These brain areas include the prefrontal cortex and basal ganglia. d. both b and c. 2. One of the most common treatments for sleep apnea involves the use of a special device during sleep. AK-complexis a very high amplitude pattern of brain activity that may in some cases occur in response to environmental stimuli. In individuals diagnosed with a substance use disorder, there is a compulsive pattern of drug use that is often associated with both physical and psychological dependence. For instance, have you ever daydreamed while driving home from work or school without really thinking about the drive itself? Recently, a new EPAP (expiratory positive air pressure) device has shown promise in double-blind trials as one such alternative (Berry, Kryger, & Massie, 2011). Obviously, regular narcoleptic episodes could interfere with the ability to perform ones job or complete schoolwork, and in some situations, narcolepsy can result in significant harm and injury (e.g., driving a car or operating machinery or other potentially dangerous equipment). A hypnogram is a diagram of the stages of sleep as they occur during a period of sleep. For example, a person may work from 7:00 a.m. to 3:00 p.m. on Monday, 3:00 a.m. to 11:00 a.m. on Tuesday, and 11:00 a.m. to 7:00 p.m. on Wednesday. The fifth edition of theDiagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5) is used by clinicians to diagnose individuals suffering from various psychological disorders. Historically, heroin has been a major opioid drug of abuse (Figure 4.17). You don't have to be a psychologist to know that conditions like hunger or fatigue have an impact on thinking and decision-making; these are examples of internal states. typically follow the example of their parents more than their friends. Marijuana may also have some promise in the treatment of a variety of medical conditions (Mather, Rauwendaal, Moxham-Hall, & Wodak, 2013; Robson, 2014; Schicho & Storr, 2014). Table 4.1shows the new recommendations, which describe sleep durations that are recommended, may be appropriate, and not recommended. Rotating shift work has pervasive effects on the lives and experiences of individuals engaged in that kind of work, which is clearly illustrated in stories reported in a qualitative study that researched the experiences of middle-aged nurses who worked rotating shifts (West, Boughton & Byrnes, 2009). The FDAs 2013 recommendation for tighter controls on opiate prescriptions left many patients addicted to prescription drugs like OxyContin unable to obtain legitimate prescriptions. Ethanol, which we commonly refer to as alcohol, is in a class of psychoactive drugs known as depressants (Figure 4.15). The term was first coined by a physiologist named Walter Cannon in 1926. The following describe internal states of symptoms EXCEPT? Cocaine can be taken in multiple ways. Following the initial rush, users experience 46 hours of going on the nod, alternating between conscious and semiconscious states. During this time, an individuals heart rate and respiration slow dramatically. Users can experience physical symptoms that include nausea, elevated blood pressure, and increased heart rate. This chart illustrates the circadian change in body temperature over 28 hours in a group of eight young men. There was a significant positive correlation between the degree to which women thought about their former spouses during waking hours and the number of times their former spouses appeared as characters in their dreams (Cartwright, Agargun, Kirkby, & Friedman, 2006). Sleep can be divided into two different general phases: REM sleep and non-REM (NREM) sleep. For example, body temperature fluctuates cyclically over a 24-hour period (Figure 4.2). When people have difficulty getting sleep due to their work or the demands of day-to-day life, they accumulate a sleep debt. While medical marijuana laws have been passed on a state-by-state basis, federal laws still classify this as an illicit substance, making conducting research on the potentially beneficial medicinal uses of marijuana problematic. Again, this is an intuitive and appealing explanation for why we sleep. She indicated that she had fallen asleep at inappropriate or dangerous times, including while eating, while socializing with friends, and while driving her car. Popular portrayals of hypnosis have led to some widely-held misconceptions. As the dose increases, people report feeling sedated. Like all opioids, codeine does have abuse potential. Devices like this are designed to provide exposure to bright light to help people maintain a regular circadian cycle. Upset stomach and vomiting. Perhaps our ancestors spent extended periods of time asleep to reduce attention to themselves from potential predators. In the therapeutic setting, a clinician may use relaxation and suggestion in an attempt to alter the thoughts and perceptions of a patient. The participant is encouraged to use his or her imagination. The chapter will close with discussions of altered states of consciousness produced by psychoactive drugs, hypnosis, and meditation. Narcoleptic episodes take on other features of REM sleep. Generally, and for most people, our circadian cycles are aligned with the outside world. Brain waves during REM sleep appear very similar to brain waves during wakefulness. Freud made distinctions between the manifest content and the latent content of dreams. It is relatively easy to wake someone from stage 1 sleep; in fact, people often report that they have not been asleep if they are awoken during stage 1 sleep. Caffeine is an adenosine antagonist, so caffeine inhibits the adenosine receptors, thus decreasing sleepiness and promoting wakefulness. While we have discussed the negative outcomes associated with sleep deprivation, it should be pointed out that there are many benefits that are associated with adequate amounts of sleep. Aches and pains, such as severe headache and muscle and joint pain. Furthermore, slow-wave sleep after learning a new task can improve resultant performance on that task (Huber, Ghilardi, Massimini, & Tononi, 2004) and seems essential for effective memory formation (Stickgold, 2005). The first three stages of sleep are NREM sleep, while the fourth and final stage of sleep is REM sleep. Stage 1 sleepis a transitional phase that occurs between wakefulness and sleep, the period during which we drift off to sleep. 