To determine how vocally expressed emotion is processed in the brain, we me
asured neural activity in healthy volunteers listening to fearful, sad, hap
py and neutral non-verbal vocalizations. Enhanced responses to emotional vo
calizations were seen in the caudate nucleus, as well as anterior insular,
temporal and prefrontal cortices. The right amygdala exhibited decreased re
sponses to fearful vocalizations as well as fear-specific inhibitory intera
ctions with left anterior insula. A region of the pens, implicated in acous
tic startle responses also showed fear-specific interactions with the amygd
ala. The data demonstrate: firstly, that processing of vocal emotion involv
es a bilaterally distributed network of brain regions; and secondly, that p
rocessing of fear-related auditory stimuli involves context-specific intera
ctions between the amygdala and other cortical and brainstem regions implic
ated in fear processing. (C) 1999 Elsevier Science Ltd. All rights reserved
.