Processing Of Emotional Pictures Research Articles

Alpha-band oscillations and emotion: A review of studies on picture perception.

Although alpha-band activity has long been a focus of psychophysiological research, its modulation by emotional value during picture perception has only recently been studied systematically. Here, we review these studies and report that the most consistent alpha oscillatory pattern indexing emotional processing is an enhanced desynchronization (ERD) over posterior sensors when viewing emotional compared with neutral pictures. This enhanced alpha ERD is not specific to unpleasant picture content, as previously proposed for other measures of affective response, but has also been observed for pleasant stimuli. Evidence suggests that this effect involves a desynchronization of the upper alpha band and of the lower beta frequencies (10-20 Hz). The emotional modulation of alpha ERD occurs even after massive stimulus repetition and when emotional cues serve as task-irrelevant distractors, consistent with the hypothesis that evaluative processes are mandatory in emotional picture processing. A similar enhanced ERD has been observed for other significant cues (e.g., conditioned aversive stimuli, or in anticipation of a potential threat), suggesting that it reflects cortical excitability associated with the engagement of the motivational systems.

A look through dark-colored glasses: The Dark Tetrad and affective processing.

The Dark Tetrad personality traits (i.e., narcissism, Machiavellianism, psychopathy, and sadism) have been continuously linked to various deficits in affective reactivity. The aim of this study was to examine the relationship of the Dark Tetrad and processing of emotional pictures. A total of 144 participants (56.9% female, Mage = 22.18, SDage = 2.26) completed measures of the Dark Tetrad, and rated pictures selected form the International Affective Picture System (IAPS), classified in accordance with their norms into highly arousing positive and negative. Affective processing measures included participants' valence and arousal ratings, while cognitive processing was measured my means of the response latency for each response. The results showed that the dark traits were related only to valence, but not arousal ratings. Higher narcissism and lower sadism were associated with more positive valence ratings of positive pictures, and higher sadism was associated with more positive ratings of negative pictures. Moreover, higher Machiavellianism predicted faster assessment of valence and arousal of both positive and negative pictures, and higher sadism predicted slower assessment of negative pictures' valence. Obtained results indicate that deficiencies in affective processing are more pronounced in sadism compared to other dark traits, while Machiavellianism is associated with advantages in cognitive processing, highlighting their significance and uniqueness in the Dark Tetrad constellation.

How do fundamental emotion beliefs affect the rapid emotional processing? An ERP study

Beliefs about whether emotions are good or bad, controllable or uncontrollable are two fundamental emotion beliefs. Studies have confirmed the link between the two beliefs and emotional responses, but how emotion beliefs affect the process from emotional stimulus perception to emotion generation and automatic regulation is unclear. Answering this question helps to understand the role of emotion beliefs in emotional dysfunction and dysregulation and can provide a basis for effective emotion regulation. Therefore, the current study used event-related potential (ERP) measures to examine the time course and neural mechanisms by which emotional beliefs influence the processing of emotional pictures. One hundred participants were divided into four groups (25 per group) according to controllable or uncontrollable beliefs about emotions and good or bad beliefs about negative emotions, and viewed emotional negative and neutral pictures. Results showed that P2 was more positive in participants with emotion controllable vs. uncontrollable belief. The early posterior negativity (EPN) was more negative for unpleasant than neutral images in participants with emotion good and controllable beliefs as well as with bad and uncontrollable beliefs. On late positive potential (LPP), middle LPP (500-1000ms) was more positive in emotion good vs. bad belief holders and the late LPP (1000-2000 ms) was more positive for negative than neutral images in emotion uncontrollable belief holders. The findings suggest that fundamental emotion beliefs can affect individuals' early attention and late meaning evaluation towards unpleasant stimuli. Furthermore, they provide insight into altered beliefs about emotion in people with emotion dysfunction or dysregulation.

The influence of self-focused attention on emotional picture processing: An ERP study.

Research has documented neurophysiological indicators of anticipation (Stimulus Preceding Negativity [SPN]) and perception (Late Positive Potential [LPP]) of threat, yet little is known as to how self-focused attention manipulations influence emotion processing within the context of cued picture viewing. With self-referent attention moderating attention to external stimuli, it is necessary to document how self-focused attention impacts attention and the ability to emotionally process external threat. The goal of the present study was to evaluate the impact of self-focused attention on the anticipation and perceptual processing of unpleasant pictures within a cued-picture viewing paradigm among 33 participants. Overall, the results suggest that the self-focused attention manipulations disrupted anticipation but not processing of pictures, as indexed by the SPN and LPP respectively. Self-focused attention appears to disrupt the preparatory attention for upcoming unpleasant stimuli, potentially through loading cognitive resources or activation of associative defensive responding. Collectively, these findings demonstrate the impact of self-focused attention within the context of emotional picture processing and suggest further areas of investigation.

