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- [Instructor] When we talk about substance use and substance abuse, we have to remember that these are two different things, although they are obviously related. And although majority of people who use substances will never develop a substance abuse problem, it is true that everyone who develops a substance abuse problem starts as a user. And so, its really important for us to figure out exactly how a substance use develops into substance abuse. The first theory that I want to discuss is the gateway model. And this theory might be familiar to you. It says that some substances act as gateway drugs, meaning that their use can lead to the use of other, more dangerous substances. So here we have John. And when John was a teen, or maybe a pre-teen, he started experimenting with alcohol and cigarettes. And from there, maybe he starts smoking pot. He starts using marijuana. And eventually, he winds up using drugs like heroin and cocaine. So here, alcohol and cigarettes would be a gateway th