Neuropsychologia 50 (2012) 3663–3672 Contents lists available at SciVerse ScienceDirect Neuropsychologia journal homepage: www.elsevier.com/locate/neuropsychologia Counterfactuals in action: An fMRI study of counterfactual sentences describing physical effort Mabel Urrutia a, Silvia P. Gennari b,n, Manuel de Vega a a b Department of Cognitive Psychology, University of La Laguna, Tenerife, Spain Department of Psychology, University of York, York, UK a r t i c l e i n f o abstract Article history: Received 28 February 2012 Received in revised form 4 August 2012 Accepted 4 September 2012 Available online 10 September 2012 Counterfactual statements such as if Mary had cleaned the room, she would have moved the sofa convey both actual and hypothetical actions, namely, that Mary did not clean the room or move the sofa, but she would have done so in some possible past situation. Such statements are ubiquitous in daily life and are involved in critical cognitive activities like decision-making and evaluation of alternative outcomes. Here, we investigate the brain mechanisms and the nature of the semantic representations involved in understanding the complex meaning of counterfactual statements. We used fMRI to examine brain responses to counterfactual statements describing actions of high and low physical effort and compared them to similar factual statements describing the same actions. Results indicated that the inferior parietal lobule, known to support planning of object-directed actions, responded more strongly to higheffort than low-effort statements. Moreover, counterfactual statements, compared to factual ones, recruited a distinctive neural network partially overlapping with action execution networks. This network included medial pre-motor and pre-frontal structures, which underpin selection and inhibition of alternative action representations, and parahippocampal and temporal regions, involved in retrieving episodic memories. We argue that counterfactual comprehension recruit action-related networks encoding and managing alternative representations of behaviors. & 2012 Elsevier Ltd. All rights reserved. Keywords: Counterfactuals Language comprehension Supplementary motor area 1. Introduction Language is often used to describe actions in the world. In this function, language appears to recruit semantic representations that have been systematically linked to aspects of action planning and observation during the course of learning. Numerous behavioral studies report that words and sentences quickly influence motor responses, suggesting that language recruits motor-related information even in tasks in which attention is not specifically directed to motor content (Bub, Masson, & Cree, 2008; Caligiore, Borghi, Parisi, & Baldassarre, 2010; Glenberg & Kaschak, 2002; Scorolli, Borghi, & Glenberg, 2009; Tucker & Ellis, 2004; Zwaan & Taylor, 2006). Moreover, neuroimaging studies have shown that understanding action words and sentences recruits brain regions overlapping with those involved in performing and planning actions (Aziz-Zadeh, Wilson, Rizzolatti, & Iacoboni, 2006; Hauk, Johnsrude, & Pulvermuller, 2004; Pulvermuller, 2005; Tettamanti et al., 2005, 2008). For example, simple sentences referring to actions that imply varying degrees of physical effort (e.g., the delivery man has forgotten n Corresponding author. Tel.: þ44 1904 322877; fax: þ44 1904 323181. E-mail address: [email protected] (S.P. Gennari). 0028-3932/$ - see front matter & 2012 Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.neuropsychologia.2012.09.004 the piano, the delivery man is pushing the piano, the delivery man is pushing the chair) modulate activity in pre-motor regions also involved in action execution, thus suggesting that language recruits action representations as a function of fine-grained action properties (Moody & Gennari, 2010). Taken together, these findings indicate that language comprehension activates highly specific and detailed semantic representations of actions that are partially shared with those engaged in performing actions. Many instances of language use however may not fully recruit such detailed action representations because they do not refer to actual actions and thus are less likely to engage motor simulations. Yet factual language use has been the focus of most previous studies. Here, we investigate counterfactual language uses such as those in counterfactual statements, e.g., if Mary had cleaned the room, she would have moved the sofa, where linguistic references do not apply to real world events. The meaning of counterfactuals is rather paradoxical: counterfactuals are implicit negations (the described events did not happen), but at the same time they invite comprehenders to consider the alternative events as if they had happened (Byrne, 2002; Byrne & Tasso, 1999; De Vega, Urrutia, & Riffo, 2007; Roese & Olson, 1995). Thus, the above counterfactual statement implies multiple statements: that Mary did not actually clean the room nor move the sofa but that 3664 M. Urrutia et al. / Neuropsychologia 50 (2012) 3663–3672 she would have done so in some past alternative of the real world (Kratzer, 1989; Lewis, 1973). Such statements are ubiquitous in everyday life and are arguably involved in many high order cognitive activities such as decision-making, action planning (through the evaluation of alternative past outcomes), understanding of our own and others’ mental states and expressing feelings such as regret or relief (Byrne, 2002). Our goal in this work is to begin to elucidate the neural processing mechanisms and the nature of the semantic representations involved in understanding counterfactual actions. Specifically, we examine the extent to which sensory-motor action representations are recruited when understanding counterfactual actions, as compared to factual ones, and more generally, how the complex meaning of counterfactuals is processed. Previous research has not directly investigated these issues, as it has focused instead on reasoning, decision making, truth-value judgments, or other language processing issues (Baird & Fugelsang, 2004; Barbey, Krueger, & Grafman, 2009; Nieuwland, 2012; Nieuwland & Martin, 2012). Nevertheless, previous related studies provide important clues regarding counterfactual sentence processing and the kinds of sensory-motor representations that they may recruit. One possibility is that action representations in motor-related regions are activated for counterfactuals just as for factual sentences. Previous behavioral research indeed shows that reading counterfactual action sentences such as that exemplified above interferes with the planning of an action response (De Vega & Urrutia, 2011) like simple action sentences do (Glenberg & Kaschak, 2002). This possibility is also consistent with related neuroimaging studies reporting motor and pre-motor activations for metaphorical language uses, e.g., grasp the idea, which suggest that non-literal language nevertheless engages pre-motor brain regions