Hyperreactivity and Impaired Habituation of Startle Amplitude During Unpleasant Pictures in Borderline but Not Schizotypal Personality Disorder: Quantifying Emotion Dysregulation

BackgroundBorderline personality disorder (BPD) is characterized by greater intensity of reactions to unpleasant emotional cues and a slower-than-normal return of these responses to baseline. Habituation is defined as decreased response to repeated stimulation. Affect-modulated startle (AMS), a translational psychophysiological approach, is mediated by the amygdala and used to study emotion processing in both humans and animals. This is the first study to examine the specificity of habituation anomalies in BPD during passive emotional and neutral picture processing. MethodsA total of 90 participants were studied: patients with BPD (n = 35), patients with schizotypal personality disorder (n = 26; included as a psychopathological comparison group), and healthy control subjects (n = 29). Participants received rigorous clinical assessments, and patients were unmedicated. AMS was examined during a series of intermixed unpleasant, neutral, and pleasant pictures. ResultsCompared with the other groups, patients with BPD showed greater overall AMS during unpleasant pictures and prolonged habituation of startle amplitude during unpleasant pictures from early to later trials. The groups did not differ in AMS during neutral or pleasant pictures or self-reported picture valence. Among the patients with BPD, prolonged habituation to unpleasant pictures was associated with greater symptom severity and suicidal/self-harming behavior. ConclusionsThese findings 1) indicate that abnormal processing of and habituation to unpleasant pictures is observed in BPD but not schizotypal personality disorder, suggesting that these deficits are not simply characteristics of personality disorders in general; 2) are consistent with studies showing deficient amygdala habituation to unpleasant pictures in BPD; and 3) have significant implications for clinical assessment and treatment of BPD, e.g., alternative therapies for BPD such as gradual exposure to unpleasant emotional stimuli or amygdala neurofeedback may aid habituation deficits.

Emotional processing of sadness and disgust evoked by disaster scenes.

ObjectiveDisaster scenes produce long‐term negative feelings in those who experience them. Previous studies have focused on mitigating disaster impacts through directed forgetting or conscious suppression. However, the initial emotional processing of disaster scenes is not fully understood, hindering the comprehension of long‐term disaster impacts. This study aims to investigate how pictures of disaster scenes evoking disgust and sadness are processed via cortical electrical activity.MethodsPictures of grief and mutilation from disasters were used to evoke sadness and disgust, respectively. Event‐related desynchronization (ERD) and event‐related potentials (ERPs) were used to quantify the intensity and time‐course of emotional processing.ResultsThe information processing of emotional pictures was stronger than neutral pictures, represented by greater declines of alpha ERD. In the posterior ERP components of N1 and EPN, amplitudes for emotional pictures were larger than those for neutral pictures, which reflected the effects of arousal on visual perception. In the anterior ERP components of P2, P3, and LPP, disgust pictures showed higher attention attraction and enhanced encoding memory processing.ConclusionsDisgust disaster scenarios induced long‐term prominent LPP, which may correspond with the long‐term negative impacts of the disaster.

Right medial temporal lobe structures particularly impact early stages of affective picture processing.

Human vision prioritizes emotional stimuli. This is reflected in stronger electrocortical activation in response to emotional than neutral stimuli, measurable on the surface of the head. Feedback projections from brain structures deep within the medial temporal lobes (mTLs), in particular the amygdala, are thought to give rise to this phenomenon, although causal evidence is rare. Given the many pathways involved in visual processing, the influence of mTL structures could be restricted to specific time windows. Therefore, we delineate the temporal dynamics of the impact of right mTL structures on affective picture processing, investigating event‐related potentials (ERPs) in 19 patients (10 female) with right mTL resections and 19 individually matched healthy participants, while they viewed negative and neutral scenes. Groups differed significantly at early‐ and mid‐latency processing stages. Patients with right mTL resection, unlike controls, showed no (P1: 90–140 ms) or marginal (N1: 170–220 ms) emotion modulation. At mid‐latency (early posterior negativity: 220–370 ms), emotion modulation over the ipsi‐resectional right hemisphere was smaller in patients than in controls, but groups did not differ over the left hemisphere. During late parietal positivities (400–650 ms and 650–900 ms), both groups had similar emotion modulation. Our results demonstrate that right mTL structures attenuate particularly early processing of affectively negative scenes. This is theoretically consistent with an initial amygdala‐dependent feedforward sweep in visual emotion processing whose absence is successively compensated. Findings specify the impact of right mTL structures on emotional picture processing and highlight the value of time‐resolved measures in affective neuroscience.

