Modulating activity in the orbitofrontal cortex changes trustees' cooperation: A transcranial direct current stimulation study

To bridge or not to bridge: Moral Judgement in Cocaine Use Disorders, a case-control study on human morality

BACKGROUND

In the "Dual-Process theory", morality is characterized by the interaction between an automatic-emotional process, mediated by the Anterior Cingulate Cortex (ACC) and linked to personal-deontological decisions, and a rational-conscious one, mediated by the Dorso-Lateral Prefrontal Cortex (DLPFC) and linked to impersonal-utilitarian decisions. These areas are altered by chronic use of cocaine, with a possible impact on moral decision-making.

OBJECTIVE

To evaluate the difference between a group of Cocaine Use Disorder (CUD) patients and a control group in moral decision-making.

METHODS

Subjects with CUD were compared to an equal-sized healthy group regarding their moral decision-making. Trolley and Footbridge Moral Dilemmas were administered to each group. The quality of the answer (yes or no) and the time needed to answer were recorded.

RESULTS

The recruited group includes 72 subjects, 36 with CUD and 36 healthy subjects (average age of 39.51 ± 9.89). In the Trolley dilemma, almost all the subjects (97.3%) answered "yes", while in the Footbridge dilemma CUD subjects answered "yes" more often (52.7%) than the healthy group (19.4%).

CONCLUSION

For strong emotional dilemmas (Footbridge), cocaine users answered "yes" with a higher frequency compared to healthy subjects, highlighting a wider utilitarian tendency in decision-making and a poor emotional participation.

Modulating OFC Activity With tDCS Alters Regret About Human Decision-Making

Regret is a common emotion in daily life. Humans always regret their decision-making choices if the chosen outcome is bad. Neuroscientific studies suggest that the orbitofrontal cortex (OFC) influences feelings of regret. We used a transcranial direct current stimulation (tDCS) device to study the role of regret in participants' decision-making by modulating the activity of the OFC. The two-wheel-of-fortune gamble task was used in our experimental design, and we asked the participants to rate their feelings of regret after the computer presented the obtained and unobtained outcomes. The experimental results revealed that the effect of stimulation type was significant, which indicated that the influence of the OFC in regret was modulated by tDCS. Furthermore, based on post hoc analyses (Bonferroni), regret was lower in those who received left anodal/right cathodal stimulation than in those who received sham stimulation, which revealed that modulating the activity of the OFC reduced the emotional intensity of regret. In addition, an inverted U-shaped curve characterized the mean ratings of regret over time.

The tDCS effect on Prosocial Behavior: A Meta-Analytic Review

Previous studies have shown that transcranial direct current stimulation (tDCS) could potentially promote prosocial behaviors. However, results from randomized controlled trials are inconsistent. The current meta-analysis aimed to assess the effects of anodal and cathodal tDCS using single-session protocols on prosocial behaviors in healthy young adults and explore potential moderators of these effects. The results showed that compared with sham stimulation, anodal (excitatory) stimulation significantly increased (g = 0.27, 95% CI [0.11, 0.43], Z = 3.30, P = 0.001) and cathodal (inhibitory) stimulation significantly decreased prosocial behaviors (g = −0.19, 95% CI [−0.39, −0.01], Z = −1.95, P = 0.051) using a multilevel meta-analytic model. These effects were not significantly modulated by stimulation parameters (e.g. duration, intensity and site) and types of prosocial behavior. The risk of publication bias for the included effects was minimal, and no selective reporting (e.g. P-hacking) was found in the P-curve analysis. This meta-analysis showed that both anodal and cathodal tDCS have small but significant effects on prosocial behaviors. The current study provides evidence that prosocial behaviors are linked to the activity of the ‘social brain’. Future studies are encouraged to further explore whether tDCS could effectively treat social dysfunctions in psychiatry disorders.

Neural mechanisms necessary for empathy-related phenomena across species

The neural basis of empathy and prosociality has received much interest over the past decades. Neuroimaging studies localized a network of brain regions with activity that correlates with empathy. Here, we review how the emergence of rodent and nonhuman primate models of empathy-related phenomena supplements human lesion and neuromodulation studies providing evidence that activity in several nodes is necessary for these phenomena to occur. We review proof that (i) affective states triggered by the emotions of others, (ii) motivations to act in ways that benefit others, and (iii) emotion recognition can be altered by perturbing brain activity in many nodes identified by human neuroimaging, with strongest evidence for the cingulate and the amygdala. We also include evidence that manipulations of the oxytocin system and analgesics can have such effects, the latter providing causal evidence for the recruitment of an individual's own nociceptive system to feel with the pain of others.

