I. Introduction: Consciousness: Experiencing the “Private I” 1. Your immediate awareness of thoughts, sensations, memories, and the world around you represents the experience of consciousness. 2. American psychologist William James (1892) proposed that the subjective experience of consciousness is an ongoing “river” or “stream” of mental activity—always changing but perceived as unified and unbroken. a. In the late 1800s, the first psychologists tried to determine the nature of the human mind through introspection, which meant verbal self-reports that tried to capture the “structure” of conscious experiences. b. At the turn of the twentieth century, many of the leading psychologists rejected the study of consciousness, emphasizing instead the scientific study of overt behavior, which could be directly observed, measured, and verified. c. Beginning in the late 1950s, many psychologists again turned their attention to the study of consciousness because a complete understanding of behavior was not possible without considering the role of conscious mental processes, and because new, more objective ways to study conscious experience had been devised. d. Today, the scientific study of consciousness takes into account the role of psychological, physiological, social, and cultural influences. II. Biological and Environmental “Clocks” That Regulate Consciousness Circadian rhythms are the cyclical daily fluctuations in many different biological and psychological processes. The cycle is roughly 24 hours long. A. The Suprachiasmatic Nucleus: The Body’s Clock 1. The suprachiasmatic nucleus (SCN) is a tiny cluster of neurons in the hypothalamus in the brain that governs the timing of circadian rhythms. 2. Sunlight entrains, or sets, the SCN; that is, sunlight and other bright light detected by visual receptors and processed by the SCN suppress melatonin levels, whereas decreased light increases the production of melatonin, a pineal gland hormone that produces sleepiness. B. Circadian Rhythms and Sunlight: The 24.2 Hour Day 1. Under free-running conditions (marked by an absence of all environmental time cues) a. people drift toward the natural rhythm of the suprachiasmatic nucleus, which is about 24.2 hours, or slightly longer than a day. b. people’s circadian rhythms lose their normal synchronization with one another. 2. When people leave free-running conditions, sunlight “resets” the biological clock within days, and their circadian rhythms become synchronized again. C. Circadian Rhythms and Sunlight: Some Practical Implications 1. You experience jet lag when your circadian rhythms are drastically out of synchronization with daylight and darkness cues. Symptoms include physical and mental fatigue, depression or irritability, and disrupted sleep. In addition, thinking, concentration, and memory become fuzzy. 2. People who work night shifts or rotating shifts often suffer from jet lag symptoms. III. Sleep A. The Dawn of Modern Sleep Research: Modern sleep research began with the invention of the EEG and the discovery that sleep is a state marked by distinct physiological processes and stages. 1. The invention of the electroencephalograph in the 1920s gave sleep researchers an important tool for measuring the rhythmic electrical activity of the brain. An electroencephalograph produces a graphic record called an EEG, or electroencephalogram. 2. The discovery of rapid-eye-movement sleep, abbreviated REM sleep, in the early 1950s led researchers to distinguish between two types of sleep. a. REM sleep is often called active sleep or paradoxical sleep because it is associated with heightened body and brain activity during which dreaming consistently occurs. b. NREM sleep, or non-rapid-eye-movement sleep, is often referred to as quiet sleep because the body’s physiological functions and brain activity slow down during this period of slumber. NREM is further divided into four stages. B. The Onset of Sleep and Hypnagogic Hallucinations 1. Beta brain waves are the small, fast brain waves associated with alert wakefulness. 2. Alpha brain waves are the slightly larger and slower waves associated with relaxed wakefulness and drowsiness. 3. Hypnagogic hallucinations are vivid sensory phenomena that can occur during the onset of sleep. 4. One common hypnagogic hallucination, the vivid sensation of falling, is often accompanied by a myoclonic jerk, or sleep start. C. The First 90 Minutes of Sleep and Beyond 1. On average, the progression through the first four stages of NREM sleep takes 50 to 70 minutes. a. Stage 1 NREM sleep begins when alpha brain waves are replaced by even slower theta brain waves. This stage lasts only a few minutes. b. Stage 2 NREM sleep represents the onset of true sleep. It is defined by brief bursts of brain activity that last a second or two, called sleep spindles, and K complexes—single but large high-voltage spikes of brain activity that occur periodically. Theta waves predominate, but delta waves begin to emerge. c. Stage 3 and stage 4 of NREM sleep, sometimes referred