ASILOMAR FACULTY DEVELOPMENT CONFERENCE 2004 LETS TALK ABOUT SEX

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ASILOMAR FACULTY DEVELOPMENT CONFERENCE
2004LETS TALK ABOUT SEX

• Presented by
• Neva Chauppette, Psy.D.
• P.O. Box 6234, Woodland Hills, CA 91365-6234
• CA Psychologist License PSY14524
• [phone] (voicemail/pager)
• [phone] (cell) [phone] (fax)
• NCHAUPPETT_at_aol.com (E-Mail)

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METHAMPHETAMINE

• AKA Crank, crystal, meth, speed, Chrissy
• A long-acting amphetamine often snorted, smoked,
  or injected
• Frequent and protracted sexual encounters. Weight
  loss, exhaustion, dehydration may be counteracted
  with other drugs (cannabis, valium, alcohol)

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METHAMPHETAMINE (2)

• Sexual behavior, not needle sharing provides the
  greater likelihood of HIV transmission among
  crystal users
• Used to cope with the fear of transmitting HIV,
  to free participants from the responsibility of
  safer sex and/or the guilt associated with HIV
• For some, crystal is a vehicle to cope with
  internalized homophobia-neutralizes negative
  internal dynamics associated with gay sexuality

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METHAMPHETAMINE (3)

• Sex on crystal is reportedly more intense,
  heightened, prolonged and uninhibited. May leave
  the individual more susceptible to other STDs

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METHAMPHETAMINE (4)

• Elevates risk for HIV exposure and disease
  progression
• Elevates risk for HCV exposure and disease
  progression
• Cheaper and longer duration of effect
• Psychoses
• Interaction with PIs

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METHAMPHETAMINE (5)

• Increases both needle and sexual risk
• Needle risk
• More frequent injections
• Ritualized injections
• Registering, booty bumps and hot-railing

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METHAMPHETAMINE (6)

• Increases both needle and sexual risk (continued)
• Sexual risk
• Protracted encounters
• STD acquisition
• Viagra
• Dehydration and anesthetizing
• Sex addiction

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ECSTASY

• Classified as a hallucinogen or psychedelic,
  greater likelihood of psychological than physical
  dependence

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ECSTASY (2)

• AKA MDMA, E, X, STC, Adam, Essence
• Usually in pill form
• The consumption of XTC is called X-ing
• Cost of a single pill approximately 25.00

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ECSTASY (3)

• While high, the user may experience
• A feeling of euphoria and well-being
• Increased confidence
• Feelings of trust with others
• Increased heartbeat
• Rise in body temperature, sweating, dehydration
• Loss of appetite

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ECSTASY (4)

• The euphoric state is usually achieved within
  20-40 minutes after consumption
• The effect typically lasts 3-4 hours

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• ECSTASY VIAGRA SEXTASY

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SEXTASY

• Mixing a vasoconstrictor with a vasodilator can
  have dangerous, sometimes fatal consequences
• Combining Ecstasy with Viagra can leave the
  individual with no way of knowing where the
  effects will occur
• Side effects of this combination could include
  heart attack or stroke....and the risks increase
  dramatically with age

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KETAMINE

• Classified as a "dissociative anesthetic"
• Also known as K, Vitamin K, Kit-Kat, Ketalar,
  Special K, Techno Smack, or CK1
• K" was originally created for use as a human
  anesthetic
• Still used as a general anesthetic for children
  and in veterinary medicine

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KETAMINE (2)

• Dissociative anesthetics are drugs that separate
  perception from sensation
• Ketamine usually comes as a liquid in small
  pharmaceutical bottles, and is most often cooked
  into a white powder for snorting
• Most people snort small lines or "bumps
• At lower doses, "K" produces a mild dreamy
  feeling that the user often describes as floaty
  and as though they feel outside their bodies

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KETAMINE (3)

• Numbness in the extremities is also common
• It has the ability to cause physical tissue
  dependence
• Higher doses can produce hallucination (usually
  visual) and is often experienced as a separation
  of mind from body

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KETAMINE (4)

• This experience is referred as a "K-hole" and is
  often compared to an out-of-body or near-death
  experience with the sensation of rising out of
  one's body
• While in a K-hole, it is very difficult to move
  as "K" can induce a state of virtual helplessness
  and a pronounced lack of coordination
• The user is detached from reality and often fully
  engaged in another reality

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KETAMINE (5)

• To avoid injury or death, never use alone, get a
  "Ground Controller" to stay with the person the
  entire time
• Use the drug in a safe, secure, familiar
  environment
• "K-dens" are user-supported environments where
  the drug can be used under the watchful
  experienced eye of a sober user

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KETAMINE (6)

• If snorted, the effect comes on within 5 to 10
  minutes and usually last 20 minutes to an hour
• If swallowed, the effects come on in 10-20
  minutes and last several hours
• One hundred milligrams is usually enough to enter
  a "K-hole
• However, if liquid ketamine is injected into the
  muscle, less is need to enter a "K-hole"

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KETAMINE (7)

• Ketamine is never injected into a vein
• Many people experience nausea and vomiting after
  consuming ketamine.
• It is therefore wise to avoid eating at least 3
  hours before you consume ketamine
• It is particularly important that if the user
  loses consciousness that he/she be positioned on
  their side to avoid choking on vomit

