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Substance dependence

481

 

 

 

Opium, its natural derivatives morphine and hero ine are narcotics which can produce a dreamlike state of calm euphoria. Because of their ability to cross the blood brain barrier quickly narcotics produce an in tense high mood effect that is followed by an unpleas ant mood and narcotic craving four to six hours later. The opiates produce their pharmacological effects by binding to opiate receptors. They blunt the emotions and physical consequences of pain but larger and larg er doses are required to achieve the same effect.

The use of alcohol, intravenous narcotic use facili tate the contacts of drug users with high risk individ uals, with those who can be infected with HIV (Human Immunodeficiency Virus). Drug abusers have a high incidence of behaviors that could put them at risk for infection and increase the spread of AIDS (Severe Im munodeficiency State).

Drug abuse affects and is affected by cultural con text. Society can try to stop drug dependence by limit ing drug availability, limiting demand through educa tion, and providing adequate treatment.

D.L.Rosenham, Martin E.P.Selligman. Abnormal Psycho logy. Second ed. New York, London, 1989, pp. 461–491

COMPREHENSION CHECK

Exercise 1. Say whether these statements are true (T) or false (F), and if they are false, say why.

T F

1.

Trying to relax, to reduce social anxiety

 

 

and improve the moods a human being

 

 

will inevitably start using psychoactive

 

 

drugs.

T F

2.

The increase of alcohol consumption is

 

 

noted during the social and political un

 

 

rest.

482

 

Unit XV

T F

3.

Drug users will certainly become drug

 

 

abusers.

T F

4.

Loss of control is one of the characteris

 

 

tics of the diagnosis of substance de

 

 

pendence.

T F

5.

Alcohol intoxication is associated with

 

 

about half of all fatal car accidents.

T F

6.

Excessive use of drugs can produce in

 

 

somnia, intense anxiety, irritability but

 

 

it never leads to death.

T F

7. It is easy for most people to give up

 

 

smoking.

T F

8.

One half of regular marijuana users ex

 

 

perience paranoid reactions.

T F

9.

Opium is an artificial substitute for

 

 

morphine.

T F 10.

Drug abuse affects and is affected by

 

 

cultural environment.

Exercise 2. Read the text again, divide it into logical parts, and give names to each of them.

Exercise 3. Make up the questions to the following answers.

1.

to treat depression, anxiety and pain.

2.

to get going in the morning.

3.

by chemicals, that induce changes in mood, thinking etc.

4.

when children fail to receive nurturance from their parents and grow in conflict ridden fami lies.

5.

with severe physical, emotional, financial and social problems.

Substance dependence

483

 

 

 

6.

people predisposed to become dependent on al cohol are.

7.

it interferes with coordination and depresses motor and sensory functioning.

8.

13 percent of population.

9.

They are characterized by sleep disruption, nau sea, headaches, increased appetite and etc.

10.

about one third of regular marijuana users.

LANGUAGE FOCUS

Exercise 1. Match the English word combinations in the left hand column with the Russian equivalents in the right hand column.

1

to be altered by smth.

A

люди повышенной группы

 

 

 

 

риска

2

to depress motor and

B

отсутствие общепринятой

 

 

sensory functioning

 

ориентации

3

to be laid in childhood

C

привязанность к ровесникам

4

affective and physiologi

D

изменяться под

 

 

cal adaptation

 

воздействием чего либо

 

5

lack of conventional

E

усиливать умственную

 

 

orientation

 

активность

6

to be precipitated by

F

закладываться в детстве

 

 

withdrawal symptoms

 

 

7

to enhance mental

G

эмоциональная и

 

 

arousal

 

физиологическая адаптация

8

narcotic craving

H

подавлять сенсорно

 

 

 

 

двигательные функции

9

high risk individuals

I

ускоряться симптомами,

 

 

 

 

характерными для отказа

 

 

 

 

(от курения)

10

affiliation with peers

J

непреодолимая потребность

 

 

 

 

в наркотиках

 

 

 

 

 

484

Unit XV

Exercise 2.

A.Guess the meaning and give appropriate translation of the following English ter minological word combinations.

