Appendix 01 The behavioural profile of anxiolytic drugs
A1.1 Introduction
A major premise of this book is that the behavioural and neural
actions of the anxiolytic drugs can guide us to the psychological nature of,
and the neural structures involved in, anxiety. A critical step in our inclusion
of the septo-hippocampal system in the structures controlling anxiety was a
comparison of the pattern of effects, over a wide range of behavioural tests,
of brain lesions of various types with the pattern of effects produced by anxiolytic
drugs. In this appendix we provide the detailed justification for the pattern
of action which we claimed was shown by anxiolytic drugs in Chapter 4.
There is now a vast mass of literature on anxiolytic drugs (see
Nutt 1990 for a review of the human literature). Here we will summarize the
animal literature and, because of the volume of the literature, we will depend
largely on secondary sources, particularly Gray (1977) for the classical anxiolytics
and Griebel (1995) and (Handley 1995) for 5-HT1A and 5-HT3
selective compounds and imipramine. Where no citation is given for some fact,
it should be found in one of these reviews unless some other secondary source
is cited as the basis of that particular section.
It is important to note that we will make no attempt to include
compounds which are presumed from some animal test or another to be anxiolytic
but which have not been tested in human beings. Given the apparent failure of
many animal models to detect the more novel clinically effective anxiolytics
(see Chapter 4), we would strongly recommend that no compound be treated (or
referred to) as ‘anxiolytic’ until it has been proved so in more than one double-blind,
placebo-controlled clinical trial on generalized anxiety.
One important development, since the first edition, is the availability
of the novel anxiolytics which, so far as can be told, share none of the side-effects
of the classical anxiolytic drugs. We shall be particularly concerned here,
therefore, with the relatively few data which allow us to tell whether a particular
action is common to both types of anxiolytics. As will be seen, there are a
large number of cases where, at first sight, the data not only do not fit our
theory but appear to embarrass anyone who uses ‘animal models’ of anxiolytic
action. (The basis for the non-linear dose– response curve found with drugs such
as buspirone is considered briefly in Chapter 4, and in more detail at the end
of the current appendix.) However, the cases where the immediate similarities
between novel and classical anxiolytics are clearest are those (action on septo-hippocampal
electrophysiology—Appendix 5; action on the water maze test—see below) which
are most consistent with our theory. This has led us, both in this review and
in recent laboratory work, to look particularly carefully at the apparently
discrepant cases. It is our contention that in all the theoretically critical
cases the discrepancies can be resolved.
A second important development, since the first edition, is the
analysis (covered in detail in Chapter 2) of the behaviours which are likely
to occur in the context of potential threat as paradigmatic of anxiety and as
quite distinct from responses to direct threat. But we concluded that the critical
feature for such behaviours was the approach– avoidance conflict inherent in
the ‘potential threat’ situation rather than the potentiality of the threat
as such. In the present appendix we will deal early on with explicit cases of
approach– avoidance and find that, as with the case of predatory defence, the
anxiolytic drugs shift the balance of the conflict from avoidance towards approach.
In Chapter 3, we found reason to broaden the notion of approach– avoidance
conflict and to treat as ‘potentially threatening’ novel stimuli of certain
kinds, signals of punishment, and signals of reward omission, in addition to
the paradigmatic innate anxiety stimuli. In what follows we will deal with all
of these cases, and will find reason to emphasize both the role of passive (inhibitory)
avoidance in such conflicts and the necessity for true conflict between highly
primed (activated) incompatible responses. This leads naturally to the fact
that anxiolytic drugs also shift an active avoidance– passive avoidance conflict
away from inhibitory avoidance. At the end of this appendix we will find reason
to generalize still further. The drugs are effective in a number of tasks which
appear, at first sight, to have no aversive component at all, and instead appear
to involve memory. However, the tasks do involve conflict—but a conflict between
approach and approach. Even here, though, a common thread can be seen. Correct
performance of the task requires inhibition of competing responses which are
currently inappropriate.
In all of this, we treat the anxiolytic drugs as a single general
class. The justification for this and our definition of an anxiolytic drug are
given in Chapter 4. The drugs included in our definition are the classical anxiolytics
active at the GABA– chloride ionophore complex (alcohol, barbiturates, meprobamate,
benzodiazepines) and novel anxiolytics active at 5-HT1A sites (buspirone,
ipsapirone, imipramine, etc.). There is probably justification for including
beta-blockers such as propranolol under the heading of ‘anxiolytic drugs’—but
a large part of their action is likely to be peripheral and so we have not taken
them as paradigmatic anxiolytics. We have specifically excluded the 5-HT3
antagonist ondansetron as we believe there is no good evidence that it is an
effective clinical treatment for generalized anxiety disorder.
A1.2 Responses elicited by appetitive stimuli
The effects of alcohol on appetite are well known and we are often
abjured to ‘take a little wine for thy stomach’s sake’. Both benzodiazepines
and 5-HT1A agonists also increase food intake in a variety of species
(see Cooper 1991; where no reference is given in this section, the conclusions
are drawn from his review).
‘The fact that benzodiazepines increase food intake was recognized
from the first; it is a remarkably robust phenomenon, and behavioural evidence
was adduced that it must be distinct from anxiolytic effects of these drugs.
Although a hyperphagic effect could, in principle, be secondary to a reduction
in fear, stress or anxiety, the main point of interest is that benzodiazepines
appear to affect feeding responses relatively directly’ (Cooper 1991, p. 234).
They also increase drinking of water and saline.
The effect on food consumption is to increase meal size but not
overall food intake—and this probably explains the relative lack of effect of
the drugs on acquisition of food-rewarded behaviour. Cooper (1991) argues that
the effects of benzodiazepines on drinking compromise the ‘Vogel test’ (see
section on punishment below) as the increase in drinking seen in this test with
benzodiazepines is similar to the increase seen in unpunished animals.
These effects of the benzodiazepines appear to result from an
enhancement of positive ingestive responses as a result of increased palatability
with no modification of aversive reactions to flavours (Berridge and Peciña
1995; Parker 1995) as suggested by Cooper (1991, p. 245). Balleine et al.
(1994) also carried out a series of experiments that suggest that the increase
in ingestion produced by benzodiazepines is not the result of an increase in
hunger as such.
Buspirone and other 5-HT1A agonists increase intake
of food and of hypertonic saline in an apparently similar fashion to
benzodiazepines; however, they differ in that the 5-HT1A agonists
do not increase drinking of water or ordinary saline.
Benzodiazepines and buspirone also produce a reduction in food
hoarding behaviour (McNamara and Whishaw 1990; Dringenberg et al. 1994).
In one sense this might seem to be the opposite of the increased interest in
food seen above. However, it can be interpreted in two compatible ways. First,
an increase in palatability could increase the probability of immediate eating
rather than hoarding. Second, a loss of behavioural inhibition would reduce
the probability of the animal switching from the prepotent response of eating
to the secondary response of hoarding—provided there can be presumed to be a
conflict between the two.
A1.3 Responses elicited by aversive stimuli
There have been surprisingly few studies which investigate the
effects of anxiolytic drugs on responses elicited by painful stimuli. Measurement
of the threshold electrical current at which flinching or jumping is provoked
has failed to reveal any sign of analgesia. In the case of alcohol, there is
even evidence of a reduction in the flinch and jump thresholds to shock. This
is in contrast to the effects of known analgesics such as morphine.
Similar results are obtained when shock is used to elicit aggression
between a pair of animals. At low doses barbiturates and alcohol facilitate
aggression (Kršiak 1976; Gray 1977), an effect that can be obtained also with
benzodiazepines, although it might be necessary for them to be administered
chronically. The 5-HT1A agonists, on the other hand, inhibit shock-induced
aggression (De Vry et al. 1989).
These results are in contrast (see also Rodgers and Waters 1985)
to the reductions in aggression that can be produced when this is elicited by
threat—for example, when the animal is provoked by the experimenter. Interestingly,
in the Blanchards’ Fear/Defence Test Battery, benzodiazepines ‘reduce only defensive
threat while the 5-HT1A agonists (especially gepirone) reduced both
defensive threat and attack, and ethanol at low doses potentiated defensive
threat and attack, leaving other behaviours largely unchanged’ (Blanchard and
Blanchard 1990, p. 188; see also Traber and Glaser 1987; Blanchard et al.
1989, 1993). Unfortunately (given the results in the next paragraph), they did
not test imipramine. Buspirone is anxiolytic in tests where monkeys are threatened
by humans. Vocalization in many different types of threatening situations appears
particularly sensitive to both benzodiazepine and 5-HT1A anxiolytics
except for the case of predator-induced vocalization in a colony situation (see
Miczek et al. 1995 for review). In the case of the 5-HT1A
compounds, the action appears to be mediated by somatodendritic autoreceptors
in the dorsal raphe nucleus (Remy et al. 1996).
Such reductions in threat responses, coupled with the increased
incentive value of the reward, probably underlie the increase produced by chlordiazepoxide,
buspirone, and benzodiazepine partial agonists in the amount of sweetened milk
obtained by subordinate rats in a competitive situation. Imipramine, however,
does not appear to reproduce this effect, possibly because of the use of too
low a dose (Joly and Sanger 1991).
Threat-induced active avoidance, flight, and freezing are not
affected by benzodiazepines, buspirone, gepirone, or low doses of ethanol (Blanchard
and Blanchard 1990).
