Suppression weakens unwanted memories via a sustained reduction of neural reactivation

Brain mechanisms underlying the inhibitory control of thought

Controlling action and thought requires the capacity to stop mental processes. Over the past two decades, evidence has grown that a domain-general inhibitory control mechanism supported by the right lateral prefrontal cortex achieves these functions. However, current views of the neural mechanisms of inhibitory control derive largely from research into the stopping of action. Whereas action stopping is a convenient empirical model, it does not invoke thought inhibition and cannot be used to identify the unique features of this process. Here, we review research that addresses how organisms stop a key process that drives thoughts: memory retrieval. This work has shown that retrieval stopping shares right dorsolateral and ventrolateral prefrontal mechanisms with action stopping, consistent with a domain-general inhibitory control mechanism, but also recruits a distinct fronto-temporal pathway that determines the success of mental control. As part of this pathway, GABAergic inhibition within the hippocampus influences the efficacy of prefrontal control over thought. These unique elements of mental control suggest that hippocampal disinhibition is a transdiagnostic factor underlying intrusive thinking, linking the fronto-temporal control pathway to preclinical models of psychiatric disorders and fear extinction. We suggest that retrieval-stopping deficits may underlie the intrusive thinking that is common across many psychiatric disorders.

Why They Speak Up (or Don't): Reasons For and Against Cybergrooming Disclosure Among Adolescent Victims

The ubiquitous use of information and communication technologies among adolescents carries the risk of exposure to online victimization during this vulnerable stage of development, including cybergrooming as a form of sexual victimization. Although established in traditional abuse research, studies on disclosure processes in the specific context of cybergrooming victimization are still pending. The present study exploratively investigated reasons for and against disclosure following cybergrooming victimization in the subsample of n = 400 victims (44.1%; Mage = 15.48 years, girls: 57.5%) from N = 908 adolescent participants. Most victims disclosed to someone (86%), with peer disclosure being more frequent (73%) than disclosure to adults (55%). Findings indicated differences of small effect sizes in reasons for and against disclosure depending on the confidant (peers vs. adults; for example, the reporting of similar experiences by others was more relevant in peer disclosure). However, gender had almost no influence on the assessed reasons. In structural equation models, latent factors of reasons against, and intra- and interindividual reasons for disclosure predicted peer and adult disclosure to varying degrees, with reasons against disclosure being the most predictive in both cases. Disclosure to adults could be better explained than disclosure to peers (R2peers = 28.6%, R2adults = 46.9%). In open-ended items, participants provided further reasons, which were grouped into categories (e.g., help-seeking, warning/prevention, fear of bullying/social exclusion). Practical implications like the aspired congruence between reasons for disclosure and confidants' reactions, and limitations such as the neglect of the processual character of disclosure are outlined.

Neural correlates of suppressing and imagining future threat

Suppressing upsetting thoughts can cause psychological distress but might also enhance mental health when used flexibly to suppress the imagination of future threat during challenging times. To investigate the neural correlates of suppressing and imagining future threat, a cohort of 65 participants underwent a previously examined "Imagine/No-Imagine" paradigm while examining brain activation using magnetic resonance imaging. We observed activity of the inferior frontal gyrus, middle frontal gyrus (MFG), superior parietal lobule, and superior occipital sulcus during thought suppression, whereas imagining future threat elicited activation in the bilateral posterior cingulate cortex (PCC) and ventromedial prefrontal cortex (vmPFC). Subjective levels of anxiety, stress, and depression as covariates did not alter these results. To further examine the group and individual-level network dynamics, we conducted dynamic causal modeling (DCM) and group iterative multiple model estimations (GIMME). The DCM model showed that during suppression, the MFG positively influenced the vmPFC and right PCC. In contrast, the vmPFC and the left and right PCC showed positive connections to the MFG during imagining. This suggests that the neural correlates of self-regulation involve an information flow between the PCC and the PFC. In addition, GIMME identified group-level connections between the right and left PCC and between the left PCC and vmPFC, reflecting the information flow during suppression and imagination of future threat, respectively. Considerable interindividual heterogeneity in the connectivity patterns became apparent, pointing to the existence of different biotypes.

Intrinsic functional connectivity of right dorsolateral prefrontal cortex and hippocampus subregions relates to emotional and sensory-perceptual properties of intrusive trauma memories

BACKGROUND

Trauma-related intrusive memories (TR-IMs) are core symptoms of posttraumatic stress disorder (PTSD). Prior research links reexperiencing symptoms with resting-state functional coupling between the right dorsolateral prefrontal cortex (dlPFC) and right hippocampus. However, prior work has not examined whether this negative coupling relates to TR-IMs, nor differentiated between the anterior and posterior hippocampus (aHPC/pHPC). This study examined relationships of TR-IM frequency and properties with resting-state negative coupling between the right dlPFC and right aHPC/pHPC in symptomatic trauma-exposed individuals with TR-IMs.

