6. Reward, Pain, and Fear

0.0(0)
studied byStudied by 0 people
learnLearn
examPractice Test
spaced repetitionSpaced Repetition
heart puzzleMatch
flashcardsFlashcards
Card Sorting

1/80

encourage image

There's no tags or description

Looks like no tags are added yet.

Study Analytics
Name
Mastery
Learn
Test
Matching
Spaced

No study sessions yet.

81 Terms

1
New cards

What is a reward?

A positive reinforcer that strengthens behavior by increasing the likelihood of an action being repeated.

2
New cards

What is the key dopaminergic pathway involved in reward?

The mesolimbic dopamine pathway, from the Ventral Tegmental Area (VTA) to the Nucleus Accumbens (NAc).

3
New cards

What was the significance of the Olds and Milner study?

Demonstrated that rats would self-stimulate the medial forebrain bundle, showing that specific brain regions mediate reward.

4
New cards

What is the medial forebrain bundle (MFB)?

A fiber tract connecting the VTA to the NAc and forebrain; electrical stimulation here is strongly rewarding.

5
New cards

What are primary reinforcers?

Innate rewards like food, water, sex — necessary for survival.

6
New cards

What are secondary reinforcers?

Learned rewards like money or praise — gain value through association.

7
New cards

What is the difference between wanting and liking?

Wanting = motivational drive (dopamine); Liking = hedonic pleasure (opioids, endocannabinoids).

8
New cards

Which neurotransmitter mediates wanting?

Dopamine.

9
New cards

Which neurotransmitters mediate liking?

Opioids and endocannabinoids.

10
New cards

What is incentive salience?

A learned motivational importance attributed to a stimulus or cue due to its association with reward.

11
New cards

Who proposed the incentive salience theory?

Berridge and Robinson.

12
New cards

What happens to dopamine activity when a reward is better than expected?

Dopamine neurons increase firing — positive prediction error.

13
New cards

What happens when a predicted reward is omitted?

Dopamine firing decreases — negative prediction error.

14
New cards

What happens when a predicted reward is received?

No change in dopamine activity — the system is calibrated.

15
New cards

How does cocaine affect dopamine signaling?

Blocks dopamine reuptake, increasing dopamine concentration in synapses — leads to euphoria and reinforcement.

16
New cards

How do amphetamines affect dopamine signaling?

Increase dopamine release and reverse reuptake transporters — massive boost in synaptic dopamine.

17
New cards

Why are hedonic drugs so addictive?

They hijack the reward system by causing artificial surges in dopamine, reinforcing drug-seeking behavior.

18
New cards

What brain regions are involved in the reward circuit?

VTA, Nucleus Accumbens, Amygdala, Orbitofrontal Cortex, Hippocampus, Prefrontal Cortex.

19
New cards

What is the role of the orbitofrontal cortex (OFC) in reward?

Assigns value to rewards and helps guide adaptive decision-making.

20
New cards

What is the role of the amygdala in reward?

Associates emotional significance to rewards and their cues.

21
New cards

What does the hippocampus contribute to reward?

Encodes contextual information about where and when a reward occurred.

22
New cards

How is the basal ganglia involved in reward?

Via a limbic loop: reward signals from cortex → ventral striatum (incl. NAc) → pallidum → thalamus → back to cortex.

23
New cards

How is the limbic loop different from the motor loop in the basal ganglia?

It processes emotional and motivational information, not movement.

24
New cards

What are the four key actions of dopamine in the diffuse modulatory system?

  1. Motivational salience (reward prediction), 2. Reinforcement learning, 3. Modulation of attention, 4. Motor activation (esp. via basal ganglia).
25
New cards

How is dopamine dysregulated in addiction?

Excessive dopaminergic signaling assigns high salience to drug cues, driving compulsive behavior.

26
New cards

What reward dysfunction is seen in depression?

Blunted dopamine response → reduced reward sensitivity and motivation (anhedonia).

27
New cards

How does schizophrenia involve dopamine and reward?

Abnormal dopamine signaling leads to aberrant salience, making neutral stimuli feel important or threatening.

28
New cards

What type of action does dopamine have in the brain?

Dopamine acts as a neuromodulator and state switcher, influencing brain state rather than direct synaptic transmission.

29
New cards

What is the structure of dopaminergic nuclei?

Dopaminergic action originates from a nucleus or small cluster of nuclei containing thousands (not millions) of neurons.

30
New cards

Where are most dopaminergic nuclei located?

