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Prof Paul Burgess
Prof Paul Burgess Institute of Cognitive Neuroscience, UCL 17 Queen Square London WC1N 3AR [email protected] Tel: 0208 679 1139 Fax: 020 7813 2835 http://www.icn.ucl.ac.uk/StaffLists/MemberDetails.php?Title=Prof&FirstName=Paul&LastName=Burgess Profile Appointment - Professor of Cognitive Neuroscience Institute of Cognitive Neuroscience Div of Psychology & Lang Sciences Faculty of Brain Sciences Research Groups: Research Themes Executive Functions Group Basic Life Sciences Neuroscience Research Summary My interests lie in five overlapping areas. They all concern themselves with discovering the role that the frontal lobes of the brain play in enabling us to decide what we want to achieve, and then organise our behaviour to that end, often over long time periods. I am also interested in how we can measure and treat executive function problems in people who have suffered brain damage, and the neuropsychiatric sequelae of frontal lobe dysfunction. 1. The functions of rostral prefrontal cortex (Area 10) My recent research is indicating a special role for a large part of the frontal lobes known as Area 10 in many functions important to human cognition. Up until now, virtually nothing has been known about the functions of this area, and my group is trying to discover what it is there for and how it works. This is an especially exciting topic because so little is known: it is likely that the next few years will see rapid scientific advance. 2. Functional organisation of the frontal lobe cognitive system My group and I build and test information processing models of how the cognitive processes supported (at least in part) by the frontal lobes work together to perform various functions. The experiments I carry out vary from e.g. theoretical studies of simple inhibition or initiation processes, to studies of complex behaviours in real life (e.g. shopping). 3. Memory control processes I am interested in how people recall events that have happened to them, which is a very complex process of reconstruction and memory for "source". One insight into how this process operates is to look at what happens when it fails, and I study these mistakes both in healthy people (e.g. Burgess and Shallice, 1996) and in neurological patients, where the syndrome of gross memory errors is known as "confabulation." 4. Behavioural organisation I carry out studies which aim to discover how we form plans, schedule our activities (known as "multitasking"), remember to carry out intended actions after a delay ("prospective memory") and assess the consequences of our actions. These use functional imaging (PET or fMRI), human neuropsychology, and experimental psychology methods, as well as others (e.g. verbal protocol analysis; individual differences; ageing; developmental studies). 5. Assessment and rehabilitation of executive function deficits Deficits in executive functions may be devastating to someone's ability to cope with everyday life, work and relationships. It is very important therefore that we can understand these problems, measure them, and develop ways of helping people to overcome their deficits. I am inventor or co-inventor of a number of neuropsychological tests of executive function which are now used in clinics throughout the world (e.g. the Hayling and Brixton Tests; BADS battery; Six Element Test; Multiple Errands Test) and have, through collaborations with my clinical colleagues, a long-standing research interest in developing rehabilitation techniques. 6. Frontal lobe function and mental health. I am interested in finding out the role that purturbation or atypical development of frontal lobe structures might play in the presentation of psychiatric and psychosocial disorders such as schizophrenia and autistic spectrum disorders (especially Asperger Syndrome). Academic Background 1992 PhD 1983 BA Hons Doctor of Philosophy – Neuropsychology Bachelor of Arts (Honours) – Psychology Institute of Neurology University of Nottingham Research Activities: Biological influences on social competence, and neurodevelopmental disorders of social cognition Active Cognitive heterogeneity in autism Active Cognitive neuroscience of executive functions Active Eating Disorders, in particular cognition, motivation and personality in anorexia nervosa Active Executive functions of the frontal lobes Neural bases of human long-term memory Active Achievements Title Type Organisation Fellow Fellow British Psychological Society Member Member IASSID (International Association for the Scientific Study of Intellectual & Developmental Disabailities) President's Award for Distinguished Contributions to Psychological Knowledge Award British Psycholological Society Member Member Experimental Psychology Society Member Member Memory Disorders Research Society Publications Bolton, H. M., Burgess, P. W., Gilbert, S. J., & Serpell, L. (2014). Increased set shifting costs in fasted healthy volunteers. PLoS One, 9 (7), e101946-?. doi:10.1371/journal.pone.0101946 Volle, E., de Lacy Costello, A., Coates, L. M., McGuire, C., Towgood, K., Gilbert, S., . . . Burgess, P. W. (2012). Dissociation between verbal response initiation and suppression after prefrontal lesions. Cereb Cortex, 22 (10), 2428-2440. doi:10.1093/cercor/bhr322 Gilbert, S. J., Bird, G., Frith, C. D., & Burgess, P. W. (2012). Does "task difficulty" explain "task-induced deactivation?". Front Psychol, 3, 125-?. doi:10.3389/fpsyg.2012.00125 Gonen-Yaacovi, G., & Burgess, P. W. (2012). PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS. PSYCHOLOGICA BELGICA, 52 (2-3), 173-204. Benoit, R. G., Gilbert, S. J., Frith, C. D., & Burgess, P. W. (2012). Rostral Prefrontal Cortex and the Focus of Attention in Prospective Memory. CEREBRAL CORTEX, 22 (8), 1876-1886. doi:10.1093/cercor/bhr264 Castiel, M., Alderman, N., Jenkins, K., Knight, C., & Burgess, P. (2012). Use of the Multiple Errands Test - Simplified Version in the assessment of suboptimal effort. NEUROPSYCHOLOGICAL REHABILITATION, 22 (5), 734-751. doi:10.1080/09602011.2012.686884 Benoit, R. G., Gilbert, S. J., & Burgess, P. W. (2011). A neural mechanism mediating the impact of episodic prospection on farsighted decisions. J Neurosci, 31 (18), 6771-6779. doi:10.1523/JNEUROSCI.6559-10.2011 Burgess, P. W. (2011). Frontopolar cortex: constraints for theorizing. Trends Cogn Sci, 15 (6), 242-?. doi:10.1016/j.tics.2011.04.006 Burgess, P. W., Gonen-Yaacovi, G., & Volle, E. (2011). Functional neuroimaging studies of prospective memory: what have we learnt so far?. Neuropsychologia, 49 (8), 2246-2257. doi:10.1016/j.neuropsychologia.2011.02.014 Okuda, J., Gilbert, S. J., Burgess, P. W., Frith, C. D., & Simons, J. S. (2011). Looking to the future: Automatic regulation of attention between current performance and future plans. NEUROPSYCHOLOGIA, 49 (8), 2258-2271. doi:10.1016/j.neuropsychologia.2011.02.005 Burgess, P. W., Gonen-Yaacovi, G., & Volle, E. (2011). Rostral prefrontal cortex: What neuroimaging can learn from human neuropsychology. In B. Levine, F. CRAIK (Eds.), Mind and the frontal lobes (pp. 47-92). New York: USA: Oxford Univ Pr. Volle, E., Gonen-Yaacovi, G., Costello, A. D. E. L., Gilbert, S. J., & Burgess, P. W. (2011). The role of rostral prefrontal cortex in prospective memory: a voxel-based lesion study. Neuropsychologia, 49 (8), 2185-2198. doi:10.1016/j.neuropsychologia.2011.02.045 Gilbert, S. J., Gonen-Yaacovi, G., Benoit, R. G., Volle, E., & Burgess, P. W. (2010). Distinct functional connectivity associated with lateral versus medial rostral prefrontal cortex: a meta-analysis. Neuroimage, 53 (4), 1359-1367. doi:10.1016/j.neuroimage.2010.07.032 Dumontheil, I., Gilbert, S. J., Burgess, P. W., & Otten, L. J. (2010). Neural correlates of task and source switching: similar or different?. Biological Psychology, 83 (3), 239-249. doi:10.1016/j.biopsycho.2010.01.008 Dumontheil, I., Gilbert, S. J., Frith, C. D., & Burgess, P. W. (2010). Recruitment of lateral rostral prefrontal cortex in spontaneous and task-related thoughts. The Quarterly Journal of Experimental Psychology, 69 (3), 1740-1756. Benoit, R. G., Gilbert, S. J., Volle, E., & Burgess, P. W. (2010). When I think about me and simulate you: medial rostral prefrontal cortex and self-referential processes. Neuroimage, 50 (3), 1340-1349. Gilbert, S. J., Meuwese, J. D. I., Towgood, K. J., Frith, C. D., & Burgess, P. W. (2009). Abnormal functional specialization within medial prefrontal cortex in high-functioning autism: a multi-voxel similarity analysis. Brain, 132 (4), 869-878. doi:10.1093/brain/awn365 Towgood, K. J., Meuwese, J. D., Gilbert, S. J., Turner, M. S., & Burgess, P. W. (2009). Advantages of the multiple case series approach to the study of cognitive deficits in autism spectrum disorder. Neuropsychologia, 47 (13), 2981-2988. doi:10.1016/j.neuropsychologia.2009.06.028 John, J. P., Burgess, P. W., Yashavantha, B. S., Shakeel, M. K., Halahalli, H. N., & Jain, S. (2009). Differential relationship of frontal pole and whole brain volumetric measures with age in neuroleptic-naïve schizophrenia and healthy subjects. Schizophrenia Research, 109 (1-3), 148-158. Dawson, D., R, A., N, D., Burgess, P., Cooper, E., Krpan, K., . . . D, T. (2009). Further development of the Multiple Errands Test: standardized scoring, reliability, and ecological validity for the Baycrest version. Archives of Physical Medicine and Rehabilitation, 90 (11 Suppl 1), 41-51. White, S., Burgess, P., & Hill, E. (2009). Impairments in 'open-ended' executive function tests in autism. Autism Research, 2 (3), 138-147. Mesulam’s frontal lobe mystery re-examined. Restorative Neurology and Neuroscience, 27 (5), 493506. Burgess, P. (2009). ROLE OF ROSTRAL PREFRONTAL CORTEX IN DISCRIMINATING REAL FROM IMAGINARY EVENTS. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 80 (7), 824. Gilbert, S. J., Gollwitzer, P. M., Cohen, A. L., Oettingen, G., & Burgess, P. W. (2009). Separable brain systems supporting cued versus self-initiated realization of delayed intentions. Journal of Experimental Psychology: Learning, Memory and Cognition, 35 (4), 905-915. Gilbert, S. J., Bird, G., Brindley, R., Frith, C. D., & Burgess, P. W. (2008). Atypical recruitment of medial prefrontal cortex in autism spectrum disorders: An fMRI study of two executive function tasks. Neuropsychologia, 46 (9), 2281-2291. doi:10.1016/j.neuropsychologia.2008.03.025 Dumontheil, I., Burgess, P., & Blakemore, S. J. (2008). Development of rostral prefrontal cortex and cognitive and behavioural disorders. Developmental Medicine and Child Neurology, 50 (3), 168-181. Turner, M. S., Simons, J. S., Gilbert, S. J., Frith, C. D., & Burgess, P. W. (2008). Distinct roles for lateral and medial rostral prefrontal cortex in source monitoring of perceived and imagined events. Neuropsychologia, 46 (5), 1442-1453. doi:10.1016/j.neuropsychologia.2007.12.029 Christodoulou, T., Hadjulis, M., Frangou, S., & Burgess, P. W. (2008). Executive function measures in healthy relatives of bipolar and schizophrenia probands. EUR PSYCHIAT, 23, S109. Christodoulou, T., Hadjulis, M., Gilbert, S. J., Frangou, S., & Burgess, P. W. (2008). Executive function measures in healthy relatives of bipolar and schizophrenia probands. EUR PSYCHIAT, 23, S109. Gilbert, S. J., & Burgess, P. W. (2008). Executive Function. Current Biology, 18, R110R114. Burgess, P., Dumontheil, I., Gilbert, S. J., Okuda, J., Schölvinck, M. L., & Simons, J. S. (2008). On the role of rostral prefrontal cortex (area 10) in prospective memory. In M. Kliegel, M. A. McDaniel, G. O. Einstein (Eds.), Prospective memory: Cognitive, neuroscience, developmental, and applied perspectives. Mahwah: Erlbaum (pp. 235-260). Gilbert, S. J., & Burgess, P. W. (2008). Social and non-social functions of rostral prefrontal cortex: Implications for education. Mind, Brain and Education, 2, 148-156. Burgess, P. W., Gilbert, S. J., & Dumontheil, I. (2007). A gateway between mental life and the external world: Role of the rostral prefrontal cortex (area 10). Japanese Journal of Neuropsychology, 23 (1), 8-26. Gilbert, S. J., Dumontheil, I., Simons, J. S., Frith, C. D., & Burgess, P. W. (2007). Comment on "Wandering Minds: The Default Network and Stimulus-Independent Thought". Science, 317 (5834), 43. doi:10.1126/science.1140801 Okuda, J., Fujii, T., Ohtake, H., Tsukiura, T., Yamadori, A., Frith, C. D., & Burgess, P. W. (2007). Differential involvement of regions of rostral prefrontal cortex (Brodmann area 10) in time- and event-based prospective memory. International Journal of Psychophysiology, 64 (3), 233-246. doi:10.1016/j.ijpsycho.2006.09.009 Gilbert, S. J., Williamson, I. D. M., Dumontheil, I., Simons, J. S., Frith, C. D., & Burgess, P. W. (2007). Distinct regions of medial rostral prefrontal cortex supporting social and nonsocial functions. Social Cognitive and Affective Neuroscience, 2 (3), 217-226. doi:10.1093/scan/nsm014 Burgess, P. W., Gilbert, S. J., & Dumontheil, I. (2007). Function and localization within rostral prefrontal cortex (area 10). Philosophical Transactions of the Royal Society B: Biological Sciences, 362 (1481), 887-899. doi:10.1098/rstb.2007.2095 Burgess, P. W., Gilbert, S. J., & Dumontheil, I. (2007). The gateway hypothesis of rostral PFC (area 10) function. Trends in Cognitive Sciences, 11, 290-298. Burgess, P. W., Dumontheil, I., & Gilbert, S. J. (2007). The gateway hypothesis of rostral prefrontal cortex (area 10) function. Trends Cogn Sci, 11 (7), 290-298. doi:10.1016/j.tics.2007.05.004 Simons, J. S., Schölvinck, M., Gilbert, S. J., Frith, C. D., & Burgess, P. W. (2006). Differential components of prospective memory? Evidence from fMRI. Neuropsychologia, 44 (8), 1388-1397. Gilbert, S. J., Spengler, S., Simons, J. S., Frith, C. D., & Burgess, P. W. (2006). Differential functions of lateral and medial rostral prefrontal cortex (area 10) revealed by brainbehavior associations. Cerebral Cortex, 16 (12), 1783-1789. doi:10.1093/cercor/bhj113 Gilbert, S. J., Spengler, S., Simons, J. S., Frith, C. D., & Burgess, P. W. (2006). Differential functions of lateral and medial rostral prefrontal cortex (area 10) revealed by brainbehaviour correlations. Cerebral Cortex, 16 (12), 1783-1789. doi:10.1093/cercor/bhj113 Simons, J. S., Davis, S. W., Gilbert, S. J., Frith, C. D., & Burgess, P. W. (2006). Discriminating imagined from perceived information engages brain areas implicated in schizophrenia. NeuroImage, 32 (2), 696-703. doi:10.1016/j.neuroimage.2006.04.209 Gilbert, S. J., Spengler, S., Simons, J. S., Steele, J. D., Lawrie, S. M., Frith, C. D., & Burgess, P. W. (2006). Functional specialization within rostral prefrontal cortex (Area 10): a meta-analysis. Journal of Cognitive Neuroscience, 18 (6), 932-948. doi:10.1162/jocn.2006.18.6.932 Gilbert, S. J., Simons, J. S., Frith, C. D., & Burgess, P. W. (2006). Performance-related activity in medial rostral PFC (Area 10) during low demand tasks. Journal of Experimental Psychology: Human Perception and Performance, 32 (1), pp.45-58. doi:10.1037/0096-1523.32.1.000 Gilbert, S. J., Simons, J. S., Frith, C. D., & Burgess, P. W. (2006). Performance-related activity in medial rostral prefrontal cortex (Area 10) during low-demand tasks. Journal of Experimental Psychology: Human Perception and Performance, 32 (1), pp.45-58. Gilbert, S. J., Simons, J. S., Frith, C. D., & Burgess, P. W. (2006). Performance-related activity in medial rostral prefrontal cortex (area 10) during low-demand tasks. J Exp Psychol Hum Percept Perform, 32 (1), 45-58. doi:10.1037/0096-1523.32.1.45 Burgess, P. W., Gilbert, S. J., Okuda, J., & Simons, J. S. (2006). Rostral prefrontal brain regions (area 10): A gateway between inner thought and the external world?. In W. Prinz, N. Sebanz (Eds.), Disorders of Volition (pp. 373-396). Cambridge,MA: MIT Press. Burgess, P. W., Alderman, N., Forbes, C., Costello, A., Coates, L., Dawson, D. R., . . . Channon, S. (2006). The case for the development and use of "ecologically valid" measures of executive function in experimental and clinical neuropsychology. Journal of the International Neuropsychological Society, 12 (2), 1-16. Burgess, P. W., Alderman, N., Forbes, C., Costello, A., Coates, L. M. A., Dawson, D. R., . . . Channon, S. (2006). The case for the development and use of "ecologically valid" measures of executive function in experimental and clinical neuropsychology. J INT NEUROPSYCH SOC, 12 (2), 194-209. doi:10.1017/S135561770606310 Burgess, P. W., Alderman, N., Forbes, C., Costello, A., Coates, L. M., Dawson, D. R., . . . Channon, S. (2006). The case for the development and use of "ecologically valid" measures of executive function in experimental and clinical neuropsychology. J Int Neuropsychol Soc, 12 (2), 194-209. doi:10.1017/S1355617706060310 Simons, J. S., Owen, A. M., Fletcher, P. C., & Burgess, P. W. (2005). Anterior prefrontal cortex and the recollection of contextual information. Neuropsychologia, 43 (12), pp.17741783. Simons, J. S., Owen, A. M., Fletcher, P. C., & Burgess, P. W. (2005). Anterior prefrontal cortex and the recollection of contextual information. Neuropsychologia, 43 (12), 17741783. doi:10.1016/j.neuropsychologia.2005.02.004 Simons, J. S., Gilbert, S. J., Owen, A. M., Fletcher, P. C., & Burgess, P. W. (2005). Distinct roles for lateral and medial anterior prefrontal cortex in contextual recollection. Journal of Neurophysiology, 94 (1), pp.813-820. Simons, J. S., Gilbert, S. J., Owen, A. M., Fletcher, P. C., & Burgess, P. W. (2005). Distinct roles for lateral and medial anterior prefrontal cortex in contextual recollection. J Neurophysiol, 94 (1), 813-820. doi:10.1152/jn.01200.2004 Zlotowitz, S., Channon, S., Gilbert, S. J., & Burgess, P. J. (2005). Independence of executive control processes involved in prospective memory and task switching. Proceedings of British Psychological Society, 13, 220-?. Gilbert, S. J., Frith, C. D., & Burgess, P. W. (2005). Involvement of rostral prefrontal cortex in selection between stimulus-oriented and stimulus-independent thought. European Journal of Neuroscience, 21 (5), 1423-1431. doi:10.1111/j.14609568.2005.03981.x Sukantarat, K. T., Burgess, P. W., Williamson, R. C. N., & Brett, S. J. (2005). Prolonged cognitive dysfunction in survivors of critical illness. Anaesthesia, 60 (9), pp.847-853. Sukantarat, K. T., Burgess, P. W., Williamson, R. C. N., & Brett, S. J. (2005). Prolonged cognitive dysfunction in survivors of critical illness. ANAESTHESIA, 60 (9), 847-853. doi:10.1111/j.1365-2044.2005.04148.x Burgess, P. W., Gilbert, S. J., Okuda, J., & Simons, J. S. (2005). Rostral Prefrontal Brain Regions (Area 10): A Gateway between Inner Thought and the External World?. In N. Sebanz, W. Prinz (Eds.), Disorders of Volition. Cambridge, MA: MIT Press. Burgess, P. W., Simons, J. S., Dumontheil, I., & Gilbert, S. J. (2005). The gateway hypothesis of rostral prefrontal cortex (area 10) function. In J. Duncan, L. Phillips, P. McLeod (Eds.), Measuring the Mind: Speed, Control, and Age (pp. 215-246). Oxford: University Press. Gilbert, S., Simons, J., Frith, C., & Burgess, P. (2005). The role of medial rostral prefrontal cortex in low-demand baseline conditions. JOURNAL OF COGNITIVE NEUROSCIENCE, 88. M I T PRESS. Burgess, P. W., Simons, J. S., Coates, L. M. -. A., & Channon, S. (2005). The search for specific planning processes. In G. Ward, R. Morris (Eds.), The Cognitive Psychology of Planning (pp. 199-227). Hove, UK: Psychology Press. Burgess, P. W., & Simons, J. S. (2005). Theories of frontal lobe executive function: clinical applications. In P. W. Halligan, D. T. Wade (Eds.), Effectiveness of Rehabilitation for Cognitive Deficits (pp. 211-232). Oxford: Oxford University Press. Burgess, P. (2004). A specialised role for Rostral prefrontal cortex (area 10) in prospective memory. INTERNATIONAL JOURNAL OF PSYCHOLOGY, 39 (5-6), 36. Okuda, J., Frith, C. D., & Burgess, P. W. (2004). Organisation of time-and-event-based intentions in rostral prefrontal cortex. NeuroImage, 22, S1-S53. Zlotowitz, S., Channon, S., & Burgess, P. W. (2004). Real-life outcomes and performance on an advanced planning test. Cognitive Neuroscience Society Abstracts, 130-?. Burgess, P. W., Simons, J. S., Dumontheil, I., & Gilbert, S. J. (2004). The gateway hypothesis of rostral PFC function. In J. Duncan, L. Phillips, P. McLeod (Eds.), Speed, Control and Ageing: In Honour of Patrick Rabbit. OPU. Burgess, P. W., & Simons, J. S. (2004). Theories of frontal lobe executive function: Clinical applications. In P. W. Halligan, D. T. Wade (Eds.), Effectiveness of Rehabilitation for Cognitive Deficits. Oxford: OUP. Alderman, N., & Burgess, P. W. (2003). Assessment and Rehabilitation of the Dysexecutive Syndrome. In R. Greenwood, T. M. McMillan, M. P. Barnes, C. D. Ward (Eds.), Handbook of Neurological Rehabilitation (pp. 387-402). Hove: Psychology Press. Burgess, P. W. (2003). Assessment of executive function. In P. W. Halligan, U. Kischka, J. Marshall (Eds.), Handbook of Clinical Neuropsychology (pp. 302-321). Oxford: Oxford University Press. Alderman, N., & Burgess, P. (2003). Chapter 9. Executive Dysfunction. In L. Goldstein, J. McNeil (Eds.), Clinical Neuropsychology: A Practical Guide to Assessment and Management for Clinicians. Chichester, UK: Wiley. Alderman, N., Burgess, P. W., Knight, C., & Henman, C. (2003). Ecological validity of a simplified version of the Multiple Errands Test. Journal of the International Neuropsychological Society, 9, 31-44. Burgess, P. W., & Alderman, N. (2003). Executive dysfunction. In L. H. Goldstein, J. E. McNeil (Eds.), Clinical Neurospychology: A Practical Guide to Assessment and Management for Clinicians (pp. 185-210). Chichester: John Wiley. Burgess, P. W., Scott, S. K., & Frith, C. D. (2003). The role of the rostral frontal cortex (area 10) in prospective memory: a lateral versus medial dissociation. Neuropsychologia, 41 (8), 906-918. doi:10.1016/S0028-3932(02)00327-5 Burgess, P. W. (2002). Assessment of executive function. In P. W. Halligan, J. Marshall (Eds.), Oxford Handbook of Neurological Assessment. Oxford University Press. Knight, C., Alderman, N., & Burgess, P. (2002). Development of a simplified version of the multiple errands test for use in hospital settings. Neuropsychological Rehabilitation, 12 (3), pp.231-255. Knight, C., Alderman, N., & Burgess, P. W. (2002). Development of a simplified version of the multiple errands test for use in hospital settings. NEUROPSYCHOL REHABIL, 12 (3), 231-255. doi:10.1080/09602010244000039 Burgess, P. W., & Robertson, I. H. (2002). Principles of the rehabilitation of frontal lobe function. In D. T. Stuss, R. T. Knight (Eds.), Principles of Frontal Lobe Function (pp. 557572). New York: Oxford University Press. McNeil, J., & Burgess, P. (2002). The selective impairment of arithmetical procedures. Cortex, 38 (4), pp.569-587. McNeil, J. E., & Burgess, P. W. (2002). The selective impairment of arithmetical procedures. CORTEX, 38 (4), 569-587. Alderman, N., & Burgess, P. W. (2001). Assessment and Rehabilitation of the Dysexecutive Syndrome. In R. Greenwood, T. M. McMillan, M. P. Barnes, C. D. Ward (Eds.), Handbook of Neurological Rehabilitation. Hove: Psychology Press. Burgess, P. W., Quayle, A., & Frith, C. (2001). Brain regions involved in prospective memory as determined by positron emission tomography. Neuropsychologia, 39 (6), 545555. doi:10.1016/S0028-3932(00)00149-4 Burgess, P. W. (2001). Rehabilitation of multitasking deficits. BRAIN COGNITION, 47 (12), 7-8. Burgess, P. W. (2000). Real-world multitasking from a cognitive neuroscience perspective. In S. Monsell, J. Driver (Eds.), Control of Cognitive Processes: Attention and Performance VVIII (pp. 465-472). Cambridge, MA: MIT Press. Burgess, P. (2000). Strategy application disorder: the role of the frontal lobes in human multitasking. Psychological Research, 63 (3-4), pp.279-288. doi:10.1007/s004269900006 Burgess, P. W. (2000). Strategy application disorder: the role of the frontal lobes in human multitasking. Psychol Res, 63 (3-4), 279-288. Burgess, P. W., Costello, A. D. L., Frith, C., Quayle, A., Scott, S., & Veitch, E. (2000). The brain regions involved in creating and realizing a delayed intention. INT J PSYCHOL, 35 (3-4), 184. Burgess, P., Veitch, E., Costello, A., & Shallice, T. (2000). The cognitive and neuroanatomical correlates of multitasking. Neuropsychologia, 38 (6), 848-863. doi:10.1016/S0028-3932(99)00134-7 Burgess, P., & McNeil, J. (1999). Content-specific confabulation. Cortex, 35 (2), 163-182. doi:10.1016/S0010-9452(08)70792-5 Burgess, P., & McNeil, J. (1998). Content-specific confabulation. Cortex (34), 1-18. Wilson, B., Evans, J., Emslie, H., Alderman, N., & Burgess, P. (1998). The development of an ecologically valid test for assessing patients with a dysexecutive syndrome. Neuropsychological Rehabilitation, 8 (3), 213-228. doi:10.1080/713755570 Wilson, B. A., Evans, J. J., Emslie, H., Alderman, N., & Burgess, P. (1998). The development of an ecologically valid test for assessing patients with a dysexecutive syndrome. NEUROPSYCHOL REHABIL, 8 (3), 213-228. Shallice, T., & Burgess, P. (1998). The domain of supervisory processes and the temporal organisation of behaviour. In A. Roberts, T. Robbins, L. Weiskrantz (Eds.), The Prefrontal Cortex:Executive and Cognitive Functions (pp. pp.22-35). Oxford, UK: Oxford University Press. Burgess, P., Alderman, N., Evans, J., Emslie, H., & Wilson, B. (1998). The ecological validity of tests of executive function. Journal of the International Neuropsychological Society, 4 (6), pp.547-558. Burgess, P. W., Alderman, N., Evans, J., Emslie, H., & Wilson, B. A. (1998). The ecological validity of tests of executive function. J Int Neuropsychol Soc, 4 (6), 547-558. Wilson, B., Evans, J., Alderman, N., Burgess, P., & Emslie, H. (1997). Behavioural assessment of the dysexecutive syndrome. In P. Rabbitt (Ed.), Theory and Methodology of Frontal and Executive Function (pp. pp.239-250). East Sussex, UK: Psychology Press. Burgess, P. W., & Shallice, T. (1997). The Hayling and Brixton Tests. Burgess, P., & Shallice, T. (1997). The relationship between prospective memory and retrospective memory: neuropsychological evidence. In S. Gathercole, M. Conway (Eds.), Cognitive Models of Memory. London, UK: Psychology Press. Burgess, P. (1997). Theory and methodology in executive function research. In P. Rabbitt (Ed.), Theory and Methodology of Frontal and Executive Function (pp. pp.81-116). East Sussex, UK: Psychology Press. Burgess, P., & Shallice, T. (1996). Bizarre responses, rule detection and frontal lobe lesions. Cortex, 32, 241-260. Burgess, P., & Shallice, T. (1996). Confabulation and the control of recollection. Memory, 4 (4), 359-412. Burgess, P. W., Baxter, D., Rose, M., & Alderman, N. (1996). Delusional paramnesic misidentification. In P. W. Halligan, J. C. Marshall (Eds.), Method in Madness: Case Studies in Neuropsychiatry (pp. 51-78). Hove, U.K.: Psychology Press.. Burgess, P., & Shallice, T. (1996). Response suppression, initiation and strategy following frontal lobe lesions. Neuropsychologia, 34, 263-273. Burgess, P. W., & Cooper, R. (1996). The control of thought and action. In D. W. Green (Ed.), Cognitive Science. 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NeuroImage. 31 ROSTRAL PREFRONTAL CORTEX (BRODMANN AREA 1 0 ) M ETACOGNITION IN THE BRAIN Paul W. Burgess and Hsuan-Chen Wu zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJ Burgess, P. W. & Wu, H-C. (2013) Rostral prefrontal cortex (Brodmann area 10): metacognition in the brain. Chapter 31 in: Principles of Frontal Lobe Function, 2 edition (Editors: Donald T. Stuss & Robert T. Knight) pp. 524-534. New York: OUP nd INTRODUCTION zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA size (Semendeferi, Armstrong, Schleicher, Zilless, & Van Hoesen, 1998). The study of rostral prefrontal cortex (PFC) must count now as perhaps the fastest-growing new area of cognitive IT HAS AN U N U S U ALLY LOW N E U R O N AL D E N S ITY neuroscience. Until approximately 10 years ago, virtually ( P O IN T 2 ) nothing was known about this huge brain region (actually the largest architectonic subregion of the PFC). Now we Rostral PFC is not only unusual in terms of its size, but also in have evidence that stretches across neuroanatomy, anthro- terms of neuronal density. I n humans, its density is particupology, brain development, cognitive neuroscience, neu- larly low (Semendeferi et al., 2001). However, the number of ropsychology, neuropsychiatry (adults and children), and, dendritic spines per cell and the spine density are higher than most recently, even behavioral neuroscience (Tsujimoto, those of comparable areas (Jacobs et al., 2001). These differGenovesio, & Wise, 2011). The purpose of this chapter is to ences may be of anthropological significance. Semendeferi lay out, in as straightforward a way as possible, the current et al. (2011) compared the horizontal spacing distance of state of our knowledge about this fascinating brain region. neurons in different regions of the cortex across primates We will conclude by suggesting that perhaps the best (including humans). They found that it is only after the split description for the overall function of this brain region in from our last common ancestor that BA 10 neuronal spacing humans would be that it is a hub forzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA metacognition. became the largest in humans compared with the other apes. So, what do we currently know about rostral PFC, especially as it relates to cognition? zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA TH E R E AR E D IF F E R E N T S U B R E G IO N S R O S TR A L P F C IS A VE R Y E S P E C IA L L Y IN HUM AN S B IG B R AIN ( P O IN T R E G IO N , 1) Confusingly, in the literature, rostral PFC (approximating Brodmann area [BA] 10) is referred to by many names. These include "frontopolar cortex," "frontal pole," "anterior prefrontal cortex," and so forth. All these terms are used to refer to a large part of the cortex that sits at the very front of the brain, and given our current state of knowledge, these terms are all virtually interchangeable. Rostral PFC is conspicuously large in humans, comprising approximately 500 million neurons spread over an area of roughly 28,000 mm (Semendeferi, Armstrong, Schleicher, Zilles, & Van Hoesen, 2001). Indeed, it is larger in humans, both relatively and absolutely, than in any other animal. This is especially noteworthy since this is not the case for all subregions of PFC. For instance, BA 13 is actually smaller than would be expected given overall brain 3 524 W ITHIN C Y T 0 A R C H IT E C T U R A L BA 1 0 ( P O IN T 3 ) Rostral PFC is a complex structure from a cytoarchitectural viewpoint. There appear to be at least three different subregions in humans (with only two in, e.g., the macaque; Carmichael & Price, 1994). According to Ongiir, Ferry, and Price (2003), there is a large and highly differentiated region in humans that covers the frontal pole itself (i.e., the most anterior section), extending across both medial and lateral aspects. This region has a thick, highly granular cortex with a well-developed sublaminated layer I I I . Ongur et al. term this region " lOp." The other two subregions of BA 10 occupy the medial surface only. Ongiir et al. describe how the first of these regions lies directly behind (i.e., caudally) lOp and is termed "lOr." This has granular layers I I and IV, with a moderately developed layer I I I . The most caudal subregion of BA 10 lies behind lOr and is termed "10m." This is granular, but with a thinner layer I V and radial and horizontal striations. I t is located ventral to BA 24 and ventral and anterior to BA 32 but superior to BA 11 and 13, extending the brain, does not in fact stop in the early 20s, as has been anteriorly to the level of the genu of the corpus callosum. assumed, and the later stages of this process might afford What are we to make of this, as researchers interested some kind of protection against undesirable cognitive in determining the cognitive functions supported by this phenomena. intriguing brain region? Should we take this information as relevant for constraining theories about the functional AC TIVATIO N S OF R O S TR A L P F C CAN B E FO UN D organization of rostral PFC (i.e., mapping between strucD UR IN G ALM O S T ANY K IN D OF C O G N ITIV E TAS K tural and functional levels of explanation)? I t is unwise to ( P O IN T 5 ) expect a straightforward relation between structure and function, at least using the forms of data currently avail- As Burgess, Simons, Dumontheil, and G ilbert (2005) able to us. Nevertheless, perhaps the fact that there are pointed out, local hemodynamic (e.g., blood flow, blood distinct cytoarchitectonic subregions within rostral PFC oxygenation) changes occur in BA 10 during the performight be taken to be congruent with a general notion that mance of a very wide variety of cognitive tasks, from the there may be differences between these regions in the way simplest (e.g., conditioning paradigms; Blaxton et al., they operate, the contributions they make to cognition, or 1996) to highly complex tests involving memory and judgthe behaviors or mental abilities afforded by them. I n fact, ment (e.g., Burgess, Quayle, & Frith, 2001; Burgess, Scott, as we shall see later, these anatomical subdivisions appear & Frith, 2003; Frith & Frith, 2003; K oechlin, Basso, to be remarkably well reflected in the different functional Pietrini, Panzer, & Grafman, 1999) or problem solving specializations of these subregions. It is also the case that a (e.g., Christoff et al., 2001). Indeed, one can find activanumber of these abilities, while not perhaps entirely unique tion of the rostral PFC in just about any kind of task—for to humans, nevertheless would be among those that we example, verbal episodic retrieval (Rugg, Fletcher, Frith, might think of as strongly typifying what is more charac- Frackowiak, & Dolan, 1996; Tulving, Markowitsch, teristic of them than of other primates. zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Criak, Habib, & Houle, 1996), nonverbal episodic retrieval (Haxbyet al. 1996; Roland & Gulyas, 1995), semantic memory (Jennings, Mcintosh, Kapur, Tulving, & Houle, 1997; R O S TR A L P F C ( B A 10) D E V E L O P S LATE Martin, Haxby, Lalonde,Wiggs, & Ungerleider 1995), IN L IF E ( P O IN T 4 ) language (B ottini et al., 1994; K lein, Milner, Zatorre, I f this is true, then perhaps it would not be surprising if Meyer, & Evans, 1995), motor learning (Jenkins, Brooks, the development of rostral PFC showed a particularly pro- Nixon, Frackowiak, & Passingham, 1994), rule learning tracted course. After all, the most subtle faculties of the (Strange, Henson,Friston,&Dolan, 2001), shock/tone conhuman mind are generally thought to be acquired after ditioning (Hugdahl et al., 1995), nonverbal working memchildhood. And rostral PFC obliges (see Dumontheil, ory (Gold, Berman, Randolph, Goldberg, & Weinberger, Burgess, & Blakemore, 2008, for review): I t is a cortical 1996; Haxby, Ungerleider, Horwitz, Rapoport, & Grady, region that displays an unusually large degree of brain 1995), verbal working memory (Petrides, Alivisatos, growth between the ages of 5 and 11 years (Sowell et al., Meyer, & Evans, 1993), spatial memory (Burgess, Maguire, 2004) . But the changes do not stop there. There are large Spiers, & O'Keefe, 2001), auditory perception (Zatorre, decreases in gray matter density in this region between Halpern, Perry, Meyer, & Evans, 1996), object processadolescence (12-16 years old) and young adulthood ing (Kosslyn et al., 1994; Kosslyn, Alpert, & Thompson, 1995), the Tower of London Test (Baker et al., 1996), (23-30 years old; Sowell, Thompson, Holmes, Jernigan, zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCB & c Toga, 1999), with maturation of dendritic systems con- the Wisconsin Card Sorting Test (Berman et al., 1995), tinuing into late adolescence (e.g., Travis, Ford, & Jacobs, reasoning tasks (Goel, G old, Kapur, & Houle, 1997), and 2005) . The developmental changes in gray matter volume intelligence tests such as Raven's Progressive Matrices might be consequent upon an increase in cortical myelina- (Christoff et al., 2001; Prabhakaran, Smith, Desmond, tion (Paus, 2005), which for many years has been thought Glover, & Gabrieli, 1997). Indeed, it might be more of a challenge to find a task to be particularly late in this region (Bonin, 1950). Then there appear to be sharp changes in early adulthood as well: that does not activate some subregion of rostral PFC at least John et al. (2009) compared the volume of rostral PFC as some of the time. This means that the scientific emphasis, in a proportion of total brain volume in healthy people 20 to the struggle to determine the functions of the brain region, 40 years old. They found a sharp decrease in relative vol- turns to (1) those paradigms where there is an usually freume over this period. Moreover, this normally occurring quent finding of rostral PFC activation and (2) those where decrease was absent in people with schizophrenia. So, it is performance on the paradigm is directly related to these tempting to speculate that the "sculpting" of rostral PFC activations. Fortunately, there are some, which will be outthat we see throughout childhood and into early adult- lined in the section dealing with the specific functions of roshood, which is part of the normal developmental course of tral PFC. 31. R O S TR AL PR EFR O N TAL C O R TEX 525 L E S IO N S TO R O S TR A L zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA NOT C A U S E rostral PFC damage are not typically impaired across a P FC DO wide range of tasks, and their performance on IQtests can remain unimpaired. Many single cases have been reported THE LIM ITS OF THE F U N C TIO N S THAT W E in which patients have scored in the superior range on I Q C U R R E N TLY T E S T ) ( P O IN T 6 ) zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA tests, despite extensive rostral PFC involvement (e.g., Goel & Grafman, 2000; Goldstein, Bernard, Fenwick, Burgess, A natural expectation from the finding of activity in ros& McNeil, 1993; Shallice & Burgess, 1991; see Burgess tral PFC duringjust about any class of cognitive task might et al., 2009, for review). I n fact, Uretzky and Gilboa's be that damage to rostral PFC in humans should cause a (2010) patient, ZP (WAI S-I I I V I Q 121, PI Q 104, FSIQ very wide range of deficits. However, this does not seem to 113), who has circumscribed right frontopolar atrophy folbe the case, as revealed by both single-case and group studlowing a road traffic accident, gained degrees in civil engiies in humans. neering and business administration after his injury, which Probably the first group human lesion study of this type would seem unlikely if rostral PFC dysfunction causes a was carried out by Asenath Petrie in 1952. Petrie was a clinmarked decrement in general intellectual capabilities. ical psychologist who had initially studied at University Group studies have largely supported these observaCollege London and subsequently received clinical traintions. For instance, Dreher et al. (2008) compared patients ing at the Maudsley Hospital in London. I n her groundwith rostral PFC lesions (N= 7; called " frontopolar lesions" breaking book, written while she was at Pennsylvania by Dreher et al.) and patients whose lesions affected the State University (and surely deserves greater recognition), frontal lobes but not the rostral aspects of it (A^= 5). There she reported a study of the effects of leucotomy upon her was no significant difference in the performance of the two patients at St. George's Hospital in London. More specifigroups in terms of WAI S-I I I FSIQ scores (rostral patients' cally, she compared the effects of two different leucotomy mean 110.43, SD 20.4; nonrostral patients 103.20, SD procedures upon cognition in participants with "neurotic" 8.35). Moreover, the largest study of its kind (to our knowlsymptoms. The standard procedure at that time was to edge) also supports this contention. Warrington, James, make an incision at a rostral-caudal plane that, if extended and Maciejewski (1986) examined 656 patients with unito the outer surface of the brain, would have bisected BA lateral cerebral lesions on a shortened version of perhaps the 45,47,46,9, and 8. Petrie compared the effects of this intermost widely used neuropsychological test of intelligence, vention with the effects of a more rostral incision, where the WAIS. They found that V I Q was impaired following the cut was made just behind BA 10. left hemisphere lesions, regardless of where the lesion was The results were, prima facie, surprising. This rostral located within the hemisphere. Performance I Q was only operation actually led tozyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA improvements in a range of tasks, impaired following lesions affecting the right parietal lobe. notably manual dexterity, less perseveration, greater con- I n an analysis by individual subtest, only a relationship centration, and better performance on the Wechsler Adult between Block Design and Picture Arrangement decrement Intelligence Scale (WAIS) D igit Symbol and Similarities and right parietal involvement was found. There was no spesubtests. I t is tempting to ascribe these improvements to cific deficit for lesions in the frontal lobe. Glascher et al. the effects of alleviation of many of the neurotic symp- (2009) carried out a similar study, using the more sophistoms that Petrie reports (1952, p. 98). However, this must ticated lesion imaging methods now available and examinremain conjecture since the sample was not large enough ing 241 patients with focal brain damage on the WAI S-I I I . for formal analysis of this type. Nevertheless, one might They found a statistically significant lesion-deficit relaperhaps conclude that this pattern would be very unlikely tionship in left inferior frontal cortex for verbal compreto occur if rostral PFC supports to a very substantial degree hension scores, with an association between lesions in left the mental faculties tapped by these tests. O n other tests, lateral frontal and parietal cortex for the working memory relative to preoperative ability, there was no change. These index and in right parietal cortex for perceptual organizaincluded the Porteus Mazes, WAIS verbal I Q (VI Q ), per- tion. Again, there was no evidence for a link between rosformance I Q (PI Q ), full-scale I Q (F SI Q ), Cattell fluency, tral PFC lesions and a generalized cognitive impairment, and proverb interpretation tests. as one might perhaps have expected from a simple-minded Indeed, out of the substantial battery that Petrie extrapolation from the neuroimaging findings of activaadministered, postoperative decrements were detected on tions across a wide range of tasks. only two tests. First, there was a varied response to distracIndeed, those who have specifically addressed this tion. Second, the patients seemed to experience the sense matter reinforce the idea that whatever role it is that prothat time passed more quickly, as measured by unfilled esti- cesses supported by rostral PFC play in cognition, it is not mation of the passage of 60 s. strongly linked to notions of "general intelligence." Roca Since the publication of Petrie's study, a substantial et al. (2010) studied the relationship between measures of body of further evidence from human lesion studies has "fluid intelligence" (e.g., Cattell's Culture Fair Test) and accumulated that also demonstrates that patients with performance on a range of measures of executive functions. D E F IC IT S S EEM 526 IN A W ID E R E LA TIV E LY R AN G E OF TA S K S C IR C U M S C R IB E D B UT ( W ITH IN P R IN C IP LE S OF FRON TAL LO B E FUN CTIO N I n their first experiment, the sample was 44 patients with assessing the overall impact of lesions within the PFC on a chronic lesions affecting the frontal lobes. For two of the range of cognitive domains. The question Burgess et al. (2012) were trying to most commonly used executive function tasks (Wisconsin Card Sorting Test [WCST], Nelson version, and Verbal address in their meta-analysis was whether lesions affectFluency), they found that although the patients were sig- ing rostral PFC cause a breadth of deficits comparable to nificantly poorer than a group of matched healthy controls that of lesions elsewhere within the frontal cortex. This is in terms of raw performance on all three tests, once the an important issue for knowing where to start about thevariance attributable to "fluid intelligence" was accounted orizing about functional specialization of the region (see Burgess et al,. 