Tactile perceptual processes and their relationship to somatoform disorders

The Somatic Signal Detection Task (SSDT) is a recent paradigm serving to examine perceptual processes likely relevant for somatoform disorders. We tested whether touch illusions are more easily induced in individuals suffering from somatoform disorders (SFD) and whether their perceptual threshold for tactile stimuli is lower compared to healthy controls. Thirty-three participants with SFD and 32 healthy controls reported whether they recognized near-threshold tactile stimuli at their fingertip, which were presented in half of the test trials. With a probability of 0.5, an auxiliary visual stimulus was additionally presented. Tactile detection thresholds, tactile sensitivity, response bias, and the rate of false-positive perceptions of the tactile stimulus were assessed. In both groups, the light stimulus led to an amelioration of tactile sensitivity as well as to a more liberal response style. The SFD group was characterized by a more liberal response bias in the first half of the light-absent condition compared to the healthy controls. Within the SFD group, the report of somatoform (especially pseudoneurological) symptoms correlated positively with illusory tactile perceptions in the SSDT. Tactile thresholds in the SSDT were measured reliably (rtt = .86) and were significantly lower in the SFD group. The notion that general perceptual dispositions influence the formation of symptom perception may thus complement cognitive models of SFD.     

Viewing a face (especially one's own face) being touched enhances tactile perception on the face

Observing touch on another person's body activates brain regions involved in tactile perception, even when the observer's body is not directly stimulated. Previous work has shown that in some synaesthetes, this effect induces a sensation of being touched. The present study shows that if perceptual thresholds are experimentally manipulated, viewing touch can modulate tactile experience in nonsynaesthetes as well. When observers saw a face being touched by hands, rather than a face being merely approached by hands, they demonstrated enhanced detection of subthreshold tactile stimuli on their own faces. This effect was specific to observing touch on a body part, and was not found for touch on a nonbodily stimulus, namely, a picture of a house. In addition, the effect was stronger when subjects viewed their own faces rather than another person's face. Thus, observing touch can activate the tactile system, and if perceptual thresholds are manipulated, such activation can result in a behavioral effect in nonsynaesthetes. The effect is maximum if the observed body matches the observer's body.     

Stroke me for longer this touch feels too short: The effect of pleasant touch on temporal perception

Negative, painful, somatosensory stimulation lengthens the perceived duration of time. However, to date, no research has explored the influence of positive, pleasant, somatosensory stimulation on temporal perception. Here we asked whether gentle stroking touch influences perceptions of duration. Pleasant (gentle) and mildly unpleasant (rough) tactile stimulation was delivered whilst participants estimated the duration of a neutral visual stimulus. Pleasant touch resulted in shorter estimates of duration than unpleasant touch. There was no difference in duration perception in the unpleasant and control conditions. Taken together with the results of previous research (Ogden, Moore, Redfern, & McGlone, 2015), the results of this study suggest that pleasant and painful somatosensory stimulation have opposing effects on temporal perception, and additionally that pleasant touch can alter aspects of perceptual and attentional processing outside the purely affective domain.     

Tactile sensitivity of children: effects of frequency, masking, and the non-Pacinian I psychophysical channel

Tactile perception depends on the contributions of four psychophysical tactile channels mediated by four corresponding receptor systems. The sensitivity of the tactile channels is determined by detection thresholds that vary as a function of the stimulus frequency. It has been widely reported that tactile thresholds increase (i.e., sensitivity decreases) as a function of age. However, there is controversial evidence with regard to the progressive loss of sensitivity starting from childhood. In this study, the tactile thresholds of children (n=9, ages 7-11 years) were measured and compared with the thresholds of young adults (n=11, ages 21-27 years). The stimuli consisted of sinusoidal bursts of mechanical displacements, which were applied to the left index fingertips of the participants by using a cylindrical probe (base area=0.126 cm2) without a contactor surround. Absolute thresholds were measured at frequencies of 2, 10, 40, 100, 250, and 500 Hz without masking. The absolute thresholds decreased at high frequencies and were similar to data from the literature except for some discrepancy because of methodological differences. In addition, the threshold of the non-Pacinian I channel was measured at 40 Hz by elevating the thresholds of the Pacinian channel by forward masking. The effects of forward masking in children were similar to results in young adults. In conclusion, there were no significant differences between the tactile thresholds of children and those of young adults at key frequencies: 40 Hz for the Pacinian and non-Pacinian I channels and 250 Hz for the Pacinian channel. These findings contradict the hypothesis that there is gradual loss of tactile sensitivity starting from childhood to early adulthood. The loss of sensitivity due to aging probably is more abrupt and occurs at a later age.     

