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RHAB 3975: TEST 2.5
burn-out
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emotional exhaustion
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Dopamine-Releasing Behaviors
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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
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process addictions
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activity or process
compulsive repetition of mood altering behaviors such(eating gambling)
not universally accepted as distinct disorder
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Workaholism
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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. Work-related perspective used in all areas of life
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Chemical dependency vs Process addictions
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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
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Dopamine-Releasing Behaviors
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—Food (Bulimia & Binge Eating)
—Sex
—Relationships
(“Codependency,” Control)
—Gambling
—Cults
—Performance
(“Work-aholism”)
—Collection/Accumulation (Shopping)
—Aggression/Rage/Violence
—Media/Entertainment
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burn-out
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emotional exhaustion
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stress defn
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over engagement
over reactive emotions
urgency and hyperactivity
loss energy
anxiety disorders
biological damage
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burn-out
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disengagement
emotionally detached
helplessness and hopelessness
loss of motivation,ideals and hope
depression
emotional damage
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sexual addiciton
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most are abuse victims
women may be underrepresented
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Key Traits of Sexual addiction
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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
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Level 1 behaviors of Sex Addicts
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Consensual
Culturally tolerated or accepted
Low police priority
COMPULSIVE masturbation, promiscuity, pornography, prostitution
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Level 2 Sex Addict
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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
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Level 3 Sex Addict
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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
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Sexual Addicts
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Sexual Addicts
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Correlates of Sex Addicts
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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
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Core Beliefs of a sex addict
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"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."
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precursors of sex addicts
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early use of sexual pleasure to escape
shame regarding activities
reliance on sex as escape
ritualization of settings, preparations
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catalytic event of sex addict
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sexualized emotional/physical truama
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Catalytic Event vs. Catalytic Environment
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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)
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catalytic enviroment
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chronic high demand/expectation/pressure
lack of emotional preparation/support
abandonment/rejection ( self doubt)
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double bind
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demands a person to violate one rule to follow another
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Psycho Biology
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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 periods
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cyber sex
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video games, gambling, unusual sex practices
normalization of deviance feared
networking supports neutralization
addiction to internet, sex and cybersexual addiction
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Gambling Addiction
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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”
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Danger Signs Gambling
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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
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types of problem gamblers
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risk takers-thrill seekers
w/others-competition
self-medicate- to feel numb
isolated-slots, bingo,online
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risk takers-thrill seekers
w/others-competition
self-medicate- to feel numb
isolated-slots, bingo,online
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appears to be healthy socially and emotionally
deepen mental-emotional issues
substitute companion
instant response-no time to process emotions
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gambling video games
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linked to aggression and obesity
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american society of addictions
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if it wasn't an addiction with baseball and cars, it isn't with video/computer games
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eating disorders
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not an addiction
anorexia
bulimia
compulsive overeating
perfectionists
lethal in mental disorders
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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
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tryptamine
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relevance to aoda treament
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tryptamine other effects
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od not fatal
can lead to psychosis
flashbacks(lsd)
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phenylethylamines
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stimulate and hallucinogenic effects
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phenylethylamines-cross tolerance w/
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serotonin agents
|
new versions of phenylethylamines
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similar to pea ( eve, bromo, nexus-love's speed)
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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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