Damage to the insula is associated with abnormal interpersonal trust
Open accessAbstract
Reciprocal trust is a crucial component of cooperative, mutually beneficial social relationships. Previous research using tasks that require judging and developing interpersonal trust has suggested that the insula may be an important brain region underlying these processes (King-Casas et al., 2008). Here, using a neuropsychological approach, we investigated the role of the insula in reciprocal trust during the Trust Game (TG), an interpersonal economic exchange. Consistent with previous research, we found that neurologically normal adults reciprocate trust in kind, i.e., they increase trust in response to increases from their partners, and decrease trust in response to decreases. In contrast, individuals with damage to the insula displayed abnormal expressions of trust. Specifically, these individuals behaved benevolently (expressing misplaced trust) when playing the role of investor, and malevolently (violating their partner's trust) when playing the role of the trustee. Our findings lend further support to the idea that the insula is important for expressing normal interpersonal trust, perhaps because the insula helps to recognize risk during decision-making and to identify social norm violations.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Individuals with insular damage show abnormal trust expressions: behaving benevolently (misplacing trust) when acting as investors and malevolently (violating trust) when acting as trustees.
“Individuals with insular damage show abnormal trust expressions: behaving benevolently (misplacing trust) when acting as investors and malevolently (violating trust) when acting as trustees [101].”
From The Insular Cortex: An Interface Between Sensation, Emotion and Cognition (2024) · cites this paper as [101]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
How do you feel? Interoception: The sense of the physiological condition of the body
Craig, A. D. (2002) · Nature Reviews Neuroscience · doi:10.1038/nrn894 · Cited by 6,006 · see citing works
Does Rejection Hurt? An fMRI Study of Social Exclusion
Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003) · Science · doi:10.1126/science.1089134 · Cited by 3,849 · see citing works
Automatic 3D intersubject registration of MR volumetric data in standardized Talairach space
Collins, D. L., Neelin, P., Peters, T. M., & Evans, A. C. (1994) · Journal of Computer Assisted Tomography · doi:10.1097/00004728-199403000-00005 · Cited by 3,431 · cited 2× · see citing works
“After manual transfer to the normal template space, the template brain was warped to the MNI152 standard 1 mm T1-weighted atlas (Collins et al., 1994; Evans et al., 1991; Mazziotta et al., 2001) using BRAINSDemonWarp (Johnson and Zhao, 2009).”
MethodThe neural basis of economic decision-making in the Ultimatum Game.
Sanfey, A. G., Rilling, J. K., Aronson, J. A., Nystrom, L. E., & Cohen, J. D. (2003) · Science · doi:10.1126/science.1082976 · Cited by 3,375 · see citing works
The somatic marker hypothesis and the possible functions of the prefrontal cortex
Damasio, A. R. (1996) · Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences · doi:10.1098/rstb.1996.0125 · Cited by 2,847 · cited 1× · see citing works
“Conscious experience of interoception can influence decision-making (Bechara and Damasio, 2005; Damasio, 1996).”
BackgroundMazziotta, J. C., Toga, A. W., Evans, A. C., Fox, P. T., Lancaster, J. L., Zilles, K., Woods, R. P., Paus, T., Simpson, G. V., Pike, G. B., et al. (2001) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2001.0915 · Cited by 2,334 · see citing works
Subcortical and cortical brain activity during the feeling of self-generated emotions
Damasio, A. R., Grabowski, T. J., Bechara, A., Damasio, H., Ponto, L. L. B., Parvizi, J., & Hichwa, R. D. (2000) · Nature Neuroscience · doi:10.1038/79871 · Cited by 2,117 · see citing works
Wechsler Adult Intelligence Scale
(2007) · Sage eBooks · doi:10.4135/9781412952644.n478 · Cited by 2,017 · see citing works
The somatic marker hypothesis: A neural theory of economic decision
Bechara, A., & Damasio, A. R. (2005) · Games and Economic Behavior · doi:10.1016/j.geb.2004.06.010 · Cited by 1,986 · see citing works
Empathic neural responses are modulated by the perceived fairness of others
Singer, T., Seymour, B., O'Doherty, J. P., Stephan, K. E., Dolan, R. J., & Frith, C. D. (2006) · Nature · doi:10.1038/nature04271 · Cited by 1,726 · cited 4× · see citing works
“, 2008) to social emotions (Singer et al., 2006) to judgments of trustworthiness (King-Casas et al.”
