In related work, researchers
such as Antoine Bechara in Iowa and Kevin LaBar at
Duke University have shown that the amygdala is also
important in acquiring new fear reactions towards previously
harmless objects via a procedure know as fear conditioning.
This is normally demonstrated by simultaneously presenting
an individual with a "neutral" object, such
as a cup, together with a mild electronic shock, or
startlingly loud noise. As a result, the individual
acquires a mild fear towards the previously neutral
cup that can be detected as increased galvanic skin
response when the cup is presented alone. A similar
mechanism is thought to underlie the acquisition of
common phobias, such as fear of spiders. Bechara and
LaBar showed that individuals with amygdala damage
do not show fear conditioning, and concluded that this
region plays a central role in this psychological function.
An obvious question was whether
emotions other than fear might be associated with relatively
specialised brain systems, and there is now good evidence
that a brain region known as the insula underlies the
recognition of human signals of disgust. Support for
this position comes from both brain imaging research
and neuropsychological studies of brain-injured patients.
A particularly striking example comes from work by my
colleagues and I. These researchers studied the performance
of a young male with insula damage, known as NK. In
a series of experiments they showed that NK demonstrates
a highly selective impairment in recognising disgust
from facial and vocal signals. In comparison to healthy
volunteers with no brain injury, NK also demonstrates
a marked reduction in his reactions to disgusting items.
For example, in a questionnaire measuring how sensitive
an individual is to different disgust-provoking situations,
healthy control subjects consistently respond "no"
to the question "If you were hungry would you eat
a bowl of soup that had been stirred with a washed fly
swatter". By contrast, NK was adamant that he would
have no difficulty in consuming the soup.
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