The past 30 years have witnessed a substantial and growing interest in drug sensitization, particularly relating to the psychoactive and appetitive properties of psychostimulant and opiate drugs. It is now well established that rats repeatedly exposed to amphetamine, for example, will exhibit an enhanced -sensitized -locomotor response when subsequently challenged with the drug some time later. It is also well established that in these rats, the ability of amphetamine to increase extracellular levels of dopamine (DA) in forebrain is also enhanced. There have been many reports of such effects with a number of abused drugs from these two drug classes (for references and critical reviews of the preclinical literature, see Kalivas and Stewart, 1991;Vanderschuren and Kalivas, 2000;Vezina, 2004). Of particular note, these effects are long lasting in the rat: up to one year following drug exposure for locomotion (Paulson et al., 1991) and up to three months for DA overflow (Hamamura et al., 1991) -the longest withdrawal periods tested. Indeed, amphetamine-induced nucleus accumbens DA overflow increases with time after exposure to the drug (Figure 1).Given the critical role played by the mesoaccumbens DA pathways in the generation of appetitive behaviors including the pursuit and self-administration of abused drugs, it follows that altered activity in these pathways could affect the appetitive behavioral output of the organism. The incrementing and long lasting changes in nucleus accumbens DA overflow observed in rats following exposure to sensitizing drug regimens suggest that such effects on behavior can be long lasting. Such possibilities have fueled a large number of systems, cellular and molecular biological level investigations of the mechanisms that might underlie altered reactivity in midbrain DA neurons and those systems they interact with. On the other hand, while there is general agreement that drug sensitization can be demonstrated in some preparations, there has been less consensus as to whether and how sensitization might impact the generation of appetitive behaviors either within or between species.This special issue highlights evidence obtained in rodents, non-human primates and humans that supports a role for sensitization in the generation of states that promote or are related to enhanced drug taking. This evidence is reviewed in the context of different data sets, interpretations and models from the clinical and pre-clinical literature with the goal of understanding and integrating sometimes apparently disparate views. Drug addiction is characterized by compulsive drug taking that persists despite escalating costs and adverse consequences. Over the past 20 years, sensitization of the appetitive effects of drugs has emerged as a possible mechanism underlying enhanced drug use Berridge, 1993, 2003). However, a review of the pre-clinical literature reveals findings Correspondence: Department of Psychiatry, The University of Chicago, 5841 S. Maryland Avenue, MC3077, Chicago, IL 60637, TEL: 773/702-2890,...