《认知神经科学》课程教学资源（参考文献）[Ridderinkhof, K. R., Ullsperger, M., Crone, E. A., & Nieuwenhuiss, S.（2004）]The role of the medial frontal cortex in cognitive control

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merical reference may play a role in the emergence of a fully formed conception of number. The challenge now is to delineate that role. References and Notes 1. L. Gleitman, A. Papafragou, in Handbook of Thinking and Reasoning, K. J. Holyoak, R. Morrison, Eds. (Cambridge Univ. Press, New York, in press). 2. D. Gentner, S. Golden-Meadow, Eds., Language and Mind: Advances in the Study of Language and Thought (MIT Press, Cambridge, MA, 2003). 3. S. C. Levinson, in Language and Space, P. Bloom, M. Peterson, L. Nadel, M. Garrett, Eds. (MIT Press, Cambridge, MA, 1996), Chap. 4. 4. R. Gelman, S. A. Cordes, in Language, Brain, and Cognitive Development: Essays in Honor of Jacques Mehler, E. Dupoux, Ed. (MIT Press, Cambridge, MA, 2001), pp. 279–301. 5. B. Butterworth, The Mathematical Brain (McMillan, London, 1999). 6. C. R. Gallistel, The Organization of Learning (Bradford Books/MIT Press, Cambridge, MA, 1990). 7. J. A. Fodor, The Language of Thought (T. Y. Crowell, New York, 1975). 8. P. Gordon, Science 306, 496 (2004). 9. P. Pica, C. Lemer, V. Izard, S. Dehaene, Science 306, 499 (2004). 10. D. L. Everett, (2004) http://lings.In.man.ac.uk/info/ staff/DE/cultgram.pdf (cited by permission). 11. C. R. Gallistel, R. Gelman, in Handbook of Thinking and Reasoning, K. J. Holyoak, R. Morrison, Eds. (Cambridge University Press, New York, in press). 12. E. M. Brannon, H. S. Terrace, in The Cognitive Animal: Empirical and Theoretical Perspectives on Animal Cognition, M. Bekoff, C. Allen, Eds. (MIT Press, Cambridge, MA, 2002), pp. 197–204. 13. S. Dehaene, The Number Sense (Oxford University Press, Oxford, 1997). 14. R. Gelman, B. Butterworth, Trends Cognit. Sci., in press. 15. L. Gleitman, J. Trueswell, K. Cassidy, R. Nappa, A. Papafragou, Lang. Learn. Dev., in press. 16. S. Carey, Daedalus 133, 59 (2004). 17. E. von Glaserfield, in The Development of Numerical Competence: Animal and Human Models, S. T. Boysen, E. J. Capaldi (Lawrence Erlbaum Associates, Hillsdale, NJ, 1993), pp. 225<244. 18. H. Davis, R. Pe´russe, Behav. Brain Sci. 11, 561 (1988). 19. P. B. Buckley, C. B. Gillman, J. Exp. Psychol. 103, 1131 (1974). REVIEW The Role of the Medial Frontal Cortex in Cognitive Control K. Richard Ridderinkhof,1,2* Markus Ullsperger,3 Eveline A. Crone,4 Sander Nieuwenhuis5 Adaptive goal-directed behavior involves monitoring of ongoing actions and performance outcomes, and subsequent adjustments of behavior and learning. We evaluate new findings in cognitive neuroscience concerning cortical interactions that subserve the recruitment and implementation of such cognitive control. A review of primate and human studies, along with a meta-analysis of the human functional neuroimaging literature, suggest that the detection of unfavorable outcomes, response errors, response conflict, and decision uncertainty elicits largely overlapping clusters of activation foci in an extensive part of the posterior medial frontal cortex (pMFC). A direct link is delineated between activity in this area and subsequent adjustments in performance. Emerging evidence points to functional interactions between the pMFC and the lateral prefrontal cortex (LPFC), so that monitoringrelated pMFC activity serves as a signal that engages regulatory processes in the LPFC to implement performance adjustments. Flexible goal-directed behavior requires an adaptive cognitive control system for selecting contextually relevant information and for organizing and optimizing information processing. Such adaptive control is effortful, and therefore it may not be efficient to maintain high levels of control at all times. Here we review recent studies in cognitive neuroscience that have advanced our understanding of how the brain determines and communicates the need to recruit cognitive control. Convergent evidence suggests that the posterior medial frontal cortex (pMFC) and lateral prefrontal cortex (LPFC) are important contributors to cognitive control. Our focus is on the role of the pMFC in performance monitoring, especially in situations in which pMFC activity is followed by performance adjustments. Evaluating the adequacy and success of performance is instrumental in determining and implementing appropriate behavioral adjustments. For instance, detection of a performance error may be used to shift performance strategy to a more conservative speed/accuracy balance. Based on the evidence reviewed below, we develop the tentative hypothesis that one unified function of the pMFC is performance monitoring in relation to anticipated rewards. The monitored signals may index the failure (errors or negative feedback) or reduced probability (conflicts or decision uncertainty) of obtaining such rewards, and as such signal the need for increased control. Performance Monitoring Flexible adjustments of behavior and reward-based association learning require the continuous assessment of ongoing actions and the outcomes of these actions. The ability to monitor and compare actual performance with internal goals and standards is critical for optimizing behavior. We first review evidence from primate, electrophysiological, and functional neuroimaging studies that points toward the importance of pMFC areas (Fig. 1A) in monitoring unfavorable performance outcomes, response errors, and response conflicts, respectively. These conditions have in common that they signal that goals may not be achieved or rewards may not be obtained unless the level of cognitive control is subsequently increased. Although the pMFC can also be activated by positive events (such as rewards) (1, 2), we focus here on negative events and their consequences. Because errors and conflicts are intrinsically negative, and because unfavorable outcomes are typically more consequential for the regulation of cognitive control than are favorable outcomes, our review focuses on the role of the pMFC in monitoring negative events. Monitoring unfavorable outcomes. Electrophysiological recordings in nonhuman primates implicate the pMFC in monitoring performance outcomes. Distinct neuron populations in the pMFC, particularly in the supplementary eye fields and the rostral cingulate motor area (CMAr), are sensitive to reward expectancy and reward delivery (1, 3, 4). In addition, CMAr neurons exhibit sensitivity to unexpected reductions in reward (5). Likewise, specific groups of neurons in the depth of the cingulate sulcus (area 24c) react to response errors and to unexpected omissions of rewards (5). These findings are consistent with a role for these neuronal populations in comparing expected and actual outcomes. 