精神活性物质所致精神障瑞教案 Subject Psychiatry Teacher HAD Vei Target Clinical Medicine Teaching place The second classroom Chapters Chapter 4 Teaching hour 50 minutes Content Psychoactive Substance Related Disorders Date 2001 【Purpose and requirement】 1.To master basie concepts of psychoactive substance related disorders and to understand the classification ofpsychoactive substance. 2.To understand the etiology of psychoactive substance related disorders. 3.To master the clinical manifestations and treatments of Vithdrawal from Opioid and A lcohol. 4.To understand diagnosis and treatsent principles of Amphetamine Type Stirulants related disorders and CannabisRelated disorders. 5.To understand the methods of preventing relapse and social intervention. 【Key points of teaching】 1.The basic concepts and etiology of psychoactive substance related disorders. 2.The min clinical manifestation and treatnent of Opioid-related disorders and Alcohol-related disorders,et al. 【Difficult points of teaching】 The biological background of Psychoactive Substance Dependence. 【Type of teaching】. New knowledge teaching. 【Teaching nethod】 Bilinguistic teaching.I ecture and heuristic method. 【Teaching aid】
精神活性物质所致精神障碍教案 Subject ： Psychiatry Teacher ：HAO Wei Target ： Clinical Medicine Teaching place ：The second classroom Chapters : Chapter 4 Teaching hour ： 50 minutes Content ： Psychoactive Substance Related Disorders Date ： 2004 【Purpose and requirement】 1. To master basic concepts of psychoactive substance related disorders and to understand the classification ofpsychoactive substance. 2. To understand the etiology of psychoactive substance related disorders. 3. To master the clinical manifestations and treatments of Withdrawal from Opioid and A lcohol. 4. To understand diagnosis and treatment principles of Amphetamine Type Stimulants related disorders and CannabisRelated disorders. 5. To understand the methods of preventing relapse and social intervention. 【Key points of teaching 】 1. The basic concepts and etiology of psychoactive substance related disorders. 2. The main clinical manifestation and treatment of Opioid-related disorders and Alcohol-related disorders, et al. 【Difficult points of teaching】 The biological background of Psychoactive Substance Dependence. 【Type of teaching】 New knowledge teaching. 【Teaching method 】 Bilinguistic teaching, l ecture and heuristic method. 【Teaching aid 】
Multinedia nix and lantern slide. 【Conteat and step of teaching】 1 Terminology related Psychoactive Substance Related Disorders.(10min) 2.Classification of psychoactive substance and etiology of Psychoactive Substance Related Disorders.(1Onin) 3.Opiates.(10ain) 4.Alcobol.(10min) 5.Other psychosctive substance.(3nin) 6.Internet addiction.(5min) 7.Summary and discussion.(2min) CHAPTER 4 PSYCHOCTIVE SUBSTANCE RELATED DISORDERS 1.Terminology 1.1 Substance.drug 1.2 Addiction 1.3 Dependence 1.4hs0 1.5 Tolerance 1.6 Withdrawal syndrcee 2.Classifications and etiology 2.1 Classifications of psychoactive substance 2.2 Etiology Social-cultural factors Psychological factors Biological factors:pharmcological factors,neurochemical factors.et al. 3.Opiates 3.1 Overview 3.2 Pharmacological actions 3.3 Opioid Withdrawal 3.4 Treatment principles:
Multimedia mix and lantern slide. 【Content and step of teaching】 1 Terminology related Psychoactive Substance Related Disorders. (10min) 2. Classification of psychoactive substance and etiology of Psychoactive Substance Related Disorders. (10min) 3. Opiates. (10min) 4. Alcohol. (10min) 5. Other psychoactive substance. (3min) 6. Internet addiction. (5min) 7. Summary and discussion. (2min) CHAPTER 4 PSYCHOACTIVE SUBSTANCE RELATED DISORDERS 1. Terminology 1.1 Substance, drug 1.2 Addiction 1.3 Dependence 1.4 Abuse 1.5 Tolerance 1.6 Withdrawal syndrome 2. Classifications and etiology 2.1 Classifications of psychoactive substance 2.2 Etiology Social-cultural factors Psychological factors Biological factors: pharmacological factors, neurochemical factors, et al. 3. Opiates 3.1 Overview 3.2 Pharmacological actions 3.3 Opioid Withdrawal 3.4 Treatment principles:
