HLTHAGE 2L03 Study Guide - Fall 2018, Comprehensive Midterm Notes - Alcoholic Drink, Temperance Movement, Sin
HLTHAGE 2L03
MIDTERM EXAM
STUDY GUIDE
Fall 2018
Lecture 1: 4/9/18
Course Info
• Class policies quiz: 2%
o Avenue, due sept 19th
• Online discussion: 8%
o 4 questions, 200 words each
o Due october 3rd
• Midterm: 25%
o MC, LA, cumulative, lectures and readings
o October 23/24
• Essay 32%
o Hardcopy and e-submission
o 5-6 pages
o 6 peer reviewed sources
o Bibliography
o Due november 7th - extensions november 14th (don't ask, just take but
you get no feedback on the paper)
• Exam
o MC, LA
o cumulative
• All readings online
• MSAF: Will not reweigh any assignment or test
Lecture 1: Introduction to Addiction
Aurolac
• Kids being rowdy on train, huffing aurolac (paint thinner), covered in power,
shoplifting
• Addicted to paint thinner, been through orphanages that were defunded - to keep
them “fed and healthy” they were given vitamin injections, giving them hepatitis
• Homeless, formed communities around getting the substance
• Perspectives
o Some would say the kids are tormenting us, they have no morals -
addiction as a vice
o Others would say (doctors) they have a disease and after the use of the
substance their brain changes and they can help it
o Addiction is an adaptation, the circumstances in which they lived made
sense for the kids to live their lives - community building
How do we define addiction
• NIDA: addiction as a disease, located in the brain, forces people to engage in
compulsive drug seeking despite negative consequences, the brain changes
o The research of addiction comes mostly from them, so how they define it
is important to understand
• Alexander: addiction as a compulsive involvement with a particular substance or
behaviour
o Doesn't mention the brain
o Adaptation
find more resources at oneclass.com
find more resources at oneclass.com
• Others: addictions is short term pleasure and long term harm, the person can't
balance the 2
Common elements in explaining addiction
• The 4 C’s
o Craving
▪ Desire transcend psychological realm, feels almost physical, use
becomes instrumentalized, time-consuming
▪ Takes hold of the person, they spend time and effort trying to get
access to the stuff
o Compulsion
▪ Resisting use is almost impossible, produces extraordinary
anxiety. Use to relieve stress produced by craving
▪ Use to control mood
o Consequences
o Control
▪ A person has a hard time controlling their use of a substance
• E.g. alcohol - might want to stop drinking entirely but can't,
say only 2 drinks but once they start they can't stop
o Contested
▪ Savelli’s POV
▪ Although addiction is often discussed authoritatively all the
concepts are debated
• Addiction resist any simple or all-emcombussing definition
or explain
Framework
• Vice
• Disease
• Adaptation
Addiction as a vice
• Those who engage in addictive behaviours are bad people, making morally
reprehensible decisions
• Moral terms
• Excessive substances use as irresponsible or evil, transgression of social and
moral norms
o Beyond potential crimes and social harm, norms relating to productivity
sexuality, respectability challenged
o “Ruined lived”
• People are free agents, we have the ability to control out behaviour
o If they use it then they make a series of bad choices, continually
• Allows for blemae, requires punishment
o Makes amand for past deeds, deter future problems
o Those who continue to use after punishment “prove” their badness
• Simple, clear, unambiguous
o Those who use drugs are bad, those who keep using drugs are really bad
• By far most public funds go to enforcing prohibition and punishment of addicts
o Policing it
• E.g. war on drugs, duterte
o Nixon: a threat to law and order, a plague on society
o Duterte said kill any drug users and you won’t be punished
find more resources at oneclass.com
find more resources at oneclass.com