Reversing Reciprocal Suppression in the Anterior Cingulate Cortex: A Hypothetical Model to Explain EMDR Effectiveness

2007 ◽  
Vol 1 (2) ◽  
pp. 88-99 ◽  
Author(s):  
Bryce Kaye

A theoretical model is proposed to explain desensitization during Eye Movement Desensitization and Reprocessing (EMDR) as resulting from the reversal of reciprocal suppression of cognitive processing in the anterior cingulate cortex (ACC). Dual-attention and error monitoring are known to activate dorsal regions of the ACC that mediate metacognitive processing. Neuroimaging research has produced evidence that cognitive areas in the upper ACC may reciprocally suppress affective processing in the lower areas and vice versa. It is therefore proposed that the original eye-to-finger tracking task of EMDR may achieve its therapeutic effect by using error monitoring to reverse suppression of the upper ACC by the lower ACC. Contributions to EMDR effectiveness from resource installation and novelty-driven orienting reflexes may also influence ACC functioning. A distraction effect is proposed to be a negative and potentially disruptive by-product of very interactive stimulation tasks. A semantic priming procedure is suggested to limit distraction effects during more interactive forms of stimulation.

2020 ◽  
Author(s):  
Hayley Gilbertson ◽  
Lin Fang ◽  
Jeremy A. Andrzejewski ◽  
Joshua M. Carlson

AbstractThe error-related negativity (ERN) is a response-locked event-related potential, occurring approximately 50 ms following an erroneous response at frontocentral electrode sites. Source localization and functional magnetic resonance imaging (fMRI) research indicate that the ERN is likely generated by activity in the dorsal anterior cingulate cortex (dACC). The dACC is thought to be a part of a broader network of brain regions that collectively comprise an error-monitoring network. However, little is known about how intrinsic connectivity within the dACC-based error-monitoring network contributes to variability in ERN amplitude. The purpose of this study was to assess the relationship between dACC functional connectivity and ERN amplitude. In a sample of 53 highly trait-anxious individuals, the ERN was elicited in a flanker task and functional connectivity was assessed in a 10-minute resting-state fMRI scan. Results suggest that the strength of dACC seeded functional connectivity with the supplementary motor area is correlated with the ΔERN (i.e., incorrect – correct responses) amplitude such that greater ΔERN amplitude was accompanied by greater functional coupling between these regions. In addition to the dACC, exploratory analyses found that functional connectivity in the caudate, cerebellum, and a number of regions in the error-monitoring network were linked to variability in ΔERN amplitude. In sum, ERN amplitude appears to be related to the strength of functional connectivity between error-monitoring and motor control regions of the brain.


2018 ◽  
Vol 13 (2) ◽  
pp. 161-165 ◽  
Author(s):  
Stanislas Dehaene

The error-related negativity (ERN) is a negative waveform that arises over the front of the scalp immediately after a participant makes a detectable error. The goal of this short article is to describe my serendipitous encounter with this brain signal in 1993–1994 and to briefly review the operation of the underlying error-monitoring system. Recent work suggests that the ERN reflects an internal comparison, by the anterior cingulate cortex, of two signals: an unconscious representation of the ongoing action and a conscious representation of the intended one.


2021 ◽  
Vol 15 ◽  
Author(s):  
Wenjun Yu ◽  
Xiaoyan Wu ◽  
Yunan Chen ◽  
Zhiying Liang ◽  
Jinxiang Jiang ◽  
...  

The anterior cingulate cortex (ACC) and hippocampus (HIPP) are two key brain regions associated with pain and pain-related affective processing. However, whether and how pelvic pain alters the neural activity and connectivity of the ACC and HIPP under baseline and during social pain, and the underlying cellular and molecular mechanisms, remain unclear. Using functional magnetic resonance imaging (fMRI) combined with electrophysiology and biochemistry, we show that pelvic pain, particularly, primary dysmenorrhea (PDM), causes an increase in the functional connectivity between ACC and HIPP in resting-state fMRI, and a smaller reduction in connectivity during social exclusion in PDM females with periovulatory phase. Similarly, model rats demonstrate significantly increased ACC-HIPP synchronization in the gamma band, associating with reduced modulation by ACC-theta on HIPP-gamma and increased levels of receptor proteins and excitation. This study brings together human fMRI and animal research and enables improved therapeutic strategies for ameliorating pain and pain-related affective processing.


2006 ◽  
Vol 37 (S 1) ◽  
Author(s):  
M Mannerkoski ◽  
H Heiskala ◽  
K Van Leemput ◽  
L Åberg ◽  
R Raininko ◽  
...  

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