Elsevier

Brain Research Reviews

Volume 41, Issue 1, January 2003, Pages 88-123
Brain Research Reviews

Review
The human amygdala and the emotional evaluation of sensory stimuli

https://doi.org/10.1016/S0165-0173(02)00248-5Get rights and content

Abstract

A wealth of animal data implicates the amygdala in aspects of emotional processing. In recent years, functional neuroimaging and neuropsychological studies have begun to refine our understanding of the functions of the amygdala in humans. This literature offers insights into the types of stimuli that engage the amygdala and the functional consequences that result from this engagement. Specific conclusions and hypotheses include: (1) the amygdala activates during exposure to aversive stimuli from multiple sensory modalities; (2) the amygdala responds to positively valenced stimuli, but these responses are less consistent than those induced by aversive stimuli; (3) amygdala responses are modulated by the arousal level, hedonic strength or current motivational value of stimuli; (4) amygdala responses are subject to rapid habituation; (5) the temporal characteristics of amygdala responses vary across stimulus categories and subject populations; (6) emotionally valenced stimuli need not reach conscious awareness to engage amygdala processing; (7) conscious hedonic appraisals do not require amygdala activation; (8) activation of the amygdala is associated with modulation of motor readiness, autonomic functions, and cognitive processes including attention and memory; (9) amygdala activations do not conform to traditional models of the lateralization of emotion; and (10) the extent and laterality of amygdala activations are related to factors including psychiatric status, gender and personality. The strengths and weakness of these hypotheses and conclusions are discussed with reference to the animal literature.

Introduction

Neurobehavioral theorists have frequently argued that the amygdala plays a central role in the emotional processing of sensory stimuli. Electrophysiological, neuropharmacological, and lesion studies in animals, have all provided support for the involvement of the amygdala in both the evaluation and response to emotionally salient stimuli. However, there exists a strong need for human data. The relative distribution of sensory representations clearly differs across species. The primate amygdala receives a far greater input from cortical areas including auditory and visual sensory areas than is observed in other mammals such as rodents and cats [194]. These differences appear to have direct functional consequences for the sensory representations received or processed by the amygdala [121]. For instance, over a third of rodent amygdala cells respond to odorants [62], whereas only a very limited and nuclei-specific group of amygdala cells respond to odorants in humans [122]. Even among primate species, there exist differences in the sensory processing of the amygdala, with humans showing less frequent responses to simple auditory or visual stimuli than is seen in monkeys [212], [248], [303]. Additionally, some aspects of amygdala processing may be uniquely developed or expressed in humans, due to our well-developed use of language and other cognitive abilities. Finally, only human’s can directly report on their subjective reactions to stimuli.

With the advent of positron emission tomography (PET), and more recently functional magnetic resonance imaging (fMRI), an increasing body of literature addresses the role of the amygdala in the processing of emotionally salient stimuli in humans. Simultaneously, neurologists and neuropsychologists have begun to utilize sophisticated paradigms to delineate the specific aspects of emotional processing that are affected by amygdala lesions. Taken together, these two lines of inquiry lay the groundwork for refining our theories of amygdala functioning. This article provides an overview of this emerging literature and outlines several of the unique insights provided by this research.

Section snippets

Neuroimaging

Several issues regarding difficulties in imaging the amygdala warrant attention before embarking on a review of the neuroimaging literature. A basic problem relates to the amygdala’s small volume. When considered within the Talairach coordinate system, the amygdala possesses an average width of around 15 mm, and a slightly longer length [189], [284]. Estimates of its total volume range from 1.1 to 3.4 cc in each hemisphere (the volume estimates vary greatly depending upon the system of defining

Multimodal responses to aversive stimuli

Exposure to aversive stimuli in multiple sensory modalities induces activation of the amygdala. Examples include olfactory [39], [316], gustatory [214], [312], [314], visual [141], [176], [285], [286], [308], and auditory [126], [197], [199], [318] modalities. Unpleasant interoceptive sensations such as shortness of breath or hypercapnia also induce amygdala activations [45], [96]. Thus, the amygdala’s responsiveness to aversive stimuli appears to reflect a common, multimodal feature of

Positively valenced stimuli and the importance of arousal and motivation

Multiple studies have reported amygdala activation in response to pleasant or positively-valenced stimuli [31], [108], [126], [162], [163], [169], [177], [214], [215], [319]. However, such increases appear far less consistently than activations induced by negative stimuli. A number of critical factors may contribute to this discrepancy, and their elucidation may provide several key insights into the characteristics that are necessary for stimuli to engage the amygdala (Table 2).

