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MICHAEL CHRISTOPHER ANDERSON +44 (0) 1223 355294 [email protected] MRC Cognition and Brain Sciences Unit 15 Chaucer Road, Cambridge CB2 7EF England United Kingdom Senior scientist and programme leader at the MRC Cognition and Brain Sciences Unit in Cambridge, studying the cognitive and neural mechanisms underlying forgetting in long-term memory. Professional Positions 2009 - Senior Scientist and Programme Leader, MRC Cognition and Brain Sciences Unit, Cambridge UK 2007-2009 Chair in Cognitive Neuroscience, University of St. Andrews, Scotland 2008 Professor of Cognitive Neuroscience. Department of Psychology, University of Oregon 2001-2007 Associate Professor of Cognitive Neuroscience. Department of Psychology, University of Oregon 2002-2003 Visiting Scholar, Department of Psychology, Stanford University 1995-2001 Assistant Professor of Cognitive Neuroscience. Department of Psychology, University of Oregon 1994-1995. McDonnell-Pew Postdoctoral Fellow in Cognitive Neuroscience. Department of Psychology, University of California, Berkeley. 1991-1992. Consultant, Rand Corporation. Santa Monica, California. 1987-1988. Associate Scientist. Rockwell International Laboratory for Artificial Intelligence. Palo Alto, California. M. Anderson Vita 2 Academic History 1994-1995 Postdoctoral fellow, Department of Psychology, University of California, Berkeley 1988-1994 Ph.D., Psychology, University of California, Los Angeles, June 1994. Dissertation: Inhibitory Control and the Mechanisms of Episodic Forgetting. Advisors: Robert Bjork, Keith Holyoak 1982-1986 B.A., Cognitive Science, University of Rochester, May 1986. Honors in Cognitive Science. Advisor: Michael Tanenhaus Fellowships, Scholarships, and Internships Fellow of the Association for Psychological Science 2009-Present Fellow of the Psychonomics Society 2013-Present Posner / Boies Fellowship. 2004 Visiting Scholar Fellowship, British Psychological Society. 1997 McDonnell-Pew Summer Institute in Cognitive Neuroscience, Dartmouth, NH. 1996 McDonnell-Pew post-doctoral fellowship in cognitive neuroscience, (Berkeley). 1994-1995 University of California, graduate research award. 1992-1993 Summer Internship, RAND corporation. 1991 Regent's Fellowship, University of California, Los Angeles. 1988-1989 Alumni Regional Scholarship, University of Rochester. 1982-1986 Professional Memberships American Association for the Advancement of Science; American Psychological Association; Association for Psychological Science; Cognitive Neuroscience Society; Memory Disorders Research Society; Psychonomic Society; Society for Neuroscience. British Neuropsychological Society. Professional Leadership and Service PROFESSIONAL SOCIETIES Governing Board, Psychonomics Society 2009--2014 M. Anderson Vita 3 CONSULTING EDITORSHIPS: Memory and Cognition, Perspectives on Psychological Science, Journal of Experimental Psychology: Learning, Memory & Cognition Psychological Science Cognitive Neuroscience AD HOC REFEREEING: Acta Psychological Alcoholism Applied Cognitive Psychology Behavioral and Brain Sciences Behavior Research and Therapy Behavioral Neuroscience Brain Stimulation British Journal of Psychology Cerebral Cortex Cognition Cognitive, Affective, and Behavioral Neuroscience Cognition and Emotion Cognitive Processes Cognitive Psychology Canadian Journal of Experimental Psychology Developmental Science Experimental Psychology Hippocampus Journal of Cognitive Neuroscience Journal of Abnormal Psychology Journal of Experimental Psychology: Applied Journal of Experimental Psychology: Human Perception and Performance Journal of Experimental Psychology: Learning, Memory and Cognition Journal of Experiment Psychology: General Journal of Neuroscience Journal of Personality and Social Psychology Journal of Memory and Language Journal of Neuroscience Memory and Cognition Memory Nature Neuroimage Neuropsychology Neuropsychologia PNAS Psychology and Aging 2002 - 2004 2005 - 2007 2006 – 2012 2014 –Present 2015--Present M. Anderson Vita 4 Psychological Bulletin Psychonomic Bulletin and Review Psychological Review Psychological Science Quarterly Journal of Experimental Psychology Science Trends in Cognitive Science DEPARTMENTAL SERVICE: Unit Management Committee, Cognition and Brain Sciences Unit University of Cambridge Psychology Research Ethics Committee Knowledge Transfer Committee, Cognition and Brain Sciences Unit fMRI Scientific Committee, University of St. Andrews Executive Committee, Lewis Center for Neuroimaging. Colloquium Committee, University of Oregon Attneave Memorial Lecture Committee, University of Oregon Graduate Admissions Committee Chair, University of Oregon Participant Panel Review Group, MRC CBU Chaucer Club Organizing Committee Teaching Experience UNIVERSITY OF ST. ANDREWS (2 years): Introduction to Cognitive Neuroscience Psychology in Everyday Life UNIVERSITY OF OREGON (12 years): Learning and Memory Amnesia and the Medial-Temporal Lobe Memory System Mind and Brain Cognitive Science Laboratory Memory and Frontal Lobe Function Advanced Cognitive Neuroscience Issues in Psychology: Cognitive Psychology Introduction to Experimental Psychology UNIVERSITY OF CALIFORNIA, LOS ANGELES (5 years): Introduction to Cognitive Psychology (teaching assistant) Cognitive Psychology Laboratory (teaching assistant) Cognitive Science Laboratory (teaching assistant) Basic Research Methods in Psychology Laboratory (teaching assistant) 2014-present 2012-present 2014-present 2007-2009 2002-2004 2005-2007 2005-2007 2009-2010 2010-2011 M. Anderson Vita 5 UNIVERSITY OF ROCHESTER (1 year): Introduction to Cognitive Science (teaching assistant) Advisees and Postdoctoral Fellows MASTERS AND PH.D. STUDENTS Geeta Shivde Theodore Bell Julia Rheinholz Lisa Stryker Leilani Goodmon Benjamin Levy Justin Hulbert M.A., Ph.D. M.A., Ph.D. M.A. M.A. M.A., Ph.D M.A., Ph.D. M.A., Ph.D Yuhua Guo Shanti Shanker M.A., Ph.D. M.A., Ph.D. Berit Brumerloh M.A. Tanya Wen Ph.D. POST-DOCTORAL FELLOWS Sarah Johnson Roland Benoit Pierre Gagnepain Maria Wimber Ana Catarino Taylor Schmitz Jonathan Fawcett (graduated, UO, associate professor) (graduated, UO, post-doc) (graduated, UO, industry) (graduated, UO, industry) (graduated, USF, assistant professor) (graduated UO, asstnt professor, UCSF) (graduated, University of Cambridge, post-doc, Princeton) (current, University of Cambridge). (current, University of Bangor, cosupervised with Oliver Turnbull) (current, University of Cambridge supervised with Trevor Robbins) (upcoming, University of Cambridge) (UO, assistant professor) (Cambridge, post-doc, Harvard) (Cambridge, PI, INSERM) (Cambridge, lecturer, University of Birmingham) (Cambridge, current) (Cambridge, current) (Cambridge, current) Grants Michael C. Anderson, P.I. Inhibitory Control and Frontal Lobe Function. McDonnell-Pew Individual Investigator Small Grant in Cognitive Neuroscience. 1995-1998 ($60,000) M. Anderson Vita 6 Michael C. Anderson, P.I. Inhibitory Control as an Approach to Motivated Forgetting. University of Oregon, Summer Research Award. Office of Research and Faculty Development. 1999 ($4000) Michael C. Anderson, P.I. Inhibitory Control and the Mechanisms of Forgetting. National Institute of Mental Health. 2000-2005 ($750,000) Michael C. Anderson, Co-Investigator Acquisition of a 1.5 Tesla (T) Magnetic Resonance Imaging (MRI) System for Research and Research Training in Cognitive Neuroscience National Science Foundation. 2000-2003 ($929,890) Michael C. Anderson, Co-Investigator Acquisition of a Magnetic Resonance Imaging (MRI) System for Research on the Neural Basis of Human Cognition. Department of Defense Telemedicine and Advanced Technology Division. 2000-present ($3,000,000) Michael C. Anderson, Subcontract PI (Mara Mather, PI) The Impact of Emotion Regulation on Cognition in Age National Institute of Aging. 12/01/03-11/30/08 ($1,084,048) Michael C. Anderson, P.I. Suppressing Unwanted Memories: Neural Systems of Intrusion Control Oregon Health Sciences University School of Medicine, Medical Research Council. 1/05 –12/31/06 ($30, 000) Michael C. Anderson, Training Faculty Systems Physiology Training Grant National Institute of General Medical Sciences Training Grant, 7/05-6/10 ($2,100,000). Michael C. Anderson, P.I. Neural Mechanisms Underlying the Control of Reflexive Orienting in Human Memory National Science Foundation April 1st, 2007 – March 31st, 2012 ($500,000) M. Anderson Vita 7 Michael C. Anderson, P.I. Gating Conscious Memories Through Hippocampal Modulation. Mind Science Foundation, Tom Slick Award June 15th, 2010-June 14th, 2011. ($15,000) Michael C. Anderson, co-investigator Acquisition of a 7-t Magnetic Resonance Imaging (MRI) System for Research on Dementia Medical Research Council Infrastructure Grant, 3/2014 (21,00,000 pounds) Michael C. Anderson, PI Broken resilience: How stroke affects brain mechanisms for controlling unwanted thoughts and undermines survivors’ peace of mind. Stroke Association, 3/2015 (209,895 pounds) Media Coverage See http://www.memorycontrol.net/ for PDFs or links to articles, video, and radio GENERAL RESEARCH PROGRAMME Scientific American Mind. Article on my work entitled “Trying to Forget” by Ingrid Wickelgren in a special issue on “Adaptive Forgetting” January 1st, 2012 National Public Radio. Special episode of “On Point” dedicated to adaptive forgetting, on which I was one of three guests (hour long programme). January 2012 FLEGAL & ANDERSON (2009). GOLF PAPER BBC1 Television BBC1 radio Live at five, BBC Radio BBC World Service Kingdom News Radio Midday Report (South Africa) Radio 4, BBC Citytalk, with Gary Quinn TalkSport radio Scotsman Daily Telegraph LiveScience Daily Mail ANDERSON ET AL. (2004). SCIENCE M. Anderson Vita 8 National and Local Press. Newsweek article New York Times CNN (Dr. Sanjay Gupta) NPR (San Francisco Affiliate) Washington Post San Francisco Chronicle Science News Oregonian Register-Guard (AP Wire). National Review Dana Foundation Newsletter KEZI TV (Water cooler segment) KUGN, KLCC, KLCC Sunday at Noon call in show KPNW News, Boston and San Francisco TV News International Press. BBC News The Independent (London) The Guardian (London) Le Monde (Paris) The Japan Times Hindustan Times (India) The Toronto Globe and Mail China Daily El Pais (A Spanish Newspaper) Galileu (A Brazilian Newspaper) The Scottsman News Ottawa Citizen ABC News Radio (Australian Broadcasting Company) Special Categories: Discover Magazine; Movie: Eternal Sunshine of the Spotless Mind: Invited to promote movie. Professional Organizations. APA Monitor. Article covering my work on memory suppression. ANDERSON & GREEN (2001). NATURE US News and World Report article CNN ABC News Los Angeles Times Washington Post The Dailey Telegraph Le Monde Oregonian Register-Guard M. Anderson Vita 9 NPR KLCC Science News The New Scientist Lancet ABC News (Australian Broadcasting System) German, Brazilian and Argentinean Newspapers Books See http://www.psypress.com/books/details/9781848721845/ to browse the book. Baddeley, A., Eysenck, M.W., & Anderson, M.C. (2009). Memory. Psychology Press. Translated into Spanish, Portuguese, Italian, Russian, Hungarian Baddeley, A., Eysenck, M.W., & Anderson, M.C. (2014). Memory, 2nd edition. Psychology Press. Publications Publications can be downloaded at http://www.memorycontrol.net/publications.htm Anderson, M.C., Bjork, R.A., & Bjork, E.L. (1994). Remembering can cause forgetting: Retrieval dynamics in long-term memory. Journal of Experimental Psychology: Learning, Memory and Cognition, 20, 1063-1087. Anderson, M.C., & Bjork, R.A. (1994). Mechanisms of inhibition in long-term memory: A new taxonomy. In D. Dagenbach & T. Carr (Eds.), Inhibitory Processes in Attention, Memory and Language (pp 265-326). San Diego: Academic Press. Anderson, M.C., & Spellman, B.A. (1995). On the status of inhibitory mechanisms in cognition: Memory retrieval as a model case. Psychological Review, 102, 68-100. Anderson, M.C., & Neely, J. (1996). Interference and inhibition in memory retrieval. In E.L. Bjork and R.A. Bjork (Eds.), Memory. A volume in the Handbook of Perception and Cognition (pp 237-313) New York: Academic Press. Bjork, E.L., Bjork, R.A., & Anderson, M.C. (1997). Varieties of goal directed forgetting. In J.M. Golding and C.M. McCleod (Eds), Directed Forgetting: Interdisciplinary Approaches. Lawrence Erlbaum Associates. M. Anderson Vita 10 Anderson, M.C., & McCulloch, K.C. (1999). Integration as a general boundary condition on retrieval-induced forgetting. Journal of Experimental Psychology: Learning, Memory, and Cognition, 25, 608-629. Anderson, M.C., Bjork, E.L., & Bjork, R.A. (2000). Retrieval-induced forgetting: Evidence for a recall-specific mechanism. Psychonomic Bulletin and Review, 7, 522-530. Anderson, M.C., Green, C., & McCulloch, K.C. (2000). Similarity and inhibition in longterm memory: Evidence for a two-factor model. Journal of Experimental Psychology: Learning, Memory and Cognition, 26, 1141-1159. Anderson, M.C. (2001). Active Forgetting: Evidence for functional inhibition as a source of memory failure. Journal of Aggression, Maltreatment, and Trauma, 4(2). Monograph 8. Reprinted in J. Freyd and A. DePrince (Eds.), Trauma and Cognitive Science: A Meeting of Minds, Science, and Human Experience. Shivde, G., & Anderson, M.C. (2001). The role of inhibition in meaning selection: Insights from retrieval-induced forgetting. In D. Gorfein (Ed.), On the Consequences of Meaning Selection: Perspectives on Resolving Lexical Ambiguity. Washington: APA Books. Anderson, M.C., & Bell, T. (2001). Forgetting our facts: The role of inhibitory processes in the loss of propositional knowledge. Journal of Experimental Psychology: General, 130. 544-570. Anderson, M.C. & Green, C. (2001). Suppressing unwanted memories by executive control. Nature, v410, n 6826, 131-134. Levy, B. & Anderson, M.C. (2002). Inhibitory processes and the control of memory retrieval. Trends in Cognitive Science, 6, 299-305. Anderson, M.C., & Levy, B. (2002). Repression can and should be studied empirically. Trends in Cognitive Science, 6, 502-503. Anderson, M.C. (2003). Rethinking interference theory: Executive control and the mechanisms of forgetting. Invited featured paper, Journal of Memory and Language, 49, 415-445. Johnson, S.K., & Anderson, M.C. (2004). The role of inhibitory control in forgetting semantic knowledge. Psychological Science. 15, 448-453. M. Anderson Vita 11 Anderson, M.C., Ochsner, K., Kuhl, B., Cooper, J., Robertson, E., Gabrieli, S.W., Glover, G., & Gabrieli, J.D.E. (2004). Neural systems underlying the suppression of unwanted memories. Science, V 303, 232-235. Anderson, M.C. (2005). The role of inhibitory control in forgetting unwanted memories: A consideration of three methods. In C. MacLeod & B. Uttl (Eds.), Dynamic Cognitive Processes (pp. 159-190). Tokyo: Springer-Verlag. Anderson, M.C. (2006). Repression: A cognitive neuroscience approach. In M. Mancia (Ed.). Neuroscience and Psychoanalysis (pp. 327-350). Milan: Spring. Anderson, M.C., & Levy, B.J. (2006). Encouraging the nascent cognitive neuroscience of repression. Behavioral and Brain Sciences, 29, 511-513. Levy, B.J., McVeigh, N., Marful, A., & Anderson, M.C. (2007). Inhibiting your native language: The role of retrieval-induced forgetting during second-language acquisition. Psychological Science, 18, 29-34. Anderson, M.C. ( 2007). Inhibition in long-term memory. In Y. Dudai, R. Roediger, E. Tulving, and S. Fitzpatrick (Eds.), The Science of Memory: Concepts. New York: Oxford University Press. Anderson, M.C. & Levy, B.J. (2007). Theoretical issues in inhibition: insights from research on human memory. In D. Gorfein & C. MacLeod (Eds.), The Role of Inhibitory Processes in Cognition. Hulbert, J., & Anderson, M.C. (2008). The role of inhibition in learning. In Benjamin, A. S., de Belle, S., Etnyre, B., & Polk, T. (2008). Human Learning: Biology, Brain, and Neuroscience, Holland: Elsevier. 7-20. Levy, B.J., & Anderson, M.C. (2008). Individual differences in suppressing unwanted memories: the executive deficit hypothesis. Acta Psychologica, 127, 623-635. Flegal, K., & Anderson, M.C. (2008). Overthinking skilled motor performance: Or why those who teach, can’t do. Psychonomic Bulletin and Review, 15, 927-932. Anderson, M.C., & Weaver, C. (2009). Inhibitory control over action and memory. In L. Squire (Ed.). The Encyclopedia of Neuroscience. Elsevier. Levy, B.J., & Anderson, M.C. (2009). The control of mnemonic awareness. Encyclopedia of Consciousness. William P. Banks (Ed.). Elsevier. M. Anderson Vita 12 Garcia-Bajos, E., Migueles, M., & Anderson, M.C. (2009). Script knowledge modulates retrieval-induced forgetting for eyewitness events. Memory, 17, 92-103 Anderson, M.C., & Levy, B (2009). Suppressing unwanted memories. Current Directions in Psychological Science. 18 (4) 189-194. Paz-Alonso, P.M., Ghetti, S., Matlen, B.J., Anderson, M.C., & Bunge, S.A. (2009) Memory suppression is an active process that improves over childhood. Frontiers in Neuroscience, 3, 1-6 Anderson, M.C., & Levy, B.J. (2010). On the relation between inhibition and interference in cognition. In A. Benjamin (Ed). Successful Remembering and Successful Forgetting: Essays in Honor of Robert A. Bjork, American Psychological Association. Anderson, M.C., Reinholz, J., & Kuhl, B. & Mayr, U. (2011). Intentional suppression of unwanted memories grows more difficult as we age. Psychology and Aging. 26, 397-405. Goodmon, L., & Anderson, M.C. (2011). Semantic integration as a boundary condition on inhibitory processes in episodic retrieval. Journal of Experimental Psychology: Learning, Memory and Cognition. Anderson, M.C., & Huddleston, E. (2011). Towards a Cognitive and Neurobiological Model of Motivated Forgetting. In Belli, R. F. (Ed.), True and false recovered memories: Toward a reconciliation of the debate. Vol. 58: Nebraska Symposium on Motivation. New York: Springer. Kuhl, B., & Anderson, M.C. (2011). More is not always better: Paradoxical effects of repetition on semantic accessibility. Psychonomic Bulletin and Review. Shivde, G.S., & Anderson, M.C. (2011). On the existence of semantic working memory: Evidence for direct semantic maintenance. Journal of Experimental Psychology: Learning, Memory and Cognition. Hulbert, M.C., Shivde, G.S., & Anderson, M.C. (2012). Evidence against associative blocking as a cause of cue-independent retrieval-induced forgetting. Experimental Psychology. Huddleston, E., & Anderson, M.C. (2012). Reassessing critiques of the independent probe method for studying inhibition. Journal of Experimental Psychology: Learning, Memory, and Cognition, 38, 1408-1418 M. Anderson Vita 13 Benoit, R., & Anderson, M.C. (2012). Opposing mechanisms support the voluntary forgetting of unwanted memories. Neuron, 76, 450-460. Levy, B.J., & Anderson, M.C. (2012). Purging of memories from conscious awareness tracked in the human brain. Journal of Neuroscience. 32, 16785-16794. Weller, P. D., Anderson, M. C., Gómez-Ariza, C. J., & Bajo, M. T. (2013). On the status of cue independence as a criterion for memory inhibition: Evidence against the covert blocking hypothesis. Journal of Experimental Psychology: Learning, Memory, and Cognition, 39(4), 1232. Bergström, Z. M., Anderson, M. C., Buda, M., Simons, J. S., & Richardson-Klavehn, A. (2013). Intentional retrieval suppression can conceal guilty knowledge in ERP memory detection tests. Biological Psychology, 94(1), 1–11. Kevin van Schie , Elke Geraerts & Michael C. Anderson (2013): Emotional and nonemotional memories are suppressible under direct suppression instructions, Cognition & Emotion, 1122-1131. Paz-Alonso, P. M., Bunge, S. A., Anderson, M. C., & Ghetti, S. (2013). Strength of coupling within a mnemonic control network differentiates those who can and cannot suppress memory retrieval. The Journal of Neuroscience, 33(11), 5017-5026. Rae, C. L., Hughes, L. E., Weaver, C., Anderson, M. C., & Rowe, J. B. (2014). Selection and stopping in voluntary action: A meta-analysis and combined fMRI study. Neuroimage, 86, 381-391. Gagnepain, P., Henson, R. N., & Anderson, M. C. (2014). Suppressing unwanted memories reduces their unconscious influence via targeted cortical inhibition. Proceedings of the National Academy of Sciences, 111(13), E1310-E1319. Küpper, C. S., Benoit, R. G., Dalgleish, T., & Anderson, M. C. (2014). Direct suppression as a mechanism for controlling unpleasant memories in daily life. Journal of Experimental Psychology: General, 143(4), 1443-1449. Anderson, M. C., & Hanslmayr, S. (2014). Neural mechanisms of motivated forgetting. Trends in cognitive sciences, 18(6), 279-292. Schilling, C. J., Storm, B. C., & Anderson, M. C. (2014). Examining the costs and benefits of inhibition in memory retrieval. Cognition, 133(2), 358-370. Fawcett, J. M., Benoit, R. G., Gagnepain, P., Salman, A., Bartholdy, S., Bradley, C., Chan, D.K.Y., Roche, A., Brewin, C.R., & Anderson, M. C. (2014). The origins of repetitive M. Anderson Vita 14 thought in rumination: Separating cognitive style from deficits in inhibitory control over memory. Journal of Behavior Therapy and Experimental Psychiatry. Benoit, R. G., Hulbert, J. C., Huddleston, E., & Anderson, M. C. (2014). Adaptive top–down suppression of hippocampal activity and the purging of intrusive memories from consciousness. Journal of Cognitive Neuroscience, 27, 96-111 Rae, C.L., Hughes, L.E., Anderson, M.C., & Rowe, J.B. (2014). The prefrontal cortex achieves inhibitory control by facilitating subcortical motor pathway connectivity, Journal of Neuroscience, 35, 786-794. Murray, B.D., Anderson, M.C., & Kensinger, E.A. (2015). Older adults can suppress unwanted memories when given an appropriate strategy. Psychology and Aging Wimber, M., Alink, R., Charest, I, Kriegskorte, N., & Anderson, M.C. (2015). Retrieval induces adaptive forgetting of competing memories via cortical pattern suppression. Nature Neuroscience. Catarino, A., Kuepper, C., Werner-Seidler, A., Dalgleish, T., & Anderson, M.C. (2015). Failing to forget: Inhibitory control deficits compromise memory suppression in posttraumatic stress disorder. Psychological Science. Manuscripts in Progress Hulbert, J.C., Henson, R.N., & Anderson, M.C. (under revision). Inducing amnesia through cognitive control. Strebb, M., Mecklinger, A., Anderson, M.C., Lass-Hennemann, J., & Michael, T. (submitted). Forget about it: Memory control ability predicts reduced PTSD symptoms after an analogue trauma Yang, T., Lei, X., & Anderson, M.C. (submitted). Decreased inhibitory control of negative information in directed forgetting. Biological Psychology. Greve, A., Cooper, E., Anderson, M.C. & Henson, R.N. (submitted). Does prediction error drive one-shot declarative learning? van Schie, K., & Anderson, M.C. (in preparation). Fatigue compromises the control of intrusive memories. Gagnepain, P., Hulbert, J.C., & Anderson, M.C. (in preparation). Parallel regulation of M. Anderson Vita 15 memory and emotion supports the suppression of intrusive memories Weller, P., Bajo, T., & Anderson, M.C. (in preparation). Controlling mnemonic distraction improves perceptual focus. Benoit, R., Davies, D., & Anderson, M.C. (in preparation). Forgetting the future: Attenuating real-life fears by suppressing prospective simulations Hulbert, J.C., Anderson, M.C., & Kuhl, B.A. (in preparation). What doesn’t kill you makes you stronger: enhanced forgetting of unwanted memories with traumatic experience. Hulbert, J.C., Bross, K., & Anderson, M.C. (in preparation). Inhibitory control contributes to retroactive interference. Hotta, C., Kawaguchi, J., & Anderson, M.C. (in preparation). Intentional suppression, not distraction, leads to long-term forgetting. Schmitz, T., Correira, M., Ferreira, C., Prescott, A., & Anderson, M.C. (in preparation). GABA-ergic inhibition underlies inhibitory control over thought. Beckinschtein, P., Weisstraub, N., Gallo. F., Renner, M., & Anderson, M.C. (in preparation). A species-general, retrieval-specific mechanism of adaptive forgetting. Levy, B.J. Gagenpain, P., Abdullaev, Y., Posner, M.I., & Anderson, M.C. (in preparation). A common neural system mediates reflexive attentional capture by both percepts and unwanted memories Keynotes, Invited Addresses, Symposia, Colloquia INVITED ADDRESSES AND KEYNOTES • Keynote Speaker, Japanese Psychological Association, Nagoya Japan, September, 2015 • British Academy / British Psychological Society Invited Lecture, British Academy, London, September, 2015. • Keynote Speaker, Memory and motivation: A reappraisal of the recovered/false memory debate: the 50th annual Nebraska Symposium on Motivation. Cognitive and Neural Systems Underlying the Control of Intrusive Memories.University of Nebraska, Lincoln, April, 2010. M. Anderson Vita 16 • Congreso de la Sociedad Española de Psicología Experimental, Keynote address. Cognitive and Neural Systems Underlying the Control of Intrusive Memories. San Sebastian, Spain, April, 2008. • World Congress on Cognitive Behavioral Therapy. Keynote Address. Cognitive and Neural Systems Underlying the Control of Intrusive Memories: Implications for Theories of Thought Suppression. Barcelona, July, 2007. • North Carolina Cognition Conference. Keynote Address. Suppressing unwanted memories: Cognitive and neural systems. February, 2006. • Kyoto University, Invited talk, Individual differences in the suppression of unwanted memories. Inhibitory Processes in the Mind. January, 2006. • Japanese Society of Cognitive Psychology, Kanazawa, Japan. Keynote address. Suppressing unwanted memories: cognitive and neural mechanisms. May, 2005. • Tagung Experimentell Arbeitender Psychologen, Regensburg Germany. Suppressing unwanted memories: Cognitive and neural systems. April, 2005. • Southeastern Psychology Association, Nashville, Tennessee. Suppressing unwanted memories: Cognitive and neural mechanisms. April, 2005. • Western Psychological Association, Portland, Oregon. Suppressing unwanted memories: Cognitive and neural mechanisms. April, 2005 • The Place of Inhibitory Processes in Cognition. Arlington Texas. Suppressing unwanted memories: Cognitive and neural mechanisms. March, 2005. • International Festival of Science, Genoa Italy. Suppressing unwanted memories: Cognitive and neural mechanisms. November, 2004. • American Psychological Association, Honolulu, Hawaii. Suppressing unwanted memories: Cognitive and neural mechanisms. July, 2004. • Fifth Tsukuba International Conference on Memory: Dynamic Cognitive Processes, Tsukuba, Japan. Cognitive and neural mechanisms underlying the suppression of unwanted memories. March, 2004. M. Anderson Vita 17 • International Workshop on Constructive Memory, Sophia, Bulgaria. Inhibitory control and the regulation of awareness. July, 2003. • Banff Annual Seminar in Cognitive Science, Banff, Canada. Suppressing unwanted memories by executive control. May, 2003. • American Psychological Society, Atlanta Georgia. Suppressing unwanted memories: Cognitive and neural mechanisms. May, 2003. • Armadillo Conference. San Antonio, Texas. Suppressing unwanted memories by executive control. April, 2002. • Cognitive Aging Conference, Georgia Tech, Atlanta. On measuring inhibitory deficits: Insights from the study of inhibitory processes in human memory. May, 2002. • American Psychological Association, San Francisco, CA. Suppressing unwanted memories by executive control. August, 2001. • International Conference on Memory, Valencia, Spain. Keynote address. Suppressing unwanted memories by executive control. July, 2001. • British Psychological Society, Bristol, England. Retrieval Processes and the mechanisms of episodic forgetting. September, 1997 SYMPOSIA, INVITED TALKS, & WORKSHOPS • Organizer of symposium on Interference and Inhibitory Control functions of the Prefrontal Cortex for the Annual Conference of the Memory Disorders Research Society, San Francisco, California. November, 1997. • Organizer of symposium on Inhibitory Processes in Memory Retrieval for the Annual Conference of the Society for Applied Research in Memory and Cognition. Boulder Colorado. July, 1999. • Invited speaker at Trauma and Cognitive Science, Eugene, Oregon. Active forgetting: Functional inhibition as a source of memory failure. July, 1998. • Invited speaker at the “Presidential symposium on inhibition and recovery in human and animal memory,” at the Western Psychological Association conference, Los Angeles. Inhibitory processes in the management and control of human memory. April, 1999. M. Anderson Vita 18 • Invited speaker at “Inhibitory Processes in Lexical Ambiguity,” Arlington Texas. Inhibitory processes in lexical ambiguity resolution: A retrieval-induced forgetting approach. March, 2000. • Invited speaker at symposium on “Disruptions in Memory for Trauma” at the annual conference of the Western Psychological Association, Portland, Oregon. Active Forgetting. April, 2000. • Organizer of a symposium on the Executive Control of Memory for the Annual Conference of The memory disorders research society, Boston MA. October, 2001. • Organizer of a symposium on Inhibitory Processes in Memory for the International Conference on Memory. Valencia, Spain. July, 2001. • Co-organizer (with Liz Phelps) of a symposium on Memory disruption: suppression and reconsolidation for the Memory Disorders Research Society. October, 2004. • Co-Organizer (with Joe LeDoux) of the symposium on Memory Regulation: Inhibition, Extinction, and Reconsolidation for Cognitive Neuroscience Society. April, 2005. • Co-Organizer (with Lili Sahakyan) of the symposium Inhibitory Processes in Human Memory for the International Conference on Memory, Sydney, Australia, July 2006 • Invited speaker at the symposium The hidden side of cognition: Laboratory studies revealing overlooked aspects of everyday experience, for the Western Psychological Association, May, 2007, Vancouver, British Columbia. • Organizer of the symposium Cognitive and Neural Mechanisms Underlying the Suppression of Intrusive Memories for the American Psychological Society, Washington D.C., May 2007 • Invited speaker at panel debate on When is thought suppression unhealthy? World Congress on Cognitive Behavioral Therapy, Barcelona Spain, July 2007 • Organizer of the symposium Mechanisms underlying the suppression of unwanted memories and their clinical implications for the 36th annual meeting of the British M. Anderson Vita 19 Association for Behavioural and Cognitive Psychotherapies. Edinburgh, Scotland, July, 2008. • Invited Keynote Speaker, SINAPSE induction meeting, the Byrn, Scotland. • Invited Speaker, Successful remembering and successful forgetting: A Festschrift in Honor or Robert Bjork. January, 2009, Los Angeles. • Co-organizer with Heather Berlin, Neuroscience meets Psychoanalysis: The neural basis of suppression, repression and dissociation. Annual meeting of the Association for the Scientific Study of Consciousness, Toronto, Canada, June, 2010 • Co-organizer with Heather Berlin, Neuroscience meets Psychoanalysis: The neural basis of suppression, repression and dissociation. Towards a Science of Consciousness, Tucson, Arizona, April, 2010. • Invited Speaker at the symposium When top down rules brain function, for the British Neuropsychological Society. September, 2010, London. • Invited Speaker at the symposium “Memory and the Brain” at the University Medical Center at the University of Groningen. May, 2011. • Invited Speaker at the workshop “To Head or to Heed? Cross-Disciplinary Approaches to Impulsivity and the Inhibition of Thought and Action,” University of Amsterdam. June, 2011. • Invited Speaker at “Prefrontal Inhibition of Memory: Too much and too little” International Conference on Memory, York, England, August, 2011 • Invited Speaker at “Executive Control of Attention, Thought, and Action” Experimental Psychology Society, London, England, January, 2014 • Co-organizer with David Badre, “Interactions between the prefrontal cortex and the medial-temporal lobes supporting the control of memory retrieval”. Memory Disorders Research Society, Austin Texas, September, 2014 • Co-organizer with David Badre, “Interactions between the prefrontal cortex and the medial-temporal lobes supporting the control of memory retrieval”. Cognitive Neuroscience Society, San Francisco, March, 2015 M. Anderson Vita 20 • Invited Speaker at “Studies of instructed memory suppression in concealed information tests, with autonomic, behavioral, fMRI, and brain wave responses.” Association for Psychological Science, May 2015. • Invited Speaker at “Adaptive Minds: Neural and Environmental Constraints on Learning and Memory” a meeting of the Sino-German International Research Training Group (IRTG). Lake Bostalsee, Germany, October, 2015. DEPARTMENTAL COLLOQUIA • Department of Psychology, Pomona College, 1993 • Department of Psychology, University of North Carolina, Greensboro, 1995 • Department of Psychology, University of Pennsylvania. 