METHODS

Participants (N=109; 88 female) completed two weeks of ecological momentary assessments capturing TR-IM frequency and properties (intrusiveness, emotional intensity, vividness, visual properties, and reliving). Using resting-state functional magnetic resonance imaging, participant-specific 4-mm spheres were placed at the right dlPFC voxel most anticorrelated with the right aHPC and pHPC. Quasi-Poisson and linear mixed-effects models assessed relationships of TR-IM frequency and properties with right dlPFC-right aHPC and pHPC anticorrelation.

RESULTS

TR-IM emotional intensity was positively associated with right dlPFC-aHPC connectivity, while vividness and visual properties correlated with right dlPFC-pHPC connectivity. These associations remained significant after controlling for PTSD symptom severity and time since trauma. No significant associations emerged between TR-IM frequency, intrusiveness, or reliving, and anticorrelation with either hippocampal subregion.

CONCLUSIONS

This study provides novel insights into the neural correlates of TR-IMs, highlighting the relevance of intrinsic negative coupling between the right dlPFC and aHPC/pHPC to their phenomenology. Further research on this circuit could advance understanding of component processes of trauma reexperiencing, a severe and treatment-refractory PTSD symptom.

Individual differences in functional connectivity during suppression of imagined threat

Functional magnetic resonance imaging studies typically rely on between-person analyses. To examine individual differences in functional connectivity, we used Group Iterative Multiple Model Estimation and its subgrouping function to analyze functional magnetic resonance imaging data of 54 participants who were suppressing imagined future threat. A two-stage random-effects meta-analytic approach was employed to examine individual differences. In addition to generalizable connections between brain regions, we identified individual differences in personalized models suggesting different pathways through which individuals suppress future threat. Two subgroups with distinct connectivity patterns emerged: One subgroup (n = 29; 53.70%), characterized by an additional lagged connection from the right to the left posterior cingulate cortex, exhibited comparatively higher anxiety and less brain connectivity, whereas the other subgroup (n = 25; 46.30%), showing an additional connection from the left posterior cingulate cortex to the ventromedial prefrontal cortex, was associated with lower anxiety levels and greater connectivity. This study points to individual differences in functional connectivity during emotion regulation.

Memory control deficits in the sleep-deprived human brain

Sleep disturbances are associated with intrusive memories, but the neurocognitive mechanisms underpinning this relationship are poorly understood. Here, we show that sleep deprivation disrupts prefrontal inhibition of memory retrieval, and that the overnight restoration of this inhibitory mechanism is associated with time spent in rapid eye movement (REM) sleep. The functional impairments arising from sleep deprivation are linked to a behavioral deficit in the ability to downregulate unwanted memories, and coincide with a deterioration of deliberate patterns of self-generated thought. We conclude that sleep deprivation gives rise to intrusive memories via the disruption of neural circuits governing mnemonic inhibitory control, which may rely on REM sleep.

Prefrontal cortical ripples mediate top-down suppression of hippocampal reactivation during sleep memory consolidation

Consolidation of initially encoded hippocampal representations in the neocortex through reactivation is crucial for long-term memory formation and is facilitated by the coordination of hippocampal sharp-wave ripples (SWRs) with cortical slow and spindle oscillations during non-REM sleep. Recent evidence suggests that high-frequency cortical ripples can also coordinate with hippocampal SWRs in support of consolidation; however, the contribution of cortical ripples to reactivation remains unclear. We used high-density, continuous recordings in the hippocampus (area CA1) and prefrontal cortex (PFC) over the course of spatial learning and show that independent PFC ripples dissociated from SWRs are prevalent in NREM sleep and predominantly suppress hippocampal activity. PFC ripples paradoxically mediate top-down suppression of hippocampal reactivation rather than coordination, and this suppression is stronger for assemblies that are reactivated during coordinated CA1-PFC ripples for consolidation of recent experiences. Further, we show non-canonical, serial coordination of independent cortical ripples with slow and spindle oscillations, which are known signatures of memory consolidation. These results establish a role for prefrontal cortical ripples in top-down regulation of behaviorally relevant hippocampal representations during consolidation.