23. During periods of sleepwalking, sleepers often have their eyes open, but they are not responsive to attempts to communicate with them. In contrast,non-REM (NREM)sleep is subdivided into four stages distinguished from each other and from wakefulness by characteristic patterns of brain waves. Some newer CPAP masks are smaller and cover only the nose. Repeated use of these stimulants can have significant adverse consequences. People sleep better in cooler temperatures. Its simply that they feel so overwhelmed and stressed that they cannot fall asleep or stay asleep. Alertness is associated with higher body temperatures, and sleepiness with lower body temperatures. In addition, stage 1 sleep involves a marked decrease in both overall muscle tension and core body temperature. Drug use disorders are addictive disorders, and the criteria for specific substance (drug) use disorders are described in DSM-5. They were ALL my fault. c. are influenced by peer pressure, often leading to unhealthful or unsafe behaviors. Nicotine is most commonly used in the form of tobacco products like cigarettes or chewing tobacco; therefore, there is a tremendous interest in developing effective smoking cessation techniques. There is a trend that females report more somatic symptoms than males; thus, more females are diagnosed with somatic symptom disorder than males (APA, 2022). By analyzing dreams, Freud thought people could increase self-awareness and gain valuable insight to help them deal with the problems they faced in their lives. When he told me, I made him go see the college therapist. While there is tremendous variation in any given individuals sleep needs, the National Sleep Foundation (n.d.) cites research to estimate that newborns require the most sleep (between 12 and 18 hours a night) and that this amount declines to just 79 hours by the time we are adults. Adenosine is a neurotransmitter that promotes sleep. Toleranceis linked to physiological dependence, and it occurs when a person requires more and more drug to achieve effects previously experienced at lower doses. A person withrestless leg syndromehas uncomfortable sensations in the legs during periods of inactivity or when trying to fall asleep. This treatment option has proven to be effective for people suffering from mild to severe cases of sleep apnea (McDaid et al., 2009). The amount of sleep we get varies across the lifespan. EVERYDAY CONNECTION: Solutions to Support Healthy Sleep, continuous positive airway pressure (CPAP). Heroin users often shoot the drug directly into their veins. Think meditation might help? In her case, the fact that her cataplexy was confined to the right side of her body was quite unusual. Acetylcholine functions as a neurotransmitter in motor neurons. Elements that are known to make PTSD more likely are the following: Perceived life threat Personal injury Interpersonal violence, particularly perpetrated by a caregiver Past and present vulnerability, including genetics, childhood trauma, insufficient emotional support, concurrent causes of stress Example: Childhood abuse and rape Meditative techniques have their roots in religious practices (Figure 4.21), but their use has grown in popularity among practitioners of alternative medicine. It is also common for these types of drugs to cause hallucinations of body sensations (e.g., feeling as if you are a giant) and a skewed perception of the passage of time. Whether lark, owl, or somewhere in between, there are situations in which a persons circadian clock gets out of synchrony with the external environment. These synthetic drugs are so potent that even small doses can cause overdose and death. Low doses increase relaxation, decrease inhibitions. As mentioned earlier, REM sleep is marked by rapid movements of the eyes. (a) Delta waves, which are low frequency and high amplitude, characterize (b) slow-wave stage 3 and stage 4 sleep. b. life expectancy has reached a new high. High doses can induce sleep, cause motor disturbance, memory loss, decreased respiratory function, and death. The consequences of sleep debt include decreased levels of alertness and mental efficiency. (b) Heroin is cooked on a spoon over a candle. 