Lesson plan

Polysubstance

Polysubstance was used in the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders (DSM-IV 1994) to refer to three or more drugs (including alcohol) to which an individual has become dependent (i.e., meets the diagnostic criteria for substance dependence). The criteria were changed in the DSM-5. In the DSM-IV nosology, polysubstance dependence (diagnostic code 304.80) indicated that the use of any one of the substances did not meet the diagnostic criteria for substance dependence while the combined use of the drugs did meet substance dependence diagnostic criteria. Two research studies sought to determine if polysubstance dependence patients differ in any important ways from patients with a single-drug substance dependence but each study defined polysubstance dependence differently, making comparisons difficult.

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Article summary

Polysubstance was used in the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders (DSM-IV 1994) to refer to three or more drugs (including alcohol) to which an individual has become dependent (i.e., meets the diagnostic criteria for substance dependence). The criteria were changed in the DSM-5. In the DSM-IV nosology, polysubstance dependence (diagnostic code 304.80) indicated that the use of any one of the substances did not meet the diagnostic criteria for substance dependence while the combined use of the drugs did meet substance dependence diagnostic criteria. Two research studies sought to determine if polysubstance dependence patients differ in any important ways from patients with a single-drug substance dependence but each study defined polysubstance dependence differently, making comparisons difficult.

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Discussion questions

  1. Summarise the article in your own words. Which single claim would you verify first, and why?
  2. Which claim in this article is most likely to be revised as the sources update? How would you check its current status?
  3. If two sources disagreed about one of these facts, what would you need in order to trust one over the other?

Bibliography

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Key claims and bibliography are generated from the same tracked claims and sources as the article page.