Spatial patterns in tactile perception: is there a tactile field?

Previous studies of tactile spatial perception focussed either on a single point of stimulation, on local patterns within a single skin region such as the fingertip, on tactile motion, or on active touch. It remains unclear whether we should speak of a tactile field, analogous to the visual field, and supporting spatial relations between stimulus locations. Here we investigate this question by studying perception of large-scale tactile spatial patterns on the hand, arm and back. Experiment 1 investigated the relation between perception of tactile patterns and the identification of subsets of those patterns. The results suggest that perception of tactile spatial patterns is based on representing the spatial relations between locations of individual stimuli. Experiment 2 investigated the spatial and temporal organising principles underlying these relations. Experiment 3 showed that tactile pattern perception makes reference to structural representations of the body, such as body parts separated by joints. Experiment 4 found that precision of pattern perception is poorer for tactile patterns that extend across the midline, compared to unilateral patterns. Overall, the results suggest that the human sense of touch involves a tactile field, analogous to the visual field. The tactile field supports computation of spatial relations between individual stimulus locations, and thus underlies tactile pattern perception.     

Sensory and affective judgments of skin during inter- and intrapersonal touch

Here we report two experiments that investigated the tactile perception of one’s own skin (intrapersonal touch) versus the skin of other individuals (interpersonal touch). In the first experiment, thirteen female participants rated, along four perceptual attributes, the skin of their own palm and volar forearm, then that of several of the other participants. Ratings were made using visual analogue scales for perceived smoothness, softness, stickiness, and pleasantness. One’s own skin was rated less pleasant than the skin of others. For both intra- and interpersonal touch, the forearm skin was rated smoother, softer, less sticky and more pleasant than the palmar skin. In the second experiment, ten pairs of female participants rated each other’s palm and volar forearm skin, with the skin of the touched individual being assessed before and after the application of skin emollients that alter skin feel. As in the first experiment, the untreated skin of others was rated more pleasant than the participants’ own skin, and the forearm versus palm differences were replicated. However, the emollient had generally larger effects on self-assessments than the assessments of others, and the site effect showed greater positive sensory and pleasantness increases for palm versus volar forearm. The disparate results of the two experiments suggest that attention, influenced by the ecological importance of the stimulus, is more important to assessment of touched skin than ownership of the skin or the contribution to self-touch made by the additional receptors in the passively touched skin. In both experiments, the pleasantness of touched skin was associated with the skin’s perceived smoothness and softness, with weak trends toward negative associations with its perceived stickiness, consistent with prior research using inanimate surfaces (e.g., textiles and sandpapers).     

Emotional modulation of visual remapping of touch

The perception of tactile stimuli on the face is modulated if subjects concurrently observe a face being touched; this effect is termed "visual remapping of touch" or the VRT effect. Given the high social value of this mechanism, we investigated whether it might be modulated by specific key information processed in face-to-face interactions: facial emotional expression. In two separate experiments, participants received tactile stimuli, near the perceptual threshold, either on their right, left, or both cheeks. Concurrently, they watched several blocks of movies depicting a face with a neutral, happy, or fearful expression that was touched or just approached by human fingers (Experiment 1). Participants were asked to distinguish between unilateral and bilateral felt tactile stimulation. Tactile perception was enhanced when viewing touch toward a fearful face compared with viewing touch toward the other two expressions. In order to test whether this result can be generalized to other negative emotions or whether it is a fear-specific effect, we ran a second experiment, where participants watched movies of faces-touched or approached by fingers-with either a fearful or an angry expression (Experiment 2). In line with the first experiment, tactile perception was enhanced when subjects viewed touch toward a fearful face and not toward an angry face. Results of the present experiments are interpreted in light of different mechanisms underlying different emotions recognition, with a specific involvement of the somatosensory system when viewing a fearful expression and a resulting fear-specific modulation of the VRT effect. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Reduction of Pain Sensitivity after Somatosensory Therapy in Children with Autism Spectrum Disorders

Children with autism spectrum disorders (ASD) often present with somatosensory dysfunction including an abnormal reactivity to tactile stimuli and altered pain perception. A therapy based on somatosensory stimuli has shown effectiveness in reducing pain sensitivity among adults with cerebral palsy. The present study aims at exploring the influence of somatosensory therapy on somatosensory parameters in children with ASD. Children with high-functioning ASD were randomly assigned to either the intervention (n?=?29) or the control group (n?=?30). The intervention group received a somatosensory therapy consisting of four types of exercises (touch, proprioception, vibration, stereognosis). Somatosensory function (pressure pain thresholds, tactile thresholds, stereognosis, proprioception) was assessed before and immediately after the therapy. Children in the intervention group showed a significant reduction of pain sensitivity and increase of tactile sensitivity after treatment, whereas children in the control group displayed increased pain sensitivity in the absence of changes of tactile sensitivity. No changes were observed for proprioception or stereognosis. The repetitive somatosensory stimulation therapy led to a decrease of pain sensitivity and an increase of tactile sensitivity. These findings may have important research and clinical implications, as promoting early tactile interventions in children with ASD may lead to a more adequate development of somatosensory processing and less somatosensory abnormalities upon adult life.     

