PowerLecture: Chapter 13 The Nervous System Learning Objectives Describe the visible structure of neurons, neuroglia, nerves, and ganglia, both separately and together as a system. Describe the distribution of the invisible array of proteins, ions, and other molecules in a neuron, both at rest and as a neuron experiences a change in potential. Understand how a nerve impulse is received by a neuron, conducted along a neuron, and transmitted across a synapse to a neighboring neuron, muscle, or gland. Learning Objectives (cont’d) Outline some of the ways by which information flow is regulated and integrated in the human body. Describe the organization of peripheral versus central nervous systems. Summarize the major parts of the human brain and the principal functions of each. Characterize the major groups of drugs, emphasizing their effects on the nervous system. Impacts/Issues In Pursuit of Ecstasy In Pursuit of Ecstasy Ecstasy is a drug that can make you feel really good, at least for a time. The active ingredient is MDMA, an amphetamine-like drug that interferes with the function of serotonin in the brain. Excess serotonin can relieve anxiety, sharpen the senses, and make you feel socially accepted; it can also kill. In Pursuit of Ecstasy How we function as individuals depends on whether we nurture or abuse our nervous system. How Would You Vote? To conduct an instant in-class survey using a classroom response system, access “JoinIn Clicker Content” from the PowerLecture main menu. Would you support legislation that forces nonviolent drug offenders to enter drug rehab programs as an alternative to jail? a. Yes, treatment is more effective than jail at reducing drug use, and it is more cost effective too. b. No, easing penalties will lead to more drug use. Section 1 Neurons—The Communication Specialists Neurons The role of the nervous system is to detect and integrate information about external and internal conditions and carry out responses. Neurons form the basis of the system’s communication network. Figure 13.2 Neurons There are three types of neurons: • • • Sensory neurons are receptors for specific sensory stimuli (signals). Interneurons in the brain and spinal cord integrate input and output signals. Motor neurons send information from integrator to muscle or gland cells (effectors). Neurons Neurons have several functional zones. Neurons form extended cells with several zones: • • • • The cell body contains the nucleus and organelles. The cell body has slender extensions called dendrites; the cell body and the dendrites form the input zone for receiving information. Next comes the trigger zone, called the axon hillock in motor neurons and interneurons; the trigger zone leads to the axon, which is the neuron’s conducting zone. The axon’s endings are output zones where messages are sent to other cells. dendrites input zone cell body trigger zone conducting zone axon axon endings output zone Fig. 13.1, p. 226 Neurons Only 10% of the nervous system consists of neurons; the rest of the 90% is composed of support cells called neuroglia, or glia. Neurons function well in communication because they are excitable (produce electrical signals in response to stimuli). Neurons Properties of a neuron’s plasma membrane allow it to carry signals. The plasma membrane prevents charged substances (K+ and Na+ ions) from moving freely across, but both ions can move through channels. • • • Some channel proteins are always open, others are gated. In a resting neuron, gated sodium channels are closed; sodium does not pass through the membrane, but potassium does. According to the gradients that form, sodium diffuses into the cell, potassium diffuses out of the cell. fluid outside cell cytoplasm Passive transporters with open channels let ions steadily leak across the membrane. Na+/K+ pump Other passive transporters have voltage-sensitive gated channels that open and shut. They assist diffusion of Na+ and K+ across the membrane as the ions follow concentration gradients. lipid bilayer Active transporters of neuron pump Na+ and membrane K+ across the membrane, against their concentration gradients. They counter ion leaks and restore resting membrane conditions. Fig. 13.3b, p. 227 Neurons The difference across the membrane that forms because of the K+ and Na+ gradients results in a resting membrane potential of ‒70 millivolts (cytoplasmic side of the membrane is negative). K+ Na+ outside Plasma membrane K+ Na+ inside Fig. 13.3a, p. 227 Section 2 Action Potentials = Nerve Impulses Action Potentials = Nerve Impulses Sufficient signals at the input zone of a resting neuron can trigger reversal of the voltage difference across the membrane. The signal opens gated sodium channels, allowing Na+ to rush into the neuron. The internal charge near the membrane becomes less negative, stimulating more channels to open (positive feedback). Action Potentials = Nerve Impulses When the voltage difference crosses a key threshold