1995 • Department of Psychology, Columbia University, 1995 • Department of Psychology, New York University, 1995 • Department of Psychology, University of California, San Diego, 1995 • Department of Psychology, University of Oregon, Eugene, 1995 • Department of Psychology, University of California, Berkeley,1995 • Center for Neuroscience, University of California, Davis,1995 • Cognition and Brain Sciences Unit, Cambridge University, September 1997 • Department of Psychology, Cognitive Area, Stanford University, 1997 • Department of Psychology, University of Iowa, November 2001 • Department of Psychology, University of Pennsylvania, January 2002 • Eunice Kennedy Shriver Center, Boston, MA, May 2002 • Department of Psychology, Stanford University, Oct, 2002 • Department of Psychology, UC Santa Cruz, January, 2003 • Department of Psychology, UC Davis, May, 2003 • Department of Psychology, Princeton University, May 2003 • Department of Psychology, UC Berkeley, September, 2003 • Department of Psychology, Washington University in St. Louis, October, 2003 • Department of Psychology, UCLA, May, 2004 • Department of Psychology, University of Nagoya, Nagoya, Japan, 2005 • Department of Psychology, University of Granada, Spain, December, 2006 • Department of Psychology, St. Andrews University, Scotland, April, 2007 • Department of Psychology, Warwick University, England, January, 2008 • Department of Psychology, Brown University, March 2008 • Department of Psychology, Goldsmith’s College, London, April, 2008 • Department of Psychology, York University, May 2008 • MRC Cognition and Brain Sciences Unit, Cambridge England, July, 2008 • Department of Psychology, University of Bangor, August, 2008 • Department of Psychology, University of Dundee, October, 2008 M. Anderson Vita 21 • • • • • • • • • • • • • • • • • • • Department of Psychology, Northwestern University, November, 2008 Cognitive Neurology and Alzheimer's Disease Center, Chicago, November 2008 Department of Psychology, University of Granada, Spain, December, 2008 Department of Psychology, University College, London, January, 2009 Department of Neurology and Stereotactic Surgery, University of Magdeburg, Germany, Feb, 2009 MRC Cognition and Brain Sciences Unit, Cambridge England, Jan, 2010 Department of Neurology, Addenbrookes Hospital, Cambridge England, Oct, 2010 Department of Psychology, SUNY Buffalo, Buffalo, New York, Nov, 2010 Department of Psychology, Lund University, Lund, Sweden, June 2011 Department of Psychology, University College, London, Feb, 2012 Center for Cognitive and Neural Systems, Edinburgh, Scotland, March, 2012 Department of Psychology, University of Hertfordshire, March, 2012 Department of Psychology, University of Konstanz, Konstanz, Germany, April, 2012 Department of Psychology, University of Essex, March, 2014 Department of Psychology, University of Granada, April, 2014 Department of Psychology, UCLA, November, 2014 Department of Psychology, University of Saarland, Germany, December, 2014 Department of Psychology, University of Trier, Germany, April, 2015 Published Abstracts and Presentations Anderson, M.C. (2014). A supramodal inhibitory control process supports the inhibition of memories and actions. Rae, C., Hughes, L.E., Weaver, C., Anderson, M.C., * Rowe, J.B. (2012). Selection and inhibition: two sides of voluntary action. Human Brain Mapping. Anderson, M.C. (2011). Towards a neurocognitive model of memory suppression. Talk presented at the 5th International Conference on Memory, York, England, August, 2011 Benoit, R., & Anderson, M.C. (2011). Two mechanisms of voluntary memory suppression. Talk presented at the 5th International Conference on Memory, York, England, August, 2011 Levy, B.J., & Anderson, M.C. (2011). Failed memory suppression reflects attentional capture within memory. Talk presented at the 5th International Conference on Memory, York, England, August, 2011Levy, B.J. Depression M. Anderson Vita 22 Levy, B.J., Hertel, P., Joormann, J., Anderson, M.C., Hamilton, P., Wagner, A., & Gotlib, I. (2011). Depression and the cognitive and neural consequences of intentional memory suppression. Talk presented at the 5th International Conference on Memory, York, England, August, 2011. Gagnepain, P., & Anderson, M.C. (2011) I remember, therefore I forget: Bringing memory inhibition to life using the SenseCam. Talk presented at the 5th International Conference on Memory, York, England, August, 2011 Hulbert, J.C., & Anderson, M.C. (2011). The ups and downs of hippocampal modulation: Mnemonic consequences of memory control. Talk presented at the 5th International Conference on Memory, York, England, August, 2011 Anderson, MC. (2010, October). Hippocampal modulation as a mechanism of memory control. Annual Meeting of the Memory Disorders Research Society, Chicago, Illinois. Bergstrom, Z., Anderson, M.C., Buda, M., Simons, J., & Richardson-Klavehn, A. (2010). Concealing guilty knowledge by retrieval suppression in an ERP memory detection test. Human Brain Mapping, Barcelona Spain. Hulbert, J.C. & Anderson, M.C. (2010). Impairing recognition memory via hippocampal modulation. Poster presentation at Recognition memory mechanisms: From proteins to paitents, Bristol, England. Bergstrom, Z., Anderson, M.C., Buda, M., Simons, J., & Richardson-Klavehn, A. (2010). Concealing guilty knowledge by retrieval suppression in an ERP memory detection test. Poster presentation at Recognition memory mechanisms: From proteins to paitents, Bristol, England. Anderson, M.C. (2010, January). Hippocampal modulation as a mechanism of memory control. Cambridge Neurosciences, Cambridge England. Weaver, C., & Anderson, M.C. (2010). Inhibitory aftereffects dissociate different types of motor stopping. Poster presented at Cambridge Neurosciences. Cambridge, England. Hulbert, J.C., & Anderson, M.C. (2010). Opening the Amnesic Window through Hippocampal Modulation. Poster presented at Cambridge Neurosciences. Cambridge, England. Paz-Alonso, P.M., Ghetti, S., Anderson, M.C., & Bunge, S.A. (2010, March). Memory suppression develops over childhood. Poster to be presented at the The Frontal Lobes, 20th Annual Rotman Research Institute Conference, Rottman Institute, Toronto, Canada. M. Anderson Vita 23 Levy, B.J., & Anderson, M.C. (2009, October). Multiple routes to achieving inhibitory control over memory. Poster presented at the 39th annual meeting of the Society for Neuroscience, Chicago, IL. Clark, C.M., Scott, N.W., Levy, B.J., & Anderson, M.C. (2009, September). Measuring the intrusion of unwanted memories and the regulation of mnemonic awareness. Poster presented at the annual meeting of the British Association for Cognitive Neuroscience, London, UK. Berstrom, Z., Anderson, M.C., & Richardson-Klavehn, A. (2009, September). Concealing guilty knowledge by retrieval suppression in an ERP memory detection test. Talk presented at the annual meeting of the British Association for Cognitive Neuroscience, London, UK. Levy, B.J., & Anderson, M.C. (2009, August). Executive control and the regulation of intrusive memories. Paper presented at the 6th annual meeting of the Bay Area Memory Meeting, UCSF, CA. Weaver, C., & Anderson, M.C. (2009). All stopping is not the same: the role of inhibition in action control. Presentation at the Annual Meeting of the Psychonomic Society. Boston, MA. Weaver, C., Amiruddin, A., and Anderson, M.C. (2009). Is inhibition involved in motor stopping? Poster presentation at the British Association for Cognitive Neuroscience Conference. London, England. Weaver, C., & Anderson, M.C. (2009). Do we inhibit responses to stop them? Assessing the role of inhibition in motor stopping tasks. Poster at the 31st Annual Conference of the Cognitive Science Society. Amsterdam, The Netherlands. Weaver, C., & Anderson, M.C. (2009). Is all stopping the same? Assessing inhibition in action control. Association for Psychological Science Convention. San Francisco, CA. Weaver, C., & Anderson, M.C. (2009). Is inhibition involved in the stop-signal and go/nogo tasks? Poster at the Annual Meeting of the Cognitive Neuroscience Society. San Francisco, CA. Huddleston, E. & Anderson, M.C. (2009, September). Impairment of visual memories caused by suppression of memory retrieval. Poster presented at the Annual Meeting of the British Association for Cognitive Neuroscience. London, U.K. Huddleston, E. & Anderson, M.C. (2009, August). A novel paradigm for exploring the neural mechanisms of visual memory suppression. Poster presented at the 31st Annual Conference of the Cognitive Science Society. Amsterdam, The Netherlands. M. Anderson Vita 24 Huddleston, E. & Anderson, M.C. (2009, May). Retrieval suppression causes forgetting of visual memories. Poster presented at 21st Annual Convention of the American Psychological Society. San Francisco, CA. Huddleston, E. & Anderson, M.C. (2009, March). Suppressing visual memories by executive control. Poster presented at 16th Annual Meeting of the Cognitive Neuroscience Society, San Franscico, CA. Hulbert, J.C., & Anderson M.C. (2009). Inducing amnesia through cognitive control: The hippocampal modulation (H.M.) paradigm. Poster presentation at the Annual Meeting of the Cognitive Science Society, Amsterdam, Netherlands. Hulbert, J.C., & Anderson M.C. (2009). Intentional suppression and the amnesic penumbra. Poster presentation at the Association for Psychological Science 21st Annual Convention, San Francisco, California. Hulbert, J.C., & Anderson M.C. (2009). Resolving retrieval conflict through inhibition. Poster presentation at the 16th Annual Cognitive Neuroscience Society Meeting, San Francisco, California. Hulbert, J.C., & Anderson M.C. (2008). Inducing amnesia through executive control. Poster presentation at the Neuroscience & Cognitive Control (NeuroCog) Meeting, Ghent, Belgium. Hulbert, J.C. & Anderson, M.C. (2008). Cue-independent impairment in retrieval-induced forgetting reflects inhibition, not associative interference. Talk presented by second author at the 49th Annual Meeting of the Psychonomic Society, Chicago, Illinois. Paz-Alonso, P.M., Ghetti, S., Matlen, B.J., Anderson, M.C., & Bunge, S.A. (2008, May). Neurocognitive Development of Memory Suppression. Poster to be presented at the 15th annual meeting of the Cognitive Neuroscience Society. San Francisco. Weaver, C., & Anderson, M.C. (2008). Bridging the gap between inhibition of thoughts and actions. Talk at the 2008 SINAPSE Induction. Glenesk, Scotland. Anderson, M.C. (2008). Cognitive and neural systems underlying the suppression of unwanted memories. Talk at the 2008 SINAPSE Induction. Glenesk, Scotland. Levy, B.J., & Anderson, M.C. (November, 2007). Inhibitory control of intrusive memories: Neural correlates of successful and failed suppression. Society for Neuroscience Abstracts. Paz-Alonso, P.M., Ghetti, S., Souza, M.J., Anderson, M.C., Bunge, S.A. (November, 2007). M. Anderson Vita 25 Neurodevelopmental Correlates Neuroscience Abstracts. of Suppressing Unwanted Memories. Society for Levy, B.J., & Anderson, M.C. (November, 2007). Inhibiting intrusive memories: Neural mechanisms of successful and failed control over the retrieval of unwanted memories. Paper to be presented at the annual meeting of the Psychonomics Society, Long-Beach, CA. Hulbert, J.C., Huddleston, E.J., Anderson, M.C. (2007, May). Suppressing retrieval of an unwanted memory also disrupts new episodic encoding for events close in time. Poster presented at the 14th annual meeting of the Cognitive Neuroscience Society, New York, NY. Levy, B.J., & Anderson, M.C. (2007, May). When unwanted memories intrude: Reactive control over stopping retrieval. Poster presented at the 14th annual meeting of the Cognitive Neuroscience Society, New York, NY. Paz-Alonso, P.M., Ghetti, S., Matlen, B.J., Anderson, M.C., & Bunge, S.A. (2007, May). Suppressing unwanted memories: A developmental study. Poster presented at the 14th annual meeting of the Cognitive Neuroscience Society, New York, NY. Weaver, L.C., & Anderson, M.C. (2007, May). Isolating Inhibition in the Stopping of Motor Responses. Poster presented at the 14th annual meeting of the Cognitive Neuroscience Society, New York, NY. Bell, T., & Anderson (2006, November). Working memory capacity predicts individual differences in the ability to suppress unwanted memories. Paper presented at the annual meeting of the Psychonomics Society, Houston, Texas. Anderson, M.C. (2006, November). On the existence of a working memory system for the active maintenance of semantics. Invited talk given at Rice University, department of psychology. Anderson, M.C. (2006, July). Individual differences in the ability to control unwanted memories. Talk given at the International Conference on Memory, Sydney, Australia. Goodmon, L., & Anderson, M.C. (2006, July). Protecting against inhibition: The influence of episodic and semantic integration on retrieval-induced forgetting. Talk given at the International Conference on Memory, Sydney, Australia. Levy, B.J. & Anderson, M.C. (2006, July). Proactive and Reactive Control of Memory Suppression. Talk given at the International Conference on Memory, Sydney, Australia. M. Anderson Vita 26 Hulbert, J., Huddleston, E., & Anderson, M.C. (2006). The hippocampal modulation (HM) effect: Behavioral induction of amnesia. Poster presented at the 18th annual meeting of the American Psychological Society, New York, New York. Goodmon, L., & Anderson, M.C. (November, 2005). Protecting against inhibition: The influence of episodic and semantic integration on retrieval-induced forgetting. Paper presented at the annual meeting of the Psychonomics Society, Toronto, Canada. Anderson, M.C. (April, 2005). Executive control and the regulation of declarative memory. Talk presented at the annual meeting of the Cognitive Neuroscience Society. New York, New York. Goodmon, L., & Anderson, M.C. (March, 2005). The influence of pre-existing memories on retrieval-induced forgetting. Poster presented at the conference “The place of inhibitory processes in cognition,” Arlington Texas. Levy, B.J., & Anderson, M.C. (March, 2005). The role of inhibition in second language acquisition. Poster presented at the conference “The place of inhibitory processes in cognition,” Arlington Texas. Anderson, M.C. (November, 2004).. Inhibitory control and the suppression of unpleasant events. Abstracts of the Psychonomics Society, Volume 9. Tabor, J. A. & Anderson, M.C. (2004). The role of inhibition in retroactive interference. Poster presented at the 16th annual meeting of the American Psychological Society, Chicago, IL. Levy, B. & Anderson, M.C. (2004). Inhibitory control of semantic retrieval. Poster presented at the 16th annual meeting of the American Psychological Society, Chicago, IL. Johnson, S. K. Levy, B., & Anderson, M. C. (2004). A good night’s sleep moderates the inhibitory control of memory. Poster presented at the 16th annual meeting of the American Psychological Society, Chicago, IL. Anderson, M.C., Ochsner, K., Gabrieli, J., Kuhl, B., Cooper, J., Robertson, E., & Glover, G. (November, 2003). Neural systems underlying the suppression of unwanted memories. Abstracts of the Psychonomics Society, Volume 8. Anderson, M.C., Ochsner, K., Gabrieli, J., Kuhl, B., Cooper, J., Robertson, E., & Glover, G. (November, 2003). Neural systems underlying the suppression of unwanted memories. Society for Neuroscience Abstracts. M. Anderson Vita 27 Anderson, M.C. (August, 2003). Neural systems underlying the suppression of unwanted memories. Cognitive Science Association for Interdisciplinary Learning. Hood River, Oregon. Levy, B., & Anderson, M.C. (2002). Inhibitory Control over semantic memory retrieval Poster presented at the 15th annual meeting of the American Psychological Society, New Orleans, LA. Johnson, S., Levy, B., & Anderson, M.C. (2002). Retrieval Induced forgetting in semantic memory. Poster presented at the 15th annual meeting of the American Psychological Society, Atlanta, GA. Tabor, J., & Anderson, M.C. (2002). Inhibitory Processes in Retroactive Interference. Poster presented at the 15th annual meeting of the American Psychological Society, Atlanta, GA. Levy, B., & Anderson, M.C. (2002). Executive control and the mechanisms of encoding. Abstracts of the Psychonomic Society, Volume 7 Kuhl, B., & Anderson, M.C. (2002). Inhibitory processes in semantic satiation. Poster presented at the 82nd annual meeting of the Western Psychological Association, Irvine, CA. Kuhl, B., & Anderson, M.C. (2002). Inhibitory mechanisms underlying semantic satiation. Poster presented at the 14th annual meeting of the American Psychological Society, New Orleans, LA. Levy, B., & Anderson, M.C. (2002). The role of inhibitory control during encoding. Poster presented at the 14th annual meeting of the American Psychological Society, New Orleans, LA. Johnson, S., & Anderson, M.C. (2002). Retrieval Induced forgetting in semantic memory. Poster presented at the 14th annual meeting of the American Psychological Society, New Orleans, LA. Anderson, M.C., & Shivde, G. (November, 2001). Maintaining meaning: Evidence for semantic working memory. Abstracts of the Psychonomic Society, Volume 6 Anderson, M.C. (October, 2001). Stopping recollection: Inhibitory control processes in declarative memory retrieval. Paper given at the annual meeting of the Memory Disorders Research Society, Boston, MA. M. Anderson Vita 28 Anderson, M.C. (July, 2001). Important lessons in the study of inhibitory processes. Paper presented at a symposium on Inhibitory Processes in Memory, International conference on memory, Valencia Spain. Anderson, M.C. (July, 2001). Inhibitory Control and the Regulation of Awareness. Paper presented at the annual meeting of the Cognitive Science Association for Interdisciplinary Learning, Hood River, Oregon. Levy, B., & Anderson, M.C. (June, 2001). Inhibitory processes in learning new associations. Poster presented at the annual meeting of the Cognitive Science Association for Interdisciplinary Learning, Hood River, Oregon. Levy, B., & Anderson, M.C. (June, 2001). Regulation of conscious awareness: further evidence for a direct suppression mechanism. Poster to be presented at the xth annual meeting of the American Psychological Society, Toronto, CA. Levy, B., & Anderson, M.C. (June, 2001). Regulation of conscious awareness: further evidence for a direct suppression mechanism. Poster presented at the 3rd annual meeting of the NOWCAM, Vancouver, CA. Anderson, M.C. (May, 2001). Inhibitory processes and the regulation of phenomenal Awareness. Paper to be presented at “The Contents of Consciousness: perception, attention, and phenomenology”, the annual meeting of the Association for the scientific study of consciousness. Duke University. Miyamoto, A., & Anderson (May 2001). Quantifying the Inhibitory Regulation of Awareness. Poster to be presented at “The Contents of Consciousness: perception, attention, and phenomenology”, the annual meeting of the Association for the scientific study of consciousness. Duke University. Anderson, M.C., & Green, C. (November, 2000). Inhibitory control and the cognitive foundations of repression. Abstracts of the Psychonomic Society, Volume 5. Anderson, M.C., & Shivde, G. (November, 1999). The functional role of inhibitory processes in retrieval: Evidence from a parametric study of retrieval-induced forgetting. Abstracts of the Psychonomic Society, Volume 4 Anderson, M.C., & Bell, T. (November, 1999). Getting our facts straight: Evidence for inhibitory processes that resolve interference during propositional retrieval. Abstracts of the Psychonomic Society, Volume 4 M. Anderson Vita 29 Anderson, M.C. (July, 1999). Commentary on Inhibitory Process Research. Commentary to be given at the Society for Applied Research in Memory and Cognition, Boulder, CO. Shivde, G.& Anderson, M.C. (1999). Inhibition of alternative meanings of homographs following extended retrieval practice. Poster presented at the 11th Annual Conference of the American Psychological Society, Washington D.C., June, 1999. Bell, T., & Anderson, M.C. (May, 1998). Retrieval induced forgetting in memory for facts. Poster presented at the 10th Annual Conference of the American Psychological Society, Washington DC, May, 1998. Shivde, G., & Anderson, M.C. (May, 1998). Inhibition in episodic memory: Evidence for a retrieval-specific mechanism. Poster presented at the 10th Annual Conference of the American Psychological Society, Washington DC, May, 1998. Wilson, A.J., & Anderson, M.C. (May, 1998). Dividing attention impairs episodic memory recall. Poster presented at the 10th Annual Conference of the American Psychological Society, Washington DC, May, 1998. Anderson, M.C. (November, 1997). The inhibitory control of retrieval from long-term memory: Intact and Impaired function. Paper presented at the annual meeting of the Memory Disorders Research Society, San Francisco, California. Anderson, M.C., De Kok, D, & Child, C. (1997, November). Retrieval-induced forgetting on a test of recognition memory. Abstracts of the Psychonomic Society, 2, Volume 2. Shivde, G., Anderson, M.C., & Fisher, R. (1997, July). The effect of a parametric manipulation of retrieval practice on alternative meanings of ambiguous words. Poster presented at the annual meeting of the Cognitive Science Association for Interdisciplinary Learning, Hood River, OR. McCulloch, K.C., & Anderson, M.C. (1996, November). Mnemonic strategies and retrievalinduced forgetting. Poster presented at the 37th Annual meeting of the Psychonomic Society, Chicago, Illinois. Bjork, E.L., Bjork, R.A., & Anderson, M.C. (1996, July). Intentional and unintentional causes of forgetting. Paper presented at the 2nd International Conference on Memory, Padova, Italy. Anderson, M.C., Abousleman, T., & Burke, D. (1993, November). Aging and retrievalinduced forgetting. Poster presented at the 34th Annual Meeting of the Psychonomic Society, Washington D.C. M. Anderson Vita 30 Anderson, M.C., Bjork, E.L., & Bjork, R.A. (1993, November). Strength is not enough: Evidence against blocking models of retrieval inhibition. Paper presented at the 34th Annual Meeting of the Psychonomic Society, Washington D.C. Wharton, C.M., Lange, T., Anderson, M.C., Wickens, T., & Schindler, A. (1993, November). Analogical reminding in story comprehension. Poster presented at the 34th Annual Meeting of the Psychonomic Society, Washington D.C. Anderson, M.C., Bjork, R.A., & Bjork, E.L. (1993, June). Retrieval-practice inhibits strong, but not weak competitors, regardless of practiced-item strength. Poster presented at the Fifth Annual Convention of the American Psychological Society, Chicago, Illinois. Anderson, M.C. (1991, July). Does genuine inhibition occur in long-term memory? Paper presented at the International Conference on Memory, Lancaster, England. Anderson, M.C., & Spellman, B.A. (June, 1991). Retrieval practice inhibits similar memories, regardless of whether common cues are shared. Poster presented at the Third Annual Convention of the American Psychological Society, Washington, DC. Anderson, M.C., & Bjork, R.A. (November, 1990). Category-specific retrieval inhibition in long-term memory. Paper presented at the 31st Annual Meeting of the Psychonomic Society, New Orleans, LA. Feature Review Neural mechanisms of motivated forgetting Michael C. Anderson1,2 and Simon Hanslmayr3,4 1 MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, UK 3 School of Psychology, University of Birmingham, Birmingham, UK 4 Department of Psychology – Zukunftskolleg, University of Konstanz, Konstanz, Germany 2 Not all memories are equally welcome in awareness. People limit the time they spend thinking about unpleasant experiences, a process that begins during encoding, but that continues when cues later remind someone of the memory. Here, we review the emerging behavioural and neuroimaging evidence that suppressing awareness of an unwelcome memory, at encoding or retrieval, is achieved by inhibitory control processes mediated by the lateral prefrontal cortex. These mechanisms interact with neural structures that represent experiences in memory, disrupting traces that support retention. Thus, mechanisms engaged to regulate momentary awareness introduce lasting biases in which experiences remain accessible. We argue that theories of forgetting that neglect the motivated control of awareness omit a powerful force shaping the retention of our past. A neglected force that shapes retention Over the past century, memory research has focused on passive factors that make us forget. Forgetting has been proposed to result from the decay of memories over time, the accumulation of similar interfering experiences in memory, and changes in physical context that make it harder to recall the past [1]. This historical emphasis on passive factors fits the common assumption that forgetting is a negative outcome and, thus, any process underlying it must happen involuntarily. Although forgetting is often negative, this emphasis neglects a fundamental feature of human existence: not all experiences are pleasant. When reminded of negative events, we are not well disposed towards them and we deliberately limit their tenure in awareness. This process is familiar to most people; a reminder evokes a brief flash of memory and feeling, abruptly followed by efforts to exclude the unwanted memory from awareness. We do this to preserve our emotional state, to protect our sense of self, and sometimes simply to concentrate on what needs to be done. Therefore, any scientific theory of forgetting must include an account of the considerable motivational forces that shape retention. Here, we review the growing research on neural mechanisms underlying motivated forgetting. The term Corresponding author: Anderson, M.C. ([email protected]). 1364-6613/ ! 