1 Department of Psychology, University of Amsterdam, Roetersstraat 15, 1018 WB Amsterdam, Netherlands. 2 Department of Psychology, Leiden University, Wassenaarseweg 52, 2333 AK Leiden, Netherlands. 3 Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstrasse 1A, 04103 Leipzig, Germany. 4 Center for Mind and Brain, University of California Davis, 202 Cousteau Place, Suite 201, Davis, CA 95616, USA. 5 Department of Cognitive Psychology, Vrije Universiteit, Van der Boechorststraat 1, 1081 BT Amsterdam, Netherlands. *To whom correspondence should be addressed. E-mail: K.R.Ridderinkhof@uva.nl C OGNITION AND B EHAVIOR www.sciencemag.org SCIENCE VOL 306 15 OCTOBER 2004 443 S PECIAL S ECTION

COGNITION AND BEHAVIOR Human neuroimaging studies implicate inforcers such as pain affect and pleasant Consistent with these single-cell recordings the pMFC,including the dorsal anterior tastes,suggesting that the pMFC plays a and brain imaging studies,electrophysiological cingulate cortex (ACC),along with other general role in coding the motivational value scalp recordings have found an error-sensitive brain structures,in differential processing of of external events. event-related brain potential localized to the unfavorable outcomes (Fig.1B).These Electrophysiological recordings in hu- pMFC,which is attenuated in patients include studies using monetary rewards and mans have identified the purported event- with damage to the dorsal ACC (/3).This punishments(6)and studies using abstract related brain potential correlate of the pMFC response-related ERN (or "response ERN") response to unfavorable outcomes:the develops at the time of the first incorrect n performance feedback(7).Similar parts of the pMFC are activated by primary re- feedback-related error-related negativity (or muscle activity and peaks about 100 ms later, “feedback ERN").This indicating that the underlying generator has negative-polarity volt- B access to an efference copy of the initiated age deflection peaks ap- ● incorrect response (/4).The response ERN pre-response conflict proximately 250 to 300 is triggered by errors elicited under speeded decision uncertainty ms after a stimulus in- response conditions,independent of the re- response error dicating the outcome, sponse effector(such as hands,feet,eyes,or and is greater in am- voice),and increases in amplitude with the negative feedback plitude for negative size or degree of error(/5).Errors in these performance feedback tasks result predominantly from premature and outcomes indicating responding,but continued stimulus process- monetary losses than for ing after the response can provide sufficient positive feedback and information for outcome assessment.The monetary gains (8).The morphology,polarity,and scalp distribution timing of this brain po- of the response ERN are similar to those of tential suggests that the the feedback ERN,suggesting that the two pMFC computes or has ERN potentials may index a generic error- access to a rapid evalua- processing system in the pMFC tion of the outcome stim- A recent theory has extended the notion Am 60 40 20 20 ulus.Furthermore.initial that the role of the dorsal ACC in coding mm studies report that the outcome-and error-related information may amplitude of the feedback be understood in terms of a common func- ERN shows a graded tional and neurobiological mechanism (8). 60 sensitivity to the value of The theory is predicated on prior research outcome stimuli that is indicating that errors in reward prediction are normalized with respect coded by phasic changes in the activity of the 40 to the subjectively ex- midbrain dopamine system:a phasic increase 41 pected outcome value when ongoing events are suddenly better than (mean)and experienced expected,and a phasic decrease when ongoing 24 range of outcome values events are suddenly worse than expected (/6) 20 (variance)(9). The theory builds on this research by propos- Monitoring response ing that these phasic dopamine signals are errors.Primate studies conveyed to the RCZ,where the signals are show that,in addition to used to improve task performance in accord- feedback-sensitive cells. ance with the principles of reinforcement the CMAr also contains learning.Furthermore,it proposes that the error-sensitive cells (4, phasic dopamine signals modulate the activ- -20 10).Corroborating these ity of motor neurons in the RCZ.which is results,subsequent hu- measurable at the scalp as changes in ERN man functional neu- amplitude.Phasic decreases in dopamine ac- roimaging studies have tivity (indicating a negative reward predic- 40 reported increased pMFC tion error)are associated with large ERNs activation in response to and phasic increases (indicating a positive Fig.1.Areas in the medial frontal cortex involved in performance errors as compared to reward prediction error)with small ERNs. monitoring.