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Chapter 10: Substance Use Disorders in Adolescents

Essay/Short Answer Questions

Define:
•	Define (1) tolerance and (2) withdrawal.
•	Define the “abstinence violation effect.”
Comprehend:
•	Explain the biphasic effect of alcohol. How might the biphasic effect cause adolescents to drink excessively?
•	What are the five principles of motivational interviewing? How are these principles used in helping adolescents with substance use problems? 
Analyze:
•	What is the difference between a Substance Use Disorder and a Substance-Induced Disorder?
•	Compare and contrast 12-step treatment with motivational interviewing. How are the goals of these treatments different?
Apply:
•	Charlie is a 17-year-old high school student. Charlie drinks beer and other alcoholic beverages at parties with friends. He has also used marijuana on several occasions with friends during social gatherings. Charlie’s substance use has never led to academic, family, social, or legal problems. To what extent is Charlie’s behavior developmentally normative? If you were Charlie’s parents, would you be concerned?
•	Simon’s father was dependent on alcohol and died of alcohol-related medical problems when he was a boy. Simon is worried that he may have inherited a genetic susceptibility to alcohol dependence from his father. Are Simon’s worries justified? How can a genetic diathesis place Simon at risk for alcohol use problems?
 Evaluate:
•	Some critics have claimed that the DSM-5 criteria for substance use disorders are less applicable to adolescents than adults. Evaluate this criticism.
•	Many practitioners use a “harm reduction” approach to treating adults with alcohol and drug use problems. However, harm reduction approaches to treating adolescents are controversial. Why?