EXPRESS: Limitations of occasional reinforced extinction to alleviate spontaneous recovery and reinstatement effects: Evidence for a trial signalling mechanism

Fear extinction is not permanent but is instead more vulnerable than the original fear memory, as traditionally shown by the return of fear phenomena. Because of this, techniques to mitigate the return of fear are needed in the clinical treatment of related psychological conditions. One promising strategy is the occasional reinforced extinction treatment, introducing a gradual and sparse number of CS-US pairings within the extinction treatment. We present the results of three experiments in which we used a threat conditioning procedure in humans. Our main aim was to evaluate whether occasional reinforced extinction could reduce two different forms of relapse: spontaneous recovery (Experiments 1 and 2) and reinstatement (Experiment 3). Contrary to our predictions and previous literature, the results indicate that an occasional reinforcement treatment did not mitigate relapse compared with standard extinction. From a theoretical standpoint, these results are more consistent with the idea that extinction entails the acquisition of new knowledge than with the idea that there are conditions in which extinction leads to a weakening of the original fear memory. These findings also question the generality of the potential benefits of using occasional reinforced extinction in clinical settings.

Dissociations Between ABA-, ABC-, and AAB-Renewal of Pavlovian Modulation in Human Sequential Feature Positive Discrimination Learning

Using a conditioned suppression preparation, we investigated extinction and aba-, abc-, and aab-renewal of Pavlovian modulation in human sequential Feature Positive (FP) discrimination learning, X → A+/A−. Extinction treatment was administered in the acquisition context a (aaa- and aab-groups) or in a new context b (aba- and abc-groups) and comprised X → A− extinction trials. Discriminative X → A/A responding was lost in all groups when tested in the extinction context. In the aba-group, the discriminative X → A/A responding totally recovered when retested in the acquisition context a. For the aaa-, the aab-, and the abc-group, discriminative X → A/A responding did not reappear when tested for renewal in, respectively, contexts a, b, and c. The demonstration of aba-renewal of extinguished modulation, but not abc- and aab-renewal, suggests that extinction in a context different from the acquisition context and a return to the original acquisition context might both be critical for renewal of Pavlovian modulation in human FP-discrimination learning.