MoDeM is a Human Brain Project funded research program (FLAG-ERA JTC 2019), of which I am Co-Investigator, aiming to advance knowledge on the psycho-physiological mechanisms through which environmental stimuli influence decision-making (i.e. cue-triggered decisions). 

It tests the account that the motor system is not downstream of the decision process, but causally contributes to cue-triggered decision-making, and the transition from its adaptive to maladaptive forms. 

General Description

Environmental cues, like the logo of a diner, may acquire reward-predictive and motivational properties and exert a powerful influence on decision-making, even when irrelevant to the decision. This influence can be adaptive when such cues facilitate the rapid detection of environmental opportunities, and favor optimal choice behavior. However, it can be maladaptive when the elicited course of action is either no longer appropriate, or difficult to control, as observed in compulsive behaviors at the core of substance use disorders. Crucially, the  underlying  cognitive  and  neural  mechanisms  through  which  environmental  cues  bias decision-making remain hotly debated, thus limiting the understanding of the processes that mediate the transition from adaptive to maladaptive cue-triggered decisions. 

Goal

The goal of the project is to test a novel, mechanistic account of cue-triggered decisions, which challenges current theories and is based on intimate and bidirectional links between decision, behavior and the cortical motor system. We will provide converging evidence showing that the motor system is not downstream of the decision process, but causally contributes to cue-triggered decision-making, and the transition from its adaptive to maladaptive forms. Additionally, we will also show that, by means of the motor system’s mirror properties, the influence of environmental cues on decision-making can be exerted even through mere social interaction and in the absence of any first-person experience, thereby accounting for the particularly strong influence of social environment on both drug-seeking and drug-taking behavior. Finally, in a pre-clinical study, we will test the translational potential of this motor system hypothesis of cue-triggered decisions in recovering from drug-related disorders. To achieve this, we will take an integrative and multimodal approach, spanning from experimental, cognitive and clinical psychology and neuroscience, and conduct a series of behavioral, electrophysiological, and brain stimulation studies, on healthy  individuals, neurological patients and patients with substance use disorders.

Significance

The results of the project will lead to a significant  change  in  perspective  of  the  scientific community on the mechanisms driving cue-triggered decision-making, by showing that movement itself is a mechanism responsible for translating decisions into action. Crucially, this new evidence will imply that although environmental stimuli can have a powerful influence on decision-making, they do so through a mechanism that can be selectively modulated. In other words, it will show that we are not at the mercy of environmental cues, but, indeed, the motor response to those cues can be modulated, and in turn, by modulating such response the course of our decisions can be changed. This will have important clinical implications, for the development of novel diagnostic and therapeutic tools, and even the prevention of substance use disorders.