Instructions control whether nicotine will serve as a reinforcer.

Three studies examined self-administration of nicotine among exsmokers given concurrent access to nicotine (2 mg) and placebo gums during the first 2 weeks of abstinence from smoking. In Study 1 subjects were told they would receive either nicotine or placebo gum. With this instructional set, nicotine served as a reinforcer; i.e., subjects consistently self-administered nicotine but not placebo gum. However, subjects could discriminate gums on the basis of side-effects; thus, the ability of nicotine to serve as a reinforcer may have been due, not to its psychoactive effects, but rather because subjects believed the gum with more side-effects to be the active gum. In Study 2 we attempted to change this belief by telling subjects they would receive either the marketed nicotine gum or a new nicotine gum that is as effective as the marketed gum but has less side-effects (i.e., placebo). In Study 3 we attempted to change the belief by telling subjects that placebo gum had more side-effects than nicotine gum. With these two instructional sets, the stimulus properties of nicotine did not serve as reinforcer; i.e., subjects self-administered equal amounts of nicotine and placebo gums. To our knowledge, this is the first demonstration that instructions can control whether a drug will serve as a reinforcer.

RCT Entities:   Population Interventions Outcomes