Big Discovery: The Right Timing for Extinguishing a Fear Response | Print |  E-mail
Monday, 21 December 2009
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A research team from New York University and the University of Texas at Austin demonstrated that timing is critical in extinguishing a fear response – and this has groundbreaking potential for the treatment of phobias, anxiety disorders and posttraumatic stress.  Evidently, there’s a brief window of opportunity for rewriting painful emotional memories immediately after re-activating them, when the imprinted memory becomes labile and open to change.

Simple fear was created in 65 subjects by giving them a mild electrical shock on the wrist one third of the time when shown a colored square appear on a computer screen (Earlier research in conditioned learning shows that this is the frequency of ‘punishment’ that creates a lasting association).

The next day, the sight of the square drew an immediate fear response, as measured by sensors on the skin. Participants were then given “extinction” training, to override the painful memories, by repeatedly showing them the colored square without the accompanying shock.

But first they were divided into three conditions, with different timings and methods. In the first group, given the extinction training just 10 minutes after being reminded of the painful memory, subjects no longer reacted emotionally to the sight of the colored square — their fear was extinguished, with no trace of it a full year later. 

However, participants in the second group, who received extinction training six hours after being reminded of the shocks, and those in the third group, who were not first shown the square to remind them of the fearful memory, still showed a physiological dread at the sight of the square.

This is a very important finding, pinpointing this period of brain flexibility just after a fear response, and no doubt a lot of targeted techniques being used now for anxiety, phobias and posttraumatic stress will no doubt  be experimenting with first reactivating the fear before moving into introducing the intervention.  Kudos to this team for these exciting findings.

Citation: Schiller D, Monfils MH, Raio CM, Johnson DC, Ledoux JE, Phelps EA. Preventing the return of fear in humans using reconsolidation update mechanisms. Nature advance online publication 9 December 2009.  This e-mail address is being protected from spam bots, you need JavaScript enabled to view it



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Comments (6)Add Comment
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written by Mike, December 22, 2009
This is strikingly similiar to Kahuna Magic of the Polyniesians in Hawaii. One of their remedies is to repeat trauma visually. For instance if they cut a finger with a knife you would repeat the event (act of cutting) several times visually so that the trauma is disasocited from the action.
Nothing new under the sun.
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written by Donna, December 22, 2009
Wow. 10 minutes. That sure is a small window! I wonder if this is related to why EMDR with a highly skilled and responsive therapist can be so effective?
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written by Mary Sise, December 22, 2009
Hi Belleruth
No suprise re this. All of us who do energy psychology treatments such as TFT/EFT/TAB etc. know that you have to re-activate the memory, feel the distress again and then use the the energy psychology method to treat it. See my TFT for stress management video that Health Journeys has in their catalog to learn this method. Release all of your fears this year...world peace begins with inner peace so go for it!
Warmly
Mary Sise
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written by Jane Twitmyer, December 22, 2009
Wonderful for a phobia and an inappropriate fear response .... BUT
is disconnecting emotion from memoriy what we really want to do?
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written by Dan, December 22, 2009
This timing issue fits well with some mindfulness approaches for anxiety. Allow one's self to experience the feelings in the moment. At the same time, no need to feed all the upsetting thoughts/conclusions that may arise(extinction).
Thanks for bringing this study to our attention.
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written by Christine, December 30, 2009
This study at last brings to the wider public domain something that many skilled therapists already know very well, and which previous studies relating to memory, emotion, and neuroplasticity have already confirmed.

To successfully extinguish a conditioned response, two triggers must be administered simultaneously: the trigger to the unwanted conditioned response, and a trigger to a quite different conditioned (or unconditioned) response. In addition the "different" trigger must have equal or greater sensorial impact to the problematic trigger.

This is quite logical, since a weak trigger would not significantly interrupt the smooth replay of the unwanted conditioned response.

Pavlov already did this over 100 years ago. If only he and others had realised the significance of his fuller work, many millions of people would have been saved needless suffering.

We are not our emotions and although it's important to reach a deep acceptance of ourselves, this does not mean that we have to embrace pain, emotional or physical.

If we have a physical malfunction we treat it. Trauma, grief, loss, jealousy, fear, depression, etc, etc, etc, are also treatable, far more quickly and easily than we may have thought in the past.

By utilising this new evidence-based form of therapy (BMSA, or Brief Multi-Sensory Activation) in the context of an intelligent and compassionate therapeutic plan and strategy, much can be gained.

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