In a message dated 4/25/2005 10:20:12 PM Eastern
Standard Time, ssssss writes:
Subj:TT
Date:4/25/2005 10:20:12 PM Eastern Standard
Time
From:
Role in Pleasure and
Motivation

Dopamine is commonly associated with the 'pleasure system' of the
brain, providing feelings of enjoyment and reinforcement to motivate us to do,
or continue doing, certain activities. Certainly dopamine is released
(particularly in areas such as the nucleus accumbens and striatum) by
naturally rewarding experiences such as food, sex, use of certain drugs and
neutral stimuli that become associated with them. This theory is often
discussed in terms of drugs (such as cocaine) which seem to directly produce
dopamine release in these areas, and in relation to neurobiological theories
of addiction, which argue that these dopamine pathways are pathologically
altered in addicted persons.
However, the idea that dopamine is the
'reward chemical' of the brain now seems too simple as more evidence has been
gathered. Dopamine is known to be released when unpleasant or aversive stimuli
are encountered, suggesting that it is not only associated with 'rewards' or
pleasure. Also, the firing of dopamine neurons occurs when a pleasurable
activity is expected, regardless of whether it actually happens or not. This
suggests that dopamine may be involved in desire rather than pleasure. Drugs
that are known to reduce dopamine activity (e.g. antipsychotics) have been
shown to reduce people's desire for pleasurable stimuli, despite the fact that
they will rate them as just as pleasurable when they actually encounter or
consume them. It seems that these drugs reduce the 'wanting' but not the
'liking', providing more evidence for the desire theory.
Other theories
suggest that the crucial role of dopamine may be in predicting pleasurable
activity. Related theories argue that dopamine function may be involved in the
salience ('noticeableness') of perceived objects and events, with potentially
important stimuli (including rewarding things, but also things which may be
dangerous or a threat) appearing more noticeable or more important. This
theory argues that dopamine's role is to assist decision making by influencing
the priority of such stimuli to the person concerned.
Dopamine and
Psychosis
Disruption to the dopamine system has also been strongly
linked to psychosis and schizophrenia. Dopamine neurons in the mesolimbic
pathway are particularly associated with these conditions. This is partly due
to the discovery of a class of drugs called the phenothiazines (which block D2
dopamine receptors) that can reduce psychotic symptoms, and partly due to the
finding that drugs such as amphetamine and cocaine (which are known to greatly
increase dopamine levels) can cause psychosis. Because of this, all modern
antipsychotic medication is designed to block dopamine function to varying
degrees.