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药物依赖的学习机制

Learning mechanisms of drug dependence
课程网址: http://videolectures.net/snc2015_murray_drug_dependence/  
主讲教师: Jennifer Murray
开课单位: 剑桥大学
开课时间: 2015-09-07
课程语种: 英语
中文简介:
药物依赖的发展很大程度上依赖于异常的学习历史。最初,药物本身的体验是通过巴甫洛夫条件反射过程与环境线索联系在一起的。无条件的药物刺激与条件刺激相联系,而条件刺激又能刺激目标导向的药物寻求。随着时间的推移,维持吸毒行为的电路发生了变化。这种从中脑边缘多巴胺系统主导作用到黑质纹状体多巴胺系统的转变,在行为上反映为习惯性药物寻求的转变。在这一阶段,药物寻求行为对药物刺激的贬值具有抵抗力,表明作为动机主要来源的结果价值的丧失,而是将药物相关的条件刺激作为行为的驱动力。从临床的角度来看,应该更多地关注与环境有关的线索对维持吸毒习惯的影响。不幸的是,利用消光过程的方法,如线索暴露疗法,在延长禁欲方面并不成功。其中一个可能促成这一点的因素是我们对药物本身作用的理解往往是狭隘的。重要的是,药物不仅是一种有益的巴甫洛夫无条件刺激或操作性增强剂。药物的经验也可以作为一个条件刺激,表明存在另一个食欲环境刺激,以及设置时机,当其他条件非条件刺激关联可用。结合,了解在不同的学习领域的药物体验的神经过程的影响的功能意义将提供更坚实的基础,在治疗技术的发展向前迈进。
课程简介: The development of drug dependence relies heavily on an aberrant learning history. Initially, the experience of the drug itself is linked with environmental cues through a process of Pavlovian conditioning. The unconditioned drug stimulus becomes associated with conditioned stimuli that can then come to instigate goal-directed drug seeking. Over time, a shift in the circuitry maintaining the drug-seeking behaviour occurs. This transition from a dominant role of the mesolimbic dopamine system to the nigrostriatal dopamine system is reflected behaviourally in a transition to habitual drug seeking. At this stage, the drug-seeking behaviour is resistant to devaluation of the drug stimulus, indicating a loss of outcome value as the dominate source of motivation, and instead implicating the drug-associated conditioned stimulus as the driving force of the behaviour. From a clinical standpoint, increased focus on the impact of associated environmental cues in perpetuating drug habits should be of use. Unfortunately, approaches utilizing extinction processes such as cue-exposure therapy have been less than successful in prolonging abstinence. One of the factors that may contribute to that is our often narrow approach to understanding the role of the drug itself. Importantly, a drug is not only a rewarding Pavlovian unconditioned stimulus or operant reinforcer. The drug experience can also function as a conditioned stimulus, indicating the presence of another appetitive environmental stimulus, as well as set occasions for when other conditioned-unconditioned stimulus associations are available. Combined, understanding the functional significance of the impact on neural processes of the drug experience in various learning domains will provide a more solid foundation for moving forward in the development of treatment techniques.
关 键 词: 药物; 多巴胺系统; 条件刺激
课程来源: 视频讲座网
数据采集: 2020-12-14:yxd
最后编审: 2020-12-14:yxd
阅读次数: 42