The somatic marker hypothesis, formulated by Antonio Damasio and associated researchers, proposes that emotional processes guide (or bias) behavior, particularly decision-making. "Somatic markers" are feelings in the body that are associated with emotions, such as the association of rapid heartbeat with anxiety or of nausea with disgust. According to the hypothesis, somatic markers strongly influence subsequent decision-making. Within the brain, somatic markers are thought to be processed in the ventromedial prefrontal cortex (VMPFC) and the amygdala. The hypothesis has been tested in experiments using the Iowa gambling task. Background In economic theory, human decision-making is often modeled as being devoid of emotions, involving only logical reasoning based on cost-benefit calculations. In contrast, the somatic marker hypothesis proposes that emotions play a critical role in the ability to make fast, rational decisions in complex and uncertain situations. Patients with frontal lobe damage, such as Phineas Gage, provided the first evidence that the frontal lobes were associated with decision-making. Frontal lobe damage, particularly to the ventromedial prefrontal cortex (vmPFC), results in impaired abilities to organize and plan behavior and learn from previous mistakes, without affecting intellect in terms of working memory, attention, and language comprehension and expression. vmPFC patients also have difficulty expressing and experiencing appropriate emotions. This led Antonio Damasio to hypothesize that decision-making deficits following vmPFC damage result from the inability to use emotions to help guide future behavior based on past experiences. Consequently, vmPFC damage forces those affected to rely on slow and laborious cost-benefit analyses for every given choice situation. Antonio Damasio Antonio Damasio () is a Portuguese-American neuroscientist. He is currently the David Dornsife Professor of Neuroscience, Psychology and Philosophy at the University of Southern California and an adjunct professor at the Salk Institute. Damasio heads the Brain and Creativity Institute, and has authored several books: his most recent work, Self Comes to Mind: Constructing the Conscious Brain (2010), explores the relationship between the brain and consciousness. Damasio's research in neuroscience has shown that emotions play a central role in social cognition and decision-making. Hypothesis When individuals make decisions, they must assess the incentive value of the choices available to them, using cognitive and emotional processes. When the individuals face complex and conflicting choices, they may be unable to decide using only cognitive processes, which may become overloaded. Emotions, consequently, are hypothesized to guide decision-making. Emotions, as defined by Damasio, are changes in both body and brain