Repetition priming has been characterized neurophysiologically as a decreas
ed response following stimulus repetition. The present study used event-rel
ated functional magnetic resonance imaging to investigate whether this repe
tition-related response is sensitive to stimulus familiarity. A right fusif
orm region exhibited an attenuated response to the repetition of familiar s
timuli, both faces and symbols, but exhibited an enhanced response to the r
epetition of unfamiliar stimuli. Moreover, both repetition effects were mod
ulated by lag between successive presentations. Further experiments replica
ted the interactions between repetition, familiarity, and lag and demonstra
ted the persistence of these effects over multiple repetitions. Priming-rel
ated responses are therefore not unitary but depend on the presence or abse
nce of preexisting stimulus representations.