Neuromodulation and memory: exploring ethical ramifications in memory modification treatment via implantable neurotechnologies

Invasive implantable neurotechnologies capable of simultaneously altering and recording neural activity are no longer the exclusive province of science fiction but a looming reality that will revolutionize medical practice. These advancements, particularly in their memory-altering capabilities, herald a vast array of opportunities for addressing the complex landscape of neurodegenerative and psychiatric conditions linked to memory impairments. However, the panoply of ethical implications arising from such a novel neurotechnology remains relatively unexplored by the neuroethics literature. This study examines and contrasts the potential ethical implications of memory modification treatment via implantable neurotechnologies. The study contends that undesired side effects resulting from memory modulation can lead to significant identity harms, disrupting the coherence of self-narratives and impinging on our authenticity. To evince the practical impact of this moral argument, the study conducts a practical ethical assessment of how employing implantable neurotechnologies to modulate memory may jeopardize (i) our moral responsiveness to events and core system of values and (ii) the emotional component associated with the altered memory. From a first-person standpoint, changes to the way we reasonably feel and react to past events and future intentions may be deemed ethically problematic as these profound changes can yield significant moral disruptions and negatively impact our personal lives and interpersonal relationships. In addition, the study discusses further ethical conundrums from a third-person perspective as these disruptions can inhibit social activism against structural injustices, thereby hindering societal progress. Thus, taking into account this societal dimension is paramount when evaluating the ethical permissibility of memory modification procedures.

Cortical ripples mediate top-down suppression of hippocampal reactivation during sleep memory consolidation

Consolidation of initially encoded hippocampal representations in the neocortex through reactivation is crucial for long-term memory formation, and is facilitated by the coordination of hippocampal sharp-wave ripples (SWRs) with cortical oscillations during non-REM sleep. However, the contribution of high-frequency cortical ripples to consolidation is still unclear. We used continuous recordings in the hippocampus and prefrontal cortex (PFC) over the course of spatial learning and show that independent PFC ripples, when dissociated from SWRs, predominantly suppress hippocampal activity in non-REM sleep. PFC ripples paradoxically mediate top-down suppression of hippocampal reactivation, which is inversely related to reactivation strength during coordinated CA1-PFC ripples. Further, we show non-canonical, serial coordination of ripples with cortical slow and spindle oscillations. These results establish a role for cortical ripples in regulating consolidation.

Neural mechanisms of domain-general inhibitory control

Inhibitory control is a fundamental mechanism underlying flexible behavior and features in theories across many areas of cognitive and psychological science. However, whereas many theories implicitly or explicitly assume that inhibitory control is a domain-general process, the vast majority of neuroscientific work has hitherto focused on individual domains, such as motor, mnemonic, or attentional inhibition. Here, we attempt to close this gap by highlighting recent work that demonstrates shared neuroanatomical and neurophysiological signatures of inhibitory control across domains. We propose that the regulation of thalamocortical drive by a fronto-subthalamic mechanism operating in the β band might be a domain-general mechanism for inhibitory control in the human brain.

Improving mental health by training the suppression of unwanted thoughts

Anxiety, posttraumatic stress, and depression markedly increased worldwide during the COVID-19 pandemic. People with these conditions experience distressing intrusive thoughts, yet conventional therapies often urge them to avoid suppressing their thoughts because intrusions might rebound in intensity and frequency, worsening the disorders. In contrast, we hypothesized that training thought suppression would improve mental health. One hundred and twenty adults from 16 countries underwent 3 days of online training to suppress either fearful or neutral thoughts. No paradoxical increases in fears occurred. Instead, suppression reduced memory for suppressed fears and rendered them less vivid and anxiety provoking. After training, participants reported less anxiety, negative affect, and depression with the latter benefit persisting at 3 months. Participants high in trait anxiety and pandemic-related posttraumatic stress gained the largest and most durable mental health benefits. These findings challenge century-old wisdom that suppressing thoughts is maladaptive, offering an accessible approach to improving mental health.

Subliminal backdoors to forgetting emotional memories

Weakening negative memories often requires first remembering those events. To bypass this distressing process, Zhu et al. elicited forgetting by subliminally reactivating negative memories near in time to retrieval suppression of unrelated memories. Casting an amnesic shadow over harmful, reactivated memories thereby brings new therapeutic possibilities, and questions, to light.

Attentional capture mediates the emergence and suppression of intrusive memories

Intrusive memories hijack consciousness and their control may lead to forgetting. However, the contribution of reflexive attention to qualifying a memory signal as interfering is unknown. We used machine learning to decode the brain's electrical activity and pinpoint the otherwise hidden emergence of intrusive memories reported during a memory suppression task. Importantly, the algorithm was trained on an independent attentional model of visual activity, mimicking either the abrupt and interfering appearance of visual scenes into conscious awareness or their deliberate exploration. Intrusion of memories into conscious awareness were decoded above chance. The decoding accuracy increased when the algorithm was trained using a model of reflexive attention. Conscious detection of intrusive activity decoded from the brain signal was central to the future silencing of suppressed memories and later forgetting. Unwanted memories require the reflexive orienting of attention and access to consciousness to be suppressed effectively by inhibitory control.