(A)Anatomical map of the medial frontal cortex.This is a correct responses in var- A strong prediction of this theory is that schematic map of anatomical areas in the human pMFC,based on ious two-alternative the same region of the dorsal ACC should be the atlas by Talairach and Toumoux(see supporting online material) forced-choice tasks (1/). activated by response errors and unexpected The numbers indicate Brodmann areas.The area shaded in red encompasses the RCZ,and the area shaded in blue indicates the The reported error-related negative feedback.Also,during reward- caudal cingulate zone (CCZ).as suggested by Picard and Strick (11) activations cover a wide based action learning,neural activity in this (B)Outcome of a meta-analysis of midline foci of activation reported range along the anterior- area should gradually propagate back from in 38 fMRI studies published between 1997 and 2004 investigating posterior extent of the the feedback to the action that comes to brain activity associated with pre-response conflict,decision uncer- pMFC.with particular predict the value of the feedback.These tainty,response errors,and negative feedback(20).In the upper part clustering in the rostral predictions have been confirmed using neuro- of the figure,the activation foci are superimposed on a saggital slice of an anatomical MRI scan at x=4.In the lower part,the activation cingulate zone (RCZ) imaging,ERN measurements,and computa- foci are superimposed on the enlarged schematic area map.The (/2),the human homo- tional modeling (8,/7). majority of activations cluster in the posterodorsal medial frontal log of the monkey's Monitoring response conflict.An alterna- cortex,in the region where areas 8,6,32,and 24 border each other. CMAr (Fig.1B). tive theory is that the pMFC,and in 444 15 OCTOBER 2004 VOL 306 SCIENCE www.sciencemag.org

Human neuroimaging studies implicate the pMFC, including the dorsal anterior cingulate cortex (ACC), along with other brain structures, in differential processing of unfavorable outcomes (Fig. 1B). These include studies using monetary rewards and punishments (6) and studies using abstract performance feedback (7). Similar parts of the pMFC are activated by primary reinforcers such as pain affect and pleasant tastes, suggesting that the pMFC plays a general role in coding the motivational value of external events. Electrophysiological recordings in humans have identified the purported eventrelated brain potential correlate of the pMFC response to unfavorable outcomes: the feedback-related error-related negativity (or ‘‘feedback ERN’’). This negative-polarity voltage deflection peaks approximately 250 to 300 ms after a stimulus indicating the outcome, and is greater in amplitude for negative performance feedback and outcomes indicating monetary losses than for positive feedback and monetary gains (8). The timing of this brain potential suggests that the pMFC computes or has access to a rapid evaluation of the outcome stimulus. Furthermore, initial studies report that the amplitude of the feedback ERN shows a graded sensitivity to the value of outcome stimuli that is normalized with respect to the subjectively expected outcome value (mean) and experienced range of outcome values (variance) (9). Monitoring response errors. Primate studies show that, in addition to feedback-sensitive cells, the CMAr also contains error-sensitive cells (4, 10). Corroborating these results, subsequent human functional neuroimaging studies have reported increased pMFC activation in response to errors as compared to correct responses in various two-alternative forced-choice tasks (11). The reported error-related activations cover a wide range along the anteriorposterior extent of the pMFC, with particular clustering in the rostral cingulate zone (RCZ) (12), the human homolog of the monkey’s CMAr (Fig. 1B). Consistent with these single-cell recordings and brain imaging studies, electrophysiological scalp recordings have found an error-sensitive event-related brain potential localized to the pMFC, which is attenuated in patients with damage to the dorsal ACC (13). This response-related ERN (or ‘‘response ERN’’) develops at the time of the first incorrect muscle activity and peaks about 100 ms later, indicating that the underlying generator has access to an efference copy of the initiated incorrect response (14). The response ERN is triggered by errors elicited under speeded response conditions, independent of the response effector (such as hands, feet, eyes, or voice), and increases in amplitude with the size or degree of error (15). Errors in these tasks result predominantly from premature responding, but continued stimulus processing after the response can provide sufficient information for outcome assessment. The morphology, polarity, and scalp distribution of the response ERN are similar to those of the feedback ERN, suggesting that the two ERN potentials may index a generic errorprocessing system in the pMFC. A recent theory has extended the notion that the role of the dorsal ACC in coding outcome- and error-related information may be understood in terms of a common functional and neurobiological mechanism (8). The theory is predicated on prior research indicating that errors in reward prediction are coded by phasic changes in the activity of the midbrain dopamine system: a phasic increase when ongoing events are suddenly better than expected, and a phasic decrease when ongoing events are suddenly worse than expected (16). The theory builds on this research by proposing that these phasic dopamine signals are conveyed to the RCZ, where the signals are used to improve task performance in accordance with the principles of reinforcement learning. Furthermore, it proposes that the phasic dopamine signals modulate the activity of motor neurons in the RCZ, which is measurable at the scalp as changes in ERN amplitude. Phasic decreases in dopamine activity (indicating a negative reward prediction error) are associated with large ERNs and phasic increases (indicating a positive reward prediction error) with small ERNs. A strong prediction of this theory is that the same region of the dorsal ACC should be activated by response errors and unexpected negative feedback. Also, during rewardbased action learning, neural activity in this area should gradually propagate back from the feedback to the action that comes to predict the value of the feedback. These predictions have been confirmed using neuroimaging, ERN measurements, and computational modeling (8, 17). Monitoring response conflict. An alternative theory is that the pMFC, and in Fig. 1. Areas in the medial frontal cortex involved in performance monitoring. (A) Anatomical map of the medial frontal cortex. This is a schematic map of anatomical areas in the human pMFC, based on the atlas by Talairach and Tournoux (see supporting online material). The numbers indicate Brodmann areas. The area shaded in red encompasses the RCZ, and the area shaded in blue indicates the caudal cingulate zone (CCZ), as suggested by Picard and Strick (11). (B) Outcome of a meta-analysis of midline foci of activation reported in 38 fMRI studies published between 1997 and 2004 investigating brain activity associated with pre-response conflict, decision uncertainty, response errors, and negative feedback (20). In the upper part of the figure, the activation foci are superimposed on a saggital slice of an anatomical MRI scan at x 0 4. In the lower part, the activation foci are superimposed on the enlarged schematic area map. The majority of activations cluster in the posterodorsal medial frontal cortex, in the region where areas 8, 6, 32, and 24 border each other. CCOGNITION AND OGNITION ANDBBEHAVIOR EHAVIOR 444 15 OCTOBER 2004 VOL 306 SCIENCE www.sciencemag.org S PECIAL S ECTION

