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Nora D. Volkow (born 27 March 1956) is a Mexican-American
psychiatrist A psychiatrist is a physician who specializes in psychiatry. Psychiatrists are physicians who evaluate patients to determine whether their symptoms are the result of a physical illness, a combination of physical and mental ailments or strictly ...
. She is currently the director of the
National Institute on Drug Abuse The National Institute on Drug Abuse (NIDA) is a United States federal government research institute whose mission is to "advance science on the causes and consequences of drug use and addiction and to apply that knowledge to improve individual ...
(NIDA), which is part of the
National Institutes of Health The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. It was founded in 1887 and is part of the United States Department of Health and Human Service ...
(NIH).


Early life and education

Born in Mexico City to a Jewish family, Volkow is a daughter of Esteban Volkov, whose mother Zinaida Volkova was the eldest daughter of the Jewish-Russian communist revolutionary
Leon Trotsky Lev Davidovich Bronstein ( – 21 August 1940), better known as Leon Trotsky,; ; also transliterated ''Lyev'', ''Trotski'', ''Trockij'' and ''Trotzky'' was a Russian revolutionary, Soviet politician, and political theorist. He was a key figure ...
. Volkow and her three sisters grew up in
Coyoacán Coyoacán ( ; , Otomi: ) is a borough (''demarcación territorial'') in Mexico City. The former village is now the borough's "historic center". The name comes from Nahuatl and most likely means "place of coyotes", when the Aztecs named a pre- ...
in the house where Trotsky was killed (now the Leon Trotsky Museum). Volkow was educated at the Modern American School, in Mexico City, and graduated M.D. from the National University of Mexico, before her postdoctoral training in Psychiatry at
New York University New York University (NYU) is a private university, private research university in New York City, New York, United States. Chartered in 1831 by the New York State Legislature, NYU was founded in 1832 by Albert Gallatin as a Nondenominational ...
. In 2014, Volkow participated in an event organized by
The Moth The Moth is a nonprofit group based in New York City, dedicated to the craft of storytelling. Founded in 1997, the organization presents a wide range of theme-based storytelling events across the United States and abroad, often featuring promine ...
at a
World Science Festival The World Science Festival is an annual science festival hosted by the World Science Foundation, a 501(c)(3) nonprofit organization based in New York City. There is also an Asia-Pacific event held in Brisbane, Australia. The foundation's go ...
, where scientists, writers and artists told stories of their personal relationships with science. During this time, she discussed her family history and how it furthered her ambition to pursue science in order to positively influence others.


