A triadic approach to addiction for clinical interventions
According to the triadic neurocognitive model of addiction to drugs (e.g., cocaine) and non-drugs (e.g., gambling), weakened willpower associated with these behaviours is the product of an abnormal functioning in one or more of three key neural and cognitive systems: (1) an amygdala-striatum depende...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2013-12-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00179/full |
| _version_ | 1817994826870685696 |
|---|---|
| author | Xavier eNoel Damien eBrevers Damien eBrevers Antoine eBechara |
| author_facet | Xavier eNoel Damien eBrevers Damien eBrevers Antoine eBechara |
| author_sort | Xavier eNoel |
| collection | DOAJ |
| description | According to the triadic neurocognitive model of addiction to drugs (e.g., cocaine) and non-drugs (e.g., gambling), weakened willpower associated with these behaviours is the product of an abnormal functioning in one or more of three key neural and cognitive systems: (1) an amygdala-striatum dependent system mediating automatic, habitual, and salient behaviours; (2) a prefrontal cortex dependent system important for self-regulation and forecasting the future consequences of a behaviour and (3) an insula dependent system for the reception of interoceptive signals and their translation into feeling states (such as urge and craving), which in turn plays a strong influential role in decision-making and impulse control processes related to uncertainty, risk, and reward. The described three-systems account for poor decision-making (i.e., prioritizing short-term consequences of a decisional option) and stimulus-driven actions, thus leading to a more elevated risk for relapse. Finally, this article elaborates on the need for personalized clinical model-based interventions targeting interactions between implicit processes, interoceptive signalling, and supervisory function aimed at helping individuals become less governed by immediate situations and automatic prepotent responses, and more influenced by systems involved in the pursuit of future valued goals. |
| first_indexed | 2024-04-14T01:57:19Z |
| format | Article |
| id | doaj.art-90f424c012a440b5b74f18f0e0721ba8 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-14T01:57:19Z |
| publishDate | 2013-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-90f424c012a440b5b74f18f0e0721ba82022-12-22T02:18:59ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402013-12-01410.3389/fpsyt.2013.0017967075A triadic approach to addiction for clinical interventionsXavier eNoel0Damien eBrevers1Damien eBrevers2Antoine eBechara3Université Libre de BruxellesUniversité Libre de BruxellesUniversity of Southern CaliforniaUniversity of Southern CaliforniaAccording to the triadic neurocognitive model of addiction to drugs (e.g., cocaine) and non-drugs (e.g., gambling), weakened willpower associated with these behaviours is the product of an abnormal functioning in one or more of three key neural and cognitive systems: (1) an amygdala-striatum dependent system mediating automatic, habitual, and salient behaviours; (2) a prefrontal cortex dependent system important for self-regulation and forecasting the future consequences of a behaviour and (3) an insula dependent system for the reception of interoceptive signals and their translation into feeling states (such as urge and craving), which in turn plays a strong influential role in decision-making and impulse control processes related to uncertainty, risk, and reward. The described three-systems account for poor decision-making (i.e., prioritizing short-term consequences of a decisional option) and stimulus-driven actions, thus leading to a more elevated risk for relapse. Finally, this article elaborates on the need for personalized clinical model-based interventions targeting interactions between implicit processes, interoceptive signalling, and supervisory function aimed at helping individuals become less governed by immediate situations and automatic prepotent responses, and more influenced by systems involved in the pursuit of future valued goals.http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00179/fullDecision MakingAddictionSelf-regulationinteroceptionimpulsive system |
| spellingShingle | Xavier eNoel Damien eBrevers Damien eBrevers Antoine eBechara A triadic approach to addiction for clinical interventions Frontiers in Psychiatry Decision Making Addiction Self-regulation interoception impulsive system |
| title | A triadic approach to addiction for clinical interventions |
| title_full | A triadic approach to addiction for clinical interventions |
| title_fullStr | A triadic approach to addiction for clinical interventions |
| title_full_unstemmed | A triadic approach to addiction for clinical interventions |
| title_short | A triadic approach to addiction for clinical interventions |
| title_sort | triadic approach to addiction for clinical interventions |
| topic | Decision Making Addiction Self-regulation interoception impulsive system |
| url | http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00179/full |
| work_keys_str_mv | AT xavierenoel atriadicapproachtoaddictionforclinicalinterventions AT damienebrevers atriadicapproachtoaddictionforclinicalinterventions AT damienebrevers atriadicapproachtoaddictionforclinicalinterventions AT antoineebechara atriadicapproachtoaddictionforclinicalinterventions AT xavierenoel triadicapproachtoaddictionforclinicalinterventions AT damienebrevers triadicapproachtoaddictionforclinicalinterventions AT damienebrevers triadicapproachtoaddictionforclinicalinterventions AT antoineebechara triadicapproachtoaddictionforclinicalinterventions |