“Virus and Epidemic”: Causal Knowledge

“Virus and Epidemic”: Causal Knowledge
Activates Prediction Error Circuitry

Daniela B. Fenker1, Mircea A. Schoenfeld1, Michael R. Waldmann2,
Hartmut Schuetze1, Hans-Jochen Heinze1, and Emrah Duezel3,4

Abstrakt

■ Knowledge about cause and effect relationships (z.B., virus–
epidemic) is essential for predicting changes in the environment
and for anticipating the consequences of events and oneʼs own ac-
tionen. Although there is evidence that predictions and learning from
prediction errors are instrumental in acquiring causal knowledge, Es
is unclear whether prediction error circuitry remains involved in the
mental representation and evaluation of causal knowledge already
stored in semantic memory. In an fMRI study, participants assessed
whether pairs of words were causally related (z.B., virus–epidemic)
or noncausally associated (z.B., emerald–ring). In a second fMRI

Studie, a task cue prompted the participants to evaluate either the
causal or the noncausal associative relationship between pairs of
Wörter. Causally related pairs elicited higher activity in OFC, amyg-
dala, striatum, and substantia nigra/ventral tegmental area than non-
causally associated pairs. These regions were also more activated by
the causal than by the associative task cue. This network overlaps
with the mesolimbic and mesocortical dopaminergic network
known to code prediction errors, suggesting that prediction error
processing might participate in assessments of causality even under
conditions when it is not explicitly required to make predictions. ■

EINFÜHRUNG

The knowledge of the specific relationship between a
cause and an effect (z.B., virus–epidemic) and its disso-
ciation from noncausally associated events (z.B., virus–
bacteria) enables predicting consequences of events and
Aktionen. Since the pioneering work of Pavlov (1927), an ex-
tensive range of theoretical and experimental work has
addressed the question how animals and humans learn
to associate a cue with an outcome (Cobos, López, Caño,
Almaraz, & Shanks, 2002; Shanks & López, 1996) or link a
cause to an effect (Blaisdell, Sawa, Leising, & Waldmann,
2006; Waldmann, 1996, 2000, 2001; Waldmann, Holyoak,
& Fratianne, 1995; Waldmann & Holyoak, 1992), enabling
them to guide their behavior accordingly. There is con-
verging evidence that processing prediction errors is one
candidate mechanism driving such learning of causality
(Pearce & Hall, 1980; Rescorla & Wagner, 1972). Learning
is enabled because expectations regarding outcomes (z.B.,
reward or punishment) are updated following predic-
tion errors until expectations and outcomes eventually
converge.

Evidence from animal studies indicates that a desig-
nated neural network is critical for the ability to predict
reward or punishment, to compute prediction errors,
and to adjust response selection and goal-directed behav-

1Otto-von-Guericke University, Magdeburg, Deutschland, 2Universität
of Göttingen, Deutschland, 3Institute of Cognitive Neuroscience Uni-
versity College London, 4Institute of Cognitive Neurology and
Dementia Research, Magdeburg, Deutschland

ior on the basis of such errors. This network includes
the medial pFC (Ostlund & Balleine, 2005; Matsumoto
& Tanaka, 2004; Matsumoto, Suzuki, & Tanaka, 2003),
the OFC (Wallis, 2007; Izquierdo, Suda, & Murray, 2004),
the amygdala (Balleine, Killcross, & Dickinson, 2003), Die
striatum/nucleus accumbens (Balleine, Delgado, & Hikosaka,
2007; Cromwell, Hassani, & Schultz, 2005; de Borchgrave,
Rawlins, Dickinson, & Balleine, 2002; Schultz, Tremblay, &
Holland, 1998), and the thalamus (Corbit, Muir, & Balleine,
2003) and is closely linked to dopaminergic (DA) neuro-
modulation (Schultz, 2002, 2006; Andrzejewski, Spencer, &
Kelley, 2005). In humans, components of this network have
been implicated in making predictions for desired outcomes
and computing prediction errors (Knutson & Wimmer, 2007;
Knutson, Taylor, Kaufman, Peterson, & Glover, 2005; Breiter,
Aharon, Kahneman, Dale, & Shizgal, 2001; Berns, McClure,
Pagnoni, & Montague, 2001), in classification learning
(Rodriguez, Aron, & Poldrack, 2006), in associative causal
learning mechanisms (Corlett et al., 2004; Turner et al.,
2004; Fletcher et al., 2001), and in encoding causal effects
of actions (Tanaka, Balleine, & OʼDoherty, 2008). Darüber hinaus,
mesencephalic midbrain structures known to harbor DA
Neuronen (substantia nigra/ventral tegmental area, SN/ VTA)
are activated during the encoding of a stimulus predicting
monetary reward. Such an activation pattern has recently
been shown to facilitate long-term memory for that stimulus
(Wittmann et al., 2005).

The functional anatomical circuitry underlying predic-
tion error learning has been most intensively studied for
reward prediction errors (Schultz, 2004). During unexpected

© 2009 Massachusetts Institute of Technology

Zeitschrift für kognitive Neurowissenschaften 22:10, S. 2151–2163

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primary (z.B., food) or secondary (z.B., money) rewards, Die
nucleus accumbens receives DA signals from the SN/ VTA
of the midbrain. Once a reward becomes predictable by a
conditioned (d.h., reward-predicting) stimulus (CS+), Die
DA signal in the nucleus accumbens shifts forward from
the time of reward outcome to the presentation of the
CS+ (OʼDoherty, Hampton, & Hackjin, 2007; OʼDoherty,
Dayan, Friston, Critchley, & Dolan, 2003). Umgekehrt,
omission of a reward after presentation of a CS+ leads
to a decrease of DA signaling below baseline. It has thus
been hypothesized that the DA signal in the SN/ VTA and
in the nucleus accumbens code both reward prediction
and prediction error.