Facial expressions

Neuroimaging studies of responses to emotional facial expressions show strong convergence with studies of other sensory stimuli (Table 4). The amygdala shows greater and more consistent activation when humans view negative, especially fearful, facial expressions than when viewing neutral or happy expressions [47], [65], [114], [139], [204], [221], [229], [230], [252], [253], [294], [302], [307]. These findings converge with data from patients with amygdala lesions who show selective deficits in

Semantic and nonverbal auditory processing

Studies on the processing of emotionally meaningful words parallel those of other emotionally meaningful stimuli (Table 5). Specifically, the amygdala shows a responsiveness to aversive or threatening words relative to neutral words [124], [143], [280], [283]. This indicates that emotionally valenced semantic processing can activate some of the same limbic circuits as stimulation with sensory stimuli. Using a list of what were described as high-arousal positive words (e.g., ecstasy, thrill),

Contrasting the effects of positively and negatively valenced stimuli

In a recent meta-analysis of studies involving emotional inductions, exposure to pleasant or unpleasant pictures or sounds and exposure to emotional facial expressions or prosody, Wager and colleagues [295] reported 38 foci arising in either amygdala in response to negatively valenced stimuli relative to only 5 for positively valenced stimuli. Although the meta-analysis did not include a number of the examples of highly arousing or motivating positively valenced conditions that have been

Habituation, temporal characteristics and novelty

Amygdala responses demonstrate rapid habituation (Table 6). This pattern of decreasing responses during repeated exposure to stimuli has been observed during exposure to unpleasant visual stimuli [188], [285], fearful faces [47], [227], [287], [306], novel ingroup faces [129], and complex visual stimuli [100]. This decline may reflect a process through which stimuli are rapidly reevaluated based on the lack of consequences arising from their previous exposure. Habituation may not occur

Subliminal processing

Since the early writings of Freud, the role of unconscious processing has been of fundamental interest to psychologists and psychiatrists. Renewed interest in unconscious mechanisms has emerged in recent years with the development of empirical methods for assessing unconscious and preattentive processing of negatively valenced and aversively conditioned stimuli [216]. This has been most dramatically demonstrated by studies utilizing masked stimuli that can elicit autonomic responses without

Laterality issues

Most animal studies of amygdala functions have treated the two amygdalae as functionally equivalent. Hence, most lesion studies utilize bilateral amygdala lesions. Similarly electrophysiological studies rarely report which hemisphere the recordings come from. Neuroanatomical studies also do not generally report which hemisphere the connections were measured in. In some cases the assumption of equivalence may be justified. For instance, unilateral amygdala lesions in rodents [170] and medial

The functional consequences of amygdala engagement

To a large extent this article has concentrated on the simple question of what types of stimuli or cognitive demands cause changes in activity within the human amygdala, or more specifically, what types of stimuli cause large enough changes in amygdala activity to be detected with current neuroimaging techniques. Additionally, this article has touched upon several functional consequences of human amygdala processing. A few of these potential functions warrant further elaboration.

Task demands: the effects of explicit emotional evaluation on amygdala activity

To what extent do different task demands influence amygdala responses to emotionally salient stimuli? Given the amygdala’s frequently hypothesized role in emotional evaluation, it would seem reasonable to suspect that explicitly directing attention to the hedonic features of stimuli (or the subjective emotional responses that they elicit) would produce amygdala activation. However, at present, little data supports this hypothesis outside of the face domain. Studies specifically contrasting

Restricted influence of the amygdala on conscious emotional evaluation and subjective emotional experience

Humans with amygdala lesions show grossly normal hedonic ratings of affectively valenced pictures [6], [104]12. However, more subtle biases may exist in these subjects. For instance, Adolphs and Tranel [6] observed a positive biasing in two subjects with bilateral amygdala

Group and individual differences in amygdala responsiveness

Emerging evidence indicates that the amygdala’s responsiveness to stimuli varies with a number of subject variables. In some cases these may represent confounds that hamper comparison across studies while in other cases they may provide critical insights into individual differences and aspects of psychopathology.

Conclusions and future directions

As the current review makes evident, our knowledge of the functions of the human amygdala has increased dramatically in recent years. While in many cases findings from these studies converge well with data from animals, this research has also offered insights that were not attainable solely from animal studies. Such data now provide a strong basis for refining how we conceptualize the functions of the amygdala and its role in psychopathology.

Despite the rapid developments in this field, several

Acknowledgements

This work was supported by NIMH (1 F32 MH11641-01A1), NIDA (T32 DA07097) and Vanderbilt University. Special thanks to José V. Pardo, Christine Valiquette, Neil Woodward, and Gabriel Dichter for helpful comments on earlier drafts of this paper.

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