Comparison of child and adult vibrotactile thresholds as a function of frequency and duration

Psychophysical thresholds for the detection of sinusoidal vibration of the thenar eminence of the hand were determined for children and adults. The subjects in the child group were between 8 and 11 years old, and the adults were between 20 and 39 years old. Measurements were made for vibration frequencies ranging from 18 to 700 Hz and stimulus durations ranging from 28 to 1,000 msec. For both children and adults, thresholds were a Il-shaped function of stimulus frequency. However, the exact form of the function was influenced by the age of the subjects. At frequencies above 200 Hz, thresholds were virtually identical for children and adults, but below this frequency children were more sensitive than adults. This finding, in combination with known changes in the anatomy of the Pacinian corpuscle with age, is in agreement with a filter model of this cutaneous receptor. Furthermore, variation of stimulus duration resulted in data in agreement with the theory that two classes of mechanoreceptors, Pacinian and non-Pacinian, mediate the perception of vibration.     

Interactions between apparent motion rivalry in vision and touch

In multistable perception, the brain alternates between several perceptual explanations of ambiguous sensory signals. It is unknown whether multistable processes can interact across the senses. In the study reported here, we presented subjects with unisensory (visual or tactile), spatially congruent visuotactile, and spatially incongruent visuotactile apparent motion quartets. Congruent stimulation induced pronounced visuotactile interactions, as indicated by increased dominance times for both vision and touch, and an increased percentage bias for the percept already dominant under unisensory stimulation. Thus, the joint evidence from vision and touch stabilizes the more likely perceptual interpretation and thereby decelerates the rivalry dynamics. Yet the temporal dynamics depended also on subjects' attentional focus and was generally slower for tactile than for visual reports. Our results support Bayesian approaches to perceptual inference, in which the probability of a perceptual interpretation is determined by combining visual, tactile, or visuotactile evidence with modality-specific priors that depend on subjects' attentional focus. Critically, the specificity of visuotactile interactions for spatially congruent stimulation indicates multisensory rather than cognitive-bias mechanisms.     

Somatosensory processes subserving perception and action

The functions of the somatosensory system are multiple. We use tactile input to localize and experience the various qualities of touch, and proprioceptive information to determine the position of different parts of the body with respect to each other, which provides fundamental information for action. Further, tactile exploration of the characteristics of external objects can result in conscious perceptual experience and stimulus or object recognition. Neuroanatomical studies suggest parallel processing as well as serial processing within the cerebral somatosensory system that reflect these separate functions, with one processing stream terminating in the posterior parietal cortex (PPC), and the other terminating in the insula. We suggest that, analogously to the organisation of the visual system, somatosensory processing for the guidance of action can be dissociated from the processing that leads to perception and memory. In addition, we find a second division between tactile information processing about external targets in service of object recognition and tactile information processing related to the body itself. We suggest the posterior parietal cortex subserves both perception and action, whereas the insula principally subserves perceptual recognition and learning.     

Attention and suppression affect tactile perception in reach-to-grasp movements

Reaching with the hand is characterized by a decrease in sensitivity to tactile stimuli presented to the moving hand. Here, we investigated whether tactile suppression can be canceled by attentional orienting. In a first experiment, participants performed a dual-task involving a goal-directed movement paired with the speeded detection of a tactile pulse. The pulse was either delivered to the moving or stationary hand, during movement preparation, execution, or the post-movement phase. Furthermore, stimulation was delivered with equal probability to either hand, or with a higher probability to either the moving or resting hand. The results highlighted faster RTs under conditions of higher probability of stimulation delivery to both moving and resting hands, thus indicating an attentional effect. For the motor preparation period, RTs were faster only at the resting hand under conditions where tactile stimulation was more likely to be delivered there. In a second experiment, a non-speeded perceptual task was used as a secondary task and tactile discrimination thresholds were recorded. Tactile stimulation was delivered concomitantly at both index fingers either in the movement preparation period (both before and after the selection of the movement effector had taken place), in the motor execution period, or, in a control condition, in the time-window of motor execution, but the movement of the hand was restrained. In the preparation period, tactile thresholds were comparable for the two timings of stimulation delivery; i.e., before and after the selection of the movement effector had taken place. These results therefore suggest that shortly prior to, and during, the execution of goal-directed movements, a combined facilitatory and inhibitory influence acts on tactile perception.     

