Unconscious emotion: A cognitive neuroscientific perspective

While psychiatry and clinical psychology have long discussed the topic of unconscious emotion, and its potentially explanatory role in psychopathology, this topic has only recently begun to receive attention within cognitive neuroscience. In contrast, neuroscientific research on conscious vs. unconscious processes within perception, memory, decision-making, and cognitive control has seen considerable advances in the last two decades. In this article, we extrapolate from this work, as well as from recent neural models of emotion processing, to outline multiple plausible neuro-cognitive mechanisms that may be able to explain why various aspects of one's own emotional reactions can remain unconscious in specific circumstances. While some of these mechanisms involve top-down or motivated factors, others instead arise due to bottom-up processing deficits. Finally, we discuss potential implications that these different mechanisms may have for therapeutic intervention, as well as how they might be tested in future research.

[1]  M. Sharpe,et al.  Unexplained Somatic Symptoms, Functional Syndromes, and Somatization: Do We Need a Paradigm Shift? , 2001, Annals of Internal Medicine.

[2]  Jeffrey R. Huntsinger Does Emotion Directly Tune the Scope of Attention? , 2013 .

[3]  Evette Ludman,et al.  The association of comorbid depression with mortality in patients with type 2 diabetes. , 2005, Diabetes care.

[4]  Jon G. Allen,et al.  Mentalizing in the Development and Treatment of Attachment Trauma , 2013 .

[5]  A. Seth Interoceptive inference, emotion, and the embodied self , 2013, Trends in Cognitive Sciences.

[6]  M. Sigman,et al.  The human Turing machine: a neural framework for mental programs , 2011, Trends in Cognitive Sciences.

[7]  J. Kihlstrom No need for repression , 2002, Trends in Cognitive Sciences.

[8]  Lee Ryan,et al.  Memory reconsolidation, emotional arousal, and the process of change in psychotherapy: New insights from brain science. , 2015, The Behavioral and brain sciences.

[9]  Simon van Gaal,et al.  Unconscious Activation of the Prefrontal No-Go Network , 2010, The Journal of Neuroscience.

[10]  L. Pessoa,et al.  Emotion processing and the amygdala: from a 'low road' to 'many roads' of evaluating biological significance , 2010, Nature Reviews Neuroscience.

[11]  K. Bäuml,et al.  Influences of part-list cuing on different forms of episodic forgetting. , 2012, Journal of experimental psychology. Learning, memory, and cognition.

[12]  D. Sander,et al.  Comment: The Appraising Brain: Towards a Neuro-Cognitive Model of Appraisal Processes in Emotion , 2013 .

[13]  W. Herzog,et al.  Economics of Medically Unexplained Symptoms: A Systematic Review of the Literature , 2012, Psychotherapy and Psychosomatics.

[14]  K. Bäuml,et al.  Selective memory retrieval can impair and improve retrieval of other memories. , 2012, Journal of experimental psychology. Learning, memory, and cognition.

[15]  S. Dehaene,et al.  Causal role of prefrontal cortex in the threshold for access to consciousness. , 2009, Brain : a journal of neurology.

[16]  S. Rachman Human Fears: A Three Systems Analysis , 1978 .

[17]  Kristen A. Lindquist,et al.  Constructing Emotion , 2008, Psychological science.

[18]  Andrew J. Mojica,et al.  Semantic access occurs outside of awareness for the ground side of a figure , 2014, Attention, perception & psychophysics.

[19]  Stanislas Dehaene,et al.  Cerebral bases of subliminal and supraliminal priming during reading. , 2007, Cerebral cortex.

[20]  R. Poldrack,et al.  Cortical and Subcortical Contributions to Stop Signal Response Inhibition: Role of the Subthalamic Nucleus , 2006, The Journal of Neuroscience.

[21]  T. Metzinger Being No One: The Self-Model Theory of Subjectivity , 2004 .

[22]  F. Summers The Psychoanalytic Vision: The Experiencing Subject, Transcendence, and the Therapeutic Process , 2013 .

[23]  L. F. Barrett Are Emotions Natural Kinds? , 2006, Perspectives on psychological science : a journal of the Association for Psychological Science.

[24]  Joshua D. Greene,et al.  How (and where) does moral judgment work? , 2002, Trends in Cognitive Sciences.

[25]  Melissa T. Buelow,et al.  Construct Validity of the Iowa Gambling Task , 2009, Neuropsychology Review.