Abuse

Aversion

Impairment

~ of narcotics

~ of tragic end

functional ~

~ of alcohol

~ of danger

hearing ~

~ of words

~ to smoking

performance ~

temporal ~

~ to drinking

vision ~

permanent ~

~ to spiders

motor ~

Dependence

Seizure

Substance

drug ~

heart ~

stimulating ~

field ~

brain ~

growth promoting ~

functional ~

epileptic ~

white ~

social ~

coughing ~

transparent ~

price ~

yawning ~

a man of ~

B.Convey the meaning of some terms above in your own words.

Exercise 3.

A.Fill in the columns with the proper deriv atives of the following words whenever possible.

Verb

Noun

Adjectives

to record

perception

to abuse

predisposed

impairment

to intoxicate

snort

addicted, addictive

to arouse

infected, infectious

 

 

 

Substance dependence

485

 

 

 

B.Put a suitable word from the box above into each gap.

1.The surrounding cues and features of the environ ment contribute to the total process of ___.

2.Alcohol ___ results in impaired judgement and is associated with about half of all fatal car accidents.

3.Tobacco is not the same class as other psychoactive drugs of ___.

4.Cocaine is usually ___, smoked or injected in the form of crystals or powder.

5.Cocaine has cardiovascular effects and is potential ly ___.

6.Caffeine’s ability to enhance mental ___ may make it difficult to fall asleep.

7.Experimental studies of marijuana intoxication re veal ___ in a variety of cognitive functions.

8.Drug abusers have a high incidence of behaviors that could put them at risk for ___.

9.Genetic risk studies suggest that people hereditary

___ to become dependent on alcohol are more sus ceptible to different mental disorders.

10.The exact number of HIV infected is not ___ as yet.

Exercise 4. Arrange the following words in pairs of

(a)synonyms and (b) antonyms:

a)blackout, onset, insomnia, to impair, seizure, agi tation, attack, aversion, to abuse, unrest, nausea, to addict, vigilance, darkening, to damage, stroke;

b)abstinence, tolerance, to blunt, withdrawal, re veal, fade, conceal, unrest, hard drinking, to sharpen, lethal, approach, bloom, intolerance, immortal, order.

486

Unit XV

Exercise 5.

A.Put the words in the box under the fol lowing headings connected with sub stance dependence.

kinds of drugs

people

other words

workaholic

marijuana

hallucinogens

stimulants

alcoholic

chocoholic

tea abuser

morphine

heavy smoker

narcotics

nicotine

opium

alcohol

barbiturates

antidepressants

cocaine

intoxication

crack

insomnia

brain seizure

sleep disruption

 

 

 

B.Complete these sentences using one of the words from the box above in each space.

1.They are sad creatures ruled by deadly substances such as ___ and ___.

2.Those who crave for chocolate drinks, cakes, bars of chocolate, chocolate sweets and biscuits are called ___.

3.A well known member of British Parliament Tony Ben can’t live without his favorite drink – tea. He is a ___.

4.Being ___ leads to headaches, increased appetite, high heart rate and ___.

5.Overusage of ___ is followed by a stroke or ___ and can even be lethal.

6.Caffeine, ___, cocaine are stimulants.

7.___ produce perceptual changes and hallucina tions.

8.___ as a more potent form of cocaine has a more dramatic effect upon the users of it.

Substance dependence

487

 

 

 

9.Working 48 50 hours a week is not a problem for him. He is a well known ___.

10.___ produces a dreamlike state of calm euphoria.

Exercise 6. Here is a list of factors that can cause substance dependence. Match each one with its description.

1. Personality factor

a ___ It was Tom who of

 

fered her first drink. It

 

was fun. They met every

 

day, stopped for a couple of

 

beers on the way to school.

 

Annie used to be a cheer

 

leader, but she was kicked

 

off the squad. Soon she and

 

several of her peers were

 

drinking

almost

every

 

morning. Sometimes

they

 

skipped school and went to

 

the woods to drink. Annie’s

 

whole life began to revolve

 

around her drinking.

 

2. Cultural differences

b ___The 1960s and 1970s

 

were a time of marked in

 

creases in the use of illicit

 

drugs.

Many

adolescents

 

turned to marijuana, sti

 

mulants

or hallucinogens.

