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                      AP  Science Practice   Developing Arguments
                                             Tolerance and Addiction
                     Tolerance                       Drinks            effect                                 frequently
                                                                        Big
                                                                                                               Drinks
                                                     rarely
                     With continued use of alcohol and                       Response to
                     some other drugs (but not marijua-                       rst exposure
                     na), users develop tolerance as
                                                                      Drug
                     their brain chemistry adapts to                 effect
                     offset the drug effect (neuroadapta-
                                 Distributed by Bedford, Freeman & Worth Publishers. Not for redistribution.
                     tion). To experience the same effect,
                     users require  larger and larger                                   After repeated
                     doses, which increase the risk of                                  exposure, more drug
                                                                                        is needed to produce
                     becoming addicted and developing                  Little           same effect
                                           Copyright © Bedford, Freeman & Worth Publishers.
                     a substance use disorder.                         effect  Small               Large
                                                                                    Drug dose
                     Addiction                       4% of the world’s     4%               Therapy or group support,

                     Caused by ever-increasing       people have an alcohol                 such as from Alcoholics
                     doses of most psychoactive      use disorder. 2                        Anonymous, may help. It also
                     drugs (including prescription                                          helps to believe that addic-
                     painkillers). Prompts user to    The lifetime odds of getting hooked   tions are controllable and
                     crave the drug, to continue use   after using various drugs:           that people can change.
                     despite adverse consequences,                                          Many people do voluntarily
                     and to struggle when               9% Marijuana                        stop using addictive drugs
                     attempting to withdraw from                                            without any treatment. “Most
                     it. These behaviors suggest a         21% Cocaine                      people who successfully quit
                     substance use disorder. Once          23% Alcohol                      smoking kicked
                     in the grip of addiction, people                     68% Tobacco       the habit on
                                                                                                     4
                     want the drug more than they                                           their own. ”
                     like the drug. 1                 Data from National Epidemiologic Survey on
                                                      Alcohol and Related Conditions  3

                     Behavior Addictions
                     Psychologists try to avoid
                     using “addiction” to label       Yet some behaviors can become compulsive and
                     driven, excessive behaviors       dysfunctional — similar to problematic alcohol and
                     such as eating, work, sex,        drug use. Behavior addictions include gambling   Psychological
                                                               5
                     and accumulating wealth.          disorder. Internet gaming disorder is also now a   and drug
                                                       diagnosable condition.  Such gamers display a   therapies may
                                                                           6
                       I'm ADDICTED to                 consistent inability to resist logging on and   be “highly
                       cheeseburgers!
                                                        staying on, even when this excessive use impairs   effective” for
                                                        their work and relationships. One international   problematic
                                                        study of 19,000 gamers found that 1 in 3 had at   internet use. 8
                                                        least one symptom of the disorder. But fewer
                                                        than 1 percent met criteria for a diagnosis. 7


                   1. Berridge et al., 2009; Robinson & Berridge, 2003. 2. WHO, 2014b. 3. Lopez-Quintero et al., 2011. 4. Newport, 2013. 5. Gentile, 2009;

                                       Developing Arguments Questions
                   Grif ths, 2001; Hoeft et al., 2008. 6. WHO, 2018b. 7. Przybylski et al., 2017. 8. Winkler et al., 2013.
                           1.   Explain the difference between tolerance and withdrawal.       3.   Identify one piece of scientifically derived evidence that supports the
                                                                        concept of behavioral addictions.
                       2.   Using the scientifically derived evidence cited here, explain how
                     tolerance and withdrawal relate to substance use disorders.
                     1. Berridge et al., 2009; Robinson & Berridge, 2003. 2. WHO, 2014b. 3. Lopez-Quintero et al., 2011. 4. Newport, 2013. 5. Gentile, 2009; Griffiths, 2001; Hoeft et al., 2008. 6. WHO, 2018b.
                     7. Przybylski et al., 2017. 8. Winkler et al., 2013.
                 42   Unit 1  Biological Bases of Behavior






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