Psychopharmacology: Drugs, the Brain, and Behavior
Jerrold S. Meyer, University of Massachusetts, Amherst, and Linda F. Quenzer, University of Hartford
2005
555 pages, 410 illustrations
casebound
About This Title
Visit the sample page for a complete sample chapter.
Recent advances in molecular pharmacology and brain imaging have revolutionized our understanding of how psychoactive drugs work. Now, from the authors of Principles of Neuropsychopharmacology, comes a new undergraduate textbook integrating these developments. The first section of the book provides extensive foundation materials, including the basic principles of pharmacology, neurophysiology and neuroanatomy, synaptic transmission, and methods in psychopharmacology. The second section describes key features of major neurotransmitter systems, including the catecholamines, serotonin, acetylcholine, glutamate and GABA. The third and fourth sections discuss theories and mechanisms of drug addiction and psychopathology. All major substances of abuse as well as drugs used to treat mental illness are covered.
Psychopharmacology: Drugs, the Brain and Behavior is unique in its breadth of coverage, ranging from historical accounts of drug use to clinical and preclinical behavioral studies to the latest research on drug effects in transgenic mouse models. Student engagement with the material is fostered by opening each chapter with a relevant vignette and by providing breakout boxes presenting novel or cutting-edge topics for special discussion. The book is extensively illustrated with full-color photographs and line art depicting important concepts and experimental data. Psychopharmacology: Drugs, the Brain and Behavior is appropriate for undergraduate psychopharmacology or drugs and behavior courses that emphasize relationships between the behavioral effects of psychoactive drugs and their mechanisms of action.
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About the Author(s)
Jerrold S. Meyer is Professor of Psychology and Director of the interdepartmental Neuroscience and Behavior Program at the University of Massachusetts, Amherst. He did his graduate work under Dr. Robert Bowman at the University of Wisconsin, receiving his Ph.D. in 1974, and he was a postdoctoral fellow with Dr. Bruce McEwen at Rockefeller University and with Dr. William Boggan at the Medical University of South Carolina. He is the author or coauthor of over 75 articles and chapters in the fields of neuropharmacology and neuroendocrinology, and coauthored Principles of Neuropsychopharmacology (1997) with Robert Feldman and Linda Quenzer. Dr. Meyer is a past President of the Neurobehavioral Teratology Society, an international society devoted to the study of neurotoxicant effects on brain and behavioral development. His current research, funded by the National Institutes of Health, focuses on the neurotoxic and behavioral effects of MDMA ("Ecstasy"), and the neurochemical and neuroendocrine correlates of self-injurious behavior.
Linda F. Quenzer is Adjunct Professor of Psychology and Neuroscience at the University of Hartford. She received her Ph.D. from the University of Massachusetts, Amherst, in 1974 with Dr. Robert S. Feldman and she was an NIMH postdoctoral fellow in the Laboratory of Preclinical Pharmacology with Dr. Norton Neff. During her appointment in the Departments of Pharmacology and Psychiatry at the University of Connecticut Medical School, she received a Career Development Award from the Pharmaceutical Manufacturers Association Foundation. Dr. Quenzer has extensive teaching experience in the areas of psychobiology and neuropsychopharmacology at the undergraduate, graduate, and postgraduate levels. Her previous collaborations with Sinauer Associates include Fundamentals of Neuropsychopharmacology (1984, with Robert Feldman) and Principles of Neuropsychopharmacology (1997, with Robert Feldman and Jerrold Meyer). Her current interests concern the role of the HPA axis, hippocampal atrophy, and neurogenesis in psychiatric disorders.
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Reviews and Commentary
“This volume provides a good balance across all the areas of psychopharmacology and is an excellent guide for students in psychology, pharmacology, and neuroscience. … It is well written and easy to understand; the diagrams and tables are also well done. Moreover, the book provides students with additional outside reading sources. The CD-ROM for instructors is very useful and presents PowerPoint lectures for each chapter, as well as a test bank for student evaluation. Overall, this book is well worth the price.”
