¶ … Brain's Reward Pathway in the Context of Addiction
The brain's reward pathway involves the mesolimbic dopamine system controlling the way that an individual reacts to stimuli. Natural rewards such as food, sex, and diverse interactions with others can thus play an important role in motivating a person. One of the simplest ways to describe the brain's reward pathway would be to consider the fact that an individual learns that he or she needs to repeat an action in order to get a reward. Memory is connected with the reward pathway, as memory centers concentrate on identifying all the steps that lead to the reward and attempt to recreate these respective actions. Drugs that are addictive have an effect on the reward system as they reinforce certain behaviors, with the dopamine reward pathway being stimulated by these substances.
The reward pathway is particularly old when regarding things from an evolutionary point-of-view. Dopamine neurons have been found to be present in flies and worms that are believed to have evolved billions of years ago (Mutsatsa). To a certain degree, it would be safe to say that these neurons are directly related to the way that humans evolved through time, taking into account that they have constantly been conditioned by their need to get rewards. Addiction to drugs is actually similar to the need one feels to consume some of the things that are considered the most basic. "The normal part of our physiology that underlies addiction is also found in the manifestation of our need for nurturing, food, fluids, and our desire for sex." (Pomm & Pomm 2) The reward pathway practically acts as a mediator between the individual's mind and these substances. One of the simplest ways to describe it would be to think of a drug as a hijacker taking over the pathway and making the person feel that he or she is unable to live without consuming a drug. The substance virtually becomes equivalent to food and water to the addict.
One of the most effective ways to understand how the brain's reward pathway system works would be to consider actions that clearly have a negative influence on individuals and yet people continue to perform these respective actions. Being determined to eat the last piece of food in spite of the fact that one feels that this is impossible is owed to the brain experiencing pleasure in the process. The individual thus comes to choose to eat more than would be normal for him or her simply because dopamine is being released into the brain as a consequence of doing so. It would be safe to say that the pleasure experienced as a result of dopamine being released into the brain becomes more important to the person than the pain experienced as a consequence of having a full belly.
Drug addiction is largely considered to have four elements:
Tolerance
Dependence
Abstinence
Craving
Tolerance
While performing actions expected to lead to a reward without actually having the respective rewards, it means that dopamine is no longer released in the reward pathway. This can be owed to the fact that the diverse chemicals regulating dopamine levels no longer function as they did the first time the reward was provided. In persons who develop tolerance to a drug, these people feel that they gradually need to increase their dosage in order to experience the same feelings that they were having in the beginning of the addiction process. Drugs like cocaine function by limiting dopamine reuptake and the concentration of transmitter in the brain is steadily raised. "Tolerance develops because the increase in synaptic dopamine concentration causes down-regulation of post-synaptic dopamine receptors. This means that higher amounts of transmitter, and hence drug, are needed to achieve the same level of dopamine transmittion." (Longstaff 326) This makes it possible for someone to understand why many addicts eventually come to overdose -- in spite of being especially familiar with the drug they are using and with the negative effects of taking it in large quantities, they ignore risks and do everything they can in order to get their reward.
One of the most intriguing things about the reward pathway and addiction involves drugs being taken in novel situations. People who consume an addictive substance in the same environment over and over again are more likely to develop tolerance in contrast with individuals who do so in conditions they are not familiar with (Longstaff 325). Although the latter are also probable to develop tolerance eventually, this once again proves that there is a connection between memory and...
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