Separation-induced anxiety (as assessed by ultrasonic distress
calls) is reduced by both benzodiazepines and 5-HT1A agonists but
not by 5-HT2 agonists (Albinsson et al. 1994; see also De
Vry et al. 1989). The various measures of the Blanchards’ Anxiety/Defence
Test Battery are reduced by 5-HT1A agonists, alcohol, imipramine,
and benzodiazepines (Blanchard et al. 1993). In a mouse variant of the
fear and anxiety defence test batteries, anxiolytic agents appear to reduce
defensive threat and attack (where the predator must be approached) whereas
drugs that are clinically effective at reducing panic reduce the prey– predator
distance at which flight and escape is produced (Griebel et al. 1995a).
The critical conclusion for our later analysis is that anxiolytics
clearly do not reduce responses to a painful stimulus or to the direct
threat of such a stimulus produced by a close and localizable predator. Both
theory and the apparent qualitative differences in the effects of the different
drugs on shock-induced aggression and on the Fear/Defence Test Battery suggest
that here we may be dealing with side-effects of the various drugs.
A1.4 Rewarded behaviour
In terms of our dissection of processes, the experiments in this
and the next few sections provide an important foundation of unaffected tasks
for our assessment of the processes affected in other tasks. ‘Rewarded behaviour’
as discussed in Chapter 3 refers to the case where presentation of a stimulus
contingent on a behaviour results in the animal performing, at an increased
rate, a previously lower frequency behaviour. The stimulus usually takes the
form of delivery of food (to a food-deprived animal), or water (to a water-deprived
animal), or of some particularly desirable item (e.g. Fruit Loops or chocolate
in the case of undeprived rats). In the simplest case this ‘reward’ is delivered
every time the animal produces the behaviour desired by the experimenter. This
is termed a continuous reinforcement (CRF) schedule. A key point to note is
that if tasks of this type are performed correctly despite some treatment, we
can conclude that the treatment does not eliminate perception, motor programming,
memory in general, motivation, or the links between any of these processes.
This rules out a deficit in any of these as an explanation of any change in
behaviour produced by the treatment in some other task.
The anxiolytic drugs are without systematic effect on simple rewarded
behaviour or on behaviour maintained by ‘rewarding’ brain stimulation. This
generalization applies across a wide variety of different tasks which use CRF.
(Intermittent reinforcement is dealt with later.) It is as true of simple ‘spatial’
tasks (such as running in an alley, or learning to go to one of two goal arms
in a T-maze) as it is true of non-spatial tasks (such as simultaneous discrimination
where the animal learns to choose one of two simultaneously presented stimuli).
It is even true, to some extent, of performance in the radial-arm maze—which
we will consider in the section on maze tasks. This will be important to us
later, when we examine the suggestion that the hippocampus is especially concerned
with the analysis of spatial information and the control of behaviour in spatially
complex environments (O’Keefe and Nadel 1978).
A high frequency of a behaviour which is followed by a reward
can be achieved through two quite separate mechanisms. First, given an arbitrary
response followed by an arbitrary reward, responding is likely to be supported
by instrumental (Thorndikian, operant, Stimulus– Response, S– R) conditioning.
Second, with a response such as salivation and a reward such as food, responding
is likely to be supported by classical (Pavlovian, respondent, Stimulus– Stimulus,
S– S) conditioning. Since the discovery of autoshaping (Brown and Jenkins 1968)
it has become clear that any particular response may be maintained by either
or both of these mechanisms (see Chapter 2 in Gray 1975).
In the original autoshaping experiments, pigeons were faced with
a key which was lit preceding the delivery of a free reward. They came to peck
the key despite the lack of any contingency between pecking and food delivery.
Note that once they are pecking the key the situation is indistinguishable from
the case where there is a response– food contingency—and this raises the possibility
that all ‘instrumental’ conditioning is in fact disguised classical conditioning.
That this is not the case is demonstrated by the addition to conventional autoshaping
of an omission contingency. The lit key predicts free food as before, but any
key peck cancels this food. The classical response elicitation is thus pitted
against an instrumental response suppression. The results with this procedure
suggests that most pigeons’ responding is the result of classical control, whereas
rats’ responding is more dependent on instrumental control (Williams and Williams
1969; Ridgers and Leslie 1975, cited by Millenson and Leslie 1979).
Since rewarded behaviour is unaffected by anxiolytic drugs over
a wide range of appetitive tasks, both nominally classical and nominally instrumental,
we may conclude that neither simple classical nor simple instrumental conditioning
is affected by anxiolytic drugs in non-human species. This is matched by the
fact that, at conventional anxiolytic doses, simple learning is not greatly
affected by these drugs in human beings. Buspirone, as an apparent exception
to the above rule, tends to decrease responding generally, especially at doses
above 1 mg/kg, but in this it simply shows, earlier than do classical anxiolytics,
interference from high-dose side-effects possibly mediated by the pituitary– adrenal
axis.
A1.5 Responses elicited by frustrative non-reward
Frustration can be viewed as a state elicited by the omission
of an expected reward (see Amsel 1992). It is easy enough to see how presentation
of food or shock can be eliciting. But omission of food is perilously close
to being a non-event, especially if, as a radical behaviourist or an anthropocentric,
you do not believe rats can have expectations.
The reality of frustration is demonstrated by the ‘frustration
effect’ in a double runway (Amsel and Roussel 1952). In this experiment, the
rat is run in two sequential alleys where the goal box for one alley is the
start box for the next. Reward is always available in the second alley but only
sometimes in the first. It is found that rats receiving a mixture of rewarded
and non-rewarded trials run faster in the second alley after non-reward in the
first goal box than after reward. They also run faster than rats who either
always receive reward or always receive non-reward (Wagner 1959). It is, therefore,
the omission of an expected reward rather than the simple absence of reward
which gives rise to this effect.
In a related task, Soubrié et al. (1978) trained
thirsty rats to drink from a bottle, then presented the bottle empty for a while,
and then gave them a full water bottle. Presentation of the empty bottle increased
subsequent drinking.
In neither the double runway frustration effect nor this drinking
task do anxiolytic drugs have any effect (see Gray 1977). This result proved
important when we considered the role of the amygdala in Chapter 4.
One cannot measure a flinch or jump response to non-reward, as
one can to shock, but it is possible to measure the aggressive response elicited
by non-reward (e.g. Gallup 1965; Azrin 1967). As with shock-elicited aggression
(Weitz 1974), ethanol, the only anxiolytic tested, increased frustration-elicited
aggression at low doses (0.5 g/kg) and suppressed it at higher doses (Miczek
and Barry 1977).
A1.6 One-way active avoidance and escape
In one-way active avoidance, the animal starts a trial in an area
which is always dangerous (i.e. where aversive stimulation such as electric
shock to the feet is delivered), while an adjacent area is always safe. If it
does not move between the areas in some fixed time such as five seconds, the
shock is delivered. (In a pure escape procedure the shock is not delayed.) The
animal is then placed back in the dangerous compartment for the start of the
next trial. Learning consists of a decreased latency to leave the dangerous
compartment, initially resulting in learned escape and then resulting in avoidance.
Classical anxiolytic drugs do not impair either one-way active avoidance or
escape. By contrast, the 5-HT1A receptor agonists (but not imipramine)
do impair active avoidance (Sanger et al. 1989). Interestingly, Viana
et al. (1994), testing rats for their tendency to escape from an open
arm of an elevated T-maze (see Zangrossi and Graeff 1997 for behavioural analysis
of this test) into a closed arm, found that neither a benzodiazepine nor
a 5-HT1A agonist reduced the tendency to escape in this situation.
It may be that the effect seen by Sanger et al. (1989) depends on the
use of shock.
Long-term administration of drugs which are clinically effective
against panic can reduce escape from a predator—a reaction that might be related
to human panic attacks (Griebel et al. 1995b).
Overall, as with making a response to obtain a reward, making
a response to avoid a punishment is unaffected by anxiolytic drugs. In addition,
therefore, to perceptual and motor mechanisms, the anxiolytics leave intact
both the perception and anticipation of pain—at least where this is demonstrated
by a specific avoidance response.
These results in learning experiments are, of course, entirely
consistent with the lack of effect of the anxiolytic drugs on predator avoidance
reactions which we considered in Chapter 2. However, they contrast to some extent
with the reported fear-reducing effects of the drugs on learned escape when
electrical stimulation of the central grey is used as the unconditioned stimulus
(see Schenberg and Graeff 1978).
A1.7 Classical conditioning of fear
A lack of effect of anxiolytics on instrumental conditioning reinforced
by avoidance of a shock might seem to entail a lack of effect on classical conditioning
of anticipatory responses to shock. Nonetheless, this possibility can, and needs
to, be tested directly. Surprisingly, the data are not clear on this point.
There are four kinds of relevant experiments. The first is the
procedure originally used by Pavlov (1927) himself, in which one measures a
specific response (e.g. a change in heart rate, defecation, etc.) which is normally
elicited by an aversive unconditioned stimulus (UCS) to see to what extent it
is elicited by a conditioned stimulus (CS) after pairing with the aversive UCS.
The next two employ conditioned suppression procedures in which stimulus– punisher
pairing enables the stimulus to suppress a response on which it is superimposed.
Finally, there are paradigms in which CS– UCS pairing confers on the CS the capacity
to enhance or elicit some innate response.
There is no good evidence that the anti-anxiety drugs affect classical
aversive conditioning when this is measured by discrete responses directly elicited
by the punisher. This is consistent with the results of the previous section
and the ethopharmacological analysis of Chapter 2.