Role of the right temporoparietal junction in intergroup bias in trust decisions

Intergroup bias, which is the tendency to behave more positively toward an in-group member than toward an out-group member, is pervasive in real life. In particular, intergroup bias in trust decisions substantially influences multiple areas of life and thus better understanding of this tendency can provide significant insights into human social behavior. Although previous functional magnetic resonance imaging studies showed the involvement of the right temporoparietal junction (TPJ) in intergroup trust bias, a causal relationship between the two has rarely been explored. By combining repetitive transcranial magnetic stimulation and a newly developed trust game task, we investigated the causal role of the right TPJ in intergroup bias in trust decisions. In the trust game task, the counterpart's group membership (in-group or out-group) and reciprocity were manipulated. We applied either neuronavigated inhibitory continuous theta burst stimulation (cTBS) or sham stimulation over the right TPJ before performing the trust game task in healthy volunteers. After the sham stimulation, the participants' degrees of investments with in-group members were significantly higher than those with out-group members. However, after cTBS to the right TPJ, this difference was not observed. The current results extend previous findings by showing that the causal roles of the right TPJ can be observed in intergroup bias in trust decisions. Our findings add to our understanding of the mechanisms of human social behavior.

Enhancing activation in the right temporoparietal junction using theta-burst stimulation: Disambiguating between two hypotheses of top-down control of behavioral mimicry

Whereas previous research has focused on the role of the rTPJ when consciously inhibiting mimicry, we test the role of the rTPJ on mimicry within a social interaction, during which mimicking occurs nonconsciously. We wanted to determine whether higher rTPJ activation always inhibits the tendency to imitate (regardless of the context) or whether it facilitates mimicry during social interactions (when mimicking is an adaptive response). Participants received either active or sham intermittent theta-burst stimulation (iTBS: a type of stimulation that increases cortical activation) to the rTPJ. Next, we measured how much participants mimicked the hair and face touching of another person. Participants in the active stimulation condition engaged in significantly less mimicry than those in the sham stimulation condition. This finding suggests that even in a context in which mimicking is adaptive, rTPJ inhibits mimicry rather than facilitating it, supporting the hypothesis that rTPJ enhances representations of self over other regardless of the goals within a given context.

Norms and the Flexibility of Moral Action

A complex web of social and moral norms governs many everyday human behaviors, acting as the glue for social harmony. The existence of moral norms helps elucidate the psychological motivations underlying a wide variety of seemingly puzzling behavior, including why humans help or trust total strangers. In this review, we examine four widespread moral norms: Fairness, altruism, trust, and cooperation, and consider how a single social instrument-reciprocity-underpins compliance to these norms. Using a game theoretic framework, we examine how both context and emotions moderate moral standards, and by extension, moral behavior. We additionally discuss how a mechanism of reciprocity facilitates the adherence to, and enforcement of, these moral norms through a core network of brain regions involved in processing reward. In contrast, violating this set of moral norms elicits neural activation in regions involved in resolving decision conflict and exerting cognitive control. Finally, we review how a reinforcement mechanism likely governs learning about morally normative behavior. Together, this review aims to explain how moral norms are deployed in ways that facilitate flexible moral choices.

Fourth-Party Evaluation of Third-Party Pro-social Help and Punishment: An ERP Study

Pro-social behaviors have been adequately studied by neuroscientists. However, few neural studies have focused on the social evaluation of pro-social behaviors, and none has compared the neural correlates of different pro-social decision evaluations. By fourth-party evaluation of third-party punishment/help dictator game paradigm, we explored the third-party pro-social behaviors and derived feedback-related negativity (FRN) from the electroencephalogram. Different from previous event-related potentials (ERP) studies, we simultaneously focused on two different third-party pro-social behaviors, which were called third-party help and third-party punishment. For the first time, we compared the different neural processes of fourth-party evaluation on third-party help and punishment. Behavioral results showed that fourth-party bystanders appreciated the help behavior of the third party even more than the punishment behavior. ERP results revealed that fourth-party bystanders’ FRN amplitudes were modulated by the third-party behaviors. Under the assignment condition (70:30) with help/punishment magnitude 45 and (90:10) with magnitude 80, the third-party help elicited a larger FRN than third-party punishment; whereas under the condition (90:10) with help/punishment magnitude 45, the difference between FRN amplitudes disappeared. These results indicated that fourth-party bystanders ultimately agreed more with helpful third parties; however, after they witnessed the norm violation, they expected the third parties to punish the norm violators immediately. This phenomenon appears only when the third-party actors can achieve justice between norm violators and victims.

