Addiction Theories: Opponent-Process & Brain Models
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Questions and Answers

What does the B process represent in the Opponent Process Theory?

  • The pleasurable feelings associated with a drug
  • The brain's response to the A process (correct)
  • The process by which tolerance is developed
  • The brain's initial response to a stimulus
  • How does the B process adapt over time with repeated exposure to the A process?

  • It becomes less pronounced and shorter lasting
  • It increases in magnitude and becomes longer lasting (correct)
  • It remains constant throughout exposure
  • It decreases in magnitude and duration
  • What occurs during the withdrawal stage according to Opponent Process Theory?

  • The A process intensifies
  • The B process becomes more prominent (correct)
  • The B process diminishes
  • The brain's reward pathway is activated
  • What role does the Basal Ganglia play in the stages of addiction?

    <p>It is involved in the reward pathway during binge/intoxication</p> Signup and view all the answers

    What happens to the A process when tolerance develops?

    <p>It weakens while the B process strengthens</p> Signup and view all the answers

    What effect does a reduction in D2 receptors have on the pleasure derived from stimulants?

    <p>It increases the pleasure experienced.</p> Signup and view all the answers

    Which brain region is primarily involved in habit formation related to drug use?

    <p>Basal Ganglia</p> Signup and view all the answers

    In the context of addiction, what does the B process refer to?

    <p>Craving resulting from drug-cue associations.</p> Signup and view all the answers

    What role does the Insula play in the context of addiction?

    <p>It is sensitive to cravings and interoceptive awareness.</p> Signup and view all the answers

    Which treatment option uses a drug that provides partial effects to prevent withdrawal and cravings?

    <p>Partial Agonist Treatments</p> Signup and view all the answers

    What is the primary action of Naloxone in treating heroin addiction?

    <p>It blocks the effects of heroin.</p> Signup and view all the answers

    How does hypofrontality affect decision-making in individuals with addiction?

    <p>It impairs decision-making capabilities.</p> Signup and view all the answers

    What is the primary goal of antidrug vaccines used in addiction treatment?

    <p>To decrease the amount of drug reaching the brain.</p> Signup and view all the answers

    Study Notes

    Opponent-Process Theory of Addiction

    • A and B Processes: The brain responds to a stimulus (A process), and then there's a counter-response (B process) to the initial reaction.
    • Magnitude and Duration: With repeated exposure, the B process increases in magnitude and duration. The A process weakens.
    • Opponent Nature: The B process is the opposite of the A process.
    • Addiction Application: Tolerance develops as the A process adapts, while withdrawal occurs when the B process becomes more prominent. The effects of the B process oppose those of the A process.

    Brain Disease Model of Addiction

    • Stages and Underlying Circuitry: Addiction involves distinct stages with different brain areas playing key roles.

    Binge/Intoxication Stage

    • Basal Ganglia (Striatum): Active in the reward pathway. Drug use triggers dopamine release.
    • Reward Pathway: The initial response to drug use involves the reward pathway.
    • Incentive Salience: Drug use and cues associated with drug use are progressively important.
    • Habit Formation: The basal ganglia is critical for habit formation in addiction.

    Withdrawal/Negative Affect Stage

    • Limbic System (Amygdala): The stress system is activated, leading to negative feelings and urges.
    • Stress System (HPA axis): Associated with negative moods that develop during withdrawal.
    • There's a "dark side" with reduced sensitivity to reward and heightened stress response.

    Preoccupation/Anticipation Stage

    • Prefrontal Cortex (PFC): Executive control is diminished, leading to poor decision-making and impulsivity.
    • Stress System (HPA axis): The PFC is desensitized to natural rewards and more attentive to drug cues.
    • Insula: Sensitive to cravings.
    • Basal Ganglia: The basal ganglia remains involved in the autopilot-like habit formation.

    Pharmacotherapy of Addiction

    • Agonist Treatments: Replace the addictive substance with a similar-acting substance (e.g., methadone for heroin).
    • Partial Agonist Treatments: Mimic some effects of the addiction without providing the same high. Varenicline is an example.
    • Antagonist Treatments: Block the effects of the addictive substance (e.g., naloxone for heroin and Suboxone).
    • Aversive Treatments: Induce negative reactions when the addictive substance is used (e.g., disulfiram for alcohol).
    • Antidrug Vaccines: Inject synthetic molecules to trigger antibody production, reducing drug uptake.

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    Description

    Explore the intricacies of the Opponent-Process Theory of Addiction and the Brain Disease Model. This quiz delves into how the brain reacts to stimuli, develops tolerance, and the stages of addiction involving key brain areas. Test your understanding of these fundamental concepts in addiction psychology.

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