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Chapter 1

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Factors Affecting Drug Use and Abuse


Social and Individual Antecedents

Distal Antecedents
e.g., peer groups,
family interactions,
parental drug use

Immediate
Antecedents
e.g., licensing laws,
social pressures,
availability,
demographic variables

Social and Individual Consequences

Avoidance
Learning

Aversive
Consequences
e.g., toxic effects,
reduced drug effect,
organic damage,
psychosocial
dysfunction

Disposition
to Use Drug

Drug Use

Neuroadaptive
State
Withdrawal
Symptoms

Distal Antecedents
e.g., early learning,
drug experience,
genetic endowment,
developmental events

Immediate
Antecedents
e.g., mood states,
withdrawal states,
expectations

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Source: Edwards et al. (1981). Reprinted with permission.

Approach
Learning

Reinforcing
Consequences
e.g., mood enhancement, psychosocial
facilitation, avoidance
or relief of withdrawal
symptoms

Theories of Addiction and Implications for Counselling

Tolerance

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