Behavioral Pharmacology Flash Card Terms Session Term 1 Abolishing Operations 1 Applied Behavior Analysis vs Experimental Analysis of Behavior 1 Avoidance behavior 1 Avoidance behavior: Pole jumping 1 Basic facts about drugs 1 Behavioral locus of drug action 1 Behavioral mechanisms responsible for drug effects on behavior 1 Behavioral pharmacology 1 Behaviorism 1 Behaviorism: Radical vs methodological 1 Chain Schedule 1 Concurrent Schedule (Conc) 1 Conditioned Motivative Operations (CMO) Answer 1. Decreases the reinforcing effectiveness of some stimulus 2. Decreases the strength of the behavior that has produced that stimulus in the past Both use systematic manipulations and data analysis of individual organisms. ABA: Behaviors of social significance to the person are investigated EAB: Behaviors of no social significance of the person are investigated Avoidance behavior that is reinforced by the postponement or avoidance of an aversive stimulus (negative reinforcer). 1. It is a signaled avoidance procedure where the rat can jump on a pole to escape/avoid shock. 2. Antipsychotics disrupted avoidance behavior but not escape behavior. 3. The assay was then used to find drugs that had similar effects in the hope that they could have antipsychotic effects. 1. Effects are time dependent 2. Effects are dose dependent 3. Can be toxic 4. Multiple effects What behavior(s) are affected by a drug What kind of stimulus properties a drug has. For example, it may be a reinforcer, EO, AO, CS, US, etc. The marriage of behavior analysis and pharmacology. The study of drug effects using the methods of EAB. Philosophy of behavior that assumes behavior is a function of current and past environments as well as genetics. Radical behaviorism holds that all behavior, public or private, is a legitimate target of study. Methodological behaviorism only studies observable (public) behavior. Two or more schedules are presented successively each with its own signal. A reinforcer is given only at the end of the sequence (FR10-FI1’-VR20-Reinforcer) Two or more schedules are available simultaneously that can be selected (choose to work in workshop or watch TV) Have the same effects that motivative operations have, but the effects are due to a conditioning history 1 Conditioned Reinforcer (punisher) 1 CR 1 CS 1 Dependent Variable 1 Dependent variable in respondent conditioning 1 Deprivation 1 Development of Behavioral Pharmacology - Factors 1 Discriminated Operant 1 Discrimination 1 Discrimination Training 1 DRA 1 DRH 1 DRI 1 DRL 1 DRO A consequence that increases (or decreases) the rate of behavior because it has been paired with another reinforcer (or punisher) Conditioned Response – a response elicited by a conditioned stimulus Conditioned Stimulus – a neutral stimulus that comes to elicit a conditioned response through pairing with a US Measure of behavior of interest 1. Latency 2. % of trials with CR 3. Magnitude (e.g., # drops of saliva) Absence of reinforcer for a period of time, thereby making that event more effective as a reinforcer. 1. Drugs developed to treat mental illness and behavior problems 2. Concerns with drug abuse 3. Concerns with chemical contamination 4. Development of EAB Behavior that requires some "opportunity" or specific antecedent to occur. Ex: in order to follow directions, there must first be a direction given. Refers to a change in observed behavior when antecedent stimulus is changed. Reinforcing a behavior in the presence of some stimulus and extinguishing (or punishing) the behavior in the absence of the stimulus. Differential Reinforcement of Alternative Behavior. Reinforcer is delivered when a response occurs for a fixed amount of time. The response is chosen because it is an alternative to the target behavior but not necessarily incompatible. Differential Reinforcement of High Rates of Behaviors. Reinforcer is delivered for more than a fixed number of responses in a time period -or- Reinforcer is delivered after an IRT less than some criterion amount of time. Used to increasethe rate of behavior. Differential Reinforcement of Incompatible behavior. Reinforcer is delivered when a response occurs for a fixed amount of time. The response is chosen because it is incompatible with the target behavior. Differential Reinforcement of Low Rates of Behavior. Reinforcer is delivered for no more than a fixed number of responses in a time period -or- Reinforcer is delivered after an IRT greater than some criterion amount of time. Used to decrease the rate of behavior. Differential Reinforcement of Other Behavior. Reinforcer is delivered when a response does 1 DRO: Momentary 1 Establishing Operation 1 Experimental analysis of behavior 1 FI- Fixed Interval 1 FR-Fixed Ratio 1 FT- Fixed Time 1 Independent Variable 1 Mechanism of action 1 Mixed Schedule 1 Motivational Operation (2 effects) 1 Motivational operation: Distal 1 Motivational operation: Proximal 1 Multiple Schedule (Mult) 1 Negative Punisher 1 Negative Reinforcement 1 Negative Reinforcer not occur for a fixed (or varied in VDRO) amount of time. MDRO 5 min = observe person after 5 minutes, and if the decel target behavior is not occurring at the moment, then deliver some stimulus. 1. Increases the reinforcing effectiveness of some stimulus 2. Increases the strength of the behavior that has produced that stimulus in the past EAB: Behaviors of no social significance of the person are investigated 1. Automated recording 2. Objective DV and IV 3. Within subject designs 4. Visual inspection of data Reinforcer delivered after the first response after a fixed amount of time has elapsed. Produces a scalloped rate of responding. Reinforcer delivered after fixed number of responses. Produces steady, high rate of response with pauses after reinforcement. A stimulus is delivered after a fixed period of time , irrespective of behavior. Treatment or intervention How a drug works – usually refers to the neurotransmitters that are affected Two or more independent schedules that are presented successively but each does not have its own signal. Independent schedules are those that program their own schedule of reinforcement. (Mix FR 10 FI 2') 1. Changes the reinforcing effectiveness of some stimulus 2. Changes the strength of behavior that has produced that stimulus in the past An MO that is temporally removed from a behavior - for example, several hours prior to the behavior that is strengthened. An MO that occurs close in time to a behavior Two or more schedules that are presented successively each with their own signal (1st period has FR10 attention for tasks, 2nd period with different teacher has Ext for task completion = Mult FR 10 Ext) Stimulus that when withdrawn after a behavior, decreases the rate of the behavior. Note that IRT will increase. Process in which a stimulus is withdrawn after a behavior, and the rate of the behavior increases. Stimulus that when withdrawn after a behavior, increases the rate of the behavior. Note that IRT will decrease. 1 NS 1 Operant 1 Operant Conditioning 1 Pavlov 1 Positive Punisher 1 Positive Reinforcement 1 Positive Reinforcer 1 Primary Reinforcer 1 Reflexive CMO 1 Resistance to extinction: Schedule effects 1 Respondent (classical) Conditioning 1 Respondent Extinction 1 SD 1 S-delta 1 SDP 1 Skinner 1 Stimulus Control 1 Stimulus Generalization Neutral Stimulus – stimulus that does not elicit a response prior to conditioning A collection of responses with a common effect on the environment. Ex: child may do a variety of things to obtain attention. Kind of learning where a class of behavior is modified by changing its consequences. Developed procedures of respondent conditioning. Promoted objective study of digestive processes, and found that conditioning occurred when stimuli were paired. A stimulus that when presented after a behavior, decreases the rate of behavior. The IRTs would increase. Process in which a stimulus is presented after a behavior and the rate of the behavior increases. The IRTs would decrease. Stimulus that when presented after a behavior, increases the rate of the behavior. Note that the IRT will decrease. Reinforcer effective without previous experience (food, water) Have their effects because their presence signals a "worsening" or "improvement" of conditions. In the former, their offset is reinforcing. In the latter, their offset is punishing. Extinction after dense schedules (FR 1): rapid. Extinction after lean schedules (VR 100): slow Kind of learning in which one stimulus is paired with a second stimulus and, as a result, the first comes to elicit the same or similar response that the second elicits Decrease in the strength of a CR as a result of presenting the CS alone Stimulus that 1. evokes a behavior 2. because that behavior has been reinforced in the presence of the stimulus. A stimulus that 1. suppresses a behavior 2. because that behavior has been extinguished in the presence of the stimulus Stimulus that 1. decreases or suppresses a behavior 