Jedoch, not only reinforcement learning paradigms
provide valuable insights into the mechanisms underlying
the acquisition of causal knowledge; associative causal
learning studies have shown that prediction error mecha-
nisms are also at play during the acquisition of cause–effect
relationships even in the absence of apparent reward
Manipulation (Corlett et al., 2004).

Both human and nonhuman animals store a rich data-
base of causal relationships. Knowledge of such causal re-
lationships is instrumental in selecting appropriate goals
and actions and, in a much broader perspective, in guiding
social interactions as well as in shaping our understanding
of natural phenomena. Given that the computation of pre-
diction error seems to be an important component in the
learning of causal contingencies, our study addresses the
questions whether brain regions associated with predic-
tion error processing participate in the representation of
causal knowledge in semantic memory.

To date, only a few studies have examined how already
acquired causal knowledge is represented and how it can
be dissociated from noncausal associative relationships in
human semantic memory (Fenker, Waldmann, & Holyoak,
2005; Satpute et al., 2005). These studies have shown that
causal relations are stored and accessed differently from
noncausal associative relations. Given the fact that we es-
tablish causal knowledge through life experience and that
prediction error processing is involved during the acquisi-
tion of causal knowledge (Corlett et al., 2004; Turner et al.,
2004), it is plausible that cause–effect relationships stored
in semantic memory are represented differently from non-
causal associations, in a way that allows updating cause–
effect contingency changes, hence allowing modification
by experience. According to this possibility, every time
we encounter a causal relationship, prediction error cir-
cuitry is activated by default, allowing the modification of
cause–effect relationships stored in semantic memory if
a prediction error occurs due to changed contingencies.
Im Gegensatz, noncausal associative relations (z.B., emerald–
ring) should not engage prediction error circuitry.

The key question addressed here is whether prediction
error circuitry is a part of the representation of causal se-
mantic memories. An alternative possibility is that causal
Beziehungen, once acquired and part of our semantic
Wissen, are stored and represented just like any other

associative relationship (hence in a more “static” fashion),
thereby reflecting the fact that we have learned extensively
that certain causes determine specific effects. Updating
this knowledge may thus not be necessary, and hence it
may not be the case that prediction error circuitry is en-
gaged whenever we encounter virus and epidemic to-
gether, thus making the representations of well-learned
causal knowledge undistinguishable from well-learned
noncausal associative relationships.

The dissociation of causal and noncausal associative rela-
tionships stored in semantic memory was investigated in two
event-related fMRI experiments. We examined the potential
involvement of prediction error circuitry in the retrieval of
already existing causal in contrast to noncausal associative
semantic knowledge. In our design, daher, we deliber-
ately avoided standard learning tasks that are already
known to recruit prediction error circuitry. Somit, partici-
pants were not explicitly required to make predictions.

In the first experiment, word pairs denoting a cause–
effect relationship were simply contrasted with pairs de-
noting a noncausal associative relationship. In dieser Sekunde
Experiment, we compared the task-related preparation for
the retrieval of causal and noncausal associative relation-
ships. The words of each pair were shown one after the other
and they could either be unrelated (z.B., door–pinball), nicht-
causal associatively related (related in the absence of a causal
relationship e.g., emerald–ring), or causally related (z.B.,
virus–epidemic). In Experiment 1, participants had to evalu-
ate the presented word pairs for a causal relationship. Im
Experiment 2, the word pairs had to be evaluated either for a
causal relationship or for a noncausal associative relationship
indicated by a verbal cue presented before each pair.

If causal relationships are represented in a similar fash-
ion as noncausal associative relationships, the retrieval of a
cause–effect relationship from semantic memory should
only differ in terms of the semantic meaning and would
be reflected mainly in semantic memory regions, wie zum Beispiel
prefrontal (Noppeney, Phillips, & Price, 2004; Nyberg
et al., 2003), zeitlich (Patterson, Nestor, & Rogers, 2007;
Rogers et al., 2006; Noppeney et al., 2004), and parietal cor-
tices (Rogers et al., 2006; Wiggs, Weisberg, & Martin, 1999).
Im Gegensatz, if cause–effect relationships are represented as
contingency-based relationships, their retrieval and evalua-
tion could involve also updating processes that would be
reflected in neural activation going beyond semantic pro-
cessing of noncausal associations by involving mesolimbic
and mesocortical circuitry known to compute prediction
errors during learning.

METHODEN

Experiment 1

Teilnehmer

Fifteen participants (age range between 19 Und 30 Jahre
alt, 12 Frauen) with normal or corrected-to-normal vision
participated in the study. They were paid A12 and gave

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their written consent. All subjects were right-handed ac-
cording to self-report and had no history of neurological ill-
ness. The study was approved by the ethics committee of
the Otto-von-Guericke University, Magdeburg.