In the central core of the brain: the brainstem and basal forebrain.

31
New cards

What is meant by dopamine’s “highly divergent projection”?

Each dopaminergic neuron can influence hundreds of thousands of neurons across vast brain regions.

32
New cards

What type of synapses do dopaminergic neurons make?

They form en passant synapses—synaptic boutons along the axon, allowing widespread, diffuse signaling.

33
New cards

What is the official definition of pain according to the International Association for the Study of Pain?

An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.

34
New cards

What is the difference between pain and nociception?

Pain is a subjective experience, whereas nociception is the neural process of encoding and processing noxious stimuli.

35
New cards

What are nociceptors?

Nociceptors are sensory neurons that detect signals from damaged tissue or potential damage and transmit this information to the brain.

36
New cards

What are the three main types of pain?

Nociceptive pain (from tissue damage), inflammatory pain (from inflammation), and neuropathic pain (from nerve damage).

37
New cards

What are the two types of peripheral nociceptors based on conduction velocity?

Aδ fibers (thinly myelinated, faster, sharp pain) and C fibers (unmyelinated, slower, burning pain).

38
New cards

What is TRPV1 and what activates it?

TRPV1 is a receptor found on nociceptors that is activated by capsaicin and high temperatures (>42°C).

39
New cards

Where do peripheral nociceptors first synapse in the CNS?

In the dorsal horn of the spinal cord, often with second-order neurons that cross and ascend.

40
New cards

What is the spinothalamic tract responsible for?

It transmits pain and temperature signals from the body to the somatosensory cortex via the thalamus.

41
New cards

What is sensitization in the context of pain?

Increased responsiveness of nociceptors to normal or sub-threshold stimuli, often seen in chronic pain.

42
New cards

What are hyperalgesia and allodynia?

Hyperalgesia is increased pain from a normally painful stimulus. Allodynia is pain from a normally non-painful stimulus.

43
New cards

What is neurogenic inflammation?

Inflammation caused by the release of peptides like substance P and CGRP from activated nociceptors.

44
New cards

What is descending modulation of pain?

The process where brain areas send signals down to the spinal cord to inhibit or modulate incoming pain signals.

45
New cards

What are the actions of common analgesics on pain pathways?

NSAIDs block prostaglandins, local anesthetics block sodium channels, opioids enhance descending inhibition, and paracetamol works via unknown central mechanisms.

46
New cards

What role does the dorsal horn of the spinal cord play in pain processing?

The dorsal horn of the spinal cord is the first central site where peripheral nociceptors synapse onto second-order neurons. It processes and modulates incoming nociceptive signals before they ascend to the brain.

47
New cards

Which ascending pathway transmits the discriminative aspects of pain and temperature from the body to the brain?

The anterolateral system, particularly the spinothalamic tract, transmits discriminative aspects of pain and temperature to the thalamus and then to the primary somatosensory cortex.

48
New cards

What is the function of the anterolateral system?

The anterolateral system transmits noxious and thermal stimuli from the contralateral side of the body, following decussation in the spinal cord, to supraspinal centers including the thalamus and cortex.

49
New cards

What is the dorsal column-medial lemniscal system responsible for?

The dorsal column-medial lemniscal system carries fine touch, vibration, and proprioceptive information from the body to the brain, not pain or temperature.

50
New cards

Which supraspinal centers are involved in the affective and cognitive processing of pain?

Supraspinal centers include the thalamus, anterior cingulate cortex, insular cortex, amygdala, and prefrontal cortex, all contributing to the emotional and evaluative dimensions of pain.

51
New cards

Who was Henry K. Beecher and what did he observe about pain?

Henry K. Beecher was a physician who observed that wounded soldiers in WWII often reported less pain than expected, suggesting that psychological factors like context and emotional state modulate pain perception.

52
New cards

What are the implications of Henry Beecher’s findings on pain perception?

Beecher’s findings highlight the importance of descending modulation and psychological context in pain perception, paving the way for understanding pain as more than just a sensory experience.

53
New cards

What brain structure is central to fear processing?

The amygdala, especially the basolateral and central nuclei, processes and expresses fear.

54
New cards

What is the function of the basolateral amygdala in fear?

It receives sensory input and forms associations with emotional significance, key for fear learning.

55
New cards

What does the central nucleus of the amygdala do in fear?

It initiates autonomic and behavioral fear responses via projections to the hypothalamus, brainstem, and cortex.

56
New cards

What is classical fear conditioning?