—John A. Rosecrans, The Quarterly Review of Biology
“The authors . . . cover the important topics with great clarity, and the reader will find all the subjects accessible. . . . A particular delight is that the book is sumptuously illustrated—many of the illustrations are eye-catching and attention-grabbing. . . . I highly recommend this book to anyone who wishes to learn about psychopharmacology.”
—Allan Hunter Young, The New England Journal of Medicine
“For over 30 years I have been teaching about this engaging subject (‘non-medical drug use,’ not ‘drug abuse’). This is certainly the best, most clearly written, and by far the most interesting book that I have seen in this area.”
—Oliver M. Brown, State University of New York, Upstate Medical University
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Table of Contents
1. Principles of Pharmacology
- Pharmacology: The Science of Drug Action
- Pharmacokinetic Factors Determining Drug Action
- Methods of drug administration influence the onset of drug action
- Multiple factors modify drug absorption
-
Drug distribution is limited by selective barriers
- Depot binding alters the magnitude and duration of drug action
- Biotransformation and elimination of drugs contributes to bioavailability
- Section Summary
- Pharmacodynamics: Drug–Receptor Interactions
- Extracellular and intracellular receptors have several common features
- Dose–response curves describe receptor activity
- The therapeutic index calculates drug safety
- Receptor antagonists compete with agonists for binding sites
- Biobehavioral Effects of Chronic Drug Use
- Repeated drug exposure can cause tolerance
- Chronic drug use can cause sensitization
- Section Summary
- Recommended Readings
- BOX 1.1. Pharmacology in Action: Herbal Medicine—Panacea or Hazard?
- BOX 1.2. Pharmacology in Action: Naming Drugs
- BOX 1.3. Pharmacology in Action: Drug Categories
2. Structure and Function of the Nervous System
- Cells of the Nervous System
- Neurons have three major external features
- Characteristics of the cell membrane are critical for neuron function
- Glial cells provide vital support for neurons
- Section Summary
- Electrical Transmission within a Neuron
- Ion distribution is responsible for the cell’s resting potential
- Local potentials are small, transient changes in membrane potential
- Sufficient depolarization at the axon hillock opens voltage-gated Na+ channels, producing an action potential
- Drugs and poisons alter axon conduction
- Section Summary
- Organization of the Nervous System
- The nervous system comprises the central and peripheral divisions
- CNS functioning is dependent on structural features
- The CNS has six distinct regions reflecting embryological development
- The cerebral cortex is divided into four lobes, each having primary, secondary, and tertiary areas
- Section Summary
- Recommended Readings
- BOX 2.1. Clinical Applications: Epilepsy
- BOX 2.2. The Cutting Edge: Finding Your Way in the Nervous System
3. Chemical Signaling by Neurotransmitters and Hormones
- Chemical Signaling between Nerve Cells
- Neurotransmitter Synthesis, Release, and Inactivation
- Neurotransmitters encompass several different kinds of chemical substances
- Classical transmitters and neuropeptides are synthesized by different mechanisms
- Chemicals that don’t act like typical neurotransmitters are sometimes called neuromodulators
- Neurotransmitter release involves the exocytosis and recycling of synaptic vesicles
- Several mechanisms control the rate of neurotransmitter release by nerve cells
- Neurotransmitters are inactivated by reuptake and by enzymatic breakdown
- Section Summary
- Neurotransmitter Receptors and econd-Messenger Systems
- There are two major families of neurotransmitter receptors
- Second messengers work by activating specific protein kinases in a cell
- Tyrosine kinase receptors mediate the effects of neurotrophic factors
- Pharmacology of Synaptic Transmission
- Section Summary
- The Endocrine System
- Endocrine glands can secrete multiple hormones
- Mechanisms of hormone action vary
- Why is the endocrine system important to pharmacologists?
