3. Consciousness
A persons awareness of everything that is going on around him or her at
any given moment, which is used to organize behavior
Let’s watch a video!
Waking Consciousness: state in which thoughts, feelings, and sensations
are clear, organized, and the person feels alert
Altered state of consciousness: the state in which there is a shift in the
quality of or pattern of mental activity as compared to waking
consciousness
4. How much do you sleep?
No, seriously. How much do you sleep?
5. Why do we sleep?
Adaptive theory
People evolved sleep patterns to
avoid predators by sleeping when
predators are most active
Restorative theory
Necessary to the physical health of
the body and serves to replenish
chemicals and repair cell damage
6. REM & Non-REM
REM sleep is the stage of sleep in which the eyes move rapidly under the
eyelids and the person is typically having a dream. You don’t move much
during this stage of sleep.
Non-REM sleep is much deeper, more restful. You move around more (like
kicking your partner in bed)
7. Waves!
Beta waves: smaller and faster brain waves, typically indicating mental
activity
Alpha waves: brain waves that indicate a state of relaxation or light sleep
Theta waves: brain waves indicating the early stage of sleep
Delta waves: long, slow waves that indicate the deepest stage of sleep
8. Stages of sleep
Non-REM Stage 1: light sleep
Non-REM Stage 2: sleep spindles, your body temperature drops, brief bursts
of activity lasting only a second or two
Non-REM Stage 3 & 4: delta waves roll in and the body is at its lowest level
of functioning
You can guess which is the toughest to wake up from…
Deep sleep is also when the body grows, which is why kids are tougher to
wake up, their tiny bodies are hard at work!
9. Sleep disorders
Nightmares: bad dreams occurring in REM sleep
REM behavior disorder: a rare disorder in which the mechanism that blocks
the movement of the voluntary muscle fails, allowing the person to thrash
around and even get up and act out nightmares
Sleepwalking: occurring during sleep, an episode of moving or walking
around during ones sleep
Night terrors: relatively rare disorder in which the person experiences
extreme fear and screams or runs around during deep sleep without
waking fully
10. Sleep disorders
Insomnia: the inability to get sleep, stay asleep, or have good quality of
sleep
Sleep apnea: disorder in which the person stops breathing for nearly half a
minute or more
Narcolepsy: sleep disorder in which a person falls immediately into REM
sleep during the day without warning
11. Dreams
Why do people dream and what do they dream
about?
Freud: dreams are wish fulfillment. Freudian psychology implies
problems of patients stem from conflicts and events that have
been buried in their “unconscious” mind since childhood.
Manifest content: actual content of the dream itself
Latent content: the hidden meaning of the dream is expressed in
symbols
12. More about dreams
Activation-synthesis hypothesis: a dream is merely
another kind of thinking that occurs when people sleep.
It comes from not from the outside world but within
people’s memories and experiences of the past
Activation-information-mode model: revised version
from above in which information that is accessed during
waking hours can have an influence on the synthesis of
dreams
13. Hypnosis
The state of consciousness in which the person is especially susceptible to
suggestion
14. Steps in hypnotic induction
1. The hypnotist tells the person to focus on what is being said
2. The person is told to relax and feel tired
3. The hypnotist tells the person to “let go” and accept suggestions easily
4. The person is told to use vivid imagination
• The key to hypnosis is a willing participant
• 80% of the population is able to be hypnotized
• & only 40% of those are good candidates
15.
16.
17.
18. There is nothing more helpless and irresponsible than
a man in the depths of an ether binge.
19. Psychoactive Drugs
Psychoactive drugs: drugs that alter thinking, perception, and memory
Physical dependence: condition occurring when a persons body becomes
unable to function normally without a particular drug
Withdrawal: physical symptoms that can include nausea, pain, tremors,
crankiness, and high blood pressure resulting from a lack of an addictive
drug in the body systems
20. Dependence
Physical dependence
Physical symptoms
Can cause medical complications
Drug therapy can be provided
Psychological dependence
Fulfills a feeling or continued feeling
Provided emotional relief from
unpleasant feelings
Positive reinforcement
May accompany physical
dependence but will also need
psychotherapy to treat
Often group therapy
22. Amphetamines
Stimulants that are synthesized, made in labs (Breaking Bad anyone?)