2012, for further explanation). for by covariance, this difference disappeared. Broadly, Stuss and Alexander tested patients whose However, in their second experiment, Roca et al. (2010) administered a wider range of executive and social function lesions involved the frontal lobes, and collected sets of data tasks to 21 patients. Most of these were performed more from nonpatient control subjects matched as closely as pospoorly by the patient group. This time, however, Roca et al. sible to the patients for sex, age, and education. The lesions found that for some of the executive tasks, adjusting for were acute, andincluded infarction, hemorrhage (including fluid intelligence didnot remove the group difference. These ruptured aneurysms), trauma, and tumors. Most patients tests were Go-no go (Dubois, Slachevsky, Litvan, & Pillon, with tumors had resection of meningiomas or low-grade 2000; Luria, 1966), proverb interpretation (Hodges, gliomas and had not been treated with radiation. Stuss and 1994), the Hayling Sentence Completion Task (Burgess Alexander avoided patients in the very acute phase of their & Shallice 1996,1997), the Hotel Task (Manly, Hawkins, illness (e.g., less than two months' onset) and also excluded Evans, Woldt, & Robertson, 2002), aversion of Shallice and patients with significant aphasia, visual neglect, apraxia, or Burgess's Six Element Task (Shallice & Burgess, 1991), and any other significant neurological or psychiatric disorders. the Faux Pas Test (Stone, Baron-Cohen, & K night, 1998). Further, the patients tended to have I Q scores within the Roca et al. (2010) then devised a score that represented the normal range. Incidentally, it should be mentioned that in mean residual from these tests (i.e., a score that represented these studies, and in comparable ones where rigorous neuthe degree of impairment on the tests that could not be ropsychological screening is used to remove potential conexplained by fluid intelligence). When they examined the founds (e.g., Burgess, Veitch, de Lacy Costello, & Shallice, lesion overlaps for the six patients who showed the greatest 2000), no simple link between etiology and cognitive negative value, they found that the location of the overlap results is found: it is the location of the lesion that is the was in rostral PFC, especially in the right hemisphere. I n principal determining factor. Burgess et al. (2012) presented an analysis of the summary, then, Roca et al. showed that rostral PFC lesions caused an impairment that showed up on a number of exec- results from a range of the published papers by the Stuss/ utive tasks but that could not be explained by changes in Alexander team over roughly a 10-year period, using this fluid intelligence. zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA population. This analysis looked at how many variables showed impairment following lesions to different parts of the frontal lobes out of 44 under consideration (see Burgess On the Spe cificity o f the De ficit Fo llo wing Ro s tral et al., 2012, for a list of them). The 44 variables were scores PFC Le s io ns from a range of tests and paradigms, including the WCST, various verbal fluency measures, humor measurement, the Roca et al.'s (2010) study moves the argument about the Stroop Test, simple and choice reaction time tests under specificity of functions supported by rostral PFC away various conditions, inhibition, and various measures of from notions of "intelligence" (i.e., a construct involved in attentional performance. the performance of virtually all tasks). Yet their study still The meta-analysis shows two clear results. The first is showed that rostral PFC lesions caused deficits larger than that rostral PFC lesions did not cause deficits on more of range of tasks. So, the measurements than lesions elsewhere within the froncan be explained by intelligence across azyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA perhaps rostral PFC lesions in humans still cause wide- tal lobes. For both left and right hemispheres, lateral and spread cognitive problems of some sort, but these problems medial surfaces, deficits were noted on the range ofvariables are just not well measured by IQtests. examined by Stuss and Alexander less frequently than for An analysis that speaks to this issue is presented by some other frontal lobe regions; indeed, with the possible Burgess, Gonen-Yaacovi, and Voile (2012). They carried exception of some aspects of ventral PFC, cognitive deficits out a meta-analysis of the set of group human lesion stud- associated with BA 10 lesions, regardless of hemisphere or ies carried out over many years by Donald T . Stuss and surface, were consistently among the leastfrequent findings Michael Alexander and their colleagues in Toronto. They in this series of studies stretching over 10 years. The second finding from the Stuss/Alexander applied similar methods to the analysis of their data over a long period of time, and some of the cases were shared across meta-analysis is that the deficits that can be exclusively studies, which made this dataset particularly valuable for attributed to rostral PFC lesions seem to relate to quite zyxwvutsr 31. R O S TR AL PR EFR O N TAL C O R TEX 527 specific situations. I f one considers just those variables only partly complete one task and move to another task where rostral PFC (BA 10) lesions caused an impair- before returning to the first one. Much of the complex behavior in work and family situament that was significantly worse than the impairments in patients with lesions elsewhere, the result is a very tions is of this form. For instance, one might start preparing restricted subset of the 44 variables indeed. Patients with a meal until such time as a phone call has to be made, then rostral PFC lesions showed impairments in humor judg- break off to make the call and return to preparing the meal. ment in two (only) of the 10 WCST variables considered by Often each day will be composed of many of these routines Stuss and Alexander, and in maintaining performance in and subroutines, which have to be dovetailed if one is to time-keeping tasks, and were worst during slow conditions use one's time effectively. This type of scheduling is called of sustained attention tasks. With this latter finding, there "multitasking." It is distinguished from "multiple-task peris an interesting concordance with the findings of Petrie formance" (e.g., trying to type something while holding (1952), more than 50 years earlier (described above), which a conversation) by the characteristic that only one task is suggested that rostral PFC lesions can lead to a variable trying to be accomplished at any one time. (The relations response to distraction, and the sense that time passes more between the processes and brain regions involved in these two behaviors are, however, not well established.) I n other quickly, but leaves other cognitive abilities intact. This helps a great deal in the search to discover the cog- words, multitasking is the ability to sequence the perfornitive functions supported by rostral PFC. Rostral PFC mance of a series of subtasks, which in practice means lesions do not usually cause serious deficits in primary performing one task with the intention of switching to sensory functions, or in the "routinized" learned skills another in the future or rehearsing information relevant to such as basic aspects of language processing, motor or one task while performing another. visuo-perceptual abilities, reading, writing, simple aspects This type of behavior—multitasking—was probably of memory (e.g., knowledge; episodic recognition mem- the first for which a case was made for a link with rostral ory), and so forth, since virtually all the studies reviewed PFC structures. How this came about is documented here describe patients who have rostral PFC damage but by Burgess et al. (2009). The first historical stage was the whose abilities in these domains are unaffected. Nor do demonstration that some patients with frontal lobe damrostral PFC lesions cause widespread cognitive decline. age showed multitasking impairments in the context of Instead, they seem to cause deficits on quite a restricted set normal performance on most, if not all, of the traditional of tasks. tests of neuropsychological function used at the time (e.g., Putting these findings from human neuropsychology memory, language, perception, executive function). The together with those from neuroimaging, it seems likely second stage was the demonstration that this pattern was caused most frequently by lesions to rostral PFC. that whatever the functions of rostral PFC are, they (1) are zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGF critical to the actual performance of only a restricted range Regarding the first stage, the pattern of relatively isoof tasks and (2) are nevertheless operational during a much lated behavioral disorganization in everyday life had been wider range of tasks. So, what kind of processing could ful- observed clinically for many years. For instance, Penfield fill these criteria? We will argue later that this kind of pro- and Evans (1935) described the symptoms that Penfield's cessing can best be described as "metacognition." zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIH sister was experiencing after the removal of a right frontal glioma: "She had planned to get a simple supper for one guest and four members of her family. She looked forward R O S TR A L P FC IS IN VO LVED IN THE to it with pleasure and had the whole day for preparation. M E TAO R G AN IZ ATIO N OF B E H AVIO R When the appointed hour arrived she was in the kitchen, ( M U LTITA S K IN G AND P R O S P E C T IV E M E M O R Y ) the food was all there, one or two things were on the stove, ( P O IN T 7 ) zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA but the salad was not ready, the meat had not been started and she was distressed and confused by her long continued M ultitas king effort alone" (p. 131). This impairment was not caused by problems with Virtually all meaningful behavior has a structure to it, and so could be said to be organized at some level. This is memory, language, or perception, or by gross intellectual true of even relatively simple goal-directed behaviors such decline, but instead seemed to be more specifically related as reaching for a cup of tea. However, at the heart of most to prefrontal lobe function— although none of the theorists influential models of the role of frontal lobe processes in at the time attempted either to characterize the problem in human cognition is the notion of a division between behav- information processing terms or describe the characterisioral routines that have become automated through repeti- tics of the situation in which the disability was shown. This tion (like the ability to reach for an object and grasp it) and situation changed in the mid-1980s. Eslinger and Damasio those one-time sequences of behavior that are created to (1985) described the case of E VR, who had undergone deal with novel situations. One of the most common forms surgical removal of a large bilateral frontal meningioma. of the latter behavioral sequences is where one wishes to At the time of his operation, E VR was a financial officer 528 P R IN C IP LE S OF FRON TAL LO B E FUN CTION with a small company and a respected member of his community. He was married and the father of two children; his brothers and sisters considered him a role model and a natural leader. After the operation, however, E VR lost his job, went bankrupt, was divorced by his wife, and moved in with his parents. He subsequently married a prostitute and was divorced again within two years. Extensive psychological evaluations found no deficit; in fact, he was superior or above average on most tests (e.g., V I Q o f 125; PI Q of 124; no difficulty on the WCST ). He was also able to discuss intelligently matters such as the economy, foreign affairs, financial matters, and moral dilemmas. Despite these normal findings, E VR was often unable to make simple everyday decisions, such as which toothpaste to buy, what restaurant to go to, or what to wear. He would instead make endless comparisons and contrasts, often being completely unable to come to a decision at all. Further, Eslinger and Damasio report prospective memory problems:" it was as if he forgot to remember short- and intermediate-term goals" (p. 1737). Eslinger and Damasio's (1985) studywas the first empirical demonstration that this level of behavioral disorganization could occur in the context of intact intellect and intact performance on some tests traditionally thought to be sensitive to deficits in "frontal lobe" executive functions; previously, there had only been observational reports. However, although Eslinger and Damasio quantified the degree of specificity of the impairment (i.e., by showing normal performance on many neuropsychological tests), they did not quantify the actual impairment itself. Shallice and Burgess (1991) addressed this lacuna. They presented the cases of three patients who had all suffered frontal lobe damage following traumatic brain injury. All three had no significant impairment on formal tests of perception, language, and intelligence, and two performed well on a variety of traditional tests of executive function. Indeed, one of these patients (AP) was probably the best example of the syndrome so far reported (this patient was later called " N M" by Metzler & Parkin, 2000). AP had sustained an open head injury in a road traffic accident when he was in his early 20s. The injury caused a virtually complete removal of the rostral PFC bilaterally plus damage to surrounding regions. O n standard neuropsychological measures of intellectual functioning, memory, perception, and even traditional tests of executive function, AP performed within the superior range. However, AP did show cognitive impairment in other situations (Metzler & Parkin, 2000; Shallice & Burgess, 1991). The most noticeable of these in everyday life was a marked multitasking and prospective memory problem. This manifested itself as tardiness and disorganization, the severity of which ensured that despite his excellent intellect and social skills, he never managed to return to work at the level he had enjoyed premorbidly. Shallice and Burgess (1991) invented two new tests of multitasking to 31 R O S TR AL P R EFR O N TAL C O R TEX assess these problems. The first of these tests, called the "Multiple Errands Test" (ME T ), was a real-life multitasking test carried out in a shopping precinct. Participants have to complete a number of tasks, principally involving shopping in an unfamiliar shopping precinct while following a set of rules (e.g., no shop should be entered other than to buy something). The tasks vary in complexity (e.g., buy a small brown loaf of bread vs. discover the exchange rate of the euro yesterday), and there are a number of " hidden" problems in the tasks that have to be appreciated and the possible course of action evaluated (e.g., on one task, participants must write and send a postcard, yet they are given no pen, and although they cannot use anything they haven't brought during the test to help them, they are also told that they need to spend as little money as possible). I n this way, the task is quite open-ended or ill-structured (i.e., there are many possible courses of action, and it is up to the individual to determine which one he or she will choose). The second task that Shallice and Burgess invented was a more controlled experimental task (the "Six Element Test" [SE T]). This required subjects to shift efficiently between three simple subtasks, each divided into two sections, within 15 mins, while following some arbitrary rules (e.g., "You cannot do part A of a subtask followed immediately by part B of the same subtask"). There are no cues as to when to switch tasks, and although a clock is present, it is covered, so that checking it has to be a deliberate action. Thus, this paradigm has a strong component of voluntary time-based task switching, that is, one form of prospective memory. Despite their excellent general cognitive skills, AP and the other cases reported by Shallice and Burgess all performed these tasks below the 5% level compared with ageand IQ-matched controls. O n the ME T the subjects made a wide range of errors. Many of these could be interpreted as problems with prospective memory. For instance, they had to go into the same shop more than once to buy items that could all have been bought at one visit; they forgot to carry out tasks that they had previously learned that they needed to do, and they forgot to follow task rules. They also made a range of social behavior errors (e.g., leaving a shop without paying; offering sexual favors in lieu of payment). Shallice and Burgess (1991) rather inelegantly termed this kind of behavioral disorganization in the context of preserved intellect and other cognitive functions the "Strategy Application Disorder." It was not possible, on the basis of Shallice and Burgess's data, to speculate on the anatomical localization of the lesion critical for this pattern of deficit, since the patients had large traumatic lesions that invaded many subregions. Two years later, however, Goldstein et al. (1993) described a case that began to suggest a possible locus. A 51-year-old right-handed man (G N) had undergone a left frontal lobectomy 2.5 years earlier following the discovery of a frontal lobe tumor (mixed astrocytoma-oligodendroglioma). zyxwvuts 529 A 5 cm resection of the left frontal lobe from the frontal pole was undertaken. This surgery made little difference to his general cognitive abilities (e.g., WAIS-R V I Q 129, PI Q 111; story recall immediate 75th-90th percentile, delayed 50th-70th percentile; Rey Osterreith delayed figure recall 80th-90th percentile; Trail-making 70th-75th percentile). However, it was clear from his everyday behavior that something was seriously wrong. He had held a senior management position in an international company, but two years after surgery he had to take medical retirement because of increasing lethargy. He worked from home as a free-lance management consultant, but had difficulty making decisions, culminating in his taking two weeks to decide which slides to use for a work presentation but never actually reaching a decision. He also experienced anger control difficulties. Goldstein et al. (1993) administered Shallice and Burgess's (1991) ME T . G N made significantly more errors than controls, being less efficient (e.g., havingto return to a shop), breaking tasks rules (e.g., using a stamp that another customer gave him), and misinterpreting tasks (e.g., sticking the stamp on the wrong card), as well as failing to complete some tasks altogether, reporting that he knew he had to do them but somehow "forgot" them. He also showed some "social rule" breaks. For instance, he had omitted to find out the price of tomatoes earlier in the fruit and vegetable shop, and realizing that he should not go back there unless he wanted to buy something, he very conspicuously climbed onto the fruit display outside the shop and peered in the window. It was not until the study of Burgess et al. (2000), however, that the link between multitasking deficits and rostral PFC damage was formally demonstrated by the principal localizingmethod in neuropsychology: agroup lesion study. Sixty patients with acute neurological damage from an unselected series of referrals (approximately three-quarters ofwhom were suffering from brain tumors) and 60 age- and IQ-matched healthy controls were administered a multitasking test called the "Greenwich Test." This test follows the principles of the SET but, in contrast, the majority of the variance in test performance comes from rule infractions rather than task-switchingproblems. Participants are presented with three different simple tasks and told that they have to attempt at least part of each of the tasks within 10 min while following a set of rules. One of these rules relates to all subtests ("In all three tasks, completing a red item will gain you more points than completing an item of any other color"), and there are four task-specific rules (e.g., " I n the tangled lines test you must not mark the paper other than to write your answers down"). The test was administered in a form that allowed consideration of the relative contributions of task rule learning and remembering, planning, plan following, and remembering one's actions in relation to overall multitasking performance. Specifically, before participants began the test, their ability to learn 530 the task rules (by both spontaneous and cued recall) was measured. They were then asked how they intended to do the test, and a measure of the complexity and appropriateness of their plans was calculated. This enabled us to look at whether their failures could be due to poor planning. The participants then performed the task itself, and by comparing what they did with what they had planned to do, a measure of plan following could be determined. Multitasking performance was measured as the number of task switches minus the number of rule breaks. After these stages were finished, subjects were asked to recollect their own actions by describing in detail what they had done. Finally, delayed memory for the task rules was examined. Burgess et al. (2000) found that lesions in different brain regions were associated with impairment at different stages in the multitasking procedure. For instance, lesions to a large region of superior posterior medial cortex including the left posterior cingulate and forceps major led to deficits on all measures except planning. Remembering task contingencies after a delay was also affected by lesions in the region of the anterior cingulate. Critically, however, Burgess et al. found that patients with rostral PFC lesions in the left hemisphere, when compared with patients with lesions elsewhere, showed asignificant multitaskingimpairment despite no significant impairment in planning, or in rememberingwhat they had done, or the task rules. Indeed, the left rostral prefrontal patients showed no significant impairment on any variable except the one reflecting multitasking performance. I n other words, despite being able to learn the task rules, form a plan, remember their actions, and say what they should have done, they nevertheless did not do what they said that they intended to do. The Burgess etal. (2001) result—an association between rostral PFC lesions and multitasking impairments—has now been replicated several times (e.g., Dreher et al., 2008; Roca et al., 2010,2011) and thus seems secure. These studies have also opened up an entirely new area of inquiry (the cognitive [neuro] science of multitasking) that did not exist just a few years ago. But what is the nature of the critical processing impairment shown by these patients? The multitasking situations presented to a participant by the two experimental paradigms developed by Burgess and Shallice (ME T and SE T) share a number of similarities. These are: 1. A number of discrete and different tasks have to be completed. 2. Performance on these tasks needs to be dovetailed in order to be time effective. 3. Due to either cognitive or physical constraints, only one task can be performed at any one time. 4. The times for returns to task are not signaled directly by the situation. zyxwvutsrqponmlkjihgfedcbaZYXW P R IN C IP LE S OF FRON TAL LO B E FUN CTIO N 5. There is no moment-by-moment performance feedback of the sort that participants in many laboratory experiments receive. Typically, failures are not signaled at the time they occur. with activation in lateral aspects of rostral PFC (Burgess, Quayle, & Frith, 2001; Burgess, Scott, & Frith, 2003; den Ouden, Frith, Frith, & Blakemore, 2005; G ilbert et al., 2009; Okuda et al., 2011; Reynolds, West, & Braver, 2009; Simons, Schoivinck, G ilbert, Frith, & Burgess, 2006. By 6. Unforeseen interruptions, sometimes of high priority, contrast, ongoing tasks tend to activate medial rostral PFC will occasionally occur, and things will not always go as structures more than during the PM conditions (Burgess planned. et al., 2001, 2003; Hashimoto, Umeda, & K ojima, 2011; 7. Tasks usually differ in terms of priority, difficulty, and Okuda et al., 2007; Simons, Schoivinck, G ilbert, Frith, the length of time they will occupy. & Burgess, 2006). Many of these rostral PFC activations (either medial or lateral) seem surprisingly insensitive to 8. People decide for themselves what constitutes adequate the form of stimulus material presented, the nature of the performance. ongoing task, how easy or hard the PM cue is to detect, or A key component of dealing with situations that have these how easy or hard the intended action is to recall (Burgess characteristics (and that, incidentally, are very common et al, 2001; 2003; Simons, Schoivinck, G ilbert, Frith, & in everyday life) is that they make demands upon prospec- Burgess,). tive memory. "Prospective memory" (PM) is the ability to Second, there does seem to be functional specializaenact delayed intentions, that is, to remember to carry out tion for different components, forms, and types of PM an intended act in the future, while engaged in another for some regions within rostral PFC (Gilbert et al., 2009; task (referred to as the "ongoing task"). zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Hashimoto, Umeda, & K ojima, 2011; Haynes et al., 2007; Okuda et al., 2007; Simons, Schoivinck, G ilbert, Frith, & Burgess, 2006). For instance, it appears that there might Pro s pe ctive M e m o ry be activation pattern differences during event-based verThere are three main forms of the PM situation: event-based, sus time-based paradigms. I t is too early in the course of time-based, and activity-based. I n event-based PM situa- investigations in this field to be certain, but it is possible, tions, one intends to carry out the action (or thought) in on the basis of current evidence, that the rostral PFC actiresponse to an event, typically a prospective memory "tar- vations that occur during time-based PM conditions tend get" or "cue". I n time-based PM conditions, the intention to be more medial than those occurring during eventis to carry out the act at a particular time (e.g., at 3 p.m. or based conditions. Other factors that seem to affect rostral 30 min from now), regardless of what else is occurring. These PFC activations during PM paradigms include variation are by far the most commonly studied forms. The third, and in implicit cues (Hashimoto et al., 2010), the nature of less well understood PM situation, activity-based PM, is where the intention itself (Haynes et al., 2007), the form of the the intention is to do something when one is engaged in a par- instruction given (Gilbert et al., 2009), and the characterticular activity (e.g., "The next time I go surfing (regardless of istics of intention retrieval (Simons, Schoivinck, G ilbert, when or where), I will do X " ), or at the start or cessation of it. F rith, & Burgess, 2006). I n general, the patterns of rosThe link between PM and rostral PFC was first high- tral PFC activation seem less affected by differences in the lighted by Burgess and colleagues (e.g., Burgess, Quayle, particular stimuli used (e.g., words, pictures) than they do & Frith, 2001; Burgess, Scott, & Frith, 2003) using func- by other aspects of the paradigm, such as those that affect tional neuroimaging. Subsequent studies by this group higher-level aspects of cognition. This may be the reason and others have shown this to be a remarkably consistent why apparently small changes in task instruction can have association. Indeed, all currently published neuroimaging a marked effect upon the patterns of activation in rostral studies in which a straightforward comparison has been PFC (Gilbert et al., 2009) and why broader environmental made between a condition requiring the maintenance of a aspects that might affect strategic behavior may also have delayed intention and ongoing task performance only have an effect (e.g., whether a clock is present or not during timeshown activation within rostral PFC (see Burgess et al., based PM tasks; Okuda et al., 2007). But perhaps the biggest clue to the nature of the cognition that at least some of 2011, for review). A full review of what we have learned so far from this these rostral PFC activations are indexing is given by the technique about the role of rostral PFC in PM is given in fact that they can be seen during PM tasks even when no Burgess et al. (2011). Some of the most consistent or prom- targets are encountered (Burgess et al., 2001); it is enough that participants merelyzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQ expect a target to occur. However, ising findings are outlined in Table 31-1. A key finding is that PM performance does not acti- these patterns of activation can be so specific that one vate all subregions within rostral PFC equally. As shown can use them to predict which intentions a participant is in Figure 31-1, during event-based tasks, maintenance considering (Haynes et al., 2007). Moreover, this appears of the intention over the delay period while the partici- not to be reducible to the notion of "working memory" in pant is occupied with another task tends to be associated one of its many guises. There are regions of lateral rostral zyxwvutsr 31. R O S TR AL PR EFR O N TAL C O R TEX 531 TAB LE 3 1 - 1 zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA PRIN CIPLES OF ROS TRAL PFC ACTIVATION IN PROS PECTIVE MEMORY TAS KS ACCORDING GONEN-YAACOVI, AND TO B URG ES S , VOLLE (2 0 1 1 ) Se e m ingly S e cure Findings 1. Pe rfo rm a nc e o f p ro s p e c tive m e m o ry p a ra d igm s , re la tive to th e o ngo ing ta s k a lo ne , is typ ic a lly a c c o m p a nie d by a c tiva tio ns within ro s tra l PFC (a ppro xim a te ly, BA 1 0 ; Burge s s e t a l., 2 0 0 1 , 2 0 0 3 ; d e n Oude n e t a l., 2 0 0 5 ; Gilb e rt e t a l., 2 0 0 9 ; Ha s him o to e t a l. , 2 0 1 0 ; Hayne s e t a l., 2 0 0 7 ; Okuda e t a l., 1 9 9 8 , 2 0 0 7 ; Po ppe nk e t a l. , 2 0 1 0 ; Re yno lds e t a l., 2 0 0 9 ; S im o ns , Sc ho ivinc k e t a l., 2 0 0 6 ). 2. Ac tiva tio ns d uring o ngo ing o r (m o s t) c o ntro l ta s ks in m e d ia l ro s tra l PFC s truc ture s te nd to be highe r tha n d uring PM c o nd itio ns (Burge s s e t a l., 2 0 0 1 , 2 0 0 3 ; Ha s him o to e t a l., 2 0 1 0 ; Okuda e t a l., 2 0 0 7 ; S im o ns , Sc ho ivinc k e t a l., 2 0 0 6 ) . 3. Ma inte na nc e o f an inte ntio n o ve r a de lay pe rio d d uring whic h the p a rtic ip a nt is fully o c c up ie d with a no the r ta s k te nd s to be a s s o c ia te d with a c tiva tio n in la te ra l a s p e c ts o f ro s tra l PFC (Burge s s e t a l. , 2 0 0 1 , 2 0 0 3 ; d e n Oude n e t a l. , 2 0 0 5 ; Gilb e rt e t a l. , 2 0 0 9 ; Okuda e t a l. , 2 0 1 1 ; Re yno lds e t a l., 2 0 0 9 ; S im o ns , Sc ho ivinc k e t a l., 2 0 0 6 ) . 4. So m e o f the s e ro s tra l PFC a c tiva tio ns (e ithe r m e d ia l o r la te ra l) s e e m re m a rka b ly ins e ns itive (at le a s t with e ve nt-b a s e d ta s ks ) to the fo rm o f s tim ulus m a te ria l p re s e nte d , the na ture o f the o ngo ing ta s k, ho w e a s y o r hard th e PM c ue is to d e te c t, o r ho w e a s y o r hard th e inte nd e d a c tio n is to re c a ll (Burge s s e t a l., 2 0 0 1 , 2 0 0 3 ; Sim o ns , Sc hdlvinc k e t a l., 2 0 0 6 ) . 5. Ho we ve r, fo r o the r re gio ns within ro s tra l PFC, the re d o e s s e e m to be func tio na l s p e c ia liza tio n fo r d iffe re nt c o m p o ne nts , fo rm s , a nd typ e s o f PM. For ins ta nc e , a c tiva tio n in s ub s e c tio ns o f th is re gio n c a n be s e ns itive to c ha nge s in the na ture o f wha t is inte nd e d (Hayne s e t a l., 2 0 0 7 ); in ta rg e t re c o gnitio n ve rs us inte ntio n re trie va l d e m a nd s (Sim o ns , Sc ho ivinc k e t a l., 2 0 0 6 ) ; whe the r the ta s k is tim e -b a s e d o r e ve nt-b a s e d (Okuda e t a l., 2 0 0 7 ); a nd th e na ture o f th e PM c ue ing pro c e d ure (s p o nta ne o us vs . c ue d ; Gilb e rt e t a l., 2 0 0 9 ) . 6. The re is fre q ue nt a c tiva tio n o f th e p re c une us , p a rie ta l lo b e (BA 7 a nd 4 0 ) a nd o fte n a ls o o f th e a nte rio r c ingula te (BA 3 2 ) d uring th e p e rfo rm a nc e o f PM ta s ks (Burge s s e t a l., 2 0 0 1 ; de n Oude n e t a l., 2 0 0 5 ; Es c he n e t a l., 2 0 0 7 ; Gilb e rt e t a l., 2 0 0 9 ; Ha s him o to e t a l. , 2 0 1 0 ; Okuda e t a l., 1 9 9 8 , 2 0 0 7 , 2 0 1 1 ; Po ppe nk e t a l., 2 0 1 0 ; Re yno lds e t a l., 2 0 0 9 ; Sim o ns , Sc ho ivinc k e t a l„ 2 0 0 6 ) . So m e o f the s e re gio ns are o fte n c o a c tiva te d with ro s tra l PFC d uring many typ e s o f c o gnitive ta s ks , no t ju s t PM o ne s (Gilb e rt e t a l., 2 0 1 0 ). But th e s ignific a nc e o f the s e c o a c tiva tio ns re m a ins to b e d is c o ve re d . Prom is ing Findings That Could Be ne fit from Re plication 7. In e ve nt-b a s e d PM ta s ks , a p p a re ntly s m a ll c ha nge s in ta s k ins truc tio n c an have a m a rke d e ffe c t upo n the p a tte rns o f a c tiva tio n in ro s tra l PFC (Gilb e rt e t a l., 2 0 0 9 ). 8. (Re la te d to [5 ] ab o ve .) The re is a d iffe re nc e in a c tiva tio ns in ro s tra l PFC a c c o rd ing to whe the r the PM ta s k is tim e - o r e ve nt-b a s e d (Okuda e t a l. , 2 0 0 7 ) . 9. (Re la te d to [5 ] ab o ve .) In tim e -b a s e d ta s ks , a c tiva tio n p a tte rns in ro s tra l PFC may c hange a c c o rd ing to whe the r a c lo c k is a va ila b le fo r th e p a rtic ip a nt to us e (Okuda e t a l. , 2 0 0 7 ). This may be due to d iffe re nc e s in c lo c k m o nito ring o r tim e e s tim a tio n c a us e d by s uc h m a nip ula tio n. 10. Ro s tra l PFC a c tiva tio ns c an b e s e e n d uring PM ta s ks e ve n whe n no ta rg e ts are e nc o unte re d (Burge s s , Quayle & Frith, 2 0 0 1 ); it is e no ugh th a t p a rtic ip a nts m e re ly e xpe c t ta rg e ts (s e e a ls o Ma rtin e t a l., 2 0 0 7 ). 