Addiction
Abstract
The development of addiction involves a transition from casual to compulsive patterns of drug use. This transition to addiction is accompanied by many drug-induced changes in the brain and associated changes in psychological functions. In this article we present a critical analysis of the major theoretical explanations of how drug-induced alterations in psychological function might cause a transition to addiction. These include: (a) the traditional hedonic view that drug pleasure and subsequent unpleasant withdrawal symptoms are the chief causes of addiction; (b) the view that addiction is due to aberrant learning, especially the development of strong stimulus-response habits; (c) our incentive-sensitization view, which suggests that sensitization of a neural system that attributes incentive salience causes compulsive motivation or “wanting” to take addictive drugs; and (d) the idea that dysfunction of frontal cortical systems, which normally regulate decision making and inhibitory control over behavior, leads to impaired judgment and impulsivity in addicts.
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The mesolimbic DA system represents only one component of a complex integrated set of circuits, and non-DA systems also modulate reward responsivity.
“The mesolimbic DA system represents only one component of a very complex and integrated set of circuits, and although DA is clearly a crucial neurotransmitter in the reward-processing system, non-DA systems clearly also modulate reward responsibility [19,735].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [735]
Neural sensitization produces strong impulsive reactions to conditioned cues that signal alcohol or drugs.
“neural sensitization leads to strong impulsive reactions (e.g., attentional biases and approach tendencies) to classically conditioned cues that signal alcohol or drugs”
From Addiction, adolescence, and the integration of control and motivation (2011) · cites this paper as Robinson and Berridge, 2003
Repeated alcohol and drug use produces two broad types of neuro-adaptations.
“Current neurobiological research has identified two broad types of neuro-adaptations that result from repeated alcohol and drug use.”
From Addiction, adolescence, and the integration of control and motivation (2011) · cites this paper as Robinson and Berridge, 2003
The human imaging distinction between reward anticipation and reward receipt resembles the anticipatory wanting versus consummatory liking distinction.
“The distinction between reward anticipation vs. reward receipt in the imaging literature in humans is reminiscent of the anticipatory/”wanting” vs. consummatory/”liking” distinctions drawn by Robinson & Berridge (2003).”
From Rewards, aversions and affect in adolescence: emerging convergences across laboratory animal and human data (2011) · cites this paper as Robinson & Berridge, 2003
In laboratory animal studies using sign-tracking to index wanting, adolescents often show less anticipatory responding than adults.
“In these studies as well, there are clear indications that, at least when using tests of sign-tracking to index “wanting” (Robinson & Berridge, 2003), adolescents frequently exhibit less anticipatory responding than do adults.”
From Rewards, aversions and affect in adolescence: emerging convergences across laboratory animal and human data (2011) · cites this paper as Robinson & Berridge, 2003
Chronic substance abuse increases reward value and decreases inhibitory control.
“chronic substance abuse increases reward value while decreasing inhibitory control (Jentsch and Taylor, 1999; Robinson and Berridge, 2003).”
From Impulsivity, frontal lobes and risk for addiction (2009) · cites this paper as Robinson and Berridge, 2003
Addiction involves associative learning of unhealthy habit patterns that become entrenched and semi-automatic through repetition.
“when addiction involves associative learning of unhealthy habit patterns that become entrenched and semi-automatic through repetition (Robinson and Berridge, 2003).”
From Impulsivity, frontal lobes and risk for addiction (2009) · cites this paper as Robinson and Berridge, 2003
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- Authors
- Robinson, T. E., & Berridge, K. C.
- Affiliations
- University of Michigan (US)
- Venue
- Annual Review of Psychology
- Publisher
- Annual Reviews
- Published
- 2003-02
- Volume
- 54
- Issue
- 1
- Pages
- 25-53
- ISSN
- 0066-4308 (ISSN-L)
- 1545-2085
- OpenAlex
- W4213265599
- Cited by
- 1,509
- References
- 118
- Citations by year
- 2026: 15 · 2025: 29 · 2024: 35 · 2023: 33 · 2022: 26 · 2021: 36 · 2020: 75 · 2019: 49 · 2018: 58 · 2017: 58 · 2016: 71 · 2015: 59 · 2014: 89 · 2013: 118 · 2012: 81
- FWCI
- 3.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Foundation
- National Institute on Drug Abuse
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- addiction, compulsive drug use, withdrawal symptoms, incentive-sensitization theory, incentive salience, stimulus-response learning, impulsivity, decision-making, inhibitory control
- MeSH terms
- Animals, Brain, Conditioning, Psychological, Decision Making, Humans, Motivation, Neuronal Plasticity, Pleasure-Pain Principle, Illicit Drugs, Substance Withdrawal Syndrome, Substance-Related Disorders
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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