount of resources/time spent on sex & recovery Sex/fantasy are main coping mechanism Increasing # of sexual experiences Mood changes with sexual activity Feels degraded, guilty afterwards
Level 1 behaviors of Sex Addicts
Consensual Culturally tolerated or accepted Low police priority COMPULSIVE masturbation, promiscuity, pornography, prostitution
Level 2 Sex Addict
Pathetic but physically harmless Minor crimes or nuisance behaviors Ex: Exhibitionism, Voyeurism (peeping toms), Obscene Calls, Indecent Liberties (inappropriate touching) Of great concern because they can often move to level 3
Level 3 Sex Addict
100% overlap with sex offenders Public outrage - culturally condemned, serious, dangerous Risk of getting caught --> excitement Acts lead to intense self-hate Ex: Incest, rape, child molestation
Sexual Addicts
Sexual Addicts
Correlates of Sex Addicts
Fantasy sex Seductive role Anonymous/purchasing/trading sex (Mis)use of power to obtain sex Paraphilias: Voyeurism/ exhibitionism Frottage/indecent liberties Pedophilia Pain Exchange/BDSM oObject fetish
Core Beliefs of a sex addict
"I am basically a bad, unworthy person." "No one would love me as I am." "My needs will never be met if I have to depend on others." "Sex is my most important need."
precursors of sex addicts
early use of sexual pleasure to escape shame regarding activities reliance on sex as escape ritualization of settings, preparations
catalytic event of sex addict
sexualized emotional/physical truama
Catalytic Event vs. Catalytic Environment
Occur early in life, sexualized Event: Sexualized emotional/physical trauma Environment: Chronic high demand/expectation/pressure, lack of emotional preparation/support, abandonment/rejection --> intense self-doubt, fear+sex --> rapid path formation (horror movie sex scenes)
catalytic enviroment
chronic high demand/expectation/pressure lack of emotional preparation/support abandonment/rejection ( self doubt)
double bind
demands a person to violate one rule to follow another
Psycho Biology
Fantasy may overwhelm “reality” of perceptions Dissociative or trance state in some cases Often co-morbid with bi-polar, narcissism, OCD Tolerance & withdrawal Failed efforts to stop, control range/frequency May substitute other addictions or shame-reducing activities during remorse …
cyber sex
video games, gambling, unusual sex practices normalization of deviance feared networking supports neutralization addiction to internet, sex and cybersexual addiction
Gambling Addiction
Compulsive Gambling 3% of US population mainly 25-40 years of age Dopamine surges with each win or near-win Teens at 3x greater risk than adults Teen gambling on rise due to: Media attention Parental approval: “it keeps them at home”
Danger Signs Gambling
Neglect work or family roles Gamble secretly, lie about gambling (ashamed) Feel compelled to increase stakes Feel remorse after gambling Gamble all available money Sell possessions, steal Gamble to self-medicate Gamble to solve $ problems, regain losses Celebrate by gambling
types of problem gamblers
risk takers-thrill seekers w/others-competition self-medicate- to feel numb isolated-slots, bingo,online
risk takers-thrill seekers w/others-competition self-medicate- to feel numb isolated-slots, bingo,online
appears to be healthy socially and emotionally deepen mental-emotional issues substitute companion instant response-no time to process emotions
gambling video games
linked to aggression and obesity
american society of addictions
if it wasn't an addiction with baseball and cars, it isn't with video/computer games
eating disorders
not an addiction anorexia bulimia compulsive overeating perfectionists lethal in mental disorders
Chemical dependency vs Process addictions
Most process addicts have pre-existing mental disorders (?) A significant minority of chemically dependent people have diagnosis prior to onset of abuse Process addictions grade off into bad habits
Synesthesia
Stimulation of one sense results in the automatic & involuntary stimulation of another sense.
Entheogen
Substances that create spiritual or religious experiences
tryptamine
relevance to aoda treament
tryptamine other effects
od not fatal can lead to psychosis flashbacks(lsd)
phenylethylamines
stimulate and hallucinogenic effects
phenylethylamines-cross tolerance w/
serotonin agents
new versions of phenylethylamines
similar to pea ( eve, bromo, nexus-love's speed)
Empathogen
user feels "in touch" with others, self, emotions Feel like you can see another's soul, feel very in tune with another Occurs with use of Bromo, Nexus, and 2C1
entactogen
sense of touch effect of ecstacy

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