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Facing the consequence of a decision we made can trigger emotionslike satisfaction, relief, or regret, which reflect our assessmentof what was gained as compared to what would have been gainedby making a different decision. These emotions are mediatedby a cognitive process known as counterfactual thinking. Bymanipulating a simple gambling task, we characterized a subject'schoices in terms of their anticipated and actual emotional impact.Normal subjects reported emotional responses consistent withcounterfactual thinking; they chose to minimize future regretand learned from their emotional experience. Patients with orbitofrontalcortical lesions, however, did not report regret or anticipatenegative consequences of their choices. The orbitofrontal cortexhas a fundamental role in mediating the experience of regret.
1 Institut des Sciences Cognitives, CNRS, 67, Boulevard Pinel 69675 Bron, France. 2 Department of Economics, University of Siena, Piazza San Francesco 7, 53100 Siena, Italy. 3 Service de Médecine Physique et Réadaptation, Hôpital de la Salpetriere, 47 Boulevard de l'Hôpital, 75013 Paris, France.
* These authors contributed equally to this work.
To whom correspondence should be addressed. E-mail: sirigu{at}isc.cnrs.fr
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