COGNITION AND BEHAVIOR particular the dorsal ACC,is involved in the with pre-response conflict clustering slightly tradeoff between speed and accuracy of monitoring of response conflict (/8).Re- more dorsally than foci activated during responding that place the cognitive system n sponse conflict occurs when a task concur- error and feedback monitoring (2/,22). in a more cautious(as opposed to impulsive) IAL rently activates more than one response Second,single-cell recordings in monkeys response mode,and (ii)increases in control n tendency;for example,when the stimulus suggest that different (neighboring)neurons that improve the efficiency of information primes a prepotent but incorrect response or within specific pMFC regions can be in- processing.Speed/accuracy tradeoffs may be EC when the correct response is underdeter- volved in different aspects of performance expressed in“post-error slowing,”the ob- mined.Often,incorrect response tendencies monitoring (4).Thus,the overlap between servation that reaction times typically slow 。 are overridden in time by the overt correct the activation foci identified in human down after errors and correct,high-conflict response,resulting in high response conflict neuroimaging studies does not necessarily trials (18).Changes in control,induced by before the correct response (pre-response imply identical functions for all neurons or such trials,can become evident in improved conflict).In contrast.occasional errors neuronal ensembles within the pMFC. performance due to reduced interference resulting from premature responding are A potential link between the outlined from distracting information.For example, characterized by response conflict after the theories of pMFC functions is that pre- the increase in reaction times normally response:The correct response tendency response conflict and decision uncertainty observed for incongruent stimuli (where resulting from continued stimulus processing signal a reduced probability of obtaining target and distractor stimuli call for opposing conflicts with the already executed incorrect reward,whereas errors and unexpected responses)as compared to congruent stimuli response.In underdetermined responding negative feedback signal the loss of antici- (when distractors elicit the same action as (that is,under conditions requiring choosing pated reward.The pMFC,particularly thethe target stimulus)is typically reduced on from a set of responses,none of which is RCZ,is engaged when the need for adjust- trials after errors (30). more compelling than the others),decision ments to achieve action goals becomes Several observations are consistent with a uncertainty occurs.Thus,decision uncertain- evident.Interestingly,the monitoring pro- close link between modulations of pMFC ty involves conflict similar to response cesses examined here cluster primarily in the activity and subsequent changes in perform- conflict observed in tasks in which a transition zone between the cingulate and ance.One study categorized trials in terms of prepotent response is overridden (18). paracingulate (areas 24 and 32),association their ERN amplitudes and found that the The conflict-monitoring theory is consist- (area 8),and premotor cortices (area 6),an reaction time on the subsequent trial slowed ent with the neuroimaging evidence for area that has extensive connections with progressively with increasing ERN ampli- pMFC activation in response to errors, brain areas involved in the control of tude on the current trial (/4).In a similar reviewed above,and with the timing of the cognitive and motor processes and has been vein,response errors on a two-alternative response ERN,indicating post-response con- implicated in the regulation of autonomic forced-choice task are foreshadowed by flict.In addition,the theory predicts that the arousal (23,24).This presumably places the modulation of this pMFC activity during pMFC should be active in correct trials pMFC in a strategically located position for the immediately preceding (correct)re- characterized by high pre-response conflict, signaling the need for performance adjust- sponse.Error-preceding trials were charac- a prediction that has been confirmed by a ments and for interacting with brain areas terized by increased positivity in the time large number of studies(Fig.1B).Moreover, involved in motor and cognitive,as well as window typically associated with the ERN the predicted timing of such conflict-related autonomic and motivational,functions. (③I).This“error--preceding positivity”may activity is consistent with the occurrence of reflect a transient disengagement of the an ERN-like component,the N2,just before Performance Adjustments monitoring system,resulting in occasional the response (19).Finally,the detection of Although the pMFC is consistently impli- failures to implement appropriate control high post-response conflict may be used as a cated in action monitoring,the mechanisms adjustments and hence in errors.Experimen- reliable basis for internal error detection, underlying the implementation of subsequent tal factors that affect ERN amplitude may thereby obviating the need for an explicit performance adjustments are less well un- also affect subsequent performance adjust- error detection mechanism (/9). derstood.Two important questions are:(i)Is ments.For example,alcohol consumption The theory further holds that,upon the there a link between pMFC activation led to a reduction in the ERN amplitude and detection of response conflict,the pMFC associated with performance monitoring and eliminated the post-error reduction of inter- signals other brain structures that the level of subsequent performance adjustments?