Bilateral cingulotomy
Neuroimaging also uncovered different sub-regions in the anterior cingulate cortex itself based on their function. These studies showed that the caudal part of the anterior cingulate cortex plays a more important function in cognitive activities that involve attention, salience, interference and response competition. These results combined with electrophysiological investigation of the function of neurons in the anterior cingulate cortex have provided insights that can be used in the improvement of cingulotomy performed on patients treated for OCD. The basis behind this idea is the fact that a variation of certain tasks, Emotional Stroop tasks (ES), which have been particularly identified as exerting effects in OCD patients activate neurons in the more rostral part of the anterior cingulate cortex. Thus, theoretically if bilateral cingulotomy is performed in such patient in the rostral anterior cingulate cortex, better results should be obtained.
Cognitive dissonance
The results of the neural scan experiment support the original theory of Cognitive Dissonance proposed by Festinger in 1957; and also support the psychological conflict theory, whereby the anterior cingulate functions, in counter-attitudinal response, to activate the dorsal anterior cingulate cortex and the anterior insular cortex; the degree of activation of said regions of the brain is predicted by the degree of change in the psychological attitude of the person.
As an application of the free-choice paradigm, the study "How Choice Reveals and Shapes Expected Hedonic Outcome" (2009) indicates that after making a choice, neural activity in the striatum changes to reflect the person's new evaluation of the choice-object; neural activity increased if the object was chosen, neural activity decreased if the object was rejected. Moreover, studies such as "The Neural Basis of Rationalization: Cognitive Dissonance Reduction During Decision-making" (2010) and "How Choice Modifies Preference: Neural Correlates of Choice Justification" (2011) confirm the neural bases of the psychology of cognitive dissonance.