Brief Report: Emotional Picture and Language Processing in Adults with Autism Spectrum Disorder.

There is currently limited research and a lack of consensus on emotional processing impairments among adults with autism spectrum disorder (ASD). The present pilot study sought to characterize the extent to which adults with ASD are impaired in processing emotions in both words and pictures. Ten adults with ASD rated word and picture stimuli on emotional valence and arousal. Their ratings were compared to normative data for both stimuli sets using item-level correlations. Adults with ASD rank-ordered stimuli similarly to typically developing individuals, demonstrating relatively typical understanding of emotional words and pictures. However, they used a narrower range of the scales which suggests more subtle impairments affecting emotion-processing. Future directions arising from the findings of this pilot study are discussed.

Emotion and Brain Oscillations: High Arousal is Associated with Decreases in Alpha- and Lower Beta-Band Power.

The study of brain oscillations associated with emotional picture processing has revealed conflicting findings. Although many studies observed a decrease in power in the alpha- and lower beta band, some studies observed an increase. Accordingly, the main aim of the present research series was to further elucidate whether emotional stimulus processing is related to an increase or decrease in alpha/beta power. In Study 1, participants (N =16) viewed briefly presented (150ms) high-arousing erotic and low-arousing people pictures. Picture presentation included a passive viewing condition and an active picture categorization task. Study 2 (N = 16) replicated Study 1 with negative valence stimuli (mutilations). In Study 3 (N = 18), stimulus materials of Study 1 and 2 were used. The main finding is that high-arousing pictures (erotica and mutilations) are associated with a decrease of power in the alpha/beta band across studies and task conditions. The effect peaked in occipitoparietal sensors between 400 and 800ms after stimulus onset. Furthermore, a late (>1000ms) alpha/beta power increase to mutilation pictures was observed, possibly reflecting top-down inhibitory control processes. Overall, these findings suggest that brain oscillations in the alpha/beta-band may serve as a useful measure of emotional stimulus processing.

Nonlinear Effects of Linearly Increasing Perceptual Load on ERPs to Emotional Pictures.

The prioritized processing of emotional as compared to neutral stimuli is reflected in enlarged event-related potentials (ERPs). However, perceptual load theory proposes that under conditions of high perceptual load, information processing is attenuated or abolished. The parametrical effects of load on ERPs to emotional pictures are unknown. To shed light on this question, the current preregistered ERP study (N = 30) systematically investigated the effects of load on ERPs to task-irrelevant negative, neutral, and positive pictures. Crucially, while perceptual input was held constant, perceptual load was systematically manipulated so that it increased linearly across 4 load levels, which was evident in behavioral data. In contrast, load effects on ERP differences between emotional and neutral stimuli did not follow a linear function. For the N1, early posterior negativity and late positive potential, a nonlinear function with reversed emotion effects at the third load level provided the best fit. These findings do not only show that perceptual load attenuates emotional picture processing but also suggest that active processes are initiated to reduce distraction by emotional information. Moreover, these effects of perceptual load on emotional ERP components appear to deviate from theoretically expected functions.

Selective visual attention to emotional pictures: Interactions of task-relevance and emotion are restricted to the late positive potential.

