EMDR: eye movements superior to beeps in taxing working memory and reducing vividness of recollections

Posttraumatic stress disorder (PTSD) is effectively treated with eye movement desensitization and reprocessing (EMDR) with patients making eye movements during recall of traumatic memories. Many therapists have replaced eye movements with bilateral beeps, but there are no data on the effects of beeps. Experimental studies suggest that eye movements may be beneficial because they tax working memory, especially the central executive component, but the presence/degree of taxation has not been assessed directly. Using discrimination Reaction Time (RT) tasks, we found that eye movements slow down RTs to auditive cues (experiment I), but binaural beeps do not slow down RTs to visual cues (experiment II). In an arguably more sensitive “Random Interval Repetition” task using tactile stimulation, working memory taxation of beeps and eye movements were directly compared. RTs slowed down during beeps, but the effects were much stronger for eye movements (experiment III). The same pattern was observed in a memory experiment with healthy volunteers (experiment IV): vividness of negative memories was reduced after both beeps and eye movements, but effects were larger for eye movements. Findings support a working memory account of EMDR and suggest that effects of beeps on negative memories are inferior to those of eye movements.     

On EMDR: Eye movements during retrieval reduce subjective vividness and objective memory accessibility during future recall

In eye movement desensitization and reprocessing (EMDR), a treatment for post-traumatic stress disorder (PTSD), patients make eye movements (EM) during trauma recall. Earlier experimental studies found that EM during recall reduces memory vividness during future recalls, and this was taken as laboratory support for the underlying mechanism of EMDR. However, reduced vividness was assessed with self-reports that may be affected by demand characteristics. We tested whether recall+EM also reduces memory vividness on a behavioural reaction time (RT) task. Undergraduates (N=32) encoded two pictures, recalled them, and rated their vividness. In the EM group, one of the pictures was recalled again while making EM. In the no-EM group one of the pictures was recalled without EM. Then fragments from both the recalled and non-recalled pictures, and new fragments were presented and participants rated whether these were (or were not) seen before. Both pictures were rated again for vividness. In the EM group, self-rated vividness of the recalled+EM picture decreased, relative to the non-recalled picture. In the no-EM group there was no difference between the recalled versus non-recalled picture. The RT task showed the same pattern. Reduction of memory vividness due to recall+EM is also evident from non-self-report data.     

Autobiographical memory characteristics in depression vulnerability: Formerly depressed individuals recall less vivid positive memories

The differential activation hypothesis (DAH; Teasdale, 1988) proposes that individuals who are vulnerable to depression can be distinguished from non-vulnerable individuals by the degree to which negative thoughts and maladaptive cognitive processes are activated during sad mood. While retrieval of negative autobiographical memories is noted as one such process, the model does not articulate a role for deficits in recalling positive memories. Two studies were conducted to compare the autobiographical memory characteristics of never-depressed and formerly depressed individuals following a sad mood induction. In Study 1, features of negative memories of never-depressed and formerly depressed individuals did not differ, either in neutral or sad mood. For positive memories, groups did not differ in neutral mood, but following a sad mood induction, formerly depressed individuals rated their positive memories as less vivid than their never-depressed counterparts. Study 2 examined positive autobiographical memory features more comprehensively and replicated the finding that in a sad mood formerly depressed individuals recalled less vivid positive memories than never-depressed controls. These findings suggest that the phenomenological features of positive memories could represent an important factor in depressive vulnerability, and, more broadly, that depression may be associated with a deficit in the processing of positive material.     