2. because that behavior has been punished in the presence of the stimulus. Developed EAB and concepts of radical behaviorism. The extent to which a behavior occurs when the antecedent stimulus is presented. EX: Mom has stimulus control over a child's tantrums to the extent that the child tantrums in the presence of mom, and does not tantrum in her absence. Effects of a contingency spread to stimuli not 1 Surrogate CMO 1 Tandem Schedule 1 Thorndike 1 Transitive CMO 1 Two factor theory of avoidance 1 Unconditioned Reinforcer 1 UR 1 US 1 Variables that modulate drug effects 1 VI-Variable Interval 1 VR-Variable Ratio 1 VT- Variable Time 1 Watson yet associated with the contingency. A surrogate CMO has its effect because of a history of pairing with an MO, and these effects mimic those of the MO. Two or more schedules that are presented successively, but there is no signal for each. A reinforcer is given only at the end of the sequence. Used an apparatus called a puzzle box. Cats were enclosed in the box, and he recorded the latency of escape from the box to get fish. The latency decreased over time. Change the reinforcing value of some other stimulus, and change the strength of behavior that has produced that stimulus in the past. 1. An aversive stimulus is presented after behavior. As a result, concomitant stimuli are paired with the stimulus, and they become aversive. These stimuli can involve responseproduced stimuli (e.g., proprioceptive stimuli) or in signaled avoidance, some external stimulus. 2. Any behavior that terminates the conditioned aversive stimuli is automatically reinforced. For example, in signaled avoidance, behavior will be conditioned that turns off the external stimulus. A reinforcer that is effective without previous experience. Ex: food, drinks Unconditioned Response- response elicited by an unconditioned stimulus Unconditioned Stimulus – stimulus that elicits a behavior w/o any history. Any variable that will affect the action of a drug. The following are some variables: 1. Dose 2. Kinetics 3. Body weight 4. Kinds of stimuli used in the study Reinforcement delivered after the first response after an average amount of time has elapsed. Produces a steady, medium rate of response with little pausing. Reinforcement delivered after average number of responses. Produces a steady, very high rate of response with brief, if any, pauses after reinforcement A reinforcer is delivered after a variable amount of time (average) irrespective of behavior. Rejected mentalism of his day, and promoted objective study of behavior. Appealed to antecedent events, and was therefore associated with S-R psychology. 1 Zavaadski 2 Depot binding 2 Dose effect curve 2 Dose response curve 2 Drug 2 Drug classifications: 3 kinds 2 Drug interactions x3 2 Drug interactions: Additive 2 Drug interactions: Infra-additive 2 Drug interactions: Super-additive 2 Drug naming x4 2 ED 50 2 First order kinetics (linear) 2 Generality 2 Half life 2 Half life: How many for drug to be excreted 2 Inadequate Explanations of Behavior 2 LD 50 2 Peak efficacy Studied the effects of caffeine on respondent conditioning. Some drugs will bind with body parts that they don't affect (e.g., fat cells). Over time, they will be released and 1) be excreted or 2) be absorbed into the blood stream. Graph that shows the % of subjects that showed a particular effect. A graph that shows the dose on the X-axis and the DV on the Y axis. Chemical that affects living processes, usually introduced into body. 1. Effect (e.g., stimulant) 2. Chemical class(xanthines) 3. Therapeutic usage (e.g., anti-psychotic) 1. Additive 2. Supra-additive 3. Infra-additive The effects of two drugs (or more) can be predicted by the summation of their effects. The effects of two drugs (or more) will be less than the summation of their effects. The effects of two drugs (or more) will be more than the summation of their effects. 1. Trade name (e.g., Valium) 2. Generic name (e.g., diazepam) 3. Chemical name 4. Manufacturers code (e.g., Ro 15-4513) The dose at which 50% of the animals will be affected in a particular way by the drug. Rate of elimination is dependent on dose. The higher the dose, the higher the rate of elimination. Usually expressed in 1/2 life: If T 1/2 = 4 hours, then 1/2 of the drug is eliminated every 4 hours. Extent to which the results or functional relations will be observed if the experiment is changed in some way. Can be tested by implementing the Tx with different Ss, settings, behaviors, or species. T 1/2 is the time for 1/2 of the drug to be eliminated. In general, it takes 5-6 half lives until drug is eliminated from body. 1. Nominal Fallacy 2. Teleology 3. Reification 4. Circular reasoning The dose at which 50% of the animals were killed. Or, other parameters can be used, as in LD 1 (dose at which 1% of animals were killed) or LD 20 (dose at which 20% of animals were killed) The maximum effect of a drug irrespective of 2 Pharmacokinetics: 4 stages 2 Pharmacokinetics: Absorption 2 Pharmacokinetics: Biotransformation 2 Pharmacokinetics: Distribution 2 Pharmacokinetics: Excretion 2 Physical dependence 2 Potency 2 Protein binding 2 Route of administration 2 Therapeutic index (TI) 2 Tolerance 2 Tolerance x3 (no definitions) 2 Tolerance: Behavioral 2 Tolerance: Cellular the dose. 1. Administration/absorption 2. Distribution 3. Biotransformation 4. Excretion Drug enters bloodstream through stomach, intestines, nasal membranes, from muscle Drug changed to metabolites as they pass through body. Metabolites are often inactive, but not always. Often done by liver, and sometimes in stomach. From the bloodstream, the drug then travels to body fluids in heart, liver, brain, kidneys - also to muscle, skin, fat - and some makes to the site of action which is in the brain. Drugs are eliminated from the body in urine, lungs, saliva, breast milk, hair. Often done by kidneys. After chronic administration of a drug, the body adjusts to it, and homeostasis is achieved. Then upon abrupt termination of the drug, a w/d syndrome occurs. How effective a drug is at a particular dose. High potency: to get a specific effect, a lower dose is required than a lower potency drug. Upon entering the bloodstream, drug molecules can bind with protein molecules. Over time, they will be released from the proteins and 1) be excreted or 2) absorbed into the extracellular fluid. This will extend the drug effect but overall reduce the drug effect. The method of giving the drug. These include oral, IV, IM, and IP. LD 1 / ED 90. The higher the quotient, the safer the drug. For example, if the LD 1 = 10 mg/kg and the ED 90 = 5 mg/kg, the TI = 2. This is a dangerous drug! 1. The reduction of a drug effect, over time, as a result of chronic administration OR 2. The increase in drug dose over time, as a result of chronic administration, to maintain a particular drug effect. 1. Cellular 2. Behavioral 3. Kinetic (metabolic) When the decrease in the drug effect results from the person learning to function while under the influence of a drug. For example, some people practice sobriety tests while drinking, and become better able to pass the tests when drunk. When the decrease in the drug effect results from a smaller effect at the cellular level. One mechanism is down-regulation (decrease in the 2 Tolerance: Metabolic 2 Withdrawal syndrome 2 Zero order kinetics (nonlinear) 3 Action potential 3 Agonists 3 Antagonists 3 Behavior contrast: Negative 3 Behavior contrast: Positive 3 CNS (2 elements) 3 COD 3 Concurrent superstition 3 Dale's law 3 Depolarization 3 Drug effects on NTs 3 Drug effects on NTs: Receptor site 3 Drug effects on NTs: Release # of receptor sites) or changes in the affinity for the receptors. When the decrease in the drug effect results from an increase in metabolic processes that are responsible for metabolizing the drug. This can involve enzyme induction. After chronic administration of a drug, abrupt termination of the drug causes effects that are opposite of those effects of the drug. Rate of elimination is not dependent on dose: steady rate of elimination by amount – e.g., alcohol is 10ml/hour The flow of electricity in a neuron. It is caused by a depolarization of the neuron. Some NTs can occupy and operate a receptor. These increase neuronal activity. Some NTs occupy a receptor, but do not operate. These decrease neuronal activity. When a treated behavior increases (e.g., ext or punishment), and the same untreated behavior in another situation decreases. In the laboratory, contrast is studied in multiple schedules. When a treated behavior decreases (e.g., ext or punishment), and the same untreated behavior in another situation increases. In the laboratory, contrast is studied in multiple schedules. Brain and spinal cord Change over delay - When there is a time delay between one behavior and the reinforcer for a 2nd behavior. When a behavior (e.g., tantrum) is maintained by the reinforcer for another behavior (e.g., mand for food). Dale's law held that a given neuron always produces the same NT at all of its synapses. It is not quite true - some neurons produce more than 1 NT at each synapse. It generallly involves the influx of NA ions into the neuron. The neuron temporarily loses its 70 mv charge and goes to a + 40mv charge. This initiates the action potential. 