2014 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/). http://dx.doi.org/ 10.1016/j.tics.2014.03.002 ‘motivated forgetting’ here refers to increased forgetting arising from active processes that down-prioritise unwanted experiences in service of creating or sustaining an emotional or cognitive state. For example, to sustain positive emotions or concentration, belief in some state of affairs, confidence, or optimism, it may be necessary to reduce accessibility of experiences that undermine those states. Here, we focus on neural evidence for the role of inhibitory control processes in the voluntary interruption of mnemonic processing. A core claim is that these inhibitory control processes, widely studied in psychology and cognitive neuroscience, can be targeted flexibly at different stages of mnemonic processing and at different types of representation to modulate the state of traces in memory. In support of this view, we review evidence that inhibition can be engaged either during memory encoding or retrieval to limit retention of unwanted memories. Stopping encoding may disrupt the consolidation of traces already formed, and also prevent further reflection on the experience that would enhance its longevity. By contrast, stopping retrieval disrupts the automatic progression from cues to an associated memory, the persisting effects of which influence whether the experience remains accessible. Both encoding and retrieval stopping terminate an unfolding mnemonic process so that an experience can be excluded from conscious awareness. Through these efforts to terminate awareness, attentional control interacts with traces in episodic memory to shape what we do and do not remember of our past. Inhibitory control at encoding An effective way of keeping an unwanted memory from being retrieved in the future is to disrupt and truncate its encoding. These processes are investigated with directed forgetting paradigms, in which participants receive a cue to forget information that they just acquired [2]. Hundreds of studies conducted over the past 50 years reveal that humans can readily implement such forgetting instructions, demonstrating that motivation indeed shapes encoding. Inhibition has been proposed to have a role in stopping encoding processes in these procedures, although passive factors also are likely to have a role (e.g., [3]). We focus here on evidence indicating a distinct contribution of inhibitory control in actively limiting the encoding of unwanted experience. This evidence has been collected with the Trends in Cognitive Sciences, June 2014, Vol. 18, No. 6 279 Feature Review Glossary Accessibility versus availability: : a theoretical distinction on why memory retrieval can fail. We may fail to retrieve memories because we do not access a stored memory (i.e., accessibility) or because the memory is not available anymore in the system (i.e., availability). Brain oscillations: : regular fluctuations visible in the EEG and/or magnetoencephalogram (MEG), most likely reflecting summated excitatory and inhibitory postsynaptic potentials. Brain oscillations occur at different distinct frequencies (up to 150 Hz) and have an important role in synchronising neural assemblies [104] and shaping synaptic plasticity [35]. Cue independence: : the tendency for suppression-induced forgetting to generalise to novel test cues other than the one originally used as a cue during retrieval suppression. Direct suppression: : a method of limiting awareness of an unwanted memory when a reminder appears in which a person disengages the retrieval process to either prevent the memory for coming to mind, or to limit its time in awareness. Inhibition is thought to be a key process in overriding the natural operation of the retrieval mechanism. Effective connectivity analysis: : a form of connectivity analysis that allows one to infer not only that neural activity in two distinct regions is related (statistically), but also the directional nature of that relation. Effective connectivity analyses, such as dynamic causal modelling, permit causal inferences about the influence of one brain region on another in conditions of interest. Episodic context: : the spatiotemporal environment in which a stimulus is encountered. The representation of this context and its association to a stimulus form a fundamental feature of episodic memory of the stimulus. Context can also refer to internal states that get associated to a stimulus (e.g., mood or incidental thoughts), which is sometimes referred to as ‘mental context’. Event-related potential (ERP): : a time-varying brain signal with positive and negative deflections (so-called ‘components’), obtained by averaging over several EEG segments corresponding to a task or stimulus. Fading affect bias: : the documented tendency for negative emotions associated with personal experiences to decline more quickly over time compared with positive emotions. Inhibitory control: : a control process that downregulates activity of interfering or otherwise unwanted representations in the service of a current task or goal, reducing their influence on cognition and behaviour. Late positive component (LPC): : a positive ERP component related to episodic retrieval. During a retrieval task, the LPC emerges approximately 400–800 ms after stimulus onset, is maximal over parietal recording sites, and is assumed to reflect retrieval of contextual details of the study episode (i.e., recollection [105]). Long-range synchrony: : synchronisation between distant cell populations separated by several centimetres (e.g., frontal and parietal). Long-range synchrony is usually estimated based on the co-variation of oscillatory phase between two recording cites. Mnemic neglect: : the tendency for people to have a higher rate of forgetting for negative feedback about themselves and their performance, than for neutral or positive feedback, even when encoding time is matched. N2: : a negative ERP component related to cognitive control, and often associated with motor response inhibition. The N2 refers to enhanced frontocentral negativity typically approximately 150–400 ms. Repetition priming: : improved performance in processing a stimulus arising from prior exposure to the stimulus. Repetition suppression: : the finding that repetitions of a stimulus elicit less neural activity in areas involved in processing the stimulus, compared with nonrepeated stimuli, taken to be a marker of memory for the stimulus. Repetitive transcranial magnetic stimulation (rTMS): : a technique commonly used to stimulate a specific brain area by applying a time-varying magnetic field that induces electric current flow in the brain. Selective rehearsal: : a passive, noninhibitory account used to explain the reduced memory performance for to-be-forgotten items, relative to to-beremembered items. Socially shared retrieval-induced forgetting: : when a person is recounting an experience shared by listeners, the tendency for the listeners to later forget (at a higher rate) details not recounted by the speaker. The higher rate of forgetting is thought to arise from listeners covertly retrieving the experience as it is being recounted and, consequently, inducing retrieval-induced forgetting on nonretrieved knowledge. Suppression-induced forgetting: : in the TNT procedure, impaired recall of nothink items, compared with baseline memories that are neither retrieved nor suppressed. Think/no-think procedure (TNT): : the main procedure used to study retrieval suppression, whereby people are repeatedly prompted with cues to memories and asked to either retrieve (think) the memory, or to stop its retrieval (nothink), with the result that suppressed items are more poorly recalled on later tests. Thought substitution: : a method of preventing retrieval of an unwanted memory when a reminder appears in which a person generates alternative thoughts associated to the reminder to occupy awareness. 280 Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 item-method [4] and list-method [5] directed forgetting procedures (Box 1). Item-method directed forgetting Item-method directed forgetting has a long tradition in cognitive psychology [4]. This effect is robust, as reflected by the range of conditions under which it has been reported, including both explicit and implicit memory tests [6,7]. Item-method directed forgetting usually has been explained in terms of selective rehearsal (see Glossary) according to which to-be-forgotten items are spared from further processing and are subject to passive forgetting, whereas to-be-remembered items are actively rehearsed [2]. Interestingly, the occurrence of item-method directed forgetting in recognition tests has been used as an argument for passive, noninhibitory explanations, because some have argued that inhibition should only temporarily reduce the accessibility of the affected items and, therefore, it should be possible to release these items from inhibition later [2]. Although selective rehearsal is a common interpretation of item-method directed forgetting [2], recent behavioural and neural evidence indicates that inhibitory control over episodic encoding may have a bigger role than has been acknowledged. For example, the selective rehearsal account emphasises processes acting on to-be-remembered items, which are rehearsed more extensively and elaborately when the cue to remember is given. Therefore, the system should experience more cognitive load in the remember compared to the ‘forget’ condition, in which people can simply drop the to-be-forgotten item from working memory. This prediction was tested in several experiments in which participants performed a secondary task after the remember and/or forget cue was given [8,9]. However, contrary to the selective rehearsal account, the forget condition was more effortful than the remember condition, as reflected by slower reaction times to perform the secondary task during execution of the forget instruction. Moreover, stopping a motor response after the cue is more successful in the forget compared with the remember condition [9], suggesting that forget cues trigger similar inhibitory mechanisms to those engaged when stopping a motor action [10]. However, further clarification of this possibility is needed [9]. These results clearly imply that an active process contributes to item-method directed forgetting [11], and raise the possibility that it is inhibitory in nature. This possibility is consistent with evidence that directed forgetting cues lead to the removal of items from working memory and not merely to passive decay [12,13]. Several recent functional (f)MRI studies support the hypothesis that item-method directed forgetting engages an active process that inhibits ongoing encoding [14–18]. These studies consistently indicate that attempting to forget a recent item engages prefrontal and parietal regions, suggesting that forgetting is effortful, consistent with behavioural findings [15,16,18]. The right superior and middle frontal gyrus (approximately BA 9/10), and the right inferior parietal lobe (approximately BA 40) are consistently more active during intentional forgetting (to-be-forgotten items that are actually forgotten) compared with incidental forgetting (to-be-remembered items Feature Review Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 Box 1. Item and list-method directed forgetting (B) Item-method Encoding Encoding (list 1) Test Leaf Arm Old/ new? F Leaf Arm Leaf Old/ new? R ... Beard (C) List-method F Arm Beard Old/ new? Cue ... R Encoding (list 2) Behavioural results Item-method (i) Test Knee Winter List-method (ii) Gold Memory (A) instruction. At the end, a recall test occurs. Figure IC compares the typical behavioural results obtained in item-method (Figure ICi) and list-method (Figure ICii) directed forgetting. Figure ICii shows the twofold effect of the forget cue on the recall test, with forgetting of list-1 items and enhancement of list-2 items. In both paradigms, participants do not know in advance whether they should forget or remember the respective item. Thus, the control processes mediating these effects must act on memory representations and not the initial perception of an event. Memory In studies of directed forgetting, two procedures are generally used: the item-method and the list-method (see [1]). These paradigms are illustrated in Figure I. As illustrated in Figure IA, in item-method directed forgetting, participants study items one at a time, and each item is followed by a forget (F) or remember (R) instruction. Later, memory for all items is tested. As shown in Figure IB, in list-method directed forgetting, a entire list of items is first studied, followed by a F or R instruction. A second list is then studied, usually followed by a R ... List 1 List 2 TRENDS in Cognitive Sciences Figure I. The item and list-methods for studying directed forgetting, along with the typical pattern of findings (for real examples, see [8] and [5,25], respectively). that are forgotten (Figure 1A) [15,16,18]. Although these findings suggest that intentional forgetting recruits additional processes beyond those associated with incidental forgetting, these activations do not specify the nature of those processes. For example, activations during forget trials might reflect engagement of the default mode network, which is characterised by positive blood oxygenation level-dependent (BOLD) correlations between superior prefrontal and parietal cortex during rest [19]. Thus, these (A) (B) Item-method DF forge!ng success findings may simply reflect a greater incidence of passive rest during forget trials compared with remember trials. However, speaking against this view, connectivity analyses show that activity in the right dorsolateral prefrontal cortex (DLPFC) during forget trials predicts decreased activity in the left hippocampus, especially during successful intentional forgetting [18]. This latter result is incompatible with the default mode network hypothesis, which predicts the opposite (positive) connectivity pattern fMRI (i) EEG (C) rTMS DLPFC (∼BA 9) 40 DLPFC (fMRI) % Difference (ii) Key: 30 DLPFC Control 20 10 0 Forge!ng Enhancement Neural sync. (EEG) TRENDS in Cognitive Sciences Figure 1. Neural correlates of directed forgetting (DF). (A) An activation map of a recent item-method directed forgetting functional (f)MRI study [18]. Red areas illustrate significant voxels (P <0.005) indicating greater activity for to-be-forgotten items that are actually forgotten compared with to-be-remembered items that are remembered. (B,C) The results of a multimodal list-method DF experiment [32]. (B) Forget instructions were associated with increased blood oxygenation level-dependent (BOLD) signal in the left dorsolateral prefrontal cortex (DLPFC) and reduced alpha/beta long-range synchrony [11–18 Hz (i)], which were negatively correlated on a single trial level (ii). (C) Stimulating the DLPFC with repetitive transcranial magnetic stimulation (rTMS; 1 Hz) selectively increased list-1 forgetting, without affecting list-2 enhancement. Adapted, with permission, from [32] (B,C). Abbreviation: EEG, electroencephalogram. 281 Feature Review between DLPFC and the medial temporal lobe (MTL) [20]. Rather, negative connectivity between right DLPFC and hippocampus suggests that the right prefrontal cortex exerts inhibitory control over the encoding activity in the MTL [21], similar to that observed during retrieval (see ‘Neural Basis of Retrieval Suppression’). One plausible hypothesis is that the active forgetting mechanism implicated by behavioural studies [15,16,18] may reflect the action of this frontohippocampal modulatory system. The neural correlates of item-method directed forgetting have also been studied with intracranial event-related potentials, providing information about the temporal dynamics of the forgetting mechanism within the MTL [22]. This study found that forget cues that cause later forgetting elicited decreased negativity in the anterior hippocampus compared with remember cues that led to forgetting. Notably, enhanced negativity in the hippocampus at approximately 500 ms is usually related to successful encoding. These authors further found that forget cues triggered sustained positivity in the rhinal cortex, an interfacing structure between the cortex and hippocampus. Together with scalp event-related potential (ERP) studies, showing sustained prefrontal positivity after the forget cue [23], localised to the right DLPFC [24], these studies converge with fMRI data to suggest that item-method directed forgetting recruits a right prefrontal–MTL network to terminate episodic encoding processes. Together, these studies question a purely passive based view of item-method directed forgetting, which has been the popular account among experimental psychologists. List-method directed forgetting Sometimes, we may wish to forget a set of events that is extended in time (e.g., a recent doctor’s visit, or dispute with an unpleasant acquaintance). This situation is modelled by the list-method of directed forgetting (Box 1). A typical experiment comprises two lists (e.g., 10–20 items in each list), with a forget or remember cue given after the first list [2,25]. After encoding the second list, a brief distracting task follows and then recall is tested. On this final test, people typically recall the first list more poorly when it is followed by a forget, compared with a remember, instruction. Interestingly, people recall the items following a forget cue better than they do items studied after a remember cue (Box1, Figure 1C) (e.g., [25]). These complementary effects are referred to as list-1 forgetting and list-2 enhancement. These effects arise on free recall, cued recall, and recognition tests, although, in the latter case, deficits are often restricted to source memory. List-method directed forgetting effects have also been observed in autobiographical memory [26,27]. Poorer recall of the to-be-forgotten list is believed to reflect reduced accessibility rather than reduced availability of the forgotten material [2,28,29]. Both active [5,30] and passive mechanisms have also been proposed for this phenomenon [3,31]. As with item-method directed forgetting, imaging research with the list method indicates that instructions to forget trigger an active process that disrupts mnemonic activity. For example, two studies examined the neurophysiological mechanisms of directed forgetting by focussing on brain oscillations [30,32]. Prior work established that memory formation is typically accompanied by increased large 282 Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 scale synchrony, a neural marker thought to reflect upregulated synaptic plasticity [33–35]. Strikingly, cuing people to forget a just-studied list decreased the large-scale synchrony in a widespread cortical network in the alpha/beta frequency range. Individual differences in this effect predicted forgetting of to-be-forgotten items [30], suggesting that decreasing synchrony disrupts neural processes that would improve retention. This finding was replicated in a multimodal electroencephalography (EEG)–fMRI study [32], in which it was found to be associated with increased BOLD signal in the left DLPFC (Figure 1B). Following this discovery, a combined EEG–repetitive transcranial magnetic stimulation (rTMS) experiment demonstrated that stimulating the left DLPFC with rTMS during a forget instruction also reduced neural synchrony, significantly increasing directed forgetting (Figure 1C). Enhanced forgetting following rTMS indicates that stimulation facilitated processes needed to implement directed forgetting, consistent with findings showing that rTMS can enhance, rather than disrupt processing (see [32] for a detailed discussion of the enhancing effects of slow rTMS on forgetting). This finding supports a causal role of frontally driven processes in inducing forgetting effects and complements work showing that prefrontal lesions disrupt list-method directed forgetting [36]. Increased activation of the DLPFC together with decreased neural synchrony suggests that an active control process contributes to directed forgetting. However, these findings do not specify that this active process necessarily engages inhibitory control. For example, prior studies have highlighted the importance of the DLPFC in task switching (reviewed in [37]). Therefore, DLPFC involvement during the forget instruction might simply reflect a voluntarily induced task switch that stops rehearsal, and not inhibition. However, this overlap between directed forgetting and taskswitching activations may be driven by inhibitory processes involved during task switching, as numerous studies indicate [38]. Furthermore, in EEG studies, task switching typically induces a pronounced increase in frontoparietal theta long-range synchrony [39], in stark contrast to the decreases in alpha/beta long-range synchrony observed in list-method directed forgetting. Although these findings suggest that directed forgetting activations are unlikely to arise from task switching, the relations between the processes in the two tasks merits further exploration. The improved recall of list-2 that accompanies the forgetting of list-1 items might suggest a single mechanism that enhances list-2 encoding by reducing interference from list-1 items [2]. However, there are reasons to doubt this. First, forgetting and enhancement are often uncorrelated (e.g., [30,40,41]). Second, list-1 forgetting often can be modulated independently of list-2 enhancement [32,42]. Third, whereas all list-1 items suffer forgetting, irrespective of their serial position, the enhancement of list-2 appears to be driven by the first few items [42]. The latter result fits electrophysiological data suggesting that the forget cue enhances subsequent encoding because it acts like a ‘reset button’ that frees cognitive resources and allows a fresh encoding start. This assumption is reflected in EEG work showing that oscillatory markers of encoding exhaustion, which gradually increase with the number of encoded items, are reset by the forget cue [42]. This latter Feature Review effect is most evident in alpha oscillatory amplitude, which usually decreases during memory encoding [43,44]. Thus, forgetting and enhancement in list-method directed forgetting appear to reflect different processes that can be dissociated on a cognitive and neural level. The list and item methods differ in the target of forgetting. Whereas the item method targets individual items, the list method typically directs people to forget a set of items defined by temporal context (i.e., ‘the previous list’). This broader targeting may be implemented by directing inhibition at representations of temporal context rather than individual items. Consistent with this, listmethod directed forgetting induces a shift away from the mental context of the first list, and this context shift may make it harder to recall list-1 items. For example, a forget instruction induces forgetting effects similar to those caused by other instructions designed merely to shift mental context away from the first list, without instructing people to forget [3]. Given that similar forgetting can be induced without instructing people to forget, some have argued that directed forgetting need not reflect inhibitory control [3]. However, an alternative possibility is that directed forgetting instructions achieve context shifts in a mechanistically distinct way, by engaging inhibitory control to force a shift in context. Consistent with this possibility, directed forgetting and ‘mental context shift’ instructions appear to be mediated by different neural processes. Whereas mental context shift instructions mainly affect local alpha and theta synchrony [45,46], only directed forgetting disrupts long-range alpha/beta neural synchrony [30,32]. Combined with evidence for a causal role of prefrontal cortex in inducing these changes in both long-range synchrony and forgetting [32], these findings suggest that an active inhibitory process disrupts list-1 context in directed forgetting. However, these dissociations are based on between-study comparisons because no study has yet directly contrasted EEG synchrony patterns between directed forgetting and mental context change. Although inhibition may typically be targeted at temporal context in list-method directed forgetting, other targets are possible. For example, recent research has examined whether directed forgetting can be targeted selectively at some, but not all, of the pre-cue information [47–51]. Three of these studies demonstrated this is possible [48–50]. For instance, one study demonstrated selectivity of directed forgetting in three experiments using visual (colours) and auditory (words spoken by a female versus male voice) material [49]. In one experiment, list-1 items were spoken either by a male or a female voice, alternating on an item-by-item basis, and the participants were able to forget items selectively based on the gender of the speaker. However, some studies failed to find selective directed forgetting [47,51]. The reasons for these discrepancies are currently unknown. If directed forgetting is selective, it suggests that the inhibitory processes target dimensions other than temporal context. To conclude, behavioural and neurophysiological studies indicate that encoding can be disrupted or truncated by an active inhibitory control mechanism that limits the representation of an experience in long-term memory. Similar to inhibitory control in the motor system, where higher-order Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 control regions in the prefrontal cortex suppress activity in lower-order motor regions to stop a movement [52], the prefrontal cortex targets memory-related structures in the MTL [18,22]. These processes reduce encoding activity and downregulate long-range neural synchrony [32] to disrupt the formation of unwanted memories. Inhibitory control at retrieval Unwanted experiences are often stored in memory, despite efforts to limit encoding. When this happens, limiting awareness becomes a problem of controlling retrieval. Retrieval can of course be prevented by avoiding reminders, which is a common behaviour after an unpleasant event. However, when unwelcome reminders occur, people often try to exclude the unwanted memory from awareness. Stopping retrieval of an unwanted memory is known as ‘retrieval suppression’, a process that engages response override mechanisms formally similar to stopping a reflexive motor action [53,54]. Retrieval suppression is often studied with the think/no-think paradigm (TNT) [53], which mimics situations when we try to suppress unwelcome remindings (Box 2). Behavioural effects of retrieval suppression The TNT procedure consistently shows that people can limit retrieval [53–55]. Two main findings support this conclusion. First, suppressing retrieval consistently abolishes the benefits of reminders on memory, as reflected in the sizeable difference in final recall between Think and No-Think items. Thus, at a minimum, suppressing retrieval reduces the facilitation that retrieved memories usually enjoy. Second, suppressing retrieval often reduces recall for No-Think items below that observed for baseline items, a phenomenon known as ‘suppressioninduced forgetting’. Suppression-induced forgetting is Box 2. The TNT paradigm The TNT procedure mimics situations in which we encounter a reminder to a memory we prefer not to think about, and try to keep the memory out of mind [53]. To create reminders, participants study cue–target pairs (e.g., word pairs, or picture pairs, such as ‘ordeal roach’) and are then trained to recall the second item (roach) of the pair whenever they encounter the first (ordeal) as a reminder. Participants then participate in the TNT phase, in which they are asked to exert control over retrieval. On each trial, reminders from the pairs appear in green or red; when the reminder appears in green, participants are to recall the response, whereas, for red reminders, participants are asked to avoid retrieving the response, preventing it from entering awareness. The key question concerns whether people can recruit inhibition to prevent the memory from intruding into consciousness, and whether doing so disrupts later retention of the unwanted memory. To measure the effects of retrieval suppression, participants receive a final test in which they are given each reminder and are asked to recall the associated response. Memory performance is compared between items that participants suppressed (no-think trials), items that they retrieved (think trials), and items that they studied, but neither suppressed nor retrieved during the TNT phase (baseline trials). Comparing final recall of no-think items to either think or baseline items indicates whether retrieval suppression affects retention. Comparing no-think to baseline items is more appropriate when trying to establish that suppression makes memory worse, as opposed to merely preventing memory improvement that might arise from repeated reminders. 283 Feature Review especially informative because it indicates that, during retrieval suppression, reminders do not merely fail to enhance retention, but trigger processes that impair access to the unwanted memory. These findings highlight a central theme of this article: that one’s disposition towards a memory affects how well it is retained. Reminders enhance retention when a person is well disposed towards a memory, but when one has motivations for excluding a memory from awareness, retrieval can be stopped, preventing the benefits of retrieval and further disrupting the memory. These symmetrical effects of reminders indicate a high level of control over the retrieval process, control that shapes accessibility. Much is now known about suppression-induced forgetting. First, forgetting increases with the number of times a memory is suppressed [53,55–60], indicating that suppression yields cumulative effects. The forgetting effect can be further increased if participants are given time to prepare for suppression [61], indicating the importance of anticipatory processes. Suppression-induced forgetting arises with many stimuli, including word pairs, face–scene pairs [62– 65], face–word pairs [58], word–object pairs [66,67], and pairs comprising words and nonsense shapes [68]. Suppression-induced forgetting has even been observed with autobiographical experiences [69–71], although suppression impairs memory for event details more than access to the event itself. Some studies have reported a lack of suppression-induced forgetting when it might otherwise be expected (see [55] for a detailed discussion with hypotheses). Forgetting effects occur whether the memory is a neutral or negatively valenced word or scene [59,60,62–65,72–79], although it remains unclear whether forgetting increases [60,62], decreases [65,80], or is unaffected [74,75] with negative, compared with neutral valence. Although few studies have examined how long forgetting lasts, one study found that a single suppression session produces forgetting that lasts at least 24 h [81], with other evidence suggesting that it may dissipate after a week [70,80]. Suppressioninduced forgetting is diminished in young children [82] and older adults [56], two populations hypothesised to have deficient inhibitory control function. Interestingly, individual differences in participants’ perceptions of their ability to control unwanted thoughts in daily life predict suppressioninduced forgetting of aversive scenes [77]. Suppression-induced forgetting exhibits properties consistent with a role of inhibitory control. For example, the forgetting often generalises to novel test cues. For instance, after studying ordeal–roach, if participants suppress ‘roach’ whenever they receive ‘ordeal’ as a cue, roach will be recalled more poorly, regardless of whether it is tested with ‘Ordeal’ or ‘Insect’. Thus, suppressing a memory reduces its accessibility from a variety of cues, a property known as ‘cue independence’ [53]. Cue independence indicates that the forgetting most likely reflects disruption of the suppressed trace itself rather than the particular pathway from the reminder to the trace (reviewed in [55]; see also [83]). This is usually taken as strong evidence for an inhibition process that suppresses the trace ([53], although see [84] for an alternative]. As additional support for an item-specific inhibition process, forgetting has also been found on item recognition tests for both words and 284 Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 abstract shapes [68,85]. Moreover, the effect even occurs on indirect priming tests, such as perceptual identification: participants who suppress retrieval of visual objects are less likely to identify correctly those objects when they are presented in visual noise [66,67]. Thus, suppression not only impairs conscious access to unwanted memories, but also affects their unconscious influence, at least on tests of object perception. Although research on retrieval suppression usually asks people to recall suppressed items intentionally, this arguably does not reflect real-world circumstances. In most cases, people are unlikely to try to recall experiences they were motivated to suppress. A more appropriate measure of the impact of suppression in real terms would measure the tendency to retrieve the suppressed content, rather than the ability to do so [86]. For instance, how likely would people be to respond with the suppressed content on a free association test? Interestingly, on such tests, suppression effects are especially pronounced [86]. This raises the possibility that intentional recall measures underestimate the change in spontaneous retrieval patterns that arise in real life. Changes in retrieval patterns introduced by inhibition may be sustained over the long term by alternative associations that naturally arise in response to reminders. Indeed, asking people to generate alternative associations to a reminder often increases forgetting, compared with not giving specific instructions. However, as noted shortly, thought substitution is not necessary to induce forgetting, and several mechanisms contribute to suppression-induced forgetting. Neural basis of retrieval suppression Similar to directed forgetting, stopping retrieval appears to be achieved, in part, by control mechanisms mediated by the prefrontal cortex. Retrieval suppression engages lateral prefrontal cortex, including DLPFC and ventrolateral prefrontal cortex (VLPFC) often in the right hemisphere [64,87–91]. These regions resemble areas involved in stopping motor actions, suggesting