Bilateral saccadic eye movements and tactile stimulation,but not auditory stimulation,enhance memory retrieval

Recent research has shown superior memory retrieval when participants make a series of horizontal saccadic eye movements between the memory encoding phase and the retrieval phase compared to participants who do not move their eyes or move their eyes vertically. It has been hypothesized that the rapidly alternating activation of the two hemispheres that is associated with the series of left–right eye movements is critical in causing the enhanced retrieval. This hypothesis predicts a beneficial effect on retrieval of alternating left–right stimulation not only of the visuomotor system, but also of the somatosensory system, both of which have a strict contralateral organization. In contrast, this hypothesis does not predict an effect, or a weaker effect, on retrieval of alternating left–right stimulation of the auditory system, which has a much less lateralized organization. Consistent with these predictions, we replicated the horizontal saccade-induced retrieval enhancement (Experiment 1) and showed that a similar retrieval enhancement occurs after alternating left–right tactile stimulation (Experiment 2). Furthermore, retrieval was not enhanced after alternating left–right auditory stimulation compared to simultaneous bilateral auditory stimulation (Experiment 3). We discuss the possibility that alternating bilateral activation of the left and right hemispheres exerts its effects on memory by increasing the functional connectivity between the two hemispheres. We also discuss the findings in the context of clinical practice, in which bilateral eye movements (EMDR) and auditory stimulation are used in the treatment of post-traumatic stress disorder.     

Phenomenological characteristics of emotional memories in younger and older adults

Older adults sometimes show a “positivity effect” in memory, remembering proportionally more positive information than younger adults. Using a modified Memory Characteristics Questionnaire, this study examined whether emotional valence impacts the phenomenological qualities of young and older adults’ memories. Ageing did not impact the effect of valence on the qualities of high-arousal memories. However, ageing sometimes impacted subjective memory for details of low-arousal memories: In Experiment 2, older adults reported remembering more thoughts, feelings, and temporal order details about positive low-arousal stimuli, while young adults’ ratings for those dimensions were higher for negative low-arousal stimuli. These findings suggest that valence most readily affects the qualities of young and older adults’ emotional memories when those memories are low in arousal.     

Merging and modifying hypotheses on the emotional and cognitive effects of eye movements: The dopaminergic regulation hypothesis

The integration of hypotheses from Eye-Movement Desensitization and Reprocessing (EMDR) and Saccade Induced Retrieval Enhancement (SIRE), both of which have been met with considerable skepticism, may lead to significant gains in both domains. Cognitive accounts of EMDR, the orienting response (OR) and working memory (WM) hypotheses, and of SIRE, the interhemispheric interaction (IHI) and the top-down attentional control (TDAC) hypotheses, are discussed. The accounts show several blind spots and frictions, for instance, on re-imagining during EMs, on hemispheric lateralization, and on emotional influences of eye movements. The failure to consider these factors across and within domains may well explain the many disparate findings. This perspective aims to remove the artificial separation and seeks a theoretical integration of the domains. It combines elements of OR and TDAC into a new dopaminergic regulation hypothesis while replacing affective (i.e., positive vs. negative) by motivational mechanisms (i.e., fostering approach and recoding). EMs are posited to result in a short-latency, targeted release of dopamine, which is the central neuromodulator in approach tendencies. According to this hypothesis, the largest effects are obtained in individuals with collateralized eye dominance and dopamine dominance. Concrete suggestions are made to improve research conditions and therapeutic efficacy.     

Eye movements during recall of aversive memory decreases conditioned fear

Cognitive-behavioral therapy for anxiety disorders typically involves exposure to the conditioned stimulus (CS). Despite its status as an effective and primary treatment, many patients do not show clinical improvement or relapse. Contemporary learning theory suggests that treatment may be optimized by adding techniques that aim at revaluating the aversive consequence (US) of the feared stimulus. This study tested whether US devaluation via a dual task – imagining the US while making eye movements – decreases conditioned fear. Following fear acquisition one group recalled the US while making eye movements (EM) and one group merely recalled the US (RO). Next, during a test phase, all participants were re-presented the CSs. Dual tasking, relative to the control condition, decreased memory vividness and emotionality. Moreover, only in the dual task condition reductions were observed in self-reported fear, US expectancy, and CS unpleasantness, but not in skin conductance responses. Findings provide the first evidence that the dual task decreases conditioned fear and suggest it may be a valuable addition to exposure therapy.     