11. The re are re gio ns o f la te ra l ro s tra l PFC (BA 1 0 ) tha t are a c tiva te d d uring e ve nt-b a s e d PM ta s ks th a t are zyxwvutsrqponmlkjihgfedcbaZYXWVUTS not a ls o a c tiva te d d uring wo rking m e m o ry d e m a nd s (Re yno lds e t a l., 2 0 0 9 ) . 12. So m e a c tiva tio n p a tte rns within PFC (inc lud ing re gio ns o f m e d ia l a nd ro s tro la te ra l PFC) are s o ta s k-s p e c ific tha t o ne c a n us e th e m to p re d ic t whic h inte ntio ns a p a rtic ip a nt is c o ns id e ring (Hayne s e t a l., 2 0 0 7 ). Ho we ve r, a c tiva tio n in o the r ro s tra l re gio ns (with p o s s ib ly a m o re a nte rio r la te ra l lo c a tio n) is unre la te d to th e s p e c ific s o f th e inte ntio n; ins te a d , th e s e a re a s are c o a c tiva te d with m o re p o s te rio r re gio ns within th e b ra in tha t are re la te d to the inte ntio n (Gilb e rt, 2 0 1 1 ). 13. Ro s tra l PFC a c tiva tio ns are no t ne c e s s a rily s yno nym o us with "c o ns c io us th o u g h t" (Okuda e t a l., 2 0 1 1 ; Ha s him o to e t a l. , 2 0 1 0 ) s inc e the y c a n o c c ur a lo ngs id e b e ha vio ra l (and pre s um a b ly the re fo re m e nta l) c ha nge s (e .g., re a c tio n tim e ) o f whic h th e p a rtic ip a nt is una wa re . 14. So m e inve s tiga to rs have fo und la te ra l BA 1 0 s us ta ine d re s p o ns e s d uring PM c o nd itio ns (Burge s s , Quayle & Frith, 2 0 0 1 ; Re yno lds e t a l., 2 0 0 9 , Table 1 , p. 1 2 1 5 ). Ho we ve r, o the rs have fo und la te ra l BA 1 0 to be tra ns ie ntly a s s o c ia te d with d e te c tio n o f PM ta rg e ts (Gilb e rt e t a l., 2 0 0 9 , in Table 2 , p. 9 1 1 , e xp lic itly d is c us s e d o n p. 9 1 2 ). The re is th u s e vid e nc e fo r b o th s us ta ine d a nd tra n s ie n t e ffe c ts in la te ra l BA 1 0 d uring PM ta s ks . The re a s o n fo r th e s e d iffe re nc e s b e twe e n s us ta ine d o r tra n s ie n t a c tiva tio ns a c ro s s s tud ie s is no t c urre ntly we ll und e rs to o d b ut s e e m s a p ro m is ing ave nue fo r future s tud y. zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCB PFC (BA 10) that are activated during event-based PM remember to hand back to the examiner, at the end of testtasks that arezyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA not also activated during working memory ing, a card given to them at the beginning. They examined demands (Reynolds et al., 2009). Furthermore, the activa- the relation between performance on this task and damage tions that occur during PM tasks are not necessarily syn- to 12 different brain regions previously identified by neuonymous with "conscious thought": Okuda et al. (2011) roimaging studies as involved in PM. Using discriminant have shown that changes in target frequency can provoke function analysis, Umeda et al. reported that damage to both activation of some subregions of rostral PFC and three brain regions was particularly associated with PM significant behavior changes, yet the participant may be failure: right dorsolateral PFC, involving sections of BA 9 completely unaware (in the sense of being able to verbally and the superior sections of BA 10 and 46; right ventromereport) of the effect of these contingency changes upon his dial PFC, involving B A 11 and 47 and inferior parts ofB A or her behavior or mental life. 10 and 46; and left dorsomedial PFC, involving BA 9 and Very recently, human group lesion studies have con- superior parts of BA 10. Interestingly, as predicted by both firmed that rostral PFC damage is not only involved in the single-case studies (e.g., Shallice & Burgess, 1991) and PM performance but is necessaryforit. Umeda et al. (2011) the group lesion studies (e.g., Burgess et al., 2000), Umeda asked a group of 74 patients with traumatic brain injury to et al. also found no difference between those who failed the 532 P R IN C IP LE S OF FRON TAL LO B E FUN CTIO N PM task and those who passed on a range of neuropsycho- And there is a meeting point between studies of these cognitive phenomenon and prospective memory not only in logical tests not involving PM. The degree of specificity of this cognitive deficit is amply a conceptual sense, but also in the prominent findings of demonstrated in another recent group lesion study (Voile, rostral PFC activation when people are imagining future Gonen-Yaacovi, de Lacy Costello, G ilbert, & Burgess, scenarios (e.g., Addis, Wong, & Schacter, 2007). 2011). We assessed both time-based and event-based PM Burgess et al. (2011) present a meta-analysis of using two types of material, words and pictures, for each. neuroimaging studies involving future thinking (see I n addition, we administered tests of time estimation, sus- Figure 31-1). A considerable caveat needs to be applied tained attending, target detection, inhibition, and ability to this analysis: the field of "future thinking" or, perhaps to deal with multiple instructions. These tests were given to more elegantly, "prospection" (also sometimes called "men45 patients with focal brain lesions and 107 healthy control tal time travel"), is in its infancy, so it would be premature subjects. We found that lesions in the right rostral (polar) to draw strong conclusions from the patterns of activation prefrontal region (in BA 10) were specifically associated demonstrated so far. However, as Figure 31-1 shows, roswith a deficit in time-based PM tasks for both words and tral PFC activations appear to be extremely common in pictures. This deficit could not be explained by impair- studies of prospection; this frequency may be higher than ments in attending, target detection abilities, inhibition, for perhaps any other function examined so far in this conor ability to deal with multiple instructions, and there was text, except perhaps prospective memory. But as there are also no significant deficit in event-based PM conditions. currently few if any comprehensive information processing (This may be particularly noteworthy in reference to the models of the demands made by prospection, it is difficult predominantly right lateralized finding of Umeda et al. to ascertain the significance of this finding for understand[2011] with their activity-based PM task.) ing either prospection or the role of rostral PFC structures I n addition to their PM difficulties, the patients with in supporting it. However, the consistency of the findings right rostral frontal lobe lesions were significantly impaired is striking, and this bodes well for future discoveries. in time estimation ability compared to other patients. Thus, Voile et al.'s (2011) findings suggest that time-based R O S TR A L P FC IS IN VO LVED IN M E TA M E M 0 R Y : and event-based PM might be supported at least in part by S O U R C E AND C O N TE X T M EM O R Y AND R E A LITY distinct brain regions, and that the same cognitive mechaM O N ITO R IN G ( P O IN T 9 ) nisms that are required for estimating the unfilled passage of time (especially when changes of timing are involved) The term "metamemory" refers to a range of cognitive might also be involved in time-based PM (although the operations during which a person deliberates over their design did not, of course, enable us to exclude the possibil- own memory processes or traces, searching, editing, reconfiguring, and recombining traces or representations to ity that this finding is an epiphenomenon). More generally, the cognitive neuroscience of PM, and form new insights. This is often prompted by a failure of especially the role of rostral PFC in it, is an area of inquiry more automatic recognition and recall processes. Many that is moving extremely rapidly, and where there is good examples of this kind of processing in everyday life recolconcordance between the indications from neuroimaging lection are given in Burgess and Shallice (1996a). This kind and those from lesion studies. This seems very promising of processing is typically measured experimentally using for future discoveries (see Burgess et al., 2011, for further paradigms tapping constructs such as "source memory," "context memory," or "reality monitoring." All of these pardiscussion). zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA adigms provoke high-level memory control/metamemory processing because they ask for information that was not R O S TR A L P FC IS IN VO LVED IN IM AG IN IN G THE central to the representation (indeed, was often incidental) F U TU R E ( P R O S P E C T IO N ) ( P O IN T 8 ) when it was encoded. A fairly typical example is given by Aside from the (largely) rather experimentally constrained Simons, G ilbert, Owen, Fletcher, and Burgess (2005), a paradigms from the cognitive neuroscience literature study in which two temporally distinct lists of items were (see, e.g., the large body of work relating to Shallice and presented. I n each list, participants were cued to make one McCarthy's Tower of London test; Shallice, 1982; see of two different kinds of semantic judgments about people Burgess, Simons, Coates, & Channon, 2005, for review), identified either by their face or by their name. Then the relatively little attention has been given, until recently, to participants were asked either whether a particular stimuinvestigation of how people plan for and envisage future lus had appeared in the first or second list of stimuli (i.e., to situations. However, in the last few years there have been test temporal source memory) or which of the two semanexciting developments on this front (Addis, Pan, Vu, tic judgments they had made in response to it (context Laiser, & Schacter, 2009; Schacter, Addis, & Buckner, recollection). 2007, 2008; Szpunar, Watson, McD ermott, 2007; By contrast, in a reality monitoring paradigm, the key Weiler, Suchan, & Daum, 2010a,b; Williams et al., 1996). component is that the participant is required to distinguish 31. R O S TR AL PR EFR O N TAL C O R TEX 533 (A) • S u m m e rf ie ld e t a l. 2 0 1 0 zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA • D'Arge m b e a u e t a l. 2 0 1 0 i i > T R i ! ™ *™ "K ! Ai, . \. i i D'Arge m b e a u e t a l. 2 0 1 0 x D'Arge m b e a u e t a l. 2 0 0 8 + Po p p e nk e t a l. 2 0 1 0 • H Ab ra h a m e t a l. 2 0 0 8 zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA a S p re n g a nd Gra d y 2 0 0 9 o Ad d is e t a l. 2 0 0 9 f\ u_i L_ * Ad d is a nd S c ha c te r 2 0 0 8 A Ad d is e t a l . 2 0 0 7 0 B o tz u n g e ta l. 2 0 0 8 - S z p u n a re t a l. 2 0 0 7 • Okud a e t a l. 2 0 0 3 • Okud a e t a l. 2 0 0 7 a Okud a e t a l. 2 0 0 7 • Burge s s e t a l. 2 0 0 1 • S im o n s e t a l. 2 0 0 6 • Gilb e rt e t a l. 2 0 0 9 o d e n Oud e n e t a l . 2 0 0 5 A Be no it e t a l., in p re p , o Re yno ld s e t a l. 2 0 0 9 % Okud a e t a l. 1 9 9 8 • Ha s h im o to e t a l . 2 0 1 0 0 Okud a e t a l. s u b m itte d • Burge s s e t a l. 2 0 0 3 • S im o ns e t a l. 2 0 0 6 • Be no it e t a l., in p re p . Tim e -b a s e d zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDC Eve nt-b a s e d Ongo ing zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQ • Okud a e t a l. 2 0 0 7 zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Pane l C s ho ws the typ ic a l p a tte rn o f ro s tra l PFC a c tiva tio ns fo und d uring e ve nt-b a s e d p ro s p e c tive Figure 31-1 m e m o ry ta s ks . The to p pa ne l s ho ws a c tiva tio ns o c c urring while m a inta ining an inte ntio n; the b o tto m pane l s ho ws the highe r m e d ia l ro s tra l PFC a c tiva tio ns tha t o c c ur whe n p e rfo rm ing the o ngo ing ta s k o nly (c o m pa re d with p e rfo rm ing the o ngo ing ta s k + m a inta ining an inte ntio n). Pane l A: m e ta -a na lys is fro m Burge s s e ta l. (2 0 1 1 ) s ho wing c o ns is te nt ro s tra l PFC a c tiva tio ns fro m ne uro im a ging s tud ie s o f p ro s p e c tio n (e .g., future thinking ). Pane l B: m e ta -a na lys is fro m Burge s s e ta l. (2 0 1 1 ) o f a c tiva tio ns d uring b o th tim e -a n d e ve nt-b a s e d PM e xp e rim e nts in the lite ra ture , whe re s im p le c o ntra s ts b e twe e n PM c o nd itio ns and the o ngo ing ta s k have b e e n m a d e . zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA between something that was witnessed and something recollection: recollection of whether stimuli had previthat was just imagined. An example is given in Simons, ously been perceived or imagined and recollection of which Davis, G ilbert, Frith, & Burgess (2006). Participants first of two temporally distinct lists where the stimuli belonged. studied either well-known word pairs or the first word of Lateral regions of rostral PFC were activated in both tasks. a word pair accompanied by a question mark, which were However medial regions of rostral PFC were activated only presented either on the left or right side of a monitor screen. when participants were required to recollect source inforThey were cued to view each word pair and either to look mation for self-generated, "imagined" stimuli (see also at, or to imagine, the second word of each pair and to count Simons, Davis, G ilbert, Frith, & Burgess, 2006). I n addithe number of letters it contained. I n the subsequent test tion, reduced activity in a region of medial ventrocaudal phase, the first word of each word pair was presented again, PFC/basal forebrain was associated with making "imagand participants were asked to say either whether the sec- ined-to-perceived" confabulation errors. Thus, it seems at ond word in the word pair had been seen or imagined (real- present that lateral rostral PFC is involved in a very broad ity monitoring) or, in a contrast condition, whether the way with performance of this whole class of metamemory word pair had been presented on the left or right side of the tasks, and that there appears to be an additional more specific relation between medial rostral PFC (and adjoining screen (i.e., testing position context memory). The remarkable aspect of all these paradigms from medial PFC regions) and making perceived/imagined the point of view of rostral PFC is that, despite varying judgments (i.e., "reality monitoring") (see Figure 31-2). But if these lateral rostral PFC activations in particular greatly in the nature of the stimuli presented, the questions asked of the participants, what they had to remember, are the signature of a cognitive process that is used across all and how they gave their answer, every paradigm activates of these tasks, what might this process be? We will address (when contrasted with a suitable baseline) very similar this further below. However, it might be noted at this point parts of rostral PFC (e.g., Cansino, Maquet, Dolan, & that what participants report about their thought proRugg, 2002; Dobbins, Foley, Schacter, & Wagner, 2002; cesses when trying to answer these context-type questions Fan, Snodgrass, & Bilder, 2003; Mitchell, Johnson, Raye, is similar to the processes that Burgess and Shallice (1996a) & Greene, 2004; Nolde, Johnson, & D'E sposito, 1998; identified in their study of the control of recollection of Ranganath, Johnson, & D'E sposito, 2000; Raye, Johnson, everyday life events. One participant described it as "walkMitchell, Nolde, & D'E sposito, 2000; Rugg, Fletcher, ing around the mind's eye," that is, a disengagement from Chua, & Dolan, 1999). Turner etal. (2008) shows the typi- attending to the external world, and attempted generation cal pattern. They used event-related functional magnetic of the desired representation in the imagination, with the resonance imaging (fMRI ) to contrast two forms of source aim of seeing if this process might yield information to 534 P R INCIP LES OF FRONTAL LOBE FUNCTION (A) Pe rce ive d/ Im a gine d & (B) Ta s k & Pos ition Me m ory > Te m poral Orde r > New (C) Ba s e line (E) Lis t & Ta s k Me m ory : Ba s e line Activation in the m PFC (picture d) s ignifica ntly corre la te d with the like lihood of m is a ttributing im agine d ite m s a s pe rce ive d (D) Im a gine d a t s tudy > Pe rce ive d a t s tudy zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA -.1 0 -. 0 5 -. 0 0 -. 0 5 -. 1 0 -. 1 5 -. 2 0 -. 2 5 -. 3 0 -. 3 5 Percent signal change in medial ante rio r pre tro ntal cortex Figure 3 1 -2 zyxwvutsrqponmlkjihgfedcbaZYX Typic al ro s tra l a c tiva tio ns d uring s o urc e a nd c o nte xt m e m o ry e xp e rim e nts . Pane l B s ho ws a c o ntra s t fro m Sim o ns , Owe n, e ta l. (2 0 0 5 ) whe re m e m o ry fo r the ta s k s o m e o ne had p e rfo rm e d with a s tim ulus wa s c o ntra s te d with re c a lling whe re o n the s c re e n the s tim ulus ha d a p p e a re d . Pane l C s ho ws a c tiva tio ns fro m Sim o ns , Gilb e rt, e ta l. (2 0 0 5 ) whe re lis t a nd ta s k m e m o ry we re c o ntra s te d . Altho ugh the s e two s tud ie s te s te d d iffe re nt s a m p le s o f p a rtic ip a nts a nd m a de d iffe re nt s o urc e / c o nte xt m e m o ry c o n tra s ts , the la te ra l ro s tra l PFC a c tiva tio ns are ve ry s im ila r. Pane l A: re s ults fro m Turne r e ta l. (2 0 0 8 ). La te ra l ro s tra l PFC is a ls o c o m m o nly a c tiva te d whe n m a king te m p o ra l o rd e r a nd p e rc e ive d / im a gine d ju d g m e n ts . But m e d ia l re gio ns o f ro s tra l PFC a re a c tiva te d whe n p a rtic ip a nts a re re q uire d to re c o lle c t s o urc e info rm a tio n fo r s e lf-g e ne ra te d , "im a g in e d " s tim uli (Pane l D, Turne r e ta l. , 2 0 0 8 ) . Finally, Pane l E s ho ws re s ults a d a p te d fro m Sim o ns Da vis , Gilb e rt, Frith, & Burge s s , (2 0 0 6 ): s ignific a nt c o rre la tio n a c ro s s p a rtic ip a nts b e twe e n re d uc e d a c tiva tio n in m e d ia l a nte rio r PFC (p ic ture d ) a nd m is a ttrib utio ns o f im a gine d s tim uli a s ha ving b e e n p e rc e ive d , re info rc ing the ro le o f m e d ia l ro s tra l PFC in this a b ility. zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA answer the question. But there are other strategies people seem to use as well. Sometimes people will report, especially during reality monitoring paradigms, alternating between attending intently to the stimuli and introspecting on the level of familiarity it provokes, with the aim of getting a " feeling" for the answer. R O S TR A L AND P FC IS AW AR EN ES S IN VO LVED IN IN TR O S P E C TIO N OF C O M P E T E N C E ( P O IN T 10) The argument, therefore, is that at least some of the activations seen during the paradigms mentioned above are due to this introspective process of walking around the mind's eye. This interpretation is given more plausibility by the evidence of involvement of rostral PFC activation during paradigms that aim directly to instigate a mental state of introspection. An example of this latter mental state might be a situation where you are asked to rate your confidence that you are correct about something. Fleming et al. (2010) designed a task of this kind. They showed people perceptually similar displays, but one of them had a distinct feature they had to detect (a high-contrast Gabor patch). They varied the difficulty of this task to ensure that for all participants, performance remained about 71%. Each time after the participants had given their answer, they were asked to rate how confident 31. ROS TRAL PREFRONTAL CORTEX they were that they were correct. Using the accuracy of these judgments as a measure of introspection, Fleming et al showed a correlation between this behavioral measure and gray matter volume in rostral PFC (BA 10; peak voxel coordinates: 24,65,18). A similar principle was followed by Miele et al. (2011). I n their task, participants used a trackball to move a cursor to touch certain objects scrolling down a screen and avoid others. The program sometimes introduced noise geared to the degree of precision with which the cursor followed the inputs to the trackball so that the participant would feel out of control. D uring these phases, Miele et al. found increased activity in the right temporoparietal junction and other nonfrontal regions. By contrast, when participants were more in control, activitywas seen in regions linked to self-initiated action (e.g., the pre-supplementary motor area, dorsal striatum, anterior cingulate). However, importantly, when the activation that occurred during participants' judgments about the extent to which they were in control was contrasted with activation during their judgments about their own performance, Miele et al. found increased activity in rostral PFC (—20, 50, 20) during the former compared with the latter situation. So, at least in this context, this region seems to be more involved in judgments of agency rather than of performance. 535 R O S TR A L AND P FC IS IN VO LVED IN M E N TALIZ IN G yes," "unsure no," "sure no"). So, the correct response was zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA 11) "yes" only for old/same words but "no" for both old/differ- S E L F - JU D G M E N T ( P O IN T ent and new words, and participants would only respond The intriguing differences between the locations of the "old," if the word was previously seen in the specified task. regions identified by Fleming et al. (2010) and Miele et al. For example, they might have encountered the trait "edu(2011) perhaps create the possibility that different forms of cated" during a Self Study phase and "modest" during an introspection, metacognition, or self-judgment may actiOther Study phase before seeing both words again during a vate different subregions of rostral PFC. self test phase. I n this case, they would have had to respond One can see local hemodynamic changes with very "yes" to the old/same word "educated" but "no" to the old/ fine-grained differences in the type of judgment that is different word "modest." being made when one turns to the arena of "mentalizing" We found that there was a positive correlation between or "self-judgment." Schmitz et al. (2004) employed a parasignal change in medial rostral PFC for self versus friend digm that requiredpeople to make decisions about howwell judgments and subsequent memory for the reference adjectives that were presented to them described themselves of such judgments. So, these results link hemodynamic or other people they knew (plus a purely semantic positive changes in medial rostral PFC to both personality judgvalence judgment control condition). These adjectives comments about oneself and subsequent episodic memory prised a wide selection of personality traits such as "daring" retrieval of these judgments. But the hemodynamic effects or "intelligent" as well as physical traits such as "weak." showed even greater specificity. The degree to which blood Comparing the self-evaluation with the semantic control oxygen level-dependent (BO LD ) signal in this region was condition, Schmitz et al. found significant activation in a associated with thinking about others correlated with the network that involved medial rostral PFCzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA (x,y, z of maxima perceived similarity of the traits to oneself in both tasks. = 6, 56, 4) and medial orbitofrontal cortex (-4, 18, -10), Moreover, participants who perceived themselves as having as well as retrosplenial cortex (2, -60, 16) and thalamus traits similar to those of their friend tended to be poorer at (2, -24, 2). A very similar pattern was found when people remembering whether they had made trait judgments in made judgments about other people (compared with the reference to themselves or their friend. So, the behavioral same control condition), with activation in rostral medial effect was reflected in the B O LD signal in medial rosPFC (-4, 58, 4), retrosplenial cortex, and thalamus. But tral PFC: there was a positive correlation between signal direct comparison of judgments about oneself versus judgchange for self versus friend judgments and subsequent ments about other people revealed activation bilaterally in memory for the reference of such judgments. These results dorsolateral PFC and parahippocampal gyrus, with higher therefore suggest a link between medial rostral PFC activactivation for self-judgments. So, these results perhaps sugity and a "psychological similarity" effect in making pergest that (medial) rostral PFC is involved in personality sonality judgments. trait judgments in a fairly broad way. However, Benoit et al. (2010) showed a more specific relation. Their study built upon that of Schmitz et al. (2004), also using f MR I . Functional MR I was used while two factors were crossed: (1) engaging in personality trait or episodic source memory judgments and (2) the source memory for these judgments (i.e., oneself or a friend). Participants alternated between study and test phases. I n a "self" study condition, they judged how well a set of personality traits described them. I n a second, "other" study condition, they made similar judgments in reference to their best friend. There was also a control condition during which participants were asked to judge the number of syllables of the trait words (i.e., two, three, four, or five syllables). Test phases also consisted of self, other, and syllables conditions. For each condition of the test phase (i.e., self, other, syllables), words were presented that were either previously encountered in the respective study condition (old/same words) or in the other two study conditions (old/ different words) or were not shown before (new words). Participants were asked to accept only old/same words and reject both old/different and new words. Responses were always given on a 4-point scale ("sure yes," "unsure 536 R O S TR A L P FC A N A LO G IC A L IN TE G R ATIO N IS IN VO LVED R E A S O N IN G ( P O IN T IN AND M E TA LE A R N IN G : R E LA TIO N A L 12) How do we learn from our experience ? I f each lesson learned resided as a unique experience, to be considered only when exactly the same situation that had provoked it recurred, then humans would be limited in their development purely by time and experience, and imagination would count for nothing. But this is not how we learn. Instead, we are constantly detecting similarities between situations and looking for parallels between them in order to applylessons learned from one situation to another. This is the crux of "analogical reasoning." I n this form of thought, a familiar situation (referred to as the "source") is used to make inferences about a less familiar situation (called the "target"), and out of this process can emerge a more abstract schema that encompasses structural aspects of both. Thus, two of the most influential theories, the "structure mapping theory" of Gentner and colleagues (e.g., Gentner 1983; Gentner & Holyoak, 1997; Gentner, Ratterman, & Forbus, 1993) and the "multiconstraint theory" of Holyoak and P R IN C IP LE S OF FRON TAL LO B E FUN CTIO N colleagues (e.g., Holyoak & Thagard 1995,1997), mapping a more general role in cognition. So, what might this more between source and target, involves seeking commonalities general role be? zyxwvutsrqponmlkjihgfedcbaZYXWVUTS not only in elements between the two situations, but also between relations that link those elements. I n this sense, R O S TR A L P FC IS IN VO LVE D IN D IR E C TIN G analogical reasoning shares considerable overlap with ATTE N D IN G E ITH E R TO THE E X TE R N A L W O R LD "relational integration" (see Voile et al., 2010, for further OR TO OUR OW N IN N ER M EN TAL L IF E ( TH E detail). R O S TR A L P FC A TTE N TI0 N A L G ATEW AY) There is good evidence for the involvement of rostral ( P O IN T 1 3 ) PFC in both analogical reasoning and relational integration. As Voile et al. (2010) point out, although there have Burgess and colleagues (e.g., Burgess, Simons, Dumontheil, been relatively few studies of analogical reasoning and rela- & G ilbert, 2005; Burgess, Dumontheil, & G ilbert, 2007; tional integration, those that have been performed have Burgess, G ilbert, & Dumontheil, 2007; Burgess, G ilbert, consistently suggested that rostral PFC structures support Okuda, & Simons, 2006) sought to try to discover whether some aspect of the processing that is involved (e.g., Bunge, the involvement of rostral PFC in all of the cognitive abiliHelskog, & Wendelken, 2009; Bunge, Wendelken, Badre, ties outlined above (e.g., multitasking, prospective mem& Wagner, 2005; Christoff et al., 2001; Green, Fugelsang, ory, metamemory, competence judgments, mentalizing, Kraemer, Shamosh, & Dunbar, 2006; Kroger et al., 2002; self-judgment, analogical reasoning, relational integraPrabhakaran et al., 1997; Wendelken, Nakhabenko, tion) might reflect the operation of a cognitive system that Donohue, Carter, & Bunge, 2008). Furthermore, devel- is common to dealingwith all these situations. opment of these abilities throughout childhood has been Burgess and colleagues hypothesized that this comassociated with the maturation of this region (Crone et al., mon cognitive system might be one involved in control2009; D umontheil et al., 2008). ling the direction of attending, allowing us to engage However, a recent study has cast doubt upon some of novel amounts of either "stimulus-oriented" (S) or the more straightforward interpretations of findings of "stimulus-independent" (SI) attending. I n SO attendhemodynamic change during analogical reasoning, espe- ing, our attentional focus is directed toward the external cially where it is assumed that those changes that are con- environment; we are simply paying attention to the things comitant with performance of the task reflect the process we can see, hear, and so on. By contrast, in SI attending, of target-source mapping. Voile et al. (2010) designed an we are caught up with the "thoughts in our head," that is, analogical reasoning paradigm that separated in time the self-generated and/or maintained representations. Burgess presentation of the source and the presentation of the tar- and colleagues called the notion that at least some parts of get, thus allowing examination of the similarities and dif- rostral PFC support a system that exerts control over the ferences in activation patterns (compared to the control) degree of SO or SI attending the "gateway hypothesis" of during these phases. I f rostral PFC is involved in analogical rostral PFC. reasoning per se, it should not be seen before the target is I n the first of a series of experiments (Gilbert, Frith, & presented, since prior to this stage no analogy can be drawn. Burgess, 2005), Burgess and colleagues tested this hypothI n fact, a lateral rostral PFC (BA 10) region was found to esis. We designed a range of tasks contrasting the activadur'mganyphase of analogical reasoning (com- tions that occur in the brain while people are attending be activatedzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA pared with a control task that involved attribute matching to external stimuli with those that occur while people only). Unlike other rostral prefrontal regions, this region are doing exactly the same tasks but have to imagine the was activated right from the initial time of the presenta- stimuli in their heads. We used a "conjunction-type" tion of the source. Thus, while it may be the case that this design using a series of tasks that measure the construct activation indexes a process that is important to analogical of interest (SI/SO attending control or, as we have rather reasoning, it is not specific to the phase where an analogy is inelegantly called it, the "supervisory attentional gateway"; drawn, but it may play a much more general (perhaps funda- Burgess, Dumontheil, & G ilbert, 2007) but that differ in mental) role. as many other ways as possible (e.g., in terms of the stimuli By contrast, a more dorsomedial region of BA 10 was encountered, the question that has to be answered). Then, specifically activated when the target was presented, and by looking at the activations that were common across the not during the source period. This may suggest that this tasks, we could determine the pattern that is true for this region is associated with comparison or mapping pro- whole class of tasks rather than being true of only one (see cesses. Overall, the study of Voile et al. (2010) confirms Figure 31-3). that there seems to be an interesting relation between perThe results from G ilbert et al. (2005) confirmed the formance of analogical reasoning and activation of rostral hypothesis. Lateral aspects of rostral PFC (BA 10) were PFC. However, it also suggests that different subregions activated when people switched from either SO to SI or may play distinct roles, with some perhaps more broadly from SI to SO modes of attending (i.e., switching between involved not only in analogical reasoning, but also playing attending to external stimuli or doing the task " in one's 31. R O S TR AL PR EFR O N TAL CO R TEX 537 Stim ulus -Orie nte d S tim ulus -Ind e p e nd e nt Atte nd ing (SO) Atte nd ing (SI) (A) o zyxwvutsrqponmlkjihgfedcbaZYXWVUTSR (B) 1 B B M B B B B zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Task 1 Task 2 zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA 1 5 zyxwvutsrqponmlkjihgfedcbaZYXW zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQP zyxwvutsrqponmlkjihgfe zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPON WBM Figure 3 1 -3 \I B LO •5 P I G zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Si block s I I 111 B Task 3 RSB Sal • ^ Bit B zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQ '6 4 0 | zyxwvutsrqponmlkjihgfe zyxwvutsrqponmlkjihgfedcbaZYXWVU Ro s tral PFC s truc ture s play a ro le in the c o ntro l o f SO ve rs us SI a tte nd ing. Pane l A s ho ws the thre e d iffe re nt ta s ks us e d by Gilb e rt e ta l. (2 0 0 5 ) to m e a s ure the s e c o n s tru c ts . Task 1 re q uire d p a rtic ip a nts to a ntic ip a te whe n a c lo c k hand wo uld re ac h a c e rta in p o int; the y we re e ithe r a b le to s e e th e c lo c k (SO pha s e s ) o r the y we re d is tra c te d by irre le va nt info rm a tio n (SI p ha s e s ). Task 2 invo lve d na viga ting a ro und a figure th a t the p a rtic ip a nt c o uld e ithe r s e e (SO) o r no t (SI). Tas k 3 re q uire d m a king ju d g m e n ts a b o ut the s ha p e o f le tte rs o f th e a lp ha b e t, whic h we re e ithe r d is p la ye d o r ha d to be im a gine d by th e p a rtic ip a nt. Pane l B s ho ws the typ ic a l a c tiva tio ns in ro s tra l PFC d uring SO ve rs us SI p ha s e s ; re s ults fro m Gilb e rt, Willia m s o n, e ta l. (2 0 0 7 ). head only, or vice versa). An anterior region of medial BA 10 was active specifically in the SO conditions (i.e., when attending to external stimuli rather than doing the same task in one's head). This basic pattern has recently been confirmed by a separate research group in a clever study by Henseler, Kriiger, Dechent, and Gruber (2011). We have now conducted a series of experiments that have examined the dynamics of the hemodynamic changes that occur while variously stressing the supervisory attentional gateway. The three main conclusions so far, very briefly, are: 1. Lateral aspects of rostral PFC are activated not only at the SO/SI attending switch points, but also during longer phases of SI attending (Gilbert, Williamson, Dumontheil, Simons, Frith & Burgess, 2007). 2. The rostral PFC activations seem remarkably invariant to the stimulus you are attending to or what you are thinking about (Dumontheil, Gilbert, Frith, & Burgess, 2010). 3. The medial anterior rostral activation increases seen with these types of tasks are associated with faster reaction times. 