Early cortical response to behaviorally relevant absence of anticipated outcomes: A human event-related potential study

Flexible adjustment of anticipations in human outcome processing

To sense whether thoughts refer to current reality or not, a capacity called orbitofrontal reality filtering, depends on an orbitofrontal signal when anticipated outcomes fail to occur. Here, we explored the flexibility and precision of outcome processing in a deterministic reversal learning task. Healthy subjects decided which one of two colored squares hid a target stimulus. Brain activity was measured with high-density electroencephalography. Stimuli resembling, but not identical with, the target stimuli were initially processed like different stimuli from 210 to 250 ms, irrespective of behavioral relevance. From 250 ms on, they were processed according to behavioral relevance: If they required a subsequent switch, they were processed like different stimuli; if they had been declared potential targets, they were treated like true targets. Stimuli requiring a behavioral switch induced strong theta activity in orbitofrontal, ventromedial, and medial temporal regions. The study indicates flexible adaptation of anticipations but precise processing of outcomes, mainly determined by behavioral relevance.

Distinct outcome processing in deterministic and probabilistic reversal learning

Anticipations that fail to happen are important drivers of behavioral adaptation. Their processing appears to depend on the context. In a deterministic environment, where a stimulus unequivocally predicts the outcome, processing of absent outcomes involves the posterior orbitofrontal cortex (OFC). Failure has been linked to reality confusion with confabulations and disorientation. In a probabilistic environment, absent outcomes appear to be processed by the anterior cingulate cortex (ACC) rather than the OFC. Failure has been associated with poor decision making and schizophrenia. These data suggest different mechanisms depending on the context. Here, healthy human subjects made two formally similar reversal learning tasks, but one with deterministic, the other with probabilistic instructions. Brain activity was monitored using high-density electroencephalography. We found that in the deterministic task, negative outcomes, which unequivocally call for a behavioral switch, induced a distinct frontal potential at 200-300 msec. Computational modeling indicated a strong association of evoked potentials with prediction error, surprise, and behavioral adaptation. In the probabilistic task, where behavioral adaptation follows the cumulated processing of outcomes, negative outcomes evoked potentials that were associated with prediction error and surprise, but had a weak link with subsequent behavior. Outcome processing in the probabilistic task induced stronger activation than the deterministic task of an extended network including the ACC, OFC and striatum at 300-400 msec. In both tasks, negative outcomes were processed differently from positive outcomes at 400-600 msec, possibly reflecting updating of the outcome record. We conclude that the brain disposes of at least two distinct systems processing outcomes with unequivocal or ambiguous behavioral significance. These systems differ along behavioral, clinical, electrophysiological and anatomical dimensions.

No Influence of Positive Emotion on Orbitofrontal Reality Filtering: Relevance for Confabulation

Orbitofrontal reality filtering (ORFi) is a mechanism that allows us to keep thought and behavior in phase with reality. Its failure induces reality confusion with confabulation and disorientation. Confabulations have been claimed to have a positive emotional bias, suggesting that they emanate from a tendency to embellish the situation of a handicap. Here we tested the influence of positive emotion on ORFi in healthy subjects using a paradigm validated in reality confusing patients and with a known electrophysiological signature, a frontal positivity at 200-300 ms after memory evocation. Subjects made two continuous recognition tasks ("two runs"), composed of the same set of neutral and positive pictures, but arranged in different order. In both runs, participants had to indicate picture repetitions within, and only within, the ongoing run. The first run measures learning and recognition. The second run, where all items are familiar, requires ORFi to avoid false positive responses. High-density evoked potentials were recorded from 19 healthy subjects during completion of the task. Performance was more accurate and faster on neutral than positive pictures in both runs and for all conditions. Evoked potential correlates of emotion and reality filtering occurred at 260-350 ms but dissociated in terms of amplitude and topography. In both runs, positive stimuli evoked a more negative frontal potential than neutral ones. In the second run, the frontal positivity characteristic of reality filtering was separately, and to the same degree, expressed for positive and neutral stimuli. We conclude that ORFi, the ability to place oneself correctly in time and space, is not influenced by emotional positivity of the processed material.