1. Synthesis 2. Re-uptake 3. Storage 4. Block/facilitate at receptor 5. Release Some drugs block or facilitate action at the receptor site. For example, anti-psychotics are DA antagonists, and morphine is agonist of opiate receptor sites. 1. Drugs may increase/decrease release of NTs. 3 Drug effects on NTs: Re-uptake 3 Drug effects on NTs: Storage 3 Drug effects on NTs: Synthesis 3 Escape behavior 3 Escape Extinction 3 Excitatory synapse 3 Extinction 3 Extinction Side-Effects 3 Free Operant 3 Function-altering 3 Function-altering: Operant conditioning 3 Function-altering: Respondent conditioning 3 Function-altering: Rules 3 Generalization Gradient 3 Inhibitory synapse 2. Cocaine and d-amph increases release of NE and DA. 3. Botox decreases release of ACH which results in relaxation of muscles and softens wrinkles. Some drugs affect the inactivation of drugs in the re-uptake mechanism. For example, cocaine/d-amphetamine interferes with reuptake of NE and DA. Also, SSRIs such as prozac inhibit reuptake of Serotonin. Drugs may affect the storage of NTs in vesicles. Reserpine decreases storage of NE by blocking transporters --> vesicles are empty Drugs can affect synthesis of NT: L-dopa increases DA Escape behavior is behavior that is reinforced by terminating an aversive stimulus (negative reinforcer) Extinction of a negatively reinforced behavior. Withholding escape after a target behavior. 1. The faster a presynaptic cell fires, the more NT is released. 2. In some synapses, this causes depolarization (allows NA+ ions in) and the postsynaptic cell becomes increasingly likely to fire. Withholding a stimulus that normally occurs after a behavior, resulting in a decrease in the rate of behavior. Extinction burst, emotional behavior, aggression, increase in variety of topographies, increase in intensity of behavior Behavior that can occur at anytime, given some effective EO. The concept that conditioning (and rules) alters the function of stimuli. For example, discrimination training creates SDs. And, reinforcement creates EO s. Reinforcement alters the function of neutral stimuli and results in the emergence of SDs and EO s. The pairing of a NS and US results in a change of the NS function - it becomes a CS. Rules create new CSs, SDs, conditioned reinforcers, EO s, etc. A graph that shows the frequency of a behavior in various stimulus conditions, one of which is the "training" situation and then other similar but untrained "test" situations. 1. The faster a presynaptic cell fires, the more NT is released. 2. In some synapses, this causes hypolarization (K+ out) and the postsynaptic cell becomes increasingly less likely to fire. 3 Ion pump (also called the NA pump) 3 Nesbitt paradox 3 Neuron 3 Neuron: Axon 3 Neuron: Dendrites 3 Neuron: Receptors 3 Neuron: Soma 3 Neuron: Synapse 3 Neuron: Vesicles 3 Neurotransmitters 3 Neurotransmitters: Kinds 3 Neurotransmitters: lock and key analogy 3 Nicotine bolus 3 Nicotine replacements 3 Nicotine: Administration/absorption 3 Nicotine: Biotransformation 3 Nicotine: Distribution 3 Nicotine: Effects 1. Moves NA outside (x3) and K inside (x2); 2. Membrane is not completely permeable (gated channels) 1. Although a stimulant, nicotine will produce relaxation. 2. This may result from the smoker having something else to do, the antidepressant effect, or relief from w/d. The conduit by which electrical impulses travel throughout the body. The excitable cells of the nervous system. Comes out of soma and stretches to the terminal buttons. Covered with the myelin sheath. Part of the neuron where receptors are located. Where electrical impulses from other neurons are detected. Specialized molecules to which certain NTs bind. Cell body of the neuron. Contains the nucleus. A gap between neurons (between the terminal bouton of one neuron and the dendrites of the next neuron). NTs travel across the synapse and bind to other neurons. Storage units in a neuron that hold neurotransmitters. Will release NTs. Chemicals that are involved in communication between neurons. Examples: Dopamine, norepinephrine, serotonin, GABA, acetylcholine Some NTs can occupy and operate a receptor. These are called agonists. Some NTs occupy a receptor, but do not operate. These are called antagonists. When smoked, a "bubble" of high concentration forms in the blood, and goes to brain. This can be responsible for the reinforcement effect. 1. Patch gives more constant levels, but combination w/gum is better than either alone 2. Nasal spray mimics the reinforcing effect 3. Vaccine – would block nicotine from crossing blood-brain barrier and block reinf effects. 1. Smoke - lungs 2. Chew - GI 3. Snuff - intranasal 1. Done by liver 2. Some molecules unchanged 1. To brain 2. The to liver/kidneys 3. Also to salivary glands 1. Increase HR, BP 7. Antidepressant 3 Nicotine: Effects on performance 3 Nicotine: Excretion 3 Nicotine: NTs 3 Nicotine: Source 3 Nicotine: Theories of self administration 3 Nicotine: w/d 3 PNS 3 Resistance to Extinction 3 Resting potential 3 Stimulants: Relation to psychosis 3 Stop smoking meds: Chantix 3 Stop smoking meds: Zyban 3 Therapeutic window 4 EXAM 1 5 Acute drug studies 2. Vasoconstriction 3. Vomiting in first few doses 4. Coldness 5. Arousal 6. It is a reinforcer! 1. Improves performance on monotonous tasks. 2. Improves function in Alzheimers and aging subjects. 1. T 1/2 = 30 min 2. Kidneys 1. ACH – stimulates at low dose, blocks at high doses – occupies and activates or blocks 2. Causes release of NE and DA Tobacco 1. Constant blood level theory – avoid w/d 2. Nicotine bolus - bolus produces reinforcing effects in brain (D receptors) 3. Psychological tool – manipulate levels of arousal and attention as needed. It may produce relaxation or arousal to do tasks (may make aversive tasks less aversive – AO) 1. Decrease HR, BP 2. Vasodilation 3. Depression 4. Sleep 1. Somatic – skeletal muscles 2. Autonomic – smooth muscles and glands a. Sympathetic- active in fight or flight b. Parasympathetic – Conserve body energy, digestion The extent to which behavior persists when the maintaining reinforcer is withheld. Abbreviation: RTE -70 mv which means that there are more positive ions than negative outside the neuron, but fewer positively charged ions inside the neuron. Maintained by what is the called the NA/K pump. Stimulants cause the release of DA - chronic use can cause such an increase in DA that it will mimic psychosis (which is characterized by too much DA). Partial agonist: 1) weak effects that prevent w/d and 2) blocks some of the effects of nicotine. Anti-depressant that also reduces cravings thus, functions as an AO. Drug is a weak inhibitor of uptake of DA, NE, SE Between therapeutic dose and toxic dose EXAM in Session 4. Study all terms and concepts from sessions 1-3. In an acute drug study, the drug is given in a single session. Then no drug is given until the 5 Between subject designs 5 Chronic studies: Procedure 5 Chronic studies: Purpose 5 Cocaine sudden death syndrome 5 Cocaine: Acute tolerance 5 Cocaine: Chronic tolerance 5 Cocaine: Source 5 Drug study: Control sessions 5 Drug study: Drug doses 5 Drug study: How often drug given 5 Drug study: Dose response curve 5 Parametric Analysis 5 Punding 5 Rate dependency drug is eliminated from the body, and then another dose is given, etc. Participants only receive 1 condition (e.g., BL or TX). The mean of each group is typically reported. In a chronic study, drug idose s given every day, and during the sequence of daily administrations, a different dose is occasionally given to allow the construction of a dose response curve. For example, 10 mg/kg of morphine might be given every day for 2 months. But, occasionally a dose of 5, 15, and 45 mg/kg will be given instead of the 10 mg/kg. To examine the extent to which tolerance is obtained. 1. In the initial phase ---> excitement, nausea, vomiting then convulsions 2. Followed by ---> respiratory depression, cardiac failure Decrease in an effect after 1 or doses. Decrease in reinforcement effect, but no tolerance in HR increase. Can be dangerous! Decrease in effects after many administrations. Tolerance to the following effects: HR, BP, euphoria, lethality. No tolerance to effects on sleep. Coca plant 1. In control sessions, all procedures are exactly the same as drug sessions, except the active drug is not given. 