[26]  T. Robbins,et al.  The neuropsychopharmacology of fronto-executive function: monoaminergic modulation. , 2009, Annual review of neuroscience.

[27]  J. D. de Fockert,et al.  Unconscious priming of a no-go response. , 2009, Psychophysiology.

[28]  J. Kihlstrom Trauma and Memory Revisited , 2008 .

[29]  R. Andersen,et al.  Intention, Action Planning, and Decision Making in Parietal-Frontal Circuits , 2009, Neuron.

[30]  Bruce H. Friedman,et al.  The biopsychology of emotion: Current theoretical, empirical, and methodological perspectives , 2010, Biological Psychology.

[31]  B. Mesquita,et al.  Context in Emotion Perception , 2011 .

[32]  J. Thayer,et al.  The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. , 2010, International journal of cardiology.

[33]  R. Lane Neural substrates of implicit and explicit emotional processes: a unifying framework for psychosomatic medicine. , 2008, Psychosomatic medicine.

[34]  J. Thayer,et al.  eview meta-analysis of heart rate variability and neuroimaging studies : Implications or heart rate variability as a marker of stress and health , 2012 .

[35]  A. Modell Horse and Rider Revisited , 2008 .

[36]  R. Lane,et al.  Unwanted reminders: The effects of emotional memory suppression on subsequent neuro-cognitive processing , 2016, Consciousness and Cognition.

[37]  Michael C. Anderson,et al.  Suppressing unwanted memories reduces their unconscious influence via targeted cortical inhibition , 2014, Proceedings of the National Academy of Sciences.

[38]  Silvan S. Tomkins,et al.  The quest for primary motives: Biography and autobiography of an idea. , 1981 .

[39]  Arthur P. Shimamura,et al.  The role of the prefrontal cortex in dynamic filtering , 2000, Psychobiology.

[40]  Michael C. Anderson Rethinking interference theory: Executive control and the mechanisms of forgetting. , 2003 .

[41]  Brendan E. Depue,et al.  A neuroanatomical model of prefrontal inhibitory modulation of memory retrieval , 2012, Neuroscience & Biobehavioral Reviews.

[42]  Joseph E LeDoux The slippery slope of fear , 2013, Trends in Cognitive Sciences.

[43]  N. Frasure-smith,et al.  Reflections on Depression as a Cardiac Risk Factor , 2005, Psychosomatic medicine.

[44]  P. Cowen,et al.  Short-term SSRI treatment normalises amygdala hyperactivity in depressed patients , 2012, Psychological Medicine.

[45]  Steven M. Smith,et al.  Forgetting and Recovering the Unforgettable , 2008, Psychology Science.

[46]  M. Irwin,et al.  When grief makes you sick: Bereavement induced systemic inflammation is a question of genotype , 2012, Brain, Behavior, and Immunity.

[47]  A. Damasio,et al.  Deciding Advantageously Before Knowing the Advantageous Strategy , 1997, Science.

[48]  Tobias Brosch,et al.  The importance of actions and the worth of an object: dissociable neural systems representing core value and economic value. , 2012, Social cognitive and affective neuroscience.

[49]  R. Lazarus Emotion and Adaptation , 1991 .

[50]  H. Critchley,et al.  Conjoint activity of anterior insular and anterior cingulate cortex: awareness and response , 2010, Brain Structure and Function.

[51]  G. Taylor Recent Developments in Alexithymia Theory and Research , 2000, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[52]  P. Lang What are the Data of Emotion , 1988 .

[53]  Julian F. Thayer,et al.  Prolonged Non-metabolic Heart Rate Variability Reduction as a Physiological Marker of Psychological Stress in Daily Life , 2016, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[54]  D. Tranel,et al.  The amygdala and decision-making , 2011, Neuropsychologia.

[55]  Richard D. Lane,et al.  The neural basis of one's own conscious and unconscious emotional states , 2015, Neuroscience & Biobehavioral Reviews.

[56]  M. Bar Visual objects in context , 2004, Nature Reviews Neuroscience.

[57]  J. Griffith,et al.  The Body Speaks: Therapeutic Dialogues for Mind-Body Problems , 1994 .

[58]  R. Hodgson,et al.  I. Synchrony and desynchrony in fear and avoidance. , 1974, Behaviour research and therapy.

