Suppressing Unwanted Memories Reduces Their Unintended Influences

The ability to control unwanted memories is critical for maintaining cognitive function and mental health. Prior research has shown that suppressing the retrieval of unwanted memories impairs their retention, as measured on intentional (direct) memory tests. Here we review emerging evidence revealing that retrieval suppression can also reduce the unintended influence of suppressed traces. In particular, retrieval suppression (1) gradually diminishes the tendency for memories to intrude into awareness, and (2) reduces memories’ unintended expressions on indirect memory tests. We present a neural account in which, during suppression, retrieval cues elicit hippocampally-triggered neocortical activity that briefly reinstates features of the original event, which, in turn, are suppressed by targeted neocortical and hippocampal inhibition. This reactivation-dependent reinstatement principle could provide a broad mechanism by which suppressing retrieval of intrusive memories limits their indirect influences

Active Forgetting: Adaptation of Memory by Prefrontal Control.

Over the past century, psychologists have discussed whether forgetting might arise from active mechanisms that promote memory loss to achieve various functions, such as minimizing errors, facilitating learning, or regulating one's emotional state. The past decade has witnessed a great expansion in knowledge about the brain mechanisms underlying active forgetting in its varying forms. A core discovery concerns the role of the prefrontal cortex in exerting top-down control over mnemonic activity in the hippocampus and other brain structures, often via inhibitory control. New findings reveal that such processes not only induce forgetting of specific memories but also can suppress the operation of mnemonic processes more broadly, triggering windows of anterograde and retrograde amnesia in healthy people. Recent work extends active forgetting to nonhuman animals, presaging the development of a multilevel mechanistic account that spans the cognitive, systems, network, and even cellular levels. This work reveals how organisms adapt their memories to their cognitive and emotional goals and has implications for understanding vulnerability to psychiatric disorders

Suppressing Unwanted Autobiographical Memories Reduces Their Automatic Influences: Evidence from Electrophysiology and an Implicit Autobiographical Memory Test

The present study investigated the extent to which people can suppress unwanted autobiographical memories in a mock crime memory detection context. Participants encoded sensorimotor-rich memories by enacting a lab crime (stealing a ring) and received direct suppression instructions so as to evade guilt detection in a brainwave-based concealed information test. Aftereffects of suppression on automatic memory processes were measured in an autobiographical implicit association test (aIAT). Results showed that suppression attenuated brainwave activity (P300) that is associated with crime-relevant memory retrieval, rendering innocent and guilty/suppression participants indistinguishable. However, guilty/suppression and innocent participants could nevertheless be discriminated via the late posterior negative slow wave, which may reflect the need to monitor response conflict arising between voluntary suppression and automatic recognition processes. Lastly, extending recent findings that suppression can impair implicit memory processes; we provide novel evidence that suppression reduces automatic cognitive biases that are otherwise associated with actual autobiographical memories

Hippocampal GABA enables inhibitory control over unwanted thoughts.

Intrusive memories, images, and hallucinations are hallmark symptoms of psychiatric disorders. Although often attributed to deficient inhibitory control by the prefrontal cortex, difficulty in controlling intrusive thoughts is also associated with hippocampal hyperactivity, arising from dysfunctional GABAergic interneurons. How hippocampal GABA contributes to stopping unwanted thoughts is unknown. Here we show that GABAergic inhibition of hippocampal retrieval activity forms a key link in a fronto-hippocampal inhibitory control pathway underlying thought suppression. Subjects viewed reminders of unwanted thoughts and tried to suppress retrieval while being scanned with functional magnetic resonance imaging. Suppression reduced hippocampal activity and memory for suppressed content. 1H magnetic resonance spectroscopy revealed that greater resting concentrations of hippocampal GABA predicted better mnemonic control. Higher hippocampal, but not prefrontal GABA, predicted stronger fronto-hippocampal coupling during suppression, suggesting that interneurons local to the hippocampus implement control over intrusive thoughts. Stopping actions did not engage this pathway. These findings specify a multi-level mechanistic model of how the content of awareness is voluntarily controlled

Losing Control : Sleep Deprivation Impairs the Suppression of Unwanted Thoughts

Unwanted memories often enter conscious awareness when we confront reminders. People vary widely in their talents at suppressing such memory intrusions; however, the factors that govern suppression ability are poorly understood. We tested the hypothesis that successful memory control requires sleep. Following overnight sleep or total sleep deprivation, participants attempted to suppress intrusions of emotionally negative and neutral scenes when confronted with reminders. The sleep-deprived group experienced significantly more intrusions (unsuccessful suppressions) than the sleep group. Deficient control over intrusive thoughts had consequences: whereas in rested participants suppression reduced behavioural and psychophysiological indices of negative affect for aversive memories, it had no such salutary effect for sleep-deprived participants. Our findings raise the possibility that sleep deprivation disrupts prefrontal control over medial temporal lobe structures that support memory and emotion. These data point to an important role of sleep disturbance in maintaining and exacerbating psychiatric conditions characterised by persistent, unwanted thoughts

Parallel Regulation of Memory and Emotion Supports the Suppression of Intrusive Memories.

