Causal confounding occurs when a common cause (a confounder) influences both a treatment variable and an outcome variable, creating a non-causal, spurious association that must be controlled for to identify the true causal effect. This violates the assumption of no unmeasured confounding required for causal identification. In a causal graph, confounding manifests as an open backdoor path between treatment and outcome, which must be blocked by conditioning on the confounder to obtain an unbiased estimate.