Career

During psychiatry residency, she worked on PET scan projects with psychiatrist Jonathan Brodie. After finishing psychiatry residency, she joined the faculty at the University of Texas Medical School at Houston, working on PET scan research projects in addition to clinical duties. She conducted research work with Professor Alan Swann, now at Baylor, leaving to Brookhaven in 1987. Volkow spent most of her professional career at the Department of Energy’s
Brookhaven National Laboratory Brookhaven National Laboratory (BNL) is a United States Department of Energy national laboratories, United States Department of Energy national laboratory located in Upton, New York, a hamlet of the Brookhaven, New York, Town of Brookhaven. It w ...
(BNL) in Upton, New York, where she held several leadership positions. She was first a researcher at BNL, and then Director of Nuclear Medicine, Director of the NIDA-DOE Regional Neuroimaging Center at BNL, and finally Associate Director for Life Sciences at BNL. She was also appointed as a Professor in the Department of Psychiatry at
Stony Brook University Stony Brook University (SBU), officially the State University of New York at Stony Brook, is a public university, public research university in Stony Brook, New York, United States, on Long Island. Along with the University at Buffalo, it is on ...
and as Associate Dean for its Medical School. Volkow's imaging studies of the brains of people addicted to drugs have helped to clarify the mechanisms of
drug addiction Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences. Repetitive drug use can ...
. At Brookhaven,
positron emission tomography Positron emission tomography (PET) is a functional imaging technique that uses radioactive substances known as radiotracers to visualize and measure changes in metabolic processes, and in other physiological activities including blood flow, r ...
(PET) scanning was being used to study the brain in people with schizophrenia. When Volkow moved to the
University of Texas The University of Texas at Austin (UT Austin, UT, or Texas) is a public research university in Austin, Texas, United States. Founded in 1883, it is the flagship institution of the University of Texas System. With 53,082 students as of fall 2 ...
, studying patients with schizophrenia was not an option, but studying patients with cocaine addiction was possible. Volkow and colleagues studied the distribution of blood flow in the brain of chronic cocaine users and control patients who did use cocaine. They found decreased blood flow to the
prefrontal cortex In mammalian brain anatomy, the prefrontal cortex (PFC) covers the front part of the frontal lobe of the cerebral cortex. It is the association cortex in the frontal lobe. The PFC contains the Brodmann areas BA8, BA9, BA10, BA11, BA12, ...
of cocaine users, that continued after ten days of withdrawal from cocaine use. This research has played a part in changing the public's view of drug addiction, from that of a
moral A moral (from Latin ''morālis'') is a message that is conveyed or a lesson to be learned from a story or event. The moral may be left to the hearer, reader, or viewer to determine for themselves, or may be explicitly encapsulated in a maxim. ...
violation or character flaw to an understanding that pathological changes to brain structure make it very difficult for addicts to give up their addictions. Volkow concludes that abnormalities in the prefrontal cortex create a feeling of need or craving that people with addictions find difficult to prevent. She argues that this makes it difficult to override compulsions by exercising cognitive control. The main areas affected are the
orbitofrontal cortex The orbitofrontal cortex (OFC) is a prefrontal cortex region in the frontal lobes of the brain which is involved in the cognitive process of decision-making. In non-human primates it consists of the association cortex areas Brodmann area 11, 1 ...
, which maintains attention to goals, and the anterior
cingulate cortex The cingulate cortex is a part of the brain situated in the medial aspect of the cerebral cortex. The cingulate cortex includes the entire cingulate gyrus, which lies immediately above the corpus callosum, and the continuation of this in the cin ...
, that mediates the capacity to monitor and select action plans. Both areas receive stimulation from
dopamine Dopamine (DA, a contraction of 3,4-dihydroxyphenethylamine) is a neuromodulatory molecule that plays several important roles in cells. It is an organic chemical of the catecholamine and phenethylamine families. It is an amine synthesized ...
neurons that originate in the
ventral tegmental area The ventral tegmental area (VTA) (tegmentum is Latin for ''covering''), also known as the ventral tegmental area of Tsai, or simply ventral tegmentum, is a group of neurons located close to the midline on the floor of the midbrain. The VTA is th ...
. A steady influx of dopamine makes it difficult to shift attention away from the goal of attaining drugs. It also fastens attention to the
motivation Motivation is an mental state, internal state that propels individuals to engage in goal-directed behavior. It is often understood as a force that explains why people or animals initiate, continue, or terminate a certain behavior at a particul ...
al value of drugs, not pleasure. Volkow suggests that people with addictions are caught in a
vicious circle A vicious circle (or cycle) is a complex chain of events that reinforces itself through a feedback loop, with detrimental results. It is a system with no tendency toward equilibrium (social, economic, ecological, etc.), at least in the shor ...
of physical brain changes and the psychological consequences of those changes, leading to further changes. In 2003 Volkow became director of NIDA. Volkow is the first person from the NIH to visit the
Dalai Lama The Dalai Lama (, ; ) is the head of the Gelug school of Tibetan Buddhism. The term is part of the full title "Holiness Knowing Everything Vajradhara Dalai Lama" (圣 识一切 瓦齐尔达喇 达赖 喇嘛) given by Altan Khan, the first Shu ...
at his residence in Dharamshala,
Himachal Pradesh Himachal Pradesh (; Sanskrit: ''himācāl prādes;'' "Snow-laden Mountain Province") is a States and union territories of India, state in the northern part of India. Situated in the Western Himalayas, it is one of the thirteen Indian Himalayan ...
,
India India, officially the Republic of India, is a country in South Asia. It is the List of countries and dependencies by area, seventh-largest country by area; the List of countries by population (United Nations), most populous country since ...
. During this 2013 visit, Volkow took part in a dialogue with the Dalai Lama about addiction science, as part of a five-day conference sponsored by the
Mind and Life Institute The Mind & Life Institute is a US-registered, 501(c)(3) organization, not-for-profit 501(c)(3) organization founded in 1991 to establish the field of contemplative neuroscience, contemplative sciences. Based in Charlottesville, Va., the institute ...
.


