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Vol. 51, Issue 2, 341-396, June 1999

Opioids, Reward and Addiction: An Encounter of Biology, Psychology, and Medicine

Jan M. van Ree1, Mirjam A. F. M. Gerrits and Louk J. M. J. Vanderschuren

Department of Pharmacology, Rudolf Magnus Institute for Neurosciences, Utrecht University, Utrecht, the Netherlands; and Department of Pharmacology, Research Institute Neurosciences Vrije Universiteit, Faculty of Medicine, Free University, Amsterdam, the Netherlands

I. Introduction
    A. Early History
    B. Opioid Receptors and Endogenous Opioids
    C. Addiction
II. Reinforcement and Motivation
    A. Self-Administration
    B. Intracranial Electrical Self-Stimulation
    C. Conditioned Place Preference
III. Self-Administration
    A. Intravenous Opioid Self-Administration
    B. Variables Interfering with Opioid
Self-Administration
        1. Dose of the Drug.
        2. Route of Administration.
        3. Schedules of Reinforcement.
        4. Physical Dependence, Tolerance, and Sensitization.
        5. Predisposing Variables.
        6. Treatment Interference Studies.
    C. Endogenous Opioids and Opioid Drugs of Abuse
        1. Opioid Receptor Types.
        2. Central Sites of Action.
        3. Effects on Endogenous Opioid Systems.
IV. Intracranial Electrical Self-Stimulation
    A. Effects of Opioids
    B. Endogenous Opioids
V. Conditioned Place Preference
    A. Opioid Place Preference
        1. Opioid Receptor Types.
        2. Sites of Action.
        3. Brain Neurochemical Systems.
    B. Variables Interfering with Opioid Place Preference
        1. Aversive Effects of Opioids.
        2. Tolerance, Physical Dependence, and Sensitization.
VI. Endogenous Opioids and Nonopioid Drugs of Abuse
    A. Psychostimulants
    B. Ethanol
VII. Brain DA and Opioid Drugs of Abuse
VIII. Addiction and Endogenous Opioids
IX. Perspectives
Acknowledgment
References


1   Address for correspondence: Jan M. Van Ree, Rudolf Magnus Institute for Neurosciences, Department of Pharmacology, Utrecht University, Universiteitsweg 100, 3584 CG Utrecht, the Netherlands. E-mail: j.m.vanree{at}med.uu.nl


0031-6997/99/5102-0341$03.00/0
PHARMACOLOGICAL REVIEWS
Copyright © 1999 by The American Society for Pharmacology and Experimental Therapeutics



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