level of stimulation, an action potential (nerve impulse) occurs. • • Thresholds can only be reached in areas of the neuron where there are voltage-sensitive sodium channels. Stimuli must be strong enough to trigger the potential. fluid outside neuron gated sodium channel In a membrane at rest, the inside of the neuron is negative relative to the outside. An electrical disturbance (yellow arrow) spreads from an input zone to an adjacent trigger zone of the membrane, which has a large number of gated sodium channels. Fig. 13.4a, p. 228 Na+ Na+ Na+ voltage reversed ©2007 Thomson Higher Education A strong disturbance initiates an action potential. Sodium gates open. Sodium flows in, reducing the negativity inside the neuron. The change causes more gates to open, and so on until threshold is reached and the voltage difference across the membrane reverses. Fig. 13.4b, p. 228 Action Potentials = Nerve Impulses Action potentials spread by themselves. The action potential is self-propagating and moves away from the stimulation site. Potentials can self-propagate because the changes to the membrane potential don’t lose strength. K+ K+ K+ Na+ Na+ Na+ ©2007 Thomson Higher Education At the next patch of membrane, another group of gated sodium channels open. In the previous patch, some K+ moves out through other gated channels. That region becomes negative again. Fig. 13.4c, p. 229 Na+/K+ pump K+ K+ K+ Na+ Na+ Na+ K+ propagating action potential ©2007 Thomson Higher Education After each action potential, the sodium and potassium concentration gradients in a patch of membrane are not yet fully restored. Active transport at sodium–potassium pumps restores them. Fig. 13.4d, p. 229 Action Potentials = Nerve Impulses A neuron can’t “fire” again until ion pumps restore its resting potential. By diffusion, some potassium ions will always leak out of the cell and some sodium will always leak in. The sodium-potassium pump uses ATP to actively pump potassium ions in and sodium ions out of the neuron to keep the concentration of sodium ions higher outside, ready for another action potential to form. Action Potentials = Nerve Impulses Action potentials are “all-or-nothing.” Action potentials are all-or-nothing events. • • Once a positive-feedback cycle starts, nothing stops the full “spiking” of a potential. If threshold is not reached, however, the membrane disturbance will subside when the stimulus is removed. action potential threshold level resting level 1 2 3 4 Time (milliseconds) 5 6 Fig. 13.6, p. 229 Action Potentials = Nerve Impulses When the action potential is terminated, the sodium gates close, potassium gates open, and the sodium-potassium membrane pumps become operational to fully restore the resting potential. Na+ pumped out K+ leaks out fluid outside plasma membrane neuron’s plasma membrane cytoplasm next to the membrane Na+ leaks in K+ pumped in Fig. 13.5, p. 229 Section 3 Chemical Synapses: Communication Junctions Chemical Synapses: Communication Junctions Action potentials can stimulate the release of neurotransmitters. Neurotransmitters diffuse across a chemical synapse, the junction between a neuron and an adjacent cell (between neurons and other neurons, or between neurons and muscle or gland cells). Chemical Synapses: Communication Junctions The neuron that releases the transmitter is called the presynaptic cell. • • In response to an action potential, gated calcium channels open and allow calcium ions to enter the neuron from the synapse. Calcium causes the synaptic vesicles to fuse with the membrane and release the transmitter substance into the synapse. The transmitter binds to receptors on the membrane of the postsynaptic cell. plasma membrane of an axon ending of a presynaptic cell vesicle containing neurotransmitter membrane receptor for neurotransmitter synapse plasma membrane of a postsynaptic cell Fig. 13.7a, p. 230 molecule of neurotransmitter in synapse ions (black) that now can diffuse through channel receptor for the neurotransmitter on gated channel protein in plasma membrane of postsynaptic cell Fig. 13.7b, p. 230 Chemical Synapses: Communication Junctions Neurotransmitters can excite or inhibit a receiving cell. How a postsynaptic cell responds to a transmitter depends on the type and amount of transmitter, the receptors it has, and the types of channels in its input zone. • • Excitatory signals drive the membrane toward an action potential. Inhibitory signals prevent an action potential. Chemical Synapses: Communication Junctions Examples of neurotransmitters: • • • Acetylcholine (ACh) can excite or inhibit target cells in the brain, spinal cord, glands, and muscles. Serotonin acts on brain cells to govern sleeping, sensory perception, temperature regulation, and emotional states. Some neurons secrete nitric oxide (NO), a gas that controls blood vessel dilation, as in penis erection. muscle fiber axon endings Fig. 13.8a, p. 231 Motor end plate (troughs in muscle cell