4. The same regions involved in this form of attentional control are also involved in prospective memory. The last point (4) will be covered in the next section. Point 2 deserves a caveat: So far we have only examined tasks that present stimuli visually. It is possible that auditory or tactile presentations, for example, may reveal a different pattern (this would be a very interesting finding in terms 538 of understanding the functional organization of rostral PFC). Point 3 is an important finding because of the debate surrounding the role of medial PFC structures in supporting mind wandering or other off-task processing. It would appear, prima facie, that the findings presented here are in conflict with those of authors who maintain that this medial PFC region is part of a "default mode network," which typically shows decreased activation during the performance of demanding cognitive tasks. A full appraisal of the vigorous debate surrounding this apparent conflict is beyond the scope of this chapter, and the reader is referred to Mason et al. (2007), G ilbert, D umontheil, Simons, Frith, and Burgess (2007), and G ilbert, Bird, Frith, and Burgess (2012). However, not only have we shown in previous studies that the anterior medial PFC activation during our reaction time tasks is performance-related, but we have also examined the possibility of a relation with task difficulty. I n a very recent study (Gilbert, Bird, Frith, and Burgess, 2012), we used f MR I to study 18 participants performing two "stimulus-oriented" (SO) tasks where responses were directly cued by visual stimuli, as well as an "stimulus-independent" (SI) task with greater reliance on internally generated information. The SI task was intermediate in difficulty, as measured by response time and error rate, relative to the two SO tasks. The B O LD signal in medial rostral PFC, despite claims that this region is part of the default mode network, was reduced in the SI condition in comparison with both the more difficult and less difficult SO conditions. This result suggests that task difficulty zyxwvu P R INCIP LES OF FRONTAL LOBE FUNCTION (as measured by response time and error rate) does not pro- jointly recruited during (1) mere ongoing task activity vide a comprehensive account of signal change in medial versus additional engagement in a PM task and (2) SO PFC; instead, it is the relative demand made upon SI and versus SI processing. This is congruent with the notion that 5 0 attendingsystems that is thebetter predictor. This latter some of the processes mediating PM performance can be study is important because it is possible to argue from the characterized by relative differences in these attentional evidence from our earlier simple reaction time tasks that modes, as proposed by the gateway hypothesis (Burgess, good performance indicates that the task is well within the G ilbert, and Dumontheil, 2007; Burgess et al., 2009). capabilities of the participant, and so would also provide At the same time, the PM contrast was consistently the opportunity for mind wandering (i.e., that mind wan- associated with more dorsal peak activation than the dering and fast reaction times might be correlated in some stimulus contrast, perhaps reflecting engagement of circumstances). But it is much more difficult to square the additional processes. I t would be interesting, and theoevidence from this latter study on task difficulty with the retically noteworthy, to see similar methods applied to the default mode hypothesis. zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA mapping of rostral PFC activations during prospection versus PM. zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA S OM E IN R E G IO N S M O R E THAN OF R O S TR A L P F C A R E IN VO LVED O N E C O G N ITIV E D O M AIN ( P O IN T 1 4 ) A natural question emerging from the finding of rostral PFC involvement in supporting a broad function like an attentional gateway is whether these same regions are involved in the other functions identified as associated with this brain region. One might suppose, perhaps on information processing grounds, that an ability such as maintaining an intention in the face of demands associated with competing external stimuli might require a high degree of control over SO versus SI attending. Thus, the hypothesis that there might be a corresponding overlap in the brain regions involved is an obvious one. Ideally perhaps, distinguishing between the foci of activation involved during performance of these kinds of cognitive activities would be tested using a direct within-subjects comparison. This is exactly the kind of design that Benoit et al. (2012) have attempted with prospective memory. Their study aimed to discover whether functional imaging data are consistent with the idea that the rostral PFC attentional gateway is involved in performance of prospective memory paradigms. As mentioned above, the supervisory (or rostral PFC) attentional gateway is a hypothetical cognitive mechanism proposed by the gateway hypothesis of rostral PFC function (Burgess, Simons, D umontheil, & G ilbert, 2005; Burgess, D umontheil, & G ilbert, 2007; Burgess, G ilbert, & D umontheil, 2007; Burgess et al., 2006). This asserts that aprincipal purpose of rostral PFC is to control differences in attending between 51 thought (i.e., inner mental life) and SO thought (i.e., attending to the external world). Benoit et al. (2012) used a factorial design, crossing prospective memory (PM vs. no-PM) with mode of attending (stimulus-oriented [SO] vs. stimulus-independent [SI]; e.g., G ilbert et al., 2005; see Figure 31-3). The purpose of the experiment was to determine whether the foci of activations in PM were the same as those activated by SI/SO attention changes. Benoit et al. (2012) found that parts of medial rostral PFC were 31. R O S TR AL PR EFR O N TAL C O R TEX CONCLUSION: IS ROSTRAL PFC A HUB FOR METACOGNITION? Stuss and Alexander (2007) have characterized the functions supported by rostral PFC as being involved in "metacognitive" processing. This label has considerable appeal given the foregoing review. There is, however, no agreed set of abilities or behaviors that this label might encompass. For instance, Shammi and Stuss (1999) showed that humor appreciation is affected by lesions involving the right rostral PFC region. Should this cognitive ability be considered to have a strong metacognitive component? We know of no comprehensive information processing model for humor appreciation, or for many of the other cognitive abilities reviewed above, which might allow a firm decision on this point. For this reason, it may be better to start with an account of metacognition developed without knowledge of the cognitive neuroscience of rostral PFC and judge retrospectively whether the functions outlined above (i.e., for which there is strong reason to believe that supporting structures are located in rostral PFC) fit within the framework. I f there is a remarkable coincidence between the functions we have recently found to be supported at least in part by rostral PFC structures and the functions that have been described as requiring metacognition from another field, then this may give the label more credence for its application in cognitive neuroscience. Such a prior framework does exist, although perhaps not always with the form of specification that might be ideal for cognitive neuroscience purposes. "Metacognition" is commonly defined as " thinking about thinking," that is, reflecting or introspecting upon one's own thoughts. But while most theorists would indeed count such a mental experience as metacognition, the person widely credited with the introduction of the term to the psychological literature (J. H . Flavell) provided a much broader and more practical definition. For instance, his widely cited 1979 paper, titled "Metacognition and Cognitive Monitoring: A 539 New Area of Cognitive Developmental Inquiry," opens thus: Preschool and elementary school children were asked to study a set of items until they were sure they could recall them perfectly (Flavell, Friedrichs, & Hoyt, 1970). The older subjects studied for a while, said they were ready, and usually were, that is, they showed perfect recall. The younger children studied for a while, said theywere ready, and usuallywere not. I n another study, elementary school children were asked to help the experimenter evaluate the communicative adequacy of verbal instructions, indicating any omissions and obscurities (Markman, 1977). Although the instructions were riddled with blatant omissions and obscurities, the younger subjects were surprisingly poor at detecting them. They incorrectly thought they had understood and could follow the instructions, much as their counterparts in the study by Flavell et al. (1970) incorrectly thought they had memorized and could recall the items, (p. 906) From these examples, it is clear that it is not thinking about thinking that is the immediate focus for Flavell, but issues such as awareness of competence, knowledge about one's tendency to err, and knowing when you know something—or do not. Indeed, Flavell goes on to define metacognition very broadly, indeed, as "knowledge and cognition about cognitive phenomena" (1979, p. 906). He gives as examples of situations where metacognition plays an important role "oral communication... [and] persuasion, oral comprehension, reading comprehension, writing, language acquisition, attention, memory, problem solving, social cognition and various types of self-control and self-instruction" (ibid.). It would seem, therefore, that the principal source of the term "metacognition" refers to a far wider range of cognition than introspection upon one's thoughts. Indeed, Flavell described four broad classes of mental phenomenon which together might be thought of as an operational definition. The first was "metacognitive knowledge," referring to knowledge about individuals as cognate agents, and their diverse and individual goals, actions, and experiences, including, for example, how good or bad people are at things. The second class of mental phenomenon was "metacognitive experiences," which were thoughts provoked by, or accompanying, any kind of intellectual operation, such as the "sudden feeling that you do not understand something another person has said" (1979, p. 906). I t is noteworthy here that the example involves a spontaneous realization rather than something that one has had to work toward: similar effects accompany many behavioral phenomena associated with the realization of delayed intentions (e.g., Okuda et al., 2011). Flavell's the third component of metacognition was "goals," referring 540 to the intended outcome of one's actions. The fourth was "actions and strategies," referring to the behaviors and cognitive operations required in order to achieve one's goals. Flavell (1979) describes the situations in which such cognitions are most likely to occur. He says, "my present guess is that metacognitive experiences are especially likely to occur in situations that stimulate a lot of careful, highly conscious thinking: in a job or school task that expressly demands that kind of thinking; in novel roles or situations, where every major step you take requires planning beforehand and evaluation afterwards; where decisions and actions are at once weighty and risky; where high affective arousal or other inhibitors of reflective thinking are absent Such situations provide many opportunities for thoughts and feelings about your own thinking to arise and, in many cases, call for the kind of quality control that metacognitive experiences can help supply" (p. 908). Given that a key aspect of Flavell's characterization of metacognitive processes was that they are used in a very wide range of situations (e.g., oral communication and comprehension, language acquisition, attention, memory, problem solving, social cognition, self-control, and self-instruction), i f rostral PFC structures were part of a system that supported these forms of cognition, then we would expect activations in this region to occur in a wide range of situations. And this is, of course, what point 5 above outlines. But how would this then be squared with the apparently contradictory finding that lesions to rostral PFC do not cause deficits in a correspondingly large (or often even similar) range of tasks (point 6) ? One explanatory hypothesis might be that some processing carried out by rostral PFC may not necessarily be reflected in task performance. Many metacognitive experiences may bear only a passing relation to behavior seen on a moment-by-moment basis. This is because much of it may relate to consideration of future, rather than present, actions (see points 7 and 8) or consideration of many possibilities for immediate action that are then not enacted (see point 12). Further, judgments arising from reflections upon one's own performance are known to be not necessarily closely related to "objective" (e.g., normative) estimates, so they are not necessarily helpful to test scores (although in some circumstances they might be more so to future performance perhaps, which may be their utility). There is also the possibility sometimes of mind wandering, as highlighted above. I n this way, the possibility that rostral PFC (BA 10) structures support metacognition may help to explain perhapszyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPON the principal puzzle of current rostral PFC findings (i.e., that rostral PFC activation occurs during a very wide range of tasks, but lesions to the region may not cause impairments in many of those tasks). Further, there are obvious parallels between the core components of Flavell's metacognitive knowledge and more recent conceptions of theory of mind and mentalizing (see point 11). zyxwv P R IN C IP LE S OF FRON TAL LO B E FUN CTION offigurativeaspects of language: A positron emission tomography And metacognitive experiences, (goals, actions, and strateactivation study. Brain, 117(pt 6), 1241-1253. gies) all sound like descriptions of processes that could be Bunge, S. A., Helskog, E . H . , & Wendelken, C . (2009). Left, but not impaired in the patients we have reviewed who have sufright, rostrolateral prefrontal cortex meets a stringent test of the fered rostral PFC damage, or processes that are the focus of relational integration hypothesis. N euroimage, 46(1), 338-342. neuroimaging experiments attempting to characterize the Bunge, S. A., Wendelken, C , Badre, D., & Wagner, A. D. (2005). Analogical reasoning and prefrontal cortex: E vidence for sepafunctions of rostral PFC (see points 7 and 12 in particular). rable retrieval and integration mechanisms. Cerebral Cortex, 15(3), The emphasis on controlled processing and reflecting upon 239-249. one's performance is not only reminiscent of most concep- Burgess, N ., Maguire, E . A., Spiers, H . J., & O'Keefe, J. (2001). A temporoparietal and prefrontal network for retrieving the spatial contualizations of prefrontally supported cognitive systems, text of lifelike events. N euroimage, 14(2), 439-453. but is also more specifically echoed in the tasks described Burgess, P. W, Alderman, N ., Voile, E „ Benoit, R. G., & Gilbert, S. in points 10 and 11 here. There are many other parallels J. (2009). Mesulam's frontal lobe mystery re-examined. Restorative also. Altogether, these are probably enough to postulate (in N eurology and N euroscience, 27(5), 493-506. agreement with Stuss & Alexander, 2007) that a substan- Burgess, P. W, Dumontheil, I., & Gilbert, S. J . (2007). The gateway hypothesis of rostral prefrontal cortex (area 10) function. Trends in tial amount of the processing supported by rostral PFC Cognitive Sciences, 11(7), 290-298. structures is highly relevant to Flavell's notions of metaBurgess, P. W., Gilbert, S. J., & Dumontheil, I. (2007). Function and cognition. These notions were advanced long before techlocalization within rostral prefrontal cortex (area 10). Philosophical niques like functional imaging were generally available. Transactions of the Royal Society of L ondon, Series B, Biological Sciences, 362(1481), 887-899. I t may be that cognitive neuroscience is finally starting to discover their full significance for understanding brain Burgess, P. W, Gilbert, S. J., Okuda, J., & Simons, J. S. (2006). 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Evidence from biasing attention to perceptual information and internal representations Ilona Henseler a,b,⁎, Sebastian Krüger b, Peter Dechent c, Oliver Gruber b a b c Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany Centre for Translational Research in Systems Neuroscience and Clinical Psychiatry, Department of Psychiatry and Psychotherapy, Georg August University, Göttingen, Germany MR-Research in Neurology and Psychiatry, Georg August University, Göttingen, Germany a r t i c l e i n f o Article history: Received 20 September 2010 Revised 13 January 2011 Accepted 17 February 2011 Available online 23 February 2011 Keywords: Gateway hypothesis Rostral prefrontal cortex Regional specialization Attentional control Functional connectivity a b s t r a c t Some situations require us to be highly sensitive to information in the environment, whereas in other situations, our attention is mainly focused on internally represented information. It has been hypothesized that a control system located in the rostral prefrontal cortex (PFC) acts as gateway between these two forms of attention. Here, we examined the neural underpinnings of this ‘gateway system’ using fMRI and functional connectivity analysis. We designed different tasks, in which the demands for attending to external or internal information were manipulated, and tested 1) whether there is a functional specialization within the rostral PFC along a medial–lateral dimension, and 2) whether these subregions can influence attentional weighting processes by specifically interacting with other parts of the brain. Our results show that lateral aspects of the rostral PFC are preferentially activated when attention is directed to internal representations, whereas anterior medial aspects are activated when attention is directed to sensory events. Furthermore, the rostrolateral subregion was preferentially connected to regions in the prefrontal and parietal cortex during internal attending, whereas the rostromedial subregion was connected to the basal ganglia, thalamus, and sensory association cortices during external attending. Finally, both subregions interacted with another important prefrontal region involved in cognitive control, the inferior frontal junction, in a task-specific manner, depending on the current attentional demands. These findings suggest that the rostrolateral and rostromedial part of the anterior PFC have dissociable roles in attentional control, and that they might, as part of larger networks, be involved in dynamically adjusting the contribution of internal and external information to current cognition. © 2011 Elsevier Inc. All rights reserved. Introduction A key aspect of higher cognition is the ability to voluntarily direct attention to the information that is currently most relevant. This information can either be something present in the sensory environment (i.e. external information) or something that exists without a direct correlate in the environment (i.e. internal information). In different situations, the relevance of these two types of information differs, requiring a control system that flexibly biases the allocation of attentional resources to external or internal information, depending on the current goals. In order to enable adaptive behavior, this system should further allow individuals to rapidly switch between the different sources of information and to integrate the information coming from these sources. These operations have recently been suggested to be carried out by a control system located in the rostral prefrontal cortex (PFC), the ‘supervisory attentional ⁎ Corresponding author at: Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraβe 1A, D-04103 Leipzig, Germany. Fax: +49 341 9940 2335. E-mail address: [email protected] (I. Henseler). 1053-8119/$ – see front matter © 2011 Elsevier Inc. All rights reserved. doi:10.1016/j.neuroimage.2011.02.056 gateway system’ (Burgess et al., 2007a,b). According to this theory, the system plays a key role in the attentional selection between ‘stimulus-oriented (SO) cognition’ (i.e. attention toward stimuli external to the body) and ‘stimulus-independent (SI) cognition’ (i.e. attention toward internally represented information) and thus operates as a ‘gateway’ between the internal mental life and the mental life that is associated with interaction with the outside world. This model is noteworthy since the rostral PFC is one of the brain regions currently most discussed and least understood. There are a large number of different findings and competing theoretical accounts of its functions. Some models suggest that the region is involved in the “coordination of information processing and information transfer between multiple cognitive operations” (Ramnani and Owen 2004, p. 193), others in the “processing of internally generated information” (Christoff and Gabrieli 2000, p.169), and again others in processes like “branching”, “updating”, or “planning” (Koechlin et al., 1999; Collette et al., 2007; Soon et al., 2008), to name but a few. During the last 10 years, an almost equal number of neuroimaging studies have been published supporting the one or the other account, meaning that the function of the rostral PFC remains a matter of current debate. I. Henseler et al. / NeuroImage 56 (2011) 1666–1676 The situation is aggravated by confusion in the nomenclature regarding this most frontal region of the brain. Some authors speak of the ‘rostral PFC’, others of the ‘anterior frontal cortex’, the ‘frontopolar cortex’, ‘rostrolateral PFC’, or just ‘Brodmann area 10’.1 Furthermore, the fact that structurally and functionally different subregions might exist within the rostral PFC is often not taken into account. The existence of such subregions, however, is suggested by a number of studies on the microarchitectonic, structural, and functional level. Ongur and colleagues (2003), for instance, identified three dissociable regions within the rostral PFC with different cytoarchitectonic properties, and a recent meta-analysis of 104 imaging studies provided further evidence of a functional specialization of at least two distinct subregions within the rostral PFC (Gilbert et al., 2006c). In the light of these findings, the conflicting results and competing models of rostral PFC function may not be mutually exclusive but may rather describe the function of different anatomical regions within rostral PFC. However, to date, few imaging studies have been conducted that explicitly examine the question whether there is a functional dissociation of subregions within the rostral PFC. These studies provided first experimental evidence of a functional specialization of the rostral PFC along a medial–lateral dimension, with rostrolateral aspects being specifically involved in orienting attention to internal representations and anterior medial aspects in directing attention to information that is present in the sensory environment (Gilbert et al., 2005, 2006a,b). Based on these findings, Burgess et al. (2007a) formulated the ‘gateway hypothesis of rostral PFC function’, according to which a ‘supervisory system’ is located in the rostral PFC, which exerts control over the coordination of stimulus-independent and stimulus-oriented cognition. Within this system, the anterior rostromedial PFC is supposed to be involved in generating an attentional bias towards incoming perceptual information and the rostrolateral PFC in maintaining attention to internal representations. Importantly, however, according to the model, both rostral PFC subregions are not sites of information processing per se but accomplish their function by “altering the flow of information between other parts of the cognitive system” (Burgess et al., 2007a, p. 292). Thus, the system is supposed to act as a routing system that modulates the flow of information. This description is reminiscent of the ideas of ‘gating models’, which assume that frontal regions interact with other cortical and subcortical regions in order to bias information processing. In particular, it has been suggested that interactions of the frontal cortex with the basal ganglia and the thalamus are the basis for controlling the access of incoming information to higher processing areas (Frank et al., 2001; Hazy et al., 2007; LaBerge 2002). In addition, accumulating evidence suggests that the PFC can modulate information processing in sensory association cortices depending on the current attentional demands (Hopfinger et al., 2000; Kastner et al., 1999; Giesbrecht et al., 2006). Similar interactions can also be assumed to be essential for the proposed functions of the gateway system, especially as the SOsystem is supposed to be able to afford an “amplification of input” and the SI-system to “ensure that the activation of representations is less determined by sensory input” (Burgess et al., 2007a, p. 292). However, the gateway hypothesis remains relatively vague on this point and, in particular, the neurofunctional interactions which may underlie the described attentional weighting processes are not specified. In the current study, we addressed this issue using functional magnetic resonance imaging (fMRI) and functional connectivity analysis. In the first step, we sought to investigate whether we could find additional support for the notion of a functional subdivision of the rostral PFC 1 We will use the term “rostral PFC,” as well as “rostrolateral” and “rostromedial” PFC. With respect to the literature, “rostrolateral PFC” is used for the part of rostral PFC with an x-coordinate N 20 (see Christoff and Gabrieli 2000; Smith et al., 2007; Gilbert et al., 2006c) and “rostromedial PFC” for the part with an x-coordinate b20. 1667 into a rostrolateral and an anterior medial part, and if so, in the second step, we aimed to assess whether these subregions bias attentional orienting towards external or internal information by specifically interacting with other parts of the brain. In addressing these issues, we designed an experimental paradigm that imposes different demands on external or internal attending. Taking into account that most natural situations do not involve the processing of either solely internal or solely sensory information, we decided to vary the relative degree to which attention had to be directed to the different sources of information. Using these tasks, we hypothesized that if the gateway hypothesis is correct, 1) the degree to which attention is directed to external or internal information should be reflected in the differential activation pattern of a rostromedial and rostrolateral PFC subregion, and 2) these subregions should functionally interact with other brain regions in order to prioritize the processing of internal or external information depending on the current attentional demands. Materials and methods Subjects Participants were 27 right-handed native speakers of German (14 females, 13 males; mean age: 24.56 ± 2.53 years). All participants were recruited from an academic environment and had normal or corrected to normal vision. Ethical approval from the local ethics committee and written informed consent were obtained prior to the experiments. Subjects were paid for their participation. Experimental design The experiment comprised three experimental tasks imposing different demands on attending to externally presented or internally represented information, respectively. In designing these tasks, we considered the prerequisites named by the authors of the gateway hypothesis for tasks stressing external or internal attending. According to Burgess et al. (2007b), an external attention task requires 1) that the information to be processed is currently available (i.e. present in the sensory environment), 2) that the attention is directed to external stimuli or stimulus features, and 3) that the operations involved prior to responding are relatively automatic or well-learnt. In contrast, a task stressing internal attending requires 1) that the information attended to is not currently being presented (i.e. not available in the sensory environment), 2) that this information is self-generated or comes from a previously witnessed episode, and 3) that the responses to be made are triggered by these internal representations. In accordance with these characteristics, we designed three tasks engaging internal and external attending to a different degree. Importantly, we decided to vary the relative degree to which attention is directed to either type of information, instead of using the most extreme task variants (e.g. an internal task with no external stimulation at all). This was done for two reasons. Firstly, most natural situations do not exclusively involve the processing of either internal or external information but involve both types of information, just differing in the relative degree to which attention is directed to each of them. Secondly, we wanted to ensure greatest possible comparability between the internal and external tasks in all aspects, with the exception of the directing of attention to sensory or internally represented information. This requires the tasks to be closely matched with respect to the visual stimulation and the responses to be made (which is hardly accomplishable when comparing a task involving a reaction to sensory stimuli with a task that is performed entirely “in the head” of the participants). All tasks had the same stimulation design and timing and were performed in short blocks. At the beginning of each block, subjects 1668 I. Henseler et al. / NeuroImage 56 (2011) 1666–1676 received a cue (geometric shape) that informed them about which task they had to perform during the upcoming five response trials (see Fig. 1). The task cue was presented for 1500 ms, followed by a variable time interval of 1000–2000 ms (varied in steps of 500 ms) and a display showing two colored squares for 1500 ms (serving as the memory set in the internally oriented [IO] task and being irrelevant in the other two tasks). This presentation was followed by a second variable time interval of 1000–2000 ms (varied in steps of 500 ms, depending on the length of the first delay). Both variable time intervals served as jitter, allowing the separate analysis of the activity related to the cue, the memory set, and the activity related to the time period comprising the response trials. After the second jitter, five successive response trials of the same type were presented, during each of which a display showing three squares in a horizontal row was presented for 500 ms, followed by a blank screen for 2300 ms. In each of these trials, one of the squares was colored and the other two squares were gray and subjects had to make a response (button press with the index finger of the left or right hand) according to the current task instruction. In the first task, which was designed to engage external attending to the relatively highest degree, the colored square occurred either on the left or on the right position on the screen (i.e. it was located either to the left or the right of the two gray squares) and subjects were instructed to attend to its spatial location and to press a button with the left or right index finger accordingly (externally oriented position task, EOposition). This task is highly stimulus-oriented as it requires subjects to focus on externally presented (sensory) information, involves little task set information, and requires almost automatic, stimulus-triggered responses. The second task was designed to impose high demands on stimulus-oriented attending as well, but it was also intended to involve internally represented information to a slightly higher degree than the first task. In this task, the colored square was presented between the two gray squares and subjects had to decide whether this central stimulus matched a predefined target (red square) or not and to press a button accordingly (externally oriented target task, EOtarget). This task again mainly engages stimulus-oriented attending but additionally requires the maintenance of the target representation and the response mapping. In the third task, which was designed to involve attending to stimulus-independent information to the relatively highest degree, subjects had to focus their attention on internally represented information with no direct correlate in the sensory environment and to base their responses on this information. Specifically, two colored squares (presented at the beginning of the block) had to be maintained internally, and during the subsequent response trials, subjects had to decide whether the current stimulus (again a colored square presented in the center between two gray squares) matched one of the internally represented items or not (internally oriented task, IO). This task was considered to fulfill the above-mentioned requirements for a task engaging internally oriented attention, as stimulus-independent information is in the focus of attention and determines the responses to be made. Thus, importantly, all three task variants involve attending to both external and internal information; however, the relative degree to which attention is directed to either type of information was varied: The EOposition task engages external attending to the relatively highest degree, the IO task involves attending to internal representations to the relatively highest degree, and the EOtarget task takes an intermediate position between them. The tasks were presented in pseudorandom order (with no more than 3 blocks of the same task in direct succession). The whole experiment comprised 3 runs of 24 blocks (8 blocks per task per session, 24 blocks per task for the whole experiment, 72 blocks in total) with short pauses between runs and fixation periods between blocks. The transitions between task variants were counterbalanced. There were a total of 36 task repeats and 36 task switches, with each task variant having the same number of repeat and switch blocks. We additionally controlled for the number of the different delays in each task variant. Furthermore, the different trial types (match/non-match, target/non-target, left/right position) occurred equally often over the experiment and the transition probabilities of the trial types within a task variant were counterbalanced. A total of nine different colors (plus gray) with equal luminance were used for the experiment. The target color from Task 2 did not occur in the two other tasks in order to avoid interference, and the colors representing the memory set in the IO task were chosen randomly out of the remaining eight colors. The cues were geometric forms. All stimuli were created using Presentation software (Version 11.1, Neurobehavioral Systems, Albany, NY, USA). During scanning, participants viewed the stimuli on a black background using a goggle system (Resonance Technology, Northridge, CA, USA). Button presses were made with the index finger of the left or right hand via a response system (Current Designs, Fig. 1. Experimental design with example stimuli and timing (for details, see text). Left: EOposition task, middle: EOtarget task, right: IO task. For simplicity, only three of the five consecutive trials in each block are shown. I. Henseler et al. / NeuroImage 56 (2011) 1666–1676 Philadelphia, PA, USA). The total scanning time was 40 min (including positioning and anatomic scanning) and one run lasted about 10 min. Subjects were trained on the tasks for about 30 min outside the scanner before the experiment. fMRI data acquisition Imaging was performed on a 3 T Magnetom Tim Trio system (Siemens Healthcare, Erlangen, Germany) equipped with a 12 channel head coil. Thirty-three axial slices parallel to the anterior commissure–posterior commissure (AC-PC) line were obtained in ascending acquisition order using a gradient-echo echo planar imaging (EPI) sequence (voxel size: 3 × 3 × 3 mm; echo time 30 ms; flip angle 70°; field-of-view 192 mm; 64 × 64 matrix; interscan repetition time = 2000 ms). A total of 873 volumes were acquired (291 per run). Additionally, anatomical (T1-weighted) scans were acquired for each subject (voxel size: 1 × 1 × 1 mm). The head was stabilized with small cushions to avoid head movements and triggering of the stimulation by the scanner pulses was conducted using Presentation Software. Data analysis Behavioral data Behavioral and demographic data were analyzed using SPSS software (version 16, SPSS Inc., Chicago, IL, USA). Firstly, normal distribution of the behavioral data was tested using the Kolmogorov– Smirnov test. As this test did not reach statistical significance, the application of parametric tests was justified. Accuracy data and reaction times (RTs) were aggregated and means were submitted to a repeated-measures ANOVA with the within-subject factor TASK (EOposition, EOtarget, IO). Subsequently, specific effects were tested with two-sided post-hoc t-tests and results are reported assuming significance at a criterion of p b 0.05. Error and omission trials were excluded from the reaction time analysis. The behavioral data from one subject was not recorded and could not be analyzed. Identification of task-related activity The fMRI data were preprocessed and statistically analyzed using SPM2 (Wellcome Department of Cognitive Neurology, London, UK). Preprocessing comprised realignment and unwarping, correction for slicetime acquisition differences and low-frequency fluctuations (highpass filter with 128-s cutoff), coregistration of the functional and anatomical volumes, and spatial normalization to standard stereotactic space (using the Montreal Neurological Institute (MNI) template provided by SPM2; normalized voxel size: 3 × 3 × 3 mm). For group analysis, data were additionally smoothed using a 9 mm full-width half-maximum (FWHM) Gaussian kernel. Statistical analyses were conducted using the general linear model (GLM) in SPM, creating a design matrix that allowed testing for brain activity changes associated with the different experimental tasks. The design matrix comprised four regressors, one for each task variant (EOposition, EOtarget, IO) and one for the fixation period between task blocks. As we were interested in brain regions showing sustained activity during periods of external or internal attending, we modeled the sustained activity over the whole blocks (i.e. the activity that was time-locked to the beginning of the first response trial and lasted until the end of the last response trial; the activity related to the processing of the cue and the set were not included). These time periods had a length of 14 s. The corresponding vectors were convolved with a canonical hemodynamic response function (HRF) using a boxcar function in order to produce the predicted hemodynamic response for each experimental condition. Next, linear t-contrasts were performed on this data in order to test for effects at the single-subject level. Subsequently, these singlesubject contrast images were taken to a second-level group analysis, in 1669 which inter-subject variability was treated as random factor (random effects analysis). Results of this second-level analyses are reported at a statistical threshold of p b 0.05, corrected for multiple comparisons at the cluster level using the family-wise error (FWE) approach. In addition to the whole-brain analyses, we extracted the beta values from a set of regions of interest (ROI) using the MarsBar toolbox for SPM (http://marsbar.sourceforge.org). These ROIs were defined creating a 5-mm sphere around the maxima of activation located in rostrolateral and rostromedial PFC (i.e. in those regions that have previously been reported to be sites of functional activation during internal and external attending; see Gilbert et al., 2005, 2006a,b, 2007; Burgess et al., 2003, 2007a,b), yielding one parameter estimate per subject, per region and per contrast. In a further step, the beta values were correlated with behavioral performance measures using SPSS. Functional connectivity analysis For the functional connectivity analysis, we used the psychophysiological interactions (PPI) approach proposed by Friston et al. (1997). This approach allows the detailed examination of task-related functional interactions between brain regions. It requires one regressor representing the signal time course in a given volume of interest (VOI) and one regressor representing the psychological variable of interest. In the present study, the VOI regressors were created by extracting the BOLD signal from 5-mm spheres around the local maxima of task-related brain activation in subregions of the rostral PFC showing differential activation during external versus internal attending. Accordingly, the time series of the local activations in rostromedial PFC specifically associated with external attending (MNI coordinates x y z: −3 60 0 and 3 60 15, see Table 1) and in rostrolateral PFC specifically associated with internal attending (MNI coordinates x y z: 30 48 9 and − 33 48 18, see Table 1) were extracted. The time series of all voxels in a VOI were averaged and the resulting (deconvolved) activation time course served as the physiological vector Y. The second vector was the psychological vector P of the time t, which was set to 1 if t was the onset of an epoch requiring external attending and to −1 if it was the onset of an epoch requiring internal attending (this accounts for the VOI in rostromedial PFC and was the reverse for the VOI in rostrolateral PFC). The product of the physiological and the psychological vector determined the PPI term. After reconvolution with the hemodynamic response function, whole-brain correlation analyses were carried out in a voxel-wise manner for each seed region in each subject in order to determine brain regions showing taskrelated modulation of connectivity with the seed region. The singlesubject data were then entered into a random effects model and group results were thresholded at p b 0.005, uncorrected. Results Behavioral data All participants performed well. During the EOposition task, subjects had a mean of 99.5% correct responses (SD 0.97), during the EOtarget task 97.7% (SD 2.12), and during the IO task 92.2% (SD 4.85). The mean reaction times were 413.83 ms (SD 49.56) for the EOposition task, 478.26 ms (SD 68.82) for the EOtarget task, and 569.39 (SD 93.28) for the IO task. The repeated-measures ANOVA for accuracy and reaction times showed a significant main effect of TASK (accuracy: F2,50 = 63.56; p b .001; RT: F2,50 = 114.69; p b .001, Greenhouse–Geisser corrected) and the post-hoc t-tests revealed that accuracy measures differed significantly between all three task variants (accuracy: EOposition vs. EOtarget: t(25) = 4.71, p b .001; EOposition vs. IO: t(25) = 8.05, p b .001; EOtarget vs. IO: t(25) = 8.75, p b .001; RT: EOposition vs. EOtarget: t(25) = −9.42, p b .001; EOposition vs. IO: t(25) = −11.32, p b .001; EOtarget vs. IO: t(25) = −9.94, p b .001). 