Stimuli

The stimuli were 210 German word pairs of 4- to 13-letter
Wörter. These word pairs were translated into German from
the English word pairs used by Fenker et al. (2005). The orig-
inal English causal and noncausal associative word pairs
were selected from the University of South Florida (USF)
Word Association Norm list (Nelson, McEvoy, & Schreiber,
1998) with a forward and backward strength <0.01. In ad- dition, a norming study was used to select causally related item pairs equated in both directions in terms of the strength of statistical relations (e.g., frequency of occur- rence of epidemic, given a virus versus frequency of occur- rence of a virus given epidemic; Fenker et al., 2005). The German words were presented in white Arial 28-point font on black background via a custom projection system. Eighty-four (84) word pairs were causally related (e.g., virus–epidemic), 42 noncausal associatively related (e.g., ring–emerald) and 84 unrelated (e.g., door–pinball). After ensuring that participants understood the instruc- tions, they were placed in the scanner. Participants were asked to fixate on a central dot. In each trial, the first word replaced the fixation dot for 1 sec and then was replaced by the second word for 1 sec followed by fixation. The ISIs between trials were jittered between 4 and 8 sec in 2-sec steps (mean ISI = 4.67 sec). If a word pair was causally re- lated, participants pressed a button with the right index finger, and if a word pair was noncausal associatively re- lated or unrelated, they responded with the left index finger. The response hands were counterbalanced over participants (Figure 1, left panel). D o w n l o a d e d fMRI Image Acquisition Images were acquired on a neurooptimized General Electric Signa LX 1.5T system. Whole-head fMRI data were acquired, with 23 slices (matrix = 64 × 64; field of view = 22 cm; slice thickness = 5 mm; 1 mm gap; orientation AC–PC), using an echo-planar gradient-echo sequence (repetition time/echo time/flip angle = 2000 msec/35 msec/80°, ramp sampling off ). The data were collected over two runs each lasting approximately 8.5 min (253 volumes). Procedure Participants were given written instructions before scan- ning. A causal relation was defined as follows: “the event described by the first word causes or is caused by the event described by the second word.” A noncausal associative relation was defined as follows: “meaningful relationship between the two events, but not a causal relationship.” f MRI Image Analysis Data were time sliced, realigned, normalized to the Mon- treal Neurological Institute (MNI) template, and spatially smoothed (Gaussian kernel, 8 mm). Statistical analysis used the standard hemodynamic response function and the movement parameters serving as regressors in the event-related design for each subject (SPM99, Wellcome Department of Imaging Neuroscience, London). For group Figure 1. Examples of trials and timing. Left: Experiment 1, causal trial followed by a noncausal associative trial. Right: Experiment 2, causal task cue followed by a causally related word pair and associative task cue followed by a noncausal associative word pair. l l / / / / j f / t t i t . : / / f r o m D h o t w t n p o : a / d / e m d i t f r p o m r c h . s p i l d v i e r e r c c t h . m a i r e . d c u o o m c / n j a o r c t i n c / e a - p r d t i 2 c 2 l e 1 0 - p 2 d 1 f 5 / 1 2 1 2 9 / 3 1 9 0 7 / 1 2 8 1 o 5 c 1 n / 2 1 0 7 0 7 9 0 4 2 1 1 3 8 8 / 7 j o p c d n . b y 2 0 g 0 u 9 e . s t 2 o 1 n 3 8 0 7 7 . S p e d p f e m b y b e r g u 2 0 e 2 s 3 t / j / . . f t . o n 1 8 M a y 2 0 2 1 Fenker et al. 2153 analyses, we entered contrast images into one-sample t tests, treating subjects as a random variable. SPM contrasts were calculated using a threshold of p < .001 and a cluster size criterion of >10 voxels. All reported coordinates refer
to MNI space. SPM group contrast images are depicted on
single-subject T1-weighted slices from MRIcro (www.cla.sc.
edu/psyc/faculty/rorden/mricro.html). Zusätzlich, to assess
differences between the three conditions (d.h., type of rela-
tionship), we performed an ROI analysis for the left amyg-
dala, left SN/ VTA, and bilateral nucleus accumbens. Der
ROIs were functionally defined on the basis of the compar-
ison causal versus noncausal associative word pairs. Der
beta values of the peak voxel were extracted for each partic-
ipant and the three conditions (causally related, noncausal
associatively related, and unrelated word pairs; Abbildung 3B).

Experiment 2

Teilnehmer

Eighteen healthy right-handed participants (14 Frauen),
ranging in age from 19 Zu 27 Jahre, took part in the experi-
ment and were paid A24. They all had to fulfill the same re-
quirements as the participants in the Experiment 1. Der
samples of Experiments 1 Und 2 were independent.

Stimuli

The stimuli were 252 German word pairs of length be-
zwischen 4 Und 13 letters and were presented in white Arial
28-point font on black background via a custom projection
System. The word pairs were the same as in Experiment 1,
Aber 42 noncausal associatively related word pairs were
added to account for stimulus balancing.

Verfahren

Participants were given written instructions before scan-
ning. In the scanner, each trial began with the presenta-
tion of the cue, which was either the word “Associative?”
or the word “Causal?.” The cue was presented for 1 Sek,
followed by a 1-sec fixation and the first word at fixation for
1 Sek. Between the presentation of the first and the second
word, fixation was shown for 4 Sek. The ISI between the
cues ranged from 12 Zu 16 Sek (in steps of 2 Sek) with a
mean ISI of 12.9 Sek ( Figur 1, right panel). Teilnehmer
were instructed to determine if the relationship between
the two words match the cue, das ist, if the word pairs de-
scribe a noncausal associative relationship (associative
cue) or a causal relationship (causal cue). The definition
of the relationships was identical to Experiment 1. Half
of the pairs were presented with the associative cue and
the other half with the causal cue. This combination was
counterbalanced across participants; das ist, word pairs
presented with the associative cue for a subject were pre-
sented with the causal cue for another subject and vice versa.
Participants responded by pressing a button with the left or

right index finger for matching and nonmatching, bzw-
aktiv. The response fingers were counterbalanced across
Teilnehmer. Response classes for correct responses were
“causal–causal” for causal cue and causal relation ( yes re-
sponse), “associative–associative” for associative cue and
noncausal associative relation ( yes response), “causal–
associative” for causal cue and noncausal associative rela-
tion (no response), “associative–causal” for associative cue
and causal relation ( yes response), “causal–unrelated” for
causal cue and unrelated word pairs (no response), Und
“associative–unrelated” for associative cue (no response).

