Evidence map›Paper›PMID 27752080›Full record

ReviewMolecular psychiatry2017

The birth, death and resurrection of avoidance: a reconceptualization of a troubled paradigm.

J E LeDoux, J Moscarello, R Sears, V Campese

Abstract readReview
In one paragraph

Review in Molecular psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

151 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Active Avoidance: Neural Mechanisms and Attenuation of Pavlovian Conditioned Responding.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2017
    Trial
  6. The next generation of fear generalization.Trends in cognitive sciences · 2026
    Review
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91 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

J E LeDouxCenter for Neural Science, New York University, New York, NY, USA.
J MoscarelloCenter for Neural Science, New York University, New York, NY, USA.
R SearsCenter for Neural Science, New York University, New York, NY, USA.
V CampeseCenter for Neural Science, New York University, New York, NY, USA.

Funding

NEURAL PATHWAYS UNDERLYING EMOTIONAL CONDITIONINGR01MH038774 · NIMH · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI LEDOUX, JOSEPH E · 1985 to 2019
$3.8M
Brain Mechanisms of Avoidance: Implications for AddictionR01DA029053 · NIDA · NEW YORK UNIVERSITY · PI LEDOUX, JOSEPH E · 2010 to 2014
$1.6M
Brain Mechanisms of Avoidance: Implications for AddictionR56DA029053 · NIDA · NEW YORK UNIVERSITY · PI LEDOUX, JOSEPH E · 2016 to 2016
$143k
NIDA NIH HHS R01 DA029053NIDA NIH HHS R56 DA029053NIMH NIH HHS R01 MH038774
6 · The paper itself

Abstract

Research on avoidance conditioning began in the late 1930s as a way to use laboratory experiments to better understand uncontrollable fear and anxiety. Avoidance was initially conceived of as a two-factor learning process in which fear is first acquired through Pavlovian aversive conditioning (so-called fear conditioning), and then behaviors that reduce the fear aroused by the Pavlovian conditioned stimulus are reinforced through instrumental conditioning. Over the years, criticisms of both the avoidance paradigm and the two-factor fear theory arose. By the mid-1980s, avoidance had fallen out of favor as an experimental model relevant to fear and anxiety. However, recent progress in understanding the neural basis of Pavlovian conditioning has stimulated a new wave of research on avoidance. This new work has fostered new insights into contributions of not only Pavlovian and instrumental learning but also habit learning, to avoidance, and has suggested that the reinforcing event underlying the instrumental phase should be conceived in terms of cellular and molecular events in specific circuits rather than in terms of vague notions of fear reduction. In our approach, defensive reactions (freezing), actions (avoidance) and habits (habitual avoidance) are viewed as being controlled by unique circuits that operate nonconsciously in the control of behavior, and that are distinct from the circuits that give rise to conscious feelings of fear and anxiety. These refinements, we suggest, overcome older criticisms, justifying the value of the new wave of research on avoidance, and offering a fresh perspective on the clinical implications of this work.

Indexed as

AnimalsAnxietyAvoidance LearningConditioning, ClassicalConditioning, OperantConditioning, PsychologicalFearHumansReinforcement, Psychology

Identifiers

PMID27752080
PMCPMC5173426

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.