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NEUROSCIENCE OF PSYCHOACTIVE SUBSTANCE USE AND DEPENDENCE




                          Fig. 3.1  Mesolimbic dopamine pathway

                               Prefrontal cortex















                               Nucleus accumbens





                                           VTA




                          Source: National Institute on Drug Abuse (NIDA) website http://www.drugabuse.gov/pubs/
                          teaching/largegifs/slide-9.gif


                          Defining terms
                          Behavioural science is concerned with studying those aspects of behaviour
                          that can be objectively viewed and verified, and describing behaviour in terms
                          of stimuli and responses to those stimuli. The development of dependence
                          can be seen as part of a learning process, in the sense that enduring changes in
                          behaviour result from interactions with drugs and drug-related environments.
                          Psychoactive substances cause profound activation of specific areas of the brain
                          involved in motivation, namely the mesolimbic dopamine system (see Fig. 3.1).
                          Through associative learning processes, this may eventually lead to the classic
                          symptoms of dependence following repeated exposure.
                             Basic principles of learning have been studied for decades, and have been
                          applied to the field of drug dependence. Two major theories of learning and
                          behaviour are relevant: (a) classical or Pavlovian conditioning and (b)
                          instrumental or operant conditioning.


                          Classical or Pavlovian conditioning
                          Classical or Pavlovian conditioning is based on simple stimulus–response
                          relationships as illustrated in Figure 3.2.


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                  Chapter_3                44                              19.1.2004, 11:37
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