to as slow-wave sleep, are physiologically very similar. Delta waves represent an increasing proportion of total brain activity, from 20 percent or more in stage 3 to 50 percent or more in stage 4. In stage 4, the sleeper is virtually oblivious to the world. d. During REM sleep, visual and motor neurons in the sleeper’s brain activate repeatedly just as they do during wakefulness; the sleeper’s eyes dart back and forth behind closed eyelids—rapid eye movements—and voluntary muscle activity is suppressed. Heart rate, blood pressure, and respirations can fluctuate up and down, and muscle twitches occur. e. Throughout the rest of the night, the sleeper cycles between NREM and REM, with each cycle averaging about 90 minutes, varying from 70 to 120 minutes. Periods of REM sleep become longer and less time is spent in NREM. 2. In Focus: What You Really Want to Know About Sleep a. Yawning regulates and increases your level of arousal. Thinking about yawning may trigger the behavior, but yawning is not contagious. b. Prolonged wakefulness results in a sharp increase in adenosine levels and sleepiness. Slow-wave NREM sleep reduces adenosine levels. Caffeine blocks adenosine receptors, promoting wakefulness. c. Sleep paralysis is a temporary condition in which a person is unable to move upon awakening in the morning or during REM sleep. d. Deaf people who use sign language sometimes “sleep sign” during sleep. e. Sleep researchers have been unsuccessful in having extended dialogues with people who talk in their sleep. f. It is not dangerous to wake a sleepwalker, but it’s difficult, because sleepwalkers are in deep sleep. Sleepwalking may have a genetic component. 3. Over the course of our lives, the quantity and quality of sleep change considerably. a. From birth onward, total sleep time, REM sleep, and NREM sleep slowly decrease. b. The amount of time spent in slow-wave NREM sleep (stages 3 and 4) also gradually decreases over the lifespan. D. Do We Need to Sleep? 1. A biological need for sleep is clearly demonstrated by sleep deprivation studies; after as little as one night’s sleep deprivation, research participants develop microsleeps, episodes of sleep lasting only a few seconds during wakefulness. a. People who go without sleep for a day or more experience disruptions in mood, mental abilities, reaction time, perceptual skills, and complex motor skills. 2. Sleep restriction (a reduction in the amount of time spent sleeping) results in diminished concentration, vigilance, reaction time, memory skills, and the ability to gauge risks. For example: a. decreased motor skills lead to greater accident risk, b. moods become much more volatile, c. the immune system’s effectiveness is diminished, and d. all these changes become more pronounced if sleep restriction continues night after night. 3. Sleep researchers also study the effects of REM and NREM deprivation. When people are selectively deprived of REM sleep, they experience REM rebound; when deprived of NREM stages 3 and 4, they experience NREM rebound. E. Why Do We Sleep? 1. Although numerous theories try to explain the purpose of sleep, none is accepted as the definitive explanation. 2. The restorative theory of sleep suggests that sleep promotes physiological processes that restore and rejuvenate the body and the mind. a. NREM sleep is important for restoring the body. b. REM sleep is thought to restore mental and brain functions. 3. The adaptive theory of sleep, or evolutionary theory of sleep, suggests that sleep patterns evolved over time as a way of preventing a particular species from interacting with the environment when doing so is most hazardous. 4. Today’s researchers believe that studying sleep from multiple perspectives—psychological, physiological, and neurological—leads to a dynamic understanding of how sleep occurs, is regulated, and how it contributes to optimal functioning. IV. Dreams and Mental Activity During Sleep 1. Adults spend about 25 percent of their nightly sleep—about two hours—dreaming. 2. During sleep, repetitive, bland, uncreative ruminations about reallife events, or sleep thinking, occur far more frequently that dreams. 3. In contrast to sleep thinking, a dream is an unfolding sequence of perceptions, thoughts, and emotions during sleep that are experienced as a series of real-life events. 4. Most dreams occur during REM sleep, with people having four or five episodes per night. 5. The brain’s activity during sleep distinctly differs from its activity during wakefulness or NREM slow-wave sleep. A. Sleep Memory Consolidation; Let Me Sleep on It! 1. An important activity during sleep is memory consolidation. 2. Episodic memories form during NREM sleep, and procedural memories form during REM and NREM stage 2 sleep. a. For example, new spatial memories learned before sleep are not consolidated and enhanced by the passage of time alone, but only after sleep. Also, sleep before learning is critical to the formation of new memories. 