A Cognitive Pathway to Persistent, Maladaptive Choice.

IF 2.8 3区医学 Q2 PSYCHIATRY

European Addiction Research Pub Date : 2024-01-01 Epub Date: 2024-06-12 DOI:10.1159/000538103

Gavan P McNally, Philip Jean-Richard-Dit-Bressel

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引用次数: 0

Abstract

Background: Correctly recognising that alcohol or other substances are causing problems is a necessary condition for those problems to spur beneficial behaviour change. Yet such recognition is neither immediate nor straightforward. Recognition that one's alcohol or drug use is causing negative consequences often occurs gradually. Contemporary addiction neuroscience has yet to make progress in understanding and addressing these recognition barriers, despite evidence that a lack of problem recognition is a primary impediment to seeking treatment.

Summary: Based on our recent empirical work, this article shows how recognition barriers can emerge from dual constraints on how we learn about the negative consequences of our actions. One constraint is imposed by the characteristics of negative consequences themselves. A second constraint is imposed by the characteristics of human cognition and information processing. In some people, the joint action of these constraints causes a lack of correct awareness of the consequences of their behaviour and reduced willingness to update that knowledge and behaviour when confronted with counterevidence.

Key messages: This "cognitive pathway" can drive persistent, maladaptive choice.

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通向持续性、适应不良选择的认知途径。

背景：正确认识酒精或其他物质造成的问题是促使人们改变有益行为的必要条件。然而，这种认识既不是立竿见影的，也不是一蹴而就的。认识到自己酗酒或吸毒正在造成不良后果往往是逐渐发生的。尽管有证据表明，缺乏对问题的认识是寻求治疗的主要障碍，但当代成瘾神经科学在理解和解决这些认识障碍方面仍未取得进展。摘要：基于我们最近的实证工作，本文展示了认识障碍是如何从我们了解自己行为的负面后果的双重限制中产生的。其中一个制约因素是负面后果本身的特征。第二个制约因素来自人类认知和信息处理的特点。在某些人身上，这些制约因素的共同作用导致他们对自己行为的后果缺乏正确的认识，并且在面对反证时，更新这种认识和行为的意愿降低：这种 "认知路径 "会导致持续的、不适应的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Addiction Research SUBSTANCE ABUSE-PSYCHIATRY

CiteScore

6.80

自引率

5.10%

发文量

审稿时长

>12 weeks

期刊介绍： ''European Addiction Research'' is a unique international scientific journal for the rapid publication of innovative research covering all aspects of addiction and related disorders. Representing an interdisciplinary forum for the exchange of recent data and expert opinion, it reflects the importance of a comprehensive approach to resolve the problems of substance abuse and addiction in Europe. Coverage ranges from clinical and research advances in the fields of psychiatry, biology, pharmacology and epidemiology to social, and legal implications of policy decisions. The goal is to facilitate open discussion among those interested in the scientific and clinical aspects of prevention, diagnosis and therapy as well as dealing with legal issues. An excellent range of original papers makes ‘European Addiction Research’ the forum of choice for all.