Intrusive memories often take the form of distressing images that emerge into a person's awareness, unbidden. A fundamental goal of clinical neuroscience is to understand the mechanisms allowing people to control these memory intrusions and reduce their emotional impact. Mnemonic control engages a right frontoparietal network that interrupts episodic retrieval by modulating hippocampal activity; less is known, however, about how this mechanism contributes to affect regulation. Here we report evidence in humans (males and females) that stopping episodic retrieval to suppress an unpleasant image triggers parallel inhibition of mnemonic and emotional content. Using fMRI, we found that regulation of both mnemonic and emotional content was driven by a shared frontoparietal inhibitory network and was predicted by a common profile of medial temporal lobe downregulation involving the anterior hippocampus and the amygdala. Critically, effective connectivity analysis confirmed that reduced amygdala activity was not merely an indirect consequence of hippocampal suppression; rather, both the hippocampus and the amygdala were targeted by a top-down inhibitory control signal originating from the dorsolateral prefrontal cortex. This negative coupling was greater when unwanted memories intruded into awareness and needed to be purged. Together, these findings support the broad principle that retrieval suppression is achieved by regulating hippocampal processes in tandem with domain-specific brain regions involved in reinstating specific content, in an activity-dependent fashion.SIGNIFICANCE STATEMENT Upsetting events sometimes trigger intrusive images that cause distress and that may contribute to psychiatric disorders. People often respond to intrusions by suppressing their retrieval, excluding them from awareness. Here we examined whether suppressing aversive images might also alter emotional responses to them, and the mechanisms underlying such changes. We found that the better people were at suppressing intrusions, the more it reduced their emotional responses to suppressed images. These dual effects on memory and emotion originated from a common right prefrontal cortical mechanism that downregulated the hippocampus and amygdala in parallel. Thus, suppressing intrusions affected emotional content. Importantly, participants who did not suppress intrusions well showed increased negative affect, suggesting that suppression deficits render people vulnerable to psychiatric disorders

The think/no-think alcohol task: a new paradigm for assessing memory suppression in alcohol-related contexts

Background Research with the Think/No-Think (TNT) task has shown that voluntary suppression of an unwanted memory may lead to its later forgetting. To date, however, no study has assessed the memory suppression abilities in alcohol-related contexts despite the potential implications that it might have for alcohol research. With this aim, we developed a new version of the TNT paradigm, the TNT Alcohol (TNTA) task, which consists of 36 neutral pictures paired with 36 alcohol/no-alcohol images that are instructed to be suppressed or recollected. Methods Electroencephalographic activity was recorded from 64 electrodes while 20 young healthy females performed the TNTA task. The event-related potentials (ERPs) typically involved in memory suppression/recollection were analyzed, namely the fronto-central N2, the late parietal positivity (LPP), and the frontal slow wave (FSW). Results Findings revealed reduced recall for previously learned images that were subsequently instructed to be suppressed (No-Think) relative to those instructed to be retrieved (Think) and those not cued to be suppressed or retrieved (Baseline). This reduction seemed to be more prominent for alcohol-related memories. In addition, ERP analysis showed that compared to attempts of recollection, attempts of memory suppression were associated with attenuated LPP amplitude-more pronounced for alcohol-related memories-(indicating reduced conscious recollection for No-Think images) as well as with increased FSW (suggesting strategic control aiming at decrease accessibility of unwanted memories). Conclusions These results replicate and extend previously reported behavioral and ERP findings in the TNT paradigm and suggest that the TNTA task may be a useful instrument to measure the ability to suppress alcohol-related memories.This study was supported by the project NORTE-01-0145-FEDER-028672, funded by the Portuguese Foundation for Science and Technology (FCT) and the European Regional Development Fund (FEDER). EL-C and AC were supported by a Postdoctoral Fellowship of the FCT (SFRH/BPD/109750/2015 and SFRH/BPD/91440/2012, respectively), as well as by the Psychology Research Centre (UID/PSI/01662/2013), co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653)

The impairing effect of acute stress on suppression-induced forgetting of future fears and its moderation by working memory capacity