[59]  Justin S. Feinstein,et al.  Panic Anxiety in Humans with Bilateral Amygdala Lesions: Pharmacological Induction via Cardiorespiratory Interoceptive Pathways , 2016, The Journal of Neuroscience.

[60]  Richard D. Lane,et al.  The study of emotion from the perspective of cognitive neuroscience , 2000 .

[61]  Michael C. Anderson,et al.  Opposing Mechanisms Support the Voluntary Forgetting of Unwanted Memories , 2012, Neuron.

[62]  Michael C. Anderson,et al.  Neural mechanisms of motivated forgetting , 2014, Trends in Cognitive Sciences.

[63]  Yang Wang,et al.  Reciprocal Effects of Antidepressant Treatment on Activity and Connectivity of the Mood Regulating Circuit: An fMRI Study , 2007 .

[64]  L. Barsalou,et al.  Grounding the human conceptual system in perception, action, and internal states , 2013 .

[65]  S. Thompson-Schill,et al.  The frontal lobes and the regulation of mental activity , 2005, Current Opinion in Neurobiology.

[66]  Joseph E LeDoux The Emotional Brain: The Mysterious Underpinnings of Emotional Life , 1996 .

[67]  J. Pennebaker Putting stress into words: health, linguistic, and therapeutic implications. , 1993, Behaviour research and therapy.

[68]  Colleen M. Kelley,et al.  A contextual change account of the directed forgetting effect. , 2002, Journal of experimental psychology. Learning, memory, and cognition.

[69]  N. Kanwisher,et al.  Attention as inference: selection is probabilistic; responses are all-or-none samples. , 2009, Journal of experimental psychology. General.

[70]  S. Dehaene,et al.  Towards a cognitive neuroscience of consciousness: basic evidence and a workspace framework , 2001, Cognition.

[71]  Lisa Feldman Barrett,et al.  Grounding emotion in situated conceptualization , 2011, Neuropsychologia.

[72]  C. Koch,et al.  Imagery neurons in the human brain , 2000, Nature.

[73]  P. A. Lewis,et al.  Brain mechanisms for mood congruent memory facilitation , 2005, NeuroImage.

[74]  S. Paivio,et al.  Empathy and emotion regulation: reprocessing memories of childhood abuse. , 2001, Journal of clinical psychology.

[75]  C. Woolf,et al.  Cytokines, nerve growth factor and inflammatory hyperalgesia: the contribution of tumour necrosis factor α , 1997, British journal of pharmacology.

[76]  Suppression of unwanted memories: repression revisited? , 2001, The Lancet.

[77]  A. Marcel,et al.  Consciousness and the varieties of emotion experience: a theoretical framework. , 2002, Psychological review.

[78]  Philip A Kragel,et al.  Multivariate pattern classification reveals autonomic and experiential representations of discrete emotions. , 2013, Emotion.

[79]  Chiu-Hsieh Hsu,et al.  Somatization is associated with deficits in affective Theory of Mind. , 2013, Journal of psychosomatic research.

[80]  Sylvia D. Kreibig,et al.  Autonomic nervous system activity in emotion: A review , 2010, Biological Psychology.

[81]  A. Arnsten Catecholamine modulation of prefrontal cortical cognitive function , 1998, Trends in Cognitive Sciences.

[82]  A. Johnson,et al.  Stress, depression and cardiovascular dysregulation: A review of neurobiological mechanisms and the integration of research from preclinical disease models , 2009, Stress.

[83]  M. E. Larson,et al.  The Initiation and Release of Retrieval Inhibition , 1994 .

[84]  Á. Pascual-Leone,et al.  Diminishing Reciprocal Fairness by Disrupting the Right Prefrontal Cortex , 2006, Science.

[85]  M. D’Esposito,et al.  Dissecting Contributions of Prefrontal Cortex and Fusiform Face Area to Face Working Memory , 2003, Journal of Cognitive Neuroscience.

[86]  H. Critchley,et al.  Extending predictive processing to the body: emotion as interoceptive inference. , 2013, The Behavioral and brain sciences.

[87]  Karl J. Friston,et al.  Anterior insular cortex and emotional awareness , 2013, The Journal of comparative neurology.

[88]  Michael R. Irwin,et al.  Reciprocal regulation of the neural and innate immune systems , 2011, Nature Reviews Immunology.

[89]  Leslie S. Greenberg,et al.  Emotion-focused therapy of depression , 2005 .

[90]  M. Wheeler,et al.  Improvement in recall over time without repeated testing: Spontaneous recovery revisited. , 1995 .

