Sections
Fear Conditioning and Fear Extinction Models of PTSD | Sensitization | Inescapable Shock/Learned Helplessness/Noradrenergic Mechanisms | Serotonergic Mechanisms
Excerpt
Basic science research on memory consolidation and fear conditioning
has demonstrated that heightened adrenergic activation can promote
the consolidation and retrieval of fear-provoking memories (Bohus and Lissak 1968). Building on this preclinical work, conditioning
models of trauma response propose that PTSD is the result of strong associative
learning whereby individuals initially react to a traumatic event
(unconditioned stimulus) with arousal and fear (unconditioned response).
Individuals with PTSD then continue to show arousal (conditioned
response) when confronted with trauma-related cues (conditioned
stimuli). It has been hypothesized that terror-driven sympathetic
arousal at the time of a traumatic event may result in the release
of stress-related neurochemicals (including norepinephrine and epinephrine)
in the cortex, mediating an overconsolidation of trauma memories
(Pitman 1989).