fMRI Image Acquisition

The parameters of the image acquisition were the same
as in Experiment 1. The data were collected over six sep-
arate runs each lasting approximately 9.5 min, ergebend
the acquisition of 285 volumes.

fMRI Image Analysis

The functional data of Experiment 2 were analyzed using
SPM99 ( Wellcome Department of Imaging Neuroscience,
London) using the same parameters as in Experiment 1.
To assess brain activation separately for “type of cue” and
“type of relationship,” we performed a multiple regres-
sion analysis for each single subject (Postle, 2005; Schon,
Hasselmo, Lopresti, Tricarico, & Stern, 2004; Postle, Berger,
Taich, & DʼEsposito, 2000). We created the following three
regressors (Figur 2): Regressor 1 assessed preparatory dif-
ference induced by the cues, Regressor 2 differentiated the
influence of the causal cue and the associative cue on rela-
tionship processing, and Regressor 3 assessed the differ-
ence between the causal relationship and the noncausal
associative relationship, regardless of the previous cue.
Given the fact that the results of a regressor cannot be inter-
preted independently from another regressor if they share a
significant amount of variance, we orthogonalized our three
regressors to minimize the shared variance. Erste, we as-
signed weight coefficients for each regressor such that
the internal sum of the products of the weights was zero.
Zweite, we made sure that the sum of the products of
the weight coefficients (for cue and word) of each regressor
pair was also zero (Bortz, 2005). For group analyses, we en-
tered the regressor images into one-sample t tests, treating
subjects as a random variable. SPM group contrast images
are depicted on single-subject T1-weighted slices from
MRIcro (www.cla.sc.edu/psyc/faculty/rorden/mricro.html)
with a threshold of p < .001, >10 voxels and p < .005, >10 voxels, jeweils.

ERGEBNISSE

Experiment 1: Verhaltensergebnisse

We computed two separate ANOVAs over RTs and re-
sponse accuracy using the type of relationship (causal,

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Figur 2. Regressors of
Experiment 2. Regressor 1
assessed preparatory difference
induced by the cues. Regressor 2
differentiated the influence of
the causal and the associative
cue at the time of relationship
evaluation, and Regressor 3
assessed the relationship
evaluation between the causal
and the noncausal associative word pairs regardless of the cue. The white letters refer to the type of cue (c = causal; a = associative), and the black letters
refer to the type of relationship (c = causal; a = noncausal associative; u = unrelated). The three regressors were orthogonalized with respect to
each other; das ist, the sum of the products of the weight coefficient (for cue and word) of each regressor pair was zero.

noncausal associative, and unrelated) as within-subjects
factor. The RTs for the three conditions differed signifi-
cantly, F(2, 28) = 13.05, P < .01. A post hoc least significant difference (LSD) test showed that participants responded significantly slower to noncausal associative word pairs than to causal word pairs and unrelated word pairs (all ps < .01). Their response times did not differ between the causal and the unrelated word pairs ( p > .05; Tisch 1).
Response accuracy did also differ significantly across con-
ditions, F(2, 28) = 18.67, P < .01. Participants gave signifi- cantly more correct responses to the unrelated word pairs than to the causal and to the noncausally associated word pairs (all ps < .01). There was no significant difference in response accuracy between the causally related and the noncausally associated word pairs ( p > .05; Tisch 1).

fMRI Results

During the evaluation of noncausally associated word
pairs in contrast to unrelated word pairs, a network of
areas predominantly in the left hemisphere was activated.
Significant activations were observed in bilateral frontal
(left Brodmannʼs area [BA] 8, 46, 47 and right BA 9, 47),
left temporal (BA 37) and parietal areas (BA 40), right oc-
cipital regions (BA 18, 19), left thalamus, and left and right
caudate nucleus (Tisch 2). The presence of a causal rela-
tionship between the word pairs compared with unrelated

word pairs also elicited activity in a widespread network of
regions including bilateral frontal (left BA 8, 46 and right
BA 9, 47), left temporal (BA 37), left parietal (BA 40), links
posterior cingulate gyrus (BA 31), right occipital (BA 18)
and left and right caudate nucleus, and left amygdala
(Tisch 2). The differences of both evaluation processes
were substantiated by exclusively masking ( p = .05, für
the mask) the activity elicited by the comparison causal
versus unrelated with the comparison noncausal associa-
tive versus unrelated word pairs. During this masking pro-
cedure, all voxels that reach the default level of significance
in the masking contrast will be removed. The remaining
Aktivierung (causal vs. unrelated word pairs) is devoid of
the activation found in the masking contrast (noncausal
associative vs. unrelated word pairs) and therefore dem-
onstrates the distinct processing of causal relations.
daher, significant activations reflected those regions
that were exclusively activated by the presence of a causal
relationship resulting in a network of areas predominantly
located in left hemisphere including in middle frontal
(BA 6, 46), superior/medial frontal (BA 9) Regionen, superior
temporal regions (BA 22), left and right nucleus accumbens,
posterior cingulate gyrus (BA 31), amygdala, and SN/ VTA
(Figure 3A and B).

To differentiate the evaluation of cause–effect relation-
ships from the evaluation of noncausal associative relation-
ships, we directly contrasted the activation for causally

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Tisch 1. Behavioral Data of the Two Experiments

Experiment 1

RTs

Accuracy

Causal
Relationship

1359 (73)

87 (2)

Noncausal Associative
Relationship

1510 (93)

83 (3)

Ö
N

1
8

M
A
j

2
0
2
1

Unrelated Word Pairs

1293 (83)

99 (1)

Experiment 2

Causal–Causal

Causal–Noncausal
Associative

Causal–
Unrelated

Associative–
Causal

Associative–Noncausal
Associative

Associative–
Unrelated

RTs

Accuracy

1949 (112)

2272 (122)

1560 (72)

1751 (92)

1945 (112)

86 (2)

66 (4)

97 (1)

93 (1)

80 (3)

1708 (81)

95 (1)

Mean RTs in milliseconds and accuracy in percent for all participants. Data in parentheses refer to SEMs. For Experiment 2, the top word refers to the
type of cue and the bottom word refers to the type of relationship.