that suppression engages general response override mechanisms to stop retrieval (a point to which we will return). Critically, suppression is accompanied by reduced activity in brain areas linked to episodic recollection [64,87–91]. For example, suppression is associated with reduced hippocampal activity, sometimes along with other subregions of the MTL. Given that single-unit electrophysiology and functional neuroimaging have linked hippocampal activity to the presence of retrieved memories in awareness, these findings suggest that inhibitory control interrupts hippocampal retrieval processes to suppress mnemonic awareness. Consistent with this hypothesis, frontohippocampal interactions during suppression have been observed with a range of materials, including words [87–91], visual objects [67], and negatively valenced scenes [64], suggesting a domain general suppression process. Although the foregoing pattern suggests that suppression engages the prefrontal cortex to reduce hippocampal activity, reduced activity during no-think trials (relative to think trials) might simply reflect hippocampal engagement during think trials. Thus, rather than showing that suppression terminates retrieval, less hippocampal activity Feature Review may reflect a passive failure to engage retrieval during nothink trials. However, evidence has grown that inhibitory control reduces hippocampal activation. First, hippocampal activity is also reduced compared with activity during a fixation baseline condition [64,91], suggesting that reductions reflect more than an absence of positive activation. Second, DLPFC activation during no-think trials is often negatively correlated with hippocampal activity [63,64]. Indeed, the magnitude of downregulation and the correlation with DLPFC has in some studies increased over blocks of the TNT phase [64], suggesting progressively improved hippocampal regulation with practice. Third, reduced hippocampal activity predicts later forgetting of unwanted memories [64,91]. Finally, effective connectivity analyses show a top-down modulatory influence of DLPFC on the hippocampus [67,88], with negative coupling from DLPFC predicting the amount of suppression-induced forgetting [88]. Although the pathways implementing this top-down influence are unknown, some data suggest the cingulum Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 bundle is a plausible candidate for a white matter tract that could support the frontohippocampal interactions underlying suppression [90]. Together, these findings strongly support a role of DLPFC in reducing hippocampal activity, interrupting recollection, and impairing retention. More broadly, they specify a neurobiological model of memory control that provides a framework for understanding disordered control over memory (Box 3). Opposing neural mechanisms underlie direct suppression and thought substitution. Although hippocampal downregulation is a fundamental tool of retrieval suppression, other mechanisms of controlling awareness are possible. For example, people may redirect attention to other thoughts about a reminder. Such diversionary thoughts could either prevent the entrance of the memory into awareness, or replace an intruding memory. Behavioural findings indicate that asking participants to generate thought substitutes for reminders can be effective in Box 3. Clinical variation in motivated forgetting Individual differences in memory control may cause either deficient or exaggerated rates of forgetting of life events [55,106,107] that we might better understand and remediate with a neurobiological model of memory control. Deficient memory control Intrusive memories and thoughts arise in many clinical conditions, such as post-traumatic stress disorder (intrusions), depression (rumination), attention deficit disorder (distracting thoughts), obsessive/compulsive disorder (obsessive thoughts), addiction (craving related thoughts), and anxiety (worries). This symptom may originate from deficient inhibitory control over memory. Supporting this, during retrieval suppression, adults with attention deficit disorder show impaired suppression-induced forgetting, and also diminished modulation of hippocampal activity by DLPFC [63]. Similarly, patients with post-traumatic stress disorder show impaired response inhibition [108], diminished engagement of lateral prefrontal cortex on response inhibition tasks [109], and, critically, reduced directed forgetting [110]. Rumination, depression, and anxiety have also been linked to impaired suppression-induced forgetting [79,111,112]. Deficient memory control may reflect compromised function of the networks discussed in this article. For example, disordered control may originate from diminished cortical volume or white matter connectivity between prefrontal cortex and sites of modulation. Deficits in neurotransmitters relating to inhibitory control, such as dopamine, might also underpin disordered control, a possibility supported by work linking genetic variation in dopamine metabolism to memory inhibition [113]. Alternatively, poor memory control may sometimes reflect lack of experience with intrusive memories and, thus, inadequate development of the control process, which may exhibit experience dependent plasticity. For example, after a trauma, cortical thickness in right DLPFC increases significantly over a year, with the size of the increase predicting reduced post-traumatic stress disorder symptoms [114]. Taken together, these findings suggest that both pharmacological and training interventions could be designed to bolster memory control. Exaggerated memory control One striking example of motivated forgetting is psychogenic amnesia, in which a person exhibits profound amnesia for large chunks of their personal experiences in the aftermath of an intensely stressful period [115]. Two studies suggest that such cases in part reflect exceptionally effective memory control. One study examined two psychogenic amnesia patients, with amnesia extending years before scanning [116]. Both patients were scanned as they identified faces. Some faces were of strangers (novel faces). Others were of people the patients knew, with half drawn from people they met before their window of amnesia (identifiable faces), and the other half from during the window of time affected by amnesia (unidentifiable faces). Unsurprisingly, patients did not recognise the novel faces, and could recognise all of the identifiable faces. Intriguingly, although neither patient remembered any of the unidentifiable faces, these faces elicited increased activation in right DLPFC and VLPFC, together with reduced activity in the hippocampus, as observed in laboratory studies of retrieval suppression (Figure I). After treatment, one patient recovered their memories and, upon rescanning, no longer exhibited the suppression pattern. These findings suggest that extreme psychological distress leads retrieval suppression to be engaged involuntarily in reaction to certain stimuli [116]. In an independent study, a patient with psychogenic amnesia was shown to exhibit dramatically magnified suppression-induced forgetting in the TNT procedure [117], suggesting a link between their condition and suppression ability. (A) (B) (i) (i) (ii) (ii) TRENDS in Cognitive Sciences Figure I. Brain-imaging data from two patients with dissociative amnesia [116]. Patients 1 (A) and 2 (B) viewed images of faces and decided whether they recognised them from their life. Images were either strangers (novel), faces they knew, from outside the window of amnesia (identifiable faces) or faces they knew from within the amnesic window (unidentifiable faces). (Ai) and (Bi) depict brain areas that are more active for unidentifiable faces than for identifiable faces (right dorsolateral prefrontal cortex). (Aii) and (Bii) depict brain areas that are less active for unidentifiable faces (hippocampus). 285 Feature Review inducing forgetting of an unwanted memory [59,72,73,81,86,88]. Clearly, however, thought substitution could not involve suppressing retrieval. Given that the substitutes themselves need to be recollected, this approach seems to require the opposite outcome sought with retrieval suppression: the upregulation of retrieval processes. Recently, the neural mechanisms of thought substitution and inhibition in the TNT procedure have been studied [88] (Figure 2). A thought substitution group was asked to avoid unwanted memories whenever they encountered reminders to them by recalling a thought substitute to distract themselves. However, the direct suppression group was urged not to generate distracting thoughts, but to instead ‘push’ the memory from awareness, if it intruded. Interestingly, although both groups showed similar forgetting, only direct suppression reduced hippocampal activation. Critically, these strategies engaged distinct networks. Whereas direct suppression recruited the right DLPFC region typically associated with retrieval suppression, thought substitution engaged the left inferior frontal gyrus (IFG) associated with selective retrieval [92]. Effective connectivity analyses revealed that the right DLPFC was negatively coupled with the hippocampus during direct suppression, more so for people who forgot suppressed memories. By contrast, during thought substitution, activation in left caudal IFG predicted greater hippocampal activation during no-think trials, suggesting that it engaged hippocampal retrieval processes to sustain the substitute memory. Thus, two approaches to limiting awareness (suppression and self-distraction) recruited distinct frontohippocampal networks with opposing effects on hippocampal processing. Direct suppression and thought substitution have also been dissociated electrophysiologically [93]. Prior research has established an ERP component, known as the late positive component (LPC), which is sensitive to the level of episodic recollection and contextual retrieval of a test item [94]. The LPC occurs over parietal scalp sites 400– 800 ms after a recognition memory target appears, and is greater for older words than new words. If the LPC indexes recollection, measuring it during no-think trials should reveal a reduced LPC compared with that observed during think trials. This prediction has been confirmed repeatedly with word pairs [93,95–97], picture–word pairs [58] and even negatively valenced face–scene pairs [65,98]. Interestingly, participants can for the very same items, make the LPC come and go when instructions are changed from retrieval to suppression, suggesting highly efficient control over recollection [97]. Importantly, direct suppression, but not thought substitution, modulates the LPC [93]. Given that thought substitution involves recollecting substitutes (which itself would generate a LPC), the TNT conditions should be (and are) electrophysiologically similar. These findings support the view that direct suppression overrides conscious recollection, and parallel selective reductions of hippocampal activity during direct suppression [88]. Suppression mechanisms respond to memory intrusions. Intrusions of unwanted memories into awareness appear to have an important role in triggering inhibitory control over 286 Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 memory. For example, reduced hippocampal activity was closely tied to the exclusion of intrusive memories from awareness in a recent study using phenomenological reports [91]. To link intrusions to hippocampal regulation, no-think trials on which an unwanted memory entered participants’ awareness were isolated, and the intrusions were then linked to changes in hippocampal activity. Participants classified their experience after each trial according to whether the cue triggered retrieval of its associated memory. Intrusions elicited strong modulations of hippocampal activity (Figure 2). Although hippocampal downregulation occurred overall during no-think trials, the depth of reduction was pronounced during intrusions, when awareness of the memory needed to be suppressed. Strikingly, the depth of the down-regulation during intrusions strongly predicted suppression-induced forgetting. However, no correlation between downregulation and forgetting arose during nonintrusions, suggesting that reactivation of a memory trace is an important condition for memory disruption [10,99,100]. These findings link the purging of unwanted mnemonic awareness to reduced hippocampal activity. Importantly, they also show that intrusions of unwanted memories decline with repeated suppression, highlighting the outcome people seek when suppressing unwelcome remindings. Intrusive memories seem to leap to mind automatically given reminders. The need to inhibit such automatic retrievals may engage mechanisms that are similar to those used to override reflexive actions [9,53,54]. fMRI, behavioural, and EEG evidence supports this possibility. For example, both retrieval suppression and motor inhibition engage right DLPFC and VLPFC [63,67,87–91], consistent with the similar functional demands posed by the two forms of stopping. Indeed, activation in right lateral prefrontal cortex during retrieval suppression predicts not only later retrieval suppression effects, but also stop signal reaction time on motor tasks [63]. Moreover, participants’ stop signal reaction time predicts the proportion of aversive pictures forgotten after retrieval suppression [63]. Electrophysiological components, such as the N2, are larger during suppression than during retrieval [65,85,93,95– 98], echoing findings in motor inhibition research, such as the no-go N2 and the stop signal N2. Importantly, larger N2s for no-think items compared to think items are even more pronounced for no-think items that are later forgotten [96]. Strikingly, in one study, the enhanced N2 for nothink trials predicted N2 enhancement during stop-signal trials, even when the tasks were separated by a year [96]. Prior work suggests that the source of the motor no-go N2 is either the anterior cingulate cortex or the lateral prefrontal cortex [101], consistent with areas involved in retrieval suppression. Intriguingly, biomarkers of executive function know to predict individual differences in motor response inhibition, such as heart rate variability, also predict the magnitude of suppression-induced forgetting [83]. Taken together, these findings suggest that the inhibitory process engaged during retrieval suppression recruits general response inhibition mechanisms, although more precise comparison of these mechanisms is needed. For example, although memory and motor inhibition both often engage right DLPFC and VLPFC, Feature Review Mechanism Prefrontal cortex Direct suppression Reminder Hippocampus 2 x = 36 Contrast es!mates (A) Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 Right DLPFC Memory 1.5 1 0.5 0 –0.5 –1 –1.5 –2 Recall Suppress Recall Suppress Thought subs"tu"on Reminder 2 Contrast es!mates y = 25 Le$ VLPFC Briefly 2 0.1 fMRI subjects (N=18) 70% –1 –1.5 *** ** * 0.0 –0.1 50% 2.0 40% Suppression score Intrusion frequency 60% 30% 20% 10% 0 –0.5 Right hippocampus O$en 3 Percent signal change Never 1 1 0.5 –2 Subs#tute Memory (B) 1.5 1.0 0.0 –1.0 r=–.04 1 2 3 4 5 6 7 8 9 10 11 12 r=.66** –2.0 –0.1 –0.1 0.0 0.1 0.1 0.2 0.2 –0.1 0.0 0.1 0.2 Reduc!on in ac!vity Reduc!on in ac!vity during nonintrusions during intrusions 0.3 TRENDS in Cognitive Sciences Figure 2. Conditions that trigger inhibitory modulation of the hippocampus during retrieval suppression. (A) Direct suppression and thought substitution involve distinct networks that both cause forgetting, but that have differing effects on the hippocampus [88]. Direct suppression involves suppressing episodic retrieval to prevent or override recollection of an unwanted memory (depicted by angled lines), whereas thought substitution involves engaging retrieval to recall a substitute thought in response to a reminder. Direct suppression (upper row) engages right dorsolateral prefrontal cortex (DLPFC) and ventrolateral prefrontal cortex (VLPFC), with the former reducing hippocampal activity (established by effective connectivity analyses). By contrast, thought substitution (lower row) engages a left dominant VLPFC region that does not reduce hippocampal activity (and in fact, predicts increased hippocampal activity [88]). (B) Measuring intrusions on no-think trials using a trial-by-trial intrusion scale (left, upper portion; ratings of 2 or 3 indicate an intrusion of the to-be-suppressed memory) reveals intrusions that decline with repeated suppressions (left lower) [91]. Strikingly, although suppression reduces hippocampal activity overall (right panel, top left subpanel; green bar, think; red bar, no-think), this modulation is driven strongly by trials on which intrusions occur (right panel, top right subpanel, red bar, intrusions; orange bar, non-intrusions). Hippocampal downregulation (pre-trial - no-think activation, z-normalized) predicts later memory deficits (baseline - no-think, z-normalized) during intrusions, but not during nonintrusions (right panel, bottom). Abbreviation: fMRI, functional MRI. the former has been emphasised more in research on memory inhibition (e.g., [64,87,88]), and the latter, by research on motor inhibition [52]. More work is needed to understand the roles of these two regions in these forms of stopping, and if a supramodal inhibition process exists. Inhibitory control also modulates regions outside the hippocampus in a content-specific manner. Although inhibitory control downregulates hippocampal activity during retrieval suppression, it also modulates activity in other brain areas, depending on the content being suppressed. For example, when people suppress retrieval 287 Feature Review Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 memory [66,67]. Echoing this impaired perception, neural aftereffects are observed in the same fusiform cortex regions downregulated during retrieval suppression: nothink objects show reduced neural priming (Figure 3Cii). Given that neural priming is considered a signature of perceptual memory [102], this finding suggests that perceptual memory traces were disrupted by inhibitory of visual objects, downregulation is also observed in fusiform regions known to be critical for perceptual awareness of objects (Figure 3Bii) [67]. Interestingly, on later perceptual identification tests, participants find it more difficult to see previously suppressed objects in visual noise, compared with either baseline or think objects (Figure 3Ci), showing that motivated forgetting also impairs implicit Experimental phases (A) Learning Think TNT Duty Duty Think object x 24 No-think Wisdom Wisdom No-think object x 24 Baseline Priming Threat x 24 Unprimed 100 3.5 T values 6 No-think > baseline & think 6 T values 3.5 Think > no-think Think No-think Baseline Unprimed 2400 2350 2300 2250 Neural priming reduc!on (ii) z = –18 Key: 2450 2200 Visual memory suppression Le$ fusiform 2500 (iii) Fusiform ROI (object localiser) z = –14 1.4 1.3 1.2 1.1 1.0 0.9 0.8 0.7 0.6 ROI-average ac!va!on (ii) 2550 Reac!on !me (ms) T values z = 46 un mo scramb vie c l i p ling Behavioural priming reduc!on (i) Right MFG 3.5 No-think > think (C) Memory inhibi!on Effec"ve connec"vty (i) 6 (B) -0% Nega#ve Posi#ve DCM coupling parameters (MFG --> Fusiform) TRENDS in Cognitive Sciences Figure 3. How suppressing retrieval reduces the unconscious influence of unwanted memories, via neocortical inhibition [67]. (A) Adaptation of the think/no-think (TNT) procedure (67). After learning word–object associations, participants either repeatedly retrieved (think) or suppressed (no-think) objects, using direct suppression [88,93]. On the final test, participants viewed objects distorted by noise that were gradually revealed, and participants indicated when they could identify the distorted object. (B) Suppressing retrieval activated the right dorsolateral prefrontal cortex (DLPFC) (i), and reduced activity in fusiform gyrus (ii) (effective connectivity analyses established that the former modulated the latter). (C) Behavioural and neural aftereffects of suppressing visual memories. All objects showed repetition priming (speeded identification time), relative to novel objects, but this was reduced for suppressed objects (i). Similarly, all studied objects showed neural priming (reduced neural activity) in fusiform gyrus and the lateral occipital complex, relative to novel objects, but this was partially reversed for suppressed objects (ii). Negative coupling between DLPFC and fusiform gyrus predicted the magnitude of the reversal in neural priming on the final perceptual identification test (iii). Abbreviations: DCM, Dynamic Causal Modelling; MGF, middle frontal gyrus; ROI, region of interest. 288 Feature Review control. Importantly, reductions in neural priming were well predicted by inhibitory control during the earlier TNT phase: effective connectivity analyses showed that suppressing retrieval led to negative coupling between right DLPFC and fusiform gyrus, the magnitude of which predicted the reduced neural priming in fusiform cortex on the later perception test. Thus, suppressing awareness of visual memories reduced activity not only in the hippocampus, but also in visual cortex, limiting momentary visual consciousness of the objects and disrupting later perceptual memory. This finding complements fMRI and behavioural evidence for mechanisms that purge unwanted contents from visual working memory, illustrating their inhibitory aftereffects on visual neocortex [12,103]. In the foregoing study, inhibitory control may target visual object regions to reduce reactivation arising from intrusive memories, reactivation that may arise through recurrent connections from the hippocampus [67]. This possibility suggests a broad principle of memory control: when reminders evoke activity in content-specific areas, those areas will be targeted by control [67], affecting content in those regions. Suppressing emotional memories may provide a second example. When a memory elicits a strong emotional response, regions involved in affect may be suppressed. Consistent with this, suppressing aversive scenes (e.g., violence and death) reduces activity in both the hippocampus and the amygdala ([63,64] although see [89]). Reducing activity in the amygdala could disrupt emotional learning associated with the event, much like hippocampal Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 or fusiform modulation disrupts episodic memory or object priming, respectively. Such modulation may contribute to the widely observed fading affect bias in autobiographical memory (Box 4). However, because it remains unknown whether DLPFC is effectively connected with the amygdala during suppression, reduced activity may instead be a passive side effect of downregulating recollective activity in the hippocampus, and the resulting exclusion of the unpleasant memory from awareness. However, even given this possibility, reduced amygdala activity may reflect success at achieving a central goal of motivated forgetting in many real-life circumstances: reduced negative affect arising from the successful voluntary control of mnemonic awareness. However, the paradigms discussed here differ from reallife circumstances in important ways. No directed forgetting or retrieval suppression paradigm, for example, captures the natural motivations that people have for suppressing awareness of memories that they find personally unwelcome (Box 4). Although the neural mechanisms identified here likely implement motivated forgetting ‘in the wild’, this work may underestimate the impact on retention for someone with a true sustained motive. Understanding the effects of personal motivation will likely entail a step away from controlled materials, towards autobiographical experiences unique to an individual. However, for now, the fundamental control processes that limit mnemonic processing are emerging, and will inform our view of how people wilfully shape retention of their personal experiences. Box 4. Motives for motivated forgetting Below is a sampling of motives that may trigger motivated forgetting, illustrating the breadth of contexts in which these neural mechanisms are likely to operate. Regulating negative affect Memories that evoke fear, anger, sadness, guilt, shame, anxiety, and embarrassment trigger people to regulate their emotions by suppressing offending memories [118]. In the short term, emotion regulation helps to reduce negative feelings, returning to a state of homeostasis [119]. In the long term, this may contribute to the reliably reduced frequency of negative autobiographical memories compared with positive ones for most people [120,121]. It may also contribute to the fading affect bias, wherein affect associated with negative memories fades more rapidly than other affective content [120,122]. Justifying inappropriate behaviour People sometimes engage in dishonest acts that conflict with their desire to be moral. This dissonance creates discomfort that people may reduce via motivated forgetting. In experimental settings, people show increased forgetting of moral rules after behaving dishonestly (e.g., cheating) even though they are equally likely to remember morally irrelevant rules as participants who do not cheat [123,124]. Maintaining beliefs and attitudes People’s beliefs are often resistant to contradictory evidence. This resilience may be supported by selectively forgetting information not congenial to one’s beliefs. For example, republicans and democrats show enhanced directed forgetting for attitude statements that are incongruent with their beliefs, compared with congruent statements [125]. Moreover, one’s memory can be shaped by selectively recounting elements of an event [126–128], a form of thought substitution [88,129]. Intriguingly, this can undermine listeners’ memories of the omitted facts, a phenomenon called ‘socially shared retrieval-induced forgetting’ [126–128]. Deceiving others and oneself Memory inhibition may contribute to creating a state of false belief, necessary to deceive others and even oneself [130]. Consistent with this, people can use retrieval suppression to disguise guilty knowledge of a crime when confronting reminders to the crime event, effectively eliminating EEG markers of recollection [131]. Preserving self image People protect their self-image by selectively remembering feedback consistent with positive traits and forgetting that which threatens their sense of self. This robust ‘mnemic neglect’ effect arises despite holding encoding time constant, and is only present for encoding traits in relation to oneself, not others. Mnemic neglect is markedly attenuated, if, before encoding, people receive positive, self-enhancing feedback on a separate task, reducing their urge for selfprotection [132–134]. Forgiving others Interpersonal relations are sometimes accompanied by the need to forgive relationship partners for offenses that provoke anger. Individual differences in forgiveness are well predicted by inhibitory control ability [135], and it has been argued that memory inhibition may be key in overcoming rumination about transgressions [136]. Forgiving and forgetting may indeed be closely related. Maintaining attachment The need to maintain an attachment relationship with a parent, guardian, or powerful authority figure (e.g., a boss) may be essential to survive or thrive in an environment. Behaviours that promote good relations or attachment to the influential individual may motivate selective remembering of experiences compatible with attachment [129], and forgetting of those that are incompatible. Betrayal trauma theory, for example, posits that motivated forgetting of childhood abuse by a trusted caretaker is driven by this attachment need [137,138]. 289 Feature Review Concluding remarks In this article, we reviewed evidence for the active role that people have in shaping retention. We focussed in particular on the function of inhibitory control processes in modulating the efficacy of memory processes at both encoding and retrieval. If, upon encoding an experience, people intentionally exclude the event from awareness, retention of the experience is impaired, compared with cases in which they intend to remember the event. Although this deficit arises from several sources, one factor is the termination of encoding by inhibition, and the disruption of episodic traces formed up until that point. Similarly, upon encountering reminders to existing memories, people can engage inhibitory control to stop retrieval. In both encoding and retrieval suppression, multiple sources of evidence indicate that control mechanisms mediated by the prefrontal cortex interrupt mnemonic function and impair memory. Thus, excluding unwanted memories from awareness does not merely deprive experiences of further rehearsal, it contributes to forgetting by disrupting the suppressed memory. However, much remains to be understood about the pathways and neural mechanisms of this suppression (Box 5). Understanding forgetting is one of the fundamental goals of the science of memory. We have argued that the focus on incidental forgetting mechanisms over the past century, although profitable, has profoundly neglected one of the most systemic forces shaping retention of life events: ourselves. Forgetting does indeed happen due to forces beyond our control; but we are, without a doubt, conspirators in our own forgetting. We wield control over mnemonic processes, choosing, among life’s experiences, winners and losers for the potent effects of attention, reflection, and suppression. Modern behavioural and neurobiological research is revealing how our momentary choices to stop encoding or retrieval unfold in the brain, and how control processes disrupt the normal functioning of memory. These momentary choices are, in turn, driven by our affective, motivational, social, and cognitive goals. Thus, to understand why human beings remember what they do of their life histories, a scientific theory of forgetting must account for the foundational control mechanisms that implement the ongoing and active role that we play in shaping the fate of experience in memory. Box 5. Outstanding questions ! How do motivation and emotion influence the ability to inhibit memories? ! What are the critical pathways by which DLPFC modulates neural activity in the hippocampus or neocortex to suppress memories? ! Is there plasticity in the networks underlying memory control that might be exploited to train people’s management of intrusive memories? ! What neural changes underlie the disrupted memory performance associated with memory inhibition and is it related to reconsolidation? ! Are the inhibitory control mechanisms that support the stopping of encoding and retrieval the same? ! How is activity in the prefrontal–hippocampal memory control network orchestrated by means of brain oscillations? ! Do cases of psychogenic amnesia arise from motivated forgetting mechanisms discussed here, or is psychogenic amnesia qualitatively different? 