- Section Summary
- Recommended Readings
- Box 3.1. The Cutting Edge: Just Say NO
- Box 3.2. Pharmacology in Action: Stress, Glucocorticoids, and Psychostimulants
4. Methods of Research in Neurobehavioral Pharmacology
Techniques in Neuropharmacology
- Multiple Neurobiological Techniques for Assessing the CNS
- Stereotaxic surgery is needed for accurate in vivo measures of brain function
- Neurotransmitters, receptors, and other proteins can be both quantified and visually located in the CNS
- New tools are used for imaging the structure and function of the brain
- Genetic engineering helps neuroscientists to ask and answer new questions
- Section Summary
Techniques in Behavioral Pharmacology
- Evaluating Animal Behavior
- Animal testing needs to be valid and reliable to produce useful information
- A wide variety of behaviors are evaluated by psychopharmacologists
- Operant conditioning techniques provide a sensitive measure of drug effects
- Section Summary
- Recommended Readings
- BOX 4.1. The Cutting Edge: Using the Techniques of Neuropsychopharmacology
- BOX 4.2. Clinical Applications: Drug Development and Testing
5. Catecholamines
- Catecholamine Synthesis, Release, and Inactivation
- Tyrosine hydroxylase catalyzes the rate-limiting step in catecholamine synthesis
- Catecholamines are stored in and released from synaptic vesicles
- Catecholamine inactivation occurs through a combination of reuptake and metabolism
- Section Summary
- Organization and Function of the Dopaminergic System
- Two important dopaminergic cell groups are found in the midbrain
- There are five main subtypes of dopamine receptors organized into D1- and D2-like families
- Dopamine receptor agonists and antagonists affect locomotor activity and other behavioral functions
- Section Summary
- Organization and Function of the Noradrenergic System
- The ascending noradrenergic system originates in the locus coeruleus
- The cellular effects of norepinephrine and epinephrine are mediated by á- and â-adrenergic receptors
- Adrenergic agonists can stimulate arousal and eating behavior
- A number of medications work by stimulating or inhibiting peripheral adrenergic receptors
- Section Summary
- Recommended Readings
- BOX 5.1. Clinical Applications: Parkinson’s Disease—A “Radical” Death of Dopaminergic Neurons?
- BOX 5.2. The Cutting Edge: Using “Gene Knockout” Animals to Study the Dopaminergic System
6. Acetylcholine and Serotonin
Acetylcholine
- Acetylcholine Synthesis, Release, and Inactivation
- Acetylcholine synthesis is catalyzed by the enzyme choline acetyltransferase
- Many different drugs and toxins can alter acetylcholine storage and release
- Acetylcholinesterase is responsible for acetylcholine breakdown
- Section Summary
- Organization and Function of the Cholinergic System
- Cholinergic neurons play a key role in the functioning of both the peripheral and central nervous systems
- There are two acetylcholine receptor subtypes, nicotinic and muscarinic
- Section Summary
Serotonin
- Serotonin Synthesis, Release, and Inactivation
- Serotonin synthesis is regulated by the activity of tryptophan hydroxylase and by the availability of the serotonin precursor tryptophan
- The processes that regulate storage, release, and inactivation are similar for serotonin and the catecholamines
- Section Summary
- Organization and Function of the Serotonergic System
- The serotonergic system originates from cell bodies in the brain stem and projects to all forebrain areas
- There is a large family of serotonin receptors, most of which are metabotropic
- Section Summary
- Recommended Readings
- BOX 6.1. Pharmacology in Action: Botulinum Toxin—Deadly Poison, Therapeutic Remedy, and Cosmetic Aid
- BOX 6.2. Clinical Applications: Alzheimer’s Disease—A Tale of Two Proteins
- BOX 6.3. Pharmacology in Action: Fen–Phen and the Fight against Fat
7. Glutamate and GABA
Glutamate
- Glutamate Synthesis, Release, and Inactivation
- Neurons generate glutamate from the precursor glutamine
- Glutamate is released from vesicles and removed from the synaptic cleft by both neuronal and glial transport systems
- Section Summary
- Organization and Function of the Glutamatergic System
- Glutamate is the neurotransmitter used in many excitatory pathways in the brain
- Both ionotropic and metabotropic receptors mediate the synaptic effects of glutamate
- NMDA receptors play a key role in learning and memory
- High levels of glutamate can be toxic to nerve cells
- Section Summary
GABA
- GABA Synthesis, Release, and Inactivation
- GABA is synthesized by the enzyme glutamic acid decarboxylase
- Specific transporter proteins are used to transport GABA into synaptic vesicles and nerve terminals following release
- Section Summary
- Organization and Function of the GABAergic System
- Some GABAergic neurons are interneurons, while others are projection neurons
- The actions of GABA are mediated by ionotropic GABAA receptors and metabotropic GABAB receptors
- Section Summary
- Recommended Readings
- BOX 7.1. The Cutting Edge: Role of Glutamate Receptors in Long-Term Potentiation
- BOX 7.2. Pharmacology in Action: What Is the Endogenous Ligand for the Benzodiazepine Receptor?