The Neural Basis of and a Common Neural Circuitry in Different Types of Pro-social Behavior

Pro-social behaviors are voluntary behaviors that benefit other people or society as a whole, such as charitable donations, cooperation, trust, altruistic punishment, and fairness. These behaviors have been widely described through non self-interest decision-making in behavioral experimental studies and are thought to be increased by social preference motives. Importantly, recent studies using a combination of neuroimaging and brain stimulation, designed to reveal the neural mechanisms of pro-social behaviors, have found that a wide range of brain areas, specifically the prefrontal cortex, anterior insula, anterior cingulate cortex, and amygdala, are correlated or causally related with pro-social behaviors. In this review, we summarize the research on the neural basis of various kinds of pro-social behaviors and describe a common shared neural circuitry of these pro-social behaviors. We introduce several general ways in which experimental economics and neuroscience can be combined to develop important contributions to understanding social decision-making and pro-social behaviors. Future research should attempt to explore the neural circuitry between the frontal lobes and deeper brain areas.

Modulating the Activity of the DLPFC and OFC Has Distinct Effects on Risk and Ambiguity Decision-Making: A tDCS Study

Human beings are constantly exposed to two types of uncertainty situations, risk and ambiguity. Neuroscientific studies suggest that the dorsolateral prefrontal cortex (DLPFC) and the orbital frontal cortex (OFC) play significant roles in human decision making under uncertainty. We applied the transcranial direct current stimulation (tDCS) device to modulate the activity of participants’ DLPFC and OFC separately, comparing the causal relationships between people’s behaviors and the activity of the corresponding brain cortex when confronted with situations of risk and ambiguity. Our experiment employed a pre–post design and a risk/ambiguity decision-making task, from which we could calculate the preferences via an estimation model. We found evidences that modulating the activity of the DLPFC using right anodal/left cathodal tDCS significantly enhanced the participants’ preferences for risk, whereas modulating the activity of the OFC with right anodal/left cathodal tDCS significantly decreased the participants’ preferences for ambiguity. The reverse effects were also observed in the reversed tDCS treatments on the two areas. Our results suggest that decision-making processes under risk and ambiguity are complicated and may be encoded in two distinct circuits in our brains as the DLPFC primarily impacts decisions under risk whereas the OFC affects ambiguity.

Controlling the Anchoring Effect through Transcranial Direct Current Stimulation (tDCS) to the Right Dorsolateral Prefrontal Cortex

Selective accessibility mechanisms indicate that anchoring effects are results of selective retrieval of working memory. Neuroimaging studies have revealed that the right dorsolateral prefrontal cortex (DLPFC) is closely related to memory retrieval and performance. However, no research has investigated the effect of changing the cortical excitability in right DLPFC on anchoring effects. Transcranial direct current stimulation (tDCS) can modulate the excitability of the human cerebral cortex, while anodal and cathodal tDCS are postulated to increase or decrease cortical activity, respectively. In this study, we used tDCS to investigate whether effects of increased or decreased right DLPFC excitability influence anchoring effects in willingness to pay (WTP) experiments. Ninety participants were first randomly assigned to receive either anodal, cathodal, or sham stimulation of 15 min, then they performed a valuation task regarding WTP. The results showed that anchoring effects were negatively related to activities of right DLPFC: the anodal stimulation diminished anchoring effects while the cathodal stimulation increased anchoring effects. These outcomes provide one of the first instances of neural evidence for the role of the right DLPFC in anchoring effects and support psychological explanations of the selective accessibility mechanisms and cognitive sets.