[91]  C. Brenner,et al.  An elementary textbook of psychoanalysis , 1955 .

[92]  Y. Rofé Does Repression Exist? Memory, Pathogenic, Unconscious and Clinical Evidence , 2008 .

[93]  L. Nadel,et al.  Traumatic Memory Is Special , 1998 .

[94]  David Rudrauf,et al.  The pathways of interoceptive awareness , 2009, Nature Neuroscience.

[95]  B. Baars Global workspace theory of consciousness: toward a cognitive neuroscience of human experience. , 2005, Progress in brain research.

[96]  Stanislas Dehaene Consciousness and the Brain , 2014 .

[97]  M. Lynch,et al.  Long-term potentiation and memory. , 2004, Physiological reviews.

[98]  J. Hietanen,et al.  Bodily maps of emotions , 2013, Proceedings of the National Academy of Sciences.

[99]  M. L. Lambon Ralph,et al.  Category-Specific versus Category-General Semantic Impairment Induced by Transcranial Magnetic Stimulation , 2010, Current Biology.

[100]  D. Shohamy,et al.  Ventromedial prefrontal-subcortical systems and the generation of affective meaning , 2012, Trends in Cognitive Sciences.

[101]  M. S. Mahler,et al.  The Psychological Birth of the Human Infant: Symbiosis and Individuation , 1975 .

[102]  E. Weinberg,et al.  Neuropsychology and Neuroseduction: A review of The Neuropsychology of the Unconscious: Integrating Brain and Mind in Psychotherapy , 2017 .

[103]  Rainer Reisenzein,et al.  Arnold's theory of emotion in historical perspective , 2006 .

[104]  C. Chabris,et al.  Gorillas in Our Midst: Sustained Inattentional Blindness for Dynamic Events , 1999, Perception.

[105]  Karl J. Friston,et al.  A Duet for one , 2015, Consciousness and Cognition.

[106]  A. Onitilo,et al.  Effect of depression on all-cause mortality in adults with cancer and differential effects by cancer site. , 2006, General hospital psychiatry.

[107]  Joseph E LeDoux Rethinking the Emotional Brain , 2012, Neuron.

[108]  Trevor W. Robbins,et al.  Neurochemical modulation of prefrontal cortical function in humans and animals. , 2002 .

[109]  K. Felmingham,et al.  Impact of Depression and Antidepressant Treatment on Heart Rate Variability: A Review and Meta-Analysis , 2010, Biological Psychiatry.

[110]  R. Lane,et al.  Levels of emotional awareness: a cognitive-developmental theory and its application to psychopathology. , 1987, The American journal of psychiatry.

[111]  R. Lane,et al.  Affective agnosia: Expansion of the alexithymia construct and a new opportunity to integrate and extend Freud's legacy , 2015, Neuroscience & Biobehavioral Reviews.

[112]  Ezequiel Morsella,et al.  The Unconscious Mind , 2008, Perspectives on psychological science : a journal of the Association for Psychological Science.

[113]  M. Irwin,et al.  From stress to inflammation and major depressive disorder: a social signal transduction theory of depression. , 2014, Psychological bulletin.

[114]  R. Lane,et al.  Theory of Mind and Emotional Awareness Deficits in Patients With Somatoform Disorders , 2010, Psychosomatic medicine.

[115]  Peter J. Lang,et al.  Fear reduction and fear behavior: Problems in treating a construct. , 1968 .

[116]  B. Peterson,et al.  Somatoform Pain: A Developmental Theory and Translational Research Review , 2012, Psychosomatic medicine.

[117]  R. Elliott,et al.  Cognitive Mechanisms of Treatment in Depression , 2012, Neuropsychopharmacology.

[118]  Irene P. Kan,et al.  Effects of Repetition and Competition on Activity in Left Prefrontal Cortex during Word Generation , 1999, Neuron.

[119]  K. Scherer,et al.  Appraisal Theories of Emotion: State of the Art and Future Development , 2013 .

[120]  J. Chassan Research design in clinical psychology and psychiatry , 1967 .

[121]  J. Changeux,et al.  Opinion TRENDS in Cognitive Sciences Vol.10 No.5 May 2006 Conscious, preconscious, and subliminal processing: a testable taxonomy , 2022 .

[122]  Mariano Sigman,et al.  From a single decision to a multi-step algorithm , 2012, Current Opinion in Neurobiology.

