Selective processing of visual alcohol cues in abstinent alcoholics: an approach-avoidance conflict?

When symptomatic individuals selectively attend to emotionally relevant stimuli, the ability to shift attention away from such material is impaired. Subjects may, however, seek to avoid further processing of these stimuli, which would facilitate attentional shifts. This was examined in a group of abstinent alcoholics' responses to stimuli related to alcohol. Eight alcohol and eight neutral words served as cues in a covert attention task. The cues were either valid (2/3 of trials) or invalid (1/3 of trials) indicators of where a response target would appear after 100 or 500 milliseconds. The short interval was expected to interact with an initial approach toward the alcohol word, while the long interval would interact with a subsequent avoidance of the stimulus. As predicted, the alcoholics showed slower reaction times (RTs) to targets invalidly cued by alcohol words in the short interval, reflecting increased difficulties to shift attention. However, the alcoholics demonstrated faster RTs to targets invalidly cued by the alcohol words in the long interval. This indicates that the alcohol cue elicited emotional associations that, subsequent to initial stimulus identification, trigger an interrupting function of the attentional system.