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doi:10.1093/brain/awp061 Brain 2009: 132; 1989–1992 | 1989 BRAIN A JOURNAL OF NEUROLOGY BOOK REVIEW Another way to understand The two dominating views emanating from the early studies on the motor system developed from two opposite angles. The sensory motor perspective dating back to Descartes (1664) envisioned movements as the result of sensory stimuli. This view was later supported by the neurophysiology of reflexes operating at different levels of complexity (Jackson, 1931). The ideomotor theory originating from psychology (Lotze, 1852; James, 1890) took the opposite motor–sensory perspective regarding volition and intention as the major source of actions. Voluntary actions were considered in terms of their behavioural goals and the percepts they generate. But there is a voluntary automatic dissociation since the way this is accomplished by motor commands remains subconscious: the ongoing execution processes are automatically adjusted. The concepts of common coding (Prinz, 1990) and of motor imagery (Jeannerod, 1994, 1997) broadened the theoretical framework by recognizing the pivotal role of commensurate sensory motor representations and of motor simulation. Jeannerod considered covert motor actions as actions in their own right. In neural terms, the state where an action is simulated and the state preceding its execution are similar, thus constituting a continuum between covert and overt stages. Envisaging action observation as another form of covert action brought the close relation between action understanding and action performance into focus. Neuroimaging studies showed that action execution, imitation, imagination and observation can all recruit similar brain circuitries and show subliminal activation of the motor system. The elaboration of the functional anatomy of motor cognition not only allowed a better understanding of the links between perception and action, but also opened fresh approaches for the study of the first-person versus third-person perspective by identifying the neural circuitries engaged in the distinction between self and others. These concepts provided fertile ground for a breakthrough in the field of experimental neurophysiology, the discovery of the mirror neurones in the early 1990s by Rizzolatti and his colleagues in Parma (Gallese et al., 1996; Rizzolatti et al., 1996). This novel operational principle disclosed the dual representational mode of action and action observation at the level of single neurones. Using the investigative repertoire in the human, its application to higher functions could be pursued; and the evolving implications MIRRORS IN THE BRAIN: HOW OUR MINDS SHARE ACTIONS AND EMOTIONS By Giacomo Rozzolati and Corrado Sinigaglia 2007. Oxford and New York: Oxford University Press ISBN: 978-0-19921798-4 Price: £24.95/$44.95 (Hardback) began to penetrate the cognitive and social sciences and the humanities. Therefore, it is timely to have an authentic account of the development of the mirror neurone story and its presumed theoretical implications as presented by Giacomo Rizzolatti and philosopher of science Corrado Sinigaglia in their book ‘Mirrors in the Brain’. The story originated from observations in the monkey lab about the surprising property of neurones in ventral premotor cortex which discharged not only when the monkey performed a motor act such as grasping an apple, but also when a monkey observed the very same gesture produced by someone else. The first chapters place this new feature of neuronal functioning in its historical context and provide the reader with some relevant background information about the functional organization of the sensory motor system. Special attention is given to the role of the three visual information streams in understanding the pre-processing of the relevant sensory information. The ventrodorsal stream is addressed as a major route with two specialized types of neurones of interest. The neurones in the anterior part of the superior temporal sulcus (STS) respond selectively to a wide range of body movements performed by others (Perrett et al., 1989). These neurones differ ß The Author (2009). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: [email protected] 1990 | Brain 2009: 132; 1989–1992 from the mirror neurones in that they are not active during any of the monkey’s own movements. However, their ability to identify movements performed by others conveys suitable information to the next processing stage, the anterior inferior parietal lobule. Other than the STS neurones, many of the parietal neurones are multimodal. They respond not only when particular movements are seen, but also when these movements are carried out. Thus they reveal the same characteristic features of mirror neurones as first observed in the next processing stage in the premotor cortex. Visuomotor neurones in the premotor cortex had been described before. The so-called canonical premotor neurones discharge when an object is seen as well as when the monkey performs the subsequent gesture of grasping the object. In contrast to these canonical neurones, the mirror neurones do not discharge when the objects are seen, but only and selectively when trained monkeys perform specific movements or when they observe the same gesture being performed by the experimenter or by another monkey. Such a specific relationship between movement and movement observation can be specified for a number of different prototypical gestures such as holding, manipulating, placing, bimanual interactions and in particular grasping. The activation of the mirror neurones is limited to those motor acts involving a body part—to object interaction, so called transitive motor acts. In his discussion of the implications of the mirror neuron system, Jeannerod (2001) proposed that one major function is linked to imitative behaviour. Rizzolatti and Sinigaglia regard this interpretation as less likely since true imitation, as developed in humans, does not yet exist in the brains of macaques. They