3. Focus on Neuroscience: The Dreaming Brain: Turning REM On and Off a. In contrast to the awake brain, or the brain in NREM sleep, the sleeping brain undergoes distinct changes. b. EEG records of brain electrical activity during sleep show abrupt transitions from NREM to REM sleep recurring through the night. REM sleep is characterized by: (1) decreased activity in the frontal lobes and the primary visual cortext, thereby cutting dreamers off from reality-testing functions of the frontal lobe, which helps explain the bizarre content of dreams. (2) increased activity in association areas of the visual cortex, giving rise to a dream’s visual images. (3) increased activity in limbic system brain areas associated with emotion, motivation, and memory, giving rise to the dream’s emotionality. B. Dream Themes and Imagery: The Golden Horse in the Clouds 1. In Focus: What You Really Want to Know About Dreams Some popular queries about dreams that researchers have answered to a greater or lesser degree include (1) do animals dream (yes, the evidence suggests that they do); (2) what do blind people “see” in their dreams? (people who are blind before the age of 5, typically do not have visual dreams, although their dreams are as complex as those of sighted people); (3) can we control our dreams? (yes, if they are lucid); (4) can our dreams predict the future? (simply by chance, every now and then they can), and (5) are our dreams in color? (up to 80 percent are). 2. Research shows that bizarre dreams are the exception, not the rule. 3. Typical dreams include: negative feelings are more common than positive ones; aggression is more common than friendliness; dreamers are more likely to be victims of aggression than aggressors; men have more dreams involving physical aggression; women are more likely to report emotions in their dreams; sex or sexual behaviors rarely appear; fear or apprehension is the most frequently reported dream emotion for both sexes. 4. The typical nightmare, a dream that wakens the dreamer, is that of being aggressively attacked or pursued. a. Nightmares occur most frequently during middle and late childhood; then their frequency decreases. b. In children’s nightmares, a common theme is being attacked by an animal or monster. c. About 5 percent to 10 percent of adults have weekly nightmares. d. Family and twin studies suggest some genetic role in predisposition to nightmares. C. The Significance of Dreams 1. Sigmund Freud: Dreams as Fulfilled Wishes a. Sigmund Freud, the founder of psychoanalysis, believed that dreams are manifestations or repressed urges and wishes. They serve as a “safety valve” for unconscious and unacceptable urges. b. Freud suggested that dreams have two components: the manifest content, or the dream images themselves, and the latent content, the disguised psychological meaning of the dreams. c. While dreams may provide some information about psychological conflicts, research does not support Freud’s ideas about dreams. 2. The Activation–Synthesis Model of Dreaming a. The activation–synthesis model of dreaming, proposed by J. Allan Hobson and Robert McCarley, maintains that dreaming is the brain’s synthesizing and integrating of memory fragments, emotions, and sensations that are internally triggered. b. This theory does not state that dreams are meaningless. Meaning is found by analyzing the way the dreamer makes sense of the chaotic dream images. 3. Some Observations About the Meaning of Dreams a. At least some of our dreams mirror our real-life concerns and desires. b. The more bizarre aspects of dream sequences may be due to physiological changes in the brain during REM and NREM sleep. c. Some argue that dreaming consciousness is no different from waking consciousness in its attempt to make sense of the information that is available to it; only the source of the information differs. d. Because dream interpretations occur when were awake, perhaps conscious speculations about dreams reveal more about the psychological characteristics of the interpreter than about the dream itself. V. Sleep Disorders: Troubled Sleep Sleep disorders are serious disturbances in the normal sleep pattern that interfere with daytime functioning and cause subjective distress. Dysomnias are sleep disorders involving disruptions in the amount, quality, and timing of sleep. Parasomnias are sleep disorders involving undesirable physical arousal, behaviors, or events during sleep or sleep transitions. A. Insomnia: Fragmented, Dissatisfying Sleep 1. The most common sleep complaint among adults, insomnia is the inability to fall asleep, stay asleep, or feel adequately rested by sleep. 2. Women are twice as likely to suffer from insomnia as men, and it also increases with age. 3. Insomnia is linked to hyperarousal, which may be caused, for example, by physical pain, depression, medications, common stimulants like caffeine, or environmental factors like noise. 4. More commonly, insomnia may be traced to anxiety over stressful life events. B. Obstructive Sleep Apnea 1. In obstructive sleep apnea (OSA), the second most common sleep disorder, especially in overweight men over 50, the sleeper repeatedly stops breathing during sleep. 