1670 I. Henseler et al. / NeuroImage 56 (2011) 1666–1676 Brain activation Table 1 Significant task-related brain activation during external and internal attending, and direct task comparisons. Contrast Brain region MNI coordinates (x y z) External attending to positions (EOposition N baseline) R Anterior rostromedial PFC 3 60 15 L Anterior rostromedial PFC −3 60 0 R Inferior frontal gyrus 54 36 −6 M Orbitofrontal cortex 0 45 −18 L Posterior cingulate cortex −6 −54 30 R Temporo-parietal junction 69 −27 18 L Middle temporal gyrus −63 −12 −18 R Parieto-occipital cortex 60 −63 27 L Parieto-occipital cortex −51 −75 30 R Amygdala 24 −9 −18 L Amygdala −24 −12 −21 R Putamen 33 −6 3 External attending to targets (EOtarget N baseline) R Rostromedial PFC 9 57 27 L Rostromedial PFC −9 45 27 R Inferior frontal gyrus 45 42 −3 R Temporo-parietal junction 66 −36 39 L Middle temporal gyrus −63 −21 −18 R Parieto-occipital cortex 57 −63 36 L Parieto-occipital cortex −57 −63 36 Internal attending (IO N baseline) R Rostrolateral PFC 24 51 −9 L Rostrolateral PFC −27 51 −3 R Superior frontal gyrus 21 15 63 R Middle frontal gyrus 42 39 24 R Deep frontal operculum 36 21 −9 L Deep frontal operculum -30 18 −12 R Pre-SMA 6 30 48 R Intraparietal cortex 54 −57 51 External N internal attending (EOposition N IO) R Anterior rostromedial PFC 3 60 15 L Anterior rostromedial PFC −3 60 0 R Inferior frontal gyrus 54 36 3 M Orbitofrontal cortex 0 39 −18 L Posterior cingulate cortex −6 −51 30 R Posterior insula 45 −18 18 R Temporo-parietal junction 69 −24 15 R Middle temporal gyrus 63 −6 −21 L Middle temporal gyrus −57 0 −21 R Temporo-occipital cortex 57 −66 3 R Parieto-occipital cortex 54 −72 27 L Parieto-occipital cortex −48 −75 30 R Occipital cortex 39 −87 24 L Occipital cortex −33 −87 33 R Hippocampus 24 −15 −21 L Hippocampus −24 −21 −18 L Parahippocampal gyrus −27 −36 −15 R Amygdala 30 3 −21 L Amygdala −27 0 −27 R Putamen 39 −9 −3 Internal N external attending (IO N EOposition) R Rostrolateral PFC 30 48 9 L Rostrolateral PFC −33 48 18 R Superior frontal cortex 33 −3 54 R Middle frontal gyrus 45 33 27 L Middle frontal gyrus −42 27 30 R IFJ 48 15 33 L IFJ −39 9 27 R Deep frontal operculum 36 24 −6 L Deep frontal operculum −30 18 3 R Middle cingulate cortex 9 18 42 M Pre-SMA 0 12 54 R Intraparietal cortex 36 −54 42 L Intraparietal cortex −36 −54 48 R Caudate 12 9 6 R Pallidum 15 −3 3 Statistical effect (T-value) 7.38 5.53 6.57 8.75 6.74 4.90* 7.12 9.18 9.12 4.49* 5.13* 3.51* 7.38 7.56 6.31 3.60* 3.74* 7.17 8.50 5.65 3.67* 6.84 5.92 5.65 6.05 7.13 6.99 11.32 10.88 4.70* 11.93 12.14 8.10 6.92 7.95 8.79 9.36 6.09 11.00 9.34 10.29 9.01 8.98 12.70 7.60 7.17 6.77 6.52 8.24 6.33 10.62 8.27 6.39 8.32 11.53 11.24 10.11 12.36 10.97 9.11 4.61 5.18 All activations are significant at p b 0.05 (FWE-corrected on cluster level), if not indicated otherwise (*p b 0.001 uncorrected). Task-related activation Attending to external spatial information (positions) activated the bilateral anterior rostromedial PFC, the right inferior frontal gyrus (IFG), the medial orbitofrontal cortex (OFC), the posterior cingulate cortex (PCC), the right temporo-parietal junction (TPJ), the left middle temporal gyrus (MTG), the bilateral parieto-occipital cortex, the bilateral amygdala, and the right putamen (EOposition N baseline, Table 1). External attending to targets elicited activity in the bilateral medial superior frontal cortex, the right IFG, the right TPJ, the left MTG, and in the bilateral parieto-occipital cortex (EOtarget N baseline, Table 1). Orienting attention to internal representations activated the bilateral rostrolateral PFC, the right superior and right middle frontal cortex, the bilateral deep frontal opercular cortex (FOC), the presupplementary motor area (pre-SMA), and the right intraparietal cortex (IPC) (IO N baseline, Table 1). Increased activation during external versus internal attending The direct comparison between orienting attention to external versus internal information revealed that the anterior rostromedial PFC was significantly more strongly activated when attention was directed to external information (Fig. 2). In addition, there was increased activation during external as compared to internal attending in the right IFG, the medial OFC, the PCC, the posterior insula, the right TPJ, the bilateral MTG, bilateral parieto-occipital and occipital cortices, the bilateral amygdala–hippocampal complex, and in the right putamen (EOposition N IO, Fig. 3A, Table 1, see also EOtarget N IO, Supplementary Table). The contrast of orienting attention to the spatial occurrence of a stimulus versus detecting a predefined target (also reflecting relatively stronger external attending) also yielded significantly increased activity in the bilateral anterior rostromedial PFC, as well as in the left superior frontal cortex, the PCC, the bilateral temporal and occipital cortices, and in the right parahippocampal cortex (EOposition N EOtarget, Supplementary Table). Increased activation during internal versus external attending The reverse contrast comparing internal versus external attending showed increased activity during internal attending in the bilateral rostrolateral PFC, the bilateral superior and middle frontal cortices, the bilateral inferior frontal junction area (IFJ), the bilateral FOC, the middle cingulate cortex, the pre-SMA, the bilateral IPC, the caudate, and the pallidum (IO N EOposition, Figs. 2 and 3B, Table 1, see also IO N EOtarget, Supplementary Table). The bilateral rostrolateral PFC was also significantly more strongly activated while performing the target task as compared to the position task (this contrast also reflects relatively stronger internal attending), as was the right IFJ, the bilateral middle frontal cortex, the bilateral deep FOC, the right pre-SMA, and the right IPC (EOtarget N EOposition, Supplementary Table). Functional connectivity Task-related connectivity modulation During attending to external positions, the rostromedial PFC showed increased functional connectivity to the left IFJ, the bilateral superior frontal cortices, the medial OFC, the PCC, the right MTG, bilateral parieto-occipital and occipital cortices, the bilateral amygdala, the bilateral caudate, bilateral putamen, and the thalamus, as compared to baseline (EOposition N baseline, Table 2, Fig. 4A). During target detection (compared to baseline), the rostromedial PFC was significantly more strongly connected to the left IFJ, the left superior frontal cortex, the left parieto-occipital and occipital cortex, the precuneus, and the thalamus (EOtarget N baseline, Table 2). During attending to internal representations, the rostrolateral PFC was significantly more strongly connected to the bilateral IFJ, bilateral superior and middle frontal cortices, the bilateral FOC, the pre-SMA, I. Henseler et al. / NeuroImage 56 (2011) 1666–1676 1671 Fig. 2. Differential activation of the rostromedial and rostrolateral PFC during attentional orientation to external and internal information, respectively. Center: Brain activation map showing significantly stronger activation of the anterior rostromedial PFC during the orientation of attention to external as compared to internal information (blue), and significantly stronger activation of the rostrolateral PFC during the orientation of attention to internal as compared to external information (red). The scale below shows the color-coding of the displayed T-values. Periphery: Parameter estimates extracted from the rostromedial PFC (left side) and rostrolateral PFC (right side) color coded for the different tasks (blue: EOposition task; purple: EOtarget task; red: IO task). Images are shown at p b 0.05 (FWE-corrected). T-values and stereotactic coordinates are given in Table 1. the right lateral OFC, the bilateral temporo-occipital cortex, and the bilateral superior and intraparietal cortices, as compared to baseline (IO N baseline, Table 2, Fig. 4B). Increased connectivity during external versus internal attending The contrast between external and internal attending revealed that the anterior rostromedial PFC was significantly more strongly connected to the left IFJ (see Fig. 5), the left superior frontal cortex, the bilateral medial OFC, the PCC, the right MTG, the bilateral parietooccipital cortex, and the bilateral caudate during external attending (EOposition N IO, Table 2). Additionally, the same region in the anterior rostromedial PFC was significantly more strongly connected to the left IFJ during target detection as compared to internal attending (EOtarget N IO, Table 2). Increased connectivity during internal versus external attending During internal compared to external attending, the rostrolateral PFC was significantly more strongly connected to the left IFJ (see Fig. 5), the bilateral superior and middle frontal cortex, the middle cingulate cortex, and the pre-SMA (IO N EOposition, Table 2). The rostrolateral PFC was also significantly more strongly connected to the left IFJ during internal attending than during target detection (IO N EOtarget, Table 2). Correlations The intensity of the activation in rostromedial PFC while performing the external position task (as compared to the internal task) correlated significantly with the subjects’ accuracy during this task (r = .37, p = 0.031). This means that the more the rostromedial PFC Fig. 3. (A) Brain regions showing significantly stronger activation together with the rostromedial PFC during external compared to internal attending (EOposition N IO, pb0.05, FWEcorrected). (B) Brain regions showing significantly stronger activation together with the rostrolateral PFC during internal compared to external attending (IO N EOposition, p b 0.05, FWE-corrected). T-values and stereotactic coordinates are given in Table 1. R: right; L: left; A: anterior; P: posterior. 1672 I. Henseler et al. / NeuroImage 56 (2011) 1666–1676 Table 2 Functional connectivity of the anterior rostromedial PFC and the rostrolateral PFC during attentional orienting to external and internal information. Contrast Brain region MNI coordinates (x y z) Statistical effect (T-value) Increased connectivity of anterior rostromedial PFC during external attending (EOposition N baseline) L IFJ -33 6 42 3.84 R Superior frontal cortex 21 36 54 4.50 L Superior frontal cortex −12 39 51 5.70 R Medial superior frontal gyrus 6 48 27 5.67 L Medial superior frontal gyrus −6 57 27 4.75 R Medial orbitofrontal cortex 3 42–18 4.18 M Posterior cingulate cortex 0 −60 27 6.16 R Middle temporal gyrus 63 −12 −21 4.41 R Parieto-occipital cortex 51 −63 39 3.57 L Parieto-occipital cortex −45 −72 42 4.47 R Occipital cortex 21 −72 −9 3.31 L Occipital cortex −6 −84 −9 3.82 R Caudate 12 6 21 4.35 L Caudate −12 9 21 4.09 R Putamen 15 3 −9 3.47 L Putamen −27 9 −6 3.07 R Amygdala 15 −6 −15 2.95 L Amygdala −18 −9 −18 3.40 R Thalamus 6 −6 0 4.07 Increased connectivity of anterior rostromedial PFC during external attending (EOtarget N baseline) L IFJ −48 18 30 4.10 L Superior frontal cortex −33 3 66 3.10 L Parieto-occipital cortex −33 −78 48 2.87 M Occipital cortex 0 −87 42 3.32 R Precuneus 3 −75 42 3.06 R Thalamus 6 −6 6 3.79 Increased connectivity of rostrolateral PFC during internal attending (IO N baseline) L IFJ −51 9 30 3.11 R IFJ 45 15 42 4.78 R Superior frontal sulcus 27 18 63 3.29 L Superior frontal sulcus −27 21 51 3.63 R Anterior middle frontal gyrus 36 57 −3 3.81 L Anterior middle frontal gyrus −36 54 0 4.95 R Deep frontal operculum 39 27 3 3.68 L Deep frontal operculum −51 18 3 3.92 R Lateral orbitofrontal cortex 30 42 −18 4.17 L Pre-SMA −3 36 36 4.03 R Intraparietal cortex 45 −48 57 2.95 L Intraparietal cortex −27 −54 33 3.22 R Superior parietal lobule 27 −60 69 3.57 L Superior parietal lobule −24 −51 72 3.43 R Temporo-occipital cortex 57 −45 −6 3.80 L Temporo-occipital cortex −60 −48 18 4.88 L Occipital cortex −21 −72 30 3.85 Stronger connectivity of anterior rostromedial PFC during external N internal attending (EOposition N IO) L IFJ −30 15 27 2.73* L Superior frontal cortex −15 33 54 3.07 R Medial orbitofrontal cortex 9 54 −12 3.91 L Medial orbitofrontal cortex −9 30 −15 3.37 M Posterior cingulate cortex 0 −57 33 3.70 R Middle temporal gyrus 63 −3 −24 4.11 R Parieto-occipital cortex 54 −66 42 3.27 L Parieto-occipital cortex −45 −75 45 3.04 R Caudate 18 18 12 3.38 L Caudate −9 18 −6 2.84 Stronger connectivity of rostrolateral PFC during internal N external attending (IO N EOposition) L IFJ −45 15 27 4.16 R Superior frontal cortex 33 −12 69 2.87 L Middle frontal gyrus −45 15 27 4.16 R Middle cingulate cortex 3 6 30 3.65 R Pre-SMA 3 −3 60 2.90 Stronger connectivity of anterior rostromedial PFC during external N internal attending (EOtarget N IO) L IFJ −45 18 30 3.16 Stronger connectivity of rostrolateral PFC during internal N external attending (IO N EOtarget) L IFJ −54 18 33 3.01 All results are significant at pb 0.005 (uncorrected), if not indicated otherwise (*pb 0.01, uncorrected). was activated during the external task, the better the behavioral performance was. The same was true for the parieto-occipital cortex, whose activity also correlated significantly with better task performance during the external task (r = .36; p = 0.037). Furthermore, the strength of the functional connectivity between the rostromedial PFC and the parieto-occipital cortex showed a trend towards a positive correlation with accuracy in the external task (r = .29; p = 0.081). Therefore, there is evidence that the signal change in the rostromedial PFC and in the parieto-occipital cortex, as well as the strength of coupling between these two regions is related to better performance in the externally oriented attention task. In addition, we investigated whether the signal change in the rostromedial and rostrolateral PFC related to the contrast of external versus internal attending is correlated with between-subject differences in the behavioral data (i.e. whether the behavioral effect of “task difficulty” as reflected by differences in RTs and error rates between both task variants correlates with the signal differences between these tasks). This analysis revealed that the signal change in the rostromedial PFC for the contrast of external versus internal attending was not correlated with either the difference in RTs or error rates between these conditions (RT: r = 0.19, p N 0.3; accuracy: r = 0.19, p N 0.3). Similarly, the signal change in the rostrolateral PFC related to the internal–external contrast was unrelated to behavioral measures of “task difficulty” (RT: r = 0.05, p N 0.8; accuracy: r = 0.02, p N 0.9). Thus, it is unlikely that differences in “task difficulty” between the conditions are responsible for the detected signal changes in the rostromedial and rostrolateral PFC. Discussion The present study aimed to test two core proposals of the ‘gateway hypothesis of rostral prefrontal cortex function’ as proposed by Burgess et al. (2007a,b) and Gilbert et al. (2005, 2006a,b). The first is that there is a functional subdivision of the rostral PFC into a medial and a lateral part, with these regions being differentially sensitive to the demands on externally and internally oriented cognition. The second is that these subregions can actively modulate attentional orienting towards external or internal information by specifically interacting with other parts of the brain. As predicted by the gateway hypothesis, we found differential activation in the rostral PFC depending on the current attentional demands, demonstrating segregation between a rostromedial and a rostrolateral subregion. In particular, we observed recruitment of the rostromedial PFC during conditions requiring high degrees of attention to the external environment and of the rostrolateral PFC when attention had to be mainly directed to internally represented information. These observed activation differences cannot be attributed to differences in “task difficulty” (as indexed by RTs and error rates) as the observed signal changes were unrelated to behavioral differences between the internal and external tasks. Thus, the current findings are congruent with the gateway hypothesis in suggesting that the rostromedial PFC may play a role in supporting stimulusoriented attending and the rostrolateral PFC in supporting attentional orientation to internally represented information. Together with the rostromedial PFC, the TPJ, IFG, insular cortex, OFC, PCC, amygdala, striatum, and the bilateral visual association cortices were significantly more strongly activated when external information was in the focus of attention. These coactivated areas have repeatedly been shown to be involved in attending to behaviorally relevant sensory stimuli (Downar et al., 2000, 2001, 2002; Kiehl et al., 2005; Sridharan et al., 2007; Williams et al., 2007; Hahn et al., 2006; Mesulam et al., 2001; Gruber et al., 2010; Diekhof et al., 2009), and the observed activation pattern is thus compatible with the suggestion that the rostromedial PFC may be part of a ‘stimulus-oriented attending system’ supporting the processing of external information (Burgess et al., 2007a,b). I. Henseler et al. / NeuroImage 56 (2011) 1666–1676 1673 Fig. 4. Functional connectivity of the rostromedial and rostrolateral PFC during external and internal orientation of attention. (A) Functional connectivity of the rostromedial PFC during external attending. (B) Functional connectivity of the rostrolateral PFC during internal attending. T-values and stereotactic coordinates are given in Table 2. R: right; L: left; A: anterior; P: posterior. It has further been reported that the activity in the TPJ, IFG, and PCC predicts performance in upcoming trials (Weissman et al., 2006; Mesulam et al., 2001; Small et al., 2003). For instance, PCC activation was found to be correlated with the speed of detecting a lateralized visual target in a task where targets were preceded by a predictive cue (Mesulam et al., 2001), and increased IFG and TPJ activity reliably predicted better performance in the next trial in a visual attention task Fig. 5. Differential connectivity of the rostromedial and rostrolateral PFC to the IFJ depending on the current attentional demands. The rostromedial PFC is significantly more strongly connected to the left IFJ during external attending (upper row) and the rostrolateral PFC is significantly more strongly connected to the left IFJ during internal attending (lower row). T-values and stereotactic coordinates are given in Table 2. (Weissman et al., 2006). Other studies have shown that higher-order regions can modulate the activity of the TPJ (Shulman et al., 2003; Kincade et al., 2005), suggesting the influence of a top–down attentional bias. Following the ideas of the gateway hypothesis, the anterior rostromedial PFC might be one of the higher-order control regions generating this bias. A first finding indeed supporting this notion is our observation of a significant relationship between higher rostromedial PFC activation and better performance during the externally oriented attention task. Similar activation–performance relationships have been described previously (Small et al., 2003; Gilbert et al., 2006a,b) and have been interpreted as reflecting an internally generated attentional bias to information in the environment that has particular relevance for ongoing behavior. These results indicate a functional relevance of the rostromedial PFC, TPJ, IFG, and PCC in the performance of external attention tasks and suggest an involvement of these regions in a system that generates an attentional bias towards the preferential processing of sensory information. At the same time, the observed relationship between higher rostromedial PFC activity and better cognitive task performance speaks against the interpretation that the activation reflects daydreaming or mentalizing. The latter might be suggested with regard to the ‘default mode hypothesis’, according to which the medial PFC is part of a network that is especially activated during conscious rest (i.e. “when there are no external demands on our attention,” see Fransson, 2006, p. 2836). The default mode activity is thought to reflect selfreferential processing (D'Argembeau et al., 2005; Fransson, 2006; Raichle et al., 2001; Mason et al., 2007) and since this sort of processing is assumed to disturb cognitive operations, the default mode regions are expected to be deactivated during cognitive task performance. In clear contrast to this hypothesis, the region in the rostromedial PFC that we identified was found to be activated during cognitive task performance and the intensity of this activation predicted better task performance during an attention-demanding cognitive task. Thus, the region we describe is engaged, rather than shut down, during cognitive task performance. 1674 I. Henseler et al. / NeuroImage 56 (2011) 1666–1676 The most probable explanation for this discrepancy between our finding and the default mode account is that the different models of rostral PFC function may apply for different subregions. Brain activations associated with the ‘default mode function’ are typically located in the caudal part of the medial prefrontal cortex adjacent to the anterior cingulate cortex (Fransson, 2006; Mantini et al., 2007; Greicius et al., 2003; Jafri et al., 2008; D'Argembeau et al., 2005). This brain region has also been reported to be activated during the evaluating of one's own feelings, self-referential decision-making, mentalizing, and perspective-taking (Gusnard et al., 2001; Frith and Frith, 2003; Johnson et al., 2005). In contrast, the activation clusters observed in the context of external attention are localized in the most anterior part of the medial rostral PFC at the convexity to the lateral PFC (Small et al., 2003; Gilbert et al., 2005, 2006a,b,c; Burgess et al., 2003). These data indicate that the regions associated with external attending are neuroanatomically distinct from those associated with the default mode function, and, indeed, evidence of such an anterior– posterior dissociation within the rostromedial PFC has been reported (Gilbert et al., 2006c, 2007; Simons et al., 2008). The findings of the present study are in line with these findings in suggesting that the most anterior part of the rostromedial PFC is involved in generating an attentional bias toward the processing of incoming sensory information. In order to generate this bias, it has been proposed that the rostromedial PFC specifically interacts with other parts of the brain (Burgess et al., 2007a). A first (descriptive) finding of the present study indeed suggesting such coordinated activity of the rostromedial PFC with other brain regions was that of striking similarities between the activation profiles obtained for the rostromedial PFC and those obtained for the OFC, PCC, TPJ, amygdala, putamen, and the parietooccipital cortex. All profiles were characterized by high activation during task periods imposing high demands on stimulus-oriented attending and lower activation/deactivation during periods of internal attending, and are thus congruent with the expected pattern for regions engaged in stimulus-oriented processing (see Hahn et al., 2006). In order to directly test for functional interactions, we conducted functional connectivity analysis and evaluated whether the identified region in the anterior rostromedial PFC specifically interacts with other brain regions to prioritize the flow of incoming sensory information. These analyses revealed that the rostromedial PFC is functionally connected to the OFC, PCC, thalamus, striatum, the amygdala, and bilateral visual processing areas during phases of external attending. Functional top–down connections between the rostromedial PFC and more ‘downstream’ regions like the amygdala and visual association cortices have been reported previously (Summerfield et al., 2006), and a recent meta-analysis found conclusive evidence that the rostromedial PFC is connected to the PCC and temporo-parietal regions (Gilbert et al., 2010). Furthermore, some of the regions that we found to be connected to the rostromedial PFC show an overlap with the ‘saliency network’ described by Seeley et al. (2007)—a network that has been suggested to magnify the drive for transmission of salient signals. In particular, the interaction of the rostromedial PFC with the striatum and the thalamus is important to notice, as these connections might be directly involved in regulating the flow of incoming sensory information to the PFC (see for instance Frank et al., 2001; O'Reilly and Frank, 2006). It is known that the rostral PFC has strong anatomical connections to the basal ganglia (Leh et al., 2007, 2008; Thottakara et al., 2006) and it has been hypothesized that it can modulate other cortical regions through these connections. According to functional 'gating models' an open gate (i.e. access of sensory input to higher processing areas) is associated with coordinated activity of the PFC, striatum, and thalamus (O'Reilly and Frank, 2006; Frank et al., 2001; Hazy et al., 2007; LaBerge 2002; Haber and McFarland 2001), which is an excellent fit with the connectivity pattern we observed while subjects focused their attention on externally presented stimulus information. This pattern might be a correlate of a thalamo-cortical loop which provides incoming sensory information with access to higher processing areas. Our observation also fits well to the findings of Soto and colleagues (2007), who observed increased coupling between the rostral PFC and the thalamus during a visual attention task. This connectivity pattern was interpreted as reflecting a 'frontothalamic attention system' and is consistent with the notion that the rostromedial PFC is involved in attentional weighting processes that prioritize the processing of task-relevant sensory information. In line with this assumption, we additionally found strong functional coupling between the rostromedial PFC and bilateral visual association cortices during external attending, and, in addition, higher activity in these regions correlated with better task performance. These findings are in good agreement with the idea that the anterior rostromedial PFC may be involved in a 'fast route of attending' accomplishing an amplification of input, as proposed by Burgess et al. (2007a) in the gateway hypothesis. In contrast to the rostromedial PFC, the rostrolateral PFC was preferentially activated when attention had to be directed to internal representations that have no direct correlate in the sensory environment. This finding is in line with studies indicating that the rostrolateral PFC plays a key role in the evaluation, monitoring and manipulation of mental representations and, thus, in situations which require a high degree of internally oriented cognition (Dumontheil et al., 2010; Koechlin et al., 1999; Collette et al., 2007; Soon et al., 2008; Christoff and Gabrieli 2000, Diekhof and Gruber, 2010). In the present study, the rostrolateral PFC was activated together with the dorsolateral and ventrolateral prefrontal cortex, the cingulate and the intraparietal cortex during internal attending. These regions are all well-known to be involved in working with internal representations and have repeatedly been implicated in neural networks underlying the maintenance of mentally represented information (Cole and Schneider 2007; Dosenbach et al., 2008; Gruber 2001; Gruber and von Cramon 2001, 2003; Li et al., 2004). We consistently found strong functional connectivity between the rostrolateral PFC and the ventro-/dorsolateral prefrontal cortex, as well as cingulate and parietal cortex regions during internal orienting, revealing a functional network that is preferentially involved when internal representations are the focus of attention. This connectivity pattern is highly congruent with the coactivation pattern described for the rostrolateral PFC in the recent meta-analysis by Gilbert et al. (2010) and fits well with theoretical accounts implicating prefronto-parietal networks in the processing of internally generated and internally maintained information (Christoff and Gabrieli 2000; Cole and Schneider 2007; Gruber and von Cramon 2003). In addition, the pallidum was found to be more strongly activated during phases of internal than external attending, together with the rostrolateral PFC. This finding is in line with the notion that the pallidum might be involved in restricting the access of sensory information to higher processing areas. Recently, it has been demonstrated that higher pallidum activity is associated with better filtering of incoming sensory information and with more efficient working memory processing (McNab and Klingberg 2008). Thus, the pallidum activity we observed during task periods requiring high attention to internal representations might reflect the fact that these internal representations are “shielded” against disturbing sensory information. This is especially plausible, as the internally maintained information in our experiment had to be preserved over several trials in which competing stimulus information was present. Taken together, these findings are in good agreement with the suggestion that, together with other brain regions, the rostrolateral PFC is part of an attending system which is involved in focusing on internally represented information in the face of potentially competing stimuli as proposed in the gateway hypothesis (Burgess et al., 2007b). Interestingly, the rostromedial and rostrolateral PFC further cooperated with another important prefrontal region involved in I. Henseler et al. / NeuroImage 56 (2011) 1666–1676 cognitive control, the inferior frontal junction area (IFJ), in a taskspecific manner. The IFJ has been related to processes of attentional orienting to mental or external information, as well as to gating and selection processes (Nobre et al., 2004; Lepsien and Nobre, 2006, 2007; Knott et al., 2009; Li et al., 2004). In good agreement with these results, we found the rostromedial PFC subregion to be more strongly connected to the IFJ when attention had to be directed to sensory information, while the rostrolateral PFC region was more strongly connected to the IFJ when information had to be oriented to internal representations. This task-specific coupling of the two rostral PFC subregions to the IFJ may be a key aspect in dynamically setting the gains towards the preferential processing of external or internal information. Taken together, the present results support the notion that the rostral PFC may play a key role in balancing attentional orienting to external and internal information. In particular, the data are in line with the previously proposed functional specialization within the rostral PFC along a medial–lateral dimension, with anterior rostromedial areas being preferentially involved in directing attention to external stimuli, and rostrolateral areas in maintaining high degrees of attention upon internal representations. In addition, the connectivity analyses revealed that the anterior rostromedial PFC, together with the striatum, thalamus, OFC, PCC, and sensory association cortices constitutes a functional network that gives sensory information high priority, whereas the rostrolateral PFC, together with regions in the dorsolateral and ventrolateral prefrontal cortex, as well as the parietal and cingulate cortex, constitutes a network that supports the maintenance of internally represented information. Moreover, both rostral PFC subregions interacted in a task-specific manner with another key region involved in setting attentional gains, the IFJ, depending on the current attentional demands. In summary, the current findings add evidence indicating the existence of an attentional control system in the rostral PFC which is involved in attentional weighting processes by constituting functional networks that give the currently most relevant information highest priority. This system may also be important for the goal-directed coordination of external and internal information, as the rostral PFC has been found to be part of a network that is especially sensitive to sensory information that is congruent with current goals (Soto et al., 2007). This is in line with theories assuming that the rostral PFC plays an important role in the integration of internally and externally oriented cognition (Burgess et al., 2007a; Ramnani and Owen, 2004) and suggests that the two adjacent subregions in the rostromedial and rostrolateral PFC are not only involved in balancing attentional orientation to internal or external information but also in integrating the information coming from these different sources. Disturbances in this system might be important in the context of disorders involving deficits in reality monitoring and in determining whether information comes from an internal or external source, like it is the case in schizophrenia. 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The findings indicate an extraordinarily fast progress in our understanding of the behaviour and the brain regions that are involved in this important ability, and suggest at least two possible emerging areas of enquiry for future research: a link with the closely related field of prospection (i.e., thinking about the future), and “expectation prospective memory” (triggering of behaviour in the absence of awareness depending on contingencies learnt from the environment). Prospective memory (PM) is commonly defined as the set of abilities that are used when remembering to perform an intended action, or thought, at some future point (Brandimonte, Einstein, & McDaniel, 1996). This type of memory is in constant use in everyday life in order to fulfil intentions ranging from the simple, such as remembering to take out the garbage when leaving home, to the more complex, such as remembering to organise a surprise party for a friend’s birthday. This ability is critical to competent human functioning, so much so that previous studies have suggested that PM problems are the most frequent memory failures in everyday life (Kliegel & Martin, 2003). Relatively little experimental and theoretical investigation was conducted on this topic until the last 15 years. However, since then there has been a remarkable increase in number of research studies that have considered PM. The nature of typical prospective memory paradigms The majority of studies of the psychology of memory have focused on the phenomena related to learning and the reproduction of information or content, broadly referred to (mainly by prospective memory theorists) as retrospective * Gil Gonen-Yaacovi, PhD and Paul W. Burgess, Professor, Institute of Cognitive Neuroscience, University College London, UK. Correspondence concerning this article should be addressed to Paul W. Burgess, UCL Institute of Cognitive Neuroscience, 17 Queen Square, London UK, WC1N 3AR. E-mail: [email protected] 174 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS memory (RM; Baddeley & Wilkins, 1984). In a typical retrospective memory experiment, the participant is asked to learn and remember certain material, such as a list of words. In the next stage either the experimenter or the presentation of an instruction, serves as an external cue, which encourages the participant to remember the material at the appropriate time. Since this type of remembering is always triggered by an external cue, it has been termed “cued remembering” (Levy & Loftus, 1984; Wilkins & Baddeley, 1978). By comparison, in a typical PM paradigm one is required to remember to perform intentions to be carried in the future without any obvious requirement from the environment regarding the appropriate execution time of these intentions. For this reason, remembering intentions is sometimes called ‘uncued’ (Levy & Loftus, 1984) or ‘self cued’ (Wilkins & Baddeley, 1978) remembering. Different types of PM intentions, which vary along many dimensions, have been studied over the past twenty years (Kvavilashvili & Ellis, 1996). However, the most cited distinction between them contrasts event-based with time-based PM (e.g., Einstein & McDaniel, 1990; Park, Hertzog, Kidder, Morrell, & Mayhorn, 1997), both of which have been well studied. In eventbased PM the environment can serve as an external cue to prompt the intention that was formed. For example, the sight of a convenience store might bring to mind the intention to replenish the milk. In time-based PM, an intention is formed to be executed either at a predetermined time, such as calling the dentist at 5pm, or after a specific period of time has elapsed, such as taking the cookies out of the oven before they get overcooked. One way to view the distinction between these two types of tasks is that time-based PM is more self-initiated whereas event-based PM is more environmentally cued (Block & Zakay, 2006). However, others claim that this distinction is not useful since in some naturalistic time-based situations one has access to external chronometers, which may serve as event-based cues (Graf & Grondin, 2006). Most published work has concerned itself with the cognitive processes associated with storing and realising event-based intentions (Cook, Marsh, & Hicks, 2005). As a result, the theories concerning event-based memory are more developed, as are the various laboratory techniques used in its study. Less studied forms of PM (in addition to time-based PM) are habitual PM (Meacham & Leiman, 1975), and activity-based PM (Kvavilashvili & Ellis, 1996). Habitual PM tasks are those where the action is performed repeatedly and in a routine manner. For example, remembering to take vitamins every day at 8pm. Activity-based PM, on the other hand, requires the intention to be retrieved and executed upon completing some other task. For example, remembering to call a friend after dinner. For experimental purposes the characteristics of tasks involving PM have been simplified and are summarised below (adapted from Burgess, Scott, & Frith, 2003). GIL GONEN-YAACOVI, & PAUL W. BURGESS 175 1. There is an intention, or multiple intentions (Kliegel, McDaniel, & Einstein, 2000), upon which to act. 2. The intended act cannot be performed immediately after the intention has been formed. 3. The intention is to be performed in a particular circumstance, called the “retrieval context” (Ellis, Kvavilashvili, & Milne, 1999). This can be marked by an external cue, in event-based paradigms, or a particular time, or certain duration, in time-based paradigms. 4. The delay period between creating the intention and the appropriate time to act (i.e., the “retention interval”) is filled with an activity called the ongoing activity (Ellis et al., 1999). 5. Performance of the ongoing task prevents continuous, conscious rehearsal of the intention over the entire delay period. This is typically because the ongoing activity places a heavy demand on competing cognitive resources or the delay is too long. 6. The PM cue does not interfere with, or directly interrupt, performance of the ongoing task. Intention enactment is therefore self-initiated (Graf & Uttl, 2001) and, thus participants are required to recognise the PM cues or retrieval context themselves. 