rather than being found in nature
Causing the CNS to go into overdrive
Don’t provide extra energy but causes the person to burn up whatever
energy they have left
Typically a “crash” happens, tendency to want more
Quick to develop a tolerance, needing more and more
Amphetamine psychosis causes delusions, paranoia, strokes, and several
other medical conditions
23. Cocaine
Natural drug found in coca plant leaves
Feelings of euphoria, energy, power, and pleasure
At one time very popular with medical professionals as it deadens pain
Incredibly addictive, happens very fast
Convulsions can happen even at first use
Crack cocaine is a cheaper version and is said to be more addictive than cocaine
Three major signs of physical dependence
Compulsive: if it is available the addict will have to use it
Loss of control: people cannot stop using until its gone or they’ve exhausted themselves or their
resources
Disregard for the consequences of use: addicts will lie, cheat, steal, and ignore the negative
consequences of their actions of their daily life in order to get the drug
24. Nicotine
A relatively mild, but toxic stimulant
Slight rush, raises blood pressure and accelerates the heart as well as
providing a rush of sugar into the bloodstream by stimulating the release of
adrenalin
Difficult to quit but many OTC options for cessation
Physical effects can be intense but pose a lower risk of serious medical
issues than many other drugs
40% of Americans smoked in the 1960s, only 25% now
25. Caffeine
A mild stimulant found in coffee, tea, and several other plant based
substances
Found in 60 types of plants
Maintain alertness
Increases effectiveness of pain pills
Very common
Lets look at a chart!
28. Barbiturates or the Major Tranquilizers
Drugs that have a sedative (sleep-inducing effect)
Effects can range from mild sedation to unconsciousness or coma
Overdoses cause your breathing and heart to stop
Addicted easily and quickly
Withdrawal can be life-threatening due to convulsions or seizures
Most dangerous use is with alcohol
(Heath Ledger died of an overdose [ruled an accidental drug interaction]
with SIX different depressant drugs in this system. He was 28 years old)
29. Benzodiazepines
Minor tranquilizers
Used to lower anxiety and reduce stress
Considered safer than barbiturates and are now the drug of choice to
treat sleep issues, anxiety, and “nervousness” (the book actually says this.
Might as well say “the vapors” #getwithit)
Can be addictive and have physical withdrawal symptoms
Xanax, valium, Ativan, and rohypnol (“the date rape drug”)
31. Alcohol
Most commonly used and abused drug
Estimated 10 to 20 MILLION people in the USA are alcoholics
This simple test is surprisingly accurate. Answer yes or no to each question.
Have you ever thought you should Cut down your drinking?
Have you ever felt Annoyed when people have commented on your
drinking?
Have you ever felt Guilty or badly about your drinking?
Have you ever had an Eye opener first thing in the morning to steady your
nerves or get rid of a hangover?
32. Narcotics
PAIN KILLERS, SUPPRESS THE SENSATION OF PAIN BY BINDING TO AND
STIMULATING THE NERVOUS SYSTEMS NATURAL RECEPTOR SITES FOR
ENDORPHINS
33. Opium
Substance derived from the opium poppy from which all narcotic drugs
are derived
Known drug for 2,000 years
Basis of morphine
34. Morphine
Narcotic drug derived from opium, used to treat severe pain
Dissolved opium in acid and then neutralized with ammonia
Thought at one time to be a “wonder drug”
Used only in short periods of time now
I have patients with morphine pumps…let me tell you more.
35. Heroin
Narcotic drug derived from opium that is extremely addicted
Thought at one time to be a purer form of morphine and had less side
effects
Incredibly addictive, often at first use
Drug therapies used to treat physical withdrawal such as methadone
Many people who die of heroin “overdoses” actually are deaths from
“bad” heroin
38. LSD
Lysergic acid diethylamide
Synthesized from grains
One of the most potent and powerful hallucinogens
Some people believe it helps expand their consciousness or awareness of
the world
Colors seem brighter and sensations are much more intense
39. PCP
Phencyclidine
Used only In veterinary medicine because it is so powerful
Depending on the dosage it can be a hallucinogen, stimulant, depressant,
or an analgesic (pain killing)
Acts of violence
Immense strength
They feel no signal of pain so people often hurt themselves
40. MDMA (Ecstasy or Molly)
Synthetic drug
Capable of producing hallucinogens
It is now classified as a stimulatory hallucinogenic which are drugs that
produce a psychomotor stimulant and hallucinogenic effects
Raise body temp, can cause dehydration
Common in the rave scene
Very dangerous to mix with alcohol
41. Nonmanufactured Highs
Mescaline
Natural hallucinogen derived from
peyote cactus buttons
Long been a part of Native American
rituals
Lasts longer than LSD
Psilocybin
Natural hallucinogen found in
mushrooms
“magic mushrooms”
Neither of these drugs are addictive
physically
42. Marijuana
The most commonly used hallucinogenic drug
Legal in several states for recreational use, legal for medicinal use in
almost all 50 states. Remains illegal under the federal government
Psychoactive portion is called THC
Derived from a particular type of hemp plant
Boys are always like ovens to sleep with
How large is your sleep debt?
Dreams
As we come closer to wakefulness during these cycles, we are able to experience the random firings of neural restoration, just as we would of perceptual events if we were awake. And sometimes, we remember the experiences well enough to relate them to our friends.
