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Actions with identical goals can be executed in different ways (gentle, rude, vigorous, etc.), which D. N. Stern called vitality forms [D. N. Stern, Forms of Vitality Exploring Dynamic Experience in Psychology, Arts, Psychotherapy, and Development (2010)]. Vitality forms express the agent's attitudes toward others. In a series of fMRI studies, we found that the dorso-central insula (DCI) is the region that is selectively active during both vitality form observation and execution. In one previous experiment, however, the middle cingulate gyrus also exhibited activation. In the present study, in order to assess the role of the cingulate cortex in vitality form processing, we adopted a classical vitality form paradigm, but making the control condition devoid of vitality forms using jerky movements. Participants performed two different tasks: Observation of actions performed gently or rudely and execution of the same actions. The results showed that in addition to the insula, the middle cingulate cortex (MCC) was strongly activated during both action observation and execution. Using a voxel-based analysis, voxels showing a similar trend of the blood-oxygen-level-dependent (BOLD) signal in both action observation and execution were found in the DCI and in the MCC. Finally, using a multifiber tractography analysis, we showed that the active sites in MCC and DCI are reciprocally connected., Competing Interests: The authors declare no competing interest., (Copyright © 2021 the Author(s). Published by PNAS.)

During social interactions, actions and words can be expressed in different ways, for example gently, vigorously or rudely communicating the positive or negative attitude of the agent. These forms of communication are called vitality forms and play a crucial role in social relations. While the neural bases of speech and actions vitality forms have been investigated, there is no information on how we recognize others' mood/attitude by hearing the sound of their actions. In the present fMRI study we investigated the neural basis of vitality forms while participants heard action sounds in two different conditions: sounds resulting from gentle and rude actions, sounds communicating the same actions without vitality forms (control stimuli). Results showed that hearing action sounds conveying rude and gentle vitality forms respect to the control stimuli produced a specific activation of the dorso-central insula. In addition, hearing both vitality forms action sounds and control stimuli produced the activation of the parieto-frontal circuit typically involved in the observation and the execution of arm actions. In conclusion, our data indicate that, the dorso-central insula is a key region involved in the processing of vitality forms regardless of the modality by which they are conveyed. [ABSTRACT FROM AUTHOR]