290 Trends in Cognitive Sciences June 2014, Vol. 18, No. 6 Acknowledgements This work was supported by a grant from the UK Medical Research Council (MC-A060-5PR00) to M.C.A. and by a grant from the Deutsche Forschungsgemeinschaft (HA 5622/1-1) to S.H. 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Trauma Dissociation 2, 5–15 569889 research-article2015 PSSXXX10.1177/0956797615569889Catarino et al.Inhibitory Control and Posttraumatic Stress Disorder Psychological Science OnlineFirst, published on April 6, 2015 as doi:10.1177/0956797615569889 Research Article Failing to Forget: Inhibitory-Control Deficits Compromise Memory Suppression in Posttraumatic Stress Disorder Psychological Science 1–13 © The Author(s) 2015 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0956797615569889 pss.sagepub.com Ana Catarino1, Charlotte S. Küpper1,2, Aliza Werner-Seidler1,3, Tim Dalgleish1,3, and Michael C. Anderson1,4 1 Medical Research Council, Cognition and Brain Sciences Unit, Cambridge, United Kingdom; Department of Clinical Psychology and Psychotherapy, Freie Universität Berlin; 3Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), Cambridge, United Kingdom; and 4Behavioural and Clinical Neurosciences Institute, University of Cambridge 2 Abstract Most people have experienced distressing events that they would rather forget. Although memories of such events become less intrusive with time for the majority of people, those with posttraumatic stress disorder (PTSD) are afflicted by vivid, recurrent memories of their trauma. Often triggered by reminders in the daily environment, these memories can cause severe distress and impairment. We propose that difficulties with intrusive memories in PTSD arise in part from a deficit in engaging inhibitory control to suppress episodic retrieval. We tested this hypothesis by adapting the think/no-think paradigm to investigate voluntary memory suppression of aversive scenes cued by naturalistic reminders. Retrieval suppression was compromised significantly in PTSD patients, compared with trauma-exposed control participants. Furthermore, patients with the largest deficits in suppression-induced forgetting were also those with the most severe PTSD symptoms. These results raise the possibility that prefrontal mechanisms supporting inhibitory control over memory are impaired in PTSD. Keywords memory suppression, forgetting, trauma, PTSD, inhibitory control, thought control Received 8/22/14; Revision accepted 1/8/15 Most people experience traumatic events that they would rather forget. Frequently, such forgetting is made difficult because stimuli in the environment resemble something from the trauma, eliciting intrusive remindings of what happened—an object in a drawer can remind people of someone lost because of death or a broken relationship; driving past a familiar road can remind people of a horrible accident they witnessed. For most trauma survivors, intrusions decline naturally over the first few months after trauma (Ehlers, 2010). However, for a small group of survivors, intrusive memories persist over extended periods in the form of both thoughts and images, causing marked functional impairment (Sherin & Nemeroff, 2011). This is a key feature of posttraumatic stress disorder (PTSD), a debilitating psychiatric condition that results from exposure to a severe traumatic event and is characterized by persisting clinical symptoms such as intrusive memories, flashbacks, avoidance, and emotional numbing (American Psychiatric Association, 2013). Avoidance strategies are commonly employed by people with PTSD to evade reminders of trauma and mitigate the distress that consequent intrusions cause. However, although avoidance of the reminders themselves is one means to reduce memory intrusions, previous research has shown that people are often able to voluntarily Corresponding Author: Ana Catarino, MRC Cognition and Brain Sciences Unit, 15 Chaucer Rd., Cambridge, CB2 7EF, United Kingdom E-mail: [email protected] Downloaded from pss.sagepub.com by guest on April 9, 2015 Catarino et al. 2 suppress unwanted memories even when confronted with a reminder, a phenomenon known as suppressioninduced forgetting (Anderson & Green, 2001; Anderson & Hanslmayr, 2014; Anderson et al., 2004; Benoit & Anderson, 2012; Depue, Banich, & Curran, 2006; Depue, Curran, & Banich, 2007; Gagnepain, Henson, & Anderson, 2014; Hertel & Mahan, 2008; Levy & Anderson, 2012). Large individual differences in this suppression ability have been observed, and these findings suggest that relative difficulties with suppression may underlie memorycontrol difficulties in conditions like PTSD (Hertel & Gerstle, 2003; Levy & Anderson, 2008; Marzi, Regina, & Righi, 2014). Do difficulties with intrusive memories in PTSD arise in part from compromised retrieval suppression? To address this question, in the present study (the first of its kind, to our knowledge), we examined suppression-induced forgetting in individuals with PTSD. We wanted to look at people’s ability to suppress memories of aversive scenes in a naturalistic way. So, rather than using stimuli such as neutral word pairs or arbitrary face-scene associations (Depue et al., 2006; Depue et al., 2007; van Schie, Geraerts, & Anderson, 2013), we asked participants to study object-scene pairs. The cue objects resembled objects embedded in the aversive target scenes, thus serving as powerful triggers to remembering the scenes themselves. The stimuli therefore provided a meaningful analogue to situations in which traumatic intrusions are triggered by environmental elements related to the trauma (Ehlers, 2010; Küpper, Benoit, Dalgleish, & Anderson, 2014). At the end of the experiment, we tested memory recall for all the scenes. A previous study using the same think/no-think (TNT) paradigm found that healthy volunteers could suppress memories of aversive scenes, but suppression ability was weaker in those with lower scores on a measure of selfperceived thought-control ability (Küpper et al., 2014). This study provides a robust platform for examining memory suppression in PTSD. We aimed to use this novel paradigm to investigate how well trauma-exposed individuals, with and without PTSD, could suppress retrieval of aversive images when triggered by powerful reminders. We propose that the ability to engage inhibitory control to support retrieval suppression is compromised in people with PTSD and that this deficit poses a central problem in regulating intrusive memories. Our hypothesis receives support from evidence for inhibitory-control deficits in PTSD as measured by motor response-inhibition tasks such as the go/no-go and stopsignal tasks (Falconer et al., 2008), as well as by other tasks that putatively involve memory inhibition, such as directedforgetting and retrieval-induced-forgetting tasks (Amir, Badour, & Freese, 2009; McNally, 1998; McNally, Metzger, Lasko, Clancy, & Pitman, 1998). However, although the latter findings are highly promising as evidence for deficient memory control, their relevance to controlling intrusive memories is arguably indirect: Retrieval-induced forgetting concerns the tendency for retrieval of some items to incidentally inhibit other competing memories; directed forgetting concerns the ability to forget an immediately preceding event, in some cases by terminating encoding. Though both tasks may involve inhibitory control, neither addresses the situation most clearly relevant to combating intrusive memories of trauma: confronting unwelcome reminders and needing to suppress episodic retrieval to prevent awareness of an intrusive memory. Studying retrieval suppression of aversive images may therefore be particularly relevant to understanding key symptoms of PTSD, in which the high prevalence of intrusive memories and images results in significant distress and functional impairment. We hypothesized that individuals with PTSD, compared with trauma-exposed individuals who have never developed PTSD, are less able to suppress retrieval of aversive scenes when confronted with powerful reminders. Additionally, given previous findings of a correlation between suppression-induced forgetting and self-perceived thought-control ability (Küpper et al., 2014), we predicted that lower retrieval-suppression abilities are associated with more severe PTSD symptoms and also with lower self-perceived thought-control abilities. These findings might help answer the key question of why some individuals recover naturally after trauma, whereas others continue to experience distressing intrusions that contribute to the development and persistence of PTSD. Method Participants Eighteen individuals with a current diagnosis of PTSD (11 females; mean age = 34 years, SD = 13) and a control group of 18 trauma-exposed individuals with no current or past history of PTSD (11 females; mean age = 37 years, SD = 14) were recruited from the local community and departmental participant panels through print advertisements. Sample size was calculated with an a priori power analysis, using the effect sizes reported by Küpper et al. (2014), who used identical procedures, materials, and dependent measures. We determined that a minimum sample size of 7 per group would be necessary for 95% power to detect an effect. Additionally, our choice of a sample size of 18 per group is consistent with sample sizes used in previous think/no-think (TNT) studies (Anderson et al., 2004; Benoit & Anderson, 2012; Benoit, Hulbert, Huddleston, & Anderson, 2015; Gagnepain et al., 2014; Küpper et al., 2014). Diagnostic status was determined using the Structured Clinical Interview for the DSM-IV Axis I Disorders (First, Spitzer, Gibbon, & Downloaded from pss.sagepub.com by guest on April 9, 2015 Inhibitory Control and Posttraumatic Stress Disorder 3 Table 1. Comparison of the Demographic and Clinical Characteristics of the Posttraumatic Stress Disorder (PTSD) and Control Groups Characteristic Age (mean in years) Gender PDS (mean score) IES-R (mean score) Intrusion Avoidance Hyperarousal BDI-II (mean score) STAI-T (mean score) STAI-S (mean score) TCAQ (mean score) NART (mean score) PTSD group (n = 18) Control group (n = 18) 34.2 (13.4) 11 females, 7 males 29.4 (7.4) 44.2 (17.2) 15.6 (7.9) 15.7 (7.7) 13.0 (5.4) 25.4 (13.8) 54.1 (9.0) 40.1 (7.4) 55.7 (14.7) 31.3 (7.5) 36.8 (14.2) 11 females, 7 males 5.9 (5.4) 11.0 (13.4) 4.2 (5.1) 5.2 (7.5) 1.6 (3.4) 7.2 (5.5) 39.3 (8.3) 31.2 (6.4) 83.9 (14.6) 34.2 (6.0) Group comparison t(34) = –0.57, p = .57, d = –0.19, 95% CI = [–11.94, 6.72] t(34) = 10.84, p < .001, d = 3.63, 95% CI = [19.09, 27.91] t(34) = 6.48, p < .001, d = 2.15, 95% CI = [22.80, 43.64] t(29.073) = 5.12, p < .001, d = 1.71, 95% CI = [6.81, 15.86] t(34) = 4.11, p < .001, d = 1.38, 95% CI = [5.28, 15.61] t(34) = 7.60, p < .001, d = 2.53, 95% CI = [8.38, 14.51] t(22.212) = 5.20, p < .001, d = 1.73, 95% CI = [10.93, 25.41] t(34) = 5.04, p < .001, d = 1.71, 95% CI = [7.43, 17.46] t(33) = 3.81, p = .001, d = 1.29, 95% CI = [4.15, 13.64] t(34) = –5.79, p < .001, d = –1.92, 95% CI = [–38.14, –18.31] t(34) = –1.31, p = .20, d = –0.43, 95% CI = [–7.53, 1.64] Note: Standard deviations are given in parentheses. CI = confidence interval for the group difference; PDS = Posttraumatic Stress Diagnostic Scale (Foa, 1995); IES-R = Impact of Event Scale–Revised (Weiss, 2007); BDI-II = Beck Depression Inventory-II (Beck, Steer, & Brown, 1996); STAI-T = Trait score on the State-Trait Anxiety Inventory (Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983); STAI-S = State score on the State-Trait Anxiety Inventory (Spielberger et al., 1982); TCAQ = Thought Control Ability Questionnaire (Luciano, Algarabel, Tomás, & Martínez, 2005); NART = National Adult Reading Test (Nelson, 1982). Williams, 1996). Exclusion criteria for PTSD participants included a current diagnosis of psychosis or borderline personality disorder. Control participants with any current psychiatric disorder were also excluded. The range of participants’ trauma experiences was similar between the two groups and included experiencing or witnessing serious accidents (PTSD: n = 4; control: n = 9), violence (PTSD: n = 2; control: n = 3), sexual assault (PTSD: n = 2; control: n = 1), life-threatening illnesses (PTSD: n = 3; control: n = 4), combat situations (PTSD: n = 1), and traumatic death of family members or close friends (PTSD: n = 6; control: n = 1). Time since trauma was matched across the groups and varied from 3 months to more than 5 years. We recruited a heterogeneous trauma group because our hypothesis was that a key symptom of the disorder—intrusive, difficult-to-control memories—reflects at least a partial deficit in retrieval suppression, which ought to transcend trauma type. All participants were native English speakers with no history of severe head injury, neurological disease, or learning disability. Further demographic details are provided in Table 1. This study received ethical approval from the Cambridgeshire and Peterborough Research Ethics Committee. All participants provided written informed consent. Materials The TNT memory task involved asking participants initially to study various object-scene pairs. Next, in the main phase of the experiment, the cue objects were presented, and participants were asked to either recall or suppress their memories for the associated scenes. At the final test, participants were shown the cue objects and asked to provide brief descriptions of the associated scenes. The stimuli used were 60 object-scene pairs: 48 critical pairs and 12 fillers (Fig. 1). The scenes for these pairs were emotionally negative images taken from the International Affective Picture System (Lang, Bradley, & Cuthbert, 2008) and online sources. We used negative emotional material rather than trauma-specific scenes because our hypothesis was that there is a generic inability to inhibit memories for aversive information in PTSD. The cue objects were colored photographs of familiar, neutral objects (taken from Brady, Konkle, Alvarez, & Oliva, 2008). Each cue object was chosen to resemble an item that was already naturally embedded as an incidental detail in its paired scene but not intrinsically related to the gist of the scene. This prevented guessing of the scenes during later recall. The 48 critical pairs were divided into three sets (referred to as sets A, B, and C) that were matched on salience of the cues, as well as the emotional valence and arousing nature of the scenes (Küpper et al., 2014). On a scale from 1 (not salient) to 5 (very salient), the mean rated salience of the cues was 2.7 for set A, 2.9 for set B, and 2.4 for set C; on a scale from 1 (unpleasant) to 9 (pleasant), the mean rated emotional valence of the scenes was 3.5 for set A, 3.3 for set B, and 3.3 for set C; and on a scale from 1 (unarousing) to 9 (arousing), the mean arousal rating of the scenes was 4.8 for set A, 4.7 for set B, and 4.8 for set C. Assignment of Downloaded from pss.sagepub.com by guest on April 9, 2015 Catarino et al. 4 (STAI; Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983) is a self-administered questionnaire assessing trait and state anxiety. The Posttraumatic Stress Diagnostic Scale (PDS; Foa, 1995) is a self-administered questionnaire designed to aid in the detection and diagnosis of trauma-related symptoms. The National Adult Reading Test (NART; Nelson, 1982) is a researcher-administered test used to estimate an individual’s level of intellectual ability. TNT procedure Fig. 1. A representative object-scene pair consisting of a neutral cue object and an unpleasant scene. Each cue object was chosen to resemble an item that was naturally embedded as an incidental detail in the associated scene. We adapted the TNT procedure, developed by Anderson and Green (2001), to study the suppression of aversive scenes. The paradigm had three phases: study phase, TNT phase, and final test phase (Fig. 2). the sets to the three conditions (see the TNT Procedure section) was counterbalanced across participants. At the end of the experiment, participants filled out the following questionnaires. The Thought Control Ability Questionnaire (TCAQ; Luciano, Algarabel, Tomás, & Martínez, 2005) is a 25-item questionnaire that assesses the self-perceived ability to exert control over thought intrusions; higher scores reflect better control ability. The Beck Depression Inventory-II (BDI-II; Beck, Steer, & Brown, 1996) is a self-administered questionnaire measuring the intensity of depressive symptoms. The Impact of Event Scale–Revised (IES-R; Weiss, 2007) is a self-report measure assessing the magnitude of symptomatic response, in the past 7 days, to a specific traumatic life event—in this case, the participant’s most significant trauma. The State-Trait Anxiety Inventory Study phase. Participants started by studying all 60 object-scene pairs, which were presented for 6 s each in a blocked randomized order. Test-feedback cycles then followed. On each test trial, participants were shown a cue object and indicated, by pressing the “yes” or “no” button, whether they could recall the scene with which it had been paired. If they answered “yes,” three scenes were presented, and they were asked to select the correct one. Participants then were shown the correct objectscene pair again for 2.5 s, as feedback to enhance encoding. The testing cycled through all items repeatedly until participants reached a set criterion of at least 60% correct recognition (all succeeded within four cycles). When they reached this criterion, a final test cycle (without feedback) including all pairs assessed which pairs had been learned. Study Phase TNT Phase Final Test Phase People in a wardrobe. . . Dead man and boy lying in a ditch next to a big basket. . . Fig. 2. Schematic representation of the experimental procedure. In the study phase, participants encoded cue-target pairs. During the think/ no-think (TNT) phase, participants were instructed to directly suppress memories associated with cue objects presented inside a red frame and to recall memories associated with cue objects presented inside a green frame. Finally, in the test phase, participants were asked to remember and verbally describe all the scenes that they had previously recalled (recall items) or suppressed (suppress items), as well as all the scenes that they had initially learned but had not seen during the TNT phase (baseline items). Downloaded from pss.sagepub.com by guest on April 9, 2015 Inhibitory Control and Posttraumatic Stress Disorder TNT phase. In this phase, participants were shown the cue objects alone. Each object appeared for 3 s in the center of the screen, surrounded by a colored frame, and was followed by a fixation cross of varying duration (interstimulus interval = 2 s ± 600 ms). Participants were asked to suppress the associated scene when an object was surrounded by a red frame (no-think trial) and to recall the associated scene when an object was surrounded by a green frame (think trial). At the start of this phase, participants were given direct suppression instructions for nothink trials (Benoit & Anderson, 2012), which requested them to suppress the associated scene and additionally avoid any distracting thoughts from coming into awareness. These instructions reduce the use of thought substitution and self-distraction, which results in a better measure of the role of inhibitory control in memory suppression (Benoit & Anderson, 2012). For recall trials, participants were instructed to recall the scene in as much detail as possible. Practice trials using filler items were presented to ensure that subjects understood the instructions. Following practice, participants were presented with 32 critical experimental cue objects: 16 in the recall condition and 16 in the suppress condition. The critical trials were split into five blocks, and each of these 32 objects was presented twice in each block. Thus, each associated scene was suppressed or recalled 10 times over the course of these trials. The remaining 16 critical object-scene pairs were baseline items; that is, they were learned in the study phase but were not presented in the TNT phase. Final test phase. Participants’ memory for all critical scenes was tested after the TNT phase. All cue objects (from the recall, suppress, and baseline conditions) were presented, one at a time and without a colored frame. On each trial, participants were given 15 s to verbally describe the associated scene in as much detail as possible, so that it could be uniquely identified. The descriptions were recorded for later transcription. Dependent measures Participants’ descriptions were scored on three dependent measures assessing quantitative and qualitative aspects of the memories. For the identification measure, a description was scored as correct if it included enough detail that the specific scene could be uniquely identified (Depue et al., 2006). For the details measure, each description was divided into small, meaningful segments conveying independent information, and the number of correct details was counted. Finally, gist was defined as any element pertaining to the central story of a scene that could not be changed or excluded without changing the main theme. Prior to the experiment, two independent judges determined two to four specific elements that 5 contained the general gist of each scene. Descriptions were scored as correct on the gist measure if they included all necessary elements of the scene. All descriptions were scored by two independent raters who were blind to the conditions. Interrater agreement was high—identification: r = .99; details: r = .95; gist: r = .93. Data analysis Suppression-induced forgetting (lower memory performance for suppress compared with baseline items) was assessed using a mixed analysis of variance (ANOVA) with condition (baseline, suppress) as a within-subjects factor and group (PTSD, control) and set assignment (i.e., which of sets A, B, and C was assigned to each condition) as between-subject factors. Facilitation effects (better memory for recall compared with baseline items) were assessed using the same model, but the levels for condition were instead baseline and recall. ANOVAs were performed separately for each dependent measure (identification, gist, and details). Effect sizes ( p2 or Cohen’s d) and 95% confidence intervals (CIs) are reported. Nonsignificant effects were further explored through Bayesian analysis, by computing whether Bayes factors favored the alternative or null hypothesis. We report correlations between the dependent variable showing the strongest suppression-induced-forgetting effect in the primary analysis (the details measure) and TCAQ and PDS scores (though correlations with all memory measures were similar). Self-perceived thoughtcontrol ability as measured by the TCAQ and PTSD symptomatology as measured by the PDS were chosen as main predictors of interest for the correlation analysis to test our hypothesis that suppression-induced forgetting is related to thought control in daily life, as well as to the severity of PTSD symptoms. We also calculated semipartial correlations between our details measure and TCAQ and PDS scores covarying out BDI-II scores in order to explore the role of depression symptoms as a possible confounding factor, given their high prevalence of comorbidity with PTSD. Rank correlations were used when data differed significantly from normality. Alpha was set at .05. All statistical analyses were repeated using final-test data conditionalized on correct initial learning of the objectscene pairs. A pair was judged as initially learned if it was recalled correctly in the final test cycle of the study phase. Results Description of the samples Demographic and clinical information about the participants is presented in Table 1. As expected, the two Downloaded from pss.sagepub.com by guest on April 9, 2015 Catarino et al. 6 groups differed significantly in their scores for clinical measures tapping into PTSD symptomatology and symptoms that commonly co-occur with PTSD, such as depression and anxiety. TNT-task performance If, as we hypothesized, inhibitory control over memory retrieval is impaired in PTSD, control participants should exhibit larger suppression-induced forgetting than PTSD patients do. This predicted pattern was confirmed for all three dependent measures (Fig. 3). Identification. A significant group difference was found in suppression-induced forgetting, as revealed by a significant condition-by-group interaction, F(1, 30) = 7.556, p = .010, p2 = .201. This interaction was driven by a significant inversion of suppression-induced forgetting in the PTSD group (i.e., better memory performance for suppress items compared with baseline items; M = −5.2%), F(1, 15) = 5.288, p = .036, p2 = .261 (Bayes factor favoring the alternative hypothesis = 2.09), in the absence of significant suppression in the control group (M = 3.5%, n.s.). Although the PTSD group showed a significant facilitation effect (M = 5.9%), F(1, 15) = 7.525, p = .015, 2 p = .334, and the control group did not (M = 2.8%, n.s.), there was no significant group difference in facilitation, F(1, 30) = 1.215, p = .279, p2 = .039 (Fig. 3a). The absence of reliable facilitation and suppression effects in the control group may have been due to ceiling effects. Gist. A significant group difference in suppressioninduced forgetting was observed, as indicated by a significant condition-by-group interaction, F(1, 30) = 4.573, p = .041, p2 = .132. This interaction was driven by significant suppression-induced forgetting in the control group (M = 10.8%), F(1, 15) = 22.123, p < .001, p2 = .596, in the absence of significant suppression-induced forgetting in the PTSD group (M = 1.7%), F(1, 15) = 0.297, p = .594, 2 p = .019. A Bayesian analysis indicated strong evidence in favor of the null hypothesis, confirming the absence of suppression-induced forgetting in the PTSD group (Bayes factor in favor of the null hypothesis = 3.74). No significant facilitation effect was found in either group (PTSD: M = −0.3%; control: M = −0.7%; Fig. 3b). Details. As for the two previous measures, a significant group difference in suppression-induced forgetting was observed, established by a significant condition-by-group interaction, F(1, 30) = 14.231, p = .001, p2 = .322. This interaction was driven once again by a significant suppression effect in the control group (M = 1.19), F(1, 15) = 33.548, p < .001, p2 = .691, in the absence of significant suppression in the PTSD group (M = −0.14), F(1, 15) = 0.224, p = .643, p2 = .015. Again, a Bayesian analysis indicated strong evidence in favor of the null hypothesis, confirming the absence of suppression-induced forgetting in the PTSD group (Bayes factor in favor of the null hypothesis = 3.70). Although the PTSD group showed a significant facilitation effect (M = 0.68), F(1, 15) = 5.575, p = .032, p2 = .271, and the control group showed only a marginally significant effect (M = 0.56), F(1, 15) = 4.368, p = .054, p2 = .226, the difference between the groups was not significant, F(1, 30) = 0.100, p = .754, p2 = .003 (Fig. 3c). Measures of overall learning. No significant group differences were found in initial learning of the pairs (control: M = 87%, SD = 11%; PTSD: M = 93%, SD = 7%). The groups also did not differ in accuracy for baseline items, whether assessed by the identification measure (control: M = 92%, SD = 8%; PTSD: M = 90%, SD = 12%), the gist measure (control: M = 58%, SD = 13%; PTSD: M = 55%, SD = 18%), or the details measure (control: M = 10.27, SD = 2.38; PTSD: M = 9.39, SD = 2.62). Finally, the groups also did not differ in accuracy for recall items, whether assessed by the identification measure (control: M = 95%, SD = 7%; PTSD: M = 96%, SD = 7%), the gist measure (control: M = 57%, SD = 16%; PTSD: M = 55%, SD = 16%), or the details measure (control: M = 10.82, SD = 2.26; PTSD: M = 10.07, SD = 2.03). These results show that the two groups had comparable learning and baseline memory performance, and that there was no clear bias toward better recall of the emotionally negative scenes in the PTSD group. Thought Control Ability Questionnaire The control group reported higher self-perceived thought-control ability than did the PTSD group (Table 1), although TCAQ scores across the whole sample showed a continuous normal distribution. Across all participants, suppression-induced forgetting on our details measure and TCAQ scores had a robust positive correlation (Kendall’s = .5, p < .001; Fig. 4a). This correlation remained significant when we covaried out BDI-II scores using semipartial correlation analyses ( = .34, p = .004), which suggests that the correlation was not simply a function of participants’ current symptom levels. Posttraumatic Stress Diagnostic Scale The PTSD group reported more severe PTSD symptoms than did the control group (Table 1). As expected, the distribution of PDS scores across groups was not continuous, given that the control group was mostly at floor for this measure. For this reason, correlation analyses were performed only within the PTSD group. A Downloaded from pss.sagepub.com by guest on April 9, 2015 Inhibitory Control and Posttraumatic Stress Disorder a Control Group b 85% 80% 75% 65% Scenes Correctly Recalled (%) Scenes Correctly Recalled (%) 90% Baseline Recall *** ** 50% 45% Recall 10.0 9.0 Recall Suppress Number of Details Recalled Number of Details Recalled Details *** Baseline 80% 75% Baseline Recall Suppress Baseline Recall Suppress Recall Suppress 60% 55% 50% 45% 12.0 *** 11.0 8.0 85% 40% Suppress c 12.0 90% 65% 55% Baseline * 95% 70% Suppress 60% 40% * 100% * 95% 70% PTSD Group Scenes Correctly Recalled (%) Scenes Correctly Recalled (%) Identification 100% Gist 7 11.0 * 10.0 9.0 8.0 Baseline Fig. 3. Memory performance in the final test for the trauma-exposed control group (n = 18; left column) and the posttraumatic stress disorder (PTSD) group (n = 18; right column). Results are shown separately for baseline, recall, and suppress items for each dependent measure: (a) identification, (b) gist, and (c) details. Suppression-induced forgetting is when significantly fewer suppress than baseline items are remembered. Memory facilitation is when significantly more recall than baseline items are remembered. Error bars represent ±1 SE. Asterisks indicate significant differences between conditions (*p < .05; **p < .01; ***p < .001). marginally significant negative correlation was found between suppression-induced forgetting on the details measure and PDS scores in the PTSD group (Kendall’s = −.33, p = .07; Fig. 4b). This correlation was rendered significant when we covaried out BDI-II scores using semipartial correlation analyses ( = −.35, p = .049). Downloaded from pss.sagepub.com by guest on April 9, 2015 Catarino et al. 8 a b PTSD Group Control Group Number of Details Recalled (Baseline – Suppress) 4.00 4.00 τ = .51, p < .001 3.00 3.00 2.00 2.00 1.00 1.00 0.00 20 40 60 80 100 120 0.00 –1.00 –1.00 –2.00 –2.00 –3.00 τ = –.33, p = .07 15 –3.00 TCAQ Score 20 25 30 35 40 45 PDS Score Fig. 4. Scatter plots illustrating the relation between suppression-induced forgetting as assessed by the details