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Chunk #52 — 4. Compulsivity in addiction: An allostatic view

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Neurobiological substrates for the dark side of compulsivity in addiction.
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An overall conceptual theme argued here is that drug addiction represents a break with homeostatic brain regulatory mechanisms that regulate the emotional state of the animal. The dysregulation of emotion begins with the binge and subsequent acute withdrawal, but leaves a residual neuroadaptive trace that allows rapid “re-addiction” even months and years after detoxification and abstinence. Thus, the emotional dysregulation of drug addiction represents more than simply a homeostatic dysregulation of hedonic function; it also represents a dynamic break with homeostasis of this system that has been termed allostasis.