[123]  Deanna M Barch,et al.  Antidepressant treatment normalizes hypoactivity in dorsolateral prefrontal cortex during emotional interference processing in major depression. , 2009, Journal of affective disorders.

[124]  F. Cushman Action, Outcome, and Value , 2013, Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc.

[125]  Ajay B. Satpute,et al.  Large-scale brain networks in affective and social neuroscience: towards an integrative functional architecture of the brain , 2013, Current Opinion in Neurobiology.

[126]  Karl J. Friston,et al.  Attention, Uncertainty, and Free-Energy , 2010, Front. Hum. Neurosci..

[127]  T. Wheatley,et al.  Hypnotic Disgust Makes Moral Judgments More Severe , 2005, Psychological science.

[128]  Maki Suzuki,et al.  Memory Repression: Brain Mechanisms underlying Dissociative Amnesia , 2010, Journal of Cognitive Neuroscience.

[129]  R. Zajonc Feeling and thinking : Preferences need no inferences , 1980 .

[130]  R. Hodgson,et al.  II. Desynchrony in measures of fear. , 1974, Behaviour research and therapy.

[131]  Shelagh A. Mulvaney,et al.  The Emotional Unconscious , 2000 .

[132]  J. K. Chan,et al.  When does Retrieval Induce Forgetting and When does it Induce Facilitation? Implications for Retrieval Inhibition, Testing Effect, and Text Processing , 2009 .

[133]  Marcia Grabowecky,et al.  Escape from linear time: Prefrontal cortex and conscious experience , 1995 .

[134]  Marc D. Hauser,et al.  The Linguistic Analogy: Motivations, Results, and Speculations , 2009, Topics in Cognitive Science.

[135]  Ira J. Roseman,et al.  Appraisals of emotion-eliciting events: Testing a theory of discrete emotions. , 1990 .

[136]  J. Hohwy The Predictive Mind , 2013 .

[137]  C. Sripada,et al.  The functional neuroanatomy of PTSD: a critical review. , 2008, Progress in brain research.

[138]  J. Changeux,et al.  A neuronal network model linking subjective reports and objective physiological data during conscious perception , 2003, Proceedings of the National Academy of Sciences of the United States of America.

[139]  Michael W. Eysenck,et al.  Emotional information processing in repressors: The vigilance–avoidance theory , 2007 .

[140]  John Suckling,et al.  Attenuation of the neural response to sad faces in major depression by antidepressant treatment: a prospective, event-related functional magnetic resonance imaging study. , 2004, Archives of general psychiatry.

[141]  Karl J. Friston,et al.  Active Inference, homeostatic regulation and adaptive behavioural control , 2015, Progress in Neurobiology.

[142]  K. Scherer The role of culture in emotion-antecedent appraisal. , 1997 .

[143]  H. Pashler,et al.  Measuring the Crowd Within , 2008, Psychological science.

[144]  Georg Northoff,et al.  Self-referential processing in our brain—A meta-analysis of imaging studies on the self , 2006, NeuroImage.

[145]  G. Logan,et al.  Converging Evidence for a Fronto-Basal-Ganglia Network for Inhibitory Control of Action and Cognition , 2007, The Journal of Neuroscience.

[146]  Karl J. Friston,et al.  Canonical Microcircuits for Predictive Coding , 2012, Neuron.

[147]  Stanislas Dehaene,et al.  The cognitive architecture for chaining of two mental operations , 2009, Cognition.

[148]  E. Pothos Theories of artificial grammar learning. , 2007, Psychological bulletin.

[149]  M. Gazzaniga,et al.  Cognitive Neuroscience: The Biology of the Mind , 1998 .

[150]  J. Thayer,et al.  Conscious and unconscious perseverative cognition: is a large part of prolonged physiological activity due to unconscious stress? , 2010, Journal of psychosomatic research.

[151]  D. Mitchell The nexus between decision making and emotion regulation: A review of convergent neurocognitive substrates , 2011, Behavioural Brain Research.

[152]  Pieter R. Roelfsema,et al.  The Brain's Router: A Cortical Network Model of Serial Processing in the Primate Brain , 2010, PLoS Comput. Biol..

[153]  G. Clore,et al.  Disgust as Embodied Moral Judgment , 2008, Personality and Social Psychology Bulletin.

[154]  Peng Zhang,et al.  Binocular Rivalry Requires Visual Attention , 2011, Neuron.