measure (number of details for baseline items – number of details for suppress items) and (a) self-perceived thought-control ability across the entire sample and (b) severity of posttraumatic stress disorder (PTSD) symptoms in the PTSD group. Thought-control ability was assessed by the Thought Control Ability Questionnaire (TCAQ; Luciano, Algarabel, Tomás, & Martínez, 2005), and PTSD symptoms were assessed by the Posttraumatic Stress Diagnostic Scale (PDS; Foa, 1995). The effects of depressive symptoms The PTSD group had significantly higher BDI-II scores than did the control group (see Table 1). Because depressive symptoms have been associated with deficits in suppression-induced forgetting (Hertel & Gerstle, 2003; Joormann, Hertel, LeMoult, & Gotlib, 2009), the suppression deficit in the PTSD group may reflect effects of this comorbidity. As just noted, however, the negative correlation between PTSD symptom severity and suppressioninduced forgetting actually strengthened after BDI-II scores were partialed out, which suggests that depressive symptoms may not have been the main factor underlying the observed deficit. To scrutinize this issue further, we performed a median split within each group according to BDI-II scores. We found that within the PTSD group, suppression-induced forgetting (i.e., difference in memory performance between baseline and suppress items) was never found in either the low-BDI-II group (mean BDI-II score = 15.1, SD = 8.8) or the high-BDI-II group (mean BDI-II score = 35.7, SD = 9.4), regardless of the dependent measure examined—identification: M = −5% for the low group and −6% for the high group; gist: M = 7% for the low group and −3% for the high group; details: M = −0.03 for the low group and −0.24 for the high group. For the control group, in contrast, suppression-induced forgetting was observed in both the low-BDI-II group (mean BDI-II score = 3.6, SD = 3.1) and the high-BDI-II group (mean BDI-II score = 10.9, SD = 4.9), despite the small sample sizes (n = 9). Specifically, both groups showed significant suppression-induced forgetting on the gist measure—low group: M = 13%, F(1, 6) = 30.388, p = .001, p2 = .835; high group: M = 8%, F(1, 6) = 8.641, p = .026, p2 = .590. They also showed highly significant suppression-induced forgetting on the details measure—low group: M = 1.35, F(1, 6) = 11.631, p = .014, p2 = .660; high group: M = 1.03, F(1, 6) = 27.222, p = .002, p2 = .819. Note, though, that the high-BDI-II group showed numerically less suppression-induced forgetting than did the low-BDI-II group. When we more closely matched depression symptoms by comparing the low-BDI-II PTSD group with the highBDI-II control group, we observed a marginally significant group-by-condition interaction for the details measure, F(1, 16) = 4.032, p = .062, p2 = .201. Significant suppression-induced forgetting was observed for the high-BDI-II control group, but not for the low-BDI-II PTSD group, despite BDI-II scores that did not differ appreciably. Taken together, these results suggest that the observed deficits in suppression-induced forgetting in the PTSD group are unlikely to solely reflect the effects of depressive symptomatology on memory control. Conditionalized final-test data Analyses of the data conditional on correct initial learning yielded similar results, except in the case of the identification measure. In that analysis, the group difference in suppression-induced forgetting only approached significance, F(1, 30) = 3.869, p = .058, p2 = .114. Downloaded from pss.sagepub.com by guest on April 9, 2015 Inhibitory Control and Posttraumatic Stress Disorder Discussion Inhibitory control mechanisms serve an important role in various domains of cognition. If faced with a falling object, one’s first instinct is to try and catch it. However, if the object is a sharp knife, one suppresses this prepotent motor response, letting the knife fall on the floor to preserve one’s physical well-being. A similar inhibitory response occurs with memory. When people are confronted with reminders of unpleasant experiences, memories flood awareness, and attempts to stop the retrieval process follow quickly. Previous research suggests that suppressing retrieval of intrusive memories reduces their accessibility (Anderson & Green, 2001; Küpper et al., 2014), raising the possibility that, just as inhibiting actions helps preserve physical well-being, inhibiting memories may preserve emotional well-being. We hypothesized that deficient inhibitory control in people with PTSD compromises their ability to suppress episodic retrieval, causing persistent difficulties with intrusive memories. Supporting this hypothesis, our results showed that for all measures, suppression-induced forgetting was diminished in the PTSD group compared with the control group. We also observed a negative correlation between suppression-induced forgetting and PTSD symptom severity, which indicates that retrieval suppression is most compromised in people with the most severe symptoms. This finding is consistent with clinical observations of more frequent intrusions in cases of more severe PTSD (Ehlers, 2010; Sherin & Nemeroff, 2011). Finally, we found a large positive correlation between suppression-induced forgetting and selfreported thought-control ability, which suggests that this forgetting reflects mechanisms contributing to memory control in daily life (Küpper et al., 2014; Williams et al., 2010). Taken together, our results suggest that difficulties in suppressing memories of aversive scenes may be related to PTSD patients’ broader difficulties controlling intrusive memories outside the laboratory. It is important to note that our two groups performed comparably during initial learning and also on the final test for baseline and recall items. Indeed, PTSD participants showed reliable facilitation for recall items. Thus, the group differences in suppression-induced forgetting cannot be explained by differences in overall performance or by a bias toward better memory for negative scenes in the PTSD group. Enhanced memory for think (recall) items was weak in both groups, however; this is a recurring observation in TNT studies using complex event and scene stimuli (Depue et al., 2007; Küpper et al., 2014; Stephens, Braid, & Hertel, 2013), and it remains to be understood. Clearly, however, the PTSD and control groups differed primarily in whether suppression impaired memory for suppress items, and our 9 results are consistent with deficient inhibitory control over retrieval in people with PTSD. It would be useful for future studies to provide converging evidence that these suppression-induced forgetting effects reflect lingering inhibition of suppressed memories, as found in other work (Anderson & Green, 2001). What remains unclear, however, is whether impaired memory control is caused by PTSD, or is a risk factor for its development. Although our data do not provide an answer to this question, our results show that trauma exposure, by itself, is not sufficient to impair memory suppression, as all participants had experienced trauma. It is noteworthy, however, that the correlation between self-perceived thought-control ability (TCAQ score) and suppression-induced forgetting remained significant after we covaried out a measure of emotional functioning (the BDI-II), which raises the possibility that deficient inhibitory control predisposes people to develop PTSD (Küpper et al., 2014). This possibility is consistent with evidence indicating that lower scores on cognitive-ability measures predict increased risk of developing PTSD (McNally & Shin, 1995), even in prospective designs (Breslau, Lucia, & Alvarado, 2006; Macklin et al., 1998). If deficient inhibitory control predisposes people to develop PTSD, TCAQ scores may provide a screening tool to identify those at greater risk. Regardless of its origins, deficient retrieval suppression in PTSD may reflect disordered prefrontal control over memory-related brain areas. Retrieval suppression engages right dorsolateral prefrontal cortex (DLPFC) to reduce activity in the hippocampus (for a review, see Anderson & Hanslmayr, 2014; Anderson et al., 2004; Benoit & Anderson, 2012; Benoit et al., 2015; Depue et al., 2007; Gagnepain et al., 2014; Levy & Anderson, 2012; Paz-Alonso, Ghetti, Matlen, Anderson, & Bunge, 2009). Reports of structural and functional abnormalities in prefrontal cortex of people with PTSD (Fani et al., 2012; Lyoo et al., 2011; Moores et al., 2008; Shin et al., 2004; Yamasue et al., 2003), along with findings that they have deficient inhibitory control, suggest that they have difficulty engaging this DLPFC-hippocampal pathway, which causes the symptom of persistent reexperiencing. If these neural mechanisms are impaired in PTSD, then suppression may not only be ineffective but may actually increase symptom severity and persistence if intruding memories are enhanced, a finding confirmed by previous research (Brewin, 2011; Ehlers & Clark, 2000; Ehlers, Mayou, & Bryant, 1998; Mayou, Ehlers, & Bryant, 2002). The present study shows that one can investigate suppression-induced forgetting in a laboratory environment in a way that is relevant to deficits experienced by people with PTSD. However, although we used a relatively naturalistic design, the aversive images elicited during the TNT task only approximate the intrusive memories Downloaded from pss.sagepub.com by guest on April 9, 2015 Catarino et al. 10 people experience in real life. We can speculate that the latter may be either more or less vulnerable to suppression than the former. On the one hand, traumatic memories, usually associated with guilt, fear, or anger, may be more difficult to suppress than our aversive images. Additionally, PTSD symptoms such as negative selfappraisal may make suppressing intrusive memories difficult, increasing symptom severity (Meiser-Stedman, Dalgleish, Glucksman, Yule, & Smith, 2009). On the other hand, trauma survivors may be particularly motivated to suppress their intrusive memories, persisting in their suppression efforts over long periods, and thereby enhancing forgetting. Previous research indicates that cumulative suppression efforts totaling 1 min for a specific item (over a think/no-think task lasting 30 to 45 min) cause suppression-induced forgetting that can last from 24 hr to 1 week (Anderson & Huddleston, 2012). It is therefore possible that trauma survivors’ persisting efforts yield longer-lasting suppression-induced forgetting than our TNT task does. The impact of long-term suppression efforts on symptom severity remains unexplored. It is widely believed that avoiding distressing memories exacerbates PTSD symptoms by keeping suppressed memories accessible. Cognitive behavioral therapy for PTSD is thought to be effective because it encourages patients to stop avoiding memories and to confront reminders until the traumatic memories become less distressing (Kar, 2011). We suggest an alternative possibility, proposing that there is an important distinction between avoiding reminders, on the one hand, and avoiding the memory (via suppression) given that a reminder is confronted, on the other. The former strategy should preserve memories by depriving people of opportunities to forget via inhibitory control, whereas avoidance by retrieval suppression is beneficial, if implemented effectively. Thus, like cognitive behavioral therapy, retrieval suppression forces people to confront reminders, but to learn to control awareness of their memories. One interesting hypothesis is that cognitive behavioral therapy is effective, in part, because confronting reminders and learning to redirect one’s thoughts relies on the inhibitory processes observed in the current experiment. If so, perhaps interventions may be devised to complement behavioral therapy by training PTSD patients to be more effective at memory control. Another issue is our choice to use generically aversive materials rather than materials tailored to individual participants’ trauma experiences. This choice arose from our hypothesis that impaired retrieval suppression should not be limited to memories of the trauma itself, but should broadly affect memory control. Although our data support this hypothesis, a remaining question is whether retrieval-suppression deficits in PTSD extend to nonemotional material. Another question for future research is whether deficient retrieval suppression extends to other psychiatric conditions. Although we focused on PTSD, retrievalsuppression deficits may reflect a transdiagnostic problem associated with other disorders in which ruminative tendencies are common and intrusive memories prevail, such as depression, generalized anxiety disorder, and obsessive-compulsive disorder (Hertel & Gerstle, 2003; Marzi et al., 2014; Patel et al., 2007; Speckens, Hackmann, Ehlers, & Cuthbert, 2007). Indeed, depressed participants show diminished suppression-induced forgetting (though not when given thought-substitution strategies; Joormann et al., 2009), as do ruminators regardless of depression symptomatology (Fawcett et al., 2015; Hertel & Gerstle, 2003). Whether this recurring pattern reflects a single transdiagnostic deficit with a common cause or a collection of disorder-specific deficits remains to be established. One must also consider whether worse suppression reflects a deficiency in memory control or, instead, a failure to sustain effort arising from a compromised emotional state. What is clear in the present study, however, is that deficient suppression occurred in PTSD patients regardless of their depression symptoms, and this suggests that depression is not a prerequisite for this deficit. This possibility should be confirmed in future work. Although remembering past experiences serves an adaptive role, intrusive memories of negative events can severely affect emotional well-being. This is particularly true for people with PTSD, whose everyday functioning is severely impaired by recurrent intrusive memories of trauma. We used a naturalistic design to investigate, for the first time, voluntary retrieval suppression of aversive scenes in PTSD. Our findings suggest that the difficulties with intrusive memories in PTSD may be caused, in part, by deficient inhibitory control over retrieval. Moreover, by virtue of the correlation between deficits in inhibitory control and scores on clinical scales, our results affirm the relevance of retrieval suppression to memory-control deficits in PTSD and other disorders characterized by uncontrolled memories and thoughts. Along with the rapidly emerging literature on the neural mechanisms supporting retrieval suppression (for a review, see Anderson & Hanslmayr, 2014), the present findings open the door to a precise characterization of the neurobiological mechanisms underlying PTSD and other disorders of mnemonic control. Author Contributions All authors were involved in developing the study’s concept and design. A. Catarino and C. S. Küpper were involved in data collection and analyses, under the supervision of M. C. Anderson. All authors were involved in interpretation of the data. A. Catarino and M. C. Anderson drafted the manuscript, and A. Werner-Seidler and T. Dalgleish provided critical revisions. Downloaded from pss.sagepub.com by guest on April 9, 2015 Inhibitory Control and Posttraumatic Stress Disorder All authors approved the final version of the manuscript for submission. A. Catarino had full access to all data in the study and takes responsibility for the integrity and accuracy of the analyses. Acknowledgments We thank Jonathan Fawcett for contributions toward the correlation analyses reported here. Declaration of Conflicting Interests The authors declared that they had no conflicts of interest with respect to their authorship or the publication of this article. Funding This work was supported by UK Medical Research Council grant MC-A060-5PR00 (to M. C. Anderson). Open Practices The stimuli used in the main think/no-think task reported in this article are available at https://osf.io/t9j8e/?view_only=f171 281f212f4435917b16a9e581a73b. The complete Open Practices Disclosure for this article can be found at http://pss.sagepub .com/content/by/supplemental-data. 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Kato, N. (2003). Voxel-based analysis of MRI reveals anterior cingulate gray-matter volume reduction in posttraumatic stress disorder due to terrorism. Proceedings of the National Academy of Sciences, USA, 100, 9039–9043. doi:10.1073/pnas.1530467100 Downloaded from pss.sagepub.com by guest on April 9, 2015 ARTICLES Retrieval induces adaptive forgetting of competing memories via cortical pattern suppression © 2015 Nature America, Inc. All rights reserved. Maria Wimber1,2, Arjen Alink2, Ian Charest2, Nikolaus Kriegeskorte2 & Michael C Anderson2,3 Remembering a past experience can, surprisingly, cause forgetting. Forgetting arises when other competing traces interfere with retrieval and inhibitory control mechanisms are engaged to suppress the distraction they cause. This form of forgetting is considered to be adaptive because it reduces future interference. The effect of this proposed inhibition process on competing memories has, however, never been observed, as behavioral methods are ‘blind’ to retrieval dynamics and neuroimaging methods have not isolated retrieval of individual memories. We developed a canonical template tracking method to quantify the activation state of individual target memories and competitors during retrieval. This method revealed that repeatedly retrieving target memories suppressed cortical patterns unique to competitors. Pattern suppression was related to engagement of prefrontal regions that have been implicated in resolving retrieval competition and, critically, predicted later forgetting. Thus, our findings demonstrate a cortical pattern suppression mechanism through which remembering adaptively shapes which aspects of our past remain accessible. Remembering, it seems, is a double-edged sword. Research in humans and animals points to the pivotal role of retrieval in shaping and stabilizing memories1,2. However, the remembering process also induces forgetting of other memories that hinder the retrieval of the memory that we seek1,3,4. It has been hypothesized that this surprising dark side of remembering is caused by an inhibitory control mechanism that suppresses competing memories and causes forgetting; this putative process is adaptive because it limits current and future distraction from competitors5,6. However, no study has ever directly observed memories as they are suppressed by this hypothesized inhibitory control mechanism. Behavioral methods are, by their nature, blind to the internal processes unfolding during retrieval, and neuroscience has lacked methods capable of isolating neural activity associated with individual memories. Using functional magnetic resonance imaging (fMRI), we tested for the existence of the hypothesized adaptive forgetting process by developing a template-based patterntracking approach that quantifies the neural activation state of single memory traces. Thus, we tracked the fate of behaviorally invisible traces, providing a window into the suppression process thought to underlie adaptive forgetting in the human brain. Our effort to observe the dynamics of adaptive forgetting builds on work examining the neural processes associated with retrieval competition. One approach used multi-voxel pattern analysis to measure visual cortical activity when a retrieval cue concurrently elicits multiple visual memories. These studies revealed that pattern classifiers have difficulty discriminating whether a retrieval cue is eliciting a memory of a face or an object when both types of content are associated with it, even when only one type of content is to be retrieved7,8. It cannot be discerned, however, whether this finding reflects the coactivation of individual memories or of the broad categories to which the memories belong (for example, faces, objects). A second approach has focused on control mechanisms that resolve retrieval competition by selecting between competing memories. Competition during episodic retrieval engages prefrontal cortical areas associated with selection during semantic retrieval9. Specifically, during selective recall of a target memory, ventrolateral prefrontal cortex activity predicts later forgetting of competing memories5,6,10,11, consistent with the possibility that this area contributes to resolving competition. Together, these two lines of work suggest that lateral prefrontal cortex contributes to adaptive forgetting by exerting a topdown modulatory influence on competing memories in posterior representational areas. We sought to isolate neural indices of individual memory traces so that we might observe retrieval competition and its resolution as it unfolds in the brain, and to link these dynamics to adaptive forgetting. To achieve this, we trained participants to associate two images (for example, Marilyn Monroe and a hat) to each of a set of cue words and then recorded brain activity during a selective retrieval phase in which one of those visual memories (for example, Marilyn Monroe) was repeatedly retrieved (Fig. 1a,b). On each retrieval trial, participants covertly retrieved the first picture they had associated with the cue (henceforth, the target) in as much detail as possible. Across the selective retrieval session, participants retrieved each target four times. Notably, one quarter of the cue words were set aside and did not appear in the selective retrieval task. As such, the associations for these cues served as a baseline for assessing the behavioral and neural changes induced by repeated target retrieval. Our main concern was how retrieving the target affected the competing memory associated with the same cue (henceforth, the competitor). We assumed that the reminder initially would coactivate 1School of Psychology, University of Birmingham, Birmingham, UK. 2MRC Cognition and Brain Sciences Unit, Cambridge, UK. 3Behavioural and Clinical Neurosciences Institute, Cambridge, UK. Correspondence should be addressed to M.W. ([email protected]). Received 29 December 2014; accepted 6 February 2015; published online 16 March 2015; doi:10.1038/nn.3973 NATURE NEUROSCIENCE ADVANCE ONLINE PUBLICATION 1 the target and the competitor, and that resolving this competition in favor of the target would engage inhibitory control to degrade the competitor’s neural representation in visual and memory processing regions. We further hypothesized that this degradation would hinder later retrieval of the affected representation, so that on a final visual recognition test, participants should be worse at discriminating inhibited pictures from similar lures, compared to their discrimination accuracy for baseline pictures (Fig. 1a). Our primary goal was to track the suppression of individual memories in visual and memory processing regions. Tracking competitor suppression required a way to discern evidence during selective retrieval that the neural pattern associated with a target or its competitor was reactivated. To achieve this, we had participants perform a perceptual localizer task (not shown in Fig. 1a) in which they viewed a subset (50%) of the target, competitor and baseline pictures multiple times. For each picture, we derived a canonical multivariate activity pattern representing the perceptual trace that it typically evoked. We assumed that this canonical signature pattern might resemble the visual memory formed during encoding and provide a template for assessing objectively how much the visual memory was reactivated during each retrieval trial. Indeed, previous findings12–14 indicate that episodic retrieval reinstates perceptual traces established during encoding in late visual processing areas. Memory-unique representations also have been observed in the hippocampus during retrieval15. Together, these findings suggest that it may be possible to isolate individual memory patterns in visual and memory processing areas during retrieval, and use them to track the dynamics of selective retrieval. We therefore hypothesized that across repeated recall trials, as retrieval became more successful and complete, the reactivated pattern in visual and memory processing regions would become increasingly similar to the canonical template of the target being retrieved. Memory-unique target reactivation during each retrieval trial would be present when the pattern measured on that trial resembled the target template (for example, Marilyn Monroe) more than it resembled baseline templates from the same category (for example, Albert Einstein). Notably, if inhibitory control degrades competing memories, the neural pattern during target recall should grow progressively less similar to the canonical template of that target’s competitor. Memory-unique competitor suppression during each retrieval trial would be present if similarity of the measured pattern to the specific competitor (for example, hat) template is driven below its similarity with baseline templates from the same category (for example, goggles). RESULTS Performance during initial training Training of the first and second associates to each cue occurred in learning-test cycles outside the scanner (Online Methods). During training, first associates were recalled at 77.1% (s.e.m. = 2.9%) in the first retrieval cycle and at 86.4% (s.e.m. = 2.6%) in the second. The second associates were recalled at 70.7% (s.e.m. = 3.0%) in their first and only retrieval cycle. Performance during selective retrieval Selective retrieval was performed in the scanner. Because on each trial, participants classified which category of memory they retrieved, we could determine whether they had recalled the correct target category. Participants selected the correct category for the target on 74.7% (s.e.m. = 2.9%) of the trials (Fig. 1c). When they made errors, a c d 2 Percentage recognized Percentage Percentage correct intrusions Percentage recognized Percentage responses b s fMRI scanning Training: Training: Selective retrieval of Visual recognition of Figure 1 Schematic of the procedure (excluding first associate second associate first associate all associates initial familiarization and the pattern localizer) and behavioral results. (a) Participants were trained on novel word-picture pairs, each word being linked sand sand sand with two associates. During scanning, participants were cued with a word (four times each across the sand + + entire selective retrieval task) and were asked to FOS? retrieve the first associate that they studied (the target), with the second associate (the competitor) antique antique assumed to interfere. On each trial they classified the memory that came to mind as being a face (F), (Baseline memories object (O), scene (S) or unsuccessful retrieval (?). not cued during this phase) Some of the originally trained targets were not tested during this phase and served as a baseline Competitor associates against which we assessed the effect of selective 100 Cued words target recall. We expected to observe a disruptive * 100 Sand aftereffect of selective retrieval on competing 50 * 80 associates on a forced-choice visual recognition 0 60 task that required participants to distinguish Target Competitor Unrelated Don’t know error studied pictures from familiar foils. The colored 40 Target Competitor Cued Baseline frames illustrate item types and were not visible word word 15 Baseline words 10 to participants. (b) Illustration of the associative Target associates Antique 5 relationships assumed to have been formed after n.s. 0 training and of the different types of items created 100 90 by the experimental procedure. (c) Behavioral 80 80 data from the selective retrieval phase. Top, the Target Competitor 70 60 proportion of trials on which participants correctly 60 40 1st 2nd 3rd 4th selected the category of the target (for example, Cued Baseline Repetition word word face), or incorrectly selected the category of the competitor (for example, object), the third (unrelated) category not linked to the current cue word (for example, scene), or ‘don’t know’. Bottom, the number of intrusion errors (competitor responses) and the corresponding increase in correct responses across repetitions. (All data in c represent mean o s.e.m. across subjects.) *P < 0.05. (d) Behavioral results from the visual recognition memory task. Top, the disruption of discrimination performance for competitors compared with their matched baseline items. Bottom, no difference was found in discrimination performance between targets and their matched baseline items (P = 0.713). Boxes reflect median (o first and third quartile, error bars show minimum and maximum). *P < 0.05; n.s. = not significant. 