It has been an idea for a very long time that dreams have special meaning. Freud, of course, made this a centerpiece for his therapy. He distinguished between the manifest content (the apparent or surface meaning) and the latent content (the deeper, symbolic meaning), and he believed that a psychiatrist could interpret dreams to discover a patient's deepest needs and concerns, ones that would be too uncomfortable to confront, even in one's dreams!
Carl Jung went even further, and suggested that dreams involve patterns of thought we inherited from our ancestors, which he called archetypes. These archetypes - including "mother", "father", "child", "hero", "maiden", "shadow", "the wise old man", and so on - are also seen in mythology, religion, art, fairy tales, novels, movies, and so on. A good example of a movie that uses Jungian archetypes is Star Wars.
Over the last century, though, we have become quite skeptical of these ideas. I am basically skeptical, and sometimes refer to dreams as “brain poop,” also known in more professional circles as day residue. But, I would add that dreams often seem to center around our "issues" -- and thereby can provide us with some clues as to what those issues are.
If one dreams about anxiety-provoking things, it seems reasonable to assume that you are suffering from anxiety. If there are certain scenarios in your dreams that cause you that anxiety, perhaps those are issues for you. I, for example, frequently dream about being criticized or evaluated or humiliated in front of an audience. That certainly makes sense for me as a professor. I also dream quite a bit about moving from one house to another. Although I have lived in my present home for over 30 years, as a kid I moved frequently. So my dreams make sense, not only as day residue, but as indicators of my psychological history.
Hypnotic susceptibility measures how easily a person can be hypnotized. Several types of scales are used; however, the most common are the Harvard Group Scale of Hypnotic Susceptibility and the Stanford Hypnotic Susceptibility Scales.
The Harvard Group Scale (HGSS), as the name implies, is administered predominantly to large groups of people while the Stanford Hypnotic Susceptibility Scale (SHSS) is administered to individuals. No scale can be seen as completely reliable due to the nature of hypnosis. It has been argued that no person can be hypnotized if they do not want to be; therefore, a person who scores very low may not want to be hypnotized, making the actual test score averages lower than they otherwise would be.
Https://www.youtube.com/watch?v=CgeY0IXaVMk
Hunter Stockton Thompson (July 18, 1937 – February 20, 2005) was an American journalist and author, and the founder of the gonzo journalism movement. Born in Louisville, Kentucky, to a middle-class family, Thompson had a turbulent youth after the death of his father left the family in poverty. He was unable to formally finish high school as he was incarcerated for 60 days after abetting a robbery. He subsequently joined the United States Air Force before moving into journalism. He traveled frequently, including stints in California, Puerto Rico, and Brazil, before settling in Aspen, Colorado, in the early 1960s.
Thompson became internationally known with the publication of Hell's Angels: The Strange and Terrible Saga of the Outlaw Motorcycle Gangs (1967). For his research on the book he had spent a year living and riding with the Angels, experiencing their lives and hearing their stories first-hand. Previously a relatively conventional journalist, with the publication in 1970 of "The Kentucky Derby Is Decadent and Depraved" he became a counter cultural figure, with his own brand of New Journalism which he termed "Gonzo", an experimental style of journalism where reporters involve themselves in the action to such a degree that they become central figures of their stories. The work he remains best known for, Fear and Loathing in Las Vegas: A Savage Journey to the Heart of the American Dream (1971), constitutes a rumination on the failure of the 1960s counterculture movement. It was first serialized in Rolling Stone, a magazine with which Thompson would be long associated, and was released as a film starring Johnny Depp and directed by Terry Gilliam in 1998.
Politically minded, Thompson ran unsuccessfully for sheriff of Pitkin County, Colorado, in 1970, on the Freak Power ticket. He became well known for his inveterate hatred of Richard Nixon, whom he claimed represented "that dark, venal, and incurably violent side of the American character"[1] and whom he characterized in Fear and Loathing on the Campaign Trail '72. Thompson's output notably declined from the mid-1970s, as he struggled with the consequences of fame, and he complained that he could no longer merely report on events as he was too easily recognized. He was also known for his lifelong use of alcohol and illegal drugs, his love of firearms, and his iconoclastic contempt for authoritarianism. He remarked: "I hate to advocate drugs, alcohol, violence, or insanity to anyone, but they've always worked for me."
While suffering a bout of health problems, Thompson committed suicide at the age of 67. Per his wishes, his ashes were fired out of a cannon in a ceremony funded by his friend Johnny Depp and attended by a host of friends including then Senator John Kerry and Jack Nicholson. Hari Kunzru wrote that, "the true voice of Thompson is revealed to be that of American moralist ... one who often makes himself ugly to expose the ugliness he sees around him."[2]
CAGE TEST
https://www.youtube.com/watch?v=oaFlJhYtR6U
Does the mental health coordinator have the best opinion?
https://www.youtube.com/watch?v=zN9NDZ6lgaM
Methadone clinic progression
https://www.youtube.com/watch?v=C9mR0zxytmw
Sean clip from slc punk