(ii) ference observed in a control condition (30). cognitive control needs to be increased. What brain structures may be involved in The relation between these findings and the Convergence and divergence in perform- the implementation of such control adjust- associated neural circuitry was captured ance monitoring.The findings reviewed ments?In neuroimaging and neuropsycho- more directly in recent neuroimaging studies above suggest that the detection of unfavor- logical studies,the LPFC has been broadly of Stroop task and response-inhibition per- able outcomes,response errors,response implicated in the coordination of adaptive formance (32,33):Post-hoc reaction time conflict,and decision uncertainty elicits goal-directed behavior(25-29).We review analyses revealed that greater ACC activity largely overlapping clusters of activation studies that address the first question,and during error trials was associated with foci in the pMFC.This assumption is we briefly evaluate the scant literature on greater post-error slowing. consistent with a meta-analysis of the human functional interactions between the pMFC The latter studies also addressed the role neuroimaging literature (table S1),focusing and LPFC in the service of adaptive control. of the LPFC in implementing control adjust- on pMFC activations in response to these pMFC activity and immediate control ments and its interaction with the pMFC. types of events (Fig.1B)(20).The high adjustments.When stimuli elicit conflicting Trials exhibiting the greatest behavioral degree of overlap should not be taken. response tendencies or overt response errors, adjustments after errors and correct,high- however,as direct evidence for a generic appropriate performance adjustments may be conflict trials were associated with increased role of neurons (or neuronal populations)in aimed not only at immediate correction of activity in the LPFC.Further,the degree of this brain area in monitoring various aspects these tendencies but also at preventing errors pMFC activity on conflict and error trials of performance.First,although there is on subsequent trials.A distinction can be accurately predicted activity in the LPFC on considerable overlap,there are some appar- made between two types of trial-to-trial the next trial.These and other findings are ent differences as well.with foci associated performance adjustments:(i)shifts in the consistent with the idea that the pMFC,as a www.sciencemag.org SCIENCE VOL 306 15 OCTOBER 2004 445

particular the dorsal ACC, is involved in the monitoring of response conflict (18). Response conflict occurs when a task concurrently activates more than one response tendency; for example, when the stimulus primes a prepotent but incorrect response or when the correct response is underdetermined. Often, incorrect response tendencies are overridden in time by the overt correct response, resulting in high response conflict before the correct response (pre-response conflict). In contrast, occasional errors resulting from premature responding are characterized by response conflict after the response: The correct response tendency resulting from continued stimulus processing conflicts with the already executed incorrect response. In underdetermined responding (that is, under conditions requiring choosing from a set of responses, none of which is more compelling than the others), decision uncertainty occurs. Thus, decision uncertainty involves conflict similar to response conflict observed in tasks in which a prepotent response is overridden (18). The conflict-monitoring theory is consistent with the neuroimaging evidence for pMFC activation in response to errors, reviewed above, and with the timing of the response ERN, indicating post-response conflict. In addition, the theory predicts that the pMFC should be active in correct trials characterized by high pre-response conflict, a prediction that has been confirmed by a large number of studies (Fig. 1B). Moreover, the predicted timing of such conflict-related activity is consistent with the occurrence of an ERN-like component, the N2, just before the response (19). Finally, the detection of high post-response conflict may be used as a reliable basis for internal error detection, thereby obviating the need for an explicit error detection mechanism (19). The theory further holds that, upon the detection of response conflict, the pMFC signals other brain structures that the level of cognitive control needs to be increased. Convergence and divergence in performance monitoring. The findings reviewed above suggest that the detection of unfavorable outcomes, response errors, response conflict, and decision uncertainty elicits largely overlapping clusters of activation foci in the pMFC. This assumption is consistent with a meta-analysis of the human neuroimaging literature (table S1), focusing on pMFC activations in response to these types of events (Fig. 1B) (20). The high degree of overlap should not be taken, however, as direct evidence for a generic role of neurons (or neuronal populations) in this brain area in monitoring various aspects of performance. First, although there is considerable overlap, there are some apparent differences as well, with foci associated with pre-response conflict clustering slightly more dorsally than foci activated during error and feedback monitoring (21, 22). Second, single-cell recordings in monkeys suggest that different (neighboring) neurons within specific pMFC regions can be involved in different aspects of performance monitoring (4). Thus, the overlap between the activation foci identified in human neuroimaging studies does not necessarily imply identical functions for all neurons or neuronal ensembles within the pMFC. A potential link between the outlined theories of pMFC functions is that preresponse conflict and decision uncertainty signal a reduced probability of obtaining reward, whereas errors and unexpected negative feedback signal the loss of anticipated reward. The pMFC, particularly the RCZ, is engaged