overlapping with action execution networks (Boulenger, Hauk, & Pulvermüller, 2009; Santana & de Vega, 2011; Wilson & Gibbs, 2007). Another possibility is that the multiple representations triggered by counterfactual sentences elicit stronger activations than factual sentences, because these representations compete with each other, and thus engage pre-frontal inhibition or control processes. In text comprehension, for example, counterfactual actions, are less accessible in memory upon later mention in the discourse (De Vega et al., 2007) and are poorly integrated with the ongoing discourse representation, as reflected by desynchronization of gamma activity in EEG (Urrutia, De Vega, & Bastiaansen, 2012). Patients with Parkinson disease and pre-frontal cortex lesions (often medially located) are also impaired in counterfactual generation and reasoning, and this impairment correlates with poor performance in a variety of executive function measures such as response inhibition in Stroop tasks (Beck, Riggs, & Gorniak, 2009; Gómez-Beldarrain, Garcı́a-Monco, Astigarraga, González, & Grafman, 2005; McNamara, Durso, Brown, & Lynch, 2003). Moreover, studies in social cognition have argued that counterfactual reasoning and thinking engage prefrontal control processes because these tasks, like theory of mind tasks, require the decoupling of alternative from actual states (Baird & Fugelsang, 2004; Barbey et al., 2009; Fritz & Frith, 2003; Hanakawa et al., 2002; Krueger, Barbey, & Grafman, 2009; Ursu & Carter, 2005). Supporting this possibility, related language and action research also suggests that counterfactuals may engage competition between alternative interpretations specifically in medial prefrontal regions. Imaging studies investigating discourse comprehension for example report the recruitment of medial pre-frontal regions around supplementary motor area (SMA) in understanding connected sentences, due to increased demands in maintaining multiple representations across sentences (characters’ goals, locations, actions, etc.) (Ferstl, Neumann, Bogler, & von Cramon, 2008; Ferstl & von Cramon, 2001; Goel, 2007; Knauff, Mulack, Kassubek, Salih, & Greenlee, 2002; Speer, Reynolds, Swallow, & Zacks, 2009; Yarkoni, Speer, & Zacks, 2008). Similarly, TMS, neuroimaging and electrophysiological studies indicate that pre-SMA and SMA, are involved in resolving competition among alternative physical actions in go/no-go tasks, task switching and stop tasks (Chen, Muggleton, Tzeng, Hung, & Juan, 2009; Rushworth, Hadland, Paus, & Sipila, 2002; Simmonds, Pekar, & Mostofsky, 2008). Among the neurons recorded in the macaque pre-SMA during task switching for example, there are neurons responding to all alternative task responses that fire before an action is performed, suggesting that they exert a modulatory role in inhibiting one response and selecting another (Isoda & Hikosaka, 2007). To examine these possibilities, we presented Spanish-speaking participants with factual and counterfactual statements referring to actions that varied in their degree of effort—high vs. low effort (2 by 2 design). These actions critically involved the use of hands, although complex actions also involved other body parts. Example sentences and their English translations are provided in Table 1. Participants saw the sentences and were occasionally asked comprehension questions to guarantee that they understood their meaning. A separate motor task was also conducted to evaluate the overlap between action execution and language. Previous results examining simple sentences have found sensitivity to physical effort in pre-motor cortex (Moody & Gennari, 2010) and sensitivity to object manipulation in parietal structures (Chao & Martin, 2000; Just, Carpenter, Maguire, Diwadkar, & McMains, 2001; Just, Newman, Keller, McEleney, & Carpenter, 2004; Rueschemeyer, van Rooij, Lindemann, Willems, & Bekkering, 2009). We therefore expected that if actions in counterfactual sentences are processed as actions in factual sentences, sensitivity to effort but no difference between counterfactual and factual statements should be observed in action-related pre-motor and parietal regions overlapping with the action execution. Moreover, if counterfactual understanding involves competition between multiple action representations, as discussed above, they should elicit stronger responses than factual statements in medial prefrontal regions, in addition to motor-based regions contributing to action representations. Table 1 Example sentences in the reading task. Conditions Example sentence Factual Low-effort High-effort Counterfactual Low-effort High-effort Como Pedro decidió pintar la sala, está moviendo la foto. ‘‘Since Pedro decided to paint the room, he is moving the photograph.’’ Como Pedro decidió pintar la sala, está moviendo el sofá. ‘‘Since Pedro decided to paint the room, he is moving the sofa.’’ Si Pedro hubiera decidido pintar la sala, habrı́a movido la foto. ‘‘If Pedro had decided to paint the room, he would have moved the photograph.’’ Si Pedro hubiera decidido pintar la sala, habrı́a movido el sofá. ‘‘If Pedro had decided to paint the room, he would have moved the sofa.’’ M. Urrutia et al. / Neuropsychologia 50 (2012) 3663–3672 3665 2. Methods 2.4. Design and procedure 2.1. Participants Before scanning, each participant was briefly trained in the language comprehension task and in the execution task. The reading task preceded the motor task as described below. Eighteen healthy right-handed Spanish native speakers with normal or corrected-to-normal vision (13 women, 5 men; mean age ¼31 years) participated in the experiment. All participants attended graduate or postgraduate courses in the University of York, UK. All gave written informed consent and were paid for their participation. 2.2. Materials The materials consisted of 120 Spanish sentences, arranged in 30 items. For each item, four sentence versions were constructed, one for each of the conditions of the factorial design: counterfactual high-effort, counterfactual low-effort, factual high-effort, and factual low-effort sentences. See Appendix for the list of stimuli. The item set also included 30 filler two-clause sentences containing psychological actions (e.g., examine, think) to add action-content variability to the stimulus set and minimize attention to the action repetition across factual and counterfactual sentences. These filler items were not included in the main analysis contrasts. Experimental sentences contained two clauses: antecedence and consequent. The two effort versions of each item used the same action verbs and only differed in the object involved in the action (effort manipulation: move the sofa/the photograph). These verbs were translations from Moody and Gennari’s stimulus verbs, which were shown to describe hand actions in a rating study, although other body parts were also involved in the high-effort sentences (Moody & Gennari, 2010). The verbs and object nouns across conditions were matched for length and frequency according to a Spanish word frequency dictionary (Davis & Perea, 2005). Thus, comparisons of high-effort objects and low-effort objects did not show any statistical difference in log frequency (higheffort: M ¼ 1.02; SD ¼0.48; low-effort: M¼ 1.00, SD ¼ 0.42; t(29)¼0.23, p4 .05), or length (high-effort: M ¼ 5.83, SD ¼ 1.57; low-effort: M ¼5.88, SD ¼1.69; t(29)¼ 0.09, p 4.05). Factual and counterfactual sentences had the same lexical content but differed in one word: the verb auxiliary habrı́a (would have), which is a high frequency function word indicating the counterfactual interpretation (see Table 1). This length difference is inevitable, as there is no way to compare these two sentence types in natural language without also including length differences. However, this difference is unlikely to influence activity in the regions targeted here, as length differences have been found in occipital visual areas (Indefrey et al., 1997). 