2. Instead a placebo is given (in many cases, instead of drug injections, saline injections are given because the drug is often dissolved in saline) Drug doses should be in the following units: mg/kg body weight In acute studies, drug is often given in a BBCD sequence where B = BL, C = control, and D = drug. Thus, drug is given every 4 days. A graph that shows the dose on the X-axis and the DV on the Y axis. Studying different values or levels of a treatment. Can be accomplished by randomly presenting the different values in a ABCDEF design varied across participants -or- by presenting the values in an ascending/descending series in ABCDEDCBA design. This design is often used in drug studies. Repetitive behavior produced by chronic administration of stimulants When the effects of a drug depend on the ongoing rate of behavior. For example, amphetamines increase low-rate behavior, but 5 Standard celeration chart: 1 behavior in the observation period. 5 Stimulant addiction Tx 5 Stimulant: w/d 5 Stimulants: 2 General kinds 5 Stimulants: Admin/absorb 5 5 Stimulants: Biotransformation Stimulants: Distribution 5 Stimulants: Effect on performance 5 5 5 Stimulants: Effects on heart and BP Stimulants: Effects on liver Stimulants: Effects on nasal passage 5 Stimulants: Effects on offspring 5 Stimulants: Excretion 5 Stimulants: NTs 5 Stimulants: T 1/2 6 Alcohol: Administration/absorption 6 Alcohol: Anti-punishment effects 6 Alcohol: Cancer risks 6 Alcohol: Distribution 6 Alcohol: Effects on body 6 Alcohol: Effects on emotional behavior 6 Alcohol: Effects on heart increase high-rate behavior. The data point is plotted on the counting period floor (record floor) 1. Detox 2. $ for clean urine tests 3. Antecedent controls 4. Meds: Wellbutrin and Topomax reduce cravings 1. HR decrease 2. BP decrease 3. Sleep 4. Increase value of food 5. Decrease value of social stimuli Natural (e.g., cocaine) and synthetic (e.g., damphetamines) 1. Oral - GI 2. IV - directly to blood stream 3. Snorting - intranasal Liver Brain, kidneys, spleen Stimulants will improve performance on a variety of tasks and skills (e.g., endurance, vigilance, athletics). Increase BP and irregular heart beat; strokes Damage, jaundice Chronic inflammation and ulceration Expose to cocaine may produce more behavioral problems, decreased attention, and increase in aggression/irritability (not necessarily decrease in IQ). 1. Urine 2. Perspiration 3. Saliva 1. Amph causes leakage of DA, NE and increases release. Also blocks re-uptake 2. Cocaine blocks re-uptake of DA, NE and block ion channels to produce numbing 1. Cocaine = 40 min 2. D-amphetamine = 4 hours Oral administration then absorption in small intestine Alcohol will increase behavior suppressed by punishment. For example, subjects earned $ & shock, which depressed behavior. When alcohol was given, behavior was increased. Increases risk of cancers of the mouth, throat, liver Distributed in body water, brain, fetus, blood Dilation of vessels, warm skin, increase urination from loss of body water, hypothermia Elation/euphoria ---> sedation/anger/depression Alcoholic cardiomyopathy – too weak to pump blood effectively 6 6 Alcohol: Effects on hepatic system Alcohol: Effects on immune system 6 Alcohol: Effects on offspring 6 Alcohol: Effects on perception 6 Alcohol: Effects on performance 6 6 Alcohol: Effects on sleep Alcohol: Excretion 6 Alcohol: Hangover 6 Alcohol: Kinetics 6 Alcohol: Metabolic factors 6 Alcohol: Metabolism 6 Alcohol: NTs 6 Alcohol: TI 6 Alcohol: Tolerance 6 Alcohol: W/D 6 Alcohol: W/D Tx 6 Alcoholism: Behavioral Tx Hepatitis and cirrhosis (scarring) Weakens FAS and FAE: MR, low tone, low weight, small eyes, droopy eyelids, mouth of fish Decrease in acuity and peripheral vision 1. Increase RT/swaying (Romberg Sway test), decrease in hand-eye/vigilance/memory 2. Can improve performance that is affected by anxiety Increase sleep, depresses REM Kidneys into urine; breath, sweat, tears Hangover is a mini-withdrawal. Tx for w/d = give drug (have a drink). Zero order - about 1 oz per hour independent of dose. 1. Men require more alcohol to achieve a given BAL: Women have lower levels of alcohol dehydrogenase, less water 2. Experienced drinkers metabolize faster 3. Food in stomach speeds up metabolism (increase blood flow to liver) 4. Genetics: see Oriental flushing 1st pass in stomach, then liver Alcohol --> acetaldehyde (by alcohol dehydrogenase) --> acetyl-coenzyme A (by acetaldehyde dehydrogenase) --> water and CO2 1. Increase GABA which is inhibitory 2. Depresses ion channel controlled by glutamate 3. Facilitates SE, which may account for reinforcing effect as DA is increased 3.5 - dangerous 1. Metabolic –increase AD 2. Behavioral -rats given alcohol before tasks did better than those given it after in a test session 3. Conditioned compensatory tolerance (hypothermia decreases in alcoholenvironment; but when tested in saline-env, it increases) 1. Early minor– agitation, tremors, vomiting, HR problems 2. Late major – DTs – confusion, hallucinations, seizures 1. Valium (for seizures), 2. Haldol 3. Supportive care 1. Diagnose 2. Set up functionally equivalent replacements such as social skills, escaping from aversives, job skills 3. Increase rate of reinforcement for healthy behaviors 6 Alcoholism: Drug Tx 6 Alcoholism: Explanations 6 Alcoholism: Tx 6 Analgesia test: Tail flick 6 BAL: Blood alcohol level 6 Celeration 6 Distillation 6 Disulfiram (antabuse) 6 DMTS 6 Drug discrimination: Procedure 6 Drug discrimination: Setup 6 FCN 6 FCN-SD 1. Disulfiram (blocks AD and produces buildup of Acetaldehyde) 2. SSRIs 3. Topomax – reduce cravings and w/d symptoms 4. Campral – blocks reinforcing effect (GABA related) and w/d symptoms 1. Escape/avoidance of w/d 2. Positive reinforcement effects of the drug 1. AA – but not subjected to rigorous testing 2. Drugs 3. Behavioral 1. Rat is restrained on a board. Tail is in a groove on board 2. Heat source turned on 3. Record latency of tail flick to remove tail from heat 4. Drug given to see if latency is increased (analgesia) mg/100 mls or % (.08, .20, .50%) A measure of the change in behavior over time (10/min ---> 20/min = x2) Heat fermentation mixture ---> alcohol evaporates ---> alcohol vapor collected and cooled into liquid ---> repeat as needed Acetaldehyde --> acetyl-coenzyme A process is blocked by disulfiram. Thus, acetaldehyde builds up and becomes toxic. A sample stimulus (e.g., red light) is given. Subject responds to the sample. Then, the sample is removed, and a delay is programmed. Then two comparison stimuli are presented, one of which is the sample. If S responds to the sample, then reinforcement is provided. If not, Ext. 1. Saline days: food is available for responding on the right lever (or key) 2. Drug days: food is available for responding on the left lever (or key) 1. Chamber has two levers (or keys). 2. On some days, saline is given prior to the session. 3. On other days, drug is given. 1. Two levers (or keys) are presented. 2. On the work lever, the subject must respond 8-12 times. 3. After this, then one response on the reinforcement lever (or key) will produce food. If S responds < 8 or > 12 times on the work lever, and then responds to the reinforcement lever, no food. 1. Two levers (or keys) are presented. 2. On the work lever, the subject must respond 8-12 times. After the 8th response, a light comes on. 6 Fermentation 6 Fetal alcohol syndrome 6 Hormesis 6 In vino veritas (Latin) 6 Oriental flushing 6 6 Prohibition Prohibition repealed 6 Reaction time 6 Repeated acquisition 6 Respondent conditioning drug assays 6 Schedule controlled behavior 6 Wernicke/Korsakoff 7 Caffeine: Administration/absorption 3. Then one response on the reinforcement lever (or key) will produce food. If S responds < 8 or > 12 times on the work lever, and then responds to the reinforcement lever, no food. Mix sugar and water + yeast ---> yeast eats sugar and multiplies ---> converts sugar to alcohol and CO2 ---> CO2 bubbles out to leave alcohol Consists of growth retardation, unusual facial features, and mental retardation. Results from alcohol consumption by mother. Opposite effects at high and low doses (e.g., alcohol is toxic at high doses, but beneficial at low doses) Other toxins: low dose toxins jump start body’s defenses, and even repair other problems unrelated to toxin. But lethal at high doses. "Truth in wine" - alcohol has anti-punishment effects - thus we may be more likely to "Tell the truth" or what we really think People of oriental descent: alcohol is toxic because of a problem with aldehyde dehydrogenase --> build up of acetaldehyde which is toxic and produces worse hangovers, flushing, tachycardia 18th Amendment 21st Amendment 1. White light comes on to start trial 2. Light changes to red 3. Subject must respond to red and the reinforcement is given 4. Drug is given to study effect on latency of response to red Subjects learn a new task each day. Drug is given to study the effects on the Ss ability to learn the new task. Drug effects are studied on the development of a CS by pairing with a US. Mult FI FR and drug effects on behavior under this complex schedule. In this schedule, each provides its own reinforcement, and is signalled by an external stimulus (e.g., FI = green key light