In conditioned suppression procedures, the animal (usually a rat)
is first trained to make a rewarded response such as lever pressing. It then
receives punishment in the presence of a signal, but independently of its bar
pressing behaviour; the consequences of this latter conditioning is suppression—the
bar-pressing declines in probability in the presence of the signal. The stimulus– punisher
pairing may be conducted while the subject performs the instrumental response
used to assay the effect of conditioning. This is termed ‘on-the-baseline’ conditioning.
Or it may be conducted in a separate experimental situation where the response
is impossible. This is termed ‘off-the-baseline’ conditioning.
With simple ‘off-the-baseline’ procedures the data are few and
contradictory (Dantzer and Mormede 1976; Dantzer et al. 1976; and see
references in Gray 1977), but they do not in general show a reduction in conditioned
suppression. It is unclear what we would predict here as the effect of the stimulus
on baseline responding could be the result either of conditioned escape and
avoidance reactions or of a conflict between potential threat and the baseline
response. As we will discuss further, in the context of passive avoidance, the
key feature of the situation may be the extent to which the conditioning of
fear is to a highly discriminable, as opposed to diffuse, source (Blanchard
and Blanchard 1970).
By contrast, anxiolytics, including propranolol (Salmon and Gray
1986), and especially benzodiazepines, often show a reduction in conditioned
suppression in ‘on-the-baseline’ procedures. We will return to an analysis of
the possible differences between these two tasks in Appendix 8, but as with
off-the-baseline procedures the key feature of the anxiolytic-sensitive paradigms
may be a diffuse, as opposed to discrete, source of threat (Blanchard and Blanchard
1970; see also passive avoidance, below). Of particular note, in relation to
data we will be considering on successive discrimination, conditioned suppression
is reduced by chlordiazepoxide even after lengthy overtraining and with the
drug administered in gradually increasing doses to eliminate state-dependence
(McNaughton 1985a). Buspirone appears to have relatively reliable effects
on conditioned suppression (in contrast to its weak effects on punishment) but
imipramine does not appear to have an effect, at least at lower doses (Sanger
1990).
We now come to the fourth type of experiment where fear conditioning
elicits or modulates an innate response. There are three cases to consider:
conditioned freezing, defensive burying, and fear-potentiated startle.
In the conditioned suppression experiments which we have been
considering we might expect there to have been losses of conditioned freezing
as a consequence of the increases in the suppressed operant. But anxiolytics
can also reduce conditioned freezing directly (e.g. Beck and Fibiger
1995) although, as we have seen, they do not affect unconditioned freezing to
a direct threat. It is always possible, therefore, that the observed changes
in conditioned suppression are consequent on changes in conditioned freezing.
As we discussed in Chapter 2, conditioned freezing may, at least in these cases,
be the result of particularly high-intensity behavioural inhibition rather than
being neurologically the same as predator-induced freezing. Indeed, where conditioning
to a specific stimulus has been compared with conditioning to background (‘contextual’)
stimuli, anxiolytics appear to have a much greater effect in the background
case (Melia et al. 1996)—this distinction will be of some theoretical
significance when we come to consider the parallels between anxiolytic drugs
and septo-hippocampal lesions.
Defensive burying has been extensively studied by Treit and colleagues
and is investigated
in the ‘shock-probe burying test’.
In this test, rats are shocked from an electrified probe, and
the duration of time that they spend spraying bedding material towards the probe
(i.e. burying) is the major index of ‘anxiety’. Standard anxiolytic drugs suppress
this burying behaviour, and abolish the elevations in plasma corticosterone
and adrenaline induced by the probe-shock. The suppression of burying by the
benzodiazepines does not appear to be secondary to behavioural sedation, associative
learning deficits, or analgesia, and can be reversed by benzodiazepine receptor
antagonists such as flumazenil. Finally, putative anxiogenic agents increase
the amount of time rats spend burying the probe. . . . It is particularly noteworthy
that the clinically effective 5HT1A antagonist, buspirone, has produced anxiolytic
effects . . . in the shock-probe test, as have other 5HT1A agonists. (Treit
et al. 1993.)
As noted by Blampied and Kirk (1983, p. 695) ‘defensive burying
is an interesting behaviour not least because it involves approach to the source
of noxious stimulation, and because it is so reliably and strongly elicited
by a single aversive experience.’ How far it can be classified as a risk assessment
behaviour is open to question. However, there are two reasons to link it with
risk assessment. First, ‘unconditioned burying of novel objects in the absence
of shock has also been observed’ (Blampied and Kirk 1983, p. 695). Second, it
fulfils the major criterion for an anxiety-related reaction (Chapter 2) in that
it involves approach to a source of potential threat.
In the normal form of this test the drug is present both during
acquisition (the initial experience of the shock) and testing (the observation
of burying). However, if these two phases are separated (with the consequent
risk of state dependency as an explanation for reductions in burying), anxiolytics
are effective when given either in the acquisition phase or in the testing phase
(Blampied and Kirk 1983; Tsuda et al. 1988). In the case of acquisition
treatment (Tsuda et al. 1988), anxiolytic and anxiogenic drugs produced
opposite effects on drug-free testing which reduces the chances that the results
are simply due to state dependency.
Defensive burying can be increased by the presence of the odour
of a conspecific associated with defeat in a prior agonistic encounter. Both
diazepam and buspirone block this potentiation of burying (Hotsenpiller and
Williams 1996).
In fear-potentiated startle (M. Davis 1979), a rat’s startle response
is measured in response to a loud tone. On some trials the tone is preceded
by a light which has previously been paired ‘off-the-baseline’ with footshock.
As a result of this pairing, the light increases (potentiates) the startle response
to the tone. It might be thought that this represents an output from the fight/flight/freezing
system (FFFS; see Chapters 2, 3, and 6) which would contribute to active avoidance.
However, benzodiazepines and buspirone (M. Davis 1979; see M. Davis 1992 for
review) have little effect on, or even increase, the startle response itself
but diminish the potentiation of the startle response produced by the light.
This cannot be an effect on the conditioning of fear itself since not only do
the drugs not affect active avoidance and learned escape (see above), but their
effect on fear-potentiated startle is produced only if they are present in the
test session. If they are given only prior to the light-shock pairing they have
no effect on potentiation. Tenen (1967) reported similar effects with ‘off-the-baseline’1
conditioned suppression: a blockade of the expression but not the acquisition
of conditioned fear (see Gray 1977, for other relevant studies). Alcohol does
not appear to reduce fear-potentiated startle, except perhaps at very high doses,
whereas non-anxiolytic drugs such as haloperidol and amphetamine do (Hijzen
et al. 1995).
Perhaps the most surprising failure of effect is with imipramine
which is ineffective if given either acutely or chronically (Davis 1992). This
lack of effect may be related to the fact that the effect of buspirone on fear-potentiated
startle is not reproduced by systemic administration of 8-OH-DPAT or PCPA, nor
by dorsal or median raphe lesions, suggesting that its effect on this test is
not via 5-HT1A receptors (Davis et al. 1988; but see Mansbach
and Geyer 1988 for contradictory data). Ipsapirone ‘blocked potentiated startle
only at a very high dose (40 mg/kg)’ (Davis et al. 1988, p. 14) and it
may be that a higher dose of imipramine would be effective.
A1.8 Passive avoidance, punishment, two-way active
avoidance, non-spatial active avoidance
We now come to the paradigmatic case of approach– avoidance conflict:
passive avoidance.
Passive avoidance results from the same contingency between response
and reinforcer as does rewarded behaviour. The difference is that the reinforcer
is a punishment rather than a reward and the behaviour declines in frequency.
(It is this increase or decrease in frequency of response which defines
the stimuli as rewards or punishers, see Chapter 3.)
The response may be spontaneous (e.g. drinking, stepping down
from a small platform to the floor of the apparatus) or previously learned (e.g.
running along an alley to obtain food). ‘Passive avoidance’ is used here to
cover both spatial and non-spatial tasks, although some prefer to keep it for
the former and ‘punishment’ for the latter. The distinction between passive
and active avoidance (see Table 3.1 in the printed text) turns on whether the
animal avoids punishment by inhibiting a specified response or by producing
it, respectively.
The importance of this distinction is not self-evident, and theories
of learning before the early 1960s usually treated active and passive avoidance
as equivalent. The effects of drugs (this section) and lesions (Appendix 8)
as well as our analysis in Chapters 2 and 3 suggest that they are quite distinct.
Another distinction which should be important, given the theoretical
analysis we have provided so far, reflects the discriminability of the source
of shock—and hence the degree of conflict engendered by the procedure. In many
cases of passive avoidance, of course, a specific baseline response is punished
and here conflict will always be produced. However, in other cases, the shock
is associated with a specific object or location. Here, if the animal can detect
that a particular object or location is the source of the shock, this should
produce active escape from or avoidance of the object and, unless there is some
separate reason for approaching the object (e.g. an electrified water spout
in the case of a thirsty rat), there will be no conflict. Nonetheless, as emphasized
by Blanchard and Blanchard (1970), if the object is poorly discriminable this
can result in general behavioural inhibition which is quite different from the
discrete avoidance seen with a highly discriminable shock object.
In their experiments:
female rats received shock through objects varying in discriminability.
Poorly discriminable objects elicited rapid avoidance acquisition, with suppression
of activity and subsequent avoidance of the shock chamber (increased entry latencies).
Highly discriminable shock objects also elicited rapid acquisition of avoidance,
but without activity suppression or chamber avoidance. This pattern of findings
suggests dual mechanisms for passive avoidance, with discriminated avoidance
underlying failure to contact highly discriminable shock objects, and response
suppression (immobility) underlying avoidance of poorly discriminable sources
of threat. (Blanchard and Blanchard 1970, p. 1.)