7. In most situations involving PM no immediate feedback is given in response to the participants’ errors or other aspect of performance. In 1990, Einstein and McDaniel developed a typical experimental paradigm for controlled laboratory-based studies on PM. In order to parallel a ‘real life’ situation as far as possible, participants are first engaged in an ongoing activity (e.g., indicate which of the 2 numbers presented on the screen is numerically bigger). In the second stage, while they are fully engaged with the ongoing activity, the PM instructions are introduced and participants are asked to try to remember to perform an unrelated action at some pre-specified point in the experiment (e.g., respond differently when both numbers are even). This paradigm allows one to measure performance by the proportion of trials in which participants correctly remembered to execute the PM task and the ongoing activity. Many variations of this paradigm were carried out in order to look at the different cognitive processes that form the basis of PM, including, for example, the length of the retention interval, the importance of the PM task, and the cognitive load of the ongoing activity. Cognitive processes underlying prospective memory retrieval In the last 15 years several theories have been proposed to account for the cognitive processes that support event-based PM retrieval in an attempt to discover how the cognitive system enables one to execute intended actions at the appropriate time. The main approaches are as follows: 176 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS Spontaneous retrieval theory When Einstein and McDaniel (1990) started using the experimental design they had developed, they noticed that many participants were reporting that the PM intention “popped” into their mind while they were performing the ongoing task. In an attempt to explain how the environment can trigger the retrieval of associated memories, McDaniel, Robinson-Riegler, and Einstein (1998) described an ‘automatic-associative’ memory system. Their mechanism was directly linked to Moscovitch’s (1994) automatic-associative subsystem mechanism. During the formation of an intention, an associative link is formed between the intention and the associated action related to this intention. This cue-action pairing exists with a certain level of activation. Unless rehearsal, or some other activity aimed to raise the activation level, occurs, the level of activation will gradually decay. However, if the cue produces enough interaction with the memory trace, then the system will deliver the information associated with the cue to a person’s awareness. In other words, the aim of this mechanism is to mediate PM retrieval if the cue interacts sufficiently with the representation of the associated action in such a way that the associated action is transferred to awareness (McDaniel et al., 1998). Illustrating this model in an everyday life situation, one might consider when someone forms the intention of giving their flatmate a message. When forming the intention, an initial association is made between the flatmate, who serve as the PM cue, and the message, which is the intended action that is linked to the PM cue. If the association between the flatmate and the message is strong enough, when encountering the flatmate the cognitive system will reflexively deliver the intended message into the person’s awareness. To test this idea, McDaniel, Guynn, Einstein, and Breneiser (2004) manipulated the strength of the association between PM cue words. Some of the words were strongly associated, such as spaghetti/sauce, while others were weakly associated, such as spaghetti/church. They found that PM performance was better when the cue was strongly associated with the intentions (accuracy of 85%) compared with when the cue-response association was weak (accuracy of 56%). Similar findings were reported when the semantic context of the PM cue changed from encoding to retrieval, e.g., the PM cue word ‘bat’ was encoded in a specific context (‘a baseball player will use a bat several times in a game’) but retrieved in either the same (‘a hard swing of the bat could lead to a home run’) or different (‘a bat is commonly classified as a bird because it flies’) contexts (McDaniel et al., 1998, experiment 1). In addition, superior PM performance was found when the ongoing task involved deep semantic processing (e.g., generating adjectives) compared with shallower processing (e.g., generating rhymes, McDaniel et al., 1998, experiment 3). These findings suggest that under certain encoding conditions one can increase the likelihood of forming a strong cue-action association that, in turn, GIL GONEN-YAACOVI, & PAUL W. BURGESS 177 will increase the chances of the cue to interact with the memory trace and the intention to be retrieved at the appropriate time. A last set of findings comes from self reports of participants while performing the PM task (e.g., Hicks, Marsh, & Russell, 2000). In one study, participants were tested in a PM experiment and were asked to indicate at various time points during the experiment what they were thinking about. Most often (around 69% of the time) participants reported thinking about the ongoing task, and less than 5% of the time reported thinking about the PM task (Reese & Cherry, 2002). This suggests that after the PM intention has been formed and the link between the PM cue and the intended action was made, participants were relying on appearance of the PM cue to activate the cue-action association in order to trigger the execution of the PM intention. Preparatory attentional and memory processes theory An alternative model was suggested by Smith (2003; Smith & Bayen, 2004) who proposed that PM retrieval occurs through the capacity-demanding attentional process of monitoring the environment. According to the preparatory attentional and memory processes (PAM) theory (Smith, 2003), successful event-based PM requires capacity-consuming preparatory processes. The preparatory processes are engaged in maintaining a state of readiness to perform a task, which involves some degree of monitoring of the environment for the occurrence of PM target events. More specifically, the preparatory processes are not automatic and therefore require the allocation of some of the limited cognitive resources away from the ongoing activity and towards preparation for the PM task. In addition to the preparatory processes, according to the PAM theory, RM processes are also involved in PM performance. RM processes are needed for discrimination between PM target and non target events, as well as for recollection of the intended action, processes that are likely to absorb attentional resources when the target is present. This suggestion follows previous findings showing that increasing the cognitive load of the ongoing activity influences the performance on PM tasks (e.g., Kvavilashvili, 1987). However, the most striking evidence supporting the attentional monitoring theory comes from studies comparing performance in an ongoing activity before any PM involvement with performance in the same ongoing activity after adding the PM requirement. According to this theory, preparatory attentional processes include nonautomatic monitoring of the environment for the PM cue, therefore, when a PM task is embedded in an ongoing task, a reduction in the resources available for the ongoing task is expected, even when the PM cue is not present. To test this idea, Smith (2003) asked participants to perform a lexical decision task as the ongoing activity. In this task a string of letters was presented and participants were asked to indicate 178 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS whether or not the string represents a word. In the second part, the PM instructions were added and, in addition to performing the ongoing activity task, participants were instructed to respond differently to several PM cues. It was found that speed in making the lexical decision in the ongoing activity trials was significantly slower in the second part, when the PM task was embedded, compared with similar trials in the first part, before the PM task was added. This decrement in performance of the ongoing task whilst maintaining an intention has variously been termed ‘attentional cost’, ‘task interference’ or (our favoured term) ‘intention cost’, and was to our knowledge first demonstrated by Burgess, Quayle, and Frith, 2001. Other studies using a variety of ongoing tasks and PM cues on different populations have yielded similar findings, providing further support for the role of preparatory attention in PM (e.g., Cook, Marsh, Clark-Foos, & Meeks, 2007; Einstein, McDaniel, Thomas, Mayfield, Shank, Morrisette et al., 2005; Gilbert, Gollwitzer, Cohen, Burgess, & Oettingen, 2009; Guynn, 2003; Loft & Yeo, 2007; Marsh, Hicks, & Cook, 2005; Marsh, Hicks, & Cook, 2006; Marsh, Hicks, Cook, Hansen, & Pallos, 2003; McCauley & Levine, 2004; Smith, Bayen, & Martin, 2010; Smith, Hunt, McVay, & McConnell, 2007; West, Bowry, & Krompinger, 2006; see Smith, 2008, p. 42-46 for review). Furthermore, the intention cost upon the ongoing activity has been found to positively correlate with PM performance (Smith, 2003; Smith & Bayen, 2004), and has also been found on trials preceding PM hits compared with trials preceding PM misses (West, Krompinger, & Bowry, 2005). Critics of this theory claim that constant use of attentional resources directed towards the PM task would be too costly to allow competent functioning in everyday life activities (McDaniel & Einstein, 2007). Accordingly, they argue that this theory might relate to PM in specific situations where the predictability of the appearance of the PM cue is low (Marsh, Hicks et al., 2006) or where retention intervals are relatively short (Einstein et al., 2005). The multiprocess theory The contradictory findings supporting both attentional monitoring and spontaneous retrieval processes led McDaniel and Einstein (2000) to change their initial single-process model. According to their updated multiprocess model, PM retrieval can be supported by both attention-demanding monitoring and also by more automatic processes. Whether one will rely on a monitoring or spontaneous retrieval process depends on several factors such as the characteristics of the PM task, the ongoing task, and also the individual. In other words, they argue that the system that accomplishes PM retrieval is flexible and dependent on several mechanisms. The task conditions that are likely to favour each process are detailed below and summarised in Table 1 (p. 182). GIL GONEN-YAACOVI, & PAUL W. BURGESS 179 1. The extent of attention directed from the ongoing activity to the PM cues McDaniel and Einstein (2007) argue that spontaneous retrieval is more likely to occur when there is a large overlap between the information that is extracted from the PM cues at retrieval and the information that is considered about this cue during the encoding. This idea was taken from the transferappropriate processing explanation of RM effects (e.g., Morris, Bransford, & Franks, 1977) suggesting that memory performance is determined by the relationship between how information is initially encoded and how it is later retrieved. In 2005, Einstein et al. (experiment 2) asked college students to complete a category verification task and also to form an intention to make a PM response each time they encountered a specific word (e.g., the word “dormitory”). In another condition, they asked participants to make a PM response each time they encountered a word containing a specific syllable (e.g., the syllable “tor”) while performing the category verification task. Accuracy for cue detection was dramatically different with greater accuracy in the condition where a specific word was used as the PM cue (93%) compared to the condition where a syllable was used as the PM cue (61%). In addition, task interference to the ongoing activity was found when a syllable was used as the PM cues but not when a specific word was used as the PM cues. The findings led them to distinguish between focal cues and nonfocal cues. Focal cues were defined as “PM cues that overlap with the information constellation relevant to performing the ongoing task” and nonfocal cues as “cues that are present in the environment but not part of the information being considered by the person” (McDaniel, Einstein, & Rendell 2008, pp. 141-160). Further support for the suggestion that the “focality” of the ongoing activity can influence the retrieval processes in PM tasks has been given by subsequent studies (Brewer, Knight, Marsh, & Unsworth, 2010; Scullin, McDaniel, & Einstein, 2010; Scullin, McDaniel, Shelton, & Lee, 2010). Importantly, a potential problem has been highlighted in applying the distinction between focal versus nonfocal a priori, which results in confusion in the classification of some task conditions (e.g., Smith, 2010). 2. Cognitive load of the ongoing activity According to the multiprocess theory (McDaniel & Einstein, 2000), the demand on resources required by the ongoing activity is another essential factor that influences the dominance of either monitoring or spontaneous retrieval processes. More specifically, it states that a decrease in resources available for monitoring should interfere with PM performance mainly on tasks involving nonfocal PM cues. For example, Marsh, Hancock, and Hicks (2002) manipulated the demand of the ongoing activity task and found that participants who were asked to switch randomly between two ongoing tasks 180 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS showed poorer PM performance when the PM cue was nonfocal, than those performing a single task. Similar results were found when using PM cues that were focal to the ongoing activity task (Einstein, Smith, McDaniel, & Shaw, 1997). 3. Saliency of the PM cue Distinctive PM cues should produce a higher level of PM performance compared with nondistinctive cues (McDaniel & Einstein, 2000). Support for this is found when using uppercase letters as PM cues, as opposed to lower case letters in the ongoing activity task (Brandimonte & Passolunghi, 1994, experiment 2) and when using unfamiliar distinct cue words (e.g., the word “bole”) than familiar non distinct cue words (e.g., the word “belt”; Einstein & McDaniel, 1990, experiment 2; McDaniel & Einstein, 1993). However, Smith et al. (2007, experiments 1 and 2) showed that using perceptually or semantically salient PM cues resulted in task interference to the ongoing activity, contradicting the predictions of the multiprocess account. 4. Association between the PM cue and the intended action A further factor that affects cognitive processing during retrieval of PM is the strength of the association between the cue and the associated action. More specifically, spontaneous retrieval is likely to be dominant when the cue and the action are highly associated. However, when the relationship between the cue and the action is not very strong, processing of the cue is less likely to result in reflexive retrieval of the intended action and therefore monitoring of the environment for the cue is more likely to be dominant (McDaniel et al., 2004). Loft and Yeo (2007) looked at the relationship between the ongoing task performance and PM performance under conditions of low and high cueresponse association and found response cost on ongoing trials preceding PM hits compared with PM misses under the low association condition but not under the high association condition. Other studies showed improved performance when manipulating pre-exposure to PM cues between participants (Guynn & McDaniel, 2007) or within participants (Mantyla, 1993), suggesting that pre-exposure to the PM cues benefited from high cue-action association promoting reflexive retrieval processes. 5. Importance of the prospective memory intention The multiprocess account states that PM intentions of high importance, especially nonfocal ones, will produce better PM performance (McDaniel & Einstein, 2000). This suggestion follows previous findings showing higher PM performance under conditions in which successful performance of the PM GIL GONEN-YAACOVI, & PAUL W. BURGESS 181 task has been emphasised (e.g., Ellis, 1998; Kvavilashvili, 1987, experiment 2; Meacham & Singer, 1977). Kliegel, Martin, McDaniel, and Einstein (2001) extended this prediction, claiming that task importance is relevant only in event-based tasks and not in time-based ones. However in a later study Kliegel, Martin, McDaniel, and Einstein (2004) demonstrated that task importance can impact performance on some event-based PM tasks, especially when the task required strategic allocation of attentional monitoring resources (see Einstein et al., 2005, experiment 1, for similar results). 6. Length of prospective memory retention interval In the retrospective memory literature, longer retention intervals quite predictably lead to a higher forgetting level (Linton, 1978). For PM, however, the dynamics determining forgetting seem less straightforward. Loftus (1971) reported poorer performance after longer, compared with shorter, delays. Similarly, Meacham and Leiman (1982) reported greater decline in performance after a 5-to 8-day delay compared with a 1-to 4-day delay, in the absence of external memory aids. Finally, Brandimonte and Passolunghi (1994, experiment 1) showed a decreased in PM performance when the retention interval increased from 0 (i.e., no delay condition) to 3 minutes and proposed that forgetting in PM task occurs primarily within the first 3 minutes after encoding. According to the multiprocess account, when the PM cues are nonfocal, a decline in PM performance is expected when the retention intervals are increased (McDaniel & Einstein, 2007). The results of some studies supported this prediction (e.g., Einstein et al., 2005, experiment 2). However, other studies did not find any difference between short and long retention intervals (e.g., Einstein, Holland, McDaniel, & Guynn, 1992; Guynn, McDaniel, & Einstein, 1998), or found the opposite pattern of results such that a longer retention interval produces better PM performance (Hicks et al., 2000, experiments 1A, 1B and 3). 7. Planning Burgess and colleagues (e.g., Burgess, Veitch, Costello, & Shallice, 2000; see Burgess et al., 2008 for review) have demonstrated that what one does during encoding, or planning, can affect the performance of retrieval of PM. In other words, planning during encoding has an important consequence for the successful retrieval of PM intentions. The multiprocess theory predicts that good planning at encoding will prompt spontaneous retrieval processes during PM performance (McDaniel & Einstein, 2000). In one form of planning, the instructions provide specific information about the context in which the PM cues will appear (Marsh, Hicks et al., 2006). A different aspect of planning was tested by Kliegel et al. (2000), who asked young and old participants to 182 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS remember to perform a single PM task while engaged in a range of processes that included executing a series of multiple intentions (Six Element Test, SET; Burgess, Alderman, Emslie, Evans, Wilson, & Shallice, 1996; Shallice & Burgess, 1991). Even though participants were specifically asked to plan aloud how they would perform the task, only 54.1% of the participants remembered to execute the PM task on time and only 50% of the steps indicated in the plans were subsequently followed. This suggest that despite having a formulated plan concerning the different components involved in the PM intention, execution of the intention did not necessary followed the intended plan. Table 1 A summary of the task conditions which according to the multiprocess theory (McDaniel & Einstein, 2007) favour spontaneous retrieval or monitoring processes. Factors Task conditions related to the ongoing activity Task conditions related to the PM cue Others Task conditions favouring spontaneous retrieval approach Task conditions favouring monitoring approach The extent of attention directed from the ongoing activity to the PM cues Focal cues Nonfocal cues The cognitive load of the ongoing activity Lower cognitive load of the ongoing activity task Higher cognitive load of the ongoing activity task The salient of the PM cue Distinctive cues Non-distinctive cues The association between the PM cue and the intended action Strong cue-action associ- Weak cue-action associaation tion Importance of the PM task Low importance of the PM task High importance of the PM task Length of PM retention interval Long retrieval intervals Short retrieval intervals Planning Extensive planning Poor planning Prospective memory and aging Craik (1986) suggested that performance in memory tasks in general is influenced by an interaction between external factors, such as environmental support and the type of operation required, such as self-initiated activity. Specifically, Craik hypothesised that age-related differences should increase with the amount of self-initiated activity necessary to accomplish a memory task and should decrease with the amount of environmental support provided. In Craik’s view, PM is characterised by the greatest need for self-initiated activity and the lowest degree of environmental support when compared with RM tasks such as free recall or recognition. Thus, larger age-related impairments are expected in PM than in RM. However, findings from extensive work that GIL GONEN-YAACOVI, & PAUL W. BURGESS 183 was done on how age effects PM within the older population indicate that the picture is more complex than one might think at first (see Henry, MacLeod, Phillips, & Crawford, 2004, for a meta-analytic review). Age-related effects were initially investigated in laboratory studies that used time- and event-based PM tasks, (e.g., Einstein, McDaniel, Richardson, Guynn, & Cunfer, 1995), where no age-related effect was found in the eventbased task; however, older participants performed significantly worse in the time-based task, a finding which was in accordance with Craik’s prediction. Subsequent studies supported this finding (e.g., Cherry & LeCompte, 1999; Cherry, Martin, Simmons-D’Gerolamo, Pinkston, Griffing, & Gouvier, 2001; Einstein & McDaniel, 1990; Marsh, Hicks, Cook, & Mayhorn, 2007; Reese & Cherry; 2002). A good example is that of d’Ydewalle, Bouckaert, and Brunfaut (2001), who tested 48 younger participants (aged 18-25 yrs) and 48 older participants (aged 60-86 yrs). The ongoing task was an arithmetic test, which aimed to use more executive resources with increasing complexity of the arithmetic operation. They found that time-based prospective memory among older adults was much poorer when the complexity of the ongoing task was increased. An age-related impairment was also obtained when the pacing of the event-based prospective memory task was high, which they interpret as being due to general slowing due to age. However, some studies have reported age-related effects in event-based PM tasks (e.g., Maylor, 1993; Maylor, 1996; Maylor, 1998; Maylor, Smith, Della Sala, & Logie, 2002; Park et al., 1997; Smith & Bayen, 2006; West & Craik, 1999; West & Craik, 2001; Zimmerman & Meier, 2006), so age effects may not be restricted to time-based PM. One potential explanation for these differences is related to the design of these experiments. An analysis of the studies that failed to find an age-related effect shows that the majority of researchers adjusted, that is, reduced, the difficulty of the ongoing task for older participants (Kvavilashvili, Kornbrot, Mash, Cockburn, & Milne, 2009). Another controversial aspect is related to the environmental context of this experiment. Younger adults tend to outperform older adults in laboratorybased PM tasks (e.g., d’Ydewalle, Luwel, & Brunfaut, 1999; Maylor, 1993; Maylor, 1996; Rendell & Craik, 2000; Vogels, Dekker, Brouwer, & de Jong, 2002). However, when using real-life conditions in naturalistic settings, a different pattern emerges. Some studies did not find any difference between young and old adults (West, 1988) while others showed that older adults outperform younger adults in naturalistic tasks (e.g., Bailey, Henry, Rendell, Phillips, & Kliegel, 2010; Devolder, Brigham, & Pressley, 1990; Moscovitch, 1982; Rendell & Thomson, 1993; Rendell & Thomson, 1999). Together, the discrepancy in these findings has been referred to as the age PM paradox (Rendell & Craik, 2000), remaining a puzzle for applied developmental 184 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS research (Rendell, McDaniel, Forbes, & Einstein, 2007). Trying to resolve these contradictory findings, it has been argued that young and old adults may differ in their motivation to complete PM tasks successfully outside the laboratory (Patton & Meit, 1993; Rendell & Craik, 2000). A recent support for this was given when incentives were found to affect younger but not older adult participants’ PM performance (Aberle, Rendell, Rose, McDaniel, & Kliegel, 2010, experiment 2), suggesting that young adults might not be sufficiently motivated in naturalistic settings, but when highly motivated, younger but not older adults outperform their normally motivated counterparts. The cognitive neuroscience of prospective memory Neuropsychological studies Extensive work from the last decade has targeted possible impairments in event- and time-based PM functioning across a range of different neuropsychological populations. Impairments have been found when, for example, testing patients with Parkinson’s disease (Costa, Peppe, Caltagirone, & Carlesimo, 2008; Katai, Maruyama, Hashimoto, & Ikeda, 2003; Kliegel, Phillips, Lemke, & Kopp, 2005; although see Altgassen, Zöllig, Kopp, Mackinlay, & Kliegel, 2007 for different findings), high-functioning children and adolescents with ASD (Jones, Happé, Pickles, Marsden, Tregay, Baird et al., 2011; Rajendran, Law, Logie, van der Meulen, Fraser, & Corley, 2010; Zinke, Altgassen, Mackinlay, Rizzo, Drechsler, & Kliegel, 2010; although see Brandimonte, Filippello, Coluccia, Altgassen, & Kliegel, 2011 for different results), patients with bipolar disorder (Lee, Xiang, Man, Au, Shum, Tang et al., 2010), patients with obsessive-compulsive disorder (Racsmany, Demeter, Csigo, Harsanyi, & Nemeth, 2011), and patients with schizophrenia (Altgassen, Kliegel, Rendell, Henry, & Zöllig, 2008; Henry, Rendell, Kliegel, & Altgassen, 2007; Kondel, 2002; Kumar, Nizamie, & Jahan, 2005). Several studies have shown impaired event- and time-based PM performance in adults with traumatic brain injury (TBI) (Carlesimo, Casadio, & Caltagirone, 2004; Fortin, Godbout, & Braun, 2002; Groot, Wilson, Evans, & Watson, 2002; Kinsella, Murtagh, Landry, Homfray, Hammond, O’Beirne et al., 1996; Kliegel, Eschen, & Thöne-Otto, 2004; Knight, Harnett, & Titov, 2005; Knight, Titov, & Crawford, 2006; Mathias & Mansfield, 2005; Potvin, Rouleau, Audy, Charbonneau, & Giguère, 2011; Roche, Fleming, & Shum, 2002; Shum, Valentine, & Cutmore, 1999; Umeda, Kurosaki, Terasawa, Kato, & Miyahara, 2011; for review see Shum, Levin, & Chan, 2011). PM impairments have also been found in children with TBI (e.g., McCauley & Levin, 2004; McCauley, Pedroza, Chapman, Cook, Hotz, Vásquez et al., 2010b; McCauley, Pedroza, Chapman, Cook, Vásquez, & Levin, 2011; GIL GONEN-YAACOVI, & PAUL W. BURGESS 185 McCauley, Wilde, Merkley, Schnelle, Bigler, Hunter et al., 2010a; Ward, Shum, McKinlay, Baker, & Wallace, 2007). This is commonly attributed to the fact that the retrieval of PM intentions appears to be subserved by prefrontal and temporal regions, brain structures which are particularly vulnerable to a TBI. Some researchers have looked at ways to improve PM performance and found that reminders (McCauley & Levin, 2004), monetary rewards (McCauley, McDaniel, Pedroza, Chapman, & Levin, 2009) and compensatory training (Shum, Fleming, Gill, Gullo, & Strong, 2011) improve performance in event-based PM tasks in children with both mild and severe TBI. Other studies have examined patients with other form of neurological problem, e.g., stroke patients (Brooks, Ross, Potter, Jayawardena, & Morling, 2004), and people with frontal lesions from a variety of causes (e.g., Cockburn, 1995). In general, they tend to demonstrate impaired performances on both time- and event-based PM tasks compared with the matched control group. However there are more specific findings in patients with particularly circumscribed lesions. Volle, Gonen-Yaacovi, de Lacy Costello, Gilbert, and Burgess (2011) compared the performance of 45 patients with focal brain lesions with 107 control participants in event- and time-based PM tasks, accompanied by a series of secondary tasks that examined the basic aspects of attention and speed, response inhibition, problems remembering multiple instructions, and task switching. They found that lesions in the right polar prefrontal region, approximating Brodmann area (BA) 10, were specifically associated with a deficit in the time-based PM task. This could not be attributed to impairments in performance of the secondary tasks, and therefore was associated solely with PM performance. In addition, the fact that the impairment was seen only in the time-based task suggests that time- and event-based PM might be supported, at least in part, by distinct brain regions. Neuropsychological investigations have suggested that other brain regions also support PM performance. For instance, the involvement of temporal lobe structures in PM was examined when 13 patients with lesions in the left temporal lobe plus a matched control group were tested on time-based PM tasks (Palmer & McDonald, 2000). Significant impairments were found in the patients group compared with the controls participants in all of the time-based tasks (e.g., “every 15 minutes tell the experimenter what you are working on”, “at a pre-specified time tell the experimenter that the testing should almost be finished”). Event-related brain potentials There are few studies that have explored the neural correlates of processes associated with encoding of PM. In three studies, age-related differences were explored using a similar paradigm in which the encoding of the PM 186 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS intentions was embedded in a continuous ongoing activity (West, Herndon, & Covell, 2003; West & Ross-Munroe, 2002; Zöllig, Martin, & Kliegel, 2010) and in one study a paradigm was used in which individuals encoded short action phrases that were not part of an ongoing activity (Leynes, Marsh, Hicks, Allen, & Mayhorn, 2003). Findings from the former studies have consistently revealed three modulations of event-related potentials (ERPs) that have been shown to differentiate ongoing activity trials from intention formation trials: a late positivity complex (LPC), fronto-polar slow waves (FPSW), and temporo-parietal slow waves (TPSW). The LPC reflects positivity over the parietal region of the scalp and negativity over the lateral frontal regions with a peak around 600 ms. after stimulus onset and reflects a difference between later-retrieved (i.e., PM hit responses) and later-unretrieved (i.e., PM miss responses) intention trials. The FPSW reflects a sustained negativity over the frontal-polar region of the scalp and lasts approximately from 500 to 1000 ms. after stimulus onset. This phenomenon was shown to exist in young adults but not in old ones (West, Herndon et al., 2003; Zöllig et al., 2010). Finally, the TPSW reflects greater positivity in later-retrieved intention trials than in later-unretrieved intention trials, only in old adults, beginning at 800 ms. after stimulus onset and lasting for the remainder of the ERP. Similar to findings from studies of the neural correlates of encoding of PM intentions, researchers who looked at retrieval processes in PM have consistently reported three components of modulations of the ERPs associated with PM (West, Herndon, & Crewdson, 2001; West & Krompinger, 2005; West & Ross-Munroe, 2002). The first is N300, representing negativity over the occipital-parietal region starting around 300 ms. after stimulus onset. This modulation represents differences between PM and ongoing activity trials. The second modulation is frontal positivity, reflecting positivity over the midline frontal region which, similarly to the N300, represents differences between PM and ongoing activity trials. This ERP modulation starts at around 200 ms. after stimulus onset and lasts for several hundred milliseconds. The N300 and frontal positivity are thought to reflect processes that are related to the processing of event-based PM intentions that go beyond the specific characteristic of the PM intention or the demand of the ongoing activity (West, 2007; West et al., 2001; West & Krompinger, 2005; West & Ross-Munroe, 2002). The last modulation associated with retrieval of PM is parietal positivity, representing sustained positivity over the parietal region of the scalp between 400 and 1200 ms. after stimulus onset; it distinguishes PM cue trials from ongoing activity trials (West & Wymbs, 2004). It is assumed to reflect 3 functionally and temporally distinct components of the ERP associated with the detection of low probability intentions (West, Herndon et al., 2003; West & Wymbs, 2004; West, Wymbs, Jakubek, & Herndon, 2003), the recognition of the PM cues (called parietal old-new effect; West, 2007; West, Carlson, & GIL GONEN-YAACOVI, & PAUL W. BURGESS 187 Cohen, 2007a; West & Krompinger, 2005; West, McNerney, & Travers, 2007b) and the configuration of the PM task set (Bisiacchi, Schiff, Ciccola, & Kliegel, 2009; West et al., 2001; West, Wymbs et al., 2003). Positron emission tomography Four studies have so far used positron emission tomography (PET) to explore the neuroscience PM. (Burgess et al., 2001; Burgess et al., 2003; Okuda, Fujii, Ohtake, Tsukiura, Yamadori, Frith, et al., 2007; Okuda, Toshikatsu, Yamadori, Kawashima, Tsukiura, Fukatsu et al., 1998). These add weight to the neuropsychological findings suggesting some kind of frontal lobe involvement in PM. More specifically, the findings highlight a consistent relation between the activation of the rostral prefrontal cortex (rPFC) and performance on a variety of PM tasks. For example, Burgess et al. (2003) showed that two rostral prefrontal regions show activation during PM tasks. Medial anterior PFC shows a decrease in cerebral blood flow when people are maintaining an intention, and relatively greater regional cerebral blood flow when performing the ongoing task only, with no intention to maintain. On the other hand, lateral rostral PFC shows an increase in cerebral blood flow during performance of PM tasks, but relatively less when performing the ongoing task only. These findings have been found in other PET studies (Burgess et al., 2001; Okuda et al., 2007; Okuda et al., 1998), and agree well with findings from fMRI as well (see Burgess, Gonen-Yaacovi, & Volle, 2011 for review). They seem to represent a “standard pattern” of activation within this region for event-based PM tasks. The situation for time-based tasks however seems on present evidence to be more complex (Okuda et al., 2007). Functional magnetic resonance imaging As mentioned above, further support for the role of rFPC in PM has been obtained from fMRI studies. A meta-analysis of the overlapping regions of activation from all the fMRI studies of PM tasks reveals that performance during PM tasks, relative to the ongoing tasks, tends to be associated with activations in rPFC (Burgess et al., 2011). This general finding is supported by all studies where paradigms have been used where the performance in an ongoing task was compared directly with that in a PM task (den Ouden, Frith, Frith, & Blakemore, 2005; Gilbert, 2011; Gilbert et al., 2009; Hashimoto, Umeda, & Kojima, 2010; Haynes, Sakai, Rees, Gilbert, Frith, & Passingham, 2007; Okuda et al., 2007; Okuda, Gilbert, Burgess, Frith, & Simons, 2011; Poppenk, Moscovitch, McIntosh, Ozcelik, & Craik, 2010; Reynolds, West, & Braver, 2009; Simons, Schölvinck, Gilbert, Frith, & Burgess, 2006). 