and FR = red key light). Wernicke - damage to CNS/PNS – mental confusion, vision impairment, stupor, coma, hypothermia, hypotension, and ataxia Korsakoff syndrome – memory loss due to brain damage - Can be traced to vitamin deficiency of thiamine – alcohol blocks use of this from damage to liver and problems with absorption 1. Administration: Oral 2. Absorption – stomach and intestines 7 7 7 7 Caffeine: Caffeine: Caffeine: Caffeine: 7 Caffeine: Subjective effects 7 Caffeine: T 1/2 7 Caffeine: NTs 7 Caffeinism 7 Experiments: Correlational study 7 7 7 7 7 Distribution Excretion Metabolism Sources Human drug studies: motivation Human drug studies: measures Human drug studies: Human drug studies: measures Human drug studies: administration How to study Indirect Self Single access, concurrent schedues, progressive ratio 1. Reinforce responding with drug administration (e.g., cocaine) 2. Extinguish responding by withholding drug administration 3. Provide noncontingent drug and responding will re-appear. Rate of change, computed by drawing a best fit line and dividing the rates on 2 consecutive Sundays. Sunday lines 7 Standard Chart: Celeration 7 Standard Chart: Dark Vertical Lines Standard Chart: Duration Data Points Going Down Standard Chart: Duration Data Points Going Up Standard Chart: Left Hand Y Axis Standard Chart: Rate Data Points Going Down Standard Chart: Rate Data Points Going Up 7 7 7 Drug Liking scale, Beck Depression Inventory Reaction time, hand steadiness Priming (drug studies) 7 Progressive ratio Motor tests Physiological 7 7 Distribution – brain and other organs and fluids Kidneys: 2% is excreted unchanged. Liver Coffee bean, chocolate, tea 1. Lower doses – alertness, euphoria, motivation, energy to work 2. Higher doses – anxiety, jitters Adults: 3.5 hours Infants: 4 days 1. Inhibits adenosine, which is inhibitory (produces drowsiness). Thus, is excitatory. 2. Facilitates release of E 3. Increases DA - thus is reinforcing 4. Blocks benzodiazepine receptors ---> at high doses results in anxiety 1. Low grade fever, irritability, insomnia, irregular HB 2. Requires approx 1000 mg/day of caffeine 1. Subjects are obtained 2. Divided into 2 or more groups depending on a characteristic (e.g., whether or not they ingested alcohol in the last year) 3. Examine dependent variables (e.g., incidence of HBP, heart attack) 4. Differences in DV attributed to the variable in step #2 but should be done with caution. EEG, HR, GSR Duration is increasing Duration is decreasing Count per minute Rate is decreasing Rate is increasing 7 Standard Chart: Record Floor 7 7 Standard Chart: Right Hand Y Axis Standard Chart: X Axis Dash on a particular day that shows the duration the person was observed. Can be plotted by dividing 1/# min or using the right hand scale. Time Calendar Days 3 or more of the following in a year: 1. Tolerance – Do you need more of the substance to get high or achieve the effect it used to? (I.e. more alcohol is needed to get drunk) 2. Withdrawal - Do you suffer from characteristic withdrawal symptoms? (e.g., shakes / sweats) - Do you use the same substance (or one closely related to it) to avoid or relieve withdrawal symptoms? (i.e. "Hair of the dog") 3. Have you drank / used the substance in larger amounts or over a longer period than you intended to? 7 Substance dependence from DSM V 4. Have you wanted to cut down or stop for long time now or tried to do so unsuccessfully several times? 5. Time Commitment - Do you spend a lot of your time using the substance (drinking) or recovering from its effects? - Do you spend a lot of time in activities trying to obtain the substance? 6. Have you given up or reduced important social, occupational or recreational activities because of your drinking / substance use? 7 7 7 Theobromine: Source Theophylline: Source Xanthines 8 EXAM 2 9 British system of opiate Tx 9 Conditioned immunosuppression 7. Have you continued to use the substance, despite knowing that you have a persistent or recurrent physical or psychological problem that is likely to have been caused or made worse by your alcohol or substance use? Chocolate Tea Caffeine, theobromine, theophylline EXAM in Session 8. Study all terms and concepts from sessions 5-7. 1. Seen as a medical condition 2. Ps receive prescription to get opiates legally 3. Minimizes criminal activity to get $ for heroin 1. Stimuli correlated with US that elicits 9 Conditioned withdrawals 9 Dextromethorphan 9 Drugs as negative reinforcers 9 Drugs as positive reinforcers 9 Drugs: CS effects 9 Drugs: Motivational operations 9 Drugs: SDs 9 Drugs: US effects 9 Endorphins 9 LAAM 9 Matching equation 9 Matching equation: 2 ways to decrease R1 immunosuppression will come to elicit immunosuppression on their own. 2. Experiment: Saccharin + cyclophosphamide ---> immunosuppression. Then saccharin alone --> immunosuppression 1. Stimuli correlated with drug withdrawal will come to elicit w/d on their own. 2. Experiment: Light + nalorphine ---> withdrawal to light 1. Synthetic, opiate-like drug that is in cough meds (Robitussin) 2. Binds with PCP receptor Drugs that when terminated, will increase behavior. Example: LSD in some people Drugs that when presented, will increase behavior. Examples: Nicotine, alcohol, morphine 1. Cigarettes correlated with LSD ---> CRs that resemble hallucinations 1. Cannibis can increase value of food 2. Amphetamines can increase the value of social stimuli and reduce the value of food 1. Drugs correlated with the availability of reinf for behavior - Example: in the presence of alcohol, off-color jokes are more likely to be reinforced. Thus, such joke telling tends to happen at the bar when participants are drinking. 2. Also, drug discrimination studies 1. Ipecac ---> vomiting 2. PTZ ---> seizures 3. Tripelennamine + Talwin (pentazocine) ---> kills more rats in group housing than individually 1. Short for "endogenous morphine-like" substances 2. NTs released in body to counteract pain 3. In addition to pain relief, they also produce some euphoria Longer acting opiate Tx maintenance drug (lasts 3 days) Equation that expresses a fundamental functional relation: the rate of response will be sensitive to the rate of reinforcement for that response as well as the rate of reinforcement for other responses Equation: R1 = r1 ---------------------------R1 + R2 r1 + r2 1. Decrease the rate of reinforcement for R1 and/or 2. Increase the rate of reinforcement for R2 9 Methadone maintenance 9 Mixed antagonist/agonist 9 Opiate antagonists as Tx 9 Opiates: Administration and absorption Opiates: Biotransformation 9 Opiates: Distribution 9 Opiates: Effects on body and physiology 9 9 Opiates: Effects on performance Opiates: Excretion 9 Opiates: Health risks 9 Opiates: Manufacture process 9 Opiates: Mechanism of action 9 9 Opiates: Natural source Opiates: Synthetics 9 Opiates: T 1/2 9 Opiates: Tolerance 9 Opiates: W/D 9 methadone maintenance, and how it works 1. Can be taken orally 2. Prevents w/d 3. Prevents high from heroin A drug that will occupy a receptor, block it, but have some weak effects. Example: Nalorphine – will occupy opiate mu receptor with strong affinity, but has only weak effect 1. De-tox first, as these drugs will induce w/d 2. Then give antagonist to block reinforcing effects 3. Advantage over methadone: No need to keep person in physically dependent state 1. Oral, but most often IV or IM 2. Intranasal w/heroin 1. Liver: 90% metabolized - rest is excreted 1. Most in lungs, liver, spleen, and much is bound to blood proteins 2. Some goes to pain sensation area of brain 3. Heroin molecule has no action, but metabolites do 1. Respiration decrease 2. Nausea, but also suppresses vomiting center 3. PP pupils 4. Decrease in BP 5. Constipation 6. Disrupts sleep 7. Euphoria Little on cognitive, but some on motor skills 1. Kidney 1. Death from overdose 2. Constipation 3. Decrease in body’s ability to repair DNA molecules 4. W/D can harm fetus Poppy ---> opium in sap ---> morphine + codeine are active ingredients ---> heroin made from morphine Attach and activate opiate receptors in spinal cord and brain Poppy plant Demerol, methadone, Talwin morphine = 2 hrs codeine = 3-6 hrs 1. Some effects, such as constipation, do not decrease 2. Others, such as analgesia and positive reinforcement effects, decrease rapidly 1. Increase in resp 2. Diarrhea 3. Increase in BP 4. Flu-like symptoms 9 Patient compliance with medication administration 9 Polydipsia 9 Progressive Ratio 9 Progressive ratio break point 9 SIB: Endorphin theory 9 SIB: Endorphin theory Tx 9 Siegel theory of morphine tolerance 9 State dependent learning 9 State dependent learning: experiment 9 Stimulus that functions as a negative reinforcer and punisher 10 Anterograde amnesia 10 Antipsychotics: Abuse potential Antipsychotics: Administration and absorption Anti-psychotics: Atypical 10 10 5. Depression 1. Contingency management 2. Escape extinction Excessive drinking - generated by schedules of food delivery. Rats under a FT 1 min schedule will drink up to 4-5 times their body weight in water. Ratio Schedule in which the ratio size gradually increases over time. This schedule is sometimes used to assess reinforcer effectiveness. To do so, the "break point" is identified. In a PR schedule, the break point is the last ratio size completed before the organism stops responding. In reinforcer assessments, the higher the break point, the more effective is the reinforcer. SIB is maintained by release of endorphins, which mimic the effects of opiates (pain relief and euphoria). 