The temporal dynamics of top-down voluntary and bottom-up driven emotional attention are a matter of debate. Both emotion and task-relevance have been shown to affect the early posterior negativity (EPN) and the late positive potential (LPP) during the processing of emotional pictures, whereas there are mixed findings related to interactions of emotion and task-relevance. In this preregistered study, we used Bayesian models to test this interplay between emotion and task-relevance. Participants (N=104) were presented negative, neutral, and positive International Affective Picture System (IAPS) pictures, and block-wise were asked to respond either to negative, neutral, or positive pictures, rendering one stimulus category task-relevant and the remaining stimuli task-irrelevant. Bayesian models showed evidence for the absence of interactions between task-relevance and emotion. Furthermore, models showed parallel emotion and task effects for the EPN and late stages of the LPP. Additional interactive effects were found during an early LPP interval (400 to 600ms), with increased LPP amplitudes when emotion was rendered task-relevant. Taken together, the results revealed distinct but parallel temporal onsets of task-relevance and emotion effects, followed by task and emotion interactions in the early LPP. Thus, based on this high-powered study employing Bayesian analysis, evidence is provided that interactions between task-relevance and emotion do not emerge before the LPP time window. These results further inform theories proposing early parallel and late interactive processes of the emotional salience of stimuli and top-down attention.

Takotsubo syndrome: How the broken heart deals with negative emotions

Patients suffering from Takotsubo syndrome have a higher prevalence of anxiety and depressive disorders compared to those with acute myocardial infarction and might thus show impaired regulation and processing of emotions. In this cross-sectional study, neural activity during an emotional picture processing task was examined in 26 Takotsubo patients (on average 27 months after the Takotsubo event) and 22 healthy age- and gender-matched control subjects undergoing functional magnetic resonance imaging. Imaging data were analyzed with two complementary approaches: First, univariate analysis was used to detect brain regions showing condition-specific differences in mean neural activity between groups. Second, multivariate pattern analysis was applied to decode the experimental conditions from individual activity patterns. In the univariate analysis approach, patients showed lower bilateral superior parietal activity during the processing of negative expected pictures compared to the control subjects. The multivariate pattern analysis revealed group differences in decoding negative versus neutral pictures from a widespread network consisting of frontal, parietal, occipital, and cerebellar brain regions. Additionally, differences in decoding the expectation of a negative versus positive upcoming picture were observed in the visual cortex. The lower involvement of brain regions observed in Takotsubo patients suggests an impairment in emotion regulation, which might be of etiological importance in this brain-heart disease.

Changes in emotional processing following interoceptive network stimulation with rTMS

Theories of emotion suggest a close relation of interoception and emotion. However, knowledge of underlying neuronal networks is still sparse. Repetitive transcranial magnetic stimulation (rTMS) is one neurostimulation method allowing causal conclusions between functions and brain regions via stimulation or inhibition of underlying brain structures. In this study, rTMS with a continuous theta burst stimulation (cTBS) protocol was used aiming for inhibition of important interoceptive network structures (frontotemporal insular network and right somatosensory cortices). Stimulation effects were investigated on interoceptive accuracy (IAc), emotional evaluation and neuronal correlates of emotional picture processing in 18 male participants. The main findings were an emotional flattening in subjective valences for affective stimuli after inhibition of the frontotemporal anterior insular network and of somatosensory cortices, being mirrored in visual evoked potentials as increased N2/decreased P3, indicating an initial orientation reaction followed by decreased attentional processing of positive stimuli. Moreover, cardiac and respiratory IAc were positively associated with P3 amplitudes and negatively related to positive valence ratings. Positive associations of decreases of cardiac/respiratory IAc with decreases of arousal ratings and decreases of P3 amplitudes for negative stimuli after inhibition of the frontotemporal insular network and after inhibition of somatosensory cortices allow the conclusion of a causal relationship between reduced activity in interoceptive network structures and blunted emotional processing of visual stimuli. Our results suggest that both arousal, and valence aspects of emotional processing are disturbed after inhibition of interoceptive network structures, confirming core assumptions of peripheral theories of emotions and models of interoceptive predictive coding.

Spatiotemporal Analysis of Event-related Current Density Reveals Dissociable Effects of Arousal and Valence on Emotional Picture Processing.

BackgroundThe processing of emotional visual stimulation involves the processing of emotional and visuoperceptual information. It is not completely revealed how the valence and arousal affect these two aspects. The objective was to investigate the effects of valence and arousal on spatiotemporal characteristics of cortical information processing using distributed source imaging of event-related current density (ERCD).MethodsElectroencephalograms (64 channels) were recorded from 19 healthy men while presenting affective pictures. Distributed source localization analysis was adopted to obtain the spatiotemporal pattern of ERCD on cortical surface in response to emotional visual stimulation. A nonparametric cluster-based permutation test was used to find meaningful time and space without prior knowledge.ResultsSignificant changes of ERCD in 400–800 ms among positive, negative, and neutral emotional conditions were found in left posterior cingulate cortex (PCC) and right inferior temporal cortex (ITC). In the PCC, the stimuli with higher arousal levels showed more negative ERCD than neutral stimuli. In the ITC, the ERCD for negative stimuli was significantly more negative than those of positive and neutral ones.ConclusionArousal and valence had strong influence on memory encoding and visual analysis at late period. The location and time showing significant change in neural activity according to arousal and valence would provide valuable information for understanding the changes of cortical function by neuropsychiatric disorders.