It should be noted that the issue here is how the animal perceives
the situation, rather than how the experimenter views the formal contingencies
(an issue we have met before). This distinction between active avoidance, on
the one hand, and response suppression, on the other (both being within what
is, in formal paradigmatic terms, passive avoidance), is also important for
the effects of the anxiolytic drugs. For example, Waddington and Olley (1977)
studied the effects of chlordiazepoxide on ‘step-down’ passive avoidance under
two training conditions. The animal’s task was to refrain from stepping down
from a safe, elevated platform to an electrified grid floor. In the first training
condition the rat was removed from the apparatus immediately after it had been
shocked and replaced later on the platform. In the second, the rat was shocked
until it returned of its own accord to the safe platform. This second procedure,
therefore, allowed the animals to solve the problem via an active escape contingency
(returning to the safe platform) as well as the passive avoidance contingency
(refraining from stepping down). As we would expect, chlordiazepoxide increased
the tendency to step down from the platform in the first condition. It failed
to produce any effect in the second condition, indicating that in this case
the FFFS rather than the BIS (behavioural inhibition system; Chapter 5) was
controlling behaviour.
Consistent with this, the anxiolytic drugs (probably including
beta blockers) all impair passive avoidance in spatial tasks; that is the drugged
animals emit the punished response at a higher rate than controls. This effect
is less dramatic with the benzodiazepines than with the barbiturates or alcohol
but is directly related to their capacity to bind to benzodiazepine receptors
(Lippa et al. 1978) and appears to be unrelated to their sedative side-effects
(Sanger et al. 1995). The 5-HT1A agonists can have equivalent
effects to benzodiazepines (Merlo Pich and Samanin 1986; De Vry et al.
1989; Albinsson et al. 1994; Riekkinen 1994; see Traber and Glaser 1987;
Griebel 1995, Table 1) although they often have weak or null effects (see Broekkamp
et al. 1989; Howard and Pollard 1990; see Griebel 1995, Table 1), except,
apparently, when pigeons are used as subjects (Barrett et al. 1986, 1994;
see review by Barrett and Vanover 1993; but see also Benvega and Leander 1996)
or when the drugs are administered chronically before testing (Yamashita et
al. 1995). In the case of imipramine, chronic administration changes an
apparently anxiogenic effect into an anxiolytic one (Fontana and Commissaris
1988).
In operant chambers and other non-spatial tasks the barbiturates
and benzodiazepines also reduce passive avoidance. The data on the effects of
alcohol are similar, but less clear (Falk 1971; Cook and Davidson 1973; Leander
et al. 1976). Propranolol only has effects if the shock level is low
(Salmon and Gray 1986). 5-HT1A agonists frequently have no effect
(e.g. Kuribara 1994; Broekkamp et al. 1989); however, tandospirone (a
relative of buspirone) has been shown to reduce the suppression of licking in
a Vogel-like conflict task (drinking of water simultaneously punished by electric
shock) by a direct action on the dorsal hippocampus (Kataoka et al. 1991).
Acute imipramine is, again, sometimes ‘anxiogenic’.
In contrast, therefore, to one-way active avoidance, anxiolytic
drugs impair passive avoidance (see also further discussion in Gray 1982, Chapter
2), but the effects of novel anxiolytics are less clear in non-spatial tasks
(see for example Table 1 in Barrett and Gleeson 1991) and with acute administration.
Benzodiazepines and 5-HT1A agonists also release responding when
this is inhibited by omission of a safety signal (Charrier et al. 1994).
This is consistent with the analysis of Chapters 2 and 3.
Care must be taken in interpreting some of these data given the
effects of many of these drugs on food and water intake (see above and Cooper
1991) and the relative lack of effect of buspirone may in many cases reflect
its lesser effect than benzodiazepines on water intake. The effect of buspirone
on conditioned suppression of drinking has also been attributed to its action
on alpha-2-adrenoceptors (Gower and Tricklebank 1988; see also La Marca and
Dunn 1994).
It is important to note here that the effect of the drugs is not
simply to prevent the animal from inhibiting a response as such but is a genuine
shift of the approach– avoidance conflict in the direction of approach. This
reflects an alteration in the motivational consequences of anxiety. Thus Hascöet
et al. (1994) provided their animals with a choice between reinforcement
on a fixed ratio (FR) 1 schedule for food + punishment and an FR8 for food without
punishment. Diazepam and a range of 5-HT1A agonists all increased
the number of punished responses. Likewise, anxiolytic drugs greatly reduce
the occurrence of the stretched approach/stretched attention/flat back approach
posture which appears to result from a balance between approach and avoidance
behaviour (Molewijk et al. 1995).
Oddly enough, when given after acquisition of passive avoidance
is complete, the 5-HT1A agonists can impair performance under conditions
where benzodiazepines and imipramine are without effect (Sanger et al.
1989; see also Broekkamp et al. 1984; Nabeshima et al. 1990; Carli
et al. 1992a), although benzodiazepines can have effects on recall
of taste aversion conditioning (Roache and Zabik 1986; but see Delamater and
Treit 1988). Given our conclusion, later, that 5-HT1A agonists may
be less amnestic than benzodiazepines, and the fact that this effect on passive
avoidance cannot be anxiolytic (since it is not produced by the benzodiazepines),
it seems likely that it follows some form of state dependency.
Two-way active avoidance is the case in which the dangerous and
safe compartments of an apparatus are interchangeable. The main difference between
two-way and one-way avoidance is that the animal must shuttle between the compartments,
rather than being transferred in one direction by the experimenter. The complexities
of this task are discussed in Chapter 2 of the first edition. But, it can be
viewed, in the present context, as simply facing the animal, on any one trial,
with an active avoidance aspect (to move from the now dangerous compartment)
pitted against a passive avoidance aspect (to avoid the previously dangerous
compartment). Since one-way active avoidance is unaffected by anxiolytics and
passive avoidance is impaired by them, one would predict that two-way avoidance
would be improved. This is indeed the case. (In passing it should be noted that
this test can be viewed as an avoidance– avoidance conflict rather than an approach– avoidance
conflict—but conflict nonetheless it is.)
Rather similar findings have been reported in studies of non-spatial
active avoidance. This has usually been studied in operant chambers with Sidman
avoidance schedules. Such a schedule is defined by two parameters, the shock– shock
and the response– shock intervals. The former is usually substantially shorter
than the latter. In the absence of a response, shocks occur regularly at the
shock– shock interval; each response postpones the next shock by the time defined
by the response– shock interval. Note that there is no explicit warning signal
in this procedure. Time since the last response or since the last shock provides
the only predictor. Low doses of anxiolytic drugs, given to animals which have
learnt to bar press on this schedule, improve performance. This is particularly
the case in animals which performed poorly in the undrugged state. Bignami et
al. (1971) suggest that this results from a reduction in the response– suppressant
effects of the secondary aversive stimuli constituted by the general experimental
environment—a direct analogue of the situation in two-way active avoidance and
also of the situation analysed by Blanchard and Blanchard (1970).
To our knowledge, buspirone has not been tested on two-way avoidance,
and the results are difficult to predict given its capacity to impair active
avoidance and its somewhat weaker effects on passive avoidance than classical
anxiolytics.
The recurrence of diffuse or spatial stimuli as a factor in making
tasks drug sensitive is something to which we will return in later appendices.
A1.9 Reward omission, successive discrimination,
and related schedules
In passive avoidance, presentation of a response-contingent punisher
inhibits a spontaneous or previously learned response. We have already seen
that omission of an expected reward has many of the properties of a punisher.
However, in addition, it carries a virtual guarantee of conflict since the same
response which previously generated the expected reward is that which, by definition,
gives rise to the omission of the expected reward. As we might expect from this,
when injected during extinction, the anxiolytic drugs reduce the rate of extinction
in both operant chambers and runways. Interestingly, benzodiazepines can still
have this effect on extinction if they are administered for 12 days, not administered
for 4 weeks during which they should wash out of the animal’s system, with the
animal then being both trained and extinguished with no further drug administration
(Shemer et al. 1984). Novel anxiolytics do not appear to have been tested
on extinction.
Extinction can be thought of as the simplest case of both successive
discrimination and a variety of schedules of reward omission. In all of these
a requirement to respond under some circumstances is pitted against an explicit
or implicit requirement to inhibit responding under others.
The closest relative to extinction is reversal of a simultaneous
discrimination. As we noted in the section on reward, simultaneous discriminations
are unaffected by anxiolytic drugs. The reversal of such a discrimination (where
the old S– becomes S+ and vice versa) is impaired by barbiturates (Bindra and
Reichert 1967; Caul 1967). It is unfortunate that more experiments of this kind
have not been reported, since, as we shall see, reversal learning is particularly
sensitive to septal and hippocampal lesions. This effect on reversal learning
occurs whether the reinforcer is a reward or a punisher (Bindra and Reichert
1967).
In successive discrimination the positive (S+) and negative (S– )
stimuli are presented separately in time, and the animal’s task is to respond
in the presence of S+ and to refrain from responding in the presence of S– .
In stark contrast to the lack of effect of anxiolytic drugs on simultaneous
discriminations, and as with extinction and reversal, anxiolytic drugs almost
always impair successive discriminations in both spatial and non-spatial apparatus.
Propranolol is effective in operant successive discrimination (Salmon and Gray
1986) and buspirone has similar effects but only in a narrow dose range (Panickar
and McNaughton 1991a; see also Stanhope and Dourish 1996).