2.2.1. Stimulus pre-tests To guarantee that the manipulation of physical effort was appropriate and that our stimulus sentences were equally plausible across conditions, we conducted two norming studies. The first study asked participants to indicate in a scale of 1 to 7 the degree of effort required to perform the action described. Ninety nineSpanish speakers from the Universiy of La Laguna (Spain) participanted in this study. The stimulus sentences only contained the consequent clause in its factual format, for example, Pedro is moving the sofa. Sentences were arranged into different lists so that each participant only saw one version of each item. Pair-wise comparisons indicated that there was a significant difference between high and low-effort sentences (high-effort: M¼ 5.43, SD ¼ 0.69; low-effort: M ¼2.7; SD ¼ 0.76; t(29)¼ 24.70, p o 0.0001). The second norming study asked participants to indicate in a scale of 1 to 7 how plausible the stimulus sentences were. Another group of 36 native Spanish speakers, students at the University of La Laguna (Spain) completed a questionnaire. Sentences were arranged into different lists so that each participant only saw one version of each item. Pair-wise comparisons indicated that there was no significant difference between sentence conditions (low-effort factual: M ¼4.96, SD ¼ 0.8; high-effort factual: M ¼ 5.24, SD ¼0.97; low-effort counterfactual: M ¼ 4.45, SD ¼1.19 and high-effort counterfactual: M ¼ 4.87, SD ¼1.02, all ps4.05). 2.3. fMRI data acquisition parameters Images were obtained with a 3 T GE Signa Excite MRI scanner. Functional images were obtained in an interleaved fashion using a gradient-echo EPI sequence (TR 2000 ms, TE 50 ms, flip angle 90 degrees a matrix 64 64, field of view 24 cm) with 625 volumes, corresponding to 32 axial slices of thickness 3.5 mm for the linguistic task and 171 volumes for the motor task. The voxels dimensions for the main tasks were 3.5 4.06 4.06 mm. Functional images excluded a portion of the cerebellum. Whole-brain high-resolution structural images (of 1 mm isotropic voxels) were obtained for each participant while resting. The experimental session lasted approximately 40–45 min. 2.4.1. Reading comprehension task Participants were instructed to fully understand the meaning of the sentences and occasionally answer comprehension questions by pressing the YES or NO response key when a question appeared (catch trials). This task used an event related design. In each event, participants read a factual or counterfactual sentence. Each sentence stimulus was presented in the screen in white 34 pt font on a black background lasting for 4 s and was followed by a fixation cross of randomly variable duration (average 5600 ms). The order and timing of the stimulus sentences was optimized using the Optseq tool (http://surfer.nmr.mgh. harvard.edu/optseq/), which schedules events for rapid presentation in eventrelated designs by calculating the most efficient random order of conditions and inter-trial intervals. The order of event types across the experiment was thus such that every condition followed any other condition with equal probability (about 20% of the total number of trials). The four versions of an item (high-effort factual, high-effort counterfactual, low-effort factual and low-effort counterfactual) were counterbalanced across items so that 16 possible presentation orders of the 4 versions of an experimental item were equally represented, although they were never close in time across the experiment. (For example, if the presentation order for item 1’s versions was ‘‘high-effort counterfactual, low-effort factual, low effortcounterfactual, high-effort factual’’, item 2’s versions would follow the reverse order, item 3’s versions would follow a different order and so on for all item). This minimizes order effects because the content of an item and its versions cannot be predicted across the experiment. Moreover, the average activity across all items for a given condition was obtained from cases presented at different times across the scanning session and in different orders relative to the other conditions of the same item. Thus, the activity elicited say, by counterfactual high-effort sentences cannot be attributed to the fact that these sentences were read in a particular order relative to either their factual or low-effort counterparts. Comprehension questions (catch trials) were used to check that participants indeed read the sentences for meaning. These trials occurred in 17% of the total number of trials (27 catch trials in total) and were treated as separate events in the analyses (see below). Questions always referred to the preceding sentence and were written in capital letters for easy identification. The inter-trial times between sentences and questions were determined by the scheduler as indicated above, so that their activity could be estimated separately from other trial types. The questions queried either the antecedent or consequent clause with similar frequency to encourage attention to the entire sentence (e.g., for the factual versions in Table 1, the questions could be Was Pedro moving the sofa? or Did Pedro decide to paint the room? for ‘‘yes’’ answers, and Was Mary moving the sofa? or Did Pedro clean the room? For ‘‘no’’ answers; counterfactual versions had similar questions in either positive or negative format to yield negative or positive answers—e.g., Was Pedro not moving the sofa?. The questions were evenly distributed across sentence types (counterfactuals, factuals and fillers) to guarantee that participants could not predict whether a question would be asked. Thus, across the experiment, nine questions referred back to counterfactual statements, nine to factual ones and nine to filler sentences. Across the experiment and across conditions, there were roughly equal numbers of ‘‘yes’’ and ‘‘no’’ responses. Taken together, the features of this design therefore make it very unlikely that the activity elicited by the 17 catch trials had an unexpected influence on the brain activity