2. OSA tends to run in families and is twice as common in men as women. 3. OSA increases other serious health risks, such as for heart attack. 4. OSA is usually treated with continuous positive airway pressure (CPAP). C. Narcolepsy: Blurring the Boundaries Between Sleep and Wakefulness 1. Narcolepsy, a chronic lifelong condition that typically begins in adolescence, is characterized by excessive daytime sleepiness and brief lapses into sleep throughout the day. a. The onset of daytime sleep episodes is sometimes accompanied by frightening hypnagogic hallucinations; as people awaken, they may experience sleep paralysis. b. Narcolepsy is often characterized by episodes of cataplexy—sudden loss of voluntary muscle strength and control. c. People with narcolepsy can also experience sleep paralysis when going to sleep or when waking. d. Narcolepsy occurs in every culture and ethnic group, affecting males and females equally and is also a lifelong chronic condition. e. Multiple factors seem to play a causal role, including chromosomal, brain, neurotransmitter, and immune system abnormalities. While narcolepsy cannot be cured, new drugs such as modafinil reduce daytime sleepiness. D. The Parasomnias: Undesired Arousal or Actions During Sleep Generally, parasomniacs arise during NREM sleep stages 3 and 4 slow-wave sleep; occur most commonly in children; seem to have some genetic predisposition or susceptibility; and can be triggered by a broad range of stimuli. Sleep researchers still do not fully understand the various mechanisms involved in the parasomnias. 1. Sleep Terrors a. Night terrors, or sleep terrors, are characterized by sharply increased physiological arousal, intense fear and panic, frightening hallucinations, and no recall of the episode the next morning. b. Sleep terrors are typically brief, lasting only seconds. In most children, the problem resolves itself by early adolescence. 2. Sleepsex a. Sexsomnia, or sleepsex, involves abnormal sexual behaviors and experiences during sleep, such as masturbation, or sexual intercourse. b. Sleepsex occurs more commonly in men than women and is a chronic condition, usually beginning in early adulthood. c. Sleepsex can have undesirable consequences, such as strain on a relationship. 3. Sleepwalking a. Sleepwalking, or somnambulism, is characterized by an episode of walking or performing other actions during stage 3 or stage 4 NREM sleep. Most sleepwalkers are children, but about 4 percent of adults sleepwalk. b. A sleepwalker’s behavior can range from calm to agitated, but the behavior is more usually fairly harmless. 4. Sleep-Related Eating Disorder (SRED) a. In sleep-related eating disorder, the sleeper sleepwalks, during which he or she eats compulsively. b. Twice as many females as males suffer from SRED, which poses potential dangers such as eating bizarre items like cat food; there is also the risk of serious injury, with people using kitchen equipment when sleeping, while other negative effects may include weight, gain, dental problems, and social embarrassment. 5. Critical Thinking: Sleep Related Violence: Is Sleep Murder Possible? a. About 2 percent of adults report violent activity during sleep. When someone claims that he or she has committed a violent act during sleepwalking, sleep researchers suggest some guidelines in assessing whether these claims are truthful. b. The guidelines include asking whether (1) there is a reason to suggest a real sleep disorder, (2) there is no apparent motivation, (3) the sleep-related violence was triggered by precipitating factors such as medications or fever, (4) the victim merely happened to be present, (5) there is some degree of amnesia about the event, (6) the person seems unaware during the event and is horrified or perplexed after it, and (7) the event’s duration is brief, typically several minutes in length. 6. REM Sleep Behavior Disorder (RBD) a. In REM sleep behavior disorder, the sleeper (typically a man over 50) acts out his dreams. The disorder has several possible causes. (1) Evidence suggests that the cause is deterioration or damage in the lower brain centers that control physical and mental arousal during sleep. (2) It can also be a side effect of antidepressant and other medications. (3) In some cases, people with REM sleep behavior disorder have later developed a neurological disorder, such as Parkinson’s disease. VI. Hypnosis 1. Hypnosis is a cooperative social interaction in which the hypnotic participant responds to the hypnotist’s suggestions with changes in perception, memory, thoughts, and behavior. 2. Hypnosis, which is not a sleeplike trance, is characterized by highly focused attention, increased responsiveness to suggestions, vivid images and fantasies, a willingness to accept distortions of logic or reality, and a voluntary acceptance of the hypnotist’s instructions. 