 

That was the time of insta

 

bility and disorder.

 

3. Affiliations with peers

с ___Adoption studies in

 

Denmark have shown that

 

sons

of biological parents

 

who are alcohol dependent

 

have a four times increased

 

risk of alcohol

dependence,

488

 

 

Unit XV

 

which is in this case a ge

 

netic, inherited disorder.

4. Social and political unrest

d ___Links between antiso

 

cial personality in adoles

 

cence and later drug use,

 

especially

alcohol abuse,

 

have been

established. In

 

general, behaviors such as

 

rejection of rules, poor im

 

pulse control, hyperactivi

 

ty, and poor regard for es

 

tablished institutions

pre

 

dict later substance abuse.

5. Inherited biological traits

e ___The incidence of drug

 

abuse differs wildly across

 

different cultures. Alcohol

 

dependence

is particularly

 

high among the Northern

 

Europeans

and

Irish

but

 

less prevalent

among

the

 

Mediterranean cultures.

SPEAKING AND DISCUSSION

Exercise 1. Give a summary of the text.

Exercise 2. Scan the text below and be ready to give ex tended answers to the following questions.

1.Why is adolescence a period associated with wide spread use of psychoactive drugs?

2.What is the role of parents and peers in adolescent drug abuse?

3.What stimulates drug use by adolescents?

Adolescence is a period associated with widespread use of psychoactive drugs, including alcohol, nicotine, marijuana, and cocaine. Despite concerns about adoles

Substance dependence

489

 

 

 

cent use of other drugs, alcohol is the drug of choice among adolescents. More than two thirds of high school seniors use alcohol regularly. Drug use by ado lescents is related to the use of drugs by their peers and parents. For example, adolescents are more likely to begin smoking if their peers and parents smoke, and peer group drug use is the strongest factor in the pro motion of adolescent drug use. Though some adoles cents use drugs and alcohol because their peers use them, many use drugs because their peers fail to dis courage their use. Drug use by adolescents is also stim ulated by negative emotions. A study of college stu dents found that those experiencing uncontrollable stressful negative life events were more likely than other students to resort to alcohol and other drugs to reduce their emotional distress. Fortunately, despite the risks associated with sexual irresponsibility and drug and alcohol abuse, most adolescents survive the trials and tribulations of adolescence and enter adult hood relatively unscathed.

Sdorov L.M. Psychology. Brown & Benchmark

Publishers, 1993. Ch. 5, p. 158

Exercise 3. Discuss the following statements with your group mates making use of the ex pressions below.

There is no doubt, that …

The way I see it …

From what I know …

You see …

It’s an open secret …

It’s a well known fact …

1.Individuals with antisocial personality traits are more likely to try out different drugs and increase risk of dependence.

490

Unit XV

2.Intravenous narcotic use is a major risk factor for infection with Human Immunodeficiency Virus.

3.Substance abuse is the leading health problem in any society. Despite severe medical and social con sequences, society continues to have an ambivalent attitude to psychoactive drugs.

4.Life expectancy of an alcohol depended person is reduced by 12 years.

Exercise 4. Scan the text and do the tasks below.

SMOKING TOBACCO

Perhaps the worst single health impairing habit is smoking. Smokers become addicted to the nicotine in tobacco. Though smokers claim they smoke to relieve anxiety or to make them more alert, they actually smoke to avoid the unpleasant symptoms of nicotine withdrawal, which include irritability, hand tremors, heart palpitations, and difficulty concentrating. Thus, addicted smokers smoke to regulate the level of nico tine in their body. Under stressful circumstances, as when expressing one’s opinions in social interactions, smokers report that smoking reduces their anxiety, perhaps because stress makes their bodies crave higher levels of nicotine. Smoking is especially difficult to re sist because it may become an automatic response to many everyday situations, as in the case of smokers who light a cigarette when answering the telephone, after eating a meal, or upon leaving a class.

Smoking produces harmful side effects through the actions of tars and other substances in cigarette smoke. Smoking causes fatigue by reducing the blood’s ability to carry oxygen, making smoking as an espe cially bad habit for athletes. But, more important, each year smoking contributes to the deaths from stroke, cancer, emphysema, and heart disease.