elicited by the reading trials, or by a specific trial type (condition). The reading task lasted 22 min. 2.4.2. Action execution task This task was structured in 12 blocks presented randomly (6 blocks per effort condition). Between blocks there were resting periods of 18 s each. In each block of the action execution task, participants were asked to squeeze a soft toy ball repeatedly, in response to the symbol ‘‘@’’ presented in the center of the screen on a black background. This symbol was presented in different colors, prompting participants to apply effort in the squeezing task or not to apply any force (holding without squeezing), which was used as baseline comparison. A block started with a colored symbol that kept flashing every 2 s on the screen for 12 s. Every time participants saw the symbol, they either squeezed the ball or held it, depending on the block condition. This task lasted 6 min. 2.5. Data analysis Preprocessing and statistical analysis were performed using FSL tools (the software library of the Oxford Centre for Functional MRI of the Brain (FMRIB); www.fmrib.ox.ac.uk/fsl). First-level and higher-level analyses were separately carried out for each task, using FEAT (FMRI Expert Analysis Tool). Pre-processing steps included motion correction (Jenkinson, Bannister, Brady, & Smith, 2002), slice-timing correction, brain extraction, spatial smoothing using a Gaussian 3666 M. Urrutia et al. / Neuropsychologia 50 (2012) 3663–3672 kernel of full-width-half-maximum (FWHM) 8 mm, and high-pass temporal filtering (Gaussian-weighted least-squares straight line fitting, with sigma¼ 25.0 s.). Head movement in the scanner did not exceed 0.9 mm across participants and was 0.4 mm on average. Time-series analysis was carried out using FILM (FMRIB’s Improved Linear Model) with local autocorrelation correction (Woolrich, Ripley, Brady, & Smith, 2001). Time series were modeled with covariates representing the trial structure and conditions convolved with a hemodynamic response function (gamma function). Each event type was modeled as starting at the beginning of the stimulus presentations and lasted as long as the stimulus stayed on the screen. There were four explanatory variables (EVs) for each condition (high-effort counterfactual, high-effort factual, low-effort counterfactual and low-effort factual) and two additional EVs for catch trials and filler trials. For the experimental trials, a total of four contrasts were computed, obtaining the main effect of each sentence condition (high-effort-counterfactual, low-effort-counterfactual, high-effort-factual, low-effort-factual) relative to rest (e.g., 1, 0, 0, 0, 0, 0). For the action execution data, a contrast was computed comparing the effort condition to the no-effort condition (i.e., squeezing vs. holding the toy ball). Registration to high-resolution individual space and standard MNI space was carried out using FLIRT (FMRIB’s linear image registration tool) for each individual participants and both data sets (language and execution data) (Jenkinson et al., 2002; Jenkinson & Smith, 2001). Mixed-effect statistics were used for higher-level analyses. z (Gaussianised T/F) statistic images were thresholded at clusters determined by z 42.3 and a (corrected) cluster significance threshold of p ¼0.05 (Worsley, Evans, Marrett, & Neelin, 1992). The lower-level contrast parameter estimates that were obtained for each participant in each of the four sentence conditions were entered into the higher-level analysis. Main effects (counterfactual 4factual, high4low-effort) and interactions were then calculated, using conditions as repeated factors. These higher-level analyses were conducted within the left and right cerebral cortex separately from which the occipital pole and auditory cortex (as defined the Harvard–Oxford cortical structural atlas and the Juelich histological atlas) had been removed in order to target expected regions and increase statistical power. 2.5.1. Region of interest analysis A region of interest (ROI) was employed to evaluate the hypothesis that the inferior parietal lobe would be sensitive to the effort manipulation. An anatomically defined ROI of inferior parietal structures (labeled used as ‘‘supramarginal gyrus’’ in the Harvard–Oxford Atlas) was used to this end. This ROI targeted portions of the parietal lobe – the intraparietal sulcus (IPS) and the gyri inferior to it – that have been previously reported to be active for language understanding and object-directed action planning but were not fully included in the (statistically corrected) action execution results. This is because our motor task was not designed to specifically detect object-related information but rather hand-action planning and execution. To detect object-directed action information, an execution task in which participants manipulate objects of varying size and weight should have been used, as in our linguistic effort manipulation. However, task duration and practical constraints precluded the use of large objects and various handgrip types as described in the sentences (e.g., moving a sofa). Nevertheless, a large body of evidence particularly concerning object manipulation amply justifies the independent targeting of inferior parietal structures, including the IPS: Apraxic patients with parietal lesions have specific impairments in planning object-directed hand actions (Binkofski et al., 1998; Buxbaum, 2001; Buxbaum, Johnson-Frey, & Bartlett-Williams, 2005; Buxbaum, Kyle, Grossman, & Coslett, 2007). Electrophysiological recordings in monkeys also suggest that posterior parietal regions, which are homologue with the human IPS, encode transformations from object features such as shape, size and weight into hand motor plans (Grefkes, Weiss, Zilles, & Fink, 2002; Jeannerod & Decety, 1995; Murata, Gallese, Luppino, Kaseda, & Sakata, 2000; Rizzolatti, Ferrari, Rozzi, & Fogassi, 2006; Rizzolatti, Fogassi, & Gallese, 1997). Numerous neuroimaging and TMS studies investigating action planning and/or conceptual representations have also shown that inferior parietal structures such as the IPS respond strongly to planning tool actions, viewing or naming tools, reading descriptions of actions and evaluating the manipulability of objects (Chao & Martin, 2000; Culham & Valyear, 2006; Gre zes & Decety, 2001; Johnson-Frey, Newman-Norlund, & Grafton, 2005; Kellenbach, Brett, & Patterson, 2003; Moody & Gennari, 2010; Noppeney, Josephs, Kiebel, Friston, & Price, 2005; Tettamanti et al., 2005). 3. Results 3.1. Counterfactual vs. factual language The higher-level analysis of the reading task within each hemisphere (see above Section 2.5) revealed that counterfactual sentences elicited stronger activity than factual sentences in a cluster centered in the left superior frontal gyrus (BA6) (cluster corrected, z¼2.5, p ¼.05). This cluster extends ventrally to the Counterfactual > Factual Sentences L L 4.8 2.5 High-effort > Low-effort Sentences L 2.3 L 3.0 Fig. 1. Language results superimposed on the action performance results (cluster corrected, zZ2.3, p¼.05). The area in red shows the significant cluster for the language task, the area in green indicates the action execution results and that in blue indicates the overlap between the two tasks. The area in yellow in the bottom images shows a view of the parietal lobe region of interest. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) cingulate gyrus (BA 24, 32) and anteriorly to the medial frontal gyrus, including aspects of the supplementary motor area (SMA), as defined by the Harvard–Oxford Atlas. Importantly, this cluster partially overlapped with the action execution results from our execution task in pre-motor regions. The significant cluster is shown in red in the top panel of Fig. 1 and the overlap with the execution task is shown in blue. Additional activations for the counterfactual–factual contrast were also found in both left and right parahipocampal gyrus (BA19) as well as the right inferior temporal gyrus (BA37) (see middle panel of Fig. 1). Parahipocampal and inferior temporal structures are involved in lexical and episodic memory retrieval (Paller & Wagner, 2002) and have been associated with the generation of alternative episodic memories to be evaluated in consequential and future thinking (Baird & Fugelsang, 2004; Schacter & Addis, 2009; Schacter, Addis, & Buckner, 2007). No interactions were observed in this analysis. (A separate analysis using the contrast factual4counterfactual sentences revealed no significant differences). These results thus suggest that more cognitive effort is involved in processing counterfactual than factual statements, engaging posterior structures aiding knowledge and episodic retrieval, as well as pre-motor and medial structures known to be involved in action selection and M. Urrutia et al. / Neuropsychologia 50 (2012) 3663–3672 3667 Table 2 Summary of results (active regions). Contrast Location Counterfactual– factual L superior frontal gyrus High effort–low effort MNI coordinates Nearest (x, y, z) BA 6, 4, 62 6, 6, 60 L cingulate gyrus 4, 12, 42 L medial frontal gyrus 10, 36, 48 R inferior temporal gyrus 53, 56, 10 R parahippocampal gyrus 28, 52, 10 L parahippocampal gyrus 24, 56, 8 Inferior parietal lobule 40, 44, 40 Supramarginal gyrus 42, 44, 38 6 24 32 8 37 19 19 40 40 Fig. 3. Effect size of each condition compared to rest within the significant cluster found in the inferior parietal lobule. Error bars indicate standard errors. Fig. 2. Effect size of each condition compared to rest within the significant cluster found in the superior frontal gyrus. Error bars indicate standard errors. evaluation of alternatives (Nachev, Wydell, O’Neill, Husain, & Kennard, 2007; (Krueger & Grafman, 2008; Mostofsky & Simmonds, 2008; Nachev et al., 2007). Table 2 reports the coordinates of the active regions. To examine the activation levels for each condition within the significant clusters of activation, we extracted t-values for each subject derived from the contrast of each sentence condition relative to rest baseline, which represent normalized indices of effect sizes (Postle et al., 2000). These t-values (effect sizes) were then used as dependent variables in random-effect group analyses (Woods, 1996). Effect sizes for each condition and within the superior frontal gyrus are shown in Fig. 2. For the superior frontal gyrus cluster, a repeated measures ANOVA with the effect size as dependent variable and sentence type (factual vs. counterfactual) and effort (high vs. low effort) as factors revealed a main effect of sentence type (F(1, 17)¼20.25, po.0001), with no other effect or interaction. The same pattern was obtained in the right inferior temporal gyrus (F(1, 17)¼9.89, p¼.006), and the left and right parahippocampal gyri (F(1, 17)¼7.89, p¼.003; F(1, 17)¼19.13, po.0001). These results thus confirm the sentence type effect in the significant clusters of Fig. 1 (top and middle panel) and furthermore indicate no further sub-threshold interactions or effects within these clusters. 3.2. Effort effects in language The higher-level analysis of the reading task within each hemisphere reported above (see Section 2.5) revealed no significant cluster sensitive to the effort main effect. As can be inferred from the analysis above (see Fig. 2), activity in pre-motor cortex was only sensitive to the factuality manipulation. To specifically test the hypothesis that activity within parietal structures varies as a function of the effort conveyed in the sentence, we used an anatomically defined ROI of inferior parietal structures containing regions that were not fully included in the execution task (see Section 2.5.1). This analysis revealed a cluster of voxels that was sensitive to the effort manipulation: high effort vs. low effort (cluster corrected, z¼2.3, p¼.05), and is shown in red and blue in the bottom panel of Fig. 1. As for the factuality effect, we examined whether the effort-sensitive language activity overlapped with that of action execution by overlaying the execution results (shown in green in Fig. 1) and the language results within the inferior parietal ROI. The cluster in blue represents the overlap between the two, and the areas in yellow shows a view of the parietal ROI. This confirms that a portion of the parietal lobe that was engaged in action execution was more sensitive to high-effort than low-effort sentences, although other neighboring regions outside the execution results were also engaged. Indeed, the location of this parietal cluster was more medial, including the inferior portion of the IPS (see coordinates in Table 2), than in other language studies contrasting action verbs (Noppeney et al., 2005; Tettamanti et al., 2005, 2008; Moody & Gennari, 2010). This is consistent with a large body of evidence in object manipulation (see above) and the fact that our study compared the same action across different objects (moving the sofa/the photograph) rather than across different verbs, thus detecting object-specific action properties. To examine this effort effect in more detail, and in particular, to see whether the effort effect obtains for both counterfactual and factual sentences, we extracted the effect sizes for each sentence condition relative to rest baseline in each subject’s data, and conducted further statistics across subjects. A repeated measures ANOVA with effect size as the dependent variable and sentence type (factual vs. counterfactual) and effort (high vs. low effort) as factors revealed a main effect of effort (F(1, 17) ¼6.54, p¼.02), with no other effect or interaction (Fig. 3). Planned contrasts between high-effort vs. low-effort conditions revealed similar effects. The contrasts between high-effort vs. low-effort counterfactuals and between and high-effort vs. low-effort factual sentences were significant in one-tailed tests (t(1,17)¼1.73, p¼.05; t(1,17)¼1.94, p ¼.035). These results and the lack of interaction suggest that the effort manipulation affected both factual and counterfactual sentences alike, although numerically, there was a larger effect in factual sentences. These results thus suggest that counterfactual sentences elicit a similar pattern of activity to factual sentences in parietal structures also recruited for action execution. 