“the term reward has no consistent meaning”

A very important point about dopamine (DA) and reward, from a recent review paper:

“The DA hypothesis of reward is a ubiquitous feature of the scientific literature, as well as popular media, the internet, and film. Yet, despite the almost automatic tendency of some to explain virtually any aspect of DA function as somehow being dependent on reward, there are critical theoretical and empirical problems with this, many of which have been reviewed in detail elsewhere (Salamone et al., 1997, 2007; Salamone and Correa, 2002, 2012; Floresco, 2015; Nicola, 2016). First and foremost, the term reward has no consistent scientific meaning (Salamone et al., 2005; Salamone and Correa, 2012), and, depending upon the paper, or even the paragraph, this term is used variously to refer to subjective pleasure or hedonic reactivity, appetite, preference, and even reinforcement learning. Given the slippery and imprecise nature of this term, it is wholly inadequate to attribute specific effects in experiments simply to reward without any qualification or explication.” [Emphasis added]

Salamone, J. D., Correa, M., Ferrigno, S., Yang, J. H., Rotolo, R. A., & Presby, R. E. (2018). The psychopharmacology of effort-related decision making: Dopamine, adenosine, and insights into the neurochemistry of motivation. Pharmacological Reviews70(4), 747-762.

How reliable are psychiatric diagnoses?

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This post, which mostly provides useful citations, was originally written as an answer to the following Quora question:

Is ADHD one of the only psychiatric conditions that can be diagnosed objectively?

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