An interesting exception to this rule occurs when well-trained
animals are given an anxiolytic drug in increasing doses. With conventional
delivery (e.g. doses of 0, 5, 5, 0 mg/kg chlordiazepoxide on successive days)
anxiolytics decrease successive discrimination. However, with modestly graded
delivery (0, 2.5, 5, 5, 5 . . . mg/kg) no effect is obtained unless the drug
is given during acquisition of the schedule (Vachon et al. 1982; McNaughton
1985a; see also review by Cole 1986). This suggests that the effects
of anxiolytics, provided that they are given once successive discrimination
has become well learned, are due to state dependency (i.e. the fact that
the drug state has changed rather than the presence of the drug itself). We
thus have the situation that the drugs can affect acquisition of successive
discrimination in a non-state-dependent manner and, as we saw earlier, they
affect both acquisition of, and well-learned, conditioned suppression in a non-state-dependent
manner. But they do not affect well-learned successive discrimination except
through state dependency. This pattern of results is consistent with the explanation
we presented in Chapter 3 for the persistence of active avoidance. Let us consider
the case with shock as opposed to non-reward. In well-trained successive discrimination
the animal no longer receives regular shocks and will feel no fear. Its lack
of responding will have become dependent on habit in exactly the same way as
the presence of responding in active avoidance. However, in the conditioned
suppression case, delivery of shock is not altered by the reduction in responding;
shock will occur with as great a frequency after extended training as it did
at the start of training, and so the animal will remain fearful. Given the equivalence
of shock and omission of expected reward for which we have argued, the same
argument should hold for successive discrimination based on non-reward.
Intermittent schedules of reinforcement can be considered as varieties
of successive discrimination in which time or reward, as opposed to an explicit
neutral stimulus, provides the continuing cue for response inhibition. In single
alternation, the relevant cue is the outcome of the previous trial. The animal
learns that reward signals non-reward and vice versa. On a fixed interval (FI)
schedule, delivery of reward is a reliable signal that, for the period of the
interval (typically 1 min) responses will not be rewarded (Staddon 1970, 1972).
Similarly, in ‘differential reinforcement of low rates of response’ (DRL) the
making of a response, whether it is rewarded or not, delays the next reward
by the DRL interval (typically 15– 20 s). Thus the making of the response is
a reliable signal of a non-reward period. With both FI and DRL, response rates
in control animals are much lower after the event which signals the start of
the interval and, in well-trained animals, responding peaks at the end of the
non-reward period.
In each of single alternation and DRL, classical anxiolytic drugs
increase responding more in the non-reward period than they do in the reward
period. In FI more general increases are observed, possibly because of the difficulty
of separating reward from non-reward periods. Buspirone has been tested on both
FI and DRL and can produce similar effects to classical anxiolytics, but only
in a narrow dose range (Panickar and McNaughton 1991b, 1992). Interestingly,
the newer partial benzodiazepine agonists, which lack the major side-effects
of the full agonists, also appear to have rather weak effects on DRL (Stephens
and Voet 1994) as may propranolol (Salmon and Gray 1985a,b). In
a DRL72 task (which is often viewed as a screen for antidepressant rather than
anxiolytic drugs) buspirone has similar effects to diazepam except on burst
responding (responses with very short inter-response intervals), where they
have opposite effects (Richards et al. 1994). The effects of buspirone
on FI become much more like those of the benzodiazepines if it is given for
a long period before the start of training (Zhu and McNaughton 1995) or if corticosterone
levels are held constant (McNaughton et al. 1996). In pigeons, gepirone
and 8-OH-DPAT have the opposite effect to buspirone, increasing rather than
decreasing FI responding, suggesting that the DA2 antagonist properties of the
latter may be masking its anxiolytic effects (Barrett et al. 1988).
Similar considerations apply to fixed ratio (FR) schedules. On
these the animal must make a specified number of responses for reward to be
obtained. With large ratios, reward necessarily signals a period of non-reward
and a pronounced pause in responding develops. Anxiolytic drugs increase responding
on these schedules, but it is not clear that they shorten the post-reinforcement
pause.
The anxiolytic drugs also antagonize the behavioural effects of
non-reward when reward is not removed completely, but merely reduced in quantity.
Large rewards sustain higher levels of performance than small rewards. If animals
that are accustomed to receiving large rewards are unexpectedly switched to
a small reward, their performance drops to a level lower even than that sustained
by accustomed low reward. This undershoot, ‘contrast effect’, or ‘depression
effect’ (Crespi 1942; Baltzer and Weiskrantz 1979) is blocked or attenuated
by barbiturates and benzodiazepines (Baltzer et al. 1979; and references
in Gray 1977) even when the contrast effect depends on safety signals rather
than reward (Torres et al. 1994), but not, surprisingly, by 5-HT1A
agonists given either acutely or chronically (Flaherty et al. 1990).
A variable interval (VI) or random interval (RI) schedule is similar
to FI and DRL schedules except that the precise length of the interval is uncertain.
This has the important consequence that the animal no longer has a reliable
signal of periods of low probability of reinforcement. In consequence, response
rates remain fairly high and stable, with no pause after reward is delivered.
The anxiolytics have no consistent effects on response rate in these schedules
but on occasion produce a mild increase in responding.
The data reviewed in this section, taken with the earlier data
on rewarded tasks and simultaneous discrimination and on active versus inhibitory
avoidance conditioning, lead to the conclusion that animals treated with anxiolytic
drugs over-respond at times when control animals are actively inhibiting some
prepotent response as a result of conflicting response tendencies. They provide
quite different evidence, then, for the existence of the behavioural inhibition
system, which was postulated on purely behavioural grounds in Chapter 3. They
also reinforce the view that the anxiolytic drugs (as a global class, excluding
side-effects) can be used as markers or probes for the operation of the BIS.
In the following sections we will allow the anxiolytic drugs to
take us into territory which, at first sight, seems unrelated to the threat
systems we have been considering up to this point. However, as we noted at the
beginning of the appendix, while not involving any clear threat, except that
involved in loss of food, when anxiolytic drugs have effects in these tasks
we will be able to discern involvement of the BIS in the fact that they involve
approach– approach conflicts in which a previously appropriate response must
be inhibited.
A1.10 Maze learning
The effects of anxiolytic drugs in mazes are of particular interest
in relation to the spatial view of the hippocampus (see Chapter 7 of the printed
text). It is unfortunate, therefore, that very few experiments have been done
with complex mazes (none are reported in Gray 1977).
The logically simplest type of maze is the T-maze, in which there
are only two possible choices—one correct and one incorrect. As with other simultaneous
discriminations, anxiolytic drugs do not impair simultaneous spatial discrimination—when
one arm of the T is always correct.
The next level of complexity is represented by spatial alternation.
While there are no direct tests reported with learned alternation, studies have
been undertaken with spontaneous alternation. In this procedure the animal is
simply placed in the stem of a T-maze and allowed to explore freely. The first
choice of arm (left or right) is recorded, and the procedure is repeated. On
the second trial about 70 to 80 per cent of normal animals typically choose
the arm opposite to the one chosen on the first trial. Animals treated with
anxiolytics choose at random (Douglas and Truncer 1976; Gray 1977). A detail
to which we will return when we consider the radial-arm maze is that with the
benzodiazepine chlordiazepoxide, a high dose (20 mg/kg, Granjean and Bättig
1962; Iwahara et al. 1972) eliminates spontaneous alternation, but it
is ineffective at a dose (5 mg/kg; Panickar and McNaughton, unpublished data)
which would be effective in tasks such as successive discrimination, FI, DRL,
and many others.
Alternation in normal animals is in part due to a tendency to
vary the goal arm chosen (‘stimulus alternation’) and in part a tendency to
vary the direction of body turn (‘response alternation’). Anxiolytics appear
to affect response alternation but not stimulus alternation (McNaughton and
Feldon 1980).
In a radial-arm maze task, the rat is placed in the centre of
a maze in the shape of a star burst where there are typically 8 or 16 arms.
In the simplest version of this task all arms contain a piece of food at the
beginning of any one trial and the most efficient performance is for the rat
to visit each arm only once. This might seem very simple in that this outcome
can be achieved by a rule such as ‘turn sharp left as you come out of each arm’.
In practice, rats do not solve the task in this way, tending to choose arms
roughly opposite to that which they have just visited. They must, therefore,
maintain in working memory information (possibly spatial information) about
the arms they have visited. We discussed different types of memory more in Chapter
6. Suffice it to say here that a normally anxiolytic dose of chlordiazepoxide
(5 mg/kg) is without effect in this task (data from Rawlins cited by McNaughton
et al. 1980) but, as with spontaneous alternation, a high dose (20 mg/kg)
is effective (Rawlins, personal communication). The 5-HT1A agonists
also impair performance in the radial-arm maze (Winter and Petti 1987). Interestingly,
if only four arms are baited, and these are cued with pieces of sandpaper which
are changed in spatial position from trial to trial, then 5 mg/kg of chlordiazepoxide
is sufficient to produce a deficit in acquisition of this task (Hodges and Green
1986; Olaman and McNaughton, in preparation). This task is discussed in more
detail below.
