The brain is thought to implement two decision-making systems: a goal-directed system in which decisions are made through planning on the basis of action-outcome relationships, and a habitual system in which behaviour reflects stimulus-response associations. A prominent theory of addiction sees it as arising due to an extreme dominance of habit over goal-directed action. The balance between these systems is thought to be arbitrated by the relative precision of their separate predictions of reward. In this paper, we argue that various factors in addiction create hyper-precise reward predictions in the habitual system and hypo-precise reward predictions in the goal-directed system, shifting the balance of behavioural control in favour of habit. Based on this, we offer a theoretical account of the utility of episodic future thinking in addiction, interpreting it as increasing the precision of reward estimates in the goal-directed system, thereby enhancing the control of this system over behaviour.
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http://dx.doi.org/10.1016/j.bandc.2022.105843 | DOI Listing |
Front Neurosci
January 2025
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, United States.
Introduction: , a protein kinase located on human chromosome 21, plays a role in postembryonic neuronal development and degeneration. Alterations to have been consistently associated with cognitive functioning and neurodevelopmental disorders (e.g.
View Article and Find Full Text PDFMem Cognit
January 2025
Department of Psychology, Technische Universität Dresden, Zellescher Weg 17, 01062, Dresden, Germany.
Theorists across all fields of psychology consider goals crucial for human action control. Still, the question of how precisely goals are represented in the cognitive system is rarely addressed. Here, we explore the idea that goals are represented as distributed patterns of activation that coexist within continuous mental spaces.
View Article and Find Full Text PDFJ Clin Monit Comput
January 2025
Department of Anaesthesiology and Intensive Care, Bicetre hospital, Assistance Publique Hôpitaux de Paris (AP-HP), Le Kremlin Bicetre, France.
Intravenous fluid is administered during high-risk surgery to optimize stroke volume (SV). To assess ongoing need for fluids, the hemodynamic response to a fluid bolus is evaluated using a fluid challenge technique. The Acumen Assisted Fluid Management (AFM) system is a decision support tool designed to ease the application of fluid challenges and thus improve fluid administration during high-risk surgery.
View Article and Find Full Text PDFJ ECT
November 2024
Department of Psychiatry and Health Behavior, Medical College of Georgia at Augusta University, Augusta, GA.
Electroconvulsive therapy (ECT) is underused, logistically challenging for those who are justice-involved, and laced with ethical problems for those on death row. Herein we describe a case of a man without history of long-standing psychiatric illness who, after more than 15 years on death row, was hospitalized for altered mental status. After medical stabilization, the altered mental status persisted.
View Article and Find Full Text PDFPhys Ther
January 2025
School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, United States.
Objective: This study aimed to describe the monitoring of treatment fidelity in a pragmatic pediatric rehabilitation trial using the National Institutes of Health Behavior Change Consortium framework, and to identify child and therapist factors that influence treatment fidelity.
Methods: Therapists (n = 28) were trained in the key ingredients (1-on-1, functional, goal-directed, motor learning intervention) and study protocol for a comparative effectiveness trial titled: A Comparison: High Intensity periodic vs. Every week therapy in children with cerebral palsy (ACHIEVE) for children ages 2 to 8 years with cerebral palsy.
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