Cognitive tasks during expectation affect the congruency ERP effects to facial expressions

Expectancy congruency has been shown to modulate event-related potentials (ERPs) to emotional stimuli, such as facial expressions. However, it is unknown whether the congruency ERP effects to facial expressions can be modulated by cognitive manipulations during stimulus expectation. To this end, electroencephalography (EEG) was recorded while participants viewed (neutral and fearful) facial expressions. Each trial started with a cue, predicting a facial expression, followed by an expectancy interval without any cues and subsequently the face. In half of the trials, participants had to solve a cognitive task in which different letters were presented for target letter detection during the expectancy interval. Furthermore, facial expressions were congruent with the cues in 75% of all trials. ERP results revealed that for fearful faces, the cognitive task during expectation altered the congruency effect in N170 amplitude; congruent compared to incongruent fearful faces evoked larger N170 in the non-task condition but the congruency effect was not evident in the task condition. Regardless of facial expression, the congruency effect was generally altered by the cognitive task during expectation in P3 amplitude; the amplitudes were larger for incongruent compared to congruent faces in the non-task condition but the congruency effect was not shown in the task condition. The findings indicate that cognitive tasks during expectation reduce the processing of expectation and subsequently, alter congruency ERP effects to facial expressions.

An Electrophysiological Dissociation between Orbitofrontal Reality Filtering and Context Source Monitoring

Memory influences behavior in multiple ways. One important aspect is to remember in what precise context in the past a piece of information was acquired (context source monitoring). Another important aspect is to sense whether an upcoming thought, composed of fragments of memories, refers to present reality and can be acted upon (orbitofrontal reality filtering). Whether these memory control processes share common underlying mechanisms is unknown. Failures of both have been held accountable for false memories, including confabulation. Electrophysiological and imaging studies suggest a dissociation but used very different paradigms. In this study, we juxtaposed the requirements of context source monitoring and reality filtering within a unique continuous recognition task, which healthy participants performed while high-resolution evoked potentials were recorded. The mechanisms dissociated both behaviorally and electrophysiologically: Reality filtering induced a frontal positivity, absence of a specific electrocortical configuration, and posterior medial orbitofrontal activity at 200–300 msec. Context source monitoring had no electrophysiological expression in this early period. It was slower and less accurate than reality filtering and induced a prolonged positive potential over frontal leads starting at 400 msec. The study demonstrates a hitherto unrecognized separation between orbitofrontal reality filtering and source monitoring. Whereas deficient orbitofrontal reality filtering is associated with reality confusion in thinking, the behavioral correlates of deficient source monitoring should be verified with controlled experimental exploration.

Orbitofrontal reality filtering

Decades of research have deepened our understanding of how the brain forms memories and uses them to build our mental past and future. But how does it determine whether an evoked memory refers to the present and can be acted upon? The study of patients who confuse reality, as evident from confabulation and disorientation, has opened ways to explore this vital capacity. Results indicate that the brain recurs to a phylogenetically old faculty of the orbitofrontal cortex - extinction - and structures of the reward system to keep thought and behavior in phase with reality.

Isolated prospective confabulation in Wernicke-Korsakoff syndrome: a case for reality filtering

A 57-year-old man suffered severe amnesia and disorientation, accompanied by content-specific confabulation, due to an alcoholic Wernicke-Korsakoff syndrome. For months, he was deeply concerned about a single obligation that he thought he had to respond to, but which he had already assumed 20 years previously. This monothematic, prospective confabulation was associated with failures of reality filtering as previously documented in behaviorally spontaneous confabulation and disorientation: the patient failed to suppress the interference of currently irrelevant memories and to abandon anticipations that were no longer valid (impaired extinction capacity). Magnetic resonance imaging showed damage to the mamillary bodies and the dorsomedial thalamic nucleus. Positron emission tomography (FDG-PET) showed extended orbitofrontal hypometabolism. We suggest that isolated prospective confabulation shares the core feature (acts and thoughts based on currently irrelevant memory), mechanism (failure of reality filtering), and anatomical basis (orbitofrontal dysfunction) with behaviorally spontaneous confabulations.