Goals of Treatrent: Includine:Abstinence or Reduction in Substance Use Reduction in the Frequency and Severity of Relapse Inprovement in Psychological and Social/adaptive Functioning Assessment: Including:A systematic inquiry A comprehensive general nedical and psychiatric history A history of any prior treatment for substance use disorders A complete family.social,and substance use history Blood and urine screening for drugs of abuse and lab tests for abeormalities that may accompany acute or chronicsubstance use Screening for infectfous and other disease Psychiatric Managenemt: Including:Establishing and Maintaining a Therapeutic Alliance Monitoring the Patient's Clinical Status Managing Intoxication and Withdraval States Reducing the Morbidity and Consequences of Substance Use Disorders Facilitating Adherence to a Treatnent Plan and Preventing Relapse Providing Education about Substance Use Disorder and Their Treatment Pharmacological Treatments: Including:Medications to Treat Nithdrawal States Medications to Decrease the Reinforcing Effects of Abused Substance Medications that Discourage the Use of Substance Psychosocial Treatnents: Including:Cognitive therapy Behavioral therapy Interpersonal therapy 4.Alcobol 4.1 Absorption and Metabolisa 4.2 pharmacological actions mechanisn
Goals of Treatment: Including: Abstinence or Reduction in Substance Use Reduction in the Frequency and Severity of Relapse Improvement in Psychological and Social/adaptive Functioning Assessment: Including: A systematic inquiry A comprehensive general medical and psychiatric history A history of any prior treatment for substance use disorders A complete family, social, and substance use history Blood and urine screening for drugs of abuse and lab tests for abnormalities that may accompany acute or chronicsubstance use Screening for infectious and other disease Psychiatric Management: Including: Establishing and Maintaining a Therapeutic Alliance Monitoring the Patient's Clinical Status Managing Intoxication and Withdrawal States Reducing the Morbidity and Consequences of Substance Use Disorders Facilitating Adherence to a Treatment Plan and Preventing Relapse Providing Education about Substance Use Disorder and Their Treatment Pharmacological Treatments: Including: Medications to Treat Withdrawal States Medications to Decrease the Reinforcing Effects of Abused Substance Medications that Discourage the Use of Substance Psychosocial Treatments: Including: Cognitive therapy Behavioral therapy Interpersonal therapy 4. Alcohol 4.1 Absorption and Metabolism 4.2 pharmacological actions mechanism
4.3 Aleohol-related disorders Acute Alcoholisa Withdraval Memory and Intelligence Disorders Other Mental Disorders 4.4 Treatment (See 3.4) 5.Other psychoactive substance 5.1 Sedative-hypnotics and Anxiolytic 及2 Stimulants 5.3 Tobacco 5.4 Canmabis 6.Internet addiction:Cause,clinical features,diagnoses and treatment. 7.Summary and discussion 【Reference mterial】 1.Michael G.Gelder,Juan J Lopez-Ibor,Nancy Andreasen.New Oxford Textbook of Psychiatry.Oxford University Press2000. 2.Sadock,B.J.,Sadock,Y.A:Kaplan Sadock's Comprehensive Textbook of Psychiatry.7 th.edition.LippincottVilliams Wilkins.Philadelphia.2000. 3.Nancy C.Andreasen and Donald W.black.Introductory Texthook of Psychiatry. 2001.Anerican Psychiatric Publishing.Inc. 【Writing design】 See the lantern slide. 【Summary after class】 1.Question:What is the substance?What is withdramal state,tolerance or dependence? 2 How to understand the drug is provided with positive,negative reinforcement? 3.What is the treatment principle of opiates? 4.Which is more inportant:detoxification,prevention,or psychological therapy?Why? 5.How to deal with the alcohol withdrawal delirium?
4.3 Alcohol-related disorders Acute Alcoholism Withdrawal Memory and Intelligence Disorders Other Mental Disorders 4.4 Treatment (See 3.4) 5. Other psychoactive substance 5.1 Sedative-hypnotics and Anxiolytic 5.2 Stimulants 5.3 Tobacco 5.4 Cannabis 6. Internet addiction: Cause, clinical features, diagnoses and treatment. 7. Summary and discussion 【Reference material】 1. Michael G. Gelder, Juan J Lopez-Ibor, Nancy Andreasen. New Oxford Textbook of Psychiatry. Oxford University Press2000. 2. Sadock, B. J., Sadock, V. A: Kaplan & Sadock's Comprehensive Textbook of Psychiatry. 7 th . edition. LippincottWilliams & Wilkins, Philadelphia, 2000. 3. Nancy C. Andreasen and Donald W. black, Introductory Textbook of Psychiatry, 2001, American Psychiatric Publishing,Inc. 【Writing design】 See the lantern slide. 【Summary after class】 1. Question: What is the substance? What is withdrawal state, tolerance or dependence? 2. How to understand the drug is provided with positive, negative reinforcement? 3. What is the treatment principle of opiates? 4. Which is more important: detoxification, prevention, or psychological therapy? Why? 5. How to deal with the alcohol withdrawal delirium?