view these neurones as primarily involved in the understanding of the meaning of actions performed by other conspecifics. This matching hypothesis implicates the immediate recognition of specific types of action and the preparation of a response in the most appropriate manner. This recognition process takes its meaning on the basis of the accumulated motor knowledge and the vocabulary of motor acts in the brain of the observer. This resonance in turn enables the observer to interpret the intention of motor events. This is facilitated by one other feature of mirror neurones: they can deal with different modalities such as sound or vision, or vision and sound. The latter is particularly relevant for the oro-facial cortical representation, which shows mirror neurone properties for ingestive actions (biting an apple) as well as for communicative (expressive grimacing) gestures. The next important step in the development of the mirror neurone concept was to prove its existence in the human. Functional neuroimaging, magnetoencephalography and transcranial magnetic stimulation (TMS) studies provided converging evidence that during observation of hand–arm, foot and mouth actions ventral premotor cortex become consistently activated. Concerns that these activations in the vicinity of Broca’s area are due to internal verbalization of the observed actions were eliminated by revealing that different effectors activate specific parts of premotor cortex according to its somatotopic organization, loosely following the homuncular pattern of the primary motor cortex (Buccino et al., 2001). An important additional feature was that the posterior parietal lobe is activated in addition to the premotor cortex during the observation of object-related actions. These activations Book Review also follow a somatotopic pattern. These data indicate that the mirror system is more extended in the human than in monkeys. In addition, the human mirror neurone system can also code intransitive motor acts and miming. Such direct access to the motor areas is seen as the basis for immediate understanding devoid of any conceptual, mental or linguistic mediation. Of course there are other means of understanding intentions conveyed by the movements of others. But mirror neurones are regarded as key players, since no other neural system has been identified to explain these immediate mind-reading capacities. In pursuing the question of whether or not the mirror system may operate at higher levels of complexity, the next chapter of the book deals with imitation and language. The authors emphasize that the term imitation has two meanings. One is the capacity to replicate a motor act which already belongs to the agent’s motor repertoire. The second is to envisage imitation for the purpose of learning a new pattern on the basis of action observation. Regarding replication the principle of ideomotor compatibility requires a common representational domain for perception and action. Various experiments underpin the involvement of the mirror system in action imitation by replication revealing activations of the frontal pole of the mirror system in the left inferior frontal gyrus. In contrast, imitational learning activated prefrontal Brodmann area 46 in addition to the premotor and parietal areas (Buccino et al., 2004a). The human data thus provide evidence that the mirror neurone system plays a pivotal role in communication such as manual pantomime, intransitive gestures and oro-facial communicative expressions. The authors raise the issue of whether progressive evolution of the mirror neurone system is at the root of the formation of a neural substrate for communicative behaviour. Simian experiments had already identified a new variant of mouth mirror neurones that respond to the sight of intransitive communicative gestures such as lip smacking or teeth grinding. This variant added a novel quality to the conventional type of ingestive mouth mirror neurones. Experiments on human subjects using TMS provided evidence for such a view. These experiments showed that the motor potentials from the lips are enhanced only when subjects listen to speech or look at corresponding lip movements but only in response to stimulation of the left hemisphere. Ingestive and communicative oro-facial gestures use a common set of movement prototypes. One is the mouth open–close alternation that could represent an evolutionary milestone from chewing and mastication to the participation of these activities in calls and speaking. The progressive integration of these facial, vocal and manual gestures is seen as the building block for language evolution thus providing a gestural origin for language at the beginning with ‘speaking’ by action later integrated with phonetics. Consequently, the evolution towards language may have undergone several stages: first, lip reading predominantly using the mimetic gestural system followed by the emergence of a bimodal proto-language formed of gestures and sounds and finally the appearance of a prevalently vocal system of communication. Sketching a possible evolutionary scenario over the last 20 million years, the authors infer that the last step of the transition to an autonomous vocal system must have meant that the motor neurones responsible for controlling the oro-laryngeal Book Review gestures acquired the capacity to become active in response to sounds produced by corresponding utterances of other conspecifics. Envisaging the evolution of an ‘echo-mirror neurone system’ as the neural basis of oral language introduces a major new argument into the controversial discussions about language evolution. The final chapter deals with emotions. ‘The Expression of the Emotions in Man and Animal’ by Charles Darwin (1872) is taken as an impressive example—many of the illustrations sketched by Duchenne—to demonstrate that a repertoire of emotional primitives has been preserved throughout evolution. The authors raise the question whether an emotional mirror system would not be more effective in understanding