Fear in the theater of the mind: Mental imagery of conditioned stimuli undergo the acquisition and generalization of differential fear conditioning
Many symptoms of anxiety and post-traumatic stress disorder are elicited by mental imagery of a conditioned stimulus (CS). Yet, little is known about how visual imagery of CSs interacts with the acquisition of differential fear conditioning. Across three experiments (n1=33, n2=27, n3=26), we observed that healthy human participants acquired differential fear conditioning to both viewed and imagined percepts serving as the conditioned stimuli as measured via self-reported fear and the skin conductance response (SCR). Additionally, this differential conditioning generalized across CS percept modalities, such that differential conditioning acquired to visual percepts generalized to the corresponding imagined percepts and vice versa. This is novel evidence that perceived and imagined stimuli engage learning processes in very similar ways and is consistent with theory that mental imagery is depictive and recruits neural resources shared with visual perception. Our findings also provide new insight into the mechanisms of anxiety and related disorders.