8. Drug Abuse, Dependence, and Addiction
- Introduction to Drug Abuse and Addiction
- Drugs of abuse are widely consumed in our society
- Drug use in our society has increased and become more heavily regulated over time
- Features of Drug Abuse and Dependence
- Drug addiction is a chronic, relapsing behavioral disorder
- There are two types of progressions in drug use
- Which drugs are the most addictive?
- Section Summary
- Models of Drug Abuse and Dependence
- The physical dependence model emphasizes the withdrawal symptoms associated with drug abstinence
- The positive reinforcement model is based on the rewarding and reinforcing effects of abused drugs
- Two recent approaches to drug addiction are the incentive-sensitization and opponent-process models
- The disease model treats addiction as a medical disorder
- Toward a Comprehensive Model of Drug Abuse and Dependence
- Three types of factors are involved in experimental substance use
- Different factors are involved in the development and maintenance of compulsive substance use
- Section Summary
- BOX 8.1. Concepts in Pharmacology: The “Gateway” Theory of Drug Use
- BOX 8.2. The Cutting Edge: Drugs of Abuse and the Neural Mechanisms of Reward
9. Alcohol
- Psychopharmacology of Alcohol
- Alcohol has a long history of use
- What is an alcohol and where does it come from?
- The pharmacokinetics of alcohol determine its bioavailability
- Chronic alcohol use leads to both tolerance and physical dependence
- Alcohol affects many organ systems
- Section Summary
- Neurochemical Effects of Alcohol
- Animal models are vital to alcohol research
- Alcohol acts on multiple neurotransmitters
- Section Summary
- Alcoholism
- Defining alcoholism and estimating its incidence prove difficult
- The causes of alcoholism are multimodal
- Multiple treatment options provide hope for rehabilitation
- Section Summary
- BOX 9.1. Clinical Applications: Fetal Alcohol Syndrome
- BOX 9.2. Pharmacology in Action: The Role of Expectation in Alcohol-Enhanced Human Sexual Response
- BOX 9.3. Drugs and Society: Alcohol and Aggression
10. The Opiates
- Narcotic Analgesics
- The opium poppy has a long history of use
- Minor differences in molecular structure determine behavioral effects
- Bioavailability predicts both physiological and behavioral effects
- Opioids have their most important effects on the CNS and on the gastrointestinal tract
- Opioid Receptors and Endogenous Neuropeptides
- Receptor binding studies identified and localized opioid receptors
- Three major opioid receptor subtypes exist
- Several families of naturally occurring opioid peptides bind to these receptors
- Opiate receptor-mediated cellular changes are inhibitory
- Section Summary
- Opioids and Pain
- The two components of pain have distinct features
- Opioids inhibit pain transmission at spinal and supraspinal levels
- Opioid Reinforcement, Tolerance, and Dependence
- Animal testing shows significant reinforcing properties
- Dopaminergic and nondopaminergic components contribute to opioid reinforcement
- The consequences of long-term opiate use include tolerance, sensitization, and dependence
- Several brain areas contribute to the opioid abstinence syndrome
- Neurobiological adaptation and rebound constitute tolerance and withdrawal
- Environmental cues have a role in tolerance, drug abuse, and relapse
- Treatment Programs for Opiate Addiction