Fenker et al.

2155

Tisch 2. Significant Activation Found in Experiments 1 Und 2

BA

z Value

X

j

z

MNI coordinates

Experiment 1

Causal vs. unrelated

Left caudate nucleus

Left inferior frontal

Left inferior parietal

Left insula

Left middle temporal

Left orbito-frontal

Left posterior cingulate

Left superior frontal/medial part

Left cerebellum

Right caudate

Right inferior frontal

Right lingual gyrus

Right middle frontal

Noncausal associative vs. unrelated

Left caudate

Left inferior frontal

Left inferior parietal

Left middle temporal

Left superior frontal/medial part

Left thalamus

Right caudate

Right inferior frontal

Right lingual gyrus

Right middle frontal

46

40

37

31

8

47

18

9

46

47

40

37

8

47

18

19

9

5.18

4.47

5.46

4.43

4.21

4.06

4.48

5.21

3.81

4.42

4.28

5.07

3.46

5.03

5.47

3.8

5.03

3.58

5.45

4.65

4.62

4.5

5.38

4.1

3.47

Causal vs. unrelated exclusively masked ( p = .05) by noncausal associative vs. unrelated

Left amygdala

Left caudate/nucleus accumbens

Left middle frontal

Left posterior cingulate

Left SN/ VTA

Left superior frontal/medial part

Left superior temporal

Right putamen/nucleus accumbens

6

46

31

9

22

5.44

6.2

5.72

4.83

5.71

3.57

5.06

6.33

4.85

−9

−39

−39

−51

−57

−12

−6

−3

−30

12

36

9

51

−9

−45

−30

−45

−60

−3

−3

12

54

6

21

51

−18

−6

−39

−45

−6

−9
−6

−54

15

9

39

−66

15

−51

6

−48

30

−69

12

24

−81

24

6

42

24

−57

−51

39

−27

12

21

−78

−51

24

0

−12

3

36

−45

−15

54

−60

12

6

6

45

0

−9

−18

30

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−39

3

0

−18

42

6

9

0

45

−12

48

3

3

−6

−12

−3

42

−18

−3

36

24

30

−12

36

15

−3

2156

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Tisch 2. (Fortsetzung )

Causal vs. noncausal associative

Left amygdala

Left inferior frontal

Left inferior parietal lobe

Left nucleus accumbens

Left posterior cingulate gyrus

Left SN/ VTA

Left superior frontal gyrus/medial part

Right inferior frontal

Right nucleus accumbens

Right orbito-frontal

Experiment 2

44

45

40

31

9

44

11

Cue: causal vs. associative, at cue presentation (Regressor 1)

Left amygdala/posterior orbito-frontal

Left anterior cingulate

Left caudate nucleus

Left cerebellum

Left insula/putamen

32

Left parahippocampal gyrus

35/36

Left thalamus

Right inferior frontal/posterior orbito-frontal

47/25

Right insula

Right parahippocampal gyrus

28/35

Right precuneus

Right putamen/globus pallidus

Right thalamus

Left SN/ VTA (cluster size >5 voxels)

Cue: causal vs. associative, at relational evaluation (Regressor 2)

Left amygdala/posterior orbito-frontal

Left inferior frontal

Left middle frontal

47

44

46

10

10

6/8

BA

z Value

X

5.06

3.83

3.69

4.01

4.53

4.33

4.86

4.67

3.92

4.05

3.53

4.43

3.83

3.73

3.61

3.53

3.71

4.13

3.65

3.61

3.56

3.94

3.38

3.91

4.06

4.02

3.75

3.62

3.39

3.29

3.64

3.73

−18

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−6

−6

63

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3

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−15

−15

−27

−27

−9

24

45

24

15

15

6

−9

−21

−39

−54

−42

−33

−42

−42

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MNI coordinates

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30

−36

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−15

−27

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−45

18

−30

−6

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Tisch 2. (Fortsetzung )

Relational evaluation: causal vs. noncausal associative (Regressor 3)

BA

z Value

X

Cingulate gyrus

Left caudate nucleus

Left inferior parietal

Left middle frontal

Left middle temporal

Left precuneus

Left superior frontal

Left thalamus

Right cerebellum

Left orbito-frontal ( p = .005)

31

40

9

46

10

21

7

8

8

4.95

3.85

5.26

5

3.67

3.58

4.38

4.06

4.14

3.92

3.94

4.07

3.64

0

−9

−48

−42

−45

−42

−63

−6

−21

−15

−3

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−15

MNI coordinates

j

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−66

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−51

−78

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45

−27

−72

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−18

If not stated otherwise in the table, the significance level was p = .001, uncorrected at a cluster size of at least 10 voxels. BA = Brodmannʼs area.

Figur 3. Activation found
during relationship evaluation
for Experiment 1. (A) SPM
contrast images of the contrast
causal versus unrelated word
pairs exclusively masked with
the contrast of noncausal
associative word pairs versus
unrelated word pairs. (B)
Results of the ROI analysis. Der
bars depict the difference of
the mean beta values, das ist,
causal minus unrelated (c − u),
noncausal associative minus
unrelated (a − u), and causal
minus noncausal associative
word pairs (c − a). Error bars
refer to the SEM. The gray bars
below the bilateral nucleus
accumbens activation refer to
the right and the black bars
refer to the left nucleus
accumbens activation. (C) SPM
contrast images for causal
versus noncausal associative
word pairs. The scales refer to
SPM t values.

