HLTHAGE 2L03 Study Guide - Summer 2018, Comprehensive Midterm Notes -

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HLTHAGE 2L03
MIDTERM EXAM
STUDY GUIDE
Fall 2018
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HLTHAGE 2L03
Midterm: 25% (MC and Long Answer)- cumulative, lectures and readings
Essay: 32% (5-6 pages, 6 peer reviewed sources, bibliography)- Hardcopy due May 30th,
extension June 4th. (dropbox 2nd floor of KTH: across from elevator)
Online Discussions: 10%- 4 questions, 200 words each0- May 14th.
Exam: 33%: (MC and LA)
Prof: Wed: 1230-330- KTH 230
TA: Mon: after class till 7pm
April 30th: Introduction to Addiction
Aurolac
people seen as ones who should be punished
we see that those who are addicted to substances are bad people
professionals will talk about these aurolac kids as ones with a disease
believed that in some ways, the use of aurolac, it was adaptive, it makes sense in the concept
of their life. (adaptation perspective)
many of these kids were born as orphans, many had HIV due to shared vitamin injections, and
they were tossed out on the street.
these same kids can be interpreted in many ways
How Do We Define Addiction?
NIDA: addiction is defined as a chronic, relapsing brain disease that is characterized by
compulsive drug seeking and use, despite harmful consequences. Drugs change the brain,
they change its structure and how it works. (prioritizes the drug, instead of the person. rooted
in the brain)
Alexander: addiction is compulsive involvement with a particular substance or behaviour
(open to the idea that lots of people who are addicted to something don't experience the same
social negative outcomes as everyone)
others simply highlight immediate pleasure and longer term harm
addiction is NOT the same thing as use.
Common Elements in Explaining Addiction
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Craving: desire transcends psychological realm, feels almost physical. use becomes
instrumentalized, time-consuming.
Compulsion: resisting use almost impossible, produces extraordinary anxiety. use to relieve
stress produced by craving. (hard to not use the substance, because it is needed to get over
that craving)
Consequences: negative consequences as a result of their behaviour, work, social, health etc.
Control: one cannot reduce/moderate behaviour or use of substance (loss of control.)
ALMOST ALL OF ADDICTION INVOLVES SOME OF THESE CS
Contested:
Addiction as Vice
addiction and addictive behaviours shows moral failure, they are bad people that make bad
choices. they are irresponsible or evil. someone who does drugs is someone you should stay
away from.
beyond potential crimes and social harms. they have ruined lives. norms relating to
productivity, sexuality, respectability challenged.
junkie whore- negative word is already junkie, but adds whore to show that they have let
themselves go and become a whore.
people as free acting agents with the ability to make decisions and control behaviour. (why
would we make the bad choices in our life if we have full control?)
allows for blame, requires punishment.
makes amends for past deeds, prevents future problems
those who continue to use after punishment thus proves their bad.
Addiction as Vice II
simple, clear, unambiguous
we continue to see the vice model play out in society, because it is easy to understand.
most of the public funds go to enforcing prohibition and punishing addicts.
President of _____: has told people living in the country to kill anyone they come in contact w
who is a drug user, and he will pay for their legal bills. Plus has told cops to look for addiction
users.
Medical Treatment -> Vice Approach
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Document Summary

Midterm: 25% (mc and long answer)- cumulative, lectures and readings. Essay: 32% (5-6 pages, 6 peer reviewed sources, bibliography)- hardcopy due may 30th, extension june 4th. (dropbox 2nd floor of kth: across from elevator) Online discussions: 10%- 4 questions, 200 words each0- may 14th. How do we define addiction: nida: addiction is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences. Plus has told cops to look for addiction users: medical treatment -> vice approach. 3 of 65: drug courts, sentence offenders to treatment. (drunk drivers are ordered to treatment, some medical centres do not accept those who have alcohol problems for liver transplants. Classification of substance use disorder- dsm: how people get diagnosed with problems with substance use by physicians, used to imagine addiction as you were either addicted or you weren(cid:3244)t. now we see a spectrum of addiction. 5 of 65: some things are subjective.

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