Recollecting positive and negative autobiographical memories disrupts working memory

The present article reports two experiments examining the impact of recollecting emotionally valenced autobiographical memories on subsequent working memory (WM) task performance. Experiment 1 found that negatively valenced recollection significantly disrupted performance on a supra-span spatial WM task. Experiment 2 replicated and extended these findings to a verbal WM task (digit recall), and found that both negative and positive autobiographical recollections had a detrimental effect on verbal WM. In addition, we observed that these disruptive effects were more apparent on early trials, immediately following autobiographical recollection. Overall, these findings show that both positive and negative affect can disrupt WM when the mood-eliciting context is based on autobiographical memories. Furthermore, these results indicate that the emotional disruption of WM can take place across different modalities of WM (verbal and visuo-spatial).     

The influence of extrafoveal emotional faces on prosaccade latencies

Across three experiments we sought to determine whether extrafoveally presented emotional faces are processed sufficiently rapidly to influence saccade programming. Two rectangular targets containing a neutral and an emotional face were presented either side of a central fixation cross. Participants made prosaccades towards an abrupt luminosity change to the border of one of the rectangles. The faces appeared 150 ms before or simultaneously with the cue. Saccades were faster towards cued rectangles containing emotional compared to neutral faces even when the rectangles were positioned 12 degrees from the fixation cross. When faces were inverted, the facilitative effect of emotion only emerged in the ?150 ms SOA condition, possibly reflecting a shift from configural to featural face processing. Together the results suggest that the human brain is highly specialized for processing emotional information and responds very rapidly to the brief presentation of expressive faces, even when these are located outside foveal vision.     

Eyewitness memory: The impact of a negative mood during encoding and/or retrieval upon recall of a non-emotive event

The police often appeal for eyewitnesses to events that were unlikely to have been emotive when observed. An eyewitness, however, may be in a negative mood whilst encoding or retrieving such events as mood can be influenced by a range of personal, social, and environmental factors. For example, bad weather can induce a negative mood. This experiment compared the impact of negative and neutral moods during encoding and/or retrieval upon eyewitness recall of a non-emotive event. A negative mood during encoding had no impact upon the number of correct details recalled (provided participants were in a neutral mood at retrieval) but a negative mood during retrieval impaired the number of correct details recalled (provided participants were in a neutral mood at encoding). A negative mood at both time points enhanced the number of correct details recalled, demonstrating a mood-dependent memory enhancement. The forensic implications of these findings are discussed.     

Trade-offs in visual attention and the enhancement of memory specificity for positive and negative emotional stimuli

Emotional influences on memory can lead to trade-offs in memory for gist or detail and trade-offs in memory for central or peripheral aspects of an event. Attentional narrowing has often been proposed as a theoretical explanation for this pattern of findings with negative emotion. These trade-offs have been less extensively investigated with positive emotion. In three experiments, we investigate memory for specific visual details of positive and negative stimuli, examine central–peripheral trade-offs in memory, and assess the hypothesis that attentional narrowing contributes to emotional enhancement of memory specificity. We found that memory for details was enhanced by negative and positive emotion. Central–peripheral trade-offs were found in memory for negative emotional stimuli but not in memory for positive emotional stimuli. These trade-offs with negative emotion were associated with attentional narrowing at the time of encoding, as measured by eye movements. There were no attentional effects at the time of encoding found with positive emotional stimuli. Evidence was found for the attentional narrowing hypothesis of memory specificity and central–peripheral trade-offs in memory for negative emotional events. Alternative explanations for the positive emotional enhancement of memory specificity are required.     

Eye movements reduce vividness and emotionality of “flashforwards”

Earlier studies have shown that eye movements during retrieval of disturbing images about past events reduce their vividness and emotionality, which may be due to both tasks competing for working memory resources. This study examined whether eye movements reduce vividness and emotionality of visual distressing images about feared future events: “flashforwards”. A non-clinical sample was asked to select two images of feared future events, which were self-rated for vividness and emotionality. These images were retrieved while making eye movements or without a concurrent secondary task, and then vividness and emotionality were rated again. Relative to the no-dual task condition, eye movements while thinking of future-oriented images resulted in decreased ratings of image vividness and emotional intensity. Apparently, eye movements reduce vividness and emotionality of visual images about past and future feared events. This is in line with a working memory account of the beneficial effects of eye movements, which predicts that any task that taxes working memory during retrieval of disturbing mental images will be beneficial.     

