The somatic marker hypothesis: A critical evaluation
Abstract
The somatic marker hypothesis (SMH; [Damasio, A. R., Tranel, D., Damasio, H., 1991. Somatic markers and the guidance of behaviour: theory and preliminary testing. In Levin, H.S., Eisenberg, H.M., Benton, A.L. (Eds.), Frontal Lobe Function and Dysfunction. Oxford University Press, New York, pp. 217-229]) proposes that emotion-based biasing signals arising from the body are integrated in higher brain regions, in particular the ventromedial prefrontal cortex (VMPFC), to regulate decision-making in situations of complexity. Evidence for the SMH is largely based on performance on the Iowa Gambling Task (IGT; [Bechara, A., Tranel, D., Damasio, H., Damasio, A.R., 1996. Failure to respond autonomically to anticipated future outcomes following damage to prefrontal cortex. Cerebral Cortex 6 (2), 215-225]), linking anticipatory skin conductance responses (SCRs) to successful performance on a decision-making paradigm in healthy participants. These 'marker' signals were absent in patients with VMPFC lesions and were associated with poorer IGT performance. The current article reviews the IGT findings, arguing that their interpretation is undermined by the cognitive penetrability of the reward/punishment schedule, ambiguity surrounding interpretation of the psychophysiological data, and a shortage of causal evidence linking peripheral feedback to IGT performance. Further, there are other well-specified and parsimonious explanations that can equally well account for the IGT data. Next, lesion, neuroimaging, and psychopharmacology data evaluating the proposed neural substrate underpinning the SMH are reviewed. Finally, conceptual reservations about the novelty, parsimony and specification of the SMH are raised. It is concluded that while presenting an elegant theory of how emotion influences decision-making, the SMH requires additional empirical support to remain tenable.
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Functions important for 'hot' decision-making are processing of reward and punishment and visceral responses to motivational cues.
“Functions that are important for ‘hot’ decision-making are the processing of reward and punishment (which is also linked to inhibitory control) and the visceral responses to these motivational cues [42], [43].”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [43]
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“They used the Iowa Gambling Task (Bechara et al., 2000), which had been used in many studies with different patient populations with neurological and psychiatric diseases including substance dependency and behavioral addictions before (cf. Dunn et al., 2006).”
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Performance on the Iowa Gambling Task in a sample of hypersexual men
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- Authors
- Dunn, B. D., Dalgleish, T., & Lawrence, A. D.
- Affiliations
- MRC Cognition and Brain Sciences Unit (GB)
- Corresponding author
- Dunn, Barnaby D.
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2006-01
- Volume
- 30
- Issue
- 2
- Pages
- 239-271
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2052762350
- Semantic Scholar
- 9f0eefdfa8f83914afe73ea9a239a58b2555ab7a
- Cited by
- 894
- References
- 226
- Citations by year
- 2026: 19 · 2025: 15 · 2024: 26 · 2023: 29 · 2022: 40 · 2021: 37 · 2020: 44 · 2019: 42 · 2018: 32 · 2017: 40 · 2016: 42 · 2015: 52 · 2014: 63 · 2013: 66 · 2012: 74
- FWCI
- 2.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Keywords
- somatic marker hypothesis, ventromedial prefrontal cortex, decision-making, emotional decision-making, Iowa Gambling Task, skin conductance response, anticipatory emotions, cognitive penetrability, reward and punishment, prefrontal cortex lesions
- MeSH terms
- Adaptation, Psychological, Decision Making, Emotions, Gambling, Games, Experimental, Humans, Psychological Theory, Prefrontal Cortex
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