membrane) axon ending ©2007 Thomson Higher Education gap muscle cell membrane Fig. 13.8b, p. 231 Chemical Synapses: Communication Junctions Neuromodulators can magnify or reduce the effects of a neurotransmitter. • • • One example includes the natural painkillers called endorphins. Release of endorphins prevents sensations of pain from being recognized. Endorphins may also play a role in memory, learning, and sexual behavior. Chemical Synapses: Communication Junctions Competing signals are “summed up.” Excitatory and inhibitory signals compete at the input zone. • • An excitatory postsynaptic potential (EPSP) depolarizes the membrane to bring it closer to threshold. An inhibitory postsynaptic potential (IPSP) either drives the membrane away from threshold by a hyperpolarizing effect or maintains the membrane potential at the resting level. Chemical Synapses: Communication Junctions In synaptic integration, competing signals that reach the input zone of a neuron at the same time are summed; summation of signals determines whether a signal is suppressed, reinforced, or sent onward to other body cells. Chemical Synapses: Communication Junctions Neurotransmitter molecules must be removed from the synapse. Neurotransmitters must be removed from the synaptic cleft to discontinue stimulation. There are three methods of removal: • • • Some neurotransmitter molecules simply diffuse out of the cleft. Enzymes, such as acetylcholinesterase, break down the transmitters. Membrane transport proteins actively pump neurotransmitter molecules back into the presynaptic cells. Section 4 Information Pathways Information Pathways Nerves are long-distance lines. Signals between the brain or spinal cord and body regions travel via nerves. • • Axons of sensory neurons, motor neurons, or both, are bundled together in a nerve. Within the brain and spinal cord, bundles of interneuron axons are called nerve tracts. Information Pathways Axons are covered by a myelin sheath derived from Schwann cells. • • • Each section of the sheath is separated from adjacent ones by a region where the axon membrane, along with gated sodium channels, is exposed. Action potentials jump from node to node (saltatory conduction); such jumps are fast and efficient. There are no Schwann cells in the central nervous system; here processes from oligodendrocytes form the sheaths of myelinated axons. blood vessels many neurons bundled together inside a connective tissue sheath axon of one neuron outer connective tissue of one nerve myelin sheath formed by Schwann cells unsheathed node containing gated Na+ channels axon Fig. 13.9, p. 232 Table 13.1, p. 232 Information Pathways Reflex arcs are the simplest nerve pathways. A reflex is a simple, stereotyped movement in response to a stimulus. In the simplest reflex arcs, sensory neurons synapse directly with motor neurons; an example is the stretch reflex, which contracts a muscle after that muscle has been stretched. In most reflex pathways, the sensory neurons also interact with several interneurons, which excite or inhibit motor neurons as needed for a coordinated response. a Fruit being loaded into a bowl puts weight on an arm muscle and stretches it. STIMULUS Biceps stretches. b Stretching stimulates sensory receptor endings in this muscle spindle. d The stimulation is strong enough to generate action potentials e Axon endings of the motor neuron synapse with muscle cells in the stretched muscle. c Axon endings of the sensory neuron release a neurotransmitter RESPONSE Biceps contracts. f ACh released from the motor neuron’s axon endings stimulates muscle cells. g Stimulation makes the stretched muscle contract. muscle neuromuscular spindle junction Fig. 13.10, p. 233 extensor muscle of knee (quadriceps femoris) muscle spindle patellar tendon reflex arc motor neuron Fig. 13.27, p. 248 Information Pathways In the brain and spinal cord, neurons interact in circuits. The overall direction of flow in the nervous system: sensory neurons >>> spinal cord and brain >>> interneurons >>> motor neurons. receptor endings axon cell body axon ending cell body cell body axon axon axon axon endings dendrites dendrites sensory neuron interneuron motor neuron In-text Fig., p. 233 Information Pathways Interneurons in the spinal cord and brain are grouped into blocks, which in turn form circuits; blocks receive signals, integrate them, and then generate new ones. • • • Divergent circuits fan out from one block into another. Other circuits funnel down to just a few neurons. In reverberating circuits, neurons repeat signals among themselves. Section 5 Overview of the Nervous System Overview of the Nervous System The central nervous system (CNS) is composed of the brain and spinal cord; all of the interneurons are contained in this system. Nerves that carry sensory input to the CNS are called the afferent nerves. Efferent nerves carry signals away from the CNS. Overview of the Nervous System The peripheral nervous system (PNS) includes all the nerves that carry signals to and from the brain and spinal cord to the rest of the body. The PNS is further divided into the somatic and autonomic subdivisions. The PNS consists of 31 pairs of spinal nerves and 12 pairs of cranial nerves. At some sites, cell bodies from several neurons cluster together in ganglia. brain cranial nerves cervical nerves (eight pairs) spinal cord thoracic nerves (twelve pairs) ulnar nerve sciatic nerve lumbar nerves (five pairs) sacral nerves (five pairs) coccygeal nerves (one pair) Fig. 13.11, p. 234 CENTRAL NERVOUS SYSTEM brain spinal cord sensory nerves axons of motor nerves somatic subdivision (motor functions) autonomic subdivision (visceral functions) parasympathetic sympathetic nerves nerves peripheral nervous system Fig. 13.12, p. 235 I Olfactory nerve II Optic nerve (from the retina) III To eye muscles IV To eye muscles V To jaw muscles; from mouth VI To eye muscles VII To facial muscles, glands; from the taste buds VIII From inner ear IX To/from pharynx X To tongue muscles XI To/from internal organs XII To neck and back muscles © 2007 Thomson Higher Education Fig. 13.13, p. 235 Section 6 Major Expressways: Peripheral Nerves and the Spinal Cord Major Expressways: Peripheral Nerves and the Spinal Cord The peripheral nervous system consists of somatic and autonomic nerves. Somatic nerves carry signals related to movement of the head, trunk, and limbs; signals move to and from skeletal muscles for voluntary control. Major Expressways: Peripheral Nerves and the Spinal Cord Autonomic nerves carry signals between internal organs and other structures; signals move to and from smooth muscles, cardiac muscle, and glands (involuntary control). • • The cell bodies of preganglionic neurons lie within the CNS and extend their axons to ganglia outside the CNS. Postganglionic neurons receive the messages from the axons of the preganglionic cells and pass the impulses on to the effectors. Major Expressways: Peripheral Nerves and the Spinal Cord Autonomic nerves are divided into parasympathetic and sympathetic groups. They normally work antagonistically towards each other. • • Parasympathetic nerves slow down body activity when the body is not under stress. Sympathetic nerves increase overall body activity during times of stress, excitement, or danger; they also call on the hormone norepinephrine to increase the fight-flight response. When sympathetic activity drops, parasympathetic activity may rise in a rebound effect. optic nerve eyes salivary glands heart larynx bronchi lungs Vagus nerve midbrain medulla oblongata cervical nerves (8 pairs) stomach liver spleen pancreas thoracic nerves (12 pairs) kidneys adrenal glands © 2007 5 Thomson Higher Education sympathetic (most ganglia near spinal cord) small intestine upper colon lower colon rectum (all ganglia in walls of organs) lumbar nerves (5 pairs) bladder uterus genitals pelvic nerve sacral nerves (5 pairs) parasympathetic Fig. 13.14, p. 236 Major Expressways: Peripheral Nerves and the Spinal Cord The spinal cord is the pathway between the PNS and the brain. The spinal cord lies within a closed channel formed by the bones of the vertebral column. Signals move up and down the spinal cord in nerve tracts. • • The myelin sheaths of these tracts are white; thus, they are called white matter. The central, butterfly-shaped area (in cross-section) consists of dendrites, cell bodies, interneurons, and neuroglia cells; it is called gray matter. Major Expressways: Peripheral Nerves and the Spinal Cord The spinal cord and brain are covered with three tough membranes—the meninges. The spinal cord is a pathway for signal travel between the peripheral nervous system and the brain; it also is the center for controlling some reflex actions. • • Spinal reflexes result from neural connections made within the spinal cord and do not require input from the brain, even though the event is recorded there. Autonomic reflexes, such as bladder emptying, are also the responsibility of the spinal cord. spinal cord ganglion spinal nerve vertebra white matter meninges (protective coverings) central canal grey matter intervertebral disk © 2007 Thomson Higher Education Fig. 13.15, p. 237 Section 7 The Brain—Command Central The Brain – Command Central The spinal cord merges with the body’s master control center, the brain. The brain is protected by bone and meninges. • • The tough outer membrane is the dura mater; it is folded double around the brain and divides the brain into its right and left halves. The thinner middle layer is the arachnoid; the delicate pia mater wraps the brain and spinal cord as the innermost layer. The meninges also enclose fluid-filled spaces that cushion and nourish the brain. Fig. 13.16, p. 238 ventricles cerebrospinal fluid arachnoid mater dura mater three meninges pia mater spinal chord cerebrospinal fluid in spinal canal Fig. 13.16a, p. 238 scalp skull bone cerebrospinal fluid © 2007 Thomson Higher