2005
DOI: 10.1038/nn1579
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Neural systems of reinforcement for drug addiction: from actions to habits to compulsion

Abstract: Drug addiction is increasingly viewed as the endpoint of a series of transitions from initial drug use--when a drug is voluntarily taken because it has reinforcing, often hedonic, effects--through loss of control over this behavior, such that it becomes habitual and ultimately compulsive. Here we discuss evidence that these transitions depend on interactions between pavlovian and instrumental learning processes. We hypothesize that the change from voluntary drug use to more habitual and compulsive drug use rep… Show more

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Cited by 3,366 publications
(3,150 citation statements)
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References 99 publications
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“…Along the same lines, amphetamine pre-treatment speeds up the rate at which the outcome insensitivity develops (Nelson and Killcross, 2006), and this depends particularly on D 1 rather than D 2 receptors (Nelson and Killcross, 2013). In humans, there is evidence for enhanced habitization in obsessive-compulsive disorder (Everitt and Robbins, 2005;Robbins et al, 2012;Gillan et al, 2011Gillan et al, , 2013 and forthcoming evidence in cocaine addiction (N. Daw and V. Voon, personal communication), but not yet in alcohol addiction (Sebold et al, subm).…”
Section: Individual Variability In Addiction Vulnerabilitymentioning
confidence: 96%
See 1 more Smart Citation
“…Along the same lines, amphetamine pre-treatment speeds up the rate at which the outcome insensitivity develops (Nelson and Killcross, 2006), and this depends particularly on D 1 rather than D 2 receptors (Nelson and Killcross, 2013). In humans, there is evidence for enhanced habitization in obsessive-compulsive disorder (Everitt and Robbins, 2005;Robbins et al, 2012;Gillan et al, 2011Gillan et al, , 2013 and forthcoming evidence in cocaine addiction (N. Daw and V. Voon, personal communication), but not yet in alcohol addiction (Sebold et al, subm).…”
Section: Individual Variability In Addiction Vulnerabilitymentioning
confidence: 96%
“…This forms the core of the actor-critic model (Barto et al, 1983;O'Doherty et al, 2004). Experimentally, it is perhaps most directly demonstrated by conditioned reinforcement experiments (Everitt and Robbins, 2005;Meyer et al, 2012), where instrumental behaviours can be reinforced by Pavlovian CSs.…”
Section: Instrumental Behaviourmentioning
confidence: 98%
“…Relevant to addiction, Homer transcripts or proteins are present in many of the structures within mesocorticolimbic circuits that exhibit pathology in addiction [cf. 2,4,23,53,[151][152][153][154][155][156]. CC-Homer and IEG Homer isoforms are found throughout the cerebral cortex [105,106].…”
Section: Homers Are Regulated Within Addiction-related Neural Circuitmentioning
confidence: 99%
“…Numerous explanations for addiction to opioid and DA receptor stimulation have been offered. Examples include intracellular changes involving gene expression in the NAc [62], habit learning [63], loss of cortical executive control [64], abstinence-induced incubation of the reinstatement of responding for drug-related cues [65], and a cycle of unpleasant withdrawal effects, including conditioned withdrawal, that leads to self-medication with the drug in an effort to regain normalcy [66]. These processes are not mutually exclusive, and several may involve DA in one site or another.…”
Section: Drug Self-administration and Drug Withdrawalmentioning
confidence: 99%