The influence of emotion on human memory is associated with two contradictory effects in the form of either emotion-induced enhancements or decrements in memory. In a series of experiments involving single word presentation, we show that enhanced memory for emotional words is strongly coupled to decrements in memory for items preceding the emotional stimulus, an effect that is more pronounced in women. These memory effects would appear to depend on a common neurobiological substrate, in that enhancements and decrements are reversed by propranolol, a -adrenergic antagonist, and abolished by selective bilateral amygdala damage. Thus, our findings suggest that amygdaladependent -adrenergic modulation of episodic encoding has costs as well as benefits.
Substantial evidence indicates that enhanced memory for emotional experience engages a -adrenergic system (1). -Adrenergic blockade with the  1  2 -antatgonist propranolol selectively impairs long-term human episodic memory for emotionally arousing material without affecting memory for a neutral story (2). This modulation of emotional memory by propranolol is centrally mediated, because peripheral -adrenergic blockade has no such effect on emotional memory function (3). Human amygdala lesions also produce emotional memory impairment (4, 5), suggesting that this structure may represent a critical locus for propranolol's influence on emotional memory.Although emotionality is strongly associated with enhancements in memory, there is evidence for emotion-induced memory decrements (6,7). Human behavioral studies demonstrate enhanced memory for central details of an emotional event and memory suppression for peripheral details (8,9). Ecological studies show that details of an event are less likely to be remembered if followed by an emotional event (10). In experimental contexts a weak, although unreliable, effect on words presented in close proximity to potentially emotional items is reported (11). By contrast to the extensive literature on emotional enhancements in memory, nothing is known regarding the neurobiological processes accounting for emotion-induced impairments in memory.In a series of related experiments, we present psychological (Exp. 1), psychopharmacological (Exp. 2) and neuropsychological (Exp. 3) data that characterize the psychological and neurobiological properties of emotion-induced forgetting. Our first aim was to establish a behavioral index of emotion-evoked memory enhancement and impairment. In an initial behavioral memory experiment (Exp. 1), nouns were presented serially, every 3 s, in semantically related lists, and recall was tested after each list presentation. Each list, in this and subsequent experiments, contained two ''oddball'' nouns: an emotionally aversive noun (E noun) and a perceptual oddball noun (P noun), presented in a novel font (Fig. 1a). In line with previous observations (1, 6), memory for emotional items is enhanced relative to control nouns. Critically, items preceding E nouns (E-1 nouns) are recalled less well than cont...