- Detoxification is the first step in the therapeutic process
- Treatment programs rely on pharmacological support and counseling
- Section Summary
- BOX 10.1. Pharmacology in Action: Opiate Bioassay
- BOX 10.2. The Cutting Edge: Role of NMDA Receptors in Tolerance and Dependence
- BOX 10.3. Clinical Applications: Narcotics Anonymous
11. Psychomotor Stimulants: Cocaine and the Amphetamines
Cocaine
- Background and History
- Basic Pharmacology of Cocaine
- Mechanisms of Cocaine Action
- Section Summary
- Acute Behavioral and Physiological Effects of Cocaine
- Cocaine stimulates mood and behavior
- Cocaine’s physiological effects are mediated by the sympathetic nervous system
- Dopamine plays a key role in the subjective and behavioral effects of cocaine and other psychostimulants
- Brain imaging allows researchers to explore the neural mechanisms of psychostimulant action in human subjects
- The behavioral and subjective effects of psychostimulants involve activation of both D1 and D2 receptors
- Section Summary
- Cocaine Abuse and the Effects of Chronic Cocaine Exposure
- Experimental cocaine use may escalate over time to a pattern of cocaine abuse and dependence
- Chronic psychostimulant exposure can give rise to tolerance or sensitization
- Binge cocaine use has been linked to a specific dependence syndrome
- Repeated or high-dose cocaine use can have serious health consequences
- Pharmacological, behavioral, and psychosocial methods are used to treat cocaine abuse and dependence
- Section Summary
The Amphetamines
- Background and History
- Basic Pharmacology of Amphetamine
- Mechanisms of Amphetamine Action
- Behavioral and Neural Effects of Amphetamine
- Amphetamine is a psychostimulant that has therapeutic uses
- High doses or chronic use of amphetamine or methamphetamine can cause psychotic reactions as well as brain damage
- MDMA—The Entactogenic Amphetamine
- Section Summary
- Recommended Readings
- BOX 11.1. Pharmacology in Action: Your Brain on Cocaine
- BOX 11.2. Clinical Applications: Psychostimulants and ADHD
12. Nicotine and Caffeine
Nicotine
- Background and History
- Basic Pharmacology of Nicotine and Its Relationship to Smoking
- Mechanisms of Action
- Section Summary
- Behavioral and Physiological Effects
- Nicotine elicits different mood changes in smokers compared to nonsmokers
- Nicotine enhances cognitive function
- Nicotine’s reinforcing effects are mediated by activation of the mesolimbic dopamine system
- Nicotine produces a wide range of physiological effects
- Nicotine is a toxic substance that can be fatal at high doses
- Chronic exposure to nicotine induces tolerance and dependence
- Section Summary
- Cigarette Smoking
- How many people smoke, and who are they?
- Cigarette smokers progress through a series of stages in their smoking behavior
- Why do smokers smoke?
- Smoking is a major cause of illness and premature death
- Behavioral and pharmacological strategies are used to treat tobacco dependence
- Section Summary
Caffeine
- Background
- Basic Pharmacology of Caffeine
- Behavioral and Physiological Effects
- Acute subjective and behavioral effects of caffeine are dependent on dose and prior exposure
- Regular caffeine use leads to tolerance and dependence
- Mechanisms of Action
- Section Summary
- BOX 12.1. Pharmacology in Action: Why Do Tobacco Plants Make Nicotine?
- BOX 12.2. The Cutting Edge: Is Caffeine a Substance of Abuse?