Spatial organisation in passive tactile perception: is there a tactile field?

The perceptual field is a cardinal concept of sensory psychology. 'Field' refers to a representation in which perceptual contents have spatial properties and relations which derive from the spatial properties and relations of corresponding stimuli. It is a matter of debate whether a perceptual field exists in touch analogous to the visual field. To study this issue, we investigated whether tactile stimuli on the palm can be perceived as complex stimulus patterns, according to basic spatial principles. Subjects judged the intensity of a target stimulus to the palm, ignoring two brief preceding touches at nearby flanker locations. We found that the judgements of the target intensity were boosted by flankers when the target lay on the line joining the flankers in comparison to when the target lay away from this line. Therefore, we suggest that a tactile spatial organisation, i.e. a tactile field, exists; the field supports the relation of collinearity; it is automatically and implicitly activated by touch, and it groups spatially coherent perceptual contents.     

Negative bodily self in suicide attempters

In the present study we investigated the relationship between suicidal behavior and aspects of bodily perception and parental care. Measures of bodily perception included measures of tactile sensitivity, body attitudes, and body experiences. Measures of parental care included parental bonding, negative and positive touch, and early maltreatment. One hundred and two adolescents (suicidal and nonsuicidal inpatients, and a control group) participated in the study. It was hypothesized that suicidal adolescents would (1) have higher tactile sensation thresholds, and more negative body attitudes and experiences; and (2) report less parental care, lower positive and higher negative parental touch, and higher parental maltreatment. It was also hypothesized that bodily sensitivity would mediate the relationship between suicidal tendencies and perceived negative early care. These hypotheses were confirmed. The role of a negative bodily self in suicidal behavior is proposed and discussed.     

Investigating the mechanisms of visually-evoked tactile sensations

When attempting to detect a near-threshold signal, participants often incorrectly report the presence of a signal, particularly when a stimulus in a different modality is presented. Here we investigated the effect of prior experience of bimodal visuotactile stimuli on the rate of falsely reported touches in the presence of a light. In Experiment 1, participants made more false alarms in light-present than light-absent trials, despite having no experience of the experimental visuotactile pairing. This suggests that light-evoked false alarms are a consequence of an existing association, rather than one learned during the experiment. In Experiment 2, we sought to manipulate the strength of the association through prior training, using supra-threshold tactile stimuli that were given a high or low association with the light. Both groups still exhibited an increased number of false alarms during light-present trials, however, the low association group made significantly fewer false alarms across conditions, and there was no corresponding group difference in the number of tactile stimuli correctly identified. Thus, while training did not affect the boosting of the tactile signal by the visual stimulus, the low association training affected perceptual decision-making more generally, leading to a lower number of illusory touch reports, independent of the light.     

Visual form-processing deficits in autism

People with autism have a number of reported deficits in object recognition and global processing. Is there a low-level spatial integration deficit associated with this? We measured spatial-form-coherence detection thresholds using a Glass stimulus in a field of random dots, and compared performance to a similar motion-coherence task. A coherent visual patch was depicted by dots separated by a rotational transformation in space (form) or space-time (motion). To measure parallel visual integration, stimuli were presented for only 250 ms. We compared detection thresholds for children with autism, children with Asperger syndrome, and a matched control group. Children with autism showed a significant form-coherence deficit and a significant motion-coherence deficit, while the performance of the children with Asperger syndrome did not differ significantly from that of controls on either task.     

Good vibrations: Global processing can increase the pleasantness of touch

Visual–tactile carry-over effects of global/local processing (attention to the whole, versus the details) have been reported under active touch conditions. We investigated whether carry-over effects of global/local processing also occur for passive touch and whether global/local processing has differential effects on affective and discriminative aspects of touch. Participants completed two tactile tasks involving pleasantness rating and discrimination of a set of tactile vibrations before and after completing a version of the Navon task that encouraged a focus on the global (n?=?30), local (n?=?30), or both (n?=?30) features of a series of visual stimuli. In line with previous research suggesting a link between global processing and positive emotion, global processing increased pleasantness ratings of high-frequency (but not low-frequency) tactile vibrations. Local processing did not improve the ability to discriminate between vibrations of different frequencies, however. There was some evidence of a tactile–visual carry-over effect; prior local processing of tactile vibrations reduced global precedence during the Navon task in the control group. We have shown carry-over effects of global versus local processing on passive touch perception. These findings provide further evidence suggesting that a common perceptual mechanism determines processing level across modalities and show for the first time that prior global processing affects the pleasantness of touch.     