Context memory in Korsakoff's syndrome

Memory for contextual information and target-context integration are crucial for successful episodic memory formation and are impaired in patients with Korsakoff's syndrome. In this paper we review the evidence for the notion that a context memory deficit makes an important contribution to the amnesia in these patients. First, we focus on anterograde memory for contextual (spatial and temporal) information. Next, the use of contextual cues in memory retrieval is examined and their role in retrograde amnesia and confabulation. Evidence on the role of contextual cues and associations in working memory is discussed in relation to the underlying neurocognitive mechanisms and their dissociation from long-term encoding. Finally, we focus on implicit learning of contextual information in Korsakoff patients. It can be concluded that Korsakoff patients are impaired in the explicit processing of contextual information and in target-context binding, both in long-term (retrograde and anterograde) memory and in working memory. These results extend the context memory deficit hypothesis. In contrast, implicit contextual learning is relatively preserved in these patients. These findings are discussed in relation to evidence of dysfunction of the extended diencephalic-hippocampal memory circuit in Korsakoff's syndrome.

"Wanted!" the effects of reward on face recognition: electrophysiological correlates

The aim of the present study was to uncover the temporal dynamics of face recognition as a function of reward. Event-related potentials (ERPs) were recorded during the encoding and the subsequent old/new memory test in response to faces that could be associated with a monetary reward. The behavioral results showed that faces associated with reward at both encoding and retrieval were recognized better than the unrewarded ones. ERP responses highlighted that successful encoding predictive of subsequent memory was greater for faces associated with reward than for faces without reward-driven motivational learning. At retrieval, an early positive-going component was elicited for potentially rewarded faces on frontal regions, while the occipito-temporal N170 component showed priming effects as a function of reward. Later on, larger centro-parietal ERP components, related to recognition memory, were found selectively for reward-associated faces. Remarkably, electrophysiological responses varied in a graded manner, with the largest amplitude yielded by faces with double reward, followed by faces associated with reward only at encoding. Taken together, the present data show that the processing of outcome expectations affects face structural encoding and increases memory efficiency, yielding a robust and sustained modulation over frontal and temporal areas where reward and memory mechanisms operate in conjunction.

Intrinsic Emotional Relevance of Outcomes and Prediction Error

Infrequent events, such as unexpected absence of outcomes (prediction errors), have a detrimental effect on performance of subsequent trial in various cognitive tasks. In the present event-related potential study, we tested whether the influence of prediction error manifests itself in the early cortical processing of subsequent stimuli. Participants performed a reversal learning task in which they saw two alternating pairs of faces and indicated for each pair which one would have a declared target stimulus on its nose. The target switched to the other face after several consecutive trials with correct response, thereby inducing a prediction error, with the switch being indicated by the appearance of a disk (unexpected neutral outcome) or a spider (unexpected unpleasant outcome), depending on the condition. Results showed that after both unexpected and expected unpleasant outcomes, the amplitude of P2 decreased, while after both unexpected neutral and unpleasant outcomes, the amplitude of P1 increased on the following presentation of the pair of faces. Source localization analysis suggested that the differences mainly emanated from the cuneus and precuneus with respect to the P1 and P2 time ranges respectively. We conclude that both the intrinsic emotional relevance of outcomes and prediction error may modulate attention allocation.

Human processing of behaviorally relevant and irrelevant absence of expected rewards: a high-resolution ERP study

Acute lesions of the posterior medial orbitofrontal cortex (OFC) in humans may induce a state of reality confusion marked by confabulation, disorientation, and currently inappropriate actions. This clinical state is strongly associated with an inability to abandon previously valid anticipations, that is, extinction capacity. In healthy subjects, the filtering of memories according to their relation with ongoing reality is associated with activity in posterior medial OFC (area 13) and electrophysiologically expressed at 220-300 ms. These observations indicate that the human OFC also functions as a generic reality monitoring system. For this function, it is presumably more important for the OFC to evaluate the current behavioral appropriateness of anticipations rather than their hedonic value. In the present study, we put this hypothesis to the test. Participants performed a reversal learning task with intermittent absence of reward delivery. High-density evoked potential analysis showed that the omission of expected reward induced a specific electrocortical response in trials signaling the necessity to abandon the hitherto reward predicting choice, but not when omission of reward had no such connotation. This processing difference occurred at 200-300 ms. Source estimation using inverse solution analysis indicated that it emanated from the posterior medial OFC. We suggest that the human brain uses this signal from the OFC to keep thought and behavior in phase with reality.