When Cooperation Was Efficient or Inefficient. Functional Near-Infrared Spectroscopy Evidence

Cooperation is a construct within social cognition that requires both self-perception and the comprehension of others' actions. In the case of synchronized activities the adoption of common strategies is crucial, but this process can be strongly influenced by those variables. In fact, self-perceived efficacy within the social exchange can affect the motivational components toward the creation of synergic actions. Thus, what happens when our performance is efficient or inefficient during cooperation? This question was answered in the present study where we compared behavioral performance and neural activation across different conditions where subjects received an external feedback assessing a good or a poor outcome during a cooperative game. The request was to synchronize responses in a way to achieve good cooperation scorings. Results showed that the behavioral performance was affected by feedback valence, since the negative feedback induced a significant worse performance in contrast to the positive one, which significantly increased performance. For what concerns neural activation, data from functional near-infrared spectroscopy (fNIRS) showed a specific lateralization effect with the right DLPFC recruited in the case of negative feedback, and an opposite left-sided effect in the case of a positive feedback. Findings were interpreted by proposing that the inefficient condition could be similar to a competitive context since the perception of a failed joint action could have frustrated the cooperative attitude and the use of joint strategies.

Moral Enhancement Using Non-invasive Brain Stimulation

Biomedical enhancement refers to the use of biomedical interventions to improve capacities beyond normal, rather than to treat deficiencies due to diseases. Enhancement can target physical or cognitive capacities, but also complex human behaviors such as morality. However, the complexity of normal moral behavior makes it unlikely that morality is a single capacity that can be deficient or enhanced. Instead, our central hypothesis will be that moral behavior results from multiple, interacting cognitive-affective networks in the brain. First, we will test this hypothesis by reviewing evidence for modulation of moral behavior using non-invasive brain stimulation. Next, we will discuss how this evidence affects ethical issues related to the use of moral enhancement. We end with the conclusion that while brain stimulation has the potential to alter moral behavior, such alteration is unlikely to improve moral behavior in all situations, and may even lead to less morally desirable behavior in some instances.

Enhancing the Activity of the DLPFC with tDCS Alters Risk Preference without Changing Interpersonal Trust

Interpersonal trust plays an essential role in economic interactions and social development. Extensive behavioral experiments have examined the nature of trust, particularly the question of whether trusting decisions are connected to risk preferences or risk attitudes. Various laboratory observations have been reported regarding the difference between trust and risk, and neural imaging studies have demonstrated that the right dorsolateral prefrontal cortex (rDLPFC) is more activated when individuals decide to trust other human beings compared with individuals decide to invest in a non-social risk condition. Moreover, the rDLPFC has been found to exhibit an intimate relationship with risk preference in previous neuroscience studies. However, the causal relationship between the rDLPFC and trust has rarely been revealed. Whether modulating the excitability of the rDLPFC, which shares roles in both trust and risk decisions, alters the trust or risk preference of participants remains unknown. In the present study, we aimed to provide evidence of a direct link between the neural and behavioral results through the application of transcranial direct current stimulation (tDCS) over the rDLPFC. We found that activating the rDLPFC altered the risk preferences of our participants, whereas no such significant effect over interpersonal trust was observed. Our findings indicate that enhancing the excitability of the rDLPFC using tDCS leads to more conservative decision-makings in a risk game, and this effect is specific to non-social risk rather than social-related trust.

Modulating the Activity of Ventromedial Prefrontal Cortex by Anodal tDCS Enhances the Trustee's Repayment through Altruism

Trust and trustworthiness are essential to an efficient economy and play crucial roles in social life. Previous evidence from behavioral experiments has revealed that the trustworthiness of individuals is closely related with their altruistic preference. It has been demonstrated that the ventromedial prefrontal cortex (vmPFC) is associated with decisions involving trustworthiness. Moreover, vmPFC lesion patients showed less trustworthiness and altruism than control subjects, indicating the indispensable role of this specific brain area in human social interactions. However, the causal relationship between this neural area and trustworthiness, as well as altruism, has not been fully revealed. The potential neural basis behind the behavior of trustees' repayment has also seldom been discussed. In the present study, we aimed to provide evidence of a direct link between the neural and behavioral results through the application of transcranial direct current stimulation (tDCS) over the vmPFC of our participants. We found that activating the vmPFC could promote both the trustworthiness and altruism of our participants. We also show that enhancing the excitability of the vmPFC using tDCS increased the trustworthiness of the participants, and this promoting effect might be attributable to the enhancement of individuals' altruistic preference. In addition, we revealed that the enhancing effect in trustworthiness and altruism might be specific to the activation of the vmPFC by applying tDCS over another brain region within the prefrontal cortex as a control site. Crucially, our findings provide direct evidence supporting the critical role of the vmPFC in cooperative behaviors in economic interactions, especially the trustees' repayment in the trust game and the dictators' altruistic transfer in the dictator game.