The DOI matches its Crossref record; 287 of the 287 references it cites were found in a registry or an index.
The Behavioral Economics of Substance Use Disorders: Reinforcement Pathologies and Their Repair
Open accessAbstract
The field of behavioral economics has made important inroads into the understanding of substance use disorders through the concept of reinforcer pathology. Reinforcer pathology refers to the joint effects of (a) the persistently high valuation of a reinforcer, broadly defined to include tangible commodities and experiences, and/or (b) the excessive preference for the immediate acquisition or consumption of a commodity despite long-term negative outcomes. From this perspective, reinforcer pathology results from the recursive interactions of endogenous person-level variables and exogenous environment-level factors. The current review describes the basic principles of behavioral economics that are central to reinforcer pathology, the processes that engender reinforcer pathology, and the approaches and procedures that can repair reinforcement pathologies. The overall goal of this review is to present a new understanding of substance use disorders as viewed by recent advances in behavioral economics.
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“The concept of reinforcer pathology is a recent development in the field of the behavioral economics of addiction specifically focused on how the window of time over which reinforcers are integrated can determine the relative valuation of alcohol and drugs versus other prosocial reinforcers, such as relationships and employment [22–24].”
From Addiction Biomarkers: Dimensional Approaches to Understanding Addiction (2018) · cites this paper as [23]
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21st century neurobehavioral theories of decision making in addiction: Review and evaluation
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Metadata
- Authors
- Bickel, W. K., Johnson, M. W., Koffarnus, M. N., MacKillop, J., & Murphy, J. G.
- Affiliations
- Virginia Tech (US)
- Johns Hopkins University (US)
- University of Georgia (US)
- University of Memphis (US)
- Venue
- Annual Review of Clinical Psychology
- Publisher
- Annual Reviews
- Published
- 2014-03-28
- Volume
- 10
- Issue
- 1
- Pages
- 641-677
- ISSN
- 1548-5943 (ISSN-L)
- 1548-5951
- PMC
- PMC4501268
- OpenAlex
- W2152023371
- Cited by
- 655
- References
- 287
- Citations by year
- 2026: 32 · 2025: 40 · 2024: 45 · 2023: 59 · 2022: 60 · 2021: 59 · 2020: 126 · 2019: 69 · 2018: 40 · 2017: 49 · 2016: 32 · 2015: 33 · 2014: 11
- FWCI
- 5.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annual Review of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA021529)
- National Institute on Drug Abuse (R21DA032717, R01DA024080, R01DA032363, R01DA030241, R01DA034755)
- National Cancer Institute (U19CA157345)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Keywords
- substance use disorders, behavioral economics, delay discounting, impulsivity, reinforcement learning, addiction treatment, endogenous and exogenous factors
- MeSH terms
- Choice Behavior, Humans, Motivation, Reinforcement, Psychology, Substance-Related Disorders, Economics, Behavioral
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