13. Marijuana and the Cannabinoids
- Background and History of Marijuana
- Basic Pharmacology of Marijuana
- Section Summary
- Mechanisms of Action
- Cannabinoid effects are mediated by cannabinoid receptors
- Endocannabinoids are cannabinoid agonists synthesized by the brain
- Section Summary
- Acute Behavioral and Physiological Effects of Cannabinoids
- Cannabis consumption produces a dose-dependent state of intoxication in humans
- Marijuana use can lead to deficits in cognition and psychomotor performance
- Animals show a variety of behavioral and physiological responses to cannabinoid administration
- Cannabinoids are reinforcing to both humans and animals
- Section Summary
- Cannabis Abuse and the Effects of Chronic Cannabis Exposure
- Cannabis use typically begins in adolescence and peaks during young adulthood
- Tolerance and dependence can develop to chronic cannabinoid exposure
- Chronic cannabis use may lead to adverse behavioral and health effects
- Section Summary
- BOX 13.1. Clinical Applications: Therapeutic Uses of Cannabinoids
- BOX 13.2. The Cutting Edge: Does Chronic Cannabis Use Cause Persistent Cognitive Defects?
14. Hallucinogens, PCP, and Ketamine
Hallucinogenic Drugs
- Mescaline
- Mescaline is obtained from the peyote cactus
- Psilocybin, DMT, and 5-MeO-DMT
- “Magic mushrooms” are the source of psilocybin and other hallucinogens
- Other naturally occurring hallucinogens include DMT and 5-MeO-DMT
- LSD
- LSD is a synthetic compound based on ergot alkaloids
- Pharmacology of Hallucinogenic Drugs
- Different hallucinogenic drugs vary in potency but have a similar time course of action
- Hallucinogens produce a complex set of psychological and physiological responses
- Hallucinogenic drugs share a common indoleamine or phenethylamine structure
- Hallucinogens are 5-HT2 receptor agonists
- What is the neural mechanism by which hallucinations are produced?
- Hallucinogenic drugs cause problems for some users
- Section Summary
PCP and Ketamine
- Background and History
- Pharmacology of PCP and Ketamine
- PCP and ketamine produce a state of dissociation
- PCP and ketamine exhibit potent reinforcing effects
- PCP and ketamine are noncompetitive antagonists of NMDA receptors
- Ketamine is an increasingly popular drug of abuse
- PCP and ketamine have provided new insights into the neurochemistry of schizophrenia
- Section Summary
- Pharmacology of PCP and Ketamine
- BOX 14.1. History of Psychopharmacology: The Discovery of LSD
- BOX 14.2. Pharmacology in Action: Getting High on Cough Syrup
15. Inhalants, GHB, and Anabolic–Androgenic Steroids
Inhalants
- Background
- Behavioral and Neural Effects
- Many inhalant effects are similar to alcohol intoxication
- Reinforcing effects have been demonstrated in animals
- Inhalants reduce central nervous system (CNS) excitability by acting on specific ionotropic receptors
- Significant health risks are associated with inhalant abuse
- Section Summary
Gamma-Hydroxybutyrate
- Background
- Behavioral and Neural Effects
- GHB is a CNS-depressant and behaviorally sedating drug
- Evidence for GHB reinforcement in animal studies has been inconsistent
- There are two major hypotheses concerning the mechanism of action of GHB
- GHB use and abuse has been growing
- Section Summary
Anabolic–Androgenic Steroids
- Background and History
- Anabolic steroids are structurally related to testosterone
- Anabolic steroids were developed to help build muscle mass and enhance athletic performance
- Anabolic steroids are taken in specific patterns and combinations
- Pharmacology of Anabolic Steroids
- The mechanism of action of anabolic steroids is not fully understood
- Many adverse side effects are associated with anabolic steroid use
- Do anabolic steroids cause dependence?