2. Incentral sleep apnea, disruption in signals sent from the brain that regulate breathing cause periods of interrupted breathing (White, 2005). The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission. Signs of inflammation help healthcare providers in making a diagnosis. Using crystal meth poses a number of serious long-term health issues, including dental problems (often called meth mouth), skin abrasions caused by excessive scratching, memory loss, sleep problems, violent behavior, paranoia, and hallucinations. Bloating or a feeling of fullness in the abdomen. People who suffer from this disorder can injure themselves or their sleeping partners when engaging in these behaviors. These effects can occur as a function of accumulated sleep debt or in response to more acute periods of sleep deprivation. You were capable of engaging in the all of the complex tasks involved with operating a motor vehicle even though you were not aware of doing so. According to the dissociation view, hypnosis is effectively a dissociated state of consciousness, much like our earlier example where you may drive to work, but you are only minimally aware of the process of driving because your attention is focused elsewhere. Mindfulness meditation has recently become popular. Disorganized Thinking. (a) This is a statue of a meditating Buddha, representing one of the many religious traditions of which meditation plays a part. Thirst. It is administered alone or in conjunction with doses of melatonin (the hormone secreted by the pineal gland). Is it absolutely essential that we sleep? Theta wavesare even lower frequency (47 Hz), higher amplitude brain waves than alpha waves. Causes. The participant is made comfortable and is directed to be relaxed and sleepy. Insudden infant death syndrome (SIDS)an infant stops breathing during sleep and dies. High doses can cause death due to respiratory depression. Hypnosisis a state of extreme self-focus and attention in which minimal attention is given to external stimuli. For example, withdrawal from sedative drugs often produces unpleasant arousal and agitation. This final section will consider hypnotic and meditative states as additional examples of altered states of consciousness experienced by some individuals. This becomes a self-perpetuating cycle because increased anxiety leads to increased arousal, and higher levels of arousal make the prospect of falling asleep even more unlikely. Body temperature rises throughout the waking day, peaking in the afternoon, and falls during sleep with the lowest point occurring during the very early morning hours. Sleepwalking, restless leg syndrome, and night terrors are all examples of parasomnias (Mahowald & Schenck, 2000). Therefore, it is important to make a distinction between hypnosis as an empirically based therapeutic approach versus as a form of entertainment. The axons of light-sensitive neurons in the retina provide information to the SCN based on the amount of light present, allowing this internal clock to be synchronized with the outside world (Klein, Moore, & Reppert, 1991; Welsh, Takahashi, & Kay, 2010) (Figure 4.3). As you have learned, drugs can act as agonists or antagonists of a given neurotransmitter system. Therefore, it is quite likely that new medications that are developed to treat narcolepsy will be designed to target the hypocretin system. Moreover, these impairments become more severe as the amount of sleep deprivation increases (Alhola & Polo-Kantola, 2007). Tolerance can cause the user to increase the amount of drug used to a dangerous leveleven to the point of overdose and death. It was getting to the point where it was kind of scary (Henry & Rosenthal, 2013, p. 52). One complete menstrual cycle takes about 28 daysa lunar monthbut many biological cycles are much shorter. In the central nervous system, it plays a role in arousal and reward mechanisms. Sleep apnea is much more common in overweight people and is often associated with loud snoring. Users experience increased energy, feelings of pleasure, and emotional warmth. Sleep is not a uniform state of being. The early portion of stage 1 sleep producesalpha waves, which are relatively low frequency (813Hz), high amplitude patterns of electrical activity (waves) that become synchronized (Figure 4.8). While "internal state" or impulsivity are terms more generally discussed in psychology or neuroscience, the concept is familiar to anyone. Pain relief, euphoria, sleepiness. However, when a stimulant drug was used in conjunction with a popular antidepressant, her condition improved dramatically. We also alter our consciousness through the use of various psychoactive drugs. The following describe internal states of symptoms EXCEPT? The 20th century Swiss psychiatrist Carl Jung believed that dreams allowed us to tap into the collective unconscious. A sleep deprived individual generally will fall asleep more quickly than if she were not sleep deprived. While it is probably the most commonly used drug in the world, the potency of this particular drug pales in comparison to the other stimulant drugs described in this section. Clonazepam, an anti-anxiety medication with sedative properties, is most often used to treat RBD. Stage 2 sleep is characterized by the appearance of both sleep spindles and K-complexes. Sleep apnea is defined as a reduction or cessation of breathing during sleep. Feeling tired. During sleep, the pituitary gland secretes both FSH and LH which are important in regulating the reproductive system (Christensen et al., 2012; Sofikitis et al., 2008). The internal state of an object is the set of all its attributes' values. d. the gender gap between male and female life expectancy has increased. Dopamine activity is often associated with reward and craving; therefore, drugs that affect dopamine neurotransmission often have abuse liability. Fever. On January 16, 1997, Scott Falater sat down to dinner with his wife and children and told them about difficulties he was experiencing on a project at work. The lifespan perspective in health psychology reveals that adolescents One of the shortcomings with the health belief model is Risk factors for a health problem People whose personalities include high levels of _____ seem to be "disease"
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