A neutral stimulus becomes associated with an aversive event, leading to a conditioned fear response.

57
New cards

What pathways mediate auditory-somatic association in rats?

The auditory pathways project to the medial geniculate nucleus, which projects to both the auditory cortex to register sound, and amygdala (where other projections meet), then output to other circuits for somatomotor and autonomic activity.

58
New cards

What happened in the case study of patient S.M.?

S.M. had bilateral amygdala damage and showed impaired fear recognition and no fear responses despite dangerous situations.

59
New cards

What are the pyramidal and extrapyramidal contributions to fear behavior?

Pyramidal pathways (corticospinal) mediate voluntary reactions; extrapyramidal systems mediate involuntary expressions and reflexive behaviors like freezing.

60
New cards

What is fear extinction?

Gradual reduction of a conditioned fear response through repeated exposure without the aversive stimulus.

61
New cards

Which brain areas regulate fear extinction?

The medial prefrontal cortex (infralimbic cortex) suppresses amygdala activity; hippocampus provides contextual control.

62
New cards

What are the components of the limbic lobe involved in emotion?

Cingulate cortex, parahippocampal gyrus, amygdala, hippocampus, and hypothalamus form the limbic lobe network.

63
New cards

What is the role of the prefrontal cortex in fear regulation?

It exerts top-down control, particularly via the infralimbic region, to inhibit amygdala-driven fear responses.

64
New cards

What is the periaqueductal gray (PAG) responsible for in fear?

It mediates instinctive defensive behaviors such as freezing or fleeing in response to fear cues from the amygdala.

65
New cards

What strategies are used to normalize excessive fear responses?

Exposure therapy, cognitive reappraisal, pharmacotherapy (e.g. SSRIs, propranolol), and neuromodulation like TMS or DBS.

66
New cards

What disorders involve abnormal fear circuitry?

PTSD, phobias, and generalized anxiety disorder — often due to hyperactive amygdala or deficient extinction pathways.

67
New cards

How does the hypothalamus contribute to fear?

It mediates autonomic (sympathetic) and neuroendocrine responses, including cortisol release via the HPA axis.

68
New cards

What is the importance of the medial geniculate nucleus (MGN) in fear associations?

The MGN of the thalamus relays auditory information to the amygdala, enabling the association of sounds with aversive stimuli during fear conditioning.

69
New cards
Which one of the following statements about nociceptors is correct?
A. Nociceptors terminate in the periphery as free nerve endings without any specialised receptor structures
70
New cards
Which one of the following statements about nociceptive transmission is correct?
B. A number of nuclei in the brainstem receive synaptic input from nociceptive sensory afferent fibres
71
New cards
Which one of the following statements concerning cutaneous and visceral nociceptors is correct?
C. Signals arising from activation of visceral nociceptors can travel to the brain in a different region of the spinal cord white matter than the signals arising from cutaneous sites.
72
New cards
Which one of the following statements about fear is correct?
D. In auditory fear conditioning, there is a strengthening of the connections made by the inputs from the medial geniculate with the neurons in the amygdala.
73
New cards
Which of the following brain structures / systems is not required to demonstrate fear conditioning using electric shock and a tone?
C. Auditory cortex
74
New cards
Which of the following statements about the ventral tegmental area activity (VTA) is correct?
A. VTA encodes the changes in the probability of reward
75
New cards
Which one of the following statements about reward pathways is correct?
A. Rewarding (or reinforced behaviour) involves activation of basal ganglia circuits.
76
New cards
What is the most compelling evidence that ocular dominance column formation is activity-dependent?
D. Both A) and C)
77
New cards
Which is a plausible mechanism for neuron death in hippocampus under chronic stress?
C. A combination of high glutamatergic activity and the concurrent excitation with cortisol, can lead to toxically high calcium levels.
78
New cards
What cortical and sub-cortical projections mediate the experiential and behavioural components of fear?
Projections from the amygdala to the prefrontal cortex, hypothalamus, and periaqueductal gray mediate affective and behavioural components of fear.
79
New cards
What is the biological significance of fear?
Fear promotes survival by triggering rapid defensive responses and encouraging avoidance of danger.
80
New cards
In what sense is reward more than pleasure?
Reward includes motivation, reinforcement learning, and goal-directed behavior, extending beyond transient hedonic pleasure.
81
New cards
Why is the developing brain more vulnerable to damage despite its plasticity?
Because it is undergoing rapid synaptogenesis, pruning, and differentiation, making it susceptible to disruption from stress, toxins, or deprivation.