The Behavioral Economics and Neuroeconomics of Reinforcer Pathologies: Implications for Etiology and Treatment of Addiction

• Published in: Current psychiatry reports Vol. 13; no. 5; pp. 406 - 415
• Main Authors: Bickel, Warren K., Jarmolowicz, David P., Mueller, E. Terry, Gatchalian, Kirstin M.
• Format: Journal Article
• Language: English
• Published: New York Current Science Inc 01-10-2011; Springer Nature B.V
• Subjects: Addictions; Behavioral economics; Choice Behavior; Etiology; Humans; Impulsive Behavior - psychology; Medicine; Medicine & Public Health; Models, Economic; Models, Psychological; Motivation; Psychiatry; Reinforcement (Psychology); Substance-Related Disorders - psychology; Substance-Related Disorders - therapy; System theory; Human; Pathology; Reinforcer; Neuroeconomics; Impulsivity; Executive function; Treatment; Addiction; Neural systems; Theory; Behavioral economics
• ISSN: 1523-3812; 1535-1645
• DOI: 10.1007/s11920-011-0215-1

The current paper presents a novel approach to understanding and treating addiction. Drawing from work in behavioral economics and developments in the new field of neuroeconomics, we describe addiction as pathological patterns of responding resulting from the persistently high valuation of a reinforcer and/or an excessive preference for the immediate consumption of that reinforcer. We further suggest that, as indicated by the competing neurobehavioral decision systems theory, these patterns of pathological choice and consumption result from an imbalance between two distinct neurobehavioral systems. Specifically, pathological patterns of responding result from hyperactivity in the evolutionarily older impulsive system (which values immediate and low-cost reinforcers) and/or hypoactivity in the more recently evolved executive system (which is involved in the valuation of delayed reinforcers). This approach is then used to explain five phenomena that we believe any adequate theory of addiction must address.