We show the exact equality of the path integral of the general renorma
lizable fourth order gravitational action to the path integral of the
Einstein action coupled to a massive spin-0 field and a massive spin-2
ghost-like field with non-polynomial interactions. The metric in the
Einstein version is a highly nonlinear function of the metric in the q
uadratic version. Both massive excitations are unstable. The respectiv
e cosmological constant terms in the two versions can be very differen
t. Some implications are briefly discussed.