Probably the quintessential test of spatial navigation, and nowadays
the most commonly used maze in relation to temporal lobe lesions, is the Morris
water maze (Morris 1981, 1984). This consists of a circular featureless swimming
pool which contains a submerged, and hence invisible, platform which is always
located in the same spatial position. The rat is placed in the pool at different
positions on different trials and control rats quickly learn to find the platform
and to swim almost directly to it. The invisibility of the platform also allows
for the use of transfer tests to determine what the rat has learnt. In the transfer
test, at the end of acquisition of the task, the rat is placed in the water
as usual, but there is no platform to swim to. Control rats show that they know
the precise position at which the platform should have been located. They swim
to this position and then swim in very tight circles on the spot where the platform
would have been (Fig. 4.2).
Chlordiazepoxide, buspirone, the 5-HT1A agonist 8-OH-DPAT,
ethanol, and other anxiolytic drugs eliminate acquisition of spatial
navigation in the water maze (McNaughton and Morris 1987, 1992; Devenport et
al. 1989; Rowan et al. 1990; McNamara and Skelton 1991, 1992; Carli
and Samanin 1992; Keith and Galizio 1997) while leaving intact non-spatial (or
less accurate) strategies for finding the platform. It is of note that in this
task, unlike those we have considered above, buspirone has a purely linear dose– response
curve (McNaughton and Morris 1992). The 5-HT1A agonist 8-OH-DPAT
also impairs the capacity of rats to learn a spatially-based discrimination
between a real and a false platform when injected both systemically and into
the hippocampus (Carli and Samanin 1992; Carli et al. 1992b) and
its systemic effect can be blocked by injection of a 5-HT1A antagonist
into the hippocampus (Carli et al. 1995). An exception to this general
pattern is the report that even high doses of pentobarbitone do not affect acquisition
in the water maze in mice (Beaudin and Lalonde 1997).
There are two features of the effects of anxiolytics in the water
maze which are particularly important for our analysis of behavioural inhibition.
These are discussed more fully in Chapter 4, but will be mentioned here.
First, it is clear that the rats are motivated to learn the task
and are capable of at least some learning. On successive trials in the apparatus,
they reduce the distance they swim markedly and towards the end of acquisition
appear, on the basis of path length, to be solving the task nearly as well as
controls. However, in the transfer test, they swim straight through the position
at which the platform would have been (Fig. 4.2) and show little indication
that they know where it is. This shows they have a simple rule which allows
them to bump into it.
Second, while this task could be viewed as involving aversive
motivation (specifically a desire to escape from the water), it should be noted
that it is formally an escape or active avoidance task not one involving
passive avoidance. However, we concluded above that it is only passive and not
active avoidance tasks which anxiolytic drugs normally impair.
The deficit produced by anxiolytic drugs in this task cannot therefore
be attributed to the use of a negative reinforcer. Nor can it be attributed
to a general failure of memory, since respectable learning occurs but accuracy
is reduced by a failure to determine the position of (or at least correctly
approach) the platform. Nor can it be attributed, except ad hoc, to a loss of
specifically spatial capacities since many of the other tasks we have considered
(FI, DRL, etc.) are not distinguished by specifically spatial requirements.
Furthermore, administration of buspirone only during the probe trial at the
end of acquisition has no effect (Rowan et al. 1990) and diazepam has
no effect on performance (McNamara and Skelton 1991; see also Kant et al.
1996) or even on acquisition if the rats have first been habituated to swimming
in the maze (Zanotti et al. 1994) as a result of the elimination of interfering
strategies such as thigmotaxis (Cain 1997). Sufficiently long (30 day) pre-treatment
with diazepam can also induce tolerance (McNamara and Skelton 1997).
This point is emphasized when we view spatial tasks as a whole.
In this section we have seen a progression from simple to complex tasks. In
the simplest, there was little effect of the drugs; in the more complex (alternation
and radial-arm maze), there was a clear effect only at high doses; finally,
in the most complex (spatial navigation as opposed to other solutions of the
water maze), there was total abolition of the capacity. This emphasis on complexity,
as opposed to space, is underscored by two facts. First, an increasing sensitivity
to drugs with increasing complexity of task characterizes the data in all the
previous sections—in tasks which have no obvious spatial component. Second,
as noted above, if the radial-arm maze is modified to be more complex, but less
spatial, anxiolytics become effective even at low doses. Instead of putting
food in all eight arms of the maze, one can place food in only four and
signal which four by placing, for example, a piece of sandpaper at the end of
each baited arm. The arms containing the food are changed from trial to trial.
Chlordiazepoxide at 5 mg/kg significantly impairs acquisition of this task (Hodges
and Green 1986; McNaughton and Olaman, in preparation).
Complexity is a rather elastic term and does not seem to relate
very well to the idea of conflict which has been at the root of all our analysis
so far. In the case of the water maze, we can make some progress to closing
this gap. As we will discuss later (Appendices 8 and 9), septo-hippocampal lesions
produce an even larger deficit in spatial navigation in the water maze than
do anxiolytic drugs. However, there are a number of data that suggest that space,
qua space, is not the critical factor in determining the lesion deficit. For
example, Eichenbaum et al. (1990) found that rats with fimbria– fornix
lesions (which disconnected the septum from the hippocampus) could perform the
task nearly as well as controls, but only if they started from the same position
on every trial, and yet a probe trial showed that they were solving the problem
using spatial cues and not some simpler rule. The main cause of the drug deficit
in the standard form of the maze may be due to an inability to inhibit conflicting
response tendencies when starting from different positions on each trial.
A1.11 Responses to novelty
Almost always when an experimenter studies an animal, the latter
will instantly be faced with novel stimuli. In almost all cases, also, the animal
must first react appropriately to these novel stimuli and classify them correctly
before it can decide how it should then behave. It may seem surprising, therefore,
that we have left discussion of novelty so late.
Unfortunately, both motivationally speaking and in terms of experimental
control of critical variables, novelty is complex and in many respects intractable.
Animals will both approach novel stimuli in order to explore them and avoid
novel situations if the intensity of novelty is too great. This latter effect
may be analogous to the situation with ‘neutral’ stimuli where a sufficient
increase in intensity will render them aversive. The ‘intensity’ of novelty
is, of course, a function of the experience which the animal has had with the
stimuli concerned. As a result, starting at an unpredictable value, the balance
shifts from avoidance to approach with repeated or continued exposure to a specific
set of stimuli (until all novelty is totally lost and the stimuli become neutral).
Of particular concern is that it may be difficult to determine whether any specific
behaviour observed in a novel situation (as opposed to that to an introduced
novel stimulus in a situation to which the animal is habituated) is the result
of approach, avoidance, or the risk assessment which can result from a conflict
between the two. Furthermore, in many situations used to test anxiolytic drugs,
the aversive components can give rise to both active and passive avoidance components
(see for example Viana et al. 1994). As we saw above, we would expect
the active avoidance to be insensitive and the passive avoidance to be sensitive
to anxiolytic drugs.
Responses to ‘high intensity’ novelty have played a substantial
role in investigations of individual differences in fearfulness and their genetic
(Broadhurst 1960), ontogenetic (Levine 1962), and hormonal (Gray 1971b)
bases (see Gray 1987 for a review).
In the high-stress open-field test, for example, the animal is
taken from its home cage and placed in a large arena, usually brightly lit and
sometimes located under a source of loud noise. Measures are taken of its exploratory
behaviour (ambulation and rearing on the hind legs) and of its level of defecation
and urination. There is good evidence that high fearfulness is accompanied by
high defecation scores (Broadhurst 1960, 1975; Gray 1971a, 1979). The
relation between ambulation and fearfulness is more complex. Ambulation is positively
related to fearfulness when the animal is first exposed to the open field, but
subsequently this relation becomes negative (see Gray 1982, Section 2.10). We
will return to this issue in Appendix 10 (and see Chapter 12 for recent genetic
analyses).
The effects of anxiolytic drugs on open-field behaviour are complicated.
There is no good evidence that they produce a reduction in responses, such as
defecation, directly elicited by aversive aspects of novelty. They increase
ambulation under some conditions, but the pattern of results does not suggest
that this is necessarily mediated by changes in fear (Gray 1982, Section 2.10).
These results are consistent with the lack of effect of anxiolytics on responses
directly elicited by punishers. 5-HT1A agonists actually induce defecation
under conditions in which control rats do not defecate (Croci et al.
1995). Anxiolytic drugs, including buspirone, decrease the tendency of mice
to keep to the walls of an open field (thigmotaxis) independently of whether
they increase or decrease ambulation itself (Simon et al. 1994).
Anxiolytic drugs usually produce a reduction in rearing (Iwahara
and Sakama 1972; Thiébot et al. 1973, 1976; McNaughton 1985b;
Griebel et al. 1992). However, these results must be placed in the context
of the Blanchards’ analysis of risk assessment (e.g. Blanchard et al.
1991). As will be remembered (Chapter 2), they found an inverted U-shaped relationship
between rearing and the intensity of potential threat. That is, at high levels
of potential threat rearing was low (and could be increased by anxiolytic drugs),
while at intermediate levels of potential threat rearing was high and was reduced
by anxiolytic drugs. In both cases, of course, the effect of the anxiolytic
drugs was to move the behaviour in the direction of lower perceived threat.
Consistent with this, while McNaughton found that an anxiolytic decreased rearing
in a low-stress version of the open field (McNaughton 1985b), he found
it increased rearing in a high-stress version (McNaughton et al. 1984).
Likewise, Fukuda and Iwahara (1974) found that anxiolytics increased rearing
in the first few minutes of their test, when anxiety might be presumed to be
highest, and this was followed by a decrease in rearing subsequently when anxiety
was likely to have moderated (see also Rodgers and Shepherd 1993). All of these
data are consistent with the view that (a) rearing is an integral part of environmental
scanning and risk assessment behaviour and (b) anxiolytics reduce the level
of perceived risk or conflict (Blanchard et al. 1990; see also Griebel
et al. 1997 on the relative effectiveness of 5-HT1A agonists
as opposed to other 5-HT subtypes on risk assessment behaviour).