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KETAMINE (8)

• Death is rare and typically is associated with
  injecting ketamine
• Ketamine psychosis generally subsides after a few
  weeks
• Individuals with psychiatric histories (personal
  or family of origin) should avoid this drug

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KETAMINE (9)

• Short-term memory loss is common
• Both physical and psychological tolerance can
  develop rapidly
• The development of psychological dependence is
  much more likely than the development of physical
  dependence
• Because Ketamine is a dissociative anesthetic,
  the user often feels no pain while under the
  influence of the drug

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KETAMINE (10)

• There are anecdotal reports of using Ketamine
  during fisting, because of the disconnection from
  pain sensation 
• Possession of Ketamine is illegal with
  prosecution possible

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GHB(gamma hydroxybutyrate)

• Classified as a sedative-hypnotic
• Very sedating
• If mixed with alcohol may lead to unconsciousness

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GHB(gamma hydroxybutyrate)

• Date Rape Drug
• It is colorless, odorless, slightly salty tasting
  liquid, but is also available in powder and
  capsule form
• It is most often swallowed and can easily be
  slipped into a drink

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GHB (2)(gamma hydroxybutyrate)

• At lower doses, GHB has a euphoric effect similar
  to alcohol (relaxed, sociable, happy)
• At higher doses, it may cause sedation, nausea
  and vomiting, muscle stiffness, confusion,
  unconsciousness, and in some cases coma and
  respiratory collapse

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GHB (3)(gamma hydroxybutyrate)

• The synergistic effect with alcohol and/or other
  depressants increases the risk for overdose,
  unconsciousness, and death

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TEN SIGNS OF SEXUAL ADDICTION

• Out of control behavior
• Escalating frequency
• Escalating dangerousness

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TEN SIGNS OF SEXUAL ADDICTION (2)

• Consequencesescalating and compounding
  consequences
• Impaired or decreased job performance due to
  preoccupation, absenteeism
• STD, unwanted pregnancies
• Possible arrests - lewd/lascivious conduct
• Marital/monogamous relationships are
  jeopardized/lost

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TEN SIGNS OF SEXUAL ADDICTION (3)

• Inability to stopself perpetuation of behavior
  once guilt and shame are fused
• Self-destructive or high riskas frequency of
  "using" goes up, so too does the need for drama
  danger to add to the "rush
• Effort/desire to limit the sexual behaviorlimit
  sexual behavior to only certain types, with
  certain partners, etc.

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TEN SIGNS OF SEXUAL ADDICTION (4)

• Sexual obsession/fantasywhen things are
  uncomfortable or problematic, this is the mental
  place sex addicts go to
• Increased amountsit is equivalent to
  physiological need (tolerance) and the desire to
  achieve the same effect can only be reached with
  increasing frequency, intensity, etc. of acts

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TEN SIGNS OF SEXUAL ADDICTION (5)

• Mood swingssex is used as a fix to alter "bad"
  mood states but ultimately is bad itself due to
  the guilt/shame
• Increased timepreoccupation with obtaining,
  using and recovering from sexual fix
• Neglectas disease progresses, so does the
  pervasiveness of the neglect

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NATIONAL SEX ADDICTIONRECOVERY FELLOWSHIPS

• Sex Addicts Anonymous (SAA)
• Sex and Love Addicts Anonymous (SLAA)
• Sexaholics Anonymous (SA)
• Sexual Compulsive Anonymous (SCA)

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SEX ADDICTS ANONYMOUS (2)
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SEX AND LOVE ADDICTS ANONYMOUS (2)
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SEXAHOLICS ANONYMOUS (2)
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SEXUAL COMPULSIVES ANONYMOUS (2)
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Where to Find Help The following national
organizations can refer callers to self-help
groups in their area Del Amo Hospital Sex
Addicts Anonymous Sexual Dependency Unit P.O.
Box 70749 23700 Camino Del Sol Houston, TX
77270 Torrance, CA 90505 [phone]
or [phone] [phone]
loc www.delamohospital.com www.sexaa.org Nation
al Council on Sexaholics Anonymous Sexual
Addiction P.O. Box 300 Compulsivity Simi
Valley, CA 93062 770-989-9754 [phone]
or www.ncsac.org [phone]
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Where to Find Help (2) The following national
organizations can refer callers to self-help
groups in their area Recovering Couples
Sex Love Addicts Anonymous Anonymous
P.O. Box 338, New Town Branch c/o General
Services Norwood, MA 02062 P.O. Box
11872 [phone] St. Louis, MO
63105 www.slaafws.org (toll-free
877-742-7349 ext.1234) [phone]
www.sexhelp.com Culver City 310-322-7857
(Dr. Patrick Carnes) www.recovering-couples.org

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Recovery Online www.onlinerecovery.org/index.h
tml www.cybersexualaddiction.com S-Anon
International Sexual Compulsives 170 Sunset
Blvd. 520 Anonymous P.O. Box 5117 4391
Sunset Blvd. Sherman Oaks, CA 91413 Los
Angeles, CA 90029 [phone] (310)
859-5585 www.sanon.org www.sca-recovery.org