2016
DOI: 10.1038/npp.2016.147
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Thinking Outside the Box: Orbitofrontal Cortex, Imagination, and How We Can Treat Addiction

Abstract: Addiction involves an inability to control drug-seeking behavior. While this may be thought of as secondary to an overwhelming desire for drugs, it could equally well reflect a failure of the brain mechanisms that allow addicts to learn about and mentally simulate non-drug consequences. Importantly, this process of mental simulation draws upon, but is not normally bound by, our past experiences. Rather we have the ability to think outside the box of our past, integrating knowledge gained from a variety of simi… Show more

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Cited by 43 publications
(48 citation statements)
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“…(Verbruggen et al, 2014). Drugs might impair only a specific subcomponent, for example, they might impair capacity to represent competing alternatives to drug rewards, or the beneficial consequences of abstinence (Reiter et al, 2016a;Schoenbaum et al, 2016). In sum then, drug users might be habitual in the natural environment but goal-directed in laboratory tasks, might only show habitual control over specific action sequences, might arbitrate in favour of the habit system only under particular conditions, or might only show deficits in specific components of the control systems.…”
Section: Discussionmentioning
confidence: 99%
“…(Verbruggen et al, 2014). Drugs might impair only a specific subcomponent, for example, they might impair capacity to represent competing alternatives to drug rewards, or the beneficial consequences of abstinence (Reiter et al, 2016a;Schoenbaum et al, 2016). In sum then, drug users might be habitual in the natural environment but goal-directed in laboratory tasks, might only show habitual control over specific action sequences, might arbitrate in favour of the habit system only under particular conditions, or might only show deficits in specific components of the control systems.…”
Section: Discussionmentioning
confidence: 99%
“…The orbitofrontal cortex (OFC) is a prime candidate for this because it sends dense glutamatergic innervation to the BLA [18][19][20][21][22] and is itself implicated in reward processing and decision making [32][33][34][35][36][37][38][39][40][41] , including incentive learning 42 . So we next used a chemogenetic approach and the same behavioral task to ask whether OFCBLA projections are necessary for reward value encoding and/or retrieval (Fig.…”
Section: Distinct Ofcbla Projections Are Necessary For Reward Value mentioning
confidence: 99%
“…Inferring future outcomes as in the example above requires the internal representation of relationships between events in the external world [3][4][5][6][7][8][9][10]. This set of relationships is often called a "cognitive map" [11][12][13][14] and may consist of a wide range of content relevant to current goals (e.g., spatial, temporal, and associative). In the current study, we focus on the mental representation of associative information that defines the task environment.…”
Section: Introductionmentioning
confidence: 99%