Interestingly, rearing in the low-stress open field is a second
case (the first being the water maze) where buspirone has a linear dose– response
curve (Panickar and McNaughton 1991a) as does 8-OHDPAT (Broekkamp et
al. 1989). This prompts the speculation that the reduction in rearing in
response to novelty could be related to the deficits seen in the water maze.
On reaching the safe platform, undrugged rats in this apparatus spend considerable
time rearing (N. McNaughton, anecdotal observations). It may be then that the
reduction in rearing in the open field is a sign of a more general loss of the
capacity to gather information to resolve conflicts.2
Defecation, ambulation and rearing are all, in one sense or another,
responses elicited by novelty. A range of other tests appear to reflect
(as in the Visible Burrow System, Chapter 2) concurrent behavioural inhibition:
eating, drinking, emergence, social interaction, the black– white box, and the
elevated plus maze. In all these cases, novelty suppresses prepotent behaviour.
In some, stimulus manipulations, such as the use of bright lights and noise
in the open field test, bright lights in the social interaction test (File and
Hyde 1978; File 1980), or other stimuli (omission of side walls in the elevated
plus maze, openness and whiteness in the black– white box), can be used to increase
stress and increase inhibition. Classical anxiolytic drugs reduce inhibition
in all these situations (Gray 1982, Section 2.10). However, buspirone is often
reported to be without effect in the elevated plus maze (see Table 5 in Rodgers
and Cole 1994) and the social interaction test (see Barrett and Vanover 1993)
although buspirone’s effects may be somewhat more robust in the latter (File
and Andrews 1994). Imipramine is effective in neither test and propranolol is
only occasionally effective. Buspirone, and other 5-HT1A compounds
and antidepressants also, with acute administration, appear to be ineffective
with novelty-suppressed eating (Bodnoff et al. 1989). Theoretically this
is surprising, given the clear basis for linking such inhibition with the behavioural
inhibition seen in response to potential threat and may depend on the precise
procedures used to test the animals (Hogg 1996). However, buspirone’s effects
may be clearer with the more recent use of ethologically derived measures in
the plus maze (Rodgers and Cole 1994; Rodgers and Dalvi 1997; see Dawson and
Tricklebank 1995 for a contrary opinion; and Rodgers et al. 1997 for
a review) and (as with fixed interval responding) if it is administered chronically
before testing (Cole and Rodgers 1994). Chronic administration also results
in ‘anxiolytic’ effects on novelty-suppressed eating (Bodnoff et al.
1989) as it does with other antidepressant drugs (Bodnoff et al. 1988).
One possibility (Johnston and File 1988) is that the release of
corticosterone by buspirone blocks its anxiolytic effects and that this effect
occurs even at the lowest effective doses in these two tests because of particularly
marked endogenous release of corticosterone (e.g. File et al. 1994).
If this speculation is the case, anxiolytic effects of buspirone would be seen
in these tests if adrenalectomized rats were used (preferably with exogenous
replacement of normal basal corticosterone levels—see McNaughton et al.
1996 for an example of this type of result with a fixed interval schedule).
Certainly, stress can interact with drugs in strange ways in the elevated plus
maze. Different stressors which elevate corticosterone to similar amounts can
produce quite different effects from each other on baseline responding (perhaps
because of the different time course of the raised corticosterone levels) and
such stressors can reverse the effects of 5-HT1A agonists (McBlane
and Handley 1994).
Buspirone also appears to differ from the purer 5-HT1A
agonist, 8-OH-DPAT, both in not having an anxiolytic effect in this test and
in producing its anxiogenic effects through receptors other than 5-HT1A
(Collinson and Dawson 1997). File et al. (1996) suggest that the weak
effects of 5-HT1A agonists could be due to opposite actions on median
raphe autoreceptors (producing an anxiolytic effect) and on hippocampal terminals
(producing an anxiogenic effect) with reductions in hippocampal 5-HT transmission
being anxiolytic. If this is true then a subtle difference in the type of the
5-HT1A receptors in the two areas could explain the differences between
8-OHDPAT and buspirone.
By contrast to the effects of buspirone on the elevated plus maze,
ipsapirone, like diazepam, increases emergence in the elevated T-maze (Viana
et al. 1994). It seems likely that this is due to the fact that this
test has isolated the passive avoidance component from other aspects (e.g. active
avoidance) of the plus maze, rather than there being a major difference between
buspirone and ipsapirone.
A disadvantage of the tests we have looked at so far in this section
is that the experimenter places the animal in an environment which contains
both novel and non-novel features and simply observes behaviour—with little
experimental control of the changes observed. It is then difficult to distinguish
approach to one stimulus from avoidance of another or from behaviour designed
to assess risk given the conflict inherent in the situation. One way to approach
this problem is to measure exploratory behaviour that is evoked by discrete
novel elements in a non-novel environment (as distinct from locomotion in a
generally novel environment). Behaviour of this kind is generally decreased
by the anxiolytic drugs.
Hughes (1972; Hughes and Syme 1972; Hughes and Greig 1975), for
example, put rats into one-half of a two-compartment box, then removed them
and injected them with chlordiazepoxide or placebo before returning them to
the apparatus with both halves now open. The drug reduced entries into the novel
side of the box even though it increased overall locomotion. In a similar experiment
with sodium amylobarbitone, Ison et al. (1966) placed rats in the stem
of a T-maze separated by glass partitions from the two arms, of which one was
black and one was white. After 3 min the rat was removed, one of the arms was
changed so that they were now both black or both white, and the rat was returned
to the stem of the T-maze. As in other experiments using this technique, normal
rats chose to enter the changed arm about 75 per cent of the time; the rats
drugged with sodium amylobarbitone chose at random.
A lone experiment by McGonigle et al. (1967) has taken
this type of analysis further by measuring the degree to which a drugged animal
learns about a novel element in its environment. They trained rats on
a random 50 per cent partial reinforcement (PRF) schedule to choose the positive
cue (black or white) in a choice box. Choice of the negative cue was never rewarded.
The rats were then shifted to a combined-cue discrimination (black versus white
and horizontal versus vertical stripes, both types of cue being presented together)
in which the original positive cue (e.g. black) remained positive. During this
stage of the experiment, half the animals received sodium amylobarbitone and
half received placebo. Finally, transfer tests were conducted with only horizontal
versus vertical stripes and no drug. Controls chose correctly on 80 per cent
of transfer trials, but the animals which had received the drug showed no learning
about the novel cue. This suggests that the drugs impair the capacity of a novel
cue to gain control of behaviour. However, it is possible that the use of a
PRF schedule could be as important as novelty in inducing switching in the control
animals (see next section).
It is unfortunate that other workers have not followed the lead
set by McGonigle et al. (1967). Not only is there a need to eliminate
the confounds noted above, but there is a rich theoretical and experimental
literature on the role of attention in animal learning (e.g. Sutherland and
Mackintosh 1971; and see McGaughy et al. 1994 for effects of chlordiazepoxide
on ‘divided attention’), from which many tests of learning about novel cues
similar that of McGonigle et al. might easily be derived.
The analysis of novelty is procedurally much more difficult than
the analysis of rewards and punishers (which is one reason why we have left
its consideration until now). However, if we take the findings obtained with
the latter as our guide, some semblance of order can be detected in the results
reviewed in the present section.
First, let us consider the immediate eliciting effects of novel
stimuli. Startle, defecation, and, at least in low-stress cases, ambulation,
are, like the eliciting effects of rewards and punishers, unaffected by anxiolytic
drugs. Of these, the theoretically least tractable is ambulation. If this were
taken as a risk assessment behaviour, it should be (in general) reduced by anxiolytic
drugs. However, ambulation could involve both risk assessment and avoidance
of aversive stimuli. In this context it is interesting that while the effects
of the anxiolytic drugs are, in one sense, inconsistent, they appear to remove
a source of variation in the control data. Thus high levels of ambulation are
reduced and low levels are increased across different experiments with varying
control groups so that all the experiments show the same behaviour in the drugged
groups (McNaughton 1985b).
Second, let us consider the behavioural inhibition produced by
novel stimuli. Like the inhibitory effects of punishers, these are reduced by
anxiolytic drugs (although there may be some question about this in the case
of the effects of buspirone on the elevated plus maze and social interaction
test). In this context, it is interesting to note that the conditioned suppression
produced by a stimulus paired with food is not affected by chlordiazepoxide
(Miczek 1973). There are a variety of reasons for treating this ‘positive conditioned
suppression’ as a special case (Davison et al. 1980; McNaughton 1989,
Section 9.8). But the key issue is (as we have emphasized before) not the specific
arrangement of stimuli, nor the specific direction of behavioural change, but
the extent to which the observed behavioural inhibition depends on conflict.
Third, let us consider approach to novelty. At first sight, the
reduction produced by anxiolytics in the approach to novelty is surprising.
After all, anxiolytics do not decrease appetitive behaviour in general. This
is of particular interest since, up until this point, the effects of the drugs
could be characterized as a decrease in the effective aversiveness of the situation.
This cannot be the case here since a decrease in the aversiveness of a novel
stimulus with no change in its attractiveness would increase rather than decrease
approach. One possible explanation of this result is that the anxiolytic drugs
produce a decrease in the capacity to detect novelty which, in this case, elicits
approach, at least in the sense of risk assessment, as well as behavioural inhibition.