Behaviorally spontaneous confabulation in limbic encephalitis: the roles of reality filtering and strategic monitoring

Behaviorally spontaneous confabulation is characterized by a confusion of reality evident in currently inappropriate acts that patients justify with confabulations and in disorientation. Here, we describe a 38-year-old woman lawyer hospitalized because of non-herpetic, presumably autoimmune, limbic encephalitis. For months, she considered herself at work and desperately tried to respect her falsely believed professional obligations. In contrast to a completely erroneous concept of reality, she did not confabulate about her remote personal past. In tasks proposed to test strategic retrieval monitoring, she produced no confabulations. As expected, she failed in tasks of reality filtering, previously shown to have high sensitivity and specificity for behaviorally spontaneous confabulation and disorientation: she failed to suppress the interference of currently irrelevant memories and she had deficient extinction capacity. The observation underscores the special status of behaviorally spontaneous confabulation among confabulatory phenomena and of reality filtering as a thought control mechanism. We suggest that different processes may underlie the generation of false memories and their verbal expression. We also emphasize the need to present theories of confabulation together with experimental tasks that allow one to empirically verify the theories and to explore underlying physiological mechanisms.

Comparing electrophysiological correlates of word production in immediate and delayed naming through the analysis of word age of acquisition effects

Most EEG studies analysing speech production with event related brain potential (ERP) have adopted silent metalinguistic tasks or delayed or tacit picture naming in order to avoid possible artefacts during motor preparation. A central issue in the interpretation of these results is whether the processes involved in those tasks are comparable to those involved in overt speech production. In the present study we addressed a methodological issue about the integration of stimulus-aligned and response-aligned ERPs in immediate overt picture naming in comparison to delayed production, coupled with a theoretical point on the effect of word Age of Acquisition (AoA). High density EEG recordings were used and waveform analyses and spatio-temporal segmentation were combined on stimulus-aligned and response-aligned ERPs. The same sequence and duration of topographic maps appeared in the immediate and delayed production until around 350 ms after picture onset, revealing similar encoding processes until the beginning of phonological encoding, but modulations linked to word AoA were only observed in the immediate production. Considering stimulus-aligned and response-aligned ERPs together allowed to identify that a stable topography starting around 350 ms lasts 30 ms longer for late-acquired than for early-acquired words. This difference falls within the time-window of phonological encoding and its modulation can be linked to the longer production latencies for late-acquired words.

Re-evaluating the time course of gender and phonological encoding during silent monitoring tasks estimated by ERP: serial or parallel processing?

Neurolinguistic and psycholinguistic studies suggest that grammatical (gender) and phonological information are retrieved independently and that gender can be accessed before phonological information. This study investigated the relative time courses of gender and phonological encoding using topographic evoked potentials mapping methods. Event-related brain potentials (ERPs) were recorded using a high resolution electroencephalogram (EEG) system (128 channels) during gender and phoneme monitoring in silent picture naming. Behavioural results showed similar reaction times (RT) between gender and word onset (first phoneme) monitoring, and longer RT when monitoring the second syllable onset. Temporal segmentation analysis (defining dominant map topographies using cluster analysis) revealed no timing difference between gender monitoring and word onset monitoring: both effects fall within the same time window at about 270-290 ms after picture presentation. Monitoring a second syllable onset generated a later effect at about 480 ms. Direct comparison between gender and first phoneme monitoring revealed a difference of only 10 ms between tasks at approximately 200 ms. Taken together, these results suggest that lemma retrieval and phonological encoding may proceed in parallel or overlap. Word onset is retrieved simultaneously with gender, while the longer RT and the later ERP effect for second syllable onset reflect that segmental encoding continues incrementally to the following phonemes.

Neural response to the behaviorally relevant absence of anticipated outcomes and the presentation of potentially harmful stimuli: A human fMRI study

Adaptive behavior requires the ability to react to potentially harmful stimuli, characterized by high negative inherent emotional salience (iES) (e.g., spiders, snakes), and to the unexpected non-occurrence of anticipated events. When presented simultaneously, threatening stimuli and unexpected absence of anticipated outcomes induce distinct electrocortical responses in different time periods. In this study, we used fMRI to test whether processing of the absence of anticipated outcomes (prediction errors) was anatomically dissociated from the processing of iES or whether iES simply modulated activity of areas processing the non-occurrence of anticipated outcomes. Participants saw two alternating pairs of faces and indicated for each pair which one would have a declared target stimulus on its nose. Depending on the condition, the target stimulus was either a spider (high iES stimulus) or a disk (low iES stimulus). The target stimulus switched to the other face after several consecutive correct responses, with the switch being indicated by the appearance of the alternative stimulus (disk when the spider was the declared target; spider when the disk was the declared target). We found that the spider induced stronger activation in visual areas than the disk. By contrast, the absence of anticipated outcomes specifically activated the orbitofrontal cortex (OFC), irrespective of the iES of the outcome stimulus. The findings support a generic role of the OFC in outcome monitoring.

