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DOMINATION
the desire and control circuits originate. Next they asked the partici-
pants to find ways to motivate themselves. They suggested a number of
strategies,
such as telling themselves, “You can do it!” They encouraged
the participants to be creative and use whatever they thought would be
most motivating. Some people imagined coaches encouraging them.
Others imagined situations in which their efforts were rewarded. All
the while, they lay in the brain scanner, and the scientists watched what
happened in the motivation region of their brains. They were surprised
at what they saw: nothing happened. Although
getting money worked,
when participants tried to do it on their own, they failed.
Next, the scientists gave them a little help in the form of biofeed-
back, which is when a person is provided information on how their
body and brain are functioning. This information helps them find effec-
tive ways to take control of things that are usually unconscious. The
best-known form of biofeedback is for relaxation. A device that mea-
sures tiny amounts of sweat is attached to a person’s finger. The less
sweat, the greater the relaxation. The signal is expressed as a tone, and
the user tries to manipulate the tone in the direction of relaxation. It
works.
In
the motivation experiment, the participants were shown a ther-
mometer with two lines. One showed the current level of activity in
the motivation region, and the other represented a higher target they
should try to achieve. Now they could see which strategies worked and
which ones didn’t. After a while, they built up a collection of imagined
scenes that effectively boosted motivation activity. These strategies con-
tinued to work even when the thermometer was removed. Strength-
ening willpower was possible, but it required a high-tech
window that
allowed the test participants to look deep inside their brains.
DOPAMINE VERSUS DOPAMINE
Even though it’s possible to strengthen willpower, it’s still not the answer
to long-term, enduring change. So what does work? That question is
of great interest to clinicians who help people struggling to overcome
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THE MOLECULE OF MORE
addictions. You can’t beat drugs with willpower alone. It takes more
than that. There are medications that help with some addictions, but
they don’t work when they’re given alone.
They have to be combined
with some form of psychotherapy.
The goal of addiction psychotherapy is to pit one part of the brain
against another. Part of the dopamine desire circuit becomes malignant
in drug addiction, pushing the addict into compulsive, uncontrollable
use. It has to be opposed by an equally potent force.
We know willpower
won’t do it. What other resources can be called on to win this fight?
This question has been studied extensively, and the knowledge
gained has been formalized into a variety of different psychothera-
pies. Among the best studied are
motivational enhancement therapy,
cognitive
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