[155]  G. Andersson,et al.  Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta‐analysis , 2014, World psychiatry : official journal of the World Psychiatric Association.

[156]  Jordan Grafman,et al.  Social concepts are represented in the superior anterior temporal cortex , 2007, Proceedings of the National Academy of Sciences.

[157]  Jared F. Danker,et al.  The ghosts of brain states past: remembering reactivates the brain regions engaged during encoding. , 2010, Psychological bulletin.

[158]  P. Dayan,et al.  Decision theory, reinforcement learning, and the brain , 2008, Cognitive, affective & behavioral neuroscience.

[159]  J. Haidt The emotional dog and its rational tail: a social intuitionist approach to moral judgment. , 2001, Psychological review.

[160]  M. Kazén,et al.  Recall and recognition hypermnesia for Socratic stimuli , 2016, Memory.

[161]  T. Braver The variable nature of cognitive control: a dual mechanisms framework , 2012, Trends in Cognitive Sciences.

[162]  N. Kanwisher,et al.  Mental Imagery of Faces and Places Activates Corresponding Stimulus-Specific Brain Regions , 2000, Journal of Cognitive Neuroscience.

[163]  S. Wiens Interoception in emotional experience , 2005, Current opinion in neurology.

[164]  S. Bruehl,et al.  Anger inhibition and pain: conceptualizations, evidence and new directions , 2008, Journal of Behavioral Medicine.

[165]  Brice A. Kuhl,et al.  Decreased demands on cognitive control reveal the neural processing benefits of forgetting , 2007, Nature Neuroscience.

[166]  J. Brosschot Markers of chronic stress: Prolonged physiological activation and (un)conscious perseverative cognition , 2010, Neuroscience & Biobehavioral Reviews.

[167]  Benedetto Vitiello,et al.  Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. , 2004, JAMA.

[168]  Maxime Guye,et al.  Hypo-retrieval and hyper-suppression mechanisms in functional amnesia , 2009, Neuropsychologia.

[169]  N. Daw,et al.  The cognitive neuroscience of motivation and learning , 2008 .

[170]  P. Railton The Affective Dog and Its Rational Tale: Intuition and Attunement* , 2014, Ethics.

[171]  J. Panksepp,et al.  The “Id” Knows More than the “Ego” Admits: Neuropsychoanalytic and Primal Consciousness Perspectives on the Interface Between Affective and Cognitive Neuroscience , 2012, Brain sciences.

[172]  Jennifer A. Silvers,et al.  Cognitive reappraisal of emotion: a meta-analysis of human neuroimaging studies. , 2014, Cerebral cortex.

[173]  M. Erdelyi,et al.  The Recovery of Unconscious Memories: Hypermnesia and Reminiscence , 1996 .

[174]  James J. Gross,et al.  Hiding feelings: The acute effects of inhibiting negative and positive emotion. , 1997 .

[175]  D. Knill,et al.  Bayesian sampling in visual perception , 2011, Proceedings of the National Academy of Sciences.

[176]  Joseph L. Sanguinetti,et al.  The Ground Side of an Object , 2014, Psychological science.

[177]  M. Mintun,et al.  Increased amygdala response to masked emotional faces in depressed subjects resolves with antidepressant treatment: an fMRI study , 2001, Biological Psychiatry.

[178]  A. McConnell,et al.  Relations among the Implicit Association Test, Discriminatory Behavior, and Explicit Measures of Racial Attitudes , 2001 .

[179]  Karl J. Friston,et al.  A theory of cortical responses , 2005, Philosophical Transactions of the Royal Society B: Biological Sciences.

[180]  K. Kroenke Patients presenting with somatic complaints: epidemiology, psychiatric co‐morbidity and management , 2003, International journal of methods in psychiatric research.

[181]  Julian F. Thayer,et al.  The role of vagal function in the risk for cardiovascular disease and mortality , 2007, Biological Psychology.

[182]  Karl J. Friston The free-energy principle: a unified brain theory? , 2010, Nature Reviews Neuroscience.

[183]  J F Thayer,et al.  Autonomic balance revisited: panic anxiety and heart rate variability. , 1998, Journal of psychosomatic research.

[184]  P. Fonagy,et al.  A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder , 2009, Development and Psychopathology.

[185]  M. Tamietto,et al.  Neural bases of the non-conscious perception of emotional signals , 2010, Nature Reviews Neuroscience.