Education pia mater dura mater arachnoid mater Fig. 13.16b, p. 238 The Brain – Command Central The brain is divided into a hindbrain, midbrain, and forebrain. The hindbrain and midbrain form the brain stem, responsible for many simple reflexes. Hindbrain. • • • The medulla oblongata has influence over respiration, heart rate, swallowing, coughing, and sleep/wake responses. The cerebellum acts as a reflex center for maintaining posture and coordinating limbs. The pons (“bridge”) possesses nerve tracts that pass between brain centers. The Brain – Command Central The midbrain coordinates reflex responses to sight and sound. • It has a roof of gray matter, the tectum, where visual and sensory input converges before being sent to higher brain centers. The forebrain is the most developed portion of the brain in humans. • The cerebrum integrates sensory input and selected motor responses; olfactory bulbs deal with the sense of smell. The Brain – Command Central • • The thalamus relays and coordinates sensory signals through clusters of neuron cell bodies called nuclei; Parkinson’s disease occurs when the function of basal nuclei in the thalamus is disrupted. The hypothalamus monitors internal organs and influences responses to thirst, hunger, and sex, thus controlling homeostasis. Cerebrospinal fluid fills cavities and canals in the brain. The brain and spinal cord are surrounded by the cerebrospinal fluid (CSF), which fills cavities (ventricles) and canals within the brain. The Brain – Command Central A mechanism called the blood-brain barrier controls which substances will pass to the fluid and subsequently to the neurons. • • The capillaries of the brain are much less permeable than other capillaries, forcing materials to pass through the cells, not around them. Lipid-soluble substances, such as alcohol, nicotine, and drugs, diffuse quickly through the lipid bilayer of the plasma membrane. Section 8 A Closer Look at the Cerebrum A Closer Look at the Cerebrum There are two cerebral hemispheres. The human cerebrum is divided into left and right cerebral hemispheres, which communicate with each other by means of the corpus callosum. • • Each hemisphere can function separately; the left hemisphere responds to signals from the right side of the body, and vice versa. The left hemisphere deals mainly with speech, analytical skills, and mathematics; nonverbal skills such as music and other creative activities reside in the right. Figure 13.18 A Closer Look at the Cerebrum The thin surface (cerebral cortex) is gray matter, divided into lobes by folds and fissures; white matter and basal nuclei (gray matter in the thalamus) underlie the surface. Each hemisphere is divided into frontal, occipital, temporal, and parietal lobes. A Closer Look at the Cerebrum The cerebral cortex controls thought and other conscious behavior. Motor areas are found in the frontal lobe of each hemisphere. • • • • The motor cortex controls the coordinated movements of the skeletal muscles. The premotor cortex is associated with learned pattern or motor skills. Broca’s area is involved in speech. The frontal eye field controls voluntary eye movements. primary motor cortex frontal lobe (planning movements; some aspects of memory; inhibition of inappropriate behavior) temporal lobe (hearing; advanced visual processing) primary somatosensory cortex parietal lobe (body sensations) occipital lobe (vision) Fig. 13.19a, p. 241 Motor cortex activity when speaking Prefrontal cortex activity when generating words Visual cortex activity when observing words Fig. 13.19b, p. 241 Fig. 13.20, p. 241 A Closer Look at the Cerebrum Several sensory areas are found in the parietal lobe: • • • The primary somatosensory cortex is the main receiving center for sensory input from the skin and joints, while the primary cortical area deals with taste. The primary visual cortex, which receives sensory input from the eyes, is found in the occipital lobe. Sound and odor perception arises in primary cortical areas in each temporal lobe. A Closer Look at the Cerebrum Association areas occupy all parts of the cortex except the primary motor and sensory regions: • • Each area integrates, analyzes, and responds to many inputs. Neural activity is the most complex in the prefrontal cortex, the area of the brain that allows for complex learning, intellect, and personality. A Closer Look at the Cerebrum The limbic system: Emotions and more. Our emotions and parts of our memory are governed by the limbic system, which consists of several brain regions. Parts of the thalamus, hypothalamus, amygdala, and the hippocampus form the limbic system and contribute to producing our “gut” reactions. (olfactory tract) cingulate gyrus thalamus hypothalamus amygdala hippocampus Fig. 13.21, p. 241 Section 9 Memory and Consciousness A Closer Look at the Cerebrum Memory is how the brain stores and retrieves information. Learning and adaptive modifications to behavior are possible