Forgot what you like? Evidence for hippocampal dependence of value-based decisions

Abstract

Consistent decisions are intuitively desirable and theoretically important for utility maximization. Neuroeconomics has established the neurobiological substrate of value representation, but brain regions that provide input to the value-processing network is less explored. The constructed-preference tradition within behavioral decision research gives a critical role to cognitive processes that rely on associations, suggesting a role for the hippocampus in making decisions and to do so consistently. We compared the performance of 31 patients with mediotemporal lobe (MTL) epilepsy and hippocampal lesions, 30 patients with extratemporal lobe epilepsy, and 30 healthy controls on two tasks: binary choices between candy bars based on their preferences and a number-comparison control task where the larger number is chosen. MTL patients make more inconsistent choices than the other two groups for the value-based choice but not the number-comparison task. These inconsistencies increase with the volume of compromised hippocampal tissue. These results suggest a critical involvement of the MTL in preference construction and value-based choices.\n\nSignificanceOur days are full of choices that reflect our preferences. Economics lays out models of how to optimally make these decisions. Neuroeconomics has identified a cortical value-processing network whose activity correlates with constructs related to valuation and choice in economic models. However open questions remain: How are these value signals formed, and what regions might be necessary for retrieving and computing these value signals? Inspired by cognitive models calling on associative processes in value-based decisions, this paper uses unique neuropsychological data to establish the critical role of the medial temporal lobe in making consistent choices and further informs our understanding of the value-processing network.