Unwanted imaginations of future fears can, to some extent, be avoided. This is achieved by control mechanisms similar to those engaged to suppress and forget unwanted memories. Suppression-induced forgetting relies on the executive control network, whose functioning is impaired after exposure to acute stress. This study investigates whether acute stress affects the ability to intentionally control future fears and, furthermore, whether individual differences in executive control predict a susceptibility to these effects. The study ran over two consecutive days. On day 1, the working memory capacity of one hundred participants was assessed. Thereafter, participants provided descriptions and details of fearful episodes that they imagined might happen in their future. On day 2, participants were exposed to either the stress or no-stress version of the Maastricht Acute Stress Test, after which participants performed the Imagine/No-Imagine task. Here, participants repeatedly imagined some future fears and suppressed imaginings of others. Results demonstrated that, in unstressed participants, suppression successfully induced forgetting of the episodes’ details compared to a baseline condition. However, anxiety toward these events did not differ. Acute stress was found to selectively impair suppression-induced forgetting and, further, this effect was moderated by working memory capacity. Specifically, lower working memory predicted a susceptibility to these detrimental effects. These findings provide novel insights into conditions under which our capacity to actively control future fears is reduced, which may have considerable implications for understanding stress-related psychopathologies and symptomatologies characterized by unwanted apprehensive thoughts

Memory control ability modulates intrusive memories after analogue trauma

AbstractBackgroundMost people suffer from intrusive memories in the aftermath of trauma. For survivors' well-being, it is key that these intrusions are controlled. Memory control can be exerted through retrieval suppression. Poor retrieval suppression, however, should be associated with persistent distressing intrusions and posttraumatic stress disorder (PTSD). This study tested the hypothesis that individual differences in retrieval suppression predict intrusive memories after trauma. Retrieval suppression was examined with the think/no-think task (TNT) using behavioral and event related potential (ERP) measures.MethodsTwenty-four healthy participants watched a “traumatic” film after performing the TNT task. The frequency and distress of intrusions from the “traumatic” film was measured with an electronic diary. Additionally the Impact of Event Scale (IES) was assessed.ResultsIn line with our hypothesis, behavioral measures of retrieval suppression ability predicted reduced distress ratings for intrusions (r=−.53, p<.01). Further ERP markers of retrieval suppression (a fronto-centrally distributed N2) predicted reduced distress ratings for intrusions (r=−.45, p<.05) and reduced IES Intrusion scores (r=−.56, p<.01).LimitationsThe presented film is a relatively mild stressor as compared to a real-life trauma. Further studies are needed to explore the role of memory control processes for real-life trauma.ConclusionsParticipants with lower retrieval suppression ability exhibited less distressing intrusive memories after analogue trauma. The ERP correlate of retrieval suppression was associated with less distressing intrusive memories and reduced IES Intrusion scores, suggesting that deficient memory control is a potential risk factor for developing PTSD

Stress impairs intentional memory control through altered theta oscillations in lateral parietal cortex

Accumulating evidence suggests that forgetting is not necessarily a passive process but that we can, to some extent, actively control what we remember and what we forget. Although this intentional control of memory has potentially far-reaching implications, the factors that influence our capacity to intentionally control our memory are largely unknown. Here, we tested whether acute stress may disrupt the intentional control of memory and, if so, through which neural mechanism. We exposed healthy men and women to a stress (n=27) or control (n=26) procedure before they aimed repeatedly to retrieve some previously learned cue-target pairs and to actively suppress others. While control participants showed reduced memory for supressed compared to baseline pairs in a subsequent memory test, this suppression-induced forgetting was completely abolished after stress. Using magnetoencephalography (MEG), we show that the reduced ability to suppress memories after stress is associated with altered theta activity in the inferior temporal cortex when the control process (retrieval or suppression) is triggered and in the lateral parietal cortex when control is exerted, with the latter being directly correlated with the stress hormone cortisol. Moreover, the suppression-induced forgetting was linked to altered connectivity between the hippocampus and right dorsolateral prefrontal cortex, which in turn was negatively correlated to stress-induced cortisol increases. These findings provide novel insights into conditions under which our capacity to actively control our memory breaks down and may have considerable implications for stress-related psychopathologies, such as posttraumatic stress disorder, that are characterized by unwanted memories of distressing events.Significance Statement: It is typically assumed that forgetting is a passive process that can hardly be controlled. There is, however, evidence that we may actively control, to some extent, what we remember and what we forget. This intentional memory control has considerable implications for mental disorders in which patients suffer from unwanted (e.g., traumatic) memories. Here, we demonstrate that the capacity to intentionally control our memory breaks down after stress. Using magnetoencephalography, we show that this stress-induced memory control deficit is linked to altered activity in the lateral parietal cortex and the connectivity between the hippocampus and right prefrontal cortex. These findings provide novel insights into conditions under which memory control fails and are highly relevant in the context of stress-related psychopathologies