Opiates in general, and heroin in particular, are known to induce comp
ulsive drug-seeking and drug-taking behavior. Addiction is accompanied
by psychobiological processes which may distort perception of sensory
stimuli. Gustatory and olfactory stimuli are hedonically polarized an
d therefore most appropriate for the assessment of the organism's reac
tivity to ''useful'' and ''harmful'' chemosensory events. Previous stu
dies revealed that psychophysical self-estimates and reflectory facial
expressions mirror with comparable reliability the hedonics of the pe
rceived taste and odor sensations. In the present study both cognitive
verbal and reflectory facial expressions of a group of: a) heroin add
icts were recorded and compared to those of a group of b) detoxified f
ormer addicts and to c) a group Of matching controls. Results show tha
t all three groups differentiate between pleasant, indifferent and ave
rsive tastes and odors. Active addicts estimated sweet taste and savor
y smells as being somewhat more pleasant, and bitter and sour tastes a
nd a putrid odor as less unpleasant than did the other two groups. The
reflectory facial displays of addicts were less expressive and discri
minative than those of the two other groups. Taste-and odor-induced fa
cial displays are known to be controlled primarily by the brainstem. T
he findings indicate that heroin-addiction affects brain-mechanisms, w
hich mirror taste-and odor-hedonics. Modulation of the phylogeneticall
y ancient, sensory-motor coordinations was found to be of a different
pattern than that of the cortically-controlled cognitive reactions.