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1 Department of Psychiatry and Neuroscience|CCM, NeuroCure Clinical Research Center, Berlin Institute of Health CCM, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
2 German Center for Mental Health (DZPG), Berlin-Potsdam.
3 Institute for Psychopharmacology, Medical Faculty Mannheim, Central Institute of Mental Health (CIMH), Heidelberg University, Mannheim, Germany.
4 Department of Biomedical Sciences, University of Cagliari, Cittadella Universitaria di Monserrato, Cagliari, Italy.
5 Neuroscience Institute, National Research Council of Italy (CNR), Cagliari, Italy.
1 Department of Psychiatry and Neuroscience|CCM, NeuroCure Clinical Research Center, Berlin Institute of Health CCM, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
2 German Center for Mental Health (DZPG), Berlin-Potsdam.
3 Institute for Psychopharmacology, Medical Faculty Mannheim, Central Institute of Mental Health (CIMH), Heidelberg University, Mannheim, Germany.
4 Department of Biomedical Sciences, University of Cagliari, Cittadella Universitaria di Monserrato, Cagliari, Italy.
5 Neuroscience Institute, National Research Council of Italy (CNR), Cagliari, Italy.
One of the leading drug addiction theories states that habits and the underlying neural process of a ventral to dorsal striatal shift are the building blocks of compulsive drug-seeking behaviour and that compulsion is the maladaptive persistence of responding despite adverse consequences. Here we discuss that compulsive behaviour as defined primarily from the perspective of animal experimentation falls short of the clinical phenomena and their neurobiological correlates. Thus for the human condition, the concept of compulsive habbits should be critically addressed and potentially revised.
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Everitt BJ, Robbins TW. Drug addiction: updating actions to habits to compulsions ten years on. Annu Rev Psychol. 2016;67(1):23‐50. doi: 10.1146/annurev-psych-122414-033457
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Lüscher C, Robbins TW, Everitt BJ. The transition to compulsion in addiction. Nat Rev Neurosci. 2020;21(5):247‐263. doi: 10.1038/s41583-020-0289-z
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Schoofs N, Heinz A. Pathologisches Spielen. Impulskontrollstörung, Sucht oder Zwang? [pathological gambling. Impulse control disorder, addiction or compulsion?]. Nervenarzt. 2013;84(5):629‐634. doi: 10.1007/s00115-012-3581-y
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