Olfactory loss is associated with reduced hippocampal activation in response to emotional pictures

Emotional processing evolved within brain structures that were originally dedicated to olfactory function. Reduced olfactory function, absence of the olfactory bulb and the experimental removal of the olfactory bulb are associated with depressive behavior. Against this background, we hypothesized that olfactory dysfunction modifies the neural processing of non-olfactory emotion information. Using a functional magnetic resonance imaging design, we therefore tested whether people with and without impaired olfactory function differ in emotional perception and processing. Neural activity of 17 patients with acquired olfactory loss and 23 age- and sex-matched control participants were monitored in the MRI scanner, while they were presented with emotional and neutral pictures. Participants rated the valence and arousal for each picture after scanning. Patients showed reduced right hippocampal brain responses to emotional but not neutral pictures independent of their depressive symptoms. In addition, emotion-dependent activation in the hippocampus and insula was positively associated with the olfactory bulb (OB) volumes in healthy participants. Taken together, these findings suggest a disrupted neural processing of emotional pictures among patients with olfactory loss. This indicates a significant role of the neural olfactory trajectories for general emotion processing. Central emotion processing is reduced in olfactory disorders and relates to the OB volume in normosmic individuals.

Mapping the Spatiotemporal Evolution of Emotional Processing: An MEG Study Across Arousal and Valence Dimensions.

Electrophysiological and functional neuroimaging findings indicate that the neural mechanisms underlying the processing of emotional dimensions (i.e., valence, arousal) constitute a spatially and temporally distributed emotional network, modulated by the arousal and/or valence of the emotional stimuli. We examined the time course and source distribution of gamma time-locked magnetoencephalographic activity in response to a series of emotional stimuli viewed by healthy adults. We used a beamformer and a sliding window analysis to generate a succession of spatial maps of event-related brain responses across distinct levels of valence (pleasant/unpleasant) and arousal (high/low) in 30–100 Hz. Our results show parallel emotion-related responses along specific temporal windows involving mainly dissociable neural pathways for valence and arousal during emotional picture processing. Pleasant valence was localized in the left inferior frontal gyrus, while unpleasant valence in the right occipital gyrus, the precuneus, and the left caudate nucleus. High arousal was processed by the left orbitofrontal cortex, amygdala, and inferior frontal gyrus, as well as the right middle temporal gyrus, inferior parietal lobule, and occipital gyrus. Pleasant by high arousal interaction was localized in the left inferior and superior frontal gyrus, as well as the right caudate nucleus, putamen, and gyrus rectus. Unpleasant by high arousal interaction was processed by the right superior parietal gyrus. Valence was prioritized (onset at ∼60 ms) to all other effects, while pleasant valence was short lived in comparison to unpleasant valence (offsets at ∼110 and ∼320 ms, respectively). Both arousal and valence × arousal interactions emerged relatively early (onset at ∼150 ms, and ∼170 ms, respectively). Our findings support the notion that brain regions differentiate between valence and arousal, and demonstrate, for the first time, that these brain regions may also respond to distinct combinations of these two dimensions within specific time windows.

Evolutionary and Modern Image Content Differentially Influence the Processing of Emotional Pictures.