3. The best candidates for hypnosis are individuals who approach the hypnotic experience with positive, receptive attitudes and the expectation that they will be responsive to hypnosis. A. Effects of Hypnosis 1. Sensory and Perceptual Changes a. Hypnotized subjects sometimes experience profound sensory and perceptual changes, including hallucinations. b. Behavior outside the hypnotic state may be influenced by posthypnotic suggestion, a suggestion made during hypnosis that the person carry out a specific instruction following the hypnotic session. Most of these last a few days or hours. 2. Hypnosis and Memory a. Posthypnotic amnesia is the inability to recall specific information or events that occurred before or during hypnosis because of a hypnotic suggestion. b. In hypermnesia, a hypnotic suggestion supposedly enhances a person’s memory for past events. However, hypnosis does not significantly enhance memory or improve the accuracy of memories. c. Hypnosis can greatly increase confidence in memories that are actually incorrect. False memories, or pseudomemories, can be created when hypnosis is used to aid recall. B. Explaining Hypnosis: Consciousness Divided? 1. Ernest R. Hilgard believed that the hypnotized person experiences dissociation, the splitting of consciousness into two or more simultaneous streams of mental activity. 2. According to Hilgard’s neodissociation theory of hypnosis, a hypnotized person consciously experiences one stream of mental activity that is responding to the hypnotist’s suggestions, while a second, dissociated stream of mental activity is also operating. Hilgard used the term hidden observer for the second, dissociated stream of mental activity. 3. Critical Thinking: Is Hypnosis a Special State of Consciousness? a. The “state” explanation, represented by Hilgard’s theory, contends hat hypnosis is a unique state of consciousness. b. The “non-state” view rejects the idea that hypnosis is a special state of consciousness and contends that hypnosis can be explained in terms of ordinary psychological processes. c. According to the social-cognitive view of hypnosis, subjects are responding to the social demands of the hypnosis situation. d. Using PET scans, researchers compared brain activity in participants who were instructed to change the color of the images they were viewing. Brain activity reflected the hypnosis-induced hallucinations, not the actual images shown to the hypnotized participants. This study supports the state theory of hypnosis. e. The imaginative suggestibility view maintains that the effects of hypnosis are due to individual differences in people’s ability to experience an imaginary state of affairs as if it were real. 4. Limits and Applications of Hypnosis a. A person cannot be hypnotized against his or her will. b. Hypnosis cannot make you perform behaviors that are contrary to your morals and values. c. Hypnosis cannot make you stronger than your physical capabilities or bestow new talents, although hypnosis can enhance physical skills or athletic ability by increasing motivation and concentration. It can also help to modify problematic behaviors. VII. Meditation Meditation refers to a group of techniques that induce an altered state of focused attention and heightened awareness. Meditation techniques can be divided into two basic categories: 1. Concentration techniques involve focusing awareness on a visual image, your breathing, a word, or a phrase (called a mantra) that is repeated mentally. 2. Opening-up techniques involve a present-centered awareness of the passing moment, without mental judgment. 3. Some meditative traditions also stress the attainment of emotional control. This has prompted investigations into the effectiveness of meditation for relieving anxiety and improving physical and psychological health. A. Effects of Meditation 1. Even beginning meditators practicing transcendental meditation, or TM (a concentration technique) experience a state of lowered physiological arousal, including lowered blood pressure, a decrease in heart rate, and changes in brain waves. 2. Many studies have shown that regular meditation can enhance physical and psychological functioning beyond that provided by relaxation alone. VIII. Psychoactive Drugs Psychoactive drugs are chemical substances that can alter arousal, mood, thinking, sensation, and perception. A. Common Properties of Psychoactive Drugs 1. Addiction is a broad term that refers to a condition in which a person feels psychologically and physically compelled to take a specific drug. 2. Physical dependence is a condition in which a person’s body and brain chemistry have physically adapted to a drug. 3. Many physically addictive drugs gradually produce drug tolerance, a condition in which increasing amounts of the drug are needed to produce the original, desired effect. 4. Withdrawal symptoms are unpleasant physical reactions to the lack of the drug, plus an intense craving for it. 5. The drug rebound effect is the experience of withdrawal symptoms that are opposite to the drug’s action. 