3668 M. Urrutia et al. / Neuropsychologia 50 (2012) 3663–3672 4. Discussion The present study aimed to examine how the complex meaning of counterfactuals is processed and represented in the brain, with special attention to the sensory-motor character of the representations involved and the potential conflict between multiple (factual and counterfactual) action representations. We found that in the parietal cortex, but not the pre-motor cortex, both factual and counterfactual sentences describing high-effort actions elicited stronger responses than those describing loweffort actions. Moreover, counterfactual sentences elicited stronger activity than their factual counterparts in a large pre-motor and pre-frontal medial cluster, including the SMA and extending ventrally towards the cingulate gyrus and anteriorly along the medial superior frontal gyrus. A counterfactual vs. factual effect was also found in right inferior temporal and bilateral parahippocampal structures. The involvement of superior medial structures and the SMA suggests that control processes, rather than the activation of action properties in pre-motor cortex, take place in counterfactual comprehension, since the primary function of these regions is inhibition and management of multiple action representations (Mostofsky & Simmonds, 2008). The present results suggest that action representations are computed in parietal cortex whether or not the overall discourse implies that the actions occur in the actual world. These action representations are further processed by medial pre-frontal structures, which receive afferent connections from the parietal lobe (Mostofsky & Simmonds, 2008) and may manage the multiple (actual and possible) action representations in counterfactual statements. This pattern of results indicates that whereas actionrelated activations appear similar to those of simple action sentences in the parietal cortex, prefrontal medial structures, which are commonly activated in discourse processing and social cognition tasks, play an additional role in understanding counterfactuals. We discuss these results and their implications in more detail below. 4.1. Effort modulation in factual and counterfactual sentences The effort modulation in inferior parietal regions near the IPS, which overlapped with regions active during action execution, suggests that object-directed motor plans and object manipulation knowledge were recruited in language comprehension. Note that the amount of effort implied by the sentences can only be derived from the properties of the objects being talked about (e.g., photograph vs. sofa in Table 1), as the action referred to by the verb is the same (e.g., moving). The recruitment of object-related information is in line with numerous neuroimaging, electrophysiological and TMS studies. Inferior parietal structures, including the IPS, have been shown to serve planning and execution of actions, the understanding of action sentences, conceptual judgments about manipulable objects, judgments of someone’s beliefs about an object’s weight, and processing of spatial relations between objects (Damasio et al., 2001; Kellenbach et al., 2003; Noppeney et al., 2005; Rueschemeyer et al., 2009). Specifically, the IPS is active in planning object-oriented actions and is proposed to encode transformations from object features such as shape, size and weight into hand motor plans, thus supporting the selection of appropriate motor programs for action (Jeannerod and Decety, 1995; Rizzolatti et al., 1997; Binkofsky et al., 1998; Murata et al., 2000; Grefkes et al., 2002; Johnson-Frey et al., 2005; Rizzolatti et al., 2006). Lesion studies confirm this view, as patients with lesion in inferior parietal regions have difficulty with hand-object interactions (Buxbaum, 2001; Buxbaum et al., 2005, 2007). The focus on object-specific actions in the present study explains that the language activity did not fully overlap with the action execution results: the execution task was designed to reveal hand-related execution areas and, due to practical limitations, did not include actions with objects of different size and weight, which frequently involve other body parts, as the linguistic stimuli did. The focus on object-specific actions also explains the differences in activation sites found across several language studies. Studies reporting more lateral activation sites in inferior parietal cortex have targeted contrasts across different actions, i.e., verbs (Tettamanti et al., 2005; Noppeney et al., 2005) whereas studies reporting IPS activity or more medial aspects of the inferior parietal lobule have contrasted object manipulations elicited by visual or linguistic stimuli (Chao & Martin, 2000; Just et al., 2004, 2001; Binder, Desai, Graves & Conant, 2009). This is consistent with Moody and Gennari’s effort results in that the direct contrast between high- and low-effort sentences was not significant in lateral parietal regions but the contrast across actions was (is pushing the piano vs. has forgotten the piano). More generally, the fact that both factual and counterfactual sentences were similarly modulated by physical effort in parietal structures suggests that the greater number of alternative representations implied by counterfactual statements did not modulate these regions. This is consistent with previous claims arguing that the inferior parietal lobule encodes schematic action information linked to specific object properties but does not manage competition between alternative representations (Glover, 2004). Instead, such competitive processes are thought to involve dorsolateral, ventrolateral or medial prefrontal cortex, depending on the nature of the stimulus and task (Miller & Cohen, 2001; Simmonds et al., 2008; Thompson-Schill, 2003; ThompsonSchill, Bedny, & Goldberg, 2005). These pre-frontal regions have been shown to cooperate with parietal regions during action planning or execution in electrophysiological studies (Fuster, 2001; Quintana & Fuster, 1999), thus suggesting that a similar functional network may be engaged during language comprehension. One issue that remains unexplained so far is the unexpected absence of an effort effect in pre-motor cortex, even though our study specifically targeted motor actions following previous action and language studies (Chouinard, Leonard, & Paus, 2005; Cramer et al., 2002; Moody & Gennari, 2010). Along the lines of our discussion of the parietal results above, it is possible that the effort contrast was not observed in this study because the stimuli only included differences in the manipulated object (e.g., moving the sofa vs. moving the photograph), whereas previous language stimuli (Moody & Gennari, 2010) included a main effect of action (forget the piano vs. push the