From an evolutionary perspective, environmental threats relevant for survival constantly challenged human beings. Current research suggests the evolution of a fear processing module in the brain to cope with these threats. Recently, humans increasingly encountered modern threats (e.g., guns or car accidents) in addition to evolutionary threats (e.g., snakes or predators) which presumably required an adaptation of perception and behavior. However, the neural processes underlying the perception of these different threats remain to be elucidated. We investigated the effect of image content (i.e., evolutionary vs. modern threats) on the activation of neural networks of emotion processing. During functional magnetic resonance imaging (fMRI) 41 participants watched affective pictures displaying evolutionary-threatening, modern-threatening, evolutionary-neutral and modern-neutral content. Evolutionary-threatening stimuli evoked stronger activations than modern-threatening stimuli in left inferior frontal gyrus and thalamus, right middle frontal gyrus and parietal regions as well as bilaterally in parietal regions, fusiform gyrus and bilateral amygdala. We observed the opposite effect, i.e., higher activity for modern-threatening than for evolutionary-threatening stimuli, bilaterally in the posterior cingulate and the parahippocampal gyrus. We found no differences in subjective arousal ratings between the two threatening conditions. On the valence scale though, subjects rated modern-threatening pictures significantly more negative than evolutionary-threatening pictures, indicating a higher level of perceived threat. The majority of previous studies show a positive relationship between arousal rating and amygdala activity. However, comparing fMRI results with behavioral findings we provide evidence that neural activity in fear processing areas is not only driven by arousal or valence, but presumably also by the evolutionary content of the stimulus. This has also fundamental methodological implications, in the sense to suggest a more elaborate classification of stimulus content to improve the validity of experimental designs.

Emotional Modulation of the Late Positive Potential during Picture Free Viewing in Older and Young Adults.

Hedonic bias during free viewing of novel emotional and neutral scenes was investigated in older adults and college students. A neurophysiological index of emotional picture processing–the amplitude of the centroparietal late positive potential (LPP)–was recorded from the scalp using a dense sensor array while participants (29 older adults; 21 college students) viewed emotionally engaging or mundane natural scenes that varied in specific content. Both students and older adults showed LPP enhancement when viewing affective, compared to neutral, scenes, and there was no difference in LPP amplitude between older individuals and college students when viewing neutral everyday scenes. However, compared to the college students, older individuals showed attenuated LPP amplitude when viewing emotional scenes, regardless of hedonic valence or specific content. Age related differences could be mediated by a reduction in reactive emotional arousal with age, possible mediated by repeated life exposure to emotional stimuli.

Implicit and Explicit Attention to Pictures and Words: An fMRI-Study of Concurrent Emotional Stimulus Processing.

The present study utilized functional magnetic resonance imaging (fMRI) to examine the neural processing of concurrently presented emotional stimuli under varying explicit and implicit attention demands. Specifically, in separate trials, participants indicated the category of either pictures or words. The words were placed over the center of the pictures and the picture-word compound-stimuli were presented for 1500 ms in a rapid event-related design. The results reveal pronounced main effects of task and emotion: the picture categorization task prompted strong activations in visual, parietal, temporal, frontal, and subcortical regions; the word categorization task evoked increased activation only in left extrastriate cortex. Furthermore, beyond replicating key findings regarding emotional picture and word processing, the results point to a dissociation of semantic-affective and sensory-perceptual processes for words: while emotional words engaged semantic-affective networks of the left hemisphere regardless of task, the increased activity in left extrastriate cortex associated with explicitly attending to words was diminished when the word was overlaid over an erotic image. Finally, we observed a significant interaction between Picture Category and Task within dorsal visual-associative regions, inferior parietal, and dorsolateral, and medial prefrontal cortices: during the word categorization task, activation was increased in these regions when the words were overlaid over erotic as compared to romantic pictures. During the picture categorization task, activity in these areas was relatively decreased when categorizing erotic as compared to romantic pictures. Thus, the emotional intensity of the pictures strongly affected brain regions devoted to the control of task-related word or picture processing. These findings are discussed with respect to the interplay of obligatory stimulus processing with task-related attentional control mechanisms.

Pedophilic brain potential responses to adult erotic stimuli

Cognitive mechanisms associated with the relative lack of sexual interest in adults by pedophiles are poorly understood and may benefit from investigations examining how the brain processes adult erotic stimuli. The current study used event-related brain potentials (ERP) to investigate the time course of the explicit processing of erotic, emotional, and neutral pictures in 22 pedophilic patients and 22 healthy controls. Consistent with previous studies, early latency anterior ERP components were highly selective for erotic pictures. Although the ERPs elicited by emotional stimuli were similar in patients and controls, an early frontal positive (P2) component starting as early as 185ms was significantly attenuated and slow to onset in pedophilia, and correlated with a clinical measure of cognitive distortions. Failure of rapid attentional capture by erotic stimuli suggests a relative reduction in early processing in pedophilic patients which may be associated with relatively diminished sexual interest in adults.