the meaning of observed emotional expressions than the full sensory analysis and cognitive processing chain. Since many of the primary emotions are related to ingestion, taste and smell, the insular lobe is seen as playing a pivotal role. As a cortical area for exteroceptive and enteroceptive processing, it represents a nodal structure for the mediation of a range of elementary emotions. The authors’ proposal that the understanding of the emotive states of others depends on a mirror mechanism that codes the sensory information directly in emotional terms is supported by a number of studies. According to this view the lack of such a mechanism would allow the perception of emotional behaviour but leave it ‘purely cognitive in form - pale, colourless, destitute of emotional warmth’ (James, 1890). Thus, the immediate understanding of the emotional behaviour of others on the basis of the emotional mirror neurone system is considered as a candidate for the mediation of empathy. The book closes by concluding that, although the mirror neurone system acquired a successively more complex organization and architecture during evolution, the underlying mechanisms preserve a common functional matrix. Therefore the elucidation of the nature of the mirror neurone system provides a starting point for the investigation of the cerebral processes responsible for a vast range of behaviours including the most complex levels of inter-individual and social relationships. The authors consider the transformation of the arbitrary divisions between perceptive, motor and cognitive processes into a more coherent picture as a major advance. The different subsystems become bound by the acting brain into a pragmatic, pre-conceptual and pre-linguistic form of understanding—some form of essential cognition. Such a rapid system seems suitable for catching important value setting and salient features to gate the motivational and emotional processes involved in the formation of mental processes. The book develops a fascinating and coherent story about the gradual development from the early observations on a small strand of neurones in a limited portion of the premotor cortex to the perspective of a widespread system that developed during evolution and has come to assume particular relevance in the human species. The vast impact of the discovery of the mirror neurones on the field of motor neuroscience is reflected by the intense discussion about the implications. The core concept that mirror neurones allow the observer to understand a perceived action by means of motor simulation of the agent’s observed movements seems generally accepted. But the generalizations envisaging the mirror system as operational principle underlying many higher level brain functions meet reservations. For language, the motor theory of speech perception (Liberman et al., 1967) has paved the way as Brain 2009: 132; 1989–1992 | 1991 it has become a pertinent theme in cognitive science during the past half century, although so far lacking any known neural substrate. It is the attribution of the mirror neurone system to a motor theory of social cognition in particular that has been debated by many researchers in the field. There is a controversy over the claim that the mirror system only resonates to those movements which are already part of the ‘vocabulary of motor acts’. This assumption is based on experiments which revealed activations only when subjects observed movements that were part of their own motor repertoire. Observations of movements outside the subjects’ own motor repertoire, such as dogs barking, produce no activations (Buccino et al., 2004b). There is, however, a growing body of evidence showing that animals can exhibit perceptual competencies that do not show up in their motor repertoire, thus challenging the role of motor knowledge as a premise for resonating the meaning of movements performed by others (Wood et al., 2007). Jacob and Jeannerod (2005) agree that the mirror system allows an observer to understand a perceived action by simulation without executing it. But they envisage the motor properties of the mirror system as ‘well designed for representing an agent’s motor intention involved in an object-oriented action, not for representing an agent’s social intention’. Implicit processes are at the core of the authors’ conclusion that ‘our perceptions of the motor acts and emotive reactions of others appear to be united by a mirror mechanism that permits our brain to immediately understand what we are seeing, feeling, or imagining others to be doing, as it triggers the same neural structures . . . that are responsible for our own actions and emotions’. In their book, A Universe of Consciousness, Edelman and Tononi (2001) envisage ‘external reality’ as a construction of the brain from a chaotic, constantly changing world without labels. But their point of departure is the synthesis of sophisticated sensory information and semantic enrichment as creating the qualia and the knowledge we have about our surroundings. The concept that ‘the acting brain is also and above all a brain that understands’ introduces a complementary perspective. Knoblich and Prinz (2005) point to an important difference between the two approaches: sensory analysis and semantic enrichment provide information about the past and the present; but motor systems are anticipation engines, providing information about the future, the consequences of a given action, the anticipation what the other is going to do next on the basis the simulation processes that operate in real time. Since the cognitive aspects of motor behaviour that determine our conscious interaction with the environment are processed in parallel with the automatic processing streams, the resonancebased and the analytical operational modes may interact at multiple re-entrant levels. The study of such interactions in the complex networks in which mirror neurones participate will be a major challenge for future research. 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