when the need for adjustments to achieve action goals becomes evident. Interestingly, the monitoring processes examined here cluster primarily in the transition zone between the cingulate and paracingulate (areas 24 and 32), association (area 8), and premotor cortices (area 6), an area that has extensive connections with brain areas involved in the control of cognitive and motor processes and has been implicated in the regulation of autonomic arousal (23, 24). This presumably places the pMFC in a strategically located position for signaling the need for performance adjustments and for interacting with brain areas involved in motor and cognitive, as well as autonomic and motivational, functions. Performance Adjustments Although the pMFC is consistently implicated in action monitoring, the mechanisms underlying the implementation of subsequent performance adjustments are less well understood. Two important questions are: (i) Is there a link between pMFC activation associated with performance monitoring and subsequent performance adjustments? (ii) What brain structures may be involved in the implementation of such control adjustments? In neuroimaging and neuropsychological studies, the LPFC has been broadly implicated in the coordination of adaptive goal-directed behavior (25–29). We review studies that address the first question, and we briefly evaluate the scant literature on functional interactions between the pMFC and LPFC in the service of adaptive control. pMFC activity and immediate control adjustments. When stimuli elicit conflicting response tendencies or overt response errors, appropriate performance adjustments may be aimed not only at immediate correction of these tendencies but also at preventing errors on subsequent trials. A distinction can be made between two types of trial-to-trial performance adjustments: (i) shifts in the tradeoff between speed and accuracy of responding that place the cognitive system in a more cautious (as opposed to impulsive) response mode, and (ii) increases in control that improve the efficiency of information processing. Speed/accuracy tradeoffs may be expressed in ‘‘post-error slowing,’’ the observation that reaction times typically slow down after errors and correct, high-conflict trials (18). Changes in control, induced by such trials, can become evident in improved performance due to reduced interference from distracting information. For example, the increase in reaction times normally observed for incongruent stimuli (where target and distractor stimuli call for opposing responses) as compared to congruent stimuli (when distractors elicit the same action as the target stimulus) is typically reduced on trials after errors (30). Several observations are consistent with a close link between modulations of pMFC activity and subsequent changes in performance. One study categorized trials in terms of their ERN amplitudes and found that the reaction time on the subsequent trial slowed progressively with increasing ERN amplitude on the current trial (14). In a similar vein, response errors on a two-alternative forced-choice task are foreshadowed by modulation of this pMFC activity during the immediately preceding (correct) response. Error-preceding trials were characterized by increased positivity in the time window typically associated with the ERN (31). This ‘‘error-preceding positivity’’ may reflect a transient disengagement of the monitoring system, resulting in occasional failures to implement appropriate control adjustments and hence in errors. Experimental factors that affect ERN amplitude may also affect subsequent performance adjustments. For example, alcohol consumption led to a reduction in the ERN amplitude and eliminated the post-error reduction of interference observed in a control condition (30). The relation between these findings and the associated neural circuitry was captured more directly in recent neuroimaging studies of Stroop task and response-inhibition performance (32, 33): Post-hoc reaction time analyses revealed that greater ACC activity during error trials was associated with greater post-error slowing. The latter studies also addressed the role of the LPFC in implementing control adjustments and its interaction with the pMFC. Trials exhibiting the greatest behavioral adjustments after errors and correct, highconflict trials were associated with increased activity in the LPFC. Further, the degree of pMFC activity on conflict and error trials accurately predicted activity in the LPFC on the next trial. These and other findings are consistent with the idea that the pMFC, as a C OGNITION AND B EHAVIOR www.sciencemag.org SCIENCE VOL 306 15 OCTOBER 2004 445 S PECIAL S ECTION

monitor, and the LPFC, as a controller, interact in the regulation of goal-directed behavior (18). pMFC activity and reward-based association learning. In addition to the link between pMFC activity and immediate adjustments in performance, there also seems to be a close relation between pMFC activity and reward-based association learning. A study of reward-based reversal learning in monkeys identified cells in the CMAr that fired only when two conditions were met: (i) reward was less than anticipated, and (ii) the reduction in reward was followed by changes in the monkeys’ action selection (5). This finding has been corroborated by two recent functional magnetic resonance imaging (fMRI) studies of reversal learning, showing that ACC activity was observed under the same conjunctive condition (34, 35). Reversal learning studies typically also show activation of the LPFC and other structures in association with changes in choice behavior (36). Whether these behavioral adjustments are implemented by or pMFC or whether the pMFC merely signals the LPFC or other structures to implement the adjustments remains to be explored. Finally, there is evidence for an intimate relation between ERN amplitude and associative learning. In scalp electrophysiological activity, recorded from human participants who were required to learn stimulus-response contingencies on the basis of trial-to-trial positive or negative feedback, the feedback ERN to negative feedback decreased as participants were learning the contingencies, which