Decision-Making Dysfunctions in Psychiatry—Altered Homeostatic Processing?

@article{Paulus2007DecisionMakingDI,
  title={Decision-Making Dysfunctions in Psychiatry—Altered Homeostatic Processing?},
  author={Martin P. Paulus},
  journal={Science},
  year={2007},
  volume={318},
  pages={602 - 606}
}
  • M. Paulus
  • Published 26 October 2007
  • Psychology
  • Science
Decision-making consists of selecting an action from a set of available options. This results in an outcome that changes the state of the decision-maker. Therefore, decision-making is part of a homeostatic process. Individuals with psychiatric disorders show altered decision-making. They select options that are either non-optimal or nonhomeostatic. These dysfunctional patterns of decision-making in individuals with psychiatric disorders may fundamentally relate to problems with homeostatic… 
View on AAAS
psych.colorado.edu
217 Citations
Highly Influential Citations
6
Background Citations
99
Methods Citations
5
Results Citations
3

217 Citations

Citation Type

Citation Type

Stages of dysfunctional decision-making in addiction
Anxiety and decision-making: toward a neuroeconomics perspective.
Impaired social decision making in patients with major depressive disorder
TLDR
Depressed patients show abnormal decision-making behavior in a social interaction context and may provide a new perspective in the search to find biomarkers for the diagnosis and prognosis of MDD, using a well-studied ultimatum game.
Insular neural system controls decision-making in healthy and methamphetamine-treated rats
TLDR
It is demonstrated that chronic methamphetamine-treated rats preferred high-risk/high-reward actions and assigned higher value to high returns, indicative of altered decision-making, which suggests that the INS is a critical region involved in decision- making and that insular neural dysfunction results in risk-taking behaviors associated with altered decisions.
Neural mechanisms regulating different forms of risk-related decision-making: Insights from animal models
Decision-making of patients with major depressive disorder in the framework of action control
TLDR
MDD appears to have an impact on dynamic DM processes, while basic processes are preserved.
A somatic marker theory of addiction
Individual Differences in Subjective Utility and Risk Preferences: The Influence of Hedonic Capacity and Trait Anxiety
TLDR
The results show that hedonic capacity but not trait anxiety affects risk-taking through a mechanism that appears independent of the shape of the subjective utility curve, while hedonics capacity and trait anxiety do not affect the influence of counterfactual outcomes on subjective utility.
A unified framework for addiction: Vulnerabilities in the decision process
TLDR
10 key vulnerabilities are identified in a unified theory of decision-making in the mammalian brain as arising from multiple, interacting systems (a planning system, a habit system, and a situation-recognition system) that have implications for an individual's susceptibility to addiction and the transition to addiction, for the possible for relapse, and for the potential for treatment.
Neuroeconomic models : applications in psychiatry Summary
Neuroeconomics is a discipline aimed at investigating the neural substrate of decision-making using, along an interdisciplinary way, research methods and information deriving from economics,…
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 87 REFERENCES
Neurobiology of Decision Making: A Selective Review from a Neurocognitive and Clinical Perspective
Decision-making cognition in mania and depression
TLDR
The distinct patterns of observed impairment in manic and depressed patients suggests that the nature and extent of cognitive impairment differ between these two groups, consistent with a role for the ventromedial prefrontal cortex in mediating mood–cognition relationships.
Altered adaptive but not veridical decision-making in substance dependent individuals
TLDR
Results indicate that SA show abnormal decision-making performance in unstructured situations, but not in veridical situations.
Decision making, impulse control and loss of willpower to resist drugs: a neurocognitive perspective
  • A. Bechara
  • Psychology, Biology
    Nature Neuroscience
  • 2005
Here I argue that addicted people become unable to make drug-use choices on the basis of long-term outcome, and I propose a neural framework that explains this myopia for future consequences. I…
Increased sensitivity to error during decision-making in bipolar disorder patients with acute mania.
Behavioural dysregulation of decision-making in deficit but not nondeficit schizophrenia patients
An fMRI examination of developmental differences in the neural correlates of uncertainty and decision-making.
TLDR
It is shown that a decision-making task was shown to be effective at eliciting uncertainty-related ACC activity in adults and adolescents, providing preliminary support for a developmental model of GAD.
Obsessive–Compulsive Behaviour: A Disorder of Decision-Making
TLDR
Conceptualizing OCD as a disorder of decision-making leads to new approaches for its investigation, and novel strategies for both physical and behavioural– cognitive treatments.
MDMA affects both error-rate dependent and independent aspects of decision-making in a two-choice prediction task
TLDR
The hypothesis that acute administration of MDMA affects success-related response selection during decision-making through a process that is dependent on success or failure is supported.
Orbitofrontal cortex dysfunction in abstinent cocaine abusers performing a decision-making task
...
1
2
3
4
5
...