piano) together with the effort effect (forget the piano opush the chairopush the piano), thus identifying voxels sensitive to all contrasts. This is consistent with the fact that object manipulations and object size and weight in general are associated with the parietal cortex and not the pre-motor cortex, as reviewed above (Just et al., 2001, 2004; Rueschemeyer et al., 2009), whereas contrasts between actions (body-parts or physical vs. non-physical actions) give rise to pre-motor effects (Aziz-Zadeh et al., 2006; Hauk et al., 2004; Rüschemeyer, Brass, & Friederici, 2007; Tettamanti et al., 2005). Thus, if pre-motor cortex responds more strongly to action contrasts than object contrasts, this may explain the absence of an effect in these regions in the present study. Another possible explanation for the lack of this effect is that discourse stimuli involve more complex interactions across the processing network, which may overshadow small effects in premotor cortex. Maintaining information across the antecedent and consequent clauses, establishing a relationship between them and inferring their implications for the actual world surely involve M. Urrutia et al. / Neuropsychologia 50 (2012) 3663–3672 additional processes and brain structures that are not present in simple subject–verb–object sentences used in previous studies. The proximity of pre-motor structures to the medial cluster found here may have therefore led to lack of detection sensitivity when more blood flow is required in a nearby region. This is consistent with discourse processing studies, which tend to report activity in medial structures (Speer et al., 2009; Yarkoni et al., 2008; Ferstl & Von Cramon, 2001, Knauf et al., 2002; Goel, 2007), and with the fact that increased BOLD response in a cluster is often accompanied with decreased BOLD response in surrounding regions—a consequence of metabolic processes or the complex dynamics of neural assemblies (Shmuel et al., 2002; Pasley et al., 2007). Clearly, further research is needed to distinguish between these alternative explanations. 4.2. Factuality modulations in pre-motor and prefrontal regions The most interesting result obtained in this study is the difference between counterfactual and factual statements in medial pre-motor and pre-frontal structures. Although it is possible that some portions of the observed medial structures include regions encoding motor schemas, the recruitment of the SMA and medial pre-frontal structures is typically taken to reflect modulatory mechanisms, rather than the mere activation of motor features (e.g., Miller & Cohen, 2001; Fuster, 2001). As mentioned in the introduction, the SMA and medial prefrontal structures are involved in modulating (inhibiting and selecting) competing motor plans, often in conjunction with parietal structures (Mostofky & Simmonds, 2008). The critical role of these regions in response selection and inhibition is demonstrated by lesion studies and electrophysiological recordings (Isoda & Hikosaka, 2007; Keysers & Gazzola, 2010; Mukamel, Ekstrom, Kaplan, Iacoboni, & Fried, 2010; Nachev et al., 2007). Neurons recorded in the human SMA during action observation and execution for example exhibit anti-mirror properties, i.e., they increase their firing during execution but decrease it during observation, implying inhibitory mechanisms that suppress unwanted imitation (Mukamel et al., 2010). Such inhibitory processes may appear as increased activation in the BOLD signal, as in many fMRI studies, because they consume as much energy as excitatory processes (Keysers & Gazzola, 2010). The multiple meanings of counterfactual sentences are therefore very likely to be responsible for the activations observed in medial prefrontal structures. Compared to factual sentences describing the same events, counterfactual sentences imply two alternative representations of an event, one that did not actually occur, and another that would have occurred, given the appropriate circumstances. Such representations require more cognitive effort, as they must be kept separate to fully understand the counterfactual interpretation. This is consistent with evidence suggesting that cognitive tasks requiring the management of alternative representations engage medial pre-frontal regions, as in discourse processing, and furthermore, with the fact that prefrontal patients and young children are impaired in counterfactual reasoning (Beck et al., 2009; Gómez-Beldarrain et al., 2005; Hanakawa et al., 2002; Owen, McMillan, Laird, & Bullmore, 2005; Petrides, 2000; Tanaka, Honda, & Sadato, 2005). Moreover, the fact that portions of the cingulate gyrus were included within the main cluster of medial activations is also consistent the role of this region in response conflict monitoring (Botvinick, Cohen, & Carter, 2004). Thus, the modulatory role of medial structures in behavior is also recruited for language comprehension and other cognitive tasks when multiple representations need to be managed. The multiple meaning of counterfactuals also explains the additional parahippocampal and right temporal activations 3669 observed in this study. These structures are involved in lexical and episodic memory retrieval (Paller & Wagner, 2002; St. George, Kutas, Martinez, & Sereno, 1999) and the generation of alternative episodic memories to be evaluated in consequential and future thinking (Baird & Fugelsang, 2004; Nadel & Moscovitch, 2001; Schacter & Addis, 2009; Schacter et al., 2007; Squire, Stark, & Clark, 2004). This confirms the claim that counterfactuals recruit episodic memories aiding the implicit evaluation of alternative courses of action (Baird & Fugelsang, 2004; Barbey et al., 2009). Critically for our current findings, human neurons recorded in the parahippocampal gyrus during action observation and execution display a pattern of activity similar to those found in medial prefrontal regions (Mukamel et al., 2010), suggesting that these regions cooperate during action inhibition/selection, perhaps by activating or deactivating memories relevant to the actions at hand. 4.3. Implications for processing models and theories of semantic representations Our results have implications for theories of counterfactual thinking and language processing. A model of counterfactual thinking proposed by Baird and Fugelsang (2004), for example, claims that several brain regions have specific roles in this process: the basal ganglia are responsible for generating counterfactual alternatives; hippocampal structures generate relevant memories feeding the construction of alternatives; the parietal cortices generate mental images of possible scenarios; the cingulate gyrus evaluates alternatives and the dorsolateral prefrontal cortex selects between the representations generated. Our results confirm activations in the parietal lobule, parahippocampal structures and the cingulate cortex. However, no activation specific to counterfactuals was found in dorsolateral prefrontal cortex and the basal ganglia. Numerous language