Which of the following scenarios would most likely suggest that the person may be engaging in substance abuse? (Select all that apply.)
a. All the people in the elevator edged away from the student who reeked of tobacco smoke.
b. She declined his invitation; all he ever seemed to do was go to bars and drink.
c. Because of a family emergency, the student called the instructor to explain her absence and ask for the assignments for next week.
d. The campus police were called to control the student engaging in public indecency and disorderly conduct.
e. The officer pulled the driver over for apparently driving under the influence.
f.
The student told her friend she had too much to drink last night and to cover for her in class.
ANS: A, B, D, E, F
Criteria for substance abuse are a maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested in failure to fulfill major role obligations (the student who had too much to drink last night and is unable to attend class); substance-related absences; substance use in situations in which it is physically hazardous (e.g., driving an automobile when impaired); substance-related legal problems (e.g., arrests for substance-related disorderly conduct - driver being pulled over for driving under the influence); and substance use despite social problems caused by the effects of the substance (people moving away from the student who reeks of tobacco smoke, the student who declines an invitation, as all the other person does was want to go to the bars and drink). The student who is asking for an extension and explaining her absence because of a family emergency is not suggestive of a student engaging in substance abuse.
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