Awards and recognition

Volkow has been recognized for her contributions, both before and during her time at NIDA. The following are among the most significant: *Innovator of the Year. U.S. News & World Report, 2000. *
Newsweek ''Newsweek'' is an American weekly news magazine based in New York City. Founded as a weekly print magazine in 1933, it was widely distributed during the 20th century and has had many notable editors-in-chief. It is currently co-owned by Dev P ...
: Who's Next 2007, a list of 21 people predicted to be newsmakers in 2007. *The 2007 Time 100. Time's list of the 100 men and women whose power, talent or moral example is transforming the world. *The List of the Top 100 Most Powerful Women. The '' Washingtonian''s list of women who lead and lobby, educate and enlighten, and look for cures and pathways to a better world. *Washington's 100 Most Powerful Women, Washingtonian Magazine's list of females who've made it to the top. *Finalist for the Samuel J. Heyman Service to America Medal for the Science and Environment Medal (Sammies), Washington DC 2013. These awards recognize outstanding service and are considered among the most prestigious available to federal workers. *In 2007, NIDA and another NIH Institute (the
National Institute on Alcohol Abuse and Alcoholism The National Institute on Alcohol Abuse and Alcoholism (NIAAA), as part of the U.S. National Institutes of Health, supports and conducts biomedical and Behavioral research, behavioural research on the causes, consequences, treatment, and prevent ...
) received an
Emmy Award The Emmy Awards, or Emmys, are an extensive range of awards for artistic and technical merit for the television industry. A number of annual Emmy Award ceremonies are held throughout the year, each with their own set of rules and award categor ...
for HBO's ''The Addiction Project''. Nora Volkow represented NIDA in receiving the Emmy. * In 2011, Volkow received the Joan and Stanford Alexander Award in Psychiatry, from
Baylor College of Medicine The Baylor College of Medicine (BCM) is a private medical school in Houston, Texas, United States. Originally as the Baylor University College of Medicine from 1903 to 1969, the college became independent with the current name and has been se ...
’s Menninger Department of Psychiatry and Behavioral Sciences.The prize is awarded to "a mental health professional who has made significant contributions in research, education and clinical or community service for people suffering from severe and persistent mental illness." Volkow's award was in recognition of her work in "demonstrating that drug addiction is a disease of the human brain", and "pioneering the use of brain imaging to investigate the toxic effects of drugs and their addictive properties." * Hispanic Scientist of the Year Award by Museum of Science & Industry (Tampa) in 2012, for promoting scientific understanding in the community and providing a role model for Hispanic youth. * In 2013, Volkow received the Distinguished Scientist Award from the Child Mind Institute, in recognition of her "outstanding contributions to brain development and psychopathology research." The prize is awarded to "a scientist whose lifelong commitment to research in mental health and developmental neuroscience has led to more effective, evidence-based treatments and a deeper understanding of psychiatric, addictive, and developmental disorders."


Personal life

Volkow is married to Stephen Adler, a radioimaging physicist at the
National Cancer Institute The National Cancer Institute (NCI) coordinates the United States National Cancer Program and is part of the National Institutes of Health (NIH), which is one of eleven agencies that are part of the U.S. Department of Health and Human Services. ...
.


Bibliography

* Online version is titled "Fighting back against the stigma of addiction".


References


External links


Nora D. Volkow, M.D.
Director's Page, National Institute of Drug Abuse * * *
Why Bad Habits are Hard to Break
( CBS
60 Minutes ''60 Minutes'' is an American television news magazine broadcast on the CBS television network. Debuting in 1968, the program was created by Don Hewitt and Bill Leonard, who distinguished it from other news programs by using a unique style o ...
interview, April 2012)'' -- Text only. Video access requires subscription.
Hooked: Why Bad Habits are Hard to Break
��Freely accessible video at 60 Minutes'
YouTube YouTube is an American social media and online video sharing platform owned by Google. YouTube was founded on February 14, 2005, by Steve Chen, Chad Hurley, and Jawed Karim who were three former employees of PayPal. Headquartered in ...
Channel
Nora Volkow: Two Paths to the Future
''(Vanderbilt University Medical Center Article - February 2006)''

- the
Time 100 ''Time'' 100 is a list of the top 100 most influential people, assembled by the American news magazine ''Time''. First published in 1999 as the result of a debate among American academics, politicians, and journalists, the list is now a highly ...
, 2007
Zuger, Abigail. "A General in the Drug War".
The New York Times ''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of ...
, June 13, 2011.
Wingert, Pat. "Nora Volkow."
ewsweek, 24 December 2006. *
Why Is It So Damn Hard to Change?
by Rebecca Skloot, ''O, the Oprah Magazine''

, ''Oral History Program'', Office of NIH History, 6 April 2005. * {{DEFAULTSORT:Volkow, Nora 1956 births 20th-century American women scientists 21st-century American women scientists American addiction physicians American medical researchers American neuroscientists American people of Russian-Jewish descent American psychiatrists American women neuroscientists Brookhaven National Laboratory staff Hispanic and Latino American scientists Leon Trotsky Living people Mexican emigrants to the United States Mexican neuroscientists Mexican people of Russian-Jewish descent National Autonomous University of Mexico alumni Physicians from Mexico City Scientific American people American women medical researchers Members of the National Academy of Medicine Hispanic and Latino American women scientists