No, fly me, fly me, far as pole from pole;
Rise Alps between us! and whole oceans roll!
Ah, come not, write not, think not once of me,
Nor share one pang of all I felt for thee.
Thy oaths I quit, thy memory resign;
Forget, renounce me, hate whate'er was mine.
Fair eyes, and tempting looks (which yet I view!)
Long lov'd, ador'd ideas, all adieu!
Alexander Pope’s 1717 poem Eloisa to Abelard describes Eloisa’s wish to escape the suffering of separation from her lover Abelard through the ablation of her memories, a theme more recently featured in the film Eternal Sunshine of the Spotless Mind, the title of which is taken from Pope’s poem:
How happy is the blameless vestal's lot!
The world forgetting, by the world forgot.
Eternal sunshine of the spotless mind!
Each pray'r accepted, and each wish resign'd
While for Eloisa, however, the attainment of a spotless mind remained unrealised, our increasing understanding of the neural substrates of memory and pharmacological developments mean memory suppression is becoming a tangible reality. While therapeutic benefits for this are easily imaginable, the treatment of post-traumatic stress disorder (PTSD) comes quickly to mind, ethical quandaries over this do not follow far behind. These are explored in a recent comment piece in Nature by Adam Kolber. Central to criticism of the notion of pharmacological altering memories are that this could alter an individual’s very sense of themselves. We are all, of course, the sum of all our experiences, both the good and those which we are less keen to recall. Kolber goes on to conclude these arguments don’t stand up, and that the potential for such great therapeutic benefits outweigh the concerns.
While the concept is fascinating and the ethical implications certain to be argued over for a long time to come, it is worth placing all these things in the context of our current understanding of how memory could be augmented in this way. Great insights into this are provided by a review article by Stephen Maren appearing in the journal Neuron.
The review focuses on fear memories and the contemporary shift in research from the historically prevalent concentration on their elicitation to new work looking at their suppression and expurgation. From this research a number of candidate drugs and techniques have been shown to have the potential to alter fear memories:
- Exposure therapy has been shown to be successful in reducing the fear associated with traumatic memories by eliciting trauma related memories in a non-threatening environment, breaking the contingency between the memory and the fearful response. Pertinent to the ethical debate around memory suppression is the fact that this techniques does not seek to ablate the episodic memory, but to reduce the harmful responses elicited by it.
- The drug propranolol has also been shown to help people suffering from PTSD. Combining the recativation of traumatic memories with the administration of the propranolol led to dampened fear related physiological responses a week later.
- Another potential intervention aiming to erase rather than simply suppress the memory utilises the fact that following an event, the memory for it is not immediately and objectively stamped into our minds, but undergoes a period of consolidation, rendering the memory vulnerable. It is known that this consolidatory process can be disrupted through the administration of protein synthesis inhibitors such as anisomycin and puromycin soon after learning in animal models. In addition it has also been shown that these effects can been seen not just during initial consolidation but also after subsequent retrieval.
Great progress in our understanding of how memories can be suppressed have already led to therapeutic improvements. The exiting prospect of using what has been learned form protein synthesis inhibition in people soon after experiencing a traumatic incident to protect against future related mental illness is also a tantalising prospect. The day may not be too far away where the liberation afforded by Eloisa's spotless mind may no longer be a dream, but a reality with real potential to make a positive contribution to psychiatric care.
Maren S (2011). Seeking a spotless mind: extinction, deconsolidation, and erasure of fear memory. Neuron, 70 (5), 830-45 PMID: 21658578