BackgroundInfluentialA specific neural substrate for perceiving facial expressions of disgust
Phillips, M. L., Young, A. W., Senior, C., Brammer, M., Andrew, C., Calder, A. J., Bullmore, E. T., Perrett, D. I., Rowland, D., Williams, S. C. R., et al. (1997) · Nature · doi:10.1038/39051 · Cited by 1,609 · see citing works
Getting to Know You: Reputation and Trust in a Two-Person Economic Exchange
King-Casas, B., Tomlin, D., Anen, C., Camerer, C. F., Quartz, S. R., & Montague, P. R. (2005) · Science · doi:10.1126/science.1108062 · Cited by 1,345 · see citing works
Automatic and intentional brain responses during evaluation of trustworthiness of faces
Winston, J. S., Strange, B. A., O'Doherty, J., & Dolan, R. J. (2002) · Nature Neuroscience · doi:10.1038/nn816 · Cited by 993 · see citing works
Human insula activation reflects risk prediction errors as well as risk
Preuschoff, K., Quartz, S. R., & Bossaerts, P. (2008) · The Journal of Neuroscience · doi:10.1523/jneurosci.4286-07.2008 · Cited by 784 · see citing works
Neural systems behind word and concept retrieval
Damasio, H., Tranel, D., Grabowski, T. J., Adolphs, R., & Damásio, A. R. (2004) · Cognition · doi:10.1016/j.cognition.2002.07.001 · Cited by 750 · see citing works
Self-citationPaulus, M. P., Rogalsky, C., Simmons, A., Feinstein, J. S., & Stein, M. B. (2003) · NeuroImage · doi:10.1016/s1053-8119(03)00251-9 · Cited by 745 · see citing works
Neural activity in the human brain relating to uncertainty and arousal during anticipation.
Critchley, H. D., Mathias, C. J., & Dolan, R. J. (2001) · Neuron · doi:10.1016/s0896-6273(01)00225-2 · Cited by 681 · see citing works
Wechsler Test of Adult Reading
(2001) · PsycTESTS Dataset · doi:10.1037/t15180-000 · Cited by 616 · see citing works
Differential effects of insular and ventromedial prefrontal cortex lesions on risky decision-making
Clark, L., Bechara, A., Damasio, H., Aitken, M. R. F., Sahakian, B. J., & Robbins, T. W. (2008) · Brain · doi:10.1093/brain/awn066 · Cited by 613 · see citing works
The Rupture and Repair of Cooperation in Borderline Personality Disorder
King‐Casas, B., Sharp, C., Lomax-Bream, L., Lohrenz, T. M., Fonagy, P., & Montague, P. R. (2008) · Science · doi:10.1126/science.1156902 · Cited by 603 · see citing works
Ostrowsky‐Coste, K. (2002) · Cerebral Cortex · doi:10.1093/cercor/12.4.376 · Cited by 573 · see citing works
The role of anterior insular cortex in social emotions
Lamm, C., & Singer, T. (2010) · Brain Structure and Function · doi:10.1007/s00429-010-0251-3 · Cited by 566 · see citing works
Exploring the neurological substrate of emotional and social intelligence
Bar-On, R. (2003) · Brain · doi:10.1093/brain/awg177 · Cited by 537 · see citing works
Evaluating face trustworthiness: a model based approach
Todorov, A., Baron, S. G., & Oosterhof, N. N. (2008) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsn009 · Cited by 426 · see citing works
Mohr, P. N. C., Biele, G., & Heekeren, H. R. (2010) · The Journal of Neuroscience · doi:10.1523/jneurosci.0003-10.2010 · Cited by 411 · see citing works
Brain Responses to the Acquired Moral Status of Faces
Singer, T., Kiebel, S. J., Winston, J. S., Dolan, R. J., & Frith, C. (2004) · Neuron · doi:10.1016/s0896-6273(04)00014-5 · Cited by 410 · see citing works
Krüeger, F., McCabe, K., Moll, J., Kriegeskorte, N., Zahn, R., Strenziok, M., Heinecke, A., & Grafman, J. H. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0710103104 · Cited by 395 · see citing works
Textbook of Clinical Neuropsychology
(2017) · Taylor & Francis eBooks · doi:10.4324/9781315271743 · Cited by 362 · see citing works
Brainvox: An Interactive, Multimodal Visualization and Analysis System for Neuroanatomical Imaging
Frank, R. J., Damasio, H., & Grabowski, T. J. (1997) · NeuroImage · doi:10.1006/nimg.1996.0250 · Cited by 273 · see citing works
The impact of prior risk experiences on subsequent risky decision-making: The role of the insula
Xue, G., Lu, Z., Levin, I. P., & Bechara, A. (2010) · NeuroImage · doi:10.1016/j.neuroimage.2009.12.097 · Cited by 249 · see citing works
Neural Dynamics of Rejection Sensitivity
Kross, E., Egner, T., Ochsner, K., Hirsch, J., & Downey, G. (2007) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.2007.19.6.945 · Cited by 225 · see citing works
Physical temperature effects on trust behavior: the role of insula
Kang, Y., Williams, L. E., Clark, M. S., Gray, J. R., & Bargh, J. A. (2010) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsq077 · Cited by 198 · see citing works
What motivates repayment? Neural correlates of reciprocity in the Trust Game
van den Bos, W., van Dijk, E., Westenberg, P. M., Rombouts, S. A. R. B., & Crone, E. A. (2009) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsp009 · Cited by 175 · see citing works
Risk and risk prediction error signals in anterior insula
Bossaerts, P. L. (2010) · Brain Structure and Function · doi:10.1007/s00429-010-0253-1 · Cited by 144 · see citing works
