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Towards an integrative neuroscience of metacognition.

Stephen M Fleming

Nature Reviews Neuroscience September 16, 2026 DOI: 10.1038/s41583-026-01081-x (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Key findings The authors propose that metacognitive self-evaluations arise from structured transformations of uncertainty: dynamic evidence accumulation provides building blocks for local confidence, while multimodal prefrontal areas integrate these signals into abstract, global self-beliefs. They argue this architecture enables metacognitive control across timescales and that its dysfunction can produce disorders of reality monitoring and insight.

Abstract

Metacognition enables organisms to self-evaluate their own cognitive processes. In humans, this capacity underpins adaptive learning, social coordination and the formation of self-beliefs about skill and ability. A core motif that underpins multiple forms of metacognition is the ability to form estimates of performance in a self-directed frame of reference, expressed as propositional confidence about one's own behaviour and mental processes. Convergent behavioural, computational and neural evidence obtained across rodents, non-human primates and humans indicates that these self-evaluations arise from structured transformations of uncertainty. Dynamic evidence accumulation processes provide candidate building blocks for local confidence, whereas multimodal prefrontal brain areas integrate these signals to support abstract, global self-beliefs. This architecture supports metacognitive control at multiple timescales, from rapid error correction to strategic task arbitration and social communication. Dysfunctional metacognition can lead to disorders of reality monitoring and insight, in which erroneous mental representations are endorsed with aberrant confidence. By integrating computational, cross-species and clinical perspectives, metacognitive neuroscience offers a bridge from neural circuit mechanisms to subjective experience.

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