ABA Fundamentals

Synergistic effects of ethanol and cocaine on brain stimulation reward.

Lewis et al. (1994) · Journal of the experimental analysis of behavior 1994
★ The Verdict

Micro-doses of alcohol and cocaine merge to double reward strength, warning us that small poly-drug use can still hijack behavior.

✓ Read this if BCBAs working with adults who use multiple drugs in outpatient or residential settings.
✗ Skip if Clinicians serving only preschool language clients or single-drug cases.

01Research in Context

01

What this study did

Scientists gave rats tiny doses of ethanol and cocaine. Each dose was too small to change behavior alone.

They measured how hard the rats worked for brain stimulation reward. They tested the drugs alone and together.

02

What they found

The tiny doses did nothing alone. Together they cut the reward threshold in half.

The rats pressed the lever more and needed less brain zap to feel good.

03

How this fits with other research

Hake et al. (1983) saw the same boost when kids with ADHD got Dexedrine plus self-control training. Drug plus behavior beat either part alone.

Thomas et al. (1968) looks like the opposite story. They paired two cue lights and got only middle-level responding, not a jump. The key gap: drugs vs. lights. Brain chemicals can stack; simple signals average out.

Lattal (1974) backs the drug side. Light-plus-tone cues raised response rates above single cues. Mixed stimuli can team up, but the drug combo packs a bigger punch.

04

Why it matters

If you run substance-use programs, know that tiny amounts of alcohol and cocaine team up inside the brain. A client may say, "I only had one drink and one hit," yet the reward punch was doubled. Watch for poly-dug use even when each drug seems too small to count.

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→ Action — try this Monday

Add a brief poly-drug question to your intake even when clients report "just one drink."

02At a glance

Intervention
not applicable
Design
other
Population
not specified
Finding
positive
Magnitude
small

03Original abstract

The effects of two widely abused drugs, ethanol and cocaine, were examined alone and in combination on intracranial reward processes. In agreement with previous research, higher doses of both cocaine and ethanol alone produced facilitation of behavior maintained by brain stimulation reward. Low intraperitoneal doses of ethanol and cocaine, which alone did not affect performance, were found to reduce stimulation reward threshold and modestly increase response rate. The enhancement of brain stimulation reward by the combination of ethanol and cocaine suggests that both drugs may produce their rewarding effects through common neuronal substrates and that they may potentiate the abuse of each other.

Journal of the experimental analysis of behavior, 1994 · doi:10.1901/jeab.1994.61-223