is consistent with the theory discussed above that the ERN reflects a reward prediction error signal (8). Also, as participants learned the response associated with each stimulus, the response ERN associated with choice errors (provoked through the use of a stringent reaction time deadline) increased. In a temporal difference-learning model, not only did the ERN correlate with a reward prediction error but the brain activity underlying the ERN could also serve as a reinforcement learning signal for associative learning and hence optimizing task performance (8). Conclusions and Future Directions We have provided an overview of the evidence suggesting a critical role for the pMFC in performance monitoring and the implementation of associated adjustments in cognitive control. Our meta-analysis indicates that an extensive part of the pMFC— including areas 6, 8, 24, and 32, largely falling into a region referred to as the RCZ in humans—is consistently activated after the detection of response conflict, errors, and unfavorable outcomes. The similarities between two brain potentials generated by this area, the ERN and feedback ERN, are consistent with the view that the pMFC accommodates a unified functional and neurobiological performance-monitoring mechanism (8). This mechanism allows the pMFC to signal the likelihood of obtaining an anticipated reward (either definitive, as observed in studies of error detection and feedback processing, or probabilistic, as observed in studies of decision uncertainty and pre-response conflict). Three conclusions from the meta-analysis should be emphasized. First, performance monitoring is associated with pMFC activations in a functionally integrated region (the RCZ) that cuts across various Brodmann areas beyond the ‘‘traditionally’’ reported ACC. Second, the most pronounced cluster of activations is in area 32 for all types of monitored events, suggesting the importance of this area for a unified performance monitoring function. Thus, the conclusion that error monitoring and conflict monitoring are performed by different areas, as derived from initial studies that were designed to identify differential involvement, is not ubiquitously confirmed by the meta-analysis. Third, activations related to pre-response conflict and uncertainty occur more often in area 8 and less often in area 24 than do activations associated with errors and negative feedback. Thus, although there is considerable overlap, there are some apparent differences as well, with activation foci associated with reduced probabilities of obtaining reward clustering slightly more dorsally than foci associated with errors and failures to obtain anticipated reward. This generic monitoring function endows the pMFC with the capacity to signal the need for performance adjustment. Indeed, further evidence indicates a tight link between activity in this area and subsequent adjustments in performance, suggesting that the pMFC signals other brain regions that changes in cognitive control are needed. Although direct evidence is sparse, a likely candidate structure for effecting these control adjustments is the LPFC. Thus, monitoring-related pMFC activity may serve as a signal that engages control processes in the LPFC that are needed to regulate task performance in an adaptive fashion. This conclusion notwithstanding, several questions remain. First, most studies of the pMFC and performance monitoring have tried to relate pMFC activity to control adjustments on the subsequent trial. An unresolved issue is whether the monitoring signal from the pMFC can also be used to resolve response conflicts on a within-trial basis (34). There is in principle no reason why such adjustments could not be implemented already within the same trial (to resolve conflict and correct the activation of inappropriate responses before they eventuate in an overt error). It is hard to tackle this question empirically using neuroimaging studies, because it requires disentangling the monitoring signal (indicating the need for control) and the answer to this signal (control implementation), which may be partly overlapping in time. Another unresolved issue concerns the nature of the connection between the pMFC and LPFC. Anatomical studies in monkeys show dense reciprocal connections of the pMFC and LPFC (37, 38). In humans, evidence for such connections is more indirect. Neuroimaging studies show concomitant activations in the LPFC and pMFC (39), suggesting close functional connectivity between these two areas. Little is known, however, about differential or selective reciprocal projections between various portions of the pMFC on the one hand and various subdivisions of the LPFC on the other. Possibly, this functional interplay is in part mediated by subcortical structures such as the basal ganglia and mesencephalic nuclei (7, 8) or by the supplementary motor area (SMA) or pre-SMA (29, 40). Electrophysiological studies of patients with LPFC lesions have reported abnormal pMFC activity in response to errors (41). Such studies argue against the possibility of unidirectional information flow between the pMFC and LPFC, and instead suggest that performance monitoring and the regulation of cognitive control may be realized through intricate reciprocal projections between these two structures. It is a challenge for future research to further identify and characterize these interactions. Although our review of the literature capitalizes on the role of the pMFC in performance monitoring, leading to performance adjustments on subsequent trials, other studies have suggested a more executive role for the pMFC in implementing control directly (42). Studies in nonhuman primates have shown that cells in the pMFC (especially in the monkey homolog of the RCZ) are well situated for this role, because this area has direct and indirect projections to primary and supplementary motor areas (43, 44). It has been argued that some of these cells are involved in ‘‘goal-based action selection’’ (that is, selecting between competing actions in view of the anticipated reward associated with each of these actions) (43, 44). The relation between these complementary functions remains to be further explored. References and Notes 1. M. Shidara, B. Richmond, Science 296, 1709 (2002). 2. B. Knutson, G. W. Fong, C. M. Adams, J. L. Varner, D. Hommer, Neuroreport 12, 3683 (2001). 3. V. Stuphorn, T. L. Taylor, J. D. Schall, Nature 408, 857 (2000). CCOGNITION AND OGNITION ANDBBEHAVIOR EHAVIOR 446 15 OCTOBER 2004 VOL 306 SCIENCE www.sciencemag.org S PECIAL S ECTION