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versus noncausally associated word pairs. This comparison
revealed a higher activation for the presence of a causal re-
lationship in the left medial (BA 9) and inferior frontal gyri
(BA 44, BA 45), right inferior frontal gyrus (BA 44), Rechts
orbito-frontal (BA 11), left amygdala, left and right nucleus
accumbens, left posterior part of the SN/ VTA, left parietal
lobe (BA 40), and left cingulate gyrus (BA 31) ( Tisch 2,
Figure 3C).

Experiment 2: Verhaltensergebnisse

Behavioral data were analyzed with two separate repeated
measures ANOVAs applying type of cue (causal vs. associa-
tiv) and type of relationship (causal, noncausal associa-
tiv, and unrelated) to measures of RTs and response
accuracy. For the RTs, there was a significant main effect
of factor Type of Cue, F(1, 17) = 10.58, P < .01. The re- sponses were faster for the associative cue. Factor Type of Relationship also showed a significant main effect, F(2, 34) = 42.12, p < .01. Participants gave the fastest re- sponse to unrelated word pairs and slowest response to noncausal associative word pairs. The interaction of the two factors was also significant, F(2, 34) = 12.42, p < .01. Post hoc (LSD) testing revealed that for the causal cue, the responses to unrelated word pairs were the fastest and the responses to noncausal associative word pairs were the slowest ( ps < .05). For the associative cue, the re- sponses to unrelated word pairs and causal word pairs were significantly faster than the responses to noncausal associated word pairs, ps < .05 (Table 1). The ANOVA for the accuracy data revealed a significant main effect of Type of Cue, F(1, 17) = 32.14, p < .01. Participants gave more correct responses for the associative cue than for the causal cue. The factor Type of Relationship was also signifi- cant, F(2, 34) = 50.66, p < .01. Participants were most ac- curate if the word pairs were unrelated, and their accuracy was worst for noncausal associative word pairs. Finally, the Type of Cue × Type of Relationship interaction was signifi- cant as well, F(2, 34) = 6.81, p < .01. Post hoc testing (LSD) showed for the causal cue that participants had the highest accuracy for unrelated word pairs and the lowest for non- causal associative word pairs, ps < .05. They also gave sig- nificantly more correct response for causal and unrelated word pairs presented after the associative cue in compari- son to noncausal associative word pairs, ps < .05 (Table 1). f MRI Results In Experiment 2, statistical analyses for Regressors 2 and 3 were calculated to separate task-related and meaning-related aspects of activity elicited by the word pairs themselves. With Regressor 3, we contrasted causal with noncausal as- sociative word pairs (Figure 2) compatible with the fMRI analysis of Experiment 1. This showed a higher BOLD re- sponse for causal word pairs in the left inferior parietal lobe (BA 40), left posterior cingulate gyrus (BA 31), left middle frontal (BA 9), left inferior frontal (BA 46), left mid- dle temporal (BA 21), left superior frontal (BA 8), left caudate nucleus, left thalamus, and at a more lenient thresh- old ( p = .005) left OFC, regardless of the preceding cue (Table 2, Figure 4A). To differentiate task-related aspects of causal versus noncausal associative processing of word pairs independent of type of word pair (collapsed over causal, noncausal associative, and unrelated word pairs), D o w n l o a d e d l l / / / / j f / t t i t . : / / f r o m D h o t w t n p o : a / d / e m d i t f r p o m r c h . s p i l d v i e r e r c c t h . m a i r e . d c u o o m c / n j a o r c t i n c / e a - p r d t i 2 c 2 l e 1 0 - p 2 d 1 f 5 / 1 2 1 2 9 / 3 1 9 0 7 / 1 2 8 1 o 5 c 1 n / 2 1 0 7 0 7 9 0 4 2 1 1 3 8 8 / 7 j o p c d n . b y 2 0 g 0 u 9 e . s t 2 o 1 n 3 8 0 7 7 . S p e d p f e m b y b e r g u 2 0 e 2 s 3 t / j . t / . f . o n 1 8 M a y 2 0 2 1 Figure 4. Significant activations of Experiment 2. Left side, activations found; right side, corresponding regressor. (A) SPM images for Regressor 3 (causal vs. noncausal associative word pairs) show a significant activation in the left superior/medial/frontal cortex, left inferior parietal cortex, posterior cingulate gyrus, left middle frontal cortex, left caudate nucleus, and left OFC ( p < .005). (B) Regressor 2 (influence of causal vs. associative cue on relationship evaluation) yielded significant activation in the left amygdala/orbito-frontal region and left inferior and middle frontal gyri. The scales refer to SPM t values. (C) Higher preparatory activation (Regressor 1: causal vs. associative cue) was found in the left amygdala, bilateral insula, bilateral thalamus, bilateral caudate nucleus, bilateral parahippocampal gyrus, bilateral orbito-frontal, and left anterior cingulate. The scales refer to SPM t values. Fenker et al. 2159 we compared the activation following the causal cue with activation following the associative cue at the time when the second word was presented (Figure 2, Regressor 2). There was a stronger BOLD response following the causal cue in the left amygdala, left inferior (BA 10, 44, 46, 47), and middle frontal gyrus (BA 6, 8, 10), right middle frontal (BA 8, 10), and left caudate nucleus (Table 2, Figure 4B). Preparatory Activity Experiment 1 investigated the dissociation between the evaluation of a causal relationship and a noncausal associa- tive relationship. Experiment 2 was designed to assess to what extent activity patterns observed in Experiment 1 were related to the task demands of assessing causal rela- tionships (Regressor 1). Therefore, activation elicited by the causal cue was compared with the activation elicited by the associative cue (Figure 2, Regressor 1) to investigate different activations in terms of preparing for a causal or a noncausal associative judgment. The preparation for a causal judgment revealed higher activation in the left amygdala and OFC, left and right caudate nucleus, left and right insula, left thalamus, right OFC (BA 25/47), left SN/ VTA, left and right parahippocampal gyrus (left BA 35, 36 and right BA 