1. SIB is maintained by release of endorphins, which mimic the effects of opiates (pain relief and euphoria). 2. Give an opiate antagonist (Trexan) to block the effects of endorphins. CS + US ---> UR then CS ---> CR CS are drug administration stimuli (e.g., injecting in bathroom) US is drug UR is effect of drug CR is opposite effect of drug and cancels out UR. This is a form of tolerance 1. Behaviors learned under drug will be best performed under the influence of drug 1. Ss learn task under influence of cannabis (D) 2. Ss learn task with placebo (P) 3. Test under influence or not under influence 4. Results: 1. Learn (P) Test (P) 2. Learn (D) Test (D) 3. Learn (D) Test (P) 4. Learn (P) Test (D) 1. Subjects respond to terminate the stimulus (e.g., drug effect) 2. Subjects behavior decreases in rate when stimulus is presented contingently. Loss of memory after an event (e.g., injestion of drug) None Administration: oral and IM Absorption – GI Atypical – fewer side effects and treats 10 10 Antipsychotics: Biotransformation Antipsychotics: Distribution 10 Antipsychotics: Effects on body 10 Antipsychotics: Effects on reproductory system 10 10 10 Antipsychotics: Effects on sleep Antipsychotics: Effects on SMA Antipsychotics: Excretion 10 Antipsychotics: How discovered 10 Antipsychotics: NT 10 Antipsychotics: Other uses 10 Antipsychotics: State dependent learning? 10 Antipsychotics: Subjective effects 10 Antipsychotics: T 1/2 10 Antipsychotics: TI 10 Antipsychotics: Tolerance 10 Anti-psychotics: Typical 10 Antipsychotics: W/D 10 Anxiolytics 10 Anxiolytics: Administration/absorption 10 Anxiolytics: Biotransformation 10 Anxiolytics: Distribution 10 Anxiolytics: Effect of alcohol 10 Anxiolytics: Excretion negative symptoms of flat affect and diminished speech Almost all is metabolized - liver Entire body; stays in fat cells 1. Parkinsons & TD 2. Problems in regulating temp 3. Anticholinergic (dry mouth, impaired vision, constipation) 1. Impairment of ejaculatory function 2. Disruption of menstrual cycles 3. Infertility None At high doses, Ss are immobilized. Kidneys 1. Laborit was looking for a pre-op drug for calming and to prevent surgical shock 2. Thorazine was an antihistamine with too much sedation for this use. Tried it and it worked! Dopamine blocker 1. Anti-emetics 2. Tx for Huntington Chorea 3. Tourettes 4. DTs 5. Psychosis from LSD Yes. Concerns about learning skills in therapy, only to have the drug dc/d and then person may have to re-learn skills. In healthy people, tiredness, internal arousal but external sedation. Not pleasant. T 1/2 = 11-58 hours 100 and in some cases 1000. Minimal risk of OD. No - only to sedation. Typical – tend to cause neuroleptic effects and treats positive symptoms of psychosis – hallucinations and delusions; grandeur; paranoia Not much. Drug resides in fat cells and is slowly released when drug is discontinued. Decrease anxiety and longer acting 1. IV for fast acting; oral for long lasting 2. Absorption – digestive tract; can be increased by alcohol ---> danger 1. Metabolism – in liver and produces active metabolites To brain quickly (lipid soluble); quickly goes to fat deposits, so levels drop 1. Alcohol will slow metabolism of benzos and T 1/2 can be doubled 1. 2 phases – fast drop in #1 as drug is distributed to fat cells T ½ = 2-10 hours; 2. Then 2nd phase that is slower (T ½ = 27-48 hours) 10 10 Anxiolytics: Kinds Atypical antipsychotics: Affinity 10 Atypical antipsychotics: Why they have fewer motor side effects 10 Benzodiazepine endogeneous receptors 10 Benzodiazepine: Effects on body 10 Benzodiazepines 10 Benzodiazepines in elderly: T 1/2 10 Benzodiazepines: Effects on memory 10 Benzodiazepines: Effects on performance 10 10 Benzodiazepines: High dose withdrawal Benzodiazepines: Low dose withdrawal 10 EPS 10 EPS: Akathesia 10 EPS: Dystonia 10 EPS: Neuroleptic malignant syndrome 10 EPS: Parkisonian symptoms 10 EPS: Tardive dyskinesia 10 GABA ionophore 10 GABA ionophore: Barbituate effects 10 GABA ionophore: Benzodiazepine Valium, Librium, Ativan, Xanax Affinity for D3, D4 receptors 1. Affinity for D3, D4 receptors 2. Nigrostriatal system (motor system) has preponderance of D1, D2 receptors 1. Body has endogenous benzo receptors 2. Why? Body’s natural regulation of stress and anxiety 1. Increase sleep but no effect on BP/HR 2. Benzos used to reduce tremors and spasticity 3. Tx of seizures 4. Muscle relaxation A chemical class of drugs some of which can be anxiolytics, others are sedative-hypnotics. T ½ can be 7-10 days - thus, drug may stay in system for weeks. 1. Decrease memory 2. Rohypnol will produce anterograde amnesia 1. Decrease arousal, activity, vigor 2. Increase in euphoria and liking 3. Driving impairment 4. Might improve performance if anxiety is interfering Agitation, delirium, seizures No sleep, anxiety, panic, spasms 1. Extrapyramidal symptoms 2. Can be produced by antipsychotics. There are a host of motor disturbances that can occur. Jittery and restless movements, akathisia literally means 'can't sit down' Sustained muscle contraction, contorting and twisting movements. Spasms are often painful and distressing and can be frightening High fever, sweating, unstable blood pressure, stupor, muscular rigidity, and autonomic dysfunction. 1. Muscle rigidity, tremor, fixed facial expressions and speak slow manner with a monotonous tone. 2. Associated with low dopamine levels caused by antipsychotics that block D receptors. Abnormal facial movements, smacking lips, chewing, sucking, twisting the tongue GABA is inhibitory. Thus, activating GABA will make neuron less likely to fire. Actually, CL channels are opened and CL flows more freely. 1. Directly facilitate GABA effects at low doses 2. But at high doses, they directly open the CL channel – thus death can occur Directly facilitate GABA effects on channel effects 10 Iatrogenic 10 Mesolimbic system 10 Mesolimbic system: kinds of D receptors 10 Neuroleptics 10 Nigrostriatal system 10 Nigrostriatal system: kinds of D receptors 10 Parkinson's cause 10 Parkinson's Tx 10 Pychosis: 2 kinds 10 Rohypnol: Effects 10 Rohypnol: Social problem 10 Rohypnol: w/d 10 Sedative-hypnotics 10 Sedative-hypnotics: Kinds 10 Status epilepticus 10 Tolerance to benzodiazepines: Acute 10 Tolerance to benzodiazepines: Chronic 10 Tolerance to benzodiazepines: Cross tolerance 10 10 Typical antipsychotics: Affinity Z drugs (facilitates binding of GABA) – upper limit on effects 1. Iatros means physician in Greek, and -genic, meaning induced by Dr 2. Can refer to TD, as it is induced by Tx for psychosis. Dopamine system involved in reinforcement and motivation system (involved in antipsychotic effects) D1, D2, D3, D4 Antipsychotics: Means “clasping of neurons” that refers to their side effects Dopamine system involved in movement. This system mediates the movement disorders produced by many antipsychotics. Mostly D1, D2 - few D3, D4 Parkinsons is caused by a reduction in dopamine activity. Drugs are givenmeds to increase dopamine activity. Or, in some cases deep brain stimulation is given. 1. Schizophrenia 2. Bipolar Relaxation, sleepy, amnesia, confusion, tremors, inability to move Given it causes amnesia, it is used as a date rape drug. It is not marketed or made legally in U.S. Headache, muscle pain, extreme anxiety, tension, restlessness, confusion, and irritability. May also involve seizures, delirium. Sleep aids and sedatives; fast acting, but short-lived Halcion, Restoril An ongoing seizure that does not stop in the usual period of time. Benzodiazepines (e.g., Valium) can be used in Tx Decrease in effects of drug after a single administration. This happens with benzodiazepines and tends to occur with cognitive tasks. Decrease in effects of drug after several administrations. This happens with benzodiazepines, and involves decrease in the ability to facilitate GABA. Decrease in the effects of one drug as a result of chronic administration of another drug. Example: becoming tolerant to the benzodiazepines will result in tolerance to alcohol. Affinity for D2 receptors Newer sleep aids (e.g., Ambien) that have 11 Antidepressants: 1st generation 11 Antidepressants: 2nd generation 11 Antidepressants: Abuse potential 11 Antidepressants: Administration/absorption 11 Antidepressants: Biotransformation 11 Antidepressants: Distribution 11 Antidepressants: Excretion Antidepressants: Relative efficacy of 1st and 2nd generation 11 11 Antidepressants: Subjective effects 11 Antidepressants: T 1/2 11 11 Antidepressants: Tolerance Antidepressants: W/D 11 Antidepressants: Why they take 2 weeks to act 11 Behavioral tolerance example 11 Bipolar disorder 11 Depression: Characteristics 11 Depression: Current NT theory 11 Depression: Different explanations short T 1/2. They bind to the same receptors as benzodiazepines, but are not chemically similar. MAOIs (Parnate) and TCA (Tofranil, Elavil) SSRIs (Prozac, Luvox, Zoloft, Paxil, Celexa) and other reuptake inhibitors, agonists, antagonists (Desyrel, Wellbutrin/Zyban, Depakote, lithium carbonate) None 1. Administration: oral 2. Absorption – GI track; but large portion is destroyed in GI and liver before it reaches bloodstream (1st pass metabolism) Liver & GI destroys it in 1st pass metabolism Lungs, kidneys, liver, breast milk, and brain – easily crosses blood-brain barrier Kidneys Efficacy is the same, but 2nd has fewer side effects 1. No euphoria or pleasant effects 2. Tired, apathetic 3. Impaired concentration 1. MAO = 3 hours 2. TCA = 24 hours 3. SSRIs = 15-20 hours (Prozac 6 days!) Yes to side effects Restlessness, anxiety, chills There are autoreceptors in the presynapse that detect excessive amounts of SE. When they do, inhibits release of SE. But, in about 2 weeks the autoreceptors habituate to presence of excessive SE 1. Behavioral group received ethanol, and then learned a maze 2. Physio group learned maze and received alcohol after session 3. Both tested with alcohol, and physio group was highly disrupted 1. Alternating periods of mania and depression that last days, weeks, or months 2. Very extreme such that everyday functioning is disrupted 1. Depressed mood most of the day 2. Decreased pleasure in all, or most of all, activities (anhedonia) 3. Large weight loss or gain 4. Insomnia or hypersomnia 5. Fatigue or loss of energy every day 6. Clinically significant stress or impairment of areas of functioning 7. Not related to acute events Depression is more closely linked to reduced SE 1. NT based 11 Depression: Monoamine theory 11 Drug effect that depends on the antecedent stimulus 11 Drug effect that depends on the consequence 11 Fate of a drug 11 Hughes et al. study of the effects of rules on choice 11 MAIO discovery 11 Mania 11 MAO side effects 11 MAOI mechanism 11 Mood stabilizers 11 Pharmacological variables that influence drug effects 11 Physical characteristics that influence drug effects 11 Rate constancy 2. Decrease in reinforcement rates 3. Learned helplessness 4. Att-seeking Depression is a result of reduced levels of the monoamine systems (serotonin, NE, DA) Visual discriminations not easily disrupted in pigeons, but control by proprioceptive stimuli is (FCN studies) Amphetamine will decrease food maintained behavior, but will increase behavior maintained by social stimuli. 4 stages: Administration/absorption, distribution, biotransformation, excretion #1 – Ss told that they would receive either nicotine gum or placebo gum. Picked nicotine. (during a period of abstinence) #2 – Ss told that they would get a marketed gum or a different gum without side effects (actually was placebo) – no difference in preference. #3 - Ss told that they would get a marketed gum or a different gum with more side effects (actually was placebo) – no difference in preference. Used for Tx of tuberculosis. But Ps reported it relieved depression and made them feel better 1. Excessive elation, hyperactivity, little sleep, reckless behavior, talkative 2. Impairment in functioning 3. Not related to drug use 4. Lasts at least a week 1. Lowering of BP, orthostatic hypotension 2. Potentiate alcohol 3. MAOIs can inhibit digestion of tyrosine (aged cheese, wine, beer, chocolate) – builds up in body and can cause high BP, headaches, stroke Block MAOxidase, which destroys monoamines (NE, DA, SE) – thus, the MA will increase 1. Lithium (stabilizes membrane), 2. Anticonvulsants (increase GABA or blocks NA channels) 1. Dose, form, route 2. Time of administration 3. Previous exposure to drug 4. Concurrent exposure to other drugs 1. Species 2. Genetics 3. Age, gender 4. Somatotype 5. Disease, 6. Blood flow Drugs that decrease variability Behavioral tolerance to a drug effect will develop when behavior has a lowered rate of reinforcement because of the drug effect 1. Drugs that produce hand tremors will be more disruptive for a surgeon 2. TD will disrupt a vocalist An accidental discovery that is fortunate 1. Acute increase in SE 2. Disorientation, agitation, confusion, fever, EPS 3. Tends to occur when >1 AD is prescribed, or when switched from one (with long T ½) to another SSRIs – block re-absorption of SE; some newer ones are agonists at the SE receptor Serotonin syndrome Nausea, headache, insomnia, weight loss TCA – Prevent re-absorption of MA Can cause heart problems 1. Experimenters were researching antipsychotics. 2. Found drugs that did not improve schizophrenic patients, but did improve the mood of depressed Ps. 1. Active ingredient in Zyban 2. Antidepressant EXAM in Session 12. Study all terms and concepts from sessions 9-11. A class of effects characterized by little activity or effort. Presumably, there are few reinforcers to maintain behavior 1. They are often used. 2. Some get benefit, some do not. 3. Side effects are a problem. 1. Naltrexone blocks reinforcing effect of opiates 2. AO - Amphetamines decrease value of food as a reinforcer 3. US - Morphine --> HR decrease 11 Reinforcement loss hypothesis 11 Response form that is related to drug effects 11 Serendipity 11 Serotonin syndrome 11 SSRI mechanism 11 11 11 11 SSRI risk SSRI side effects TCA mechanism Tricyclic risk 11 Tricyclics history 11 Wellbutrin 12 EXAM 3 13 Amotivational syndrome 13 Antipsychotics with MR 13 Behavioral mechanisms of drugs: Examples 13 Central tendency: if there are outlier data, what measure if best Medians - means are distorted 13 Correlational drug study 1. Take people with drug and those without drug (no random assignment) 2. Assign to Drug and P group based on whether they are taking drug 3. Compare behavior (# aggressions in each group) 4. Conclusions are very tentative 13 Difference between typical and atypical anti-psychotics High affinity for D1 receptor Drug evaluation: 4 essential features 1. DV 2. IV: Meds given according to protocol 3. Design 4. Data analysis must be adequate 13 13 Ecstasy: Effects 13 Ecstasy: Health risks 13 13 Ecstasy: High dose effects on SE Ecstasy: NTs 13 Experimental drug study (between subject) 13 Factors that influence the type of design that is ultimately used 13 GHB 13 GHB: Effects 13 GHB: Lethality 13 GHB: Medicinal uses 13 Hallucinogens: Effects 13 13 Hallucinogens: Lethality risk Hallucinogens: NTs 13 Hallucinogens: Perceptual effects 13 13 Hallucinogens: Tolerance Hallucinogens: W/D 13 Hashish: Source 13 13 LSD: Genetic damage LSD: Source 13 LSD: Teratogenic effects 13 Marijuana: Administration/absorption 13 Marijuana: Amotivational syndrome 13 Marijuana: Biotransformation 13 Marijuana: Cancer risk? 13 Marijuana: Distribution 13 Marijuana: Effects on body 1. Euphoria 2. Talkative 3. EO for many reinforcers - esp social interaction 1. Heart, liver damage 2. Hyponatremia - abnormally low blood sodium levels from drinking excessive water Deplete serotonin: depression, anxiety, fatigue NE, D, Serotonin 1. Get volunteers 2. Randomly assign to one of two groups 3. Give drug to Tx group 4. Compare behavior 5. Conclusions are much stronger than in correlational study 1. Single vs repeated observations 2. Between vs within 3. Stats vs visual inspection 1. Has been a "date rape" drug 2. Rave drug 1. Increased energy 2. Happiness, talking, desire to socialize, 3. Feeling affectionate 4. Mild disinhibition Yes. Overdose will result in loss of muscle control, loss of consciousness, death Narcolepsy 1. Hallucinations 2. Dilation of pupils None Serotonin is affected 1. Hallucinations 2. Distortion of time Yes - rapid None 1. Processed from dried resin of female marijuana plant None Synthetic Probably not. But mother should not take this drug during pregnancy. 