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NEUROSCIENCE OF PSYCHOACTIVE SUBSTANCE USE AND DEPENDENCE




                          conditioned. The second is an activational property that promotes a state of
                          motivational arousal. These two properties have their biological roots in the
                          mesolimbic dopamine system, and act together to direct behaviour towards
                          goals.


                          Motivation
                          Motivation is the allotment of attentional and behavioural resources to stimuli
                          in relation to their predicted consequences. Motivation therefore involves
                          learning of predictive relationships (contingencies) between neutral stimuli
                          and biologically meaningful ones, and between responses and their
                          outcomes. Learning of these contingencies enables the subject to act in ways
                          that lead to the most desirable outcomes.

                          Incentive-motivational responding

                          Incentive-motivational responding is responding based on the motivation
                          aroused by an external stimulus. Responding is a function of the perceived
                          value of the stimulus to the organism. The basis for this form of motivated
                          responding is hard-wired by evolution in the brain of organisms, including
                          humans. Thus, certain stimuli such as the taste of a sweet or the cry of a
                          predator, evoke responses that, depending on the stimulus, involve
                          approaching or avoiding the object or organism from which they originate.
                          Incentive-motivational responding is, however, subject to conditioning
                          principles, and therefore stimuli associated with the primary unconditioned
                          stimuli can take on incentive-motivational properties. Thus, individuals with
                          substance dependence may seek out people or environments previously
                          associated with drug use.
                             As an example of incentive-motivational responding, consider the earlier
                          example of the sight or smell of food. If a person is not hungry, this may have
                          little incentive-motivational value and hardly any attention will be paid to
                          the food, with no attempt to obtain it. If the person is hungry, the incentive
                          of food may cause him or her to orient towards the food, to begin to salivate,
                          and prepare to eat. If extremely hungry, the incentive-motivational value of
                          the food will be very high, and may cause the person to focus specifically on
                          the food to the exclusion of other stimuli, to become preoccupied with the
                          food, and possibly to engage in risky behaviour in order to obtain it. Similarly,
                          as described in the following sections, once drugs become conditioned
                          reinforcers, their incentive-motivational value can become higher than all
                          other competing motivations.


                          Drug reward alone does not explain drug dependence
                          The self-administration of drugs for non-therapeutic and non-medical use
                          is probably as old as human culture and civilization, and testifies that drugs


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