- Section Summary
- BOX 15.1. Drugs and Society: “Date Rape” Drugs
- BOX 15.2. Drugs and Society: Anabolic Steroids and “’Roid Rage”
16. Affective Disorders
- Characteristics of Affective Disorders
- Major depression damages the quality of life
- In bipolar disorder moods alternate from mania to depression
- Risk factors for mood disorders are biological and environmental
- Animal Models of Depression
- Therapies for Affective Disorders
- Monoamine oxidase inhibitors are the oldest antidepressant drugs
- Tricyclic antidepressants are highly effective
- Second-generation antidepressants have different side effects
- Third-generation antidepressants have distinctive mechanisms of action
- Electroconvulsive therapy is safe and highly effective
- Transcranial magnetic stimulation is easy to administer
- Drugs for treating bipolar disorder stabilize the highs and the lows
- Section Summary
- Neurochemical Basis of Mood Disorders
- Serotonin dysfunction contributes to mood disorders
- Norepinephrine activity is altered by antidepressants
- Norepinephrine and serotonin modulate one another
- Section Summary
- Neurobiological Models of Depression
- Section Summary
- Recommended Readings
- BOX 16.1. Drugs and Society: Mood Disorders and Creativity
- BOX 16.2. Clinical Applications: Sleep Deprivation Therapy
- BOX 16.3. Pharmacology in Action: Stress–Diathesis Model of Depression
17. Anxiety Disorders
- Characteristics of Anxiety Disorders
- Anxiety is important for survival
- Anxiety disorders are different from everyday worry
- Animal models of anxiety are useful for drug testing
- Drugs for Treating Anxiety
- Barbiturates are the oldest sedative hypnotics
- Benzodiazepines are highly effective for anxiety reduction
- Second-generation anxiolytics produce distinctive clinical effects
- Antidepressants relieve anxiety and depression
- Section Summary
- Neurochemical Basis of Anxiety and Anxiolytics
- Multiple neurotransmitters mediate anxiety
- Section Summary
- Recommended Readings
- BOX 17.1. Clinical Applications: Neurobiological Model of OCD
- BOX 17.2. Clinical Applications: Treating Insomnia
- BOX 17.3. Pharmacology in Action: Early Experience and Stress
18. Schizophrenia
- Characteristics of Schizophrenia
- There is no defining cluster of schizophrenic symptoms
- Long-term outcome depends on pharmacological treatment
- Preclinical Models of Schizophrenia
- Classic Neuroleptics and Atypical Antipsychotics
- Phenothiazines and butyrophenones are traditional neuroleptics
- Dopamine receptor antagonism is responsible for antipsychotic action
- Side effects are directly related to neurochemical action
- Atypical antipsychotics are distinctive in several ways
- Section Summary
- Etiology of Schizophrenia
- Abnormalities of brain structure and function occur in individuals with schizophrenia
- Genetic, environmental, and developmental factors interact
- Neurochemical Models of Schizophrenia
- Abnormal dopamine function contributes to schizophrenic symptoms
- The neurodevelopmental model integrates anatomical and neurochemical evidence
- Glutamate modulates dopamine activity
- Other neurotransmitter systems contribute to symptoms
- Section Summary
- Recommended Readings
- BOX 18.1. Clinical Applications: The Functional Neuroanatomy of Hallucinations
- BOX 18.2. Pharmacology in Action: Animal Model—Prepulse Inhibition of Startle
- BOX 18.3. Clinical Applications: The Genain Quadruplets
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Media and Supplements
Instructor's Resource CD
Visit the sample page for sample IRCD images.
Available to qualified adopters of the textbook, the Psychopharmacology Instructor's Resource CD (ISBN 0-87893-535-5) contains all of the figures (art and photos) and tables from the textbook. All are provided both as high-resolution and low-resolution JPEG images, and have been formatted, sized, and color-corrected for optimal image quality when projected in the classroom. In addition, a ready-to-use Microsoft® PowerPoint® presentation of all figures and tables is provided for each chapter of the textbook. These resources are ideal for use in lecture presentations, course websites, or any other course-related resource.
Test Bank
by Beth Powell,
Smith College, and Shelly Dickinson,
St. Olaf College
Included on the Instructor's Resource CD, the Psychopharmacology Test Bank includes 50 test questions per chapter, consisting of approximately 40 multiple choice, and 10 short answer. The questions have been designed to provide instructors with a good selection of factual and conceptual questions, at a range of difficulty levels. The test bank is provided as Microsoft Word® files.
If you have adopted this text for course use (within the U.S., Canada, or the Caribbean) and are interested in the instructor's supplements that accompany the text, please contact Linda VandenDolder, vandendolder@sinauer.com.
Outside the U.S., Canada, or the Caribbean? Check our ordering page for your local distributor.
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