28/35), left anterior cingulate gyrus (BA 32), right precuneus, and the cerebellum (Table 2, Figure 4C). DISCUSSION In two event-related fMRI experiments, we sought to deter- mine whether representations of cause–effect relationships are distinct from noncausal associative relational representa- tions. We focused on the retrieval of preexisting, well-learned semantic causal knowledge. We show that the evaluation of cause–effect relationships engages a mesolimbic and mesocortical circuitry known to mediate prediction error learning. This indicates that prediction error circuitry is en- gaged when well-known causal associations are retrieved from semantic memory even under conditions when pre- diction error learning is not explicitly required. Such default engagement of prediction error circuitry in the representa- tion of well-known cause–effect relationships that are al- ready stored in semantic memory may allow for efficient updating to keep causal knowledge accurate. Common Networks of Causal and Noncausal Semantic Processing Experiment 1 gave us the opportunity to investigate com- monalities of semantic processing of noncausal associative and causal relationships compared with semantic processing of unrelated word pairs. These common networks in- cluded areas, mainly left lateralized, in inferior parietal, in- ferior and superior frontal, middle temporal, thalamus, caudate nuclei, and occipital regions. These results are compatible with previous studies which have found that several of these areas are activated during semantic mem- ory retrieval (Patterson et al., 2007; McDermott, Petersen, Watson, & Ojemann, 2003; Nyberg et al., 2003; Cabeza & Nyberg, 2000; Wiggs et al., 1999), selection of semantic in- formation among competing alternatives (Thompson- Schill, DʼEsposito, Aguirre, & Farah, 1997), and verbal working memory maintenance or manipulation (Veltman, Rombouts, & Dolan, 2003). It is unlikely that these activa- tion differences between related (causal and noncausal as- sociative) and unrelated word pairs were driven solely by difficulty because there was no systematic RT or response accuracy difference between related and unrelated pairs across both experiments. Dissociating Causal Relationships from Noncausal Associative Relationships beyond Semantic Processing To derive a clear distinction between causal and noncau- sal associative knowledge processing, we directly com- pared the evaluation of causal and noncausal associative word pairs. Activation in bilateral inferior, right orbito- frontal, left superior frontal regions, left parietal regions, left amygdala, and bilateral nucleus accumbens exclu- sively differentiated causal relationships from noncausal associative relationships. Activations in the OFC and the left amygdala as well as bilateral nucleus accumbens con- siderably overlap with regions from studies investigating prediction error learning for rewards (Schultz, 2006; Berns et al., 2001), contingency learning (Balleine et al., 2003), and decision making processes (Hampton, Adolphs, Tyszka, & OʼDoherty, 2007; Wallis, 2007; Yang & Shadlen, 2007; Bechara, Damasio, & Damasio, 2003; Krawczyk, 2002). As in Experiment 1, causal versus non- causal associative relationships activated OFC and cau- date (Regressor 3 in Experiment 2; however, unlike in Experiment 1, we observed no amygdala activation for this contrast in Experiment 2). This suggests that the ac- tivity difference between causal and noncausal associative relationships in both the orbito-frontal and the caudate holds independent of task cues. The analysis of task cue effect, on the other hand, showed that word pair pro- cessing following a causal cue activated posterior left OFC and amygdala irrespective of whether the word pairs denoted causal, noncausal associative, or unrelated rela- tionships. Therefore, the data from Regressors 2 and 3 in Experiment 2 together with the data from Experiment 1 suggest that word pairs activate OFC and caudate more strongly when they denote causal as opposed to noncausal associative relationships. Irrespective of their meaning, word pairs activate posterior OFC and amygdala more strongly when word processing is directed toward causality rather than noncausal associative relationships. Thus, the contribution of Experiment 2 was that it al- lowed us to investigate the pure task-related, prepara- tory aspects of retrieving a cause–effect relationship by 2160 Journal of Cognitive Neuroscience Volume 22, Number 10 D o w n l o a d e d l l / / / / j t t f / i t . : / / f r o m D h o t w t n p o : a / d / e m d i t f r p o m r c h . s p i l d v i e r e r c c t h . m a i r e . d c u o o m c / n j a o r c t i n c / e a - p r d t i 2 c 2 l e 1 0 - p 2 d 1 f 5 / 1 2 1 2 9 / 3 1 9 0 7 / 1 2 8 1 o 5 c 1 n / 2 1 0 7 0 7 9 0 4 2 1 1 3 8 8 / 7 j o p c d n . b y 2 0 g 0 u 9 e . s t 2 o 1 n 3 8 0 7 7 . S p e d p f e m b y b e r g u 2 0 e 2 s 3 t / j . . t / f . o n 1 8 M a y 2 0 2 1 comparing activation specifically found at the time of the task cue. Cues indicating to prepare to retrieve a causal relationship as opposed to a noncausal associative rela- tionship (Regressor 1) again elicited activation of a network including mesolimbic and mesocortical structures (SN/ VTA and amygdala), the caudate nucleus, and the OFC. This cue-related finding effectively rules out the possibility that the differences between causal and noncausal associative relationships were driven solely by stimulus differences on a semantic level. Causal Knowledge and Prediction Error Circuitry Our data show that the retrieval of cause–effect relationships is distinguished from noncausal associative relationships by engaging activity of brain regions such as the SN/ VTA and ventral striatum, which are known to code prediction errors during stimulus-reward learning (Schultz, 2007) and associa- tive causal learning (Corlett et al., 2004). The amygdala and OFC, key players in contingency learning and decision mak- ing (Hampton et al., 2007), can also cooperatively contribute to learning from prediction errors. The OFC can signal the value of expected outcomes (Wallis, 