and working memory studies, including lesion and TMS studies, have also indicated that the left inferior frontal gyrus (LIFG) play a critical role in processing semantic complexity and maintaining multiple representations in memory (D’Esposito, Postle, Jonides, & Smith, 1999; Gennari, MacDonald, Postle, & Seidenberg, 2007; Manenti, Cappa, Rossini, & Miniussi, 2008; Novick, Trueswell, & Thompson-Schill, 2005; ThompsonSchill et al., 2005). Consequently, the LIFG are pivotal in virtually all models of language processing (Tyler & Marslen-Wilson, 2008). However, our results indicate that although the LIFG supported linguistic processes common to all sentence types (indeed, comparing all sentences to rest reveals activity in this region), the LIFG did not appear to play a role in processing counterfactuals over and above its contribution to processing factual sentences. One reason for the absence of factual vs. counterfactual modulations in LIFG is that different processing networks are engaged as a function of the semantic content of the stimuli and task demands. Language studies indeed indicate that sentence comprehension flexibly recruits largely distributed networks, in which various posterior regions along the ventral and dorsal pathways cooperate with pre-frontal cortex, most typically, the LIFG. Sentences such as I appreciate sincerity describing abstract semantic content, for example, establish connectivity between regions different from those describing concrete actions, and these in turn differ from those describing spatial relations (Damasio et al., 2001; Ghio & Tettamanti, 2010; Just et al., 2004). Thus, the fact that our counterfactual sentences describe physical actions and that their understanding engages possible and actual behaviors may explain the activation of control processes near action networks, rather than typical language networks such as the LIFG. In fact, the medial pre-frontal regions 3670 M. Urrutia et al. / Neuropsychologia 50 (2012) 3663–3672 are ideally located to mediate between more posterior motorrelated structures and other frontal regions (Mostofky & Simmonds, 2008) so that representations of actions are best manipulated in this region, rather than in the more distant IFG. Our results also have implications for understanding the processing of negative action sentences, since counterfactuals are implicitly negated statements. The statement If Pedro had painted the room, he would have moved the sofa clearly indicates that Pedro did not paint the room and did not move the sofa. Some studies have found that negative sentences, compared to affirmative ones, elicit decreased activations in motor cortex or in the left-fronto-parietal action network typically involved in understanding action sentences (Liuzza, Candidi, & Aglioti, 2011; Tettamanti et al., 2008; Tomasino, Weiss, & Fink, 2010). The contrast between these results and ours may stem from many factors. One is that previous studies have use simple sentences (e.g., I press the button now vs. I do not press the button now) or requests (e.g., move vs. do not move), which require much simpler computations to understand. Therefore, the managing of alternative representations of the world, some factual ones (e.g., Pedro did not paint the room) and some possible ones (e.g., he could have moved the sofa) do not enter into consideration. Another factor is that these studies investigated the explicit processing of the word not – this is the only difference between conditions – in the context of sentences referring to the self. In contrast, our stimulus sentences do not contain explicit negation or reference to the self and require linking semantic elements across the antecedent and consequent (e.g., Pedro and he), as in other discourse contexts. These differences in meaning and cognitive demands explain why counterfactuals do not elicit suppressed responses in motor-related regions: the effort effect does not differ for factual and counterfactual sentences because the difference in action content (moving the sofa vs. moving the picture) must still be generated (and understood) for both possible and actual events. Medial pre-frontal regions then manage the difference between the possible and implicitly negated events to keep them distinct. This is consistent with other studies investigating negation in the context of complex sentences such as subordinate constructions, which do not find suppressed responses and instead, find increased connectivity of the language network with the SMA (Bahlmann, Mueller, Makuuchi, & Friederici, 2011). More generally, our results have implications for theories of semantic representations in language comprehension. Sensorymotor approaches have argued that semantic representations are grounded in, or organized around, sensory-motor systems that underpin perception and action (Barsalou, Simmons, Barbey, & Wilson, 2003; Martin & Chao, 2001). Most previous studies within this approach however, have focused on the fact that various properties of actions are shared across language and action, suggesting that motor schemas for action are recruited by language, as reviewed in the introduction. This is perhaps unsurprising because words are bound to become associated with the actions they refer to during the course of language learning (Pulvermuller, 2005). The present results however go further in suggesting that not only action representations but also modulatory processes underpinning action selection and inhibition are shared across domains. This commonality may stem from evolutionary or ontogenetic processes in which behavioral control functions are co-opted for language and cognition more generally, particularly if sensory-motor functions are taken to have primacy over cognitive ones. Although this remains an unresolved matter, our results extend the link between language and action to modulatory mechanisms that are opportunistically recruited if management of alternative action representations is required. 5. Conclusions In sum, a distinctive neural network partially overlapping with action execution was shown to be involved in processing counterfactual statements describing effortful physical actions. Specifically, parietal structures, known to support object directed action planning, were sensitive to the physical effort conveyed by the sentence regardless of their degree of factuality. Furthermore, a large cluster of pre-motor and pre-frontal medial areas responded more strongly to counterfactual than factual statements, indicating the cognitive cost of managing and/or inhibiting alternative actions representations. These results are consistent with sensory-motor theories of meaning arguing that linguistic meaning and higher cognitive abilities are linked to our experience of actions. Critically, the relevant experience not only includes action representations but also their selection and manipulation, supporting both action performance and counterfactual comprehension. 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