6. Psychoactive drugs influence brain activity by altering synaptic transmission among neurons through increasing or decreasing neurotransmitter amounts or by blocking, mimicking, or influencing anarticular neurotransmitter’s effects. Psychological and environmental factors can influence the effects of a drug. 8. Drug abuse refers to recurrent drug use that results in disrupted academic, social, and occupational functioning or in legal and psychological problems. 9. Determining whether there is drug abuse is influenced by a variety of factors, including different ethnic norms regarding the use of alcohol. 10. Focus on Neuroscience: The Addicted Brain: Diminishing Rewards a. Addictive drugs activate the dopamine-producing neurons in the brain’s reward system. The initial dopamine surge in response to drug use is the internal reinforcing reward, prompting the person to take the drug again. b. With repeated drug use, the brain’s reward pathways adapt to the high dopamine levels. The availability of dopamine receptors is greatly reduced, and other biochemical changes inhibit the brain’s reward circuits, resulting in drug tolerance. The brain’s diminished reward circuits also produce depression and negative emotional states. c. Withdrawal and craving may be caused by reward circuits that have become hypersensitive to the abused substance. B. The Depressants: Alcohol, Barbiturates, and Tranquilizers The depressants are a class of psychoactive drugs that depress or inhibit central nervous system activity. All depressants are potentially physically addictive. The effects of depressant drugs are additive. 1. Alcohol a. Alcohol, used in small amounts, reduces tension and anxiety. Light drinking reduces the risk of heart disease. b. A survey found that some 16 million people age 12 and older were dependent upon or abused alcohol. c. Alcohol depresses the activity of neurons throughout the brain and impairs cognitive abilities such as concentration, memory, and speech, as well as physical abilities such as muscle coordination and balance. d. The negative effects associated with binge drinking (five drinks in a row for men, four or more in a row for women) include aggressive behavior, sexual assault, accidents, and property damage. e. Because alcohol is physically addictive, the person with alcoholism who stops drinking may suffer from physical withdrawal symptoms, the severity of which depends on the level of physical dependence—from “the shakes” to severe symptoms called delirium tremens, or the DTs. f. Alcohol lessens inhibitions by depressing the brain centers that govern judgment and self-control. 2. Inhalants a. Inhalants are chemical substances that are inhaled to produce an alteration in consciousness. b. Inhalants generally depress the central nervous system. c. Inhalants are very dangerous, with hazards including suffocation as well as toxicity to the liver and other organs. 3. Barbiturates and Tranquilizers a. Barbituras depress activity in the brain centers that control arousal, wakefulness, and alertness. They also depress the brain’s respiratory centers. Barbiturates at low doses cause relaxation, mild euphoria, and reduced inhibitions. Larger doses produce a loss of coordination, impaired mental functioning, and depression. High doses can produce unconsciousness, coma, and death. Barbiturate include the prescription drugs Seconal and Nembutal and the illegal drug methaqualone. b. Tranquilizers are depressants that relieve anxiety. The effects are similar to, but less powerful than, those produced by barbiturates. Common prescription tranquilizers are Xanax, Valium, Librium, and Ativan. C. The Opiates: From Poppies to Demerol 1. Often called narcotics, opiates are a group of addictive drugs that relieve pain and produce feelings of euphoria. Opiates include opium, morphine, codeine, heroin, methadone, and some prescription pain killers (such as OxyContin, Percodan, and Demerol). Opiates produce their powerful effects by mimicking the brain’s own natural painkillers, called endorphins. 2. Among the most dangerous opiates is heroin. Injecting heroin creates an intense rush of euphoria, followed by feelings of contentment, peacefulness, and warmth. Withdrawing from heroin produces unpleasant drug rebound symptoms. Heroin is not, however, the most abused opiate; oxycontin is. In terms of illicit use, prescription pain pills are second only to marijuana. D. The Stimulants: Caffeine, Nicotine, Amphetamines, and Cocaine Stimulants are at least mildly addicting, and all tend to increase brain activity. 1. Caffeine and nicotine a. Caffeine, found in coffee, tea, cola drinks, chocolate, and many over-the-counter medications, increases mental alertness and wakefulness. It is the most widely used psychoactive drug in the world and it is physically addictive. b. High doses of caffeine can produce anxiety, restlessness, insomnia, and increased heart rate. c. Nicotine, an extremely addictive stimulant, is found in all tobacco products. It increases mental alertness and reduces fatigue or drowsiness. 