188 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS More specifically, activations in lateral rPFC are most often associated with maintaining a delayed intention (den Ouden et al., 2005; Gilbert, 2011; Gilbert et al., 2009; Okuda et al., 2011; Reynolds et al., 2009; Simons et al., 2006), a finding which is in agreement with other suggested theories regarding the role of lateral rPFC (e.g., Christoff & Gabrieli, 2000; Koechlin, Basso, Pietrini, Panzer, & Grafman, 1999). In addition, activation in medial rPFC during an ongoing or control task tends to be higher than during a PM task (Hashimoto et al., 2010; Okuda et al., 2007; Simons et al., 2006). When considering the findings for activations in either medial or lateral rPFC in event-based tasks, some regions (but certainly not all, see below) seem remarkably insensitive to task-related performance details such as the form of stimulus material presented, the nature of the ongoing task, and the level of difficult in detecting the PM cues (Burgess et al., 2001; Burgess et al., 2003; see also Simons et al., 2006). This idea follows the use of “conjunctiontype” designs (Burgess et al., 2003) where several tasks are used that differ along many dimensions (e.g., the type of ongoing task, the stimulus material, the question being answered, the PM cues etc.) and then at the analysis stage one looks for activations that are common across all the tasks. For other regions within the rPFC there does seem to be functional specialisation for different components, forms, and types of PM. For example, Gilbert et al. (2009) contrasted brain activity that supports the retrieval of PM in 2 conditions that differed only in the pre-task instructions provided to participants. In a “cued condition”, participants were asked to produce a specific response whenever a PM cue appeared. The task instruction was “if the same letter is on both sides, then I will press the middle button”, i.e., emphasising a close link between the intended action and the PM cue. By contrast, in a “self-initiated condition”, the instruction took the form of: “if the same letter is on both sides, then I can score 5 points”, emphasising the reward goal of the task rather than the specific action to be made in response to the PM target. Even though all other aspects of the paradigm were identical, differences in rPFC were found during the PM task even just with these small changes in instruction format. Responding to PM intentions in the self-initiated condition was associated with greater activation in lateral rPFC, whereas responding to PM intentions in the cued condition was associated with greater activation in medial rPFC. Other factors that may affect rPFC during PM are variations in implicit cues (Hashimoto et al., 2010), the nature of the PM intention (Haynes et al., 2007) and the characteristic of the intention retrieval (Simons et al., 2006). Other activations outside rPFC are also commonly associated with PM performance. More specifically, there is frequent activation of BA7 and BA40 during PM tasks. Activation within one or both of these regions is almost as common as activation within rPFC (e.g., Burgess et al., 2001; den GIL GONEN-YAACOVI, & PAUL W. BURGESS 189 Ouden et al., 2005; Eschen, Freeman, Dietrich, Martin, Ellis, Martin et al., 2007; Gilbert et al., 2009; Hashimoto et al., 2010; Okuda et al., 2011; Poppenk et al., 2010, Reynolds et al., 2009; Simons et al., 2006). Evidence from electrophysiological methods also suggests a possible link between PM performance and tempo-parietal regions (see West, 2011 for review). It is likely that sub-regions within BA40 & 7 support different processes associated with PM. For instance, Poppenk et al. (2010) found angular gyrus activations (BA7) for one condition (hits > misses) but also superior parietal lobe (BA7) for the opposite contrast (misses > hits). Another example is from Hashimoto et al. (2010), who found activations in the inferior region of the inferior parietal lobe (BA40) when comparing performance in the control condition compared with the PM condition, but at the same time, activations in more superior regions on the inferior parietal lobe (BA40) were found during PM blocks. Another region often associated with PM performance is the anterior cingulate cortex (BA32; Hashimoto et al., 2010; Okuda et al., 2011; Reynolds et al., 2009; Simons et al., 2006). It seems that, similarly to BA40 & 7, different subregions support different components of PM; however, the findings so far are not as strong and consistent as the findings related to rPFC or parietal lobe. For example, Okuda et al. (2011) reported activations in the right anterior cingulate cortex during PM performance in one condition (expand > contract) and also activations in another section of this region in the opposite condition (contract > expand). Putting the future into prospective memory The neuroscience of prospective memory has been progressing especially rapidly over the last ten years or so, but is still in its infancy. This review has attempted to cover the main recent empirical findings in a field which is becoming increasingly coherent. So the time is right to consider where within PM the newest developments may occur. Two of these will be considered here. The first concerns “prospection”. While the growth of PM as an area of enquiry this has been happening, there has been a parallel development of a new and strongly related field: the cognitive neuroscience of “episodic future thinking” or “mental time travel” (e.g., Atance & O’Neill, 2001; Boyer, 2008; see Burgess et al., 2011 for review). There are many different terms for this kind of mental phenomenon, which we will refer to as “prospection” (Burgess et al., 2011) since that was a rather neater and previously existing term for it. Prospection refers to the mental experience of imagining the future, especially in a goal-driven way. Curiously perhaps, given that prospective memory and prospection are so obviously related in that they deal with future 190 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS thoughts and actions rather than the traces of past ones, each of these fields has developed almost completely independently, thus far. However, in the last few years there have been exciting developments in understanding prospection (e.g., Addis, Pan, Vu, Laiser, & Schacter, 2009; Schacter, Addis, & Buckner, 2007; Schacter, Addis, & Buckner, 2008; Szpunar, Watson, & McDermott, 2007; Weiler, Suchan, & Daum, 2010; Williams, Ellis, Tyers, Healy, Rose, & MacLeod, 1996), and there is one point in particular that might be made when thinking about the future of future thinking and how it relates to prospective memory. This point is that, as with studies of prospective memory, rostral PFC activations appear to be found very commonly in neuroimaging studies of prospection. Indeed, Burgess et al. (2011) reviewed 13 studies of prospection, and found that all but one reported activation in rostral PFC, which is a roughly comparable level of consistency that one finds with studies of prospective memory. This common activation need not reflect a common processing component to prospection and maintaining an intention (the assertion that common activations reflect common processing across tasks is known in the field of neuroimaging as a “reverse inference”, and is generally thought to be precarious). However, if it does, what might that be? One possibility is raised by Benoit, Gilbert, Frith, and Burgess (2011). Their study aimed to see whether functional imaging data is consistent with the idea that the “rostral PFC attentional gateway” is involved in performance of prospective memory paradigms. The rostral PFC attentional gateway is a hypothetical cognitive mechanism proposed by the “gateway hypothesis” of rostral PFC function (e.g., Burgess, Dumontheil, & Gilbert, 2007). This asserts that a principal purpose of rostral PFC is to control differences in attending between “stimulus-independent thought” (i.e., our inner mental life) and that involved in preferential attending to the external world (“stimulus-oriented attending”). Benoit et al. (2011) used a factorial design, crossing prospective memory (PM vs. no-PM) with mode of attending (stimulus-oriented (SO) vs. stimulus-independent (SI)), the latter of which has previously been shown to activate rostral PFC (see Burgess et al., 2007 for review). The purpose of the experiment was to determine whether the foci of activations in PM were the same as those activated by SI/SO attention changes. They found that parts of mrPFC were jointly recruited during (i) mere ongoing task activity versus additional engagement in a PM task, and (ii) stimulus-oriented versus stimulus-independent processing. This is congruent with the notion that some of the processes mediating PM performance can be characterised by relative differences in these attentional modes as proposed by the gateway hypothesis. At the same time, the PM contrast was consistently associated with more dorsal peak activation than the stimulus contrast, perhaps reflecting engagement of additional processes. Burgess et al. (2011) argue that this GIL GONEN-YAACOVI, & PAUL W. BURGESS 191 same “attentional gateway” might also be used in engaging prospection, because it requires drawing one’s attention away from the current environment and creating an “inner mental world”. Currently, it seems possible that the currently larger topic of prospective memory may in the future be viewed as perhaps the most developed sub-class under the broader heading of “prospection”. Key to this is the very special role that rostral PFC (and other PFC structures) seem to play in enabling people to engage in imaginative thought, aspects of which are critical to creating intentions for future acts (prospective memory), and considering the potential consequences of them (prospection). A second possible future development point within the field of prospective memory concerns the role of awareness and “cognitive control” in the maintenance and remembering of delayed intentions. As this review outlines, it is clear that most theorists regard there as being both automatic- and controlled-type processing underpinning the maintenance and execution of a delayed intention. However, it seems to be generally assumed (but rarely examined) that the participant is broadly “aware” of the contingencies affecting their behaviour. But this assumption is challenged by a recent study by Okuda et al. (2011), who developed a PM task where the intervals between prospective memory targets were manipulated in a predictable alternating cycle of expanding and contracting target intervals. “Expanding” means that the number of ongoing trials between PM targets was increasing, and “contracting” means that the number of ongoing trials between targets was decreasing. Okuda et al. (2011) found that the participants’ behaviour changed in accordance with these changing target intervals. Prospective memory performance (measured by responses to PM targets) was faster and more accurate in the expanding target interval phase, at the cost of less accurate and slower performance on ongoing trials. But in the contracting phase the opposite pattern was found: faster and better ongoing trial performance but poorer PM performance. Remarkably however, although the participants’ behaviour was affected, the changes in target intervals, they were completely unaware of them – in the sense that when asked none of them reported being aware of any pattern in target interval, or of any change in their behaviour. Nevertheless, fMRI detected a trade-off effect in activations in the anterior medial prefrontal cortices that mirrored the changes in participant behaviour. We found activation increases in response to the PM targets that was accompanied by deactivation to the ongoing trials in the expanding phase as compared with the contracting phase. The opposite pattern was observed in the anterior cingulate cortex. These patterns of behaviour and BOLD signal changes are not easy to explain according to the “monitoring” or “spontaneous retrieval” frameworks. The medial rostral PFC activations are probably not indicators for 192 PROSPECTIVE MEMORY: THE FUTURE FOR FUTURE INTENTIONS some form of deliberate, conscious “monitoring” or “working memory” operation, because participants were unable to report their behaviour changes or the changes in target intervals. Similarly, the consistency of the relation between the changes in target interval and PM performance is also difficult to explain by a simple “spontaneous retrieval” account, since it is entirely predictable and seems to be cued by the experimental context and not just the PM target. It seems possible instead that what has been detected here may be the neural signature of a process which effects automatic (i.e., unconscious) coordination of attentional resources between ongoing task performance and a delayed intention. Moreover, this kind of effect may not be restricted just to PM situations. Blais, Harris, Guerrero, & Bunge (2012) have shown a similar effect using a Stroop task. They examined the size of the congruency (i.e., Stroop) effect according to the proportion of congruent trials given. Their paradigm demonstrated the well-known phenomenon where the proportion of congruent trials had a marked behavioural effect upon performance (where reaction times are slower when incongruent trials are less frequent). But, critically, they asked participants about the relative proportion of congruent/incongruent trials. They found that the proportion by congruency interaction was unrelated to participants’ awareness of the actual frequencies. So here again, we have a situation where behaviour is being governed by contingencies even though participants are unaware of them (in the sense of being able to report them). It seems very likely on the evidence of these very recent papers therefore, that there may be processing at work in PM situations which has only just been started to be considered – perhaps one might think of it as “expectation prospective memory” – i.e., where regularities in the environment (e.g., temporal or proportional) set up expectations akin perhaps to priming within the cognitive system at a level which is not routinely available for self-report. Conclusion The past 15 years have seen a huge increase in experimental research targeted at understanding prospective memory. By 1996 there were only 45 published experimental studies on PM (Kvavilashvili & Ellis, 1996). However, from 1996 until 2005, over 285 published papers appeared (McDaniel & Einstein, 2007). This rate of increase is in turn increasing. We have attempted to summarise the main conclusions from the theoretical and empirical work that has been carried out in this emerging field. As contrasted with 20 years ago, we now have some degree of agreement about what constitutes a PM paradigm. Moreover, whereas in the early years it was not clear whether the term “prospective memory” described a variety of behaviours supported by a variety of different processing resources, or the operation of a particular construct (or GIL GONEN-YAACOVI, & PAUL W. BURGESS 193 limited set of them), these days most theorists would take the former position. The prevalent current theories highlight the importance of different factors upon behaviour and processing, such as the characteristics of the ongoing task and the PM cue, on determining the types of processes that support retrieval of PM and the likelihood of PM success. 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Zinke, K., Altgassen, M., Mackinlay, R., Rizzo, P., Drechsler, R., & Kliegel, M. (2010). Time-based prospective memory performance and time-monitoring in children with ADHD. Child Neuropsychology, 16, 338-349. Zöllig, J., Martin, M., & Kliegel, M. (2010). Forming intentions successfully: Differential compensational mechanisms of adolescents and old adults. Cortex, 46, 575-589. Received March 7, 2012 Revision received May 31, 2012 Accepted June 2, 2012 This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues. Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. In most cases authors are permitted to post their version of the article (e.g. in Word or Tex form) to their personal website or institutional repository. Authors requiring further information regarding Elsevier’s archiving and manuscript policies are encouraged to visit: http://www.elsevier.com/copyright Author's personal copy Neuropsychologia 49 (2011) 2246–2257 Contents lists available at ScienceDirect Neuropsychologia journal homepage: www.elsevier.com/locate/neuropsychologia Functional neuroimaging studies of prospective memory: What have we learnt so far? Paul W. Burgess a,∗ , Gil Gonen-Yaacovi a , Emmanuelle Volle b a b Institute of Cognitive Neuroscience - UCL (University College London), 17 Queen Square, London WC1N 3AR, UK CR-ICM/UPMC/INSERM UMR-S 975, Pitié-Salpêtrière Hospital, 47 Boulevard de l’Hopital, 75013 Paris, France a r t i c l e i n f o Article history: Received 1 October 2010 Received in revised form 13 January 2011 Accepted 8 February 2011 Available online 15 February 2011 Keywords: Prospective memory Frontal lobes Neuroimaging Rostral prefrontal cortex Brodmann Area 10 a b s t r a c t The complexity of the behaviour described by the term “prospective memory” meant that it was not at all clear, when the earliest studies were conducted, that this would prove a fruitful area for neuroimaging study. However, a consistent relation rapidly emerged between activation in rostral prefrontal cortex (approximating Brodmann Area 10) and performance of prospective memory paradigms. This consistency has greatly increased the accumulation of findings, since each study has offered perspectives on the previous ones. Considerable help too has come from broad agreement between functional neuroimaging findings and those from other methods (e.g. human lesion studies, electrophysiology). The result has been a quite startling degree of advance given the relatively few studies that have been conducted. These findings are summarised, along with those from other brain regions, and new directions suggested. Key points are that there is a medial–lateral dissociation within rostral PFC. Some (but not all) regions of medial rostral PFC are typically more active during performance of the ongoing task only, and lateral aspects are relatively more active during conditions involving delayed intentions. Some of these rostral PFC activations seem remarkably insensitive to the form of stimulus material presented, the nature of the ongoing task, the specifics of the intention, how easy or hard the PM cue is to detect, or the intended action is to recall. However there are other regions within rostral PFC where haemodynamic changes vary with alterations in these, and other, aspects of prospective memory paradigms. It is concluded that rostral PFC most likely plays a super-ordinate role during many stages of creating, maintaining and enacting delayed intentions, which in some cases may be linked to recent evidence showing that this brain region is involved in the control of stimulus-oriented vs. stimulus-independent attending. Other key brain regions activated during prospective memory paradigms appear to be the parietal lobe, especially Brodmann Area (BA) 40 and precuneus (BA 7), and the anterior cingulate (BA 32). These regions are often co-activated with lateral rostral PFC across a wide range of tasks, not just those involving prospective memory. © 2011 Published by Elsevier Ltd. 1. Introduction Prospective memory is a very new field of enquiry, but one in which there has been a startling increase of interest over the last few years. As Sellen, Louie, Harris, and Wilkins (1997) point out, a review approximately 20 years ago (Kvavilashvili, 1992) cited only twenty-four experimental studies of prospective memory. Yet there are now several entire books devoted to the topic (e.g. Brandimonte, Einstein, and McDaniel, 1996; Glicksohn & Myslobodsky, 2006; Kliegel, McDaniel, & Einstein, 2007; McDaniel & Einstein, 2007), and substantial international conferences occupied exclusively with research into prospective memory (the first ∗ Corresponding author. E-mail addresses: [email protected], [email protected] (P.W. Burgess). 0028-3932/$ – see front matter © 2011 Published by Elsevier Ltd. doi:10.1016/j.neuropsychologia.2011.02.014 International Conference on Prospective Memory was held in Hertfordshire, UK, in July, 2000). This explosion of interest has been accompanied by a change in the way that “prospective memory” has been viewed. The earliest studies, which were largely behavioural only, tended to be concerned with the practical aspects of remembering intentions, often relating to everyday life situations, rather than experimental paradigms (e.g. Wilkins & Baddeley, 1978). Accordingly, the emphasis was very much on the study of situational and behavioural characteristics affecting delayed intentions. However as the field became more experimental, and with the help of a few key papers (e.g. Kvavilashvili, 1987) the notion grew that there might be cognitive processes or constructs unique to this form of memory (in the sense of not also being shared with memory for past events). From the viewpoint of a scientist trying to discover principles of behaviour, or of brain–behaviour relations, this would be fortuitous, making discovery simpler. However from a biologi- Author's personal copy P.W. Burgess et al. / Neuropsychologia 49 (2011) 2246–2257 cal viewpoint, at the extreme at least, such an arrangement would likely be exceptionally inefficient: prospective memory is a highly complex and multi-componential behaviour so it is unlikely to have representations and brain structures dedicated entirely to it. Such a principle, carried across all cognitive functions would likely be far too costly, so it is always more likely that at both an information processing and functional level that processes and structures operate across psychological domains, or at least across our narrow definitions of subject fields. In this way it was clear to many from the outset that it would be implausible that the study of prospective memory would grow entirely independently from other fields of conceptual relevance (for review see Ellis, 1996). And so, in large part has it transpired. However, there has been a particularly fortuitous finding for cognitive neuroscientists studying prospective memory: a consistent relation between activation in rostral PFC during prospective memory paradigms. This has given an invaluable inroad into a topic that at one time had little or no precedent within cognitive neuroscience. Moreover, as more information about this brain region from the study of other functions appears, the field is being encouraged to consider prospective behaviour more broadly, with the potential to encompass not just prospective memory, but many other forms of “prospection”. 2. Characteristics of typical prospective memory paradigms There are a very wide variety of situations in everyday life that require prospective memory. However, for experimental purposes in cognitive neuroscience the essential features of these situations have been simplified. The typical features of prospective memory paradigms are summarised by Burgess, Scott, and Frith (2003). These are: (a) There is an intention, or multiple intentions to carry out a mental or physical act. A variant might be that the intention is to withhold an act that is performed routinely in a particular context. (b) The intended act cannot be performed immediately after the intention to do it has been created. (c) The intended act (or thought) is to be performed in a particular circumstance. This is known as the “retrieval context” (Ellis, Kvavilashvili, & Milne, 1999). In event-based studies, the retrieval context is signalled by a cue (the “intention cue”, or “PM target”). In time-based tasks this is either at a particular time, or after a certain duration, and with activity-based PM tasks this might be after or during a particular ongoing activity or another task. (d) The delay period between creating the intention and occurrence of the appropriate time to act (the “retention interval”) is filled with activity known as the “ongoing task”. (e) Performance of the ongoing task prevents continuous, conscious rehearsal of the intention over the entire delay period. Typically this is because the activity is too demanding of competing cognitive resources (e.g. attention), or the delay period is too long. This is a feature which distinguishes a prospective memory paradigm from e.g. some “working memory” or vigilance paradigms. (f) The intention cue (or retrieval context) does not interfere with, or directly interrupt, performance of the ongoing task. Intention enactment is therefore self-initiated, and the participant has to recognise the PM cue or retrieval context for themselves (e.g. rather than receiving a clear interrupt or instruction from an external source). (g) In many situations involving prospective memory no immediate feedback is given to the participant regarding errors or other aspects of their performance. 2247 This is not intended as an exhaustive characterisation. Variants upon these general themes have been created by experimental psychologists, and many aspects are hotly debated. However, these seven features, when occurring together in the same paradigm, are likely to describe a task which most theorists would recognise as engaging processes relevant to “prospective memory”. 2.1. Neuroimaging studies of prospective memory – a very brief overview There have not been a large number of neuroimaging prospective memory studies thus far. A determined reader could read them all in a day although the assimilation of their implications and significance would likely take very much longer, even for someone familiar with the behavioural literature. The first neuroimaging study of prospective memory was published only a dozen or so years ago (Okuda et al., 1998). So it is appropriate that we now ask (a) what we have learnt from these early years of neuroimaging of prospective memory, and (b) what the priorities might be for future study. Considering the first question, it is likely that historians of the subject, perhaps turning their attentions to the growth of this field many years hence, might conclude that we learnt much more from the first dozen or so studies in the first dozen years than might ever have seemed likely at the outset. This has been facilitated by the fortuitous scientific discovery mentioned above: a consistent relation, first noted by Burgess, Quayle, and Frith, (2001) and Burgess et al. (2003), between activation of rostral prefrontal cortices (approximating Brodmann Area 10) and the performance of prospective memory tests. The reason why this finding has been so helpful is that, at the time of the first three studies around the beginning of this century (Burgess et al., 2001, 2003; Okuda et al., 1998), virtually nothing was known about rostral PFC. This has probably managed to throw the relation between PM and rostral PFC activations into sharp relief. Prior to the emergence of neuroimaging, this large brain region (in fact the largest single cytoarchitectonic region of the prefrontal cortex) was almost completely ignored by cognitive neuroscientists. Whilst even from the earliest days of neuroimaging, a relation between retrospective memory and rostral PFC activations had been noted (see Grady, 1999 for review), the translation of these findings into an information processing account of the functions of rostral PFC had not been straightforward, resulting in broad post hoc characterisations that were not easy to falsify. The central problem was that whilst rostral PFC activations occurred consistently during episodic memory paradigms, they also occurred during many other paradigms which appeared to have little or no episodic memory component. These could be simple conditioning paradigms, or tasks involving semantic memory; language, visual perception, as well as functions more often associated with the frontal lobes such as attentional switching (see Burgess, Gilbert, & Dumontheil, 2007; Burgess, Simons, Dumontheil, & Gilbert, 2005 for review). However, other ideas about the contributions of rostral PFC to human cognition were just beginning to emerge (e.g. Christoff & Gabrieli, 2000; Koechlin, Basso, Pietrini, Panzer, & Grafman, 1999). These experimental papers, which attempted to link rostral PFC activations to particular cognitive operations (e.g. “branching”; the manipulation of self-generated information; see Burgess, Gilbert, et al., 2007 for review), provided some very useful information regarding the type of paradigm that might provoke rostral PFC activations. The findings (which have largely been replicated since) were also new enough that the field was open to new possibilities (as indeed it very much still is), and a small cadre of investigators worldwide began looking more carefully at the range of tasks which were found to have provoked haemodynamic changes in this large brain region. Author's personal copy 2248 P.W. Burgess et al. / Neuropsychologia 49 (2011) 2246–2257 2.1.1. Where did the link between rostral PFC and prospective memory originate? Before the advent of functional neuroimaging as a technique, Burgess and colleagues in London had been working on trying to unravel a clinical mystery in neurology. This was that some neurological patients who had suffered frontal lobe damage could apparently present no abnormality of behaviour in the clinic (including excellent performance on the range of tools favoured by neuropsychologists at the time), yet suffer from some form of severe behavioural disability in everyday life. This problem manifested itself in many forms, one of which appeared to be a problem with prospective memory: employers and family members would report tardiness, “absent-mindedness” and general disorganisation (see Burgess, Alderman, Volle, Benoit, & Gilbert, 2009 for review). This phenomenon had been known for several years (e.g. Mesulam, 1986) but the first formal quantification of their problem was presented by Shallice and Burgess (1991). They described three people, all of whom had suffered frontal lobe damage (including damage to rostral PFC) who showed this pattern of normal or near-normal performance on traditional tests of neuropsychological function (including on tests of executive function considered sensitive to frontal lobe lesions) but behavioural disorganisation in everyday life. There were also changes in social behaviour. Other investigators had documented similar clinical manifestations before (e.g. Eslinger & Damasio, 1985), however what was different about the Shallice and Burgess (1991) study was that new tests were developed to measure the scale of these problems. These new measures required multitasking (i.e. switching tasks after a delay period; this distinguishes the activity from dual- or multiple-task performance, where more than one task are attempted simultaneously) and had a strong prospective memory component. Principally these PM components were what has since become known as “activity-based” and “time-based” prospective memory (McDaniel & Einstein, 2007). Burgess and colleagues noted the regular co-incidence of rostral PFC lesions and these kinds of problems (e.g. Goldstein, Bernard, Fenwick, Burgess, & McNeil, 1993; Burgess, Veitch, Costello, & Shallice, 2000; Burgess & Shallice, 1997 for review). Evidence from these cases and others (e.g. Cockburn, 1995) supported the developing notion that (a) the frontal lobes supported some form of processing critical for prospective memory, and (b) at least some processing relevant to remembering to do things in the future was not shared with systems involved in remembering things that have happened in the past, or other potentially relevant functions such as dual- or taskswitching (e.g. Bisiacchi, Schiff, Ciccola, & Kliegel, 2009). It was therefore in the context of these lesion studies that Okuda’s et al. (1998) first neuroimaging study was viewed. Burgess and colleagues had actually carried out a PET study of prospective memory in 1996, and had found rostral PFC (BA 10) activations in that study. Interpretation of the activations was however made difficult by an aspect of the design (involving temporal order; see below) and was not therefore submitted. But it meant that when Okuda reported rostral PFC activations in his PM study, using a quite different type of PM task, this finding, combined with the evidence from lesion cases, made the possibility of a particularly noteworthy link between rostral PFC and prospective memory much more likely. It also made much more likely the possibility that whatever the contribution made by rostral PFC structures to the performance of prospective memory tasks, this contribution was relatively insensitive to small changes in task format. In the history of the study of frontal lobe function, using whatever method, it has been more usual to find that relatively small changes in task format or instruction can have large effects upon the dependent variable (see e.g. Gilbert, Gollwitzer, Cohen, Burgess, & Oettingen, 2009; Stuss et al., 2000). So the possibility that there might be some “super-ordinate” processing supported by rostral PFC which was, to varying degrees, involved in the performance of a wide class of paradigms, was tantalizing. However, on the data available at the time, it was at least as plausible that even if rostral PFC were involved in PM in some way, there were many different sub-regions which were involved in complex ways. In other words, different PM paradigms may activate different regions within rostral PFC, with no common “core” regions. This would have rendered the scientific problem of linking structure and processing much less tractable. For this reason, Burgess et al. (2001), inspired by the notion of “cognitive conjunction” type designs used in other fields (Price & Friston, 1997) used not one, but several PM tasks in the same neuroimaging experiment, each with their own control. Four PM tasks were used, all of which measured the cognitive components of interest, but where other components were designed to differ from task-to-task. The analysis then sought activations common to all tasks, rather than those specific to any one, in an attempt to discover activations that are true of the class of tasks. This method produced quite a “clean” pattern of activation results, presumably because task-specific activations tend not to reach threshold in the analysis. For this reason, it has been used many times since by the Burgess group in the investigation of rostral PFC function (e.g. Burgess et al., 2003; Dumontheil, Gilbert, Frith, & Burgess, 2010; Gilbert, Frith, & Burgess, 2005; Simons, Gilbert, Owen, Fletcher, & Burgess, 2005; Simons, Owen, Fletcher, & Burgess, 2005; Simons, Schölvinck, Gilbert, Frith, & Burgess, 2006). These results, which have since been broadly replicated, are shown in Fig. 1 (see also Table 1). In event-based prospective memory tasks, there tends to be increased activation of lateral aspects of rostral PFC during periods where participants are maintaining an intention, whether or not a PM cue or target is encountered, or the intended action enacted. At the same time, compared with performance of the ongoing tasks alone, there is a decrease in haemodynamic signal (either BOLD or rCBF) in the most anterior and medial aspects of rostral PFC. In other words, this region seems more active when people are performing the ongoing task alone, especially if they are doing so before any PM instruction has been encountered. This aspect of prospective memory paradigms is an important one in determining the results of functional imaging paradigms: participants find it difficult, once a PM instruction has been given, to subsequently “forget” that instruction, even if they are explicitly told that it is no longer relevant. Therefore the most effective contrast to reveal activations specific to maintaining a delayed intention is between “uncontaminated” ongoing task performance (i.e. performance of the ongoing task before any PM instruction has ever been encountered) and the PM condition (e.g. Simons et al., 2006). Unfortunately, such a design necessarily also introduces a potential temporal order artefact which has to be accounted for in some way in other aspects of the design. The issue of temporal order effects is central to many aspects of the study of frontal lobe “executive functions” (Burgess, 1997) and looks set to become a substantial issue for the field both methodologically and theoretically (Okuda et al., 2011). 2.1.2. What have we learnt from neuroimaging studies of prospective memory? The basic findings concerning rostral PFC activations in prospective memory are given in Table 1. Those where replication has been achieved have been given priority. No effort has been made to take into account the quality of the individual studies; the classification of “seemingly secure” or “promising” is made only on the number of replications. Some of the findings are necessarily related to each other. Let us consider these in turn. The first general finding, that performance of prospective memory paradigms is accompanied by evidence of activation (by BOLD signal changes or increases in regional cerebral blood flow (rCBF)) Author's personal copy P.W. Burgess et al. / Neuropsychologia 49 (2011) 2246–2257 2249 Fig. 1. Relating findings from prospective memory to general patterns of rostral PFC haemodynamic changes in neuroimaging experiments. Panel 1 shows the standard pattern of rostral PFC activation in neuroimaging studies of event-based prospective memory (see also Fig. 2). The left-hand brain slice shows lateral rostral PFC (BA 10) rCBF increases when people are maintaining an intention (Burgess et al., 2001). The right-hand brain slice shows the medial rostral PFC region which typically shows concomitant decreases, relative to ongoing task performance only (Burgess et al., 2003). Panel 2 shows the relation between activation patterns in rostral PFC and behavioural performance across a wide range of quite different tasks (Gilbert, Spengler, Simons, Frith, & Burgess, 2006). Data is from 104 functional neuroimaging studies that reported activation peaks in rostral prefrontal cortex (PFC), approximating Brodmann’s area 10, and also reported reaction times. The difference in RT between the condition that provoked the rostral PFC activation and whatever contrast condition was used was related to the pattern of rostral PFC activation. Whatever the task, lateral activations tended to be associated with contrasts where response times were slower in the experimental condition (red shaded regions). Medial activations were associated with contrasts where RTs were, if anything, faster in experimental than control conditions (blue shaded regions). These show a resemblance to the patterns both of behaviour and activation shown during prospective memory tasks (see panel 1). Panel 3. Regions of the brain that often co-activate with rostral PFC. This figure shows the results of a meta-analysis of 200 activation peaks within rostral PFC and 1712 co-activations outside rostral PFC drawn from 162 studies (Gilbert et al., 2010). The study investigated which parts of the brain outside rostral PFC were activated concurrently with rostral PFC across a wide range of different cognitive tasks. Lateral rostral PFC coactivations (cool colours) were found principally in dorsal anterior cingulate, dorsolateral PFC, anterior insula and lateral parietal cortex. Medial rostral PFC co-activations (warm colours) were found principally in the posterior cingulate, posterior superior temporal sulcus and temporal pole. There are perhaps early suggestions in prospective memory functional neuroimaging studies that the patterns of activation in this class of task may follow these broad principles. in rostral PFC seems most secure. All studies of which we know where the relevant comparison has been made in a straightforward manner (i.e. ongoing-only task performance vs. maintaining an intention) have shown this result. An important caveat is that only a small proportion of the possible types of PM paradigms have been administered, and there is a predominance of event-based tasks. However there is early evidence that time-based PM tasks are also accompanied by rostral PFC activations (Okuda et al., 2007). Author's personal copy 2250 P.W. Burgess et al. / Neuropsychologia 49 (2011) 2246–2257 Table 1 Principles of rostral PFC activation in prospective memory tasks: the story so far. Seemingly secure findings 1. Performance of prospective memory paradigms, relative to the ongoing task alone, is typically accompanied by activations within rostral PFC (approximately, BA 10; Burgess et al., 2001, 2003; den Ouden et al., 2005; Gilbert et al., 2009; Hashimoto et al., 2010; Haynes et al., 2007; Okuda et al., 1998, 2007; Poppenk et al., 2010; Reynolds et al., 2009; Simons et al., 2006). 2. Activations during ongoing, or (most) control tasks in medial rostral PFC structures tend to be higher than during prospective memory conditions (Burgess et al., 2001, 2003; Hashimoto et al., 2010; Okuda et al., 2007; Simons et al., 2006). 3. Maintenance of an intention over a delay period where the participant is fully occupied with another task tends to be associated with activation in lateral aspects of rostral PFC (Burgess et al., 2001, 2003; den Ouden et al., 2005; Gilbert et al., 2009; Okuda et al., 2011; Reynolds et al., 2009; Simons et al., 2006). 4. Some of these rostral PFC activations (either medial or lateral) seem remarkably insensitive (at least with event-based tasks) to the form of stimulus material presented, the nature of the ongoing task, how easy or hard the PM cue is to detect, or the intended action is to recall (Burgess et al., 2001, 2003; Simons et al., 2006). 