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Kathryn C Dickerson

Assistant Professor in Psychiatry and Behavioral Sciences
Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences
308 Research Drive, Box 90999, Durham, NC 27708

Research Interests


1. Using real-time fMRI neurofeedback to non-invasively drive the dopamine system in humans

One line of my research focuses on using real-time fMRI (rt-fMRI) methods to drive the dopaminergic midbrain – a region critical for reward processing, motivation, learning and memory. Nearly all research examining the dopamine system has used external reinforcers to drive this system (e.g., food, money). However, we know individuals motivate themselves on a daily basis without external reinforcers. My colleagues and I pioneered a novel method for activating the brain non-invasively called cognitive neurostimulation. Cognitive neurostimulation relies on using thoughts and imagery to activate the brain, rather than on pharmacology or invasive techniques. We demonstrated that healthy adults can self-activate the dopaminergic midbrain in the absence of external rewards, using only internally generated thoughts and imagery. We are excited to follow up on this line of work both by asking basic science questions about the dopamine system and exploring the use of this technique as a potential clinical intervention for a variety of diseases with abnormal dopamine function. 

2. Improving therapeutic efficacy using real-time fMRI neurofeedback

Another line of research examines how we can use rt-fMRI tools to improve the efficacy of therapy. Therapy (e.g., cognitive behavioral therapy) is one of the most effective treatments for depression. While effective for many patients, others see little or no benefit. One of the challenges of therapy is that it is slow, effortful, and provides little immediate feedback of success. We had the idea of combining therapeutic strategy use (e.g., what would Mom do in this situation?) with rt-fMRI neurofeedback in order to give patients immediate feedback about how their strategies learned in therapy change the brain. Showing individuals how their brain activity changed following strategy use was a very empowering experience for participants and predicted future behavior. The neurofeedback they received after using their strategies correlated not only with how effective they rated their strategies on the scan day, but also predicted feelings of strategy efficacy one month following the scan session. This points to the ability of a single scan session to increase strategy use and feelings of therapy efficacy. We are excited to follow up on this line of work examining if combining therapy with rt-fMRI neurofeedback will increase strategy use and ultimately improve clinical symptoms. 

3. Characterizing the influence of reward and motivation on learning and memory in humans

Much of my research has focused on neuroimaging of the mesolimbic dopamine system in humans. While the majority of studies in the field use extrinsic rewards to drive this system (e.g., food, money), I have utilized both extrinsic as well as intrinsic ways of activating this system. One line of research has characterized extrinsic influences (reward) on learning and memory. I have been particularly interested in reward’s influence on multiple brain regions within the mesolimbic dopamine system. I developed probabilistic reward learning tasks that promote either striatal dependent or hippocampal dependent learning and have examined the interactions of these regions during learning and memory. My work demonstrated that the striatum and hippocampus work in parallel to promote learning and memory. I have also examined intrinsic ways of eliciting dopamine activation (see section I) and aim to extend this work to examine the downstream effects of self-activation of midbrain dopamine on cognition. 

Selected Grants


The Duke Preparing Research scholars In bioMEdical sciences (PRIME): Cancer Research Program

ResearchAdministrative Director · Awarded by National Cancer Institute · 2023 - 2028

Instructed Activation of the Human Dopaminergic Midbrain Using Real-Time fMRI in Nicotine-Dependent Individuals

ResearchPostdoctoral Associate · Awarded by Brain and Behavior Research Foundation · 2016 - 2022

Duke CTSA (KL2)

ResearchScholar · Awarded by National Institutes of Health · 2013 - 2018

Instructed Activation of the Human Dopaminergic Midbrain using Real-Time fMRI

FellowshipPI-Fellow · Awarded by National Institutes of Health · 2014 - 2016

Fellowships, Gifts, and Supported Research


Seed Grant: Inclusion and Power Dynamics: Year 3 · 2020 Co-Lead · Awarded by: Duke Office for Faculty Advancement Over the past two years, the Duke Institute for Brain Sciences has hosted a workshop series on inclusion and power dynamics that has served more than 460 people across the university and health system. Faculty, staff, graduate students, and postdoctoral fellows have engaged with topics related to the unique power dynamics of a research environment and the ways that members of our community are impacted by that power structure. For the coming year, this group will offer workshops and training in skills that promote inclusion; convene conversations with experts and leaders at Duke to share best practices; and create affinity groups to support each other and share resources for improving workplace culture. Duke faculty are the primary focus, but the broader audiences may include staff, students, and postdoctoral fellows. https://facultyadvancement.duke.edu/2020-faculty-advancement-seed-grants-awardees
Seed Grant: Navigating Power Dynamics in a Diverse and Inclusive Academic Community · 2019 Lead · Awarded by: Duke Office for Faculty Advancement Creating a Healthy, Vibrant, and Inclusive Community That Welcomes All People and Perspectives. https://facultyadvancement.duke.edu/seed-grants/2027
Seed Grant: Inclusion and Power Dynamics in Academia · 2018 Lead · Awarded by: Duke Office for Faculty Advancement A series of workshops and seminars over the course of a year that will discuss issues related to inclusion (specifically gender and race) and power dynamics in academia. https://facultyadvancement.duke.edu/seed-grants/2024