4 © 2015 Nature America, Inc. All rights reserved. ARTICLES ADVANCE ONLINE PUBLICATION NATURE NEUROSCIENCE ARTICLES © 2015 Nature America, Inc. All rights reserved. Similarity (R) Similarity (R) Neural pattern during Sensory templates Hypotheses Figure 2 Rationale of the item-specific selective retrieval Target reactivation canonical pattern analysis approach. For each ROI, we extracted multivoxel activity patterns elicited during a given selective retrieval trial (left) and computed sand similarity with the canonical neural templates obtained from the sensory pattern localizer Competitor suppression (middle). Item-specific similarity was assessed by correlating the selective retrieval pattern in a given ROI, trial-by-trial, with the item-unique Memory reactivation template of the current target, the template of (Pearson’s R) the current competitor, and the templates of 1st baseline items that were initially trained and 1st 2nd 3rd 4th came from the same categories as the target Repetition 2nd Re and competitor, respectively, but were never pe 3rd Target titi cued by a reminder word during the selective on Baseline (target) 4th retrieval phase. The graphs show the Competitor hypothesized changes in pattern similarity Baseline (competitor) across the four repeated retrieval trials. As sketched in these graphs, we expected the patterns during target retrieval to show increasing similarity with the target template (for example, Marilyn Monroe) compared with baseline first associates from the same category (for example, Albert Einstein), and decreasing similarity with the competing template (for example, hat) relative to baseline second associates from the same category (for example, goggles). they selected the competing picture’s category significantly more often (mean = 9.2%, s.e.m. = 1.1%) than the third, unrelated category (mean = 2.3%, s.e.m. = 0.3%; t23 = 6.53, P < 0.001). These competitor intrusion errors varied across the four repetitions (F3,69 = 21.8, P < 0.001; Fig. 1c), showing a linear decline (F1,23 = 55.4, P < 0.001). This pattern is consistent with the possibility that inhibitory control rendered competitors less interfering over repetitions. Selective retrieval induces forgetting of competitors As a first step, we tested whether presenting an item’s cue during retrieval had different effects on recognition performance depending on whether an item was a first or second associate. A 2 × 2 repeated-measures ANOVA with the factors item type (cued versus baseline) and associate (first versus second) revealed a significant interaction (F1,23 = 4.70, P = 0.041). Post hoc t tests confirmed that selective retrieval reduced later recognition of competitors (mean = 75.2%, s.e.m. = 17.6%) compared with recognition of corresponding baseline items from the second training set (mean = 82.1%, s.e.m. = 17.1%; t23 = 4.91, P < 0.001; Fig. 1d). Thus, remembering the targets induced forgetting of competing memories (irrespective of their category; Supplementary Fig. 1), consistent with past work1,4. Notably, below-baseline forgetting correlated, across individuals, with the number of intrusions observed during selective retrieval (R = 0.39, P = 0.030), consistent with the idea that retrieval-induced forgetting arises from a control process that reduces interference. In contrast, recognition of targets (mean = 78.6%, s.e.m. = 16.7%) did not differ reliably from recognition of corresponding firststudied baseline items (mean = 79.7%, s.e.m. = 23.9%, t23 = 0.57, P = 0.713), providing little evidence for retrieval-based enhancement. Recognition of the two types of baseline items (first and second associates) did not differ reliably (t23 = 0.93, P = 0.362). Overall, results from the visual recognition test confirmed that selectively recalling target memories disrupts later memory for competitors, supporting the possibility that inhibitory control disrupted competitors’ visual-episodic representations. Measuring the reactivation of unique memories Using a new canonical pattern tracking approach, we quantified changes in activation of each unique target and competitor across repeated retrievals (Fig. 2). We hypothesized that ventral visual cortex and the hippocampus would carry item-specific information about NATURE NEUROSCIENCE ADVANCE ONLINE PUBLICATION retrieved content12–15 and that ventral visual regions would also show strong categorical reactivation7,8,12. At the end of scanning, we presented half of the trained pictures six times each in a one-back task (Online Methods). From this, we constructed canonical multivariate templates based on the average voxel-wise activity pattern elicited by each picture (for example, Marilyn Monroe). These templates gave us a neural standard against which to assess how much a visual memory was reactivated during selective retrieval. To quantify item-specific reactivation, we correlated (using Pearson coefficients) the observed neural pattern elicited on each retrieval (for example, cuing participants with the word ‘sand’ in the examples in Figs. 1 and 2) with the current target template (for example, Marilyn Monroe), and with the current competitor template (for example, the hat). Notably, we also computed templates for baseline pictures (for example, Albert Einstein and goggles). These baseline templates allowed us to quantify how much the specific neural patterns representing the target (for example, Marilyn Monroe) and the competitor (for example, hat) were reinstated during a retrieval trial, above and beyond categorically matched baseline items. All selective retrieval trials for which item-specific templates were available were analyzed (Supplementary Fig. 2 reports the same results excluding incorrect retrievals). Emergence of item-unique target patterns Both ventral visual cortex and the hippocampus showed evidence for target-unique memory reinstatement (Fig. 3). Specifically, similarity of the observed pattern with the target template, relative to samecategory baseline templates, showed a significant (positive) linear trend across repetitions in both regions of interest (ROIs; ventral visual cortex: F1,23 = 12.97, P = 0.002; hippocampus: F1,23 = 11.91, P = 0.002; Fig. 3), as tested in a repeated-measures ANOVA with the factors item type (target versus baseline) and repetition (one to four). There was a significant item type × repetition interaction in ventral visual cortex (F3,69 = 4.15, P = 0.009) and hippocampus (F3,69 = 4.72, P = 0.007). Post hoc tests showed that target reactivation exceeded baseline in the hippocampus on the final (fourth) recall attempt (t23 = 2.50, P = 0.010), whereas ventral visual cortex showed significant target reactivation on the third (t23 = 2.01, P = 0.028), but not on the fourth, repetition (t23 = 1.44, P = 0.082; Fig. 3). Neural patterns during retrieval therefore suggest that the unique memory was reinstated increasingly over repetitions, one of the few demonstrations 3 ARTICLES b 0.10 0.09 0.08 0.07 0.06 0.05 Similarity with the sensory templates 0.03 Similarity (R) Similarity (R) a 0.02 0.01 0 –0.01 0.02 0.01 0 –0.01 * –0.02 Difference R Suppression of unique competing memories Difference R Figure 3 Item-specific target reactivation and competitor suppression. (a,b) The multivoxel pattern during selective retrieval was extracted and compared with the sensory template patterns in ventral visual cortex (a) and hippocampus (b). The first row shows an overlay of the respective anatomical ROIs on a standard MNI brain. The second row shows the raw average correlation (similarity) between selective retrieval activity and the canonical template of the current target (black), the templates of non-cued baseline items from the target category (gray), the current competitor (red) and the templates of non-cued baseline items from the competitor category (pink). Along the x axis, changes in similarity across the four repetitions of retrieving the same target memory are shown. The third row shows mean competitor-related similarity, subtracting similarity with the respective baseline templates (solid red; mean o s.e.m. across single subject estimates), along with the average of the best linear fit (ML estimates) across participants (dashed red). The bottom row shows the same baseline-corrected measures for target-related similarity. Evidence for item-specific memory reactivation or suppression is indicated by a significant (*P < 0.05) deviation from zero difference. 0.04 0.02 0 –0.02 –0.04 Competitor suppression predicts adaptive forgetting If inhibition disrupts competing traces during retrieval, our index of cortical competitor suppression should predict adaptive forgetting. Confirming our hypothesis, the extent to which participants downregulated the competing neural patterns in ventral visual 4 0.02 0.01 * 0 –0.01 –0.02 1st 2nd 3rd 4th Repetition Target Baseline (target) Difference R © 2015 Nature America, Inc. All rights reserved. Suppression of unique neural patterns representing competing memories Next, we correlated the observed pattern during each selective retrieval trial to the competitor’s template. Notably, across the four repetitions, memory-specific competitor activation showed a significant (negative) linear trend in ventral visual cortex (F1,23 = 10.52, P = 0.004), but not in hippocampus (F1,23 = 1.07, P = 0.312; note that the hippocampus showed a trend toward suppression when including correct trials only; Supplementary Fig. 2). The item type × repetition ANOVA revealed a significant interaction in ventral visual cortex (F3,69 = 3.71, P = 0.016), but not the hippocampus (F3,69 = 0.52, P = 0.670). Thus, unlike target reactivation, competitor activation in ventral visual areas declined significantly across repeated retrievals. We considered the possibility that this negative trend simply reflects target reactivation becoming more successful and complete, such that the cue would grow more likely over repetitions to selectively elicit the target. If so, competitor reactivation would decline across trials, but cease at a baseline level where the probability of the cue eliciting the competitor would match its probability of eliciting baseline memories. Conversely, if inhibition suppresses interfering memories during retrieval, similarity between the selective retrieval pattern and the competitor template should decrease significantly below the level of non-cued baseline memories. Supporting the latter, the difference between competitor and baseline similarity (Fig. 3) showed a trend toward competitor reactivation during the first retrieval in ventral visual cortex (t23 = 1.70, P = 0.050), but not in the hippocampus (t23 = 0.13, P = 0.449), irrespective of whether we excluded incorrect trials (Supplementary Fig. 2). By the final (fourth) repetition, however, similarity with the competitor’s template was driven below similarity with same-category baseline templates in both regions (ventral visual cortex: t23 = 2.14, P = 0.022; hippocampus: t23 = 1.97, P = 0.030). These findings indicate that reminders initially tend to activate competitors, but competitors are progressively suppressed below baseline, consistent with the hypothesized inhibition process. Difference R Reactivation of unique target memories that a memory-specific cortical trace can be elicited by an associatively linked cue (see refs. 14,16 for related findings). 0.04 * 0.02 0 –0.02 –0.04 1st 2nd 3rd 4th Repetition Competitor Baseline (competitor) cortex across repetitions predicted below-baseline forgetting of competing memories on our recognition test (R = −0.35, P = 0.047; Fig. 4). No significant correlation was observed in the hippocampus (R = 0.17, P = 0.217). We also tested whether pattern suppression predicted which individual memories would be forgotten. To do this, we derived, for each participant, a measure of pattern suppression for every individual competitor by fitting a linear regression to the decrease in its similarity to its template across the four retrieval trials, relative to baseline similarity (Fig. 3). These fits yielded maximum-likelihood (ML) estimates of the slope of the best fitting regression line for each competitor that quantifies its pattern suppression. Consistent with the linear trend analysis, below zero estimates were found in ventral visual cortex (t23 = 3.33, P = 0.001), but not the hippocampus (t23 = 1.03, P = 0.157). We then tested whether these memory-specific estimates predicted whether items were forgotten, using logistic regression. In ventral visual cortex, items showing more pattern suppression were indeed more likely to be forgotten (B = 5.38, P = 0.037). Together, these findings support the hypothesis that cortical pattern suppression underlies adaptive forgetting. The role of prefrontal cortex in cortical pattern suppression The prefrontal cortex (PFC) is a key candidate region for the source of the top-down control signal that induces pattern suppression5,10,11. To test this possibility, we defined prefrontal ROIs on the basis of a functional comparison between early and late selective retrieval trials5. The rationale behind this contrast is that demands on the control mechanism should decrease across repetitions as interference is reduced. Replicating past work on retrieval-induced forgetting5,10,11, this contrast revealed clusters in left and right mid-ventrolateral prefrontal cortex and the inferior frontal junction (including middle and inferior frontal gyri; left BA6/8: xyz = −48, 5, 43, k = 635 voxels, tpeak = 5.73; right Brodmann area 9: xyz = 48, 11, 31, k = 332 voxels, tpeak = 5.42; Fig. 5a). To test for a role of prefrontal cortex in pattern suppression, we first correlated participants’ prefrontal activity during selective retrieval with their slope of competitor suppression (average ML estimate). Notably, ADVANCE ONLINE PUBLICATION NATURE NEUROSCIENCE ARTICLES average beta estimates in both prefrontal ROIs strongly predicted the slope of competitor suppression in visual cortex (left PFC: R = −0.65, P < 0.001; right PFC: R = −0.48, P = 0.009; Fig. 5b). No relationship was found between prefrontal activity and the slope of target upregulation (left PFC: R = 0.25, P = 0.124; right PFC: R = −0.10, P = 0.324). The correlation of prefrontal activity with competitor suppression was more negative than its correlation with target enhancement in left PFC (Hotelling’s t21 = 4.58, P < 0.001), and marginally so in right PFC (Hotelling’s t21 = 1.52, P = 0.072). We also tested whether the prefrontal activity during the selective retrieval of individual memories predicted pattern suppression (ML estimate) for that memory’s competitor, within participants. Higher prefrontal cortex activity was indeed related to greater pattern suppression (left PFC: R = −0.123, P = 0.008; right PFC: R = −0.104, P = 0.021). To further illustrate the link between prefrontal activation and pattern suppression, we median split our sample on the basis of prefrontal recruitment (Fig. 5d). Participants with high right PFC engagement showed steeper suppression slopes (t22 = 1.77, P = 0.045) and more competitor suppression on the fourth retrieval (t22 = 2.31, P = 0.015). This split revealed no difference in the slope of target enhancement (t22 = 0.29, P = 0.387) and target reactivation on the fourth retrieval (t22 = 1.41, P = 0.086). Similar patterns were observed when splitting the sample by left PFC. These analyses support a specific functional relationship between PFC recruitment and competitor suppression in visual cortex. a z = 30 t=0 Left VLPFC (beta) t = 7.0 R = –0.65 * 20 10 0 –10 –0.02 –0.01 0 0.01 VVC suppression slope c R = –0.48 * 20 10 0 –10 –0.02 –0.01 0 0.01 VVC suppression slope Competitor suppression Target reactivation Split by left PFC 0.03 0 –0.03 High PFC Low PFC 1st 2nd 3rd 4th Repetition NATURE NEUROSCIENCE Split by right PFC 0.03 VVC slope d z = 26 Right VLPFC (beta) b VVC slope © 2015 Nature America, Inc. All rights reserved. 0 –0.03 1st 2nd 3rd 4th Repetition ADVANCE ONLINE PUBLICATION a b Correlation with forgetting 0.06 R = –0.35* 0.02 –0.02 –0.06 –10 0 10 20 30 Percentage forgetting Difference R 0.06 Difference R Figure 4 Correlation between item-specific competitor suppression and forgetting. (a,b) Across-participant correlations between cortical and behavioral suppression of competing memories are shown separately for ventral visual cortex (a) and hippocampus (b). The x axis in each graph shows our behavioral forgetting index on the delayed visual recognition memory test (forgetting of competitors relative to baseline items, with positive scores indicating more forgetting), and the y axis shows the overall cortical suppression of competitors during the selective recall task, calculated as the difference between reactivation of competitors and baseline items, averaged across all four repetitions. *P < 0.05. R = 0.17 0.02 –0.02 –0.06 –10 0 10 20 30 Percentage forgetting Finally, a whole brain analysis identified several clusters that predicted pattern suppression (Fig. 5c), mostly in left and right prefrontal cortices (Supplementary Table 1). Only one small cluster in the left middle frontal gyrus predicted target enhancement (Fig. 5c). Together, our results support the possibility that the mid-ventrolateral prefrontal cortex (VLPFC) is a source of topdown inhibitory modulation that suppresses the cortical patterns of competing memories. Voxels diagnostic of competitor activation are suppressed The evidence for cortical pattern suppression described thus far could arise because of at least two factors: competitor patterns become noisier or inhibition truly suppresses diagnostic features of the competitor (that is, the ‘hat’ voxels). We hypothesized that the latter would be the case17 and sought to isolate voxels diagnostic of a given target or competitor. We first used item-specific linear pattern classifiers to isolate voxels that most reliably distinguished individual targets or competitors from their respective control items during the sensory pattern localizer. In a second step, we computed changes in average signal strength of the 10% of voxels in our ventral visual cortex mask that were most diagnostic for each target and competitor, as determined by linear weights of the trained classifiers (Online Methods and Supplementary Fig. 3). Having identified diagnostic voxels for each target and competitor, we extracted average activation (t values) and tested whether activity in those voxels was enhanced for targets and suppressed for competitors (Fig. 6). Unexpectedly, target voxel activity showed no positive linear trend across repetitions (F1,23 = 0.47, P = 0.500) and no significant above-baseline activation on the final repetition (t23 = 0.80, P = 0.216). However, consistent with our inhibition hypothesis, voxels diagnostic of the competitor showed a significant linear decrease across repetitions (F1,23 = 5.48, P = 0.028) and significant below-baseline suppression (t23 = 2.10, P = 0.023). A significantly negative competitor slope (P = 0.028) was obtained only in the 10% most diagnostic voxels Figure 5 Relationship between prefrontal activity and cortical suppression of competing memories. (a) Left and right VLPFC showed stronger univariate activity (P < 0.001) during early (first half) than during late (second half) selective recall repetitions. (b) The univariate decrease across repetitions in both regions predicted the slope of cortical pattern suppression (ML estimates) in ventral visual cortex (VVC), with larger prefrontal decreases associated with more negative-going slopes of competitor suppression. *P < 0.05. (c) Whole-brain regression showing areas that, across participants, significantly correlate with the slope of competitor suppression (red) and the slope of target reactivation (black) in ventral visual cortex. Both contrasts are shown at P < 0.001 (uncorrected). (d) Cortical pattern suppression as a function of PFC engagement, splitting the sample into participants with high and low PFC engagement. Participants with high PFC engagement showed a significant (P < 0.05) difference in the slope of competitor suppression, and in the level of competitor suppression on the fourth (final) retrieval trial. Error bars in b and d represent s.e.m. across participants for each single measure. 5 ARTICLES Categorical target reactivation without competitor suppression To underscore the advantages of our item-unique analyses, we conducted two categorical analyses that assessed whether patterns during selective retrieval showed reactivation of the target or competitor categories. For the similarity analysis (Fig. 7), we calculated a template for each category (for example, a face template) on the basis of baseline pictures from the localizer. Categorical similarity was assessed by computing the correlation between the pattern observed during each retrieval trial and the template of that trial’s target category, its competing category and its non-involved (categorical baseline) category. Ventral visual cortex, but not hippocampus, showed strong evidence for categorical target activation (main effect target versus baseline in ventral visual cortex: F1,23 = 29.79, P < 0.001; hippocampus: F1,23 = 0.96, P = 0.338) that did not reliably change with repetition (interaction with repetition in ventral visual cortex: F3,69 = 1.60, P = 0.196; hippocampus: F3,69 = 0.43, P = 0.732; Fig. 7). We observed similar results with a categorical analysis on the basis of linear machine learning algorithms (Fig. 7 and Online Methods): classification of the target category across recall trials was above chance in ventral visual cortex (t23 = 4.88, P < 0.001) and the hippocampus (t23 = 2.38, P = 0.013), and showed stable categorical reactivation a b 0.15 Similarity (R) Similarity (R) Similarity with the categorical templates 0.10 0.05 0 0.02 0.01 * 0 * * * * –0.01 Difference R Difference R 0.02 0.01 0 0.01 0.01 0 –0.01 * * * * 55.0 45.0 1st 2nd 3rd 4th Repetition Target category Competitor category 6 Classifier accuracy Categorical reactivation (classifier based) 65.0 Average t value “Hat” voxels 0.07 * * 0 –0.07 0.07 0 –0.07 * 1st 2nd 3rd 4th Repetition across repetitions, with no linear trend (ventral visual cortex: F1,23 = 0.11, P = 0.750; hippocampus: F1,23 = 0.65, P = 0.428). This high above-chance categorical similarity/classification mirrors classification responses collected during the selective retrieval phase, which were accurate from the first repetition (Supplementary Fig. 4). Notably, participants’ classification responses during selective retrieval, similar to the classifier output itself, are only diagnostic as to the accuracy of the category retrieved, not the specific item. Despite strong target activation, categorical patterns did not detect competitor suppression. Activation of competitor categories did not significantly differ from baseline in either ROI (main effect of competitor versus baseline in ventral visual cortex: F1,23 = 0.63, P = 0.437; hippocampus: F1,23 = 3.80, P = 0.064), and showed no interaction with repetition (ventral visual cortex: F3,69 = 1.43, P = 0.240; hippocampus: F3,69 = 2.50, P = 0.067). The linear classifier analysis confirmed this pattern, showing a trend toward above-chance classification of the competitor category when averaged across repetitions in ventral visual cortex (t23 = 2.00, ptwo-tailed = 0.057), but not in the hippocampus (t23 = 0.59, ptwo-tailed = 0.561). Classification performance showed no linear decrease across repetitions (ventral visual cortex: F1,23 = 0.21, P = 0.651; hippocampus: F1,23 = 1.00, P = 0.328). Finally, no relationships were found between activation of competitor categories and forgetting (correlation between forgetting and average activation of the competitor category across subjects: R = 0.01, P = 0.520; same correlation within subjects: B = 0.47, P = 0.312; correlation with slope of categorical competitor activation across subjects: R = 0.16, P = 0.774; same correlation within subjects: B = 1.5, P = 0.411). These results suggest that the inhibitory mechanism underlying adaptive forgetting suppresses features of individual competing memories, rather than global categorical patterns. 0.01 Categorical reactivation (similarity based) Classifier accuracy © 2015 Nature America, Inc. All rights reserved. (Supplementary Fig. 3). These findings suggest that cortical pattern suppression is at least partly driven by reduced activity in voxels that contribute strongly to representing competing memories. Average signal in 10% most diagnostic voxels “Marilyn” voxels Average t value Figure 6 Activation in diagnostic voxels for individual targets and competitors across repetitions. Diagnostic voxels were determined from item-specific linear classifiers that were trained to distinguish a given target and a given competitor picture from all same-category baseline items. Based on the weights of these classifiers, we investigated average BOLD signal changes in the 10% most diagnostic voxels of each target (black) and competitor (red). Diagnostic target voxels showed abovebaseline activation on the second and third repetitions (upper right). Notably, on average, competitor voxels showed a significant linear decrease in activation across the four recall repetitions, and a significant below-baseline suppression effect at the final repetition (lower right). *P < 0.05. Line plots show mean o s.e.m. across subjects. 65.0 * 55.0 45.0 1st 2nd 3rd 4th Repetition Non-involved category Figure 7 Categorical activation of targets and competitors. Results from the categorical multivariate analyses in ventral visual cortex (a) and hippocampus (b). The upper line plots show raw similarity (Pearson correlation) values between selective recall patterns and the canonical template of the target category (black solid), the canonical template of the competing category (red solid) and the canonical template of the currently non-involved category (gray dashed), averaged across trials and participants. The middle plots show the same measures transformed into differences in categorical activation relative to the category that was not involved on a given trial. The lower row shows the results from a complementary categorical analysis using linear pattern classifiers (SVMs), with plotted means reflecting classifier accuracy in determining the target and competitor category (against the baseline, non-involved category). Both approaches converge in indicating highly significant categorical target reactivation in ventral visual cortex (but not the hippocampus), with no reliable change over repetitions. No significant below baseline suppression of the competitor’s category was evident. All measures plotted as mean o s.e.m. (across subjects). *P < 0.05. ADVANCE ONLINE PUBLICATION NATURE NEUROSCIENCE © 2015 Nature America, Inc. All rights reserved. ARTICLES DISCUSSION Remembering does not merely reawaken memories of the past, it has a darker side that induces forgetting of other experiences that interfere with retrieval, dynamically altering which aspects of our past remain accessible. Remembering, quite simply, causes forgetting. It has been hypothesized that this adaptive forgetting process is caused by an inhibitory control mechanism that suppresses distraction from competing memories1,3–5. Five key findings indicate that we have, to the best of our knowledge for the first time, isolated the hypothesized adaptive forgetting mechanism and shown it to be implemented by the suppression of distributed neocortical patterns that represent competing memories. First, selective retrieval caused forgetting of competing memories. When we repeatedly cued participants to retrieve target items, competing memories were recognized less well later on than baseline items (Fig. 1d). This effect occurred for images of faces, objects or scenes, indicating a domain-general process. Forgetting was observed on a forcedchoice recognition test that displayed the putatively inhibited visual item, reducing memory search demands. Observing below-baseline forgetting even though our test provided potent, vivid, item-unique cues indicates that retrieval disrupts the sensory features of competing memories17,18—a possibility that is compatible with an adaptive forgetting process that suppresses visual cortical patterns underlying those memories. Notably, forgetting was predicted by the tendency of competitors to interfere, as reflected by how often participants mistakenly selected the competitor’s category during selective retrieval trials. This tendency of competitors to intrude reduced gradually over retrieval trials (Fig. 1c), consistent with an active suppression process. Taken together, these findings exhibit the hallmarks indicating a role of inhibitory control in retrieval-induced forgetting, supporting the possibility that we succeeded in eliciting the putative adaptive forgetting process. Second, during the four selective retrievals, cortical pattern indices revealed that competing memories were measurably reactivated and then progressively suppressed (Fig. 3). Our reactivation index measures how much the activation pattern elicited by the cue resembled the perceptual template for the associated target or competitor memories and provides an objective neural standard for quantifying the retrieval of individual memories. Gradual suppression of competing patterns is expected on the basis of the hypothesized inhibitory control mechanism thought to underlie adaptive forgetting. It was essential to consider whether the decline in competitor activation over target retrievals might reflect processes other than cortical pattern suppression. For example, participants may grow efficient at reinstating the target over repeated retrievals, reducing the chances of reactivating competitors. Alternatively, an associative unlearning mechanism, in which target retrievals punish competing associations, may make the cue less likely to reactivate competitors 1. Both alternatives predict, however, that the competitor’s activation should simply approach the level observed for baseline memories, and never decline below baseline because, even if cue-competitor associations were unlearned entirely (or, alternatively, if the cue became perfectly efficient at eliciting the target), the cue should merely fail to reactivate the competitor; it should be as if the competitor is unassociated with the cue, similar to baseline items. Inhibition, however, predicts that competitors are actively inhibited and that their cortical traces will be suppressed below the activity observed for baseline items. This prediction was confirmed. This third key finding—below baseline pattern suppression—provides encouraging and distinctive support for the hypothesized inhibition mechanism. Even if inhibition caused pattern suppression, this finding does not establish the relevance of these reductions to adaptive forgetting. Our fourth and fifth findings support an active forgetting interpretation NATURE NEUROSCIENCE ADVANCE ONLINE PUBLICATION and establish important characteristics of cortical pattern suppression First, if inhibitory control reduced mnemonic activation by acting on cortical sites representing competitors, this putative footprint of inhibition should be predicted by activation in prefrontal regions implicated in inhibitory control. Such a finding would distinguish an adaptive mechanism that acts during goal-directed retrieval from other, incidental mechanisms that may weaken memories. For example, reactivating memories briefly during tasks unrelated to retrieval16,19,20 may strengthen or weaken the reawakened memories depending on how active they become. This forgetting is predicted by a computational model of inhibition21 and is proposed to not require control by the prefrontal cortex. In contrast, we found that the engagement of midventrolateral prefrontal regions previously linked to adaptive forgetting5,10,11 predicted pattern suppression in ventral visual cortex both across and within participants, with more robust VLPFC engagement predicting greater pattern suppression (Fig. 5b–d). This fourth finding supports a contribution of mid-VLPFC to a top-down control signal that suppresses competition in visual cortex. Fifth, if reduced competitor activation in ventral visual cortex is relevant to adaptive forgetting, it should predict forgetting. This relationship was observed: participants showing the strongest average reduction in competitor activation showed the most forgetting (Fig. 4), and, even within participants, those individual memories showing the steepest suppression slope were most likely to be forgotten. These relationships support the possibility that cortical pattern suppression is instrumental in adaptive forgetting. Taken together, these five findings provide strong and specific support for the hypothesized cortical pattern suppression process and for its role in producing adaptive forgetting in the human brain. Our findings suggest further properties of pattern suppression that may prove important if corroborated. For instance, our canonical pattern tracking approach allowed us to investigate how inhibition modulates cortical traces. Does inhibition target the unique cortical pattern causing interference (the hat pattern), or the global representation of the competing category (an object pattern)? Several findings favor an item-specific suppression mechanism. First, pattern suppression for individual items was driven, in part, by downregulated activity in voxels distinguishing a competitor from other members of its category and from the target (Fig. 6). These findings are expected based on models of memory inhibition17, according to which inhibition targets features representing a competitor that do not overlap with those representing the target. Second, despite robust categorical reactivation of targets, the competitor’s category showed no evidence of suppression. Consistent with previous studies7,8, categorical patterns even showed a trend in the opposite direction, with early retrievals showing coactivation of the competitor’s and the target’s categories. Thus, although categorical activations can reveal competition, our results indicate that the brain’s adaptive response to resolving competition, inhibition, suppresses a competitor’s diagnostic features, distinguishing it from other exemplars of its category and from the memory being retrieved. A second interesting observation is that hippocampal patterns exhibited weaker evidence for pattern suppression, despite robust target reactivation. Weaker competitor suppression may be relevant to computational models of hippocampal-neocortical processing, assuming that the hippocampus, in contrast with neocortex, uses sparse coding and efficiently separates overlapping patterns22,23. If the neocortical components of a distributed memory are more disrupted by competition23,24, it may be functional for inhibitory control to target neocortical areas to suppress interference. These speculations about the selectivity of pattern suppression to neocortex must remain tentative, awaiting further confirmation. 