4. S. Ito, V. Stuphorn, J. W. Brown, J. D. Schall, Science 302, 120 (2003). 5. K. Shima, J. Tanji, Science 282, 1335 (1998). 6. J. O’Doherty, M. L. Kringelbach, E. T. Rolls, J. Hornak, C. Andrews, Nature Neurosci. 4, 95 (2001). 7. M. Ullsperger, D. Y. von Cramon, J. Neurosci. 23, 4308 (2003). 8. C. B. Holroyd, M. G. H. Coles, Psychol. Rev. 109, 679 (2002). 9. C. B. Holroyd, J. T. Larsen, J. D. Cohen, Psychophysiology 41, 245 (2004). 10. H. Gemba, K. Sasaki, V. B. Brooks, Neurosci. Lett. 70, 223 (1986). 11. M. Ullsperger, D. Y. Von Cramon, Cortex, in press. 12. N. Picard, P. L. Strick, Cereb. Cortex 6, 342 (1996). 13. C. B. Holroyd, S. Nieuwenhuis, R. B. Mars, M. G. H. Coles, in Cognitive Neuroscience of Attention, M. I. Posner, Ed. (Guilford, New York, in press). 14. W. J. Gehring, B. Goss, M. G. H. Coles, D. E. Meyer, E. Donchin, Psychol. Sci. 4, 385 (1993). 15. M. Falkenstein, J. Hoormann, S. Christ, J. Hohnsbein, Biol. Psychol. 51, 87 (2000). 16. W. 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Activations related to pre-response conflict and uncertainty occur more often in area 8 and less often in area 24 than do signal increases associated with errors and negative feedback (area 8, 32.5% versus 9.7%; area 24, 7.5% versus 25.8%), supporting the dissociation view. However, both groups of activations cluster primarily in area 32 (pre-response, 42.5%; error, 41.9%), suggesting that pre- as well as post-response monitoring processes share at least one underlying structure. It seems that the currently available spatial resolution in fMRI, in conjunction with anatomical variability and differences in scanning and preprocessing methods between studies, limit the ability to resolve this debate about a possible dissociation in the range of 10 mm or less. 23. T. Paus, Nature Rev. Neurosci. 2, 417 (2001). 24. H. D. Critchley et al., Brain 126, 2139 (2003). 25. E. K. Miller, J. D. Cohen, Annu. Rev. Neurosci. 24, 167 (2001). 26. A. R. Aron, T. W. Robbins, R. A. Poldrack, Trends Cogn. 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Y. von Cramon, Eur. J. Neurosci. 19, 3081 (2004). 41. W. J. Gehring, R. T. Knight, Nature Neurosci. 3, 516 (2000). 42. M. I. Posner, G. J. DiGirolamo, in The Attentive Brain, R. Parasuraman, Ed. (MIT Press, Cambridge, MA, 1998), pp. 401–423. 43. K. Matsumoto, K. Tanaka, Science 303, 969 (2004). 44. K. Matsumoto, K. Tanaka, Curr. Opin. Neurobiol. 14, 178 (2004). 45. This research was supported by a TALENT grant (E.A.C.) and a VENI grant (S.N.) of the Netherlands Organization for Scientific Research and by the Priority Program Executive Functions of the German Research Foundation (M.U.). Helpful comments by S. Bunge are gratefully acknowledged. Supporting Online Material www.sciencemag.org/cgi/content/full/306/5695/443/ DC1 Materials and Methods Table S1 References REVIEW Neuroeconomics: The Consilience of Brain and Decision Paul W. Glimcher1* and Aldo Rustichini2 Economics, psychology, and neuroscience are converging today into a single, unified discipline with the ultimate aim of providing a single, general theory of human behavior. This is the emerging field of neuroeconomics in which consilience, the accordance of two or more inductions drawn from different groups of phenomena, seems to be operating. Economists and psychologists are providing rich conceptual tools for understanding and modeling behavior, while neurobiologists provide tools for the study of mechanism. The goal of this discipline is thus to understand the processes that connect sensation and action by revealing the neurobiological mechanisms by which decisions are made. This review describes recent developments in neuroeconomics from both behavioral and biological perspectives. The full understanding of utility will come from biology and psychology by reduction to the elements of human behavior followed by a bottom-up synthesis, not from the social sciences by top-down inference and guesswork based on intuitive knowledge. It is in biology and psychology that economists and social scientists will find the premises needed to fashion more predictive models, just as it was in physics and chemistry that researchers found the premises that upgraded biology. (p. 206) (1) Consider the famous St. Petersburg paradox (2). Which of the following would you prefer, /40 or a lottery ticket that pays according to the outcomes of one or more fair coin tosses: heads you get /2 and the game ends, tails you get another toss and the game repeats, but now if the second toss lands heads up you get /4, and so on. If the nth toss is the first to land heads up, you get 2n dollars. The game continues, however long it takes, until the coin lands heads up. We can assess the average objective, or expected, value of this lottery by multiplying the probability of a win on each flip by the amount of that win: Expected value 0 ð0:5 2Þþð0:25 4Þ þ ð0:125 8ÞI 0 1 þ 1 þ 1 þ I This simple calculation reveals that the expected value of the lottery is infinite even though the average person is willing to pay less than /40 to play it. How could this be? For an economist, any useful explanation must begin with a set of assumptions that renders behavior formally tractable to coherent theoretical and mathematical analysis. Economists therefore explain this behavior by assuming that the desirability of money does not increase linearly, but rather grows more and more slowly as the total amount at stake increases. For example, the desirability of a given amount might be a power function 1 Center for Neural Science, New York University, New York, NY 10003, USA. 2 Department of Economics, University of Minnesota, Minneapolis, MN 55455, USA. *To whom correspondence should be addressed. E-mail: glimcher@cns.nyu.edu C OGNITION AND B EHAVIOR www.sciencemag.org SCIENCE VOL 306 15 OCTOBER 2004 447 S PECIAL S ECTION

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