The Insula and Evaluative Processes
Berntson, G. G., Norman, G. J., Bechara, A., Bruss, J., Tranel, D., & Cacioppo, J. T. (2011) · Psychological Science · doi:10.1177/0956797610391097 · Cited by 136 · see citing works
Self-citationNeural signatures of betrayal aversion: an fMRI study of trust
Aimone, J. A., Houser, D. E., & Weber, B. (2014) · Proceedings of the Royal Society B Biological Sciences · doi:10.1098/rspb.2013.2127 · Cited by 113 · see citing works
The human amygdala is necessary for developing and expressing normal interpersonal trust
Koscik, T. R., & Tranel, D. (2010) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2010.09.023 · Cited by 101 · see citing works
Self-citationNeural correlates of risk prediction error during reinforcement learning in humans
d'Acremont, M., Lu, Z.-L., Li, X., Van der Linden, M., & Bechara, A. (2009) · NeuroImage · doi:10.1016/j.neuroimage.2009.04.096 · Cited by 94 · see citing works
Barrash, J., Asp, E. W., Markon, K. E., Manzel, K. W., Anderson, S. W., & Tranel, D. (2011) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803395.2011.561300 · Cited by 72 · see citing works
Self-citationGaznick, N., Tranel, D., McNutt, A., & Bechara, A. (2014) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntt172 · Cited by 72 · see citing works
Self-citationThe Human Ventromedial Prefrontal Cortex Is Critical for Transitive Inference
Koscik, T. R., & Tranel, D. (2012) · Journal of Cognitive Neuroscience · doi:10.1162/jocn_a_00203 · Cited by 64 · see citing works
Self-citationEncoding of reward expectation by monkey anterior insular neurons
Mizuhiki, T., Richmond, B. J., & Shidara, M. (2012) · Journal of Neurophysiology · doi:10.1152/jn.00282.2011 · Cited by 41 · see citing works
Anterior insula activity predicts the influence of positively framed messages on decision making
Krawitz, A., Fukunaga, R., & Brown, J. W. (2010) · Cognitive Affective & Behavioral Neuroscience · doi:10.3758/cabn.10.3.392 · Cited by 38 · see citing works
Theories of clinical neuropsychology and brain- behavior relationships: Luria and beyond
Morgan, J. E., & Ricker, J. H. (2016) · Taylor & Francis eBooks · doi:10.4324/9781315537511-14 · Cited by 21 · see citing works
BRAINSDemonWarp: An Applicaton to Perform Demons Registration
Johnson, H. J., & Zhao, Y. (2009) · The Insight Journal · doi:10.54294/ib7or9 · Cited by 12 · see citing works
Koscik, T. R., & Tranel, D. (2013) · Journal of Cognitive Neuroscience · doi:10.1162/jocn_a_00398 · Cited by 7 · see citing works
Self-citationCurio (2000) · doi:10.1002/(sici)1097-0193(200004)9:4
Flagged first, then by citations
Research works printed but not linked: 2
- Evans A Dai W Collins L Neelin P Marrett S 1991 Warping of a computerized 3-D atlas to match rbain image volumes for quantitative neuroanatomical and functional analysis Proceedings of the International Society of Optical Engineering (SPIE): Medical Imaging 1445 236 246
- Wechsler D 2008 Wechsler Adult Iltelligence Scale 4 San Antonio, TX Pearson
Cited by
Sorted by citations
The Insular Cortex: An Interface Between Sensation, Emotion and Cognition
Zhang, R., Deng, H., & Xiao, X. (2024) · Neuroscience Bulletin · doi:10.1007/s12264-024-01211-4 · Cited by 158 · see citing works
A neuroscientific perspective on basic psychological needs
Reeve, J., & Lee, W. (2019) · Journal of Personality · doi:10.1111/jopy.12390 · Cited by 109 · see citing works
Neuroimaging oxytocin modulation of social reward learning in schizophrenia
Mouchlianitis, E. D., Tracy, D. K., Wigton, R., Vanes, L. D., Fett, A.-K., & Shergill, S. S. (2022) · BJPsych Open · doi:10.1192/bjo.2022.577 · Cited by 8 · see citing works
- Authors
- Belfi, A. M., Koscik, T. R., & Tranel, D.
- Affiliations
- University of Iowa (US)
- University of Toronto (CA)
- Corresponding author
- Belfi, Amy M.
- Venue
- Neuropsychologia
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 71
- Pages
- 165-172
- ISSN
- 0028-3932 (ISSN-L)
- PMC
- PMC4417431
- OpenAlex
- W2091040920
- Cited by
- 35
- References
- 47
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 8 · 2020: 7 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 1
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neuropsychologia (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- James S. McDonnell Foundation (220020387)
- Kiwanis Foundation, and NINDS (P01 NS19632)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Safety Research › Experimental Behavioral Economics Studies
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Keywords
- insula, mutual trust, interpersonal trust, trust game, social decision-making, risk perception, social norms violation, breach of trust, brain damage
- MeSH terms
- Cerebral Cortex, Decision Making, Female, Games, Experimental, Humans, Interpersonal Relations, Male, Middle Aged, Neuropsychological Tests, Trust
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review