because of memory, the storage information. • • Short-term memory lasts from seconds to hours and is limited to a few bits of information. Long-term memory is more permanent and seems to be limitless. Sensory stimuli; as from the nose, eyes, and ears Temporary storage in the cerebral cortex Input forgotten SHORT-TERM MEMORY Recall of stored input Emotional state, having time to repeat (or rehearse) input, and associating the input with stored categories of memory influence transfer to long-term storage LONG-TERM MEMORY Input irretrievable © 2007 Thomson Higher Education Fig. 13.22, p. 242 A Closer Look at the Cerebrum Facts are processed separately from skills using separate memory circuits. • • Facts, such as names or faces, are forgotten or stored in long term memory where they can be recalled through association. Skills, such as playing the piano, can only be recalled by doing them. Figure 13.23b touch thalamus and hypothalamus hearing basal nuclei vision smell prefrontal cortex amygdala hippocampus Fig. 13.23a, p. 242 A Closer Look at the Cerebrum Amnesia is a loss of fact memory; the severity of loss depends on the extent of damage to the brain, but amnesia does not prevent a person from learning new skills. A Closer Look at the Cerebrum States of consciousness include alertness and sleeping. Consciousness ranges from being wide awake and alert to drowsiness, sleep, and coma. • • The constant electrical activity of the brain can be measured by an electroencephalogram (EEG). PET scans can show the precise location of brain activity. Figure 13.24 A Closer Look at the Cerebrum Neurons of the reticular formation control the changing levels of consciousness by releasing serotonin from sleep centers in the neural network. • • High serotonin levels trigger drowsiness and sleep. Sleep has two major stages: slow-wave, “normal” sleep and REM (rapid eye movement) sleep. Fig. 13.24a, p. 243 Fig. 13.24b, p. 243 The Central Nervous System Section 10 Disorders of the Nervous System Disorders of the Nervous System Some diseases attack and damage neurons. Alzheimer’s disease involves the progressive degeneration of brain neurons, while at the same time there is an abnormal buildup of amyloid protein, leading to the loss of memory. Disorders of the Nervous System Parkinson’s disease (PD) is characterized by the death of neurons in the thalamus that normally make dopamine and norepinephrine needed for normal muscle function. Figure 13.25a Disorders of the Nervous System Meningitis is an often fatal inflammatory disease caused by a virus or bacterial infection of the meninges covering the brain and/or spinal cord. Encephalitis is very dangerous inflammation of the brain, often caused by a virus. Multiple sclerosis (MS) is an autoimmune disease that results in the destruction of the myelin sheath of neurons in the CNS. Disorders of the Nervous System The CNS can also be damaged by injury or seizure. A concussion can result from a severe blow to the head, resulting in blurred vision and brief loss of consciousness. Damage to the spinal cord can result in lost sensation, muscle weakness, or paralysis below the site of the injury. Figure 13.25b Disorders of the Nervous System Epilepsy is a seizure disorder, often inherited but also caused by brain injury, birth trauma, or other assaults on the brain. Headaches occur when the brain registers tension in muscles or blood vessels of the face, neck, and scalp as pain; migraine headaches are extremely painful and can be triggered by hormonal changes, fluorescent lights, and certain foods, particularly in women. Section 11 The Brain on Drugs Disorders of the Nervous System Drugs can alter mind and body functions. Psychoactive drugs exert their influence on brain regions that govern states of consciousness and behavior. There are four categories of psychoactive drugs: • Stimulants (caffeine, cocaine, nicotine, amphetamines) increase alertness or activity for a time, and then depress you. Fig. 13.26, p. 245 Disorders of the Nervous System • • • Depressants (alcohol) depress brain activity, limit judgment, and interfere with coordinated movement; blood alcohol concentration (BAC) measures alcohol in the blood to determine the level of intoxication. Analgesics (pain relievers) include morphine and OxyContin, a synthetic derivative; analgesics block pain signals and some may produce euphoria. Hallucinogens, such as marijuana, act like depressants at low levels, but may also skew perception and performance of complex tasks. Disorders of the Nervous System Drug use can lead to addiction. As the body develops tolerance to a drug, larger and more frequent doses are needed to produce the same effect; this reflects physical drug dependence. Psychological drug dependence, or habituation, develops when a user begins to crave the feelings associated with using a particular drug and cannot function without it. Habituation and tolerance are evidence of addiction. Table 13.2, p. 245