Question 1

Stephan who has struggled with alcoholism most of his adult life has not had a drink of alcohol in the last 12 months. However, he still has strong cravings to drink alcohol from time-to-time. What term characterizes Stephan's remission state?

Accepted Answer

Sustained partial remission is characterized by the absence of full criteria for substance use disorder except for cravings, as in Stephan's case, where he hasn't consumed alcohol but still experiences strong cravings.

Question 2

Criticisms of controlled substances schedules address which two issues?

Accepted Answer

Controlled substances schedules are often criticized for their appropriateness in classifying drugs and the methods used to determine these classifications.

Question 3

A maladaptive pattern of substance use that does not involve tolerance or dependence is referred to as ____.

Accepted Answer

Substance abuse refers to a pattern of harmful use of any substance for mood-altering purposes, which does not necessarily include the development of tolerance or dependence, distinguishing it from drug addiction.

Question 4

One of the first national regulations on drugs of abuse was the Harrison Narcotics Act passed, which restricted the sale of narcotics for medical uses. When was this law passed?

Accepted Answer

The Harrison Narcotics Act was passed in 1914 and took effect in 1915. It was one of the first attempts to regulate narcotics in the United States, focusing on opium and coca products.

Question 5

Big Pharma is testing a new drug, Medforma. Which governmental agency will be in charge of designating Medforma's schedule classification?

Accepted Answer

The Drug Enforcement Administration (DEA) is responsible for designating the schedule classification of drugs, which determines the drug's acceptability for medical use and its potential for abuse or dependency.

Question 6

Early clinical definitions of addiction focused on the development of tolerance, physical dependence, and craving (National Institute on Alcohol Abuse and Alcoholism, 1995). What is a criticism of this definition?

Accepted Answer

The early clinical definitions of addiction that focused on tolerance, physical dependence, and craving are criticized for being too limited in scope. This is because addiction encompasses a broader range of behaviors and psychological components than just these physiological aspects.

Question 7

Early clinical definitions of addiction focused on the development of tolerance, physical dependence, and ____ (National Institute on Alcohol Abuse and Alcoholism, 1995).

Accepted Answer

Early clinical definitions of addiction included the development of tolerance, physical dependence, and craving as key components. Craving refers to the strong desire to use the substance again.

Question 8

One source currently describes addiction as substance dependence: "maladaptive pattern of substance use, leading to clinically significant impairment or distress as manifested by three (or more) [symptoms] occurring at any time in the same 12-month period." What is the source?

Accepted Answer

The source is the Diagnostic and Statistical Manual of Mental Disorders (DSM), which is a publication by the American Psychiatric Association that provides a common language and standard criteria for the classification of mental disorders. It includes criteria for diagnosing substance use disorders, described in terms of maladaptive patterns of substance use leading to significant impairment or distress.

Question 9

Dr. Donahue is characterizing the effects of a schedule V drug, ChemZ, on the central nervous system. According to its schedule, we can determine that ChemZ is deemed to have a ____.

Accepted Answer

Schedule V drugs are considered to have a lower potential for abuse relative to substances in Schedules I-IV and are recognized as having a legitimate medical purpose.

Question 10

A return to a chronic drug use state that meets the clinical features of addiction is referred to as ____.

Accepted Answer

Relapse is the correct term used to describe a return to drug use after an attempt to stop.

Question 11

Suzette, a recovering heroin addict, is currently in sustained full remission. What does this mean?

Accepted Answer

Sustained full remission means that Suzette has shown no symptoms of dependence or abuse for at least 12 months.

Question 12

How do drug-addiction models differ from clinical definitions of addiction?

Accepted Answer

The answer of How do drug-addiction models differ from clinical...

Question 13

Dr. Rodriguez is characterizing the effects of a schedule I drug, ChemY, on the central nervous system. According to its schedule, we can determine that ChemY is deemed to have a ____.

Accepted Answer

Schedule I drugs are classified as having a high potential for abuse and no accepted medical use in the United States.

Question 14

Which act first described drugs of abuse as controlled substances, requiring the legal regulation of certain drugs with abuse potential and leading to an abuse potential/medical use classification system?

Accepted Answer

The Controlled Substances Act (CSA) was the legislation that first described drugs of abuse as controlled substances. It established schedules that classify drugs based on their potential for abuse and medical use, requiring legal regulation of these substances.

Question 15

The DSM addiction definition differs from earlier definitions because it considers ____.

Accepted Answer

The DSM definition of addiction includes the persistence of drug use despite a strong desire to stop, highlighting the compulsive nature of addiction.

Question 16

Who is engaging in recreational drug use?

Accepted Answer

The answer of Who is engaging in recreational drug use?
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Question 17

A 1994 New York Times article illustrated the appropriateness of drug scheduling by gathering the opinions of two prominent drug abuse experts, Jack Henningfield and Neal Benowitz (Hilts, 1994). What was a major finding of this article?

Accepted Answer

The answer of A 1994 New York Times article illustrated...

Question 18

Laws at the state and national level limit the availability of drugs deemed to ____.

Accepted Answer

Laws at the state and national level limit the availability of drugs deemed to have a significant risk of abuse.

Question 19

How do some drug developers circumvent existing drug schedules?

Accepted Answer

Drug developers can circumvent existing drug schedules by relying on the biological effects of active metabolites, which may not be initially scheduled or regulated, allowing them to exploit loopholes in drug legislation.

Question 20

Professor Eagleton is giving a lecture on drug enforcement and regulation. What point is she most likely to make about the drug scheduling process?

Accepted Answer

The scheduling process can be criticized for its slow pace, which may hinder its effectiveness in addressing rapidly evolving drug trends and new substances entering the market.

Quiz 5: Drugs of Abuse