Effects of motor intention on the perception of somatosensory events: A behavioural and functional magnetic resonance imaging study

The intention to execute a movement can modulate our perception of sensory events, and this modulation is observed ahead of both ocular and upper limb movements. However, theoretical accounts of these effects, and also the empirical data, are often contradictory. Accounts of “active touch”, and the premotor theory of attention, have emphasized how movement intention leads to enhanced perceptual processing at the target of a movement, or on the to-be-moved effector. By contrast, recent theories of motor control emphasize how internal “forward” model (FM) estimates may be used to cancel or attenuate sensory signals that arise as a result of self-generated movements. We used behavioural and functional brain imaging (functional magnetic resonance imaging, fMRI) to investigate how perception of a somatosensory stimulus differed according to whether it was delivered to a hand that was about to execute a reaching movement or the alternative, nonmoving, hand. The results of our study demonstrate that a somatosensory stimulus delivered to a hand that is being prepared for movement is perceived to have occurred later than when that same stimulus is delivered to a nonmoving hand. This result indicates that it takes longer for a tactile stimulus to be detected when it is delivered to a moving limb and may correspond to a change in perceptual threshold. Our behavioural results are paralleled by the results of our fMRI study that demonstrated that there were significantly reduced blood-oxygen-level-dependent (BOLD) responses within the parietal operculum and insula following somatosensory stimulation of the hand being prepared for movement, compared to when an identical stimulus was delivered to a nonmoving hand. These findings are consistent with the prediction of FM accounts of motor control that postulate that central sensory suppression of somatosensation accompanies self-generated limb movements, and with previous reports indicating that effects of sensory suppression are observed in higher order somatosensory regions.     

Effects of motor intention on the perception of somatosensory events: a behavioural and functional magnetic resonance imaging study

The intention to execute a movement can modulate our perception of sensory events, and this modulation is observed ahead of both ocular and upper limb movements. However, theoretical accounts of these effects, and also the empirical data, are often contradictory. Accounts of "active touch", and the premotor theory of attention, have emphasized how movement intention leads to enhanced perceptual processing at the target of a movement, or on the to-be-moved effector. By contrast, recent theories of motor control emphasize how internal "forward" model (FM) estimates may be used to cancel or attenuate sensory signals that arise as a result of self-generated movements. We used behavioural and functional brain imaging (functional magnetic resonance imaging, fMRI) to investigate how perception of a somatosensory stimulus differed according to whether it was delivered to a hand that was about to execute a reaching movement or the alternative, nonmoving, hand. The results of our study demonstrate that a somatosensory stimulus delivered to a hand that is being prepared for movement is perceived to have occurred later than when that same stimulus is delivered to a nonmoving hand. This result indicates that it takes longer for a tactile stimulus to be detected when it is delivered to a moving limb and may correspond to a change in perceptual threshold. Our behavioural results are paralleled by the results of our fMRI study that demonstrated that there were significantly reduced blood-oxygen-level-dependent (BOLD) responses within the parietal operculum and insula following somatosensory stimulation of the hand being prepared for movement, compared to when an identical stimulus was delivered to a nonmoving hand. These findings are consistent with the prediction of FM accounts of motor control that postulate that central sensory suppression of somatosensation accompanies self-generated limb movements, and with previous reports indicating that effects of sensory suppression are observed in higher order somatosensory regions.     

The Sense of Touch: From Tactility to Tactual Probing

Because philosophical reflections on touch usually start from our ability to perceive properties of objects, they tend to overlook features of touch that are crucial to correct understanding of tactual perception. This paper brings out these features and uses them to develop a general reconception of the sense of touch. I start by taking a fresh look at our ability to feel, in order to reveal its vital role. This sheds a different light on the skin's perceptual potential. While it is commonly observed that tactile experiences have two intentional objects, an external object and one's own body, I will advance a more accurate alternative: in tactile experiences, one becomes aware of what one's body undergoes. This alternative not only fits better with tactility's vital role; it is also key to explaining how active touching provides for a unique contribution to our perceptual relation to material objects. By thus connecting tactility's vital role to the way we rely on touch while manipulating objects, this essay offers a cross-sectional survey of our tactile powers that reveals the interplay between sensing and touching.