2007), and these out- come expectancies are held to permit the rapid recognition of unexpected outcomes and prediction errors, thereby driv- ing new learning through facilitation of associative flexibility in downstream regions, such as the amygdala. Hence, this set of structures together permits the representation of out- comes, prediction errors and allows associative flexibility for the updating of existing contingencies. Involving this prediction error circuitry by default, that is, in the absence of an explicit requirement to make pre- dictions or learn from outcomes, during retrieval of well- known causal relationships is a plausible mechanism that would allow the updating of stored causal knowledge on the basis of potential alterations of the cause–effect con- nections. Such a mechanism seems suitable for keeping causal knowledge accurate and maintaining knowledge adaptable in changing environments. The results of Ex- periment 2 also support this possibility and furthermore suggest that even a potential encounter with a cause– effect relationship involves activation of prediction error circuitry. A striking aspect of our data is that both experiments did not actually allow for differences in explicit predic- tions to contribute to our findings. That is in both experi- ments, we did not explicitly manipulate prediction error processing. In Experiment 1, the first word of each pair was unpredictive as to whether the second word was re- lated causally, noncausal associatively, or unrelated, and it is therefore implausible to explain the findings here by a dif- ferential engagement of participants in making explicit pre- dictions about the second word of each pair. Likewise, in Experiment 2, the cue itself did not allow for any explicit predictions regarding the specific content of the upcoming word pair. Hence, the finding that only causal relationships in contrast to noncausal associative relationships engage prediction error circuitry was unrelated to explicit differen- tial engagement in making predictions regarding cause and effect. Rather, the data suggest that, independent of actual explicit predictions, the prediction error network is activated by default when causality is an actual (Experi- ment 1) or an expected (Experiment 2) part of stored se- mantic relationships. One interesting difference between the two is the involvement of the ventral striatum with actual causality and the dorsal striatum with expected causality. DA neuromodulation is critical for the coding of pre- diction errors of reward (Schultz, 2002, 2006; Schultz & Dickinson, 2000; Schultz et al., 1998; Schultz, Dayan, & Montague, 1997; Schultz, Apicella, Scarnati, & Ljungberg, 1992) but has not yet been implicated in the ability to update already acquired causal knowledge in the absence of any apparent reward-related reinforcement. Our data, particularly the finding that SN/ VTA is activated by causal- ity, raise the possibility that DA circuitry may indeed play a role also in updating existing causal knowledge. This leads to the interesting possibility that neurodegenerative epidemics that are characterized by dysfunction of DA cir- cuitry, such as schizophrenia and Parkinsonʼs epidemic, might be associated with impaired updating of causal knowledge leaving these patients less adaptive in changing environments. Hence, the reported reasoning impairments in schizotypy (Sellen, Oaksford, & Gray, 2005) as well as schizophrenia (Moore & Sellen, 2006), but also prediction error-dependent delusion formation in psychosis (Murray et al., 2008; Corlett et al., 2007), and the recently demon- strated problems of patients with Parkinsonʼs epidemic to learn from prediction errors of rewards (Schott et al., 2007) and their problems in counterfactual reasoning (McNamara, Durso, Brown, & Lynch, 2003) may extend to a more gen- eral impairment of modifying existing causal relationships within semantic memory. To summarize, we have shown that the representation of causal knowledge is different from noncausal associative knowledge and involves mesolimbic and mesocortical structures that are part of a prediction error circuitry. Thus, prediction error circuits are not only recruited during learn- ing but also play a role in the representation of knowledge that has already been acquired earlier. These findings shed light on mechanisms that allow for a flexible updating of already acquired causal knowledge. In more general terms, they redefine the functional architecture of brain regions that are likely to contribute to updating semantic memories. Acknowledgments This study was supported by grants from the Deutsche For- schungsgemeinschaft (Klinische Forschergruppe “Kognitive Kontrolle,” TP4) and the Volkswagen Foundation from the Uni- versity of Magdeburg. Reprint requests should be sent to Daniela B. Fenker, Department of Neurology II, Otto-von-Guericke University, Leipziger Strasse 44, 39120 Magdeburg, Germany, or via e-mail: daniela.fenker@med. ovgu.de. Fenker et al. 2161 D o w n l o a d e d l l / / / / j t t f / i t . : / / f r o m D h o t w t n p o : a / d / e m d i t f r p o m r c h . s p i l d v i e r e r c c t h . m a i r e . d c u o o m c / n j a o r c t i n c / e a - p r d t i 2 c 2 l e 1 0 - p 2 d 1 f 5 / 1 2 1 2 9 / 3 1 9 0 7 / 1 2 8 1 o 5 c 1 n / 2 1 0 7 0 7 9 0 4 2 1 1 3 8 8 / 7 j o p c d n . b y 2 0 g 0 u 9 e . s t 2 o 1 n 3 8 0 7 7 . S p e d p f e m b y b e r g u 2 0 e 2 s 3 t / j . f t / . . o n 1 8 M a y 2 0 2 1 REFERENCES Andrzejewski, M. E., Spencer, R. C., & Kelley, A. E. (2005). Instrumental learning, but not performance, requires dopamine D1-receptor activation in the amygdala. Neuroscience, 135, 335–345. Balleine, B. W., Delgado, M. R., & Hikosaka, O. (2007). The role of the dorsal striatum in reward and decision-making. 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“Virus and Epidemic”: Causal Knowledge image
“Virus and Epidemic”: Causal Knowledge image
“Virus and Epidemic”: Causal Knowledge image
“Virus and Epidemic”: Causal Knowledge image
“Virus and Epidemic”: Causal Knowledge image

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