2. Amphetamines and Cocaine a. Amphetamines elevate mood and suppress appetite. Included are benzedrine, dexedrine, and methamphetamine. (1) Methamphetamine, or meth, is an illegal drug manufactured in home or street laboratories. (2) PET scans of former meth users show a significant reduction in the number of dopamine receptors and transporters. Memory and motor skill problems are common in former abusers and are most severe in those with the greatest loss of dopamine transporters. 3. Focus on Neuroscience: How Methamphetamines Erode the Brain a. MRI scans of chronic meth users show tissue loss in the limbic system areas involved in emotion and reward, as well as in hippocampal regions involved in learning and memory. 4. Cocaine is an illegal stimulant, which is “snorted” or inhaled in a powdered form; a more concentrated form called crack is smoked. Inhaling cocaine produces intense euphoria, mental alertness, and self-confidence, which last for several minutes. 5. Prolonged use of amphetamines or cocaine can result in schizophrenia- like symptoms called stimulant-induced psychosis (also called amphetamine psychosis or cocaine psychosis). E. Psychedelic Drugs: Mescaline, LSD, and Marijuana Psychedelic drugs create sensory and perceptual distortions, alter mood, and affect thinking. 1. Mescaline and LSD a. Mescaline is a naturally occurring psychedelic drug derived from the peyote cactus. Another psychedelic drug, psilocybin, is derived from the Psilocybe mushroom and is sometimes called “magic mushrooms.” b. LSD (lysergic acid diethylamide) is a powerful synthetic psychedelic drug. LSD and psilocybin are very similar chemically to the neurotransmitter serotonin, which is involved in regulating moods and sensations. c. The effects of a psychedelic experience vary greatly, depending on an individual’s personality, current emotional state, surroundings, and the other people present. Adverse reactions include flashbacks, depression, and long-term psychological instability. 2. Marijuana a. Marijuan a is derived from the hemp plant, Cannibis sativa, and is one of the most widely used illegal drugs. b. The chemical tetrahydrocannabinol, abbreviated THC, is the active ingredient in marijuana. One potent form of marijuana, hashish, is made from the resin of the hemp plant. c. Researchers discovered receptor sites in the brain that are specific for THC. They also discovered a naturally occurring brain chemical called anandamide, which is structurally similar to THC and which binds to the THC receptors in the brain. Anandamide may reduce painful sensations. d. Most marijuana users do not develop tolerance or physical dependence. e. Marijuana and its ingredient THC have been shown to be helpful in treating some medical conditions, as well as preventing the negative effects of chemotherapy. f. Marijuana interferes with muscle coordination and perception and may impair driving ability. Alcohol intensifies its effects. F. Designer “Club” Drugs: Ecstasy and the Dissociative Anesthetic Drugs “Club drugs” are a loose collection of psychoactive drugs that are popular at dance clubs, parties, and “raves.” Many are designer drugs, that is, drugs that were synthesized in the laboratory. 1. Ecstasy, which is the chemical MDMA, at low doses has stimulant effects; at high doses, it has mild psychedelic effects. a. Ecstasy, at high doses, produces feelings of euphoria and increased well-being, as well as feelings of love and openness to others. b. Side effects include dehydration, rapid heartbeat, tremors, muscle tension and involuntary teeth-clenching, and hyperthermia. c. Ecstasy’s effects may result from its causing the release of serotonin and its ability to block serotonin reuptake. d. Several studies have shown potentially irreversible damage to serotonin nerve endings in the brain. Longterm effects include depression and problems with memory and verbal reasoning. 2. Dissociative anesthetics deaden pain; at high doses, they can induce a stupor or coma. a. PCP (angel dust) and ketamine (special K) produce marked feelings of dissociation and depersonalization. b. PCP’s effects are unpredictable. High doses can cause hyperthermia, convulsions, and death. c. PCP is highly addictive. Memory problems and depression are common effects of long-term use. IX. Application: Can’t Sleep? Read This! 1. Preventing Sleep Problems a. Monitor your intake of stimulants. b. Establish a quiet bedtime routine. c. Create the conditions for restful sleep. d. Establish a consistent sleep/wake schedule. 2. Stimulus Control Therapy a. Stimulus control therapy is a technique you can implement on your own for treating insomnia. b. It is designed to help you establish a consistent sleep– wake schedule and associate your bedroom and bedtime with falling asleep. 3. Relaxation Training a. Progressive relaxation is a simple procedure that involves tensing a specific muscle group for about 10 seconds, then releasing the tension while exhaling slowly and deeply. b. Autogenic training involves repeating a specific sequence of statements to induce deep relaxation.