Neural substrates for moral judgments of psychological versus physical harm
Although harm primarily elicits thoughts of physical injuries, harm can also take the form of negative psychological impact. Using functional magnetic resonance imaging (fMRI), we examined the extent to which moral judgments of physical and psychological harms are processed similarly, focusing on brain regions implicated in mental state reasoning or theory of mind, a key cognitive process for moral judgment. Univariate analyses reveal similar levels of theory of mind processing for psychological and physical harms, though multivariate pattern analyses (MVPA) reveal sensitivity to the psychological/physical distinction in two regions implicated in theory of mind: the right temporoparietal junction and the precuneus. Moreover, while there were no differences in neurotypical adults and adults with autism spectrum disorder with regard to neural activity related to theory of mind, there was a group difference in the recruitment of the anterior cingulate cortex for psychological versus physical harms. Altogether, these results reveal sensitivity within regions implicated in theory of mind to the physical / psychological distinction as well as neural processes that capture clinically relevant differences in evaluations of psychological harms versus physical harms.