5. However for other regions within rostral PFC there does seem to be functional specialisation for different components, forms, and types of prospective memory. For instance, activation in subsections of this region can be sensitive to changes in the nature of what is intended (Haynes et al., 2007); in target recognition vs. intention retrieval demands (Simons et al., 2006); whether the task is time-based or event-based (Okuda et al., 2007); and the nature of the PM cueing procedure (spontaneous vs. cued, Gilbert et al., 2009). 6. There is frequent activation of BA 7 & 40 (precuneus, parietal lobe), and often also the anterior cingulate (BA 32) during performance of PM tasks (Burgess et al., 2001; den Ouden et al., 2005; Eschen et al., 2007; Gilbert et al., 2009; Hashimoto et al., 2010; Okuda et al., 1998, 2007, 2011; Poppenk et al., 2010; Reynolds et al., 2009; Simons et al., 2006). Some of these regions are often co-activated with rostral PFC during many types of cognitive task, not just PM ones (Gilbert et al., 2010). But the significance of these co-activations remains to be discovered. Promising findings that could benefit from replication. 7. In event-based PM tasks, apparently small changes in task instruction can have a marked effect upon the patterns of activation in rostral PFC (Gilbert et al., 2009). 8. (Related to [5] above.) There is a difference in activations in rostral PFC according to whether the PM task is time- or event-based (Okuda et al., 2007). 9. (Related to [5] above.) In time-based tasks, activation patterns in rostral PFC may change according to whether a clock is available for the participant to use (Okuda et al., 2007). This may be due to differences in clock-monitoring or time estimation caused by such manipulation. 10. Rostral PFC activations can be seen during PM tasks even when no targets are encountered (Burgess et al., 2001); it is enough that participants merely expect targets (see also Martin et al., 2007). 11. There are regions of lateral rostral PFC (BA 10) which are activated during event-based PM tasks which are NOT also activated during working memory demands (Reynolds et al., 2009). 12. Some activation patterns within PFC (including regions of medial and rostrolateral PFC) are so task-specific that one can use them to predict which intentions a participant is considering (Haynes et al., 2007). However, activation in other rostral regions (with possibly a more anterior lateral location) is unrelated to the specifics of the intention; instead, they are co-activated with more posterior regions within the brain which are (Gilbert, 2011). 13. Rostral PFC activations are not necessarily synonymous with “conscious thought” (Okuda et al., 2011; Hashimoto et al., 2010) since they can occur alongside behavioural (and presumably therefore mental) changes (e.g. RT) of which the participant is unaware. 14. Some find lateral BA 10 sustained responses during PM conditions (Burgess et al., 2001; Reynolds et al., 2009, Table 1, p. 1215). However, others find lateral BA 10 to be transiently associated with detection of PM targets (Gilbert et al., 2009, in Table 2, p. 911, explicitly discussed on p. 912). There is thus evidence for both sustained and transient effects in lateral BA 10 during PM tasks. The reason for these differences between sustained or transient activations across studies is not currently well understood, but seems a promising avenue for future study. There is as yet, to our knowledge, no functional imaging study of activity-based PM. This is an unfortunate lacuna given that so many situations in everyday life involve this form of prospective memory. Findings two and three might be considered together since there is some evidence that at least in some prospective memory situations the medial and lateral aspects of rostral PFC may work together as a system (Burgess et al., 2003). Considering first the rostrolateral activations, the proposition that these are associated in some way with maintaining a delayed intention seems most congruent with other accounts of the role of lateral rostral PFC in human cognition. For instance, Christoff and Gabrieli (2000) have argued that this region is involved in “active processing, such as evaluation, monitoring or manipulation, performed on internally generated information” (p. 183). Koechlin et al. (1999) argue that lateral rostral PFC “selectively maintains the human ability to hold in mind goals while exploring and processing secondary goals” (p. 148). Most theorists would agree that many instances where someone is maintaining an intention over a delay period would require these forms of processing. A characterisation of the processing associated with the medial rostral PFC haemodynamic change in PM paradigms is however more controversial. Burgess, Dumontheil, et al. (2007), Burgess, Gilbert, et al. (2007), Burgess et al. (2006) and Burgess, Simons, et al. (2005) have argued that rostral PFC supports an attentional system which biases the degree to which one either attends to stimuli in the sensory environment (“stimulus-oriented attending”) or, by contrast, engages “stimulus-independent attending”, i.e. “deep thought”, where one is momentarily disengaged from interacting with the external world and involved with our own thoughts. According to this “gateway hypothesis” of rostral PFC function, activations in the most anterior medial aspects of rostral PFC are usually associated with “stimulus-oriented attending”, which explains why activations in this region tend to be greater during performance of the ongoing task (OG) only (compared with a PM condition). A different characterisation of medial PFC activations is held by e.g. Mason et al. (2007) who maintain that they may be indicative of mind-wandering (i.e. stimulus-independent thought). However, both in PM studies and in studies of other functions, the most anterior medial rostral PFC activations that are typically activated during the ongoing tasks of PM experiments tend to be associated with quicker reaction times (see Fig. 1, panel 2), rather than slower ones as one might expect if participants were engaging in mind-wandering. Further, it is not at all clear that the default region which Mason et al. highlight is not a more caudal medial one to the one implicated in OG task performance: the caudal medial rostral PFC region appears to have different properties from the more anterior portion (Gilbert, Spengler, Simons, Steele, et al., 2006). This issue requires further investigation (see Gilbert, Dumontheil, Simons, Frith, & Burgess, 2007 for discussion). However the findings from prospective memory paradigms, where medial rostral PFC activations tend to occur in conditions where RTs are generally faster (e.g. ongoing or baseline tasks) than in the PM condition, is congruent with findings from other types of cognitive task (Gilbert, Spengler, Simons, Frith, & Burgess, 2006). This is in turn congruent with the findings from studies which directly compare stimulus-oriented with stimulus-independent attending (e.g. Dumontheil et al., 2010; Gilbert et al., 2005; Gilbert, Simons, Frith, & Burgess, 2006). So it is perhaps the easier possibility to accept. More generally, these ways of thinking about the processing demands of PM paradigms accept a “multiprocess”-type framework (McDaniel & Einstein, 2000). According to this view there are at least two main routes to successful enacting of a delayed intention. The first is, in everyday language, to “keep what you have to do in the forefront of one’s mind”, in other words, to Author's personal copy P.W. Burgess et al. / Neuropsychologia 49 (2011) 2246–2257 rehearse the intention as much as feasible (given the ongoing task demands), engaging in continual checking behaviours. This is often described as “monitoring” (e.g. McDaniel & Einstein, 2007, p. 14) or “preparatory processing” (Smith & Bayen, 2004) in the experimental psychology literature. Probably there are several different forms of this preparatory attention or monitoring, and differences in what is attended to (e.g. one’s thoughts or the environment, or characteristics of the stimuli). This kind of cognition is quite effortful, so in typical experimental paradigms measuring event-based PM (see e.g. Burgess et al., 2001), participants will sometimes try to reduce or remove these demands of the task by strategically reconfiguring the task demands. In other words, they decide at the start of the task that what they are going to do is to ask themselves, of each new ongoing stimulus, first whether it is a PM target, and then, if it is not, perform the ongoing task. This removes the “wait” aspect from the typical “test-wait-test-exit” model of monitoring (Miller, Galanter, & Pribram, 1960), and perhaps instead most closely relates of concepts of “strategy application” in the cognitive neuroscience literature (e.g. Shallice & Burgess, 1991). Second, there is the situation where a participant does not consciously and voluntarily rehearse the intention, and if asked, would report that they had (momentarily at least) “forgotten” about the PM requirement of the task, or “was not paying attention to” the PM aspects of the task. In this situation participants can nevertheless respond accurately to at least some of the PM targets or cues. They will typically report that somehow the target had “triggered” the PM instruction. This is often referred to as “spontaneous retrieval” in the experimental psychology literature (e.g. Einstein et al., 2005), although the degree to which these behaviours are truly “spontaneous” is the focus of some debate. A related situation is where people report spontaneously remembering, whilst performing the OG task, that “there was something else I had to do”, thereby triggering a more vigilant attending state akin to the one outlined above. For those conducting neuroimaging experiments, the first situation raises the theoretical question of whether the construct under question is different in any way from “working memory” (see Marsh & Hicks, 1998 for discussion of working memory and PM). For the second, there is the matter of whether the processes involved are any different from those involved in retrospective memory functions such as recognition (of the cue), and retrieval (of the intended act). This matter particularly vexed theorists in the early modern era of experimental psychology PM research, as they struggled to decide whether “prospective memory” was a construct or behaviour (Burgess, Gilbert, Okuda, & Simons, 2006). However, most would now agree that if there were a prototype of the situation and behaviour which constitutes “prospective memory”, it might be one which likely may contain different aspects of all these behaviours, but that the construct validity of the paradigm is most severely tested by the extreme form of strategy application outlined, i.e. where a participant in effect reduces or removes the retention interval by adopting the strategy of deliberately and consciously first checking if each ongoing stimulus is a PM target before proceeding with the processing relevant to the ongoing task itself. Instead, the most relevant data is that which indicates, through matters such as errors, and/or changes in reaction times to the ongoing tasks or “intention cost” that the (delayed) intended action is, for some proportion of the time, not at the absolute forefront of the participant’s mind – at least not consciously. It is a historical curiosity that demonstrates the potential cross-talk between neuroimaging and experimental psychology studies that probably the first published demonstration of the behavioural effect of maintaining an intention upon RT to ongoing trials (“intention cost”) was reported as part of a functional neuroimaging study (Burgess et al., 2001). Similar patterns have been reported in many behavioural studies since (e.g. Marsh, Hicks, Cook, Hansen, & Pallos, 2003; 2251 Smith, 2003; see McDaniel & Einstein, 2007, pp. 21–24 for review) as well as in neuroimaging ones (e.g. Simons et al., 2006). Within time-based (compared with event-based) PM tasks, these aspects relating to strategy use are probably easiest to investigate within a paradigm where clock-checks can be utilised as additional evidence (e.g. Einstein, McDaniel, Richardson, Guynn, & Cunfer, 1995; Okuda et al., 2007). The issue of haemodynamic changes that accompany the interaction between the demands of the ongoing task and the monitoring and maintenance of intentions is one which might be expected to be investigated soon. 2.1.3. Will neuroimaging studies ever provoke information-processing theorizing about prospective memory? It is doubtful that neuroimaging data can regularly contribute much to the building of information processing-level models of cognition. The role of neuroimaging data is principally to contribute to the mapping of a priori information-processing models onto brain systems and structures, or interpreting activation patterns in terms of them. However, there may be occasions when that process – relating activation patterns to cognitive models – may provoke new ideas which might be later incorporated into models. This is especially the case where behavioural data, rather than activation patterns alone, are a critical part of the neuroimaging study. A possible example of this comes from trying to understand what it is that the medial rostral PFC activations in prospective memory indicate. Okuda et al. (2011) developed a PM task where the intervals between prospective memory targets were manipulated in a predictable alternating cycle of expanding and contracting target intervals. “Expanding” means that the number of ongoing trials between PM targets was increasing, and “contracting” means that the number of ongoing trials between targets was decreasing. Okuda et al. found that the participants’ behaviour changed in accordance with these changing target intervals. Prospective memory performance (measured by responses to PM targets) was faster and more accurate in the expanding target interval phase, at the cost of less accurate and slower performance on ongoing trials. But in the contracting phase the opposite pattern was found: faster and better ongoing trial performance but poorer PM performance. A key aspect of Okuda et al.’s finding however was that although the participants behaviour was significantly modulated by these changing target intervals, they were completely unaware of them – in the sense that when asked none of them reported being aware of any pattern in target interval, or of any change in their behaviour. Yet fMRI detected a trade-off effect in activations in the anterior medial prefrontal cortices that mirrored the changes in participant behaviour. In other words, they found relative BOLD response increases to the PM targets as well as deactivation to the ongoing trials in the expanding phase as compared with the contracting phase. An opposite direction of trade-off was observed in the anterior cingulate cortex. These results show a clear case in which attention between current task performance and future action plans in prospective memory tasks is automatically regulated without particular task instructions or strategic control processes initiated by subjects. These patterns of behaviour and BOLD signal changes are not easy to explain according to a simple “monitoring or spontaneous retrieval” framework. The medial rostral PFC activations are unlikely to reflect some form of deliberate, conscious “monitoring” or “working memory” operation, since participants were unable to report their behaviour changes or the changes in target intervals. Similarly, the consistency of the relation between the changes in target interval and PM performance argues against a simple “spontaneous retrieval” account also, or at least, stretches the credibility of the descriptor “spontaneous”, since it is entirely predictable and seems to be cued by the experimental context and Author's personal copy 2252 P.W. Burgess et al. / Neuropsychologia 49 (2011) 2246–2257 Fig. 2. Comparative MNI coordinates of previous published neuroimaging results of rostral prefrontal cortex activation during prospective memory paradigms. Maxima of activation reported in these functional imaging studies are projected on a glass brain in the MNI space. For each study, all maxima falling within BA10 for each contrast using prospective memory tasks are reported. For comparability, only those results relating to direct contrasts between the ongoing task and prospective memory conditions are shown. In red: activation related to time-based prospective memory task, in blue: activation related to event-based prospective memory, in green: ongoing only tasks minus prospective memory tasks. not just the PM target. It seems possible instead that what has been detected here may be the neural signature of a process which effects automatic (i.e. unconscious) coordination of attentional resources between ongoing task performance and a delayed intention. A natural question is whether this process is distinct from those involved in conscious monitoring or (truly) “spontaneous” retrieval. Those who take a very hard line on the utility of neuroimaging findings for theorizing at an information processing level may argue that the information provided by Okuda et al. that relate to BOLD signal changes add nothing to this theorizing. However, there are two aspects of the Okuda et al. fMRI data that provide food for thought. The first is the location of these activations in medial caudal rostral PFC that accompanied the behavioural changes. These were probably not in the same section of medial PFC that often yields relative activation increases during the ongoing task (e.g. Burgess et al., 2003), being more caudal (there is a well-known rostal-caudal functional and anatomical distinction in medial PFC, see Gilbert, Spengler, Simons, Steele, et al., 2006). Second, there is the opposite pattern of activation in the anterior cingulate. Both these patterns invite speculation, and perhaps further behavioural investigations, regarding the multicomponential nature of prospective memory. 2.1.4. Characterising the determinants of rostral PFC activations Turning now to finding 4, this follows principally from the use of “conjunction-type” designs by Burgess et al. (2001, 2003), and is congruent with the current state of our knowledge about rostral PFC more generally (Burgess, Dumontheil, & Gilbert, 2007). There seem to be some rostral PFC regions which support process- ing which is at a level super-ordinate to the structural or semantic characteristics of visually-presented stimuli. However, there may be other rostral PFC sub-regions which are more sensitive to such differences. This has not, to our knowledge, been systematically investigated. The vast majority of PM neuroimaging studies have used visually-presented material. A notable exception is Okuda et al. (1998), and whilst this study did report rostral PFC involvement in similar regions to those reported in other studies that used visually-presented material, without a within-subjects repeatedmeasures type design, the possibility must remain that there may be functional specialisation within rostral PFC according to the sensory modality of input (visual, auditory, tactile, etc.). This is another promising avenue for future study. Finding 4 also emphasises that it seems, on current evidence, that characteristics of tasks that substantially alter the difficulty of the task are not those which appear most effective in provoking changes in activation patterns in rostral PFC. However, as finding 5 emphasises, there are some characteristics of PM tasks where the preliminary evidence might suggest a difference. One of these relates to the time-event distinction (see Fig. 2), where at this early stage of investigation one might wonder if the rostral PFC activations during PM conditions tend to be more medial than during event-based conditions. There is certainly early evidence for a timeevent localisation distinction from human lesion evidence: Volle et al. (2011) have recently demonstrated that lesions to the right rostral PFC in humans can cause deficits in time-based PM tasks, but not event-based ones. Clearly this may be a promising avenue for future research. However there are many additional factors that seem to affect rostral PFC activations during PM paradigms which Author's personal copy P.W. Burgess et al. / Neuropsychologia 49 (2011) 2246–2257 might also be investigated. Currently, these include: (a) variation in implicit cues (e.g. whether they are matched to the target category or matched to the action associated with the target, Hashimoto, Umeda, & Kojima, 2010); (b) the nature of the intention itself (e.g. Haynes et al., 2007 showed that it is possible to decode from activity in medial and lateral prefrontal cortex which of two tasks participants had freely chosen to do); (c) the form of the instruction given: Gilbert et al. (2009) found rostral PFC activation differences during a PM task according to whether the task instruction was either ““if the same letter is on both sides, then I can score 5 points” or “if the same letter is on both sides, then I will press the middle button. These differences occurred even though all other aspects of the paradigm were identical; (d) the characteristics of intention retrieval: Simons et al. (2006) found the largest differences in rostral PFC activation patterns during a PM task occurred when the action to be performed was more complex (e.g. “if the words appear in the same case, count the total syllables, and press the left key if ≤4, and the right key if >4” vs. “press a different key if the words are semantically related”). Overall, the patterns of rostral PFC activations seem less closely bound to the nature of the stimuli (e.g. whether they are words, faces, shapes, numbers, what colour, size or other physical property they have, appear singly or in combination, etc.) than they do to aspects which might affect the “stimulus-independent thought” aspects of the paradigms, and/or attending behaviour more broadly. 3. Findings in brain regions outside rostral PFC Finding 6 concerns activations outside rostral PFC that are also commonly found during PM tasks. A large proportion of them seem to be (bearing in mind the current temporal limits of our technology) co-activations with rostral PFC. In particular, there is a strikingly consistent finding in current functional neuroimaging studies of activation within BA 7 & 40 (precuneus; parietal lobe) in prospective memory studies. Activation within one, or both of, these regions is almost as common as for activation within rostral PFC (see e.g. Burgess et al., 2001; den Ouden, Frith, Frith, & Blakemore, 2005; Eschen et al., 2007; Gilbert et al., 2009; Hashimoto et al., 2010; Okuda, Gilbert, Burgess, Frith, & Simons, 2011; Poppenk, Moscovitch, McIntosh, Ozcelik, & Craik, 2010; Reynolds, West, & Braver, 2009; Simons et al., 2006). Interestingly, there may be agreement here with evidence from electrophysiological methods (e.g. West, Herndon, & Crewdson, 2001; for review see McDaniel & Einstein, 2007, pp. 183–189). It is too early to speculate upon the information processing significance of these activations. But two related points can be made. First, activations in this broad region can be seen at many stages of prospective memory tasks, including e.g. encoding (Eschen et al., 2007) and during the maintenance/retrieval context phases. Second, it is likely that sub-regions within BA 40 & 7 support different contributions to prospective memory. For instance, Poppenk et al. (2010) found angular gyrus (BA 7; MNI co-ordinates −39 69 48) activations for one condition (hits > misses) but also BA 7 activations (superior parietal lobe, −3 −51 69 and −24 −63 60) in the opposite contrast (misses > hits). Additionally, Hashimoto et al. (2010) found activations in the inferior parietal lobule (BA 40) that were higher in control conditions than in those relating to the PM intentions. The foci of these activations were quite inferior (46 −28 22 (control > target); 53 −41 30 (control > action). But activation of a slightly more superior region of BA 40 (inferior parietal lobule 55 −56 38) was found in a prospective memory block. Furthermore, Simons et al. (2006) found both BA 40 inferior parietal lobe activations (45 −42 51) and a right superior parietal focus (33 −57 51) in one of their contrasts (cue identification > uncontaminated ongoing task) but bilateral pre- 2253 cuneus (BA 7); 3 −33 54; −3 −48 60) activation in the opposite contrast. Indeed, they found activations in this broad region (BA 40/7) in a number of contrasts within the same experiment. Another region often implicated in prospective memory experiments is the anterior cingulate cortex (ACC, BA 32; Hashimoto et al., 2010; Okuda et al., 1998, 2007; Reynolds et al., 2009; Simons et al., 2006). The relation here is less strong than for rostral PFC or parietal regions, and as before, it is not yet possible to know the key aspects of the PM situation which are associated with such activations. But as with the rostro-parietal activations, it seems likely that in time functional distinctions between different sub-regions within ACC may be made. For instance, Okuda et al. (2011) report activations in right ACC (BA 32; 18 39 −6) when participants made their response to PM targets during phases when the interval between PM targets was expanding (compared with when it was contracting), but activation within another section of ACC (BA 32; 15 9 39) in the opposite contrast (contract > expand). There is too little data on PM paradigms to be sure whether these regions that are co-activated with rostral PFC during this class of task obey the general principles we have established about functional co-activations. However, these results do suggest that they might. Gilbert, Gonen-Yaacovi, Benoit, Volle, and Burgess (2010) investigated whether distinct subregions within rostral prefrontal cortex tend to co-activate with distinct sets of brain regions outside it, in a meta-analysis of 200 activation peaks within rostral PFC and 1712 co-activations elsewhere. The data was taken from any paradigm for which suitable data was available, so covered a very wide range of types of cognitive paradigm, from the simplest to the most complex. Gilbert et al. (2010) found that lateral rostral PFC activations were especially frequently associated with coactivations in anterior cingulate, dorsolateral PFC, anterior insula and lateral parietal cortex. Medial rostral PFC activations however tended to be associated with co-activation in posterior cingulate, posterior superior temporal sulcus and temporal pole. However, it was an additional finding which is especially important in the current context: Gilbert et al. (2010) showed that associations between brain regions inside and outside rostral PFC can be influenced by the type of task being performed. The most striking example was that whilst dorsolateral PFC, anterior cingulate and lateral parietal cortex tended to co-activate with lateral rostral PFC in most tasks, for mentalizing tasks these regions tended to co-activate with medial rostral PFC. As the PM neuroimaging literature grows, it will be interesting to determine if PM tasks similarly provoke a distinguishing pattern of co-activations, or follow the broader principles as apply for instance to retrospective memory paradigms. 4. Findings awaiting replication Findings 7–14 (Table 1) relate either to single findings within the field, or where there is substantial apparent difference in findings amongst studies, but where each finding seems nevertheless secure. It is only on these grounds that the recommendation is made that the findings should be replicated: this is not at all a comment on the quality of the individual studies. In general, these demonstrations also might perhaps emphasise how it is that at least some regions of rostral PFC seem to vary in their activity with demands that change attending behaviour. This is especially important in relation to the penultimate finding. As noted above, Okuda et al. (2011) have shown that systematic changes in target frequency can provoke both activation of some sub-regions of rostral PFC, and significant behaviour changes. However the participant may be completely unaware of the effect of these contingency changes upon their behaviour or mental life (in the sense of being able to provide any verbally report relating to them) (see also Hashimoto et al., 2010). It might be quite wrong therefore to think of the rostral Author's personal copy 2254 P.W. Burgess et al. / Neuropsychologia 49 (2011) 2246–2257 Fig. 3. Foci of activation within rostral PFC during studies of “prospection”, i.e. the act of considering or imagining future circumstances, incorporating “future thinking”. Studies involving prospective memory are considered separately in Fig. 2 (see text for full inclusion and exclusion criteria). PFC activations (especially the medial ones) always as signatures of some conscious thought processes, as one might consider those relating to e.g. “working memory”. Support, albeit tangential, is given by Okuda et al. (1998), who noted that whilst several areas activated during their prospective memory paradigm are also typically activated during working memory paradigms, the activations they found in the left frontal pole (area 10) during PM conditions are not typical of working memory paradigms (p. 130). Martin et al.’s (2007) study is unique amongst the current published studies since it is the first, and only, MEG study specifically addressing PM (note however that there are several previous electrophysiological studies of PM, especially by Robert West and colleagues). The authors found an early response (87 ms) within posterior parietal cortex during PM conditions (compared with retrospective memory or oddball conditions), plus hippocampal activity of longer duration in the retrospective and prospective memory conditions, relative to oddball. These findings are potentially very interesting, and the authors’ interpretations of them are inviting. Naturally, however, since this is the only study of its kind, replication would be of benefit. The last point of Table 1 (finding 14), concerns the issue of sustained and transient effects in rostral PFC. This is an important matter, and one which may aid greatly in linking activation to information processing models of cognition. However there is currently some discrepancy in the literature, which awaits explanation. Reynolds et al. (2009) find lateral BA 10 sustained responses during PM conditions (Table 1, p. 1215), which is broadly congruent with previous lateral BA 10 patterns of activation (e.g. Burgess et al., 2001). However, Gilbert et al. (2009) have clearly shown that lateral BA 10 can also be transiently associated with detection of PM targets (Table 2, p. 911, discussed on p. 912). There is thus evidence for both sustained and transient effects in lateral BA 10 during PM tasks. These findings, which seem secure in themselves yet invite contrast, await explanation. 5. Conclusion: from prospective memory to future thinking In recent years, investigators and theorists from various different disciplines (e.g. economics, cognitive neuroscience, psychology, anthropology) have shown an interest in an emerging field. This concerns itself with how people envisage future scenarios, and the effect that doing so has upon behaviour both in the present and the future. In general, it seems possible that the involvement of rostral PFC in prospective memory and also the many other forms of behaviour which have to do with imagining the future will unite this aspect of human behaviour into a new field, along the likes of “prospection” or “future thinking” (Atance & O’Neill, 2001; Boyer, 2008). Apart from the (largely) rather experimentally constrained paradigms from the cognitive neuroscience literature (see e.g. the large body of work relating to Shallice and McCarthy’s Tower of London test (Shallice, 1982, see Burgess, Simons, Coates, & Channon, 2005 for review) there has been little attention given, until recently, to investigation of how people plan for, and envisage future situations. However, in the last few years there have been exciting developments on this front (Addis, Pan, Vu, Laiser, & Schacter, 2009; Schacter, Addis, & Buckner, 2007, 2008; Spreng and Grady, 2010; Szpunar, Watson, & McDermott, 2007; Weiler, Suchan, & Daum, 2010; Williams et al., 1996). And there is a meeting point between studies of these cognitive phenomenon and prospective memory not only in a conceptual sense, but also in the prominent findings of rostral PFC activation when people are imagining future scenarios (e.g. Addis, Wong, & Schacter, 2007). Consider Fig. 3. This shows the MNI coordinates of rostral PFC activation in published neuroimaging studies involving future thinking. The studies Author's personal copy P.W. Burgess et al. / Neuropsychologia 49 (2011) 2246–2257 were selected from a PubMed search as follows: the terms ((future and intentions) OR “future intentions” OR (future and thinking) OR (thinking and intentions) OR (thinking and intention) OR (prospective and thinking) OR “future events” OR “prospection”) AND (PET OR fMRI OR neuroimaging) AND (“prefrontal” OR “PFC” OR “BA 10” OR “frontal pole”) had to be cited in either the title or abstract. The search was limited to studies of adults, published since 2000 in the English language. To this we added one paper identified in the review by Schacter et al. (2008). Only those studies reporting rostral prefrontal activation associated with future thinking were included, and the prospective memory studies included in Fig. 2 were excluded. The field of “future thinking” or, perhaps more elegantly, “prospection” (also sometimes called “mental time travel”) is more in its infancy than the study of prospective memory. In particular, there have been far fewer behavioural studies, and relatively little theory development. So it would be premature to draw strong conclusions from the patterns of activation shown in Fig. 3. Nevertheless, and with these caveats in mind, there are some tentative suggestions that might be put forward. The first is that rostral PFC activations appear to be extremely common in studies of prospection. The search above yielded 20 studies. Seven of these were excluded: five of them did not involve prospection, one study was not conducted on adults, and one was already included in the analysis of prospective memory presented here. Of the remaining thirteen studies, all but one reported activation in rostral PFC. So prima facie the link between activation in rostral PFC and “prospection” (i.e. the act of considering or imagining future events) seems almost as secure as the link we find with prospective memory. There is one exceptionally important caveat, however. This is that, as mentioned above, rostral PFC activations can be found during a very wide variety of psychological paradigm, from the very simplest (e.g. conditioning) to the very most complicated (e.g. “fluid intelligence” problems”), and crossing just about every cognitive domain, from vision, through language, memory, executive functions and so forth (see Gilbert, Spengler, Simons, Steele, et al., 2006). So whilst the apparent consistency with which rostral PFC activations are seen in studies of prospection might seem impressive, before asserting a noteworthy link we really need to demonstrate that this link is more secure than it is for other mental phenomena not qualifying as “prospection”. The second suggestion that might follow from the meta-analysis of studies of prospection concerns the location of the foci of activation relative to those found in the prospective memory studies. At casual glance, it would seem that a greater proportion of the activations during prospection paradigms are located towards the more medial aspects of rostral PFC. However: (a) this is only a comparison relative to the prospective memory studies; (b) there are also many activations outside the regions that would generally be thought of as medial rostral PFC (e.g. within approx. 20 mm of the midline); (c) there are far too few studies currently available to draw any strong conclusions about functional specialisation. Ideally perhaps, distinguishing between the foci of activation involved during performance of a particular cognitive capacity would be tested using a direct within-subjects comparison. This is exactly the kind of design that Benoit et al. (submitted for publication) have attempted with prospective memory. Their study aimed to see whether functional imaging data is consistent with the idea that the “rostral PFC attentional gateway” is involved in performance of prospective memory paradigms. The rostral PFC attentional gateway is a hypothetical cognitive mechanism proposed by the “gateway hypothesis” of rostral PFC function (Burgess, Dumontheil, et al., 2007; Burgess, Gilbert, et al., 2007; Burgess et al., 2006; Burgess, Simons, et al., 2005). This asserts that a principal purpose of rostral PFC is to control differences in attending between “stimulus-independent thought” (i.e. our inner mental 2255 life) and that involved in preferential attending to the external world (“stimulus-oriented attending”). Benoit et al. (submitted for publication) used a factorial design, crossing prospective memory (PM vs. no-PM) with mode of attending (stimulus-oriented (SO) vs. stimulus-independent (SI)), the latter of which has previously been shown to activate rostral PFC (e.g. Gilbert et al., 2005). The purpose of the experiment was to determine whether the foci of activations in PM were the same as those activated by SI/SO attention changes. They found that parts of mrPFC were jointly recruited during (i) mere ongoing task activity versus additional engagement in a PM task, and (ii) stimulus-oriented versus stimulus-independent processing. This is congruent with the notion that some of the processes mediating PM performance can be characterised by relative differences in these attentional modes as proposed by the gateway hypothesis (Burgess et al., 2008, 2009). At the same time, the PM contrast was consistently associated with more dorsal peak activation than the stimulus contrast, perhaps reflecting engagement of additional processes. It would be interesting, and theoretically noteworthy, to see similar methods applied to the mapping of rostral PFC activations during prospection vs. prospective memory. More generally, at the present time it seems possible that the currently larger topic of prospective memory may in the future be viewed as a (very important) sub-class of the broader topic of “prospection”. If this occurs, it will likely be driven to a substantial degree by this sort of interaction between theoretical and functional neuroimaging investigations. Key to this is the very special role that rostral PFC (and other PFC structures) seem to play in enabling people to engage in imaginative thought, aspects of which are critical to creating intentions for future acts (prospective memory), and considering the potential consequences of them (prospection). References Abraham, A., Schubotz, R. I., & von Cramon, D. Y. (2008). Thinking about the future versus the past in personal and non-personal contexts. Brain Research, 1233, 106–119. Addis, D. R., Pan, L., Vu, M. A., Laiser, N., & Schacter, D. L. (2009). 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