Effect of negative emotional content on attentional maintenance in working memory

ABSTRACT

Previous research has shown that emotional stimuli may interfere with working memory (WM) processes, but little is known about the process affected. Using a complex span task, the present study investigated the influence of processing negative emotional content on attentional maintenance in WM. In two experiments conducted under articulatory suppression, participants were asked to remember a series of five letters, each of which was followed by an image to be categorised. In half of the trials, the images were negative and in the other half, they were neutral. In both experiments, our results showed longer processing times for emotional stimuli than neutral stimuli, and lower memory performance when participants processed negative stimuli. We propose that emotional stimuli direct more attentional resources towards the processing component of the WM task, thereby reducing the storage capacity available for the items that are to be remembered.     

Recognition memory strength is predicted by pupillary responses at encoding while fixation patterns distinguish recollection from familiarity

Thirty-five healthy participants incidentally encoded a set of man-made and natural object pictures, while their pupil response and eye movements were recorded. At retrieval, studied and new stimuli were rated as novel, familiar (strong, moderate, or weak), or recollected. We found that both pupil response and fixation patterns at encoding predict later recognition memory strength. The extent of pupillary response accompanying incidental encoding was found to be predictive of subsequent memory. In addition, the number of fixations was also predictive of later recognition memory strength, suggesting that the accumulation of greater visual detail, even for single objects, is critical for the creation of a strong memory. Moreover, fixation patterns at encoding distinguished between recollection and familiarity at retrieval, with more dispersed fixations predicting familiarity and more clustered fixations predicting recollection. These data reveal close links between the autonomic control of pupil responses and eye movement patterns on the one hand and memory encoding on the other. Moreover, the data illustrate quantitative as well as qualitative differences in the incidental visual processing of stimuli, which are differentially predictive of the strength and the kind of memory experienced at recognition.     

The role of working memory in achievement goal pursuit

The present research examined the role of working memory in the pursuit of qualitatively different achievement goals. Pursuit of a mastery-approach goal entails a focus on developing self-referential competence while a performance-approach goal entails a focus on demonstrating normative competence. Across two experiments it was found that, when working memory is loaded, individuals pursuing a mastery-approach goal experienced larger performance decrements than individuals pursuing a performance-approach goal or those in a no-goal control. It was also found that reliance upon working memory intensive strategies (explicit strategies) was more evident for those in a mastery-approach condition, whereas reliance upon less working memory intensive strategies (implicit strategies) was more evident for those in the performance-approach condition. Results suggest that a motivated focus on developing self-referential skill relies heavily on working memory, facilitated by the use of deliberative, ‘step-by-step’ strategies during goal pursuit. Conversely, a focus on demonstrating normative skill depends less on working memory, facilitated by the use of more heuristic ‘short-cut’ strategies during goal pursuit. These findings show, for the first time, that working memory plays an important, but selective, role in achievement goal pursuit.     

Eye movement inductions influence health behaviour: the working memory account of persuasion

Abstract

Objective: Because the working memory (WM) has a limited capacity, the cognitive reactions towards persuasive information in the WM might be disturbed by taxing it by other means, in this study, by inducing voluntary eye movements (EMi). This is expected to influence persuasion.

Methods: Participants (N?=?127) listened to an auditory persuasive message on fruit and vegetable consumption, that was either framed positively or negatively. Half of them was asked to keep following a regularly moving dot on their screen with their eyes. At pretest, cognitive self-affirmation inclination (CSAI) was assessed as individual difference to test possible moderation effects.

Results: The EMi significantly lowered the quality of the mental images that participants reported to have of the persuasive outcomes. With regard to self-reported fruit and vegetable consumption after two weeks, EMi significantly lowered consumption when CSAI was high but it significantly increased consumption when CSAI was low.

Conclusions: The results verify our earlier findings that induced EM can influence persuasion. Although it remains unclear whether the effects of EMi were caused by disturbing mental images of persuasive outcomes or self-regulative reactions to these images, or both, the WM account may provide new theoretical as well as practical angles on persuasion.     