7 © 2015 Nature America, Inc. All rights reserved. ARTICLES The proposed top-down mechanism that supports selective retrieval by suppressing competing memories parallels mechanisms believed to support visual selective attention and visual working memory25–30. Selective attention enhances targets and suppresses distracting information, a pattern demonstrated from single neurons up to electroencephalographic and blood oxygen level–dependent (BOLD) activity31–34, and such adaptive modulations of sensory regions are believed to be driven by lateral prefrontal cortex34,35. Recent studies have suggested a causal role of the inferior frontal junction in exerting this top-down influence34. This frontal area overlaps with regions implicated in resolving mnemonic competition in previous work5,10,11 and by our results. By showing a relationship between prefrontal activity and competitor suppression, our findings reinforce theoretical parallels between the mechanisms the brain uses to resolve mnemonic competition on the one hand, and sensory competition on the other hand28, building a theoretical bridge spanning attention and long-term memory. Studying the neural basis of forgetting has proven challenging because the substrate of episodic memories (the engram) has been difficult to pinpoint in brain activity. By capitalizing on the relation between perception and memory, we detected neural activity sensitive to the activation of individual memories. This canonical pattern tracking approach provided a unique window into the invisible neurocognitive processes triggered when a reminder recapitulates several competing memories in neocortex. Notably, we were able to track dynamic changes in the activity of individual memories during selective retrieval, as competition was resolved. In doing so, we established clear evidence for cortical pattern suppression as a key mechanism of adaptive forgetting in the human brain. More broadly, this work converges with a growing literature showing that forgetting often serves an adaptive function2,36; it establishes how, by simply using our memory system via selective retrieval, we adapt the landscape of memory to the demands of mental life. METHODS Methods and any associated references are available in the online version of the paper. Note: Any Supplementary Information and Source Data files are available in the online version of the paper. ACKNOWLEDGMENTS We thank B. Staresina and S. Hanslmayr for commenting on previous versions of the manuscript. This work was supported by a fellowship from the German Research Foundation (WI-3784/1-1) awarded to M.W. and by UK Medical Research Council grant MC-A060-5PR00 awarded to M.C.A. AUTHOR CONTRIBUTIONS M.W. and M.C.A. designed the experiment, with important contributions by I.C. and N.K. M.W. conducted the experiment. M.W., A.A. and I.C. analyzed the data. All authors contributed to the analysis approach and to data interpretation. M.W. and M.C.A. wrote the manuscript. COMPETING FINANCIAL INTERESTS The authors declare no competing financial interests. Reprints and permissions information is available online at http://www.nature.com/ reprints/index.html. 1. Anderson, M. Rethinking interference theory: Executive control and the mechanisms of forgetting. J. Mem. Lang. 49, 415–445 (2003). 2. Hardt, O., Einarsson, E.O. & Nader, K. A bridge over troubled water: reconsolidation as a link between cognitive and neuroscientific memory research traditions. Annu. Rev. Psychol. 61, 141–167 (2010). 3. Anderson, M.C., Bjork, R.A. & Bjork, E.L. Remembering can cause forgetting: retrieval dynamics in long-term memory. J. Exp. Psychol. Learn. Mem. Cogn. 20, 1063–1087 (1994). 8 4. 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Squire, R.F., Noudoost, B., Schafer, R.J. & Moore, T. Prefrontal contributions to visual selective attention. Annu. Rev. Neurosci. 36, 451–466 (2013). 36. Nader, K. & Hardt, O. A single standard for memory: the case for reconsolidation. Nat. Rev. Neurosci. 10, 224–234 (2009). ADVANCE ONLINE PUBLICATION NATURE NEUROSCIENCE ONLINE METHODS © 2015 Nature America, Inc. All rights reserved. Participants. 24 healthy participants (20 female) aged 20–32 years (mean 24.2 years) were recruited from the MRC Cognition and Brain Sciences Unit volunteer panel. They all had normal or corrected-to-normal vision and reported no history of neurological or psychiatric disease. The experiment was approved by, and conducted in accordance with requirements of, the Cambridge Psychology Research Ethics Committee (CPREC), including the requirement of written informed consent from each participant before the beginning of the experiment. Materials. The word material used as verbal cues consisted of 72 English words drawn from the MRC linguistic database (http://www.psych.rl.ac.uk/). Words were selected on the basis of having relatively low imageabilty (mean = 571.3, s.d. = 37.3) and concreteness (mean = 545.1, s.d. = 54.6) ratings such that they would not elicit concrete mental images by themselves when presented to participants in the scanner. Pictures were 144 photographs of well-known faces, well-known scenes, and everyday objects (48 pictures per category) from a range of in-house databases as well as the internet (including http://cvcl.mit.edu/MM/ exemplarPairs.html)37. All images were converted to black-and-white and scaled to cover the same visual angle. Note, however, that faces and objects were background stripped and thus contained extensive areas of white background, while scenes always covered the full angle of the picture. In addition to the materials used in the main experimental runs, three additional words and six additional pictures were used for demonstration purposes during practice runs outside the scanner. The 144 pictures were split into two sets of 72 pictures each (24 per category). One set was trained together with a cue word as first associates, and the other set was trained together with the same cue words as second associates. The two associates linked to the same cue word always came from different categories (for example, a face and an object; Fig. 1). 54 pictures out of the 72 first associates (18 per category) later became the to-be-retrieved targets, and 54 pictures out of the 72 associates later became competitors. The remaining 36 pictures (18 first associates, 18 second associates) were linked to cue words that never appeared during the scanned selective retrieval task and thus served as baselines for the targets and competitors, respectively. Assignment of pictures to conditions was counterbalanced such that across participants, each picture equally often served as a target, competitor and baseline item. Experimental procedure. Familiarization with the pictures, and the training on word-picture associations was carried out in a separate testing room outside the scanner. The first task was a familiarization phase, during which participants were presented with all 144 pictures used in the experiment as well as their corresponding similar lures (used in the visual recognition test, see below), and thus saw a set of 288 pictures in random order. Each picture appeared alone first; followed by its verbal label (for example, ‘Charlie Chaplin’) after 1 s, the label remaining on the screen for another 1.5 s. Participants indicated with a button press whether they recognized (that is, were familiar with) the face, object or scene shown on the photograph. In cases in which they indicated that they were unfamiliar with an item, the same picture was presented to them for a second time at the end of the familiarization phase. After familiarization, participants were trained on the first set of 72 wordpicture associations. To facilitate learning, the training was separated into three blocks, each consisting of an initial learning, a test, and a re-test cycle for 24 out of the 72 word-picture pairs. At the beginning of each block, participants were presented with the 24 word-picture pairs for 4.5 s each (4 + 0.5-s inter-stimulus interval). The word was shown above the picture, and it was emphasized to participants that they should make an effort to memorize the picture in as much detail as possible in order to be able to bring back a vivid mental image of the picture when cued with the word, later in the scanner. To build strong links between the words and the pictures, we instructed participants to use a mental imagery strategy, that is, to use the word and picture in an interactive way (for example, use the cue word to make the picture move, change color, etc.). This initial learning was followed by two cycles of test-feedback practice. On each trial, participants first saw a word (for example, sand) on a blank screen, and were asked to orally provide the label (or a short description) of the picture they had learned to associate with this word. Two similar versions of the correct picture associate (the same versions also used in the later visual recognition test) appeared 3 s later, and participants had to indicate which of the two pictures they had previously doi:10.1038/nn.3973 linked with the word. This procedure was again aimed at emphasizing the encoding of as many visual details as possible. After finishing training on the first set of pictures (which would become the targets during later selective retrieval), participants were instructed that they would now be trained on a second set of associates for each word (which would become the competitors during selective retrieval), and that later in the scanner they might need either of the two associates. It was emphasized to participants that they would be required to retrieve the two associates separately, and should thus not inter-relate the two pictures associated with the same cue word (that is, they should not form an integrated mental image). We did so because integration between competing memories has been shown to be a main factor limiting retrieval-induced forgetting1. In terms of the procedure, training of the second set of associates (which would later become the competitors) was performed exactly as for the first set, with the exception that the test-feedback practice involved only one instead of two cycles. After training of the second set, participants were given a short practice on the tasks they would perform in the scanner. During the recall task in the MRI scanner, participants were prompted with a cue word for 4 s each, followed by a response prompt (“F – O – S – ?”) asking them to indicate the category of the picture they were currently recalling (fingers 2–5 of the right hand corresponding to “face”, “object”, “scene” and “don’t know”, respectively). The response prompt was presented for 1.5 s (inter-stimulus interval = 1 s). Feedback was given as soon as participants pressed a button, with the correct response option lightening up in green color. We instructed participants to always press a button while the response prompt was still present on the screen, because they would miss the feedback when responding too late. However, responses given during the following inter-stimulus interval were still included in the data analysis. The selective recall task was followed by a short (~2 min) period of rest, followed by the final recognition test. In this task, each trial presented participants with two similar pictures, both of which had been presented before in the familiarization phase, but only one of which they had initially been linked with a cue word. Notably, the cue words were not shown during the final test. The two pictures were presented simultaneously, to the left and right of the fixation cross, for 3.5 s (inter-stimulus interval = 1 s). Participants used their right index and middle finger to select the picture they had linked with a word during training. The final task conducted in the scanner was a pattern localizer for individual pictures, conducted to obtain the item-unique sensory templates. During the localizer, the BOLD activity pattern in response to a subset of 72 of the initially trained 144 pictures was sampled (only half of the items were sampled due to time constraints). The subsample of pictures was chosen randomly for each participant, with the constraint that it had to include 18 target pictures, the 18 corresponding alternative associates from the same word-picture triples, 18 baseline pictures that had been trained as first associates, but were not recalled during the selective recall task, and the 18 corresponding alternative associates from the same word-pictures triples. The latter two picture types were used to obtain baseline templates to compare the targets and competitors, respectively, against. Each of the sampled pictures was presented 6 times overall. Picture presentation occurred in the context of a one-back task, where each picture was shown for 1.5 s (inter-stimulus interval = 1 s) and participants were instructed to respond with their index finger as fast as possible whenever two consecutive items in the picture sequence were the same. The sensory templates were sampled at the end of the scanning phase for several reasons. First, the localizer overall lasted for ~25 min, and we did not want to introduce a delay of this length between study of the word-picture pairs and the selective retrieval task. Second, and more importantly, one might expect a priori that the similarity between the recall patterns and the sensory templates would become higher with increasing temporal proximity between the localizer and the time at which the templates are sampled. Such an increase could occur simply because any neural pattern sampled at a given time during scanning would show a drift toward or away from the localizer patterns depending on how far in time from the localizer it is sampled. Based on such pattern drifts, recall patterns should overall become less similar to the sensory templates if the localizer is conducted before the selective recall phase; and more similar to the templates if the localizer is conducted at the end of the experiment, after selective recall. Because our main effect of interest in this study was an effect of decreasing similarity across retrieval repetitions (for the competitors), it was a more conservative approach to conduct the localizer at the end of the experiment, such as to not risk the effect NATURE NEUROSCIENCE © 2015 Nature America, Inc. All rights reserved. to be confounded with spurious similarity decreases caused by pattern drifts. Note that such spurious similarity changes might, according to this reasoning, have affected the increasing similarity we found with the sensory templates for target representations. Having said this, we believe that it is unlikely for all our effects to be caused by spurious correlation through pattern drifts, because of the use of very well controlled baseline measures. In particular, pattern drifts toward the ‘template state’ should have affected the similarity with all templates, including the sensory templates of control items. However, one might still argue that differences inherent in the localizer templates may affect the overall correlation between the neural patterns during selective retrieval and the different types of templates. We took several measures to minimize this concern, the results of which are shown in Supplementary Table 2 and Supplementary Figure 5. These analyses showed that the templates did not significantly differ in signal-to-noise ratio (SNR; computed as mean t-value across all voxels in the template divided by the s.d.); in informational content as measured by Shannon entropy; or in the degree to which they correlated with other templates from the same condition (correlationability). Importantly, because the aim of these analyses was to show no difference between conditions (i.e., between target templates and their respective baseline templates, and between competitor templates and their respective baseline templates), Supplementary Table 1 also reports Bayes factors38 together with the P values, giving an indication of the strength of evidence in favor of the null hypothesis. For all tasks conducted in the scanner, event sequences were optimized for rapid event-related designs using self-programmed MATLAB code, based on a previously published genetic algorithm39. For the multivoxel pattern localizer, the output of the algorithm was modified to obtain a reasonably high number of picture repetitions (11–15% of the trials), as to keep participants engaged in the one-back task. In each of the scanned tasks (selective retrieval, visual recognition, and the pattern localizer), events were interspersed with null-trials (fixation periods covering the same period as actual events) corresponding to one-third of the overall trial number. fMRI data acquisition and pre-processing. Imaging data were acquired on a 3-T Siemens Trio scanner using a 32-channel head coil. High-resolution (1-mm3 isotropic voxels), T1-weighted anatomical scans were acquired at the beginning of each session using a magnetization-prepared rapid acquisition gradient echo (MP-RAGE) sequence resulting in 192 sagittal slices. Functional volumes were obtained in three separate sessions corresponding to the recall phase (772 volumes), the final picture discrimination test (274 volumes), and the picture localizer (727 volumes). Functional volumes consisted of 32 axial slices (3.75-mm slice thickness, 3- × 3-mm in-plane resolution) covering the full brain, and were acquired using a descending T2*-weighted echo-planar imaging (EPI) pulse sequence (repetition time = 2.0 s, echo time = 30 ms, flip angle = 78°). The first five volumes of each session were discarded to allow for stable tissue magnetization. SPM8 (http://www.fil.ion.ucl.ac.uk/spm/) was used for pre-processing and univariate analyses. For all analyses, images were slice timed and realigned in space to the first image of each session, and global effects within each session and voxel were removed using linear detrending40. All multivariate analyses were conducted in native (subject) space without normalizing or smoothing the EPI images. Univariate data analysis. For univariate analyses, EPI images were additionally normalized (using the segmentation algorithm as implemented in SPM8) and smoothed with an 8-mm full-width-at half-maximum (FWHM) Gaussian kernel. Events of interest were modeled as delta (stick) functions and convolved with a first-order canonical hemodynamic response function (HRF). Button presses were included in all single-subject models as events of no interest, and the movement parameters from spatial realignment were included as nuisance variables. For univariate group statistics, single-subject activation maps of each condition of interest were entered into a within-subject ANOVA using pooled errors. The main comparison of interest between early and late retrieval trials (Fig. 5a) was calculated within this ANOVA, and results are reported on an uncorrected p-level of < 0.001 (minimum extent threshold k = 10 voxels). For the regression analysis reported in Figure 5c, an activation map contrasting early and late retrieval trials was calculated in each single participants, and entered into a whole-brain, group-level GLM using multivariate indices of target enhancement and competitor suppression (see below) as linear regressors. NATURE NEUROSCIENCE Similarity-based multivariate data analysis. A template-based variant of representational similarity analysis (RSA41,42) was used to assess the degree to which the neural patterns that were active during recall were similar to the neural pattern templates obtained from the pattern localizer. To this end, each trial and repetition during selective retrieval was modeled as a single event (regressor) in a general linear model by convolving a delta stick function at the onset of the event with a canonical HRF. For obtaining the sensory templates, the six repetitions of the same item as visually presented during the pattern localizer were modeled as one event (regressor). For the item-specific linear pattern classification analysis (Fig. 6), we modeled the six repetitions of each item as separate regressors. With respect to selective retrieval activity, each retrieval trial was modeled as a single event (regressor). Overall, this procedure produced 54 (items) × 4 (repetitions) t maps from the selective retrieval task, and 72 t maps from the pattern localizer. Only the 18 × 4 recall patterns for which item-specific localizer templates were available were included in the item-specific analysis, whereas all 54 × 4 recall patterns were included in the categorical analysis. Anatomical regions of interest (ROIs) were built based on the human atlas as implemented in the WFU pickatlas software (http://fmri.wfubmc.edu/software/ PickAtlas), and back-projected into native space using the inverse normalization parameters obtained from SPM during segmentation. The large ventral visual cortex ROI was comprised of bilateral inferior occipital lobe, parahippocampal gyrus, fusiform gyrus, and lingual gyrus (all bilateral and based on AAL definitions). The hippocampal ROI contained only the bilateral hippocampi, based on the Talairach Demon’s brodmann areas (dilated by a factor of 2 as this yielded optimal coverage of our individual subjects’ anatomies). The multivariate patterns used in the correlation approach were obtained by extracting the raw beta values from each ROI and in response to each event of interest, converting them to t-values and finally vectorizing these t values43,44. All similarity-based analyses were based on a correlation approach, using Pearson correlation as a metric of similarity between the sensory canonical templates and selective retrieval activity. For the item-specific RSA analysis, we computed the correlation between each single selective retrieval trial and the corresponding target template (yielding an index of target reactivation), and the correlation between the same trial and the corresponding competitor template (yielding an index of competitor reactivation). To obtain an appropriate baseline for target and competitor reactivation on each single trial, we computed the correlation between the selective retrieval pattern and each single baseline template corresponding to the same category as the target (used as a baseline for item-unique target reactivation), or the same category as the competitor (used as a baseline for item-unique competitor reactivation). For the target and competitor baseline measures, correlations were first computed between the retrieval pattern and each single available baseline template from the target’s and competitor’s category, respectively. We then used the average correlation with the baseline templates (as opposed to the correlation with the average baseline template, which is an important difference) as a measure of baseline similarity. All further analyses performed on the raw similarity values, including linear fits, are described in the main text. For the categorical analysis, we first computed an average face template, an average object template, and an average scene template based on all available baseline pictures from the pattern localizer task. To assess categorical target enhancement and competitor suppression, we then correlated each selective retrieval trial with the categorical template of the current target category (for example, a face), the categorical template of the current competitor category (for example, an object), and the average template of the category that was currently not involved as target or competitor category (for example, a scene). All methods using linear pattern classifiers are described below. Repeated measures ANOVAs and t tests were used to test for differences in multivariate pattern similarity. All t tests were used to test directional hypotheses, and unless indicated otherwise, one-tailed p-values at an alpha threshold of 0.05 are thus consistently reported throughout the results section. Brain-brain and brain-behavior relationships were tested both within- and across subjects. For across-subjects relationships, Spearman correlation coefficients were used. All within-subject, item-by-item correlations (including logistic regression) were computed from fixed-effects models in order to increase power to detect a relationship. Empirical P values for the logistic regression analyses were derived by randomly re-assigning the observed outcome on the final recognition test (with a value of 0 or 1) across trials, and computing the regression for 10,000 of these random models. Note that for the correlations between prefrontal cortex doi:10.1038/nn.3973 © 2015 Nature America, Inc. All rights reserved. and neural suppression slopes, the same results were obtained when using a random-effects model; for the logistic regression relating neural suppression slopes to behavioral outcome on the final test, there were not enough forgotten trials on an individual subject basis to yield stable beta coefficient estimates. For reasons of consistency, were therefore report fixed-effect analyses throughout. Before collapsing trials across subjects, outlier trials were identified within each subject, and rejected according to an absolute deviation from the mean (with a criterion of 2.0)45. Classifier-based multivariate analyses. All pattern classification analysis used linear support vector machines as implemented in the LIBSVM library (http:// www.csie.ntu.edu.tw/~cjlin/libsvm/). For the diagnostic voxels analysis reported in the main text and in Figure 6, we trained separate binary classifiers, based on the six repetitions of each item during the sensory pattern localizer, to distinguish an individual target and competitor item from each same-category baseline item. For example, to derive the linear weights that optimally separate the “hat” pattern in ventral visual cortex from the pattern elicited by other baseline objects, six binary classifiers were trained to distinguish the hat from the goggles, the hat from a chair etc. During this procedure, each voxel is assigned a linear weight (W), the absolute value of which directly reflects the importance of a feature (voxel) in discriminating the two classes. We defined the intersection of those voxels that consistently yielded the 10% highest weights across the separate classifiers for each competitor/target as the diagnostic voxels for a given target or competitor. The same procedure was used to determine the diagnostic voxels for each baseline item, except that here we trained five binary classifiers for each item, separating this baseline item from all remaining, same-category baseline items. Having derived these diagnostic voxels for each localizer item, we were then able to compute the average activity (average t values) of the voxels most diagnostic for the target and competitor item or a given recall trial during the selective retrieval task. In order to ensure that the diagnostic target and competitor voxels did not overlap, we also removed the intersection of those two sets of voxels for this analysis. This rationale was purely theory-driven, as competitor voxels (features) that overlap with target voxels (features) should not be subject to inhibition1,17. Finally, to parallel the similarity-based analyses using our template tracking approach, we subtracted from those average activity estimates on each retrieval trial the average activity of other voxels that are diagnostic for samecategory baseline items, but not the specific target and competitor items involved in this trial. The results of this analysis are described in the main text and depicted in Figure 6 and Supplementary Figure 3. doi:10.1038/nn.3973 For our categorical classification analysis, we trained binary linear classifiers purely on the patterns elicited in ventral visual cortex by the baseline items during the sensory pattern localizer. Three separate classifiers were trained to optimally distinguish faces from scenes, faces from objects, and objects from scenes. We then tested the accuracy of those classifiers to guess, on each selective retrieval trial, the category of the target by using the binary classifier representing the target versus non-involved, baseline category (for example, the face-scene classifier for the examples shown in Figs. 1 and 2), and to guess the category of the competitor by using the binary classifier representing the competitor versus non-involved, baseline category (for example, the object versus scene classifier in the example shown in Figs. 1 and 2). Note that this way of setting up the analysis automatically builds in the non-involved category, that is, the one category that should not be elicited by a given cue word, as a baseline on each trial. The results reported in the main text and in Figure 7 and Supplementary Figure 4 correspond to the average accuracy, across all 54 retrieval trials, to predict the target and competitor categories, respectively. A Supplementary Methods Checklist is available. 37. Brady, T.F., Konkle, T., Alvarez, G.A. & Oliva, A. Visual long-term memory has a massive storage capacity for object details. Proc. Natl. Acad. Sci. USA 105, 14325–14329 (2008). 38. Rouder, J.N., Speckman, P.L., Sun, D., Morey, R.D. & Iverson, G. Bayesian t tests for accepting and rejecting the null hypothesis. Psychon. Bull. Rev. 16, 225–237 (2009). 39. Wager, T.D. & Nichols, T.E. Optimization of experimental design in fMRI: a general framework using a genetic algorithm. Neuroimage 18, 293–309 (2003). 40. 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