Time course of evoked-potential changes in different forms of anomia in aphasia

Impaired word production after brain damage can be due to impairment at lexical-semantic or at lexical-phonological levels of word encoding. These processes are thought to involve different brain regions and to have different time courses. The present study investigated the time course of electrophysiological correlates of anomia in 16 aphasic speakers, divided in two subgroups according to their anomic pattern (8 with lexical-semantic impairment and 8 with lexical-phonological impairment), in comparison to 16 healthy control subjects performing the same picture naming task. Differences in amplitudes and in topographic maps between groups were differently distributed when the whole heterogeneous group of aphasic patients was compared to the control group and when the two more homogeneous subgroups of anomic patients were analyzed. The entire aphasic group expressed different waveforms and topographic patterns than the control group starting about 100 msec after picture presentation. When two subgroups of aphasic patients are considered according to the underlying cognitive impairment, early event-related potential (ERP) abnormalities (100-250 msec) appeared only in the lexical-semantic subgroup, whereas later ERP abnormalities (300-450 msec) occurred only in the lexical-phonological subgroup. These results indicate that the time windows of ERP abnormalities vary depending on the underlying anomic impairment. Moreover, the findings give support to current hypotheses on the time course of processes involved in word production during picture naming.

Instinctive modulation of cognitive behavior: a human evoked potential study

Successful adaptive behavior requires fast information processing. Behavioral switches may be necessary in response to threatening stimuli or when anticipated outcomes fail to occur. In this study, we explored the cortical processing of these two components using high-resolution evoked potentials. Subjects made a reversal learning task where they had to predict which one of two faces had a target stimulus on the nose. We found early electrocortical differences at 100-200 ms depending on whether the target stimulus was a spider or a disk. Source estimation indicated that this distinction was mediated by an anterior medial temporal region including the amygdala and adjacent cortex. When a switch to the alternate face was required, there was a discrete early electrocortical correlate after 200 ms, mediated by ventromedial prefrontal areas. Continued validity of stimulus-target associations was signaled at 400-520 ms, mediated by the parahippocampal region. The study indicates rapid serial processing of innate emotional quality, then cognitive-behavioral relevance of stimuli, mediated by limbic and paralimbic structures.

Disorientation, confabulation, and extinction capacity: clues on how the brain creates reality

BACKGROUND

Disorientation and confabulation often have a common course, independent of amnesia. Behaviorally spontaneous confabulation is the form in which patients act according to a false concept of reality; they fail to abandon action plans (anticipations) that do not pertain to the present situation. This continued enactment of previously valid but meanwhile invalidated anticipations can be conceived as deficient extinction capacity, that is, failure to integrate negative prediction errors into behavior. In this study, we explored whether disorientation and behaviorally spontaneous confabulation are associated with extinction failure.

METHODS

Twenty-five patients hospitalized for neurorehabilitation after first-ever brain injury who either had severe amnesia (n = 17), an orbitofrontal lesion (n = 14), or both (n = 6) were tested regarding disorientation (questionnaire) and performed an experimental task of association learning and extinction. Five patients were also classified as behaviorally spontaneous confabulators.

RESULTS

Extinction capacity explained 66% of the variance of orientation in the whole group of patients (amnesics only, 56%; orbitofrontal group only, 90%), whereas association learning explained only 17% of the variance in the whole group (amnesics only, 7%; orbitofrontal group only, 16%). Also, extinction capacity, but not association learning, significantly distinguished between behaviorally spontaneous confabulators and all other subjects.

CONCLUSIONS

Disorientation and behaviorally spontaneous confabulation are strongly and specifically associated with a failure of extinction, the ability to learn that previously appropriate anticipations no longer apply. Rather than invoking high-level monitoring processes, the human brain seems to make use of an ancient biological faculty-extinction-to keep thought and behavior in phase with reality.