The Effect of modality specific interference on working memory in recalling aversive auditory and visual memories*

Both auditory and visual emotional memories can be made less emotional by loading working memory (WM) during memory recall. Taxing WM during recall can be modality specific (giving an auditory [visuospatial] load during recall of an auditory [visual] memory) or cross modal (an auditory load during visual recall or vice versa). We tested whether modality specific loading taxes WM to a larger extent than cross modal loading. Ninety-six participants undertook a visual and auditory baseline Random Interval Repetition task (i.e. responding as fast as possible to a visual or auditory stimulus by pressing a button). Then, participants recalled a distressing visual and auditory memory, while performing the same visual and auditory Random Interval Repetition task. Increased reaction times (compared to baseline) were indicative of WM loading. Using Bayesian statistics, we compared five models in terms of general and modality specific taxation. There was support for the model describing the effect on WM of dual tasking in general, irrespective of modality specificity, and for the model describing the effect of modality specific loading. Both models combined gained the most support. The results suggest a general effect of dual tasking on taxing WM and a superimposed effect of taxing in matched modality.     

Developmental reversals in false memory: Effects of emotional valence and arousal

Do the emotional valence and arousal of events distort children’s memories? Do valence and arousal modulate counterintuitive age increases in false memory? We investigated those questions in children, adolescents, and adults using the Cornell/Cortland Emotion Lists, a word list pool that induces false memories and in which valence and arousal can be manipulated factorially. False memories increased with age for unpresented semantic associates of word lists, and net accuracy (the ratio of true memory to total memory) decreased with age. These surprising developmental trends were more pronounced for negatively valenced materials than for positively valenced materials, they were more pronounced for high-arousal materials than for low-arousal materials, and developmental increases in the effects of arousal were small in comparison with developmental increases in the effects of valence. These findings have ramifications for legal applications of false memory research; materials that share the emotional hallmark of crimes (events that are negatively valenced and arousing) produced the largest age increases in false memory and the largest age declines in net accuracy.     

Non-monotonic relationships between emotional arousal and memory for color and location

Recent research points to the decreased diagnostic value of subjective retrieval experience for memory accuracy for emotional stimuli. While for neutral stimuli rich recollective experiences are associated with better context memory than merely familiar memories this association appears questionable for emotional stimuli. The present research tested the implicit assumption that the effect of emotional arousal on memory is monotonic, that is, steadily increasing (or decreasing) with increasing arousal. In two experiments emotional arousal was manipulated in three steps using emotional pictures and subjective retrieval experience as well as context memory were assessed. The results show an inverted U-shape relationship between arousal and recognition memory but for context memory and retrieval experience the relationship was more complex. For frame colour, context memory decreased linearly while for spatial location it followed the inverted U-shape function. The complex, non-monotonic relationships between arousal and memory are discussed as possible explanations for earlier divergent findings.     

The role of the amygdala in emotional experience during retrieval of personal memories

ABSTRACT

Although the role of the amygdala in emotional memory retrieval has long been established, how such engagement varies depending on valence and retrieval context is less clearly understood. Participants retrieved personal memories associated with primarily positive, primarily negative, and mixed-valence images, pressing a button when successful. The button press divided trials into search and elaboration phases. Participants provided positivity and negativity ratings immediately following each trial, and then again in a post-retrieval survey. The relation between amygdala recruitment and emotionality exhibited a four-way interaction, with no other significant main effects or interactions. The interaction was driven by a temporal shift in the role of amygdala recruitment during retrieval of memories associated with mixed-valence images: Negativity ratings were supported more by search-related activity whereas positivity was more strongly associated with elaboration. Amygdala activity during retrieval relates to emotional experience in more complicated ways than previously understood. When participants were able to consider positive and negative aspects of the same event, amygdala recruitment during search and elaboration were associated with opposite behavioural effects. Such findings suggest that the amygdala may support distinct aspects of emotional experience for the same memory depending on when during retrieval it is recruited.