A second possible explanation is that the approach to the novel stimulus is
an example of risk assessment, and hence is reduced by the drug.
A1.12 Counterconditioning and toughening up
So far we have dealt with situations which involve a single reinforcer
either alone or in combination with a neutral stimulus. In this section we will
consider tasks in which one reinforcer predicts another.
In the simplest case a reinforcer such as shock can predict a
reinforcer such as food, ‘off-the-baseline’. The subsequent eliciting effects
of the shock, or its capacity to inhibit responding back ‘on-the-baseline’,
are reduced by shock– food pairing compared to controls which receive similar
numbers of shock and food deliveries, but with no correlation between the shock
and food. This reduction in the effect of the shock is referred to as counterconditioning.
Chlordiazepoxide has absolutely no effect on simple ‘classical’ counterconditioning
of shock with food (McNaughton and Gray 1983), nor does it appear to affect
the similar ‘off-the-baseline’ counterconditioning by food of a stimulus which
predicts shock (McNaughton and Gray, unpublished observations).
The ‘partial punishment effect’ (PPE) is, formally speaking, quite
similar to simple classical counterconditioning. To demonstrate the PPE, one
takes two groups of rats. One group is trained to run down a runway for food
on a CRF schedule, and receives no shocks. The second group, like the first,
always receives food, but also, on a random 50 per cent of trials, receives
shock (partial punishment). In a final phase of the experiment both groups of
rats receive shock on all trials. This produces much less suppression in the
previously shocked group—evidence for some kind of counterconditioning or at
least tolerance. Anxiolytic drugs, of course, reduce suppression in CRF animals
(see section on passive avoidance); but they increase suppression in
the partially punished group, eliminating the counterconditioning. This effect
is produced, in a non-state-dependent manner, only if a 24-hour intertrial interval
is used—an issue to which we will return in later appendices (see also McNaughton
1989, Chapter 7).
Given the similarities which we have already discovered between
the effects of punishment and the effects of reward omission, it should come
as no surprise that the same pattern of results is obtained in relation to the
partial reinforcement extinction effect (PREE). As with the PPE, there are two
groups of rats, one of which is trained with CRF. The second group receives
reward on 50 per cent of trials and non-reward on the other 50 per cent. Through
a chain of conditioning processes (Amsel 1992), partial reinforcement can be
viewed as counterconditioning the aversive effects of frustration. As a result,
partially non-reinforced rats when faced with continuous non-reinforcement (extinction)
show less suppression than CRF rats.
The links between the PREE and PPE go beyond this formal similarity
since partial non-reinforcement increases resistance to continuous punishment
and partial punishment increases resistance to continuous non-reinforcement
(Brown and Wagner 1964). As with the PPE, anxiolytic drugs abolish the PREE
in a non-state-dependent manner with a 24-hour intertrial interval (Feldon et
al. 1979; Feldon and Gray 1981) but not with a short intertrial interval
(Ziff and Capaldi 1971). At intermediate intertrial intervals and with large
numbers of training trials intermediate effects are observed (Feldon 1977; Willner
and Crowe 1977; Feldon et al. 1979; Feldon and Gray 1981; see references
in Gray 1977; see also McNaughton 1989, Chapter 7).
A theoretically related effect of reward omission is seen towards
the end of acquisition of running in an alley with intermittent reward. Here,
partially rewarded rats run faster towards the goal box than continuously rewarded
rats, particularly in the early parts of the alley (Goodrich 1959; Haggard 1959).
This ‘partial reinforcement acquisition effect’ is abolished by classical anxiolytic
drugs, but has not been tested with novel ones.
Both the behavioural phenomena and the drug effects which we have
considered here have been subjected to complex theoretical analysis (Amsel 1962,
1992; Capaldi 1967; Macintosh 1974; Gray 1975; McNaughton 1989). For the moment,
we will merely note that, as with the other paradigms we have considered, there
is the suggestion that anxiolytic drugs have greater effects as the situation
involves greater degrees of conflict or, given the role of intertrial interval,
as it places a greater load on memory systems. We will turn now to the issue
of the extent to which anxiolytic drugs affect memory.
A1.13 Conditional and delayed discriminations
We have already touched on one class of task favoured by those
who study memory—mazes, and the water maze in particular. There, it will be
remembered we suggested that the apparent impairments in memory were a secondary
consequence of an inherent approach– approach conflict—that is, a failure to
inhibit competing response tendencies. We will make essentially the same argument
here.
There is a more complex variant of the successive discrimination
known as a ‘conditional discrimination’. An example will bring out the essential
features of this paradigm. It comes from a report by Iwasaki et al. (1976),
who made an explicit comparison of the effects of chlordiazepoxide between simultaneous
and conditional discrimination learning. For this purpose, they used a choice-box
in which, for the simultaneous task, the rat had to choose between black and
grey doors. In the conditional task, both doors were the same brightness on
any given trial (either black or white) and the animal had to learn to go left
when they were one brightness and to go right when they were the other. Animals
injected with saline as a control found the two tasks equally difficult. (Had
the two tasks used stimuli of the same brightness, say black and white in both
cases, the conditional discrimination would have been harder than the simultaneous
one.) Animals injected with chlordiazepoxide were no different from controls
on the simultaneous task, but were impaired on the conditional discrimination.
Perhaps one of the purest tests of memory is the delayed matching-to-sample
task. In this a sample stimulus (with pigeons this would be either red or green
displayed on a centre key which they must peck) is followed by a variable delay
and the presentation of two alternatives (for example a red key on the left
and a green key on the right). The pigeon is then rewarded for pressing whichever
key displays the colour which was first presented as the sample. Behaviour in
this task is often reported in terms of per cent correct choices. However, it
can be seen that (as in a number of other tasks) errors could arise from two
different sources: a true failure to discriminate between the alternatives;
and response bias. These different sources can be isolated using methods based
on signal detection theory (Davison and Tustin 1978). Provided this is done,
it is found that in excess of 95 per cent of the variance in performance across
delay intervals can be accounted for by an exponential function with two parameters,
the discriminability at nominal zero delay and the rate of the exponential decay
of discriminability with delay (White 1985). Anxiolytic drugs impair performance
in this type of task by reducing ‘discriminability’ without increasing the rate
of decay. In the special case of delayed matching to position, the 5-HT1A
agonist ipsapirone has no effect (Jansen and Andrews 1994), while benzodiazepines
and ethanol affect rate of decay and not ‘discriminability’ (Melia et al.
1990; see also Givens and McMahon 1997).
Results similar to standard delayed matching have been obtained
in rats using a combination of the conditional and delayed matching procedures.
The rats were presented with a high tone or a low tone and, after a delay in
which they had to make a nose poke response to prevent them taking up a fixed
position in the apparatus, they had to make a response on one of two retractable
levers. The rule to be used was of the form: low tone go left, high tone go
right. Chlordiazepoxide reduced discriminability and did not increase rate of
memory decay (Tan et al. 1996; see also Herremans et al. 1995a).
Ipsapirone (a close relative of buspirone) has similar effects (Herremans et
al. 1995b). The vigilance task of McGaughy and Sarter (1995) is very
similar in design and also showed a clear effect of chlordiazepoxide.
It should be noted that the effects of the anxiolytic drugs on
delayed matching and conditional discrimination cannot be accounted for in quite
the same way as we accounted for their effects on successive discrimination.
In delayed and conditional tasks, the animal has to choose trial by trial between
competing responses, not choose between responding and not responding. Simple
disinhibition of responding as a whole cannot, therefore, account for errors—but
nor can the simple requirement to choose between competing responses. Simultaneous
discriminations share with conditional discriminations the requirement to choose
between alternative responses trial by trial. But simultaneous discriminations
differ in two respects: (i) the correct response (or in some cases the correct
stimulus) does not change from trial to trial and, consequently, (ii) the correct
response rapidly develops a stronger excitatory potential than any competing
response. In conditional discrimination and delayed matching, by contrast, the
correct response does change from trial to trial (e.g. left and right responses
will be rewarded equally often); with the consequence that the excitatory potentials
of the two competing responses are likely to be roughly equal. Thus to perform
efficiently in a conditional discrimination, the animal must be able to suppress
interference from the response which, on a given trial, happens to be incorrect.
In the case of delayed matching the same will be true of the correct stimulus,
unless trial-unique stimuli are used. This conclusion is of particular importance
for the detailed mechanisms which we ascribe to the behavioural inhibition system.
A similar kind of explanation may be appropriate for the amnestic effects of
the drugs in humans which appear to be linked with changes in attention (Preston
et al. 1989; see also McGaughy et al. 1994 for an animal example)
and encoding processes (Gorissen et al. 1995).
A1.14 Conclusions
We have now completed our review of the data on the behavioural
profile of the anxiolytic drugs. A summary of the profile is provided in Table
4.2 in the printed text, and an overview of the theoretical implications of
this profile for the concept of the behavioural inhibition system can be found
at the end of Chapter 4. Our main conclusion is that anxiolytic drugs as a class
(including classical and novel anxiolytics) appear to act specifically to impair
the functioning of the behavioural inhibition system (Chapter 5). We also conclude
that we should be able to use these drugs as markers for the location in the
brain of the networks which subserve the functions of the behavioural inhibition
system. Our search for these locations, given that anxiety is a defensive behaviour,
requires close inspection of the networks controlling defensive behaviour in
general. The latter is summarized in Chapter 6 and dealt with in detail in the
following appendices.
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