1. Smoked - absorbed in lungs 2. Oral - absorbed in GI 1. No evidence that this occurs 2. Some studies show that the aversive effects of work requirements decreases 1. Liver and even lungs 2. Some metabolites are active 1. There is 50-70% more carcinogenic material 2. It may potentiate cigarette smoke 1. Lipid soluble, so all over body 2. Tends to collect in the lungs, liver, intestines 1. Dilation of vessels, 2. EO for food 13 Marijuana: Effects on brain structure or "intellectual" functioning 13 Marijuana: Effects on short term memory 13 Marijuana: Excretion 13 Marijuana: Medicinal uses 13 Marijuana: Perceptual effects 13 Marijuana: Receptors 13 Marijuana: Relation to mental illness 13 Marijuana: Source 13 Marijuana: W/D 13 Marijuana: Korsakoff relation 13 Marijuana: Tolerance 13 Matching psychiatric diagnosis and medication: Examples Mescaline: Source 13 PCP: Effects 13 PCP: Source 13 PCP: Uses 13 Psylocibin: Source Reinforcer assessment: single access vs choice procedures 13 13 13 Safeguards in prescribing drugs to special populations 13 Sensitivity of dependent variable 13 Short term memory Behavioral interpretation 3. Dry mouth 4. Increase in HR 1. Rats – yes 2. Monkeys – no 3. Humans – no. But might be problems in memory and attention Disrupts short term memory 1. Biphasic T 1/2: initial decrease of blood levels of 30 minutes then slower rate of decrease for 20-30 hours 1. Decrease in intraocular pressure, 2. Anti-emetic - used by some chemotherapy patients 3. Movement disorder 4. Decrease spasticity 5. Analgesia 1. Can disrupt time discrimination 2. Decrease pain 1. CB1 receptor in the CNS 2. CB2 receptor in spleen and immune system 1. Will not produce psychosis 2. Will increase the intensity of schizophrenic symptoms or paranoid symptoms 1. Marijuana plant 1. Increase in anxiety, restlessness, irritability 2. AO for food 1. Korsakoff’s is seen in alcoholics and involves memory problem and disorientation. 2. Caused by damage to hippocampus, which has CB receptors 1. Non-humans – yes 2. Humans – claims of sensitization 1. Antidepressant given for depression 2. Antipsychotics for schizophrenia Peyote buttons 1. Trancelike state 2. Disorientation 3. Anxiety and some psychosis 1. Synthetic 1. Originally an anesthetic and analgesic but taken off market as it produces psychosis Mushrooms 1. Choice is a more sensitive procedure than single access (see Kelly et al.) 1. Goals are clear with specific targets and in P interests 2. Tx decisions made on basis of drug effects 3. Flexible and integrated with beh Tx A DV is sensitive to the extent that changes in behavior, even small ones, will be reflected in the DV. Stimulus control across brief periods of time 13 Steady state 13 Teratogen 13 Transition state 14 AdrenoCorticosteroid hormones: Role in body 14 AdrenoCorticosteroid hormones: Tx uses 14 AdrenoCorticosteroid hormones: w/d 14 AdrenoCorticosteroid hormones: Where produced 14 14 14 Anabolic effects of steroids Androgenic effects of steroids Cholesterol 14 Cholesterol: Source and use 14 Conditioned withdrawal 14 Drug abuse: Behavioral model 14 Drug abuse: Disease model 14 Drug abuse: Explanation models 14 Drug abuse: Prohibitionist 14 Estrogen and Progesterone: Role 14 Estrogen and Progesterone: Source 14 Place conditioning 14 Priming with drug administrations When data show no trend according to some criterion (e.g., no visible trend over 5 sessions) 1. Drug that harms a developing fetus When there is a trend in the data, and there is presumably an ongoing behavioral process that is changing the strength of the behavior. Transition states occur between steady states. Controls many body processes such as carbohydrate and protein metabolism, electrolyte and water balance, and the functions of the cardiovascular system, the skeletal muscle, the kidneys, and other organs 1. Creams to control rashes, itching, etc 2. Anti-inflammatory drugs – used to weaken immune responses in arthritis, lupus, asthma, etc 1. Joint & muscle pain 2. Nausea 3. Fever 1. Hormones produced by the adrenal gland (adjacent to renal gland) 2. Produced synthetically Building muscles Developing male sex characteristics Metabolic precursor to all steroid hormones 1. Synthesized in body and from food 2. Used in many bodily processes CR elicited by stimuli associated with drug taking environments, and w/d is produced 1. Drug taking is explained by appealing to contingencies: a. Reinforcing effects of drug b. Escape from withdrawal symptoms c. Social contingencies 1. Drug taking is a disease 2. Treatment is prescribed instead of punishment 1. Prohibitionist 2. Disease 3. Behavior analytic 1. Drug taking is sinful 2. Punishment is recommended 1. Responsible for the development of secondary sexual characteristics in women and maintain the female reproductive system. 2. Active ingredients in prescription birth control tablets 1. Female sex hormones made from testosterone in ovary 1. Drug given in 1 place, placebo in another 2. Results: S spends time in former if drug is a positive reinforcer 1. Responding that was maintained by drug is extinguished 2. Then, giving noncontingent drug 14 Reinforcer assessment of drugs: 3 methods 14 Seizures: Drug Tx 14 Seizures: First Aid 14 Seizures: Generalized 14 Seizures: Generalized (Absence) 14 Seizures: Generalized (Atonic) 14 Seizures: Generalized (Myoclonic) 14 Seizures: Generalized (tonic clonic) 14 Seizures: Ketogenic diet 14 Seizures: Partial (complex) 14 Seizures: Partial (simple) 14 Seizures: Surgery 14 Seizures: Vagus nerve stimulator administrations will result in the re-appearance of responding 1. Rate of response under schedules of reinforcement (e.g., Mult) 2. PR value – breaking point 3. Choice – Conc schedule 1. Barbiturates 2. Benzodiazepines (Klonopin) 3. GABA - Neurontin/Lyrica 4. Hydantoins (Dilantin) 5. Succinimides (Ethosuximide) 6. Misc (Tegretol, Depakote) 1. No CPR! 2. Protect head 3. Call 911 if still seizing for 5 minutes 4. Roll on side after seizure to prevent aspiration of fluids 5. Observe after seizure and be supportive 1. Affect both cerebral hemispheres from onset 2. Loss of consciousness 1. Affects both cerebral hemispheres 2. Lapses of awareness, sometimes with staring, that begin and end abruptly, lasting only a few seconds. 1. Head drops, loss of posture, or sudden collapse 1. Rapid, brief contractions of bodily muscles, which usually occur at the same time on both sides of the body. 2. Occasionally, they involve one arm or a foot 1. Tonic phase: stiffening of limbs with impaired breathing 2. Clonic phase: jerking of the limbs and face with return of normal breathing 1. Extreme high fat and low-carb diet 2. Body goes into ketosis and then burns fat 3. Why this works is unknown 1. Only part of brain affected 2. Consciousness is altered during the event 3. Automatisms: Walking in a circle, sitting and standing, or smacking their lips together. 4. Unusual thoughts, such as the feeling of déjà vu 1. Only part of brain affected 2. No change in consciousness occurs 3. Weakness, numbness, and unusual smells or tastes 4. Twitching of the muscles or limbs Surgical resection of epileptogenic areas of the brain in difficult cases 1. Apply electrical stimulation to vagus nerve -> brain 2. Applies stimulation at regular intervals 3. Magnet passed over VNS will provide extra dose if seizure is about to occur or already is 14 Seizures: Partial 14 14 Sex-related steriods Steriods 14 Substance abuse 14 Substance dependence 14 Substance dependence/abuse: Treatment options 14 Substance dependence/abuse: Role of impoverished environment 14 Synthetic Anabolic steroids - History 14 Synthetic Anabolic steroids: popular uses 14 Synthetic Anabolic steroids: effects of chronic use 14 Synthetic Anabolic steroids: immediate signs of use 14 Synthetic Anabolic steroids: legitimate uses Testosterone: origin 14 Testosterone: role in body processes 14 Testosterone: Tx uses 14 1. Electrical disturbance is limited to a specific area of one cerebral hemisphere 2. Can spread to cause a generalized seizure Testosterone, estrogen, progesterone Greek for "hormone" 1. Drug taking results in roblems in school, work, home; legal problems; 2. Symptoms have not met criteria for substance dependence 1. Tolerance that results in taking larger doses 2. W/D 3. Social disruption or other problems 1. Antagonists/agonists 2. Antabuse – makes drinking alcohol punishing 3. Contingency contracting – provide reinforcers for clean urines 4. Vouchers – earned for clean urines 5. Behavioral assessment ---> Tx Environments with little or no reinforcement can lead to drug taking that provides higher rates of reinforcement (see matching equation) 1. Greeks used high meat diets and animal testicles before events 2. Testosterone first synthesized in the 1930s 3. Introduced in sports world in 1940s and 1950s 3. Russians won many weight lifting medals at ’52 Olympics 4. 1958 – anabolic steroids developed by Drug Company in U.S Increase muscle mass and bone mass for athletics 1. Liver impairment 2. Heart disease 3. Strokes 4. Aggressive behavior 1. Quick weight and muscle gains (when used in a weight training program) 2. Aggressiveness and combativeness 3. Jaundice 4. Purple or red spots on the body 5. Swelling of feet and lower legs 6. Trembling 7. Severe acne breakouts and oily skin Muscle injury, body wasting in diseases such as AIDS, delayed puberty, hypogonadism Made from cholesterol in testes Responsible for male secondary sexual characteristics and maintains the male reproductive system 1. Female breast cancer, 2. Stimulation of growth, weight gain, and red blood cell production 14 Thompson and Pickens study 1. Used chronic indwelling catheter – can provide immediacy of reinforcing effects of drug 2. Cocaine given for responding on 1 lever, but no contingencies on the 2nd lever. 3. Then, cocaine given under FT schedule (within S yoking), and responding decreased.