Emotional learning retroactively promotes memory integration through rapid neural reactivation and reorganization

Neutral events preceding emotional experiences can be better remembered, likely by assigning them as significant to guide possible use in future. Yet, the neurobiological mechanisms of how emotional learning enhances memory for past mundane events remain unclear. By two behavioral studies and one functional magnetic resonance imaging study with an adapted sensory preconditioning paradigm, we show rapid neural reactivation and connectivity changes underlying emotion-charged retroactive memory enhancement. Behaviorally, emotional learning retroactively enhanced initial memory for neutral associations across the three studies. Neurally, emotional learning potentiated trial-specific reactivation of overlapping neural traces in the hippocampus and stimulus-relevant neocortex. It further induced rapid hippocampal-neocortical functional reorganization supporting such retroactive memory benefit, as characterized by enhanced hippocampal-neocortical coupling modulated by the amygdala during emotional learning, and a shift of hippocampal connectivity from stimulus-relevant neocortex to distributed transmodal prefrontal-parietal areas at post-learning rests. Together, emotional learning retroactively promotes memory integration for past neutral events through stimulating trial-specific reactivation of overlapping representations and reorganization of associated memories into an integrated network to foster its priority for future use.

From remembering to reconstruction: The transformative neural representation of episodic memory

Although memory has long been recognized as a generative process, neural research of memory in recent decades has been predominantly influenced by Tulving's "mental time traveling" perspective and focused on the reactivation and consolidation of encoded memory representations. With the development of multiple powerful analytical approaches to characterize the contents and formats of neural representations, recent studies are able to provide detailed examinations of the representations at various processing stages and have provided exciting new insights into the transformative nature of episodic memory. These studies have revealed the rapid, substantial, and continuous transformation of memory representation during the encoding, maintenance, consolidation, and retrieval of both single and multiple events, as well as event sequences. These transformations are characterized by the abstraction, integration, differentiation, and reorganization of memory representations, enabling the long-term retention and generalization of memory. These studies mark a significant shift in perspective from remembering to reconstruction, which might better reveal the nature of memory and its roles in supporting more effective learning, adaptive decision-making, and creative problem solving.

Can't stop thinking: The role of cognitive control in suppression-induced forgetting

The ability to control unwanted memories is essential for emotional regulation and maintaining mental health. Previous evidence indicates that suppressing retrieval, which recruits executive control mechanisms to prevent unwanted memories entering consciousness, can cause forgetting, termed suppression-induced forgetting (SIF). Because these executive mechanisms involve multiple mental operations, their effects may be limited by individuals' capacity limitation of cognitive control. Here, we tested the hypothesis that cognitive control capacity (CCC, estimated by the backward masking majority function task) is an important factor that predicts SIF. Participants were assigned to two groups based on the median CCC and performed the think/no-think task with electrophysiological signals recorded. The results showed that the SIF effect was observed only in the high CCC group but not in the low CCC group. In accordance, repeated suppression attempts also resulted in a steeper reduction in intrusive thoughts in the high CCC group. Furthermore, ERP analysis revealed a decrease in recollection-related late parietal positivity (LPP) under the no-think condition in the high CCC group, indicating successful avoidance of recall. A mediation analysis revealed that the reduced intrusive memories mediated the effect of CCC on SIF. These findings suggest that suppressing retrieval could reduce traces of the unwanted memories, making them less intrusive and harder to recall. More importantly, successful SIF is constrained by the capacity of cognitive control which may be used to ensure the coordination of multiple cognitive processes during suppression.

Suppression weakens unwanted memories via a sustained reduction of neural reactivation

Aversive events sometimes turn into intrusive memories. However, prior evidence indicates that such memories can be controlled via a mechanism of retrieval suppression. Here, we test the hypothesis that suppression exerts a sustained influence on memories by deteriorating their neural representations. This deterioration, in turn, would hinder their subsequent reactivation and thus impoverish the vividness with which they can be recalled. In an fMRI study, participants repeatedly suppressed memories of aversive scenes. As predicted, this process rendered the memories less vivid. Using a pattern classifier, we observed that suppression diminished the neural reactivation of scene information both globally across the brain and locally in the parahippocampal cortices. Moreover, the decline in vividness was associated with reduced reinstatement of unique memory representations in right parahippocampal cortex. These results support the hypothesis that suppression weakens memories by causing a sustained reduction in the potential to reactivate their neural representations.