Visuospatial asymmetry in dual‐task performance after subacute stroke

Various authors have referred to an association between neglect and non‐spatial components of attention. It has been suggested that an increase in attentional load could exacerbate neglect symptoms and reveal subtle, well‐compensated neglect. In the present study, 21 RH and 22 LH subacute stroke patients and 20 controls performed a computerized single‐detection task (CVRT) and a dual task (CVRT‐D) combining the detection task with a driving simulation task. Omissions, reaction times (RTs) and RT asymmetries were analysed to investigate the influence of increasing attentional load on neglect symptoms. RT asymmetries were most pronounced in RH patients. Although a clear increase in RT asymmetries between CVRT and CVRT‐D was observed, the amount of increase did not differ between both patient groups. Within both patient groups, correlations between RT asymmetries and ipsilesional RTs as a measure of general attention were significant in the single task but not in the dual task, indicating that increased attentional load may result in different degrees of lateralized and general attentional problems. Half of the patients with neglect on the BIT (Behavioural Inattention Test) showed increased RT asymmetries from CVRT to CVRT‐D. Moreover, two LH and RH patients without neglect symptoms on the BIT and CVRT showed distinctively increased asymmetries in the CVRT‐D, fostering the idea of an emergence of subtle neglect under increased attentional load. Dual‐task performance may draw attention towards patients who, without obvious signs of neglect, may show visuospatial attention deficits in complex situations.     

When knowledge is not enough: the phenomenon of goal neglect in preschool children

We argue that the concept of goal neglect can be fruitfully applied to understand children's potential problems in experimental tasks and real-world settings. We describe an assessment of goal neglect developed for administration to preschool children and report data on two measures derived from this task alongside the Dimensional Change Card Sort (DCCS) and an opposite color response inhibition task. The propensity to neglect initial task cues was uniquely linked to response inhibition, whereas neglect of a later cue was uniquely linked to the DCCS. Additional evidence suggests that recovery from neglect can occur and shows that goal neglect varies with the cognitive transparency of the signifying cue. Data demonstrate the importance of, and place constraints on, current theories of information regulation and foreground the notion of graded representations in working memory and executive functioning.     

Effect of Hand Posture on the Temporal and Kinematic Properties of Pointing and Drawing Movements Executed by Healthy Subjects and by a Patient With Primary Writing Tremor

Healthy individuals (n = 6) and a patient with "pure" primary writing tremor executed pointing and drawing movements while adopting different hand postures. The control subjects and the patient exhibited similar kinematics for most conditions. The patient displayed a severe right hand 4- to 6-Hz tremor and prolonged movements only when drawing with his normal hand posture. His tremor was manifested after a ready cue, in anticipation of a go command. The premovement tremor was abolished when the authors simply eliminated the ready cue and instructed the patient to relax and not think about drawing until he heard the go cue. Thus, the patient's writing tremor depended not only upon the writing or drawing act but also upon the hand position adopted and the intent to write, even in the absence of movement. The present results suggest that (a) similar high-level control mechanisms exist for pointing and drawing in healthy subjects and (b) the patient's deficits are compatible with a higher motor defect in central nervous system structures involved in the control of pointing and drawing movements.     

Generativity and imagination in autism spectrum disorder: Evidence from individual differences in children's impossible entity drawings

This study examined the cognitive underpinnings of spontaneous imagination in autism spectrum disorder (ASD) by way of individual differences. Children with ASD (N=27) and matched typically developing (TD) children were administered Karmiloff‐Smith's (1990) imaginative drawing task, along with measures that tapped specific executive functions (generativity, visuospatial planning, and central coherence processing style) and false belief theory of mind (ToM) understanding. The ASD group drawings displayed deficits in imaginative content and a piecemeal pictorial style. ASD participants also showed group deficits in generativity, planning and ToM, and exhibited weak coherence. Individual differences in generativity were related to imaginative drawing content in the ASD group, and the association was mediated through planning ability. Variations in weak coherence were separately related to a piecemeal drawing style in the ASD group. Variations in generativity were also linked with imaginative drawing content in the TD group; the connection unfolded when it received pooled variance from receptive language ability, and thereupon mediated through false belief reasoning to cue imaginative content. Results are discussed in terms of how generativity plays a broad and important role for imagination in ASD and typical development, albeit in different ways.     

Reliability and magnitude of laterality effects in dichotic listening with exogenous cueing

The purpose of the present study was to replicate and extend to word recognition previous findings of reduced magnitude and reliability of laterality effects when exogenous cueing was used in a dichotic listening task with syllable pairs. Twenty right-handed undergraduate students with normal hearing (10 females, 10 males) completed a dichotic listening task in which the words bower, dower, power, and tower were presented in a sad, angry, happy, or neutral tone. Each stimulus pair (one to each ear) was preceded by a lateralized tone cue. Participants were required to identify the word presented to the ear where the cue was heard. When correct responses were analyzed, results replicated the pattern of reduced magnitude and reliability of laterality effects observed in previous studies. However, the percentage of intrusions (identification of the stimulus presented to the uncued ear) increased with the time between the onset of the cue and the target, suggesting that the cue was not fully effective. These results are discussed in terms of their implications for the use of exogenous cueing to control attention. It seems that, in the present task, an effective means of attention control has yet to be identified.     

The paradox of the universal triangle: Concepts,language, and prototypes

For over 300 years, the humble triangle has served as the paradigmatic example of the problem of abstraction. How can we have the idea of a general triangle even though every experience with triangles is with specific ones? Classical cognitive science seemed to provide an answer in symbolic representation. With its easily enumerated necessary and sufficient conditions, the triangle would appear to be an ideal candidate for being represented in a symbolic form. I show that it is not. Across a variety of tasks—drawing, speeded recognition, unspeeded visual judgments, and inference—representations of triangles appear to be graded and context dependent. I show that using the category name “triangle” activates a more prototypical representation than using an arguably coextensive cue, “three-sided polygon”. For example, when asked to draw “triangles” people draw more typical triangles than when asked to draw “three-sided polygons”. Altogether, the results support the view that (even formal) concepts have a graded and flexible structure, which takes on a more prototypical and stable form when activated by category labels.     

Effects of dorsal-striatum lesions and fimbria-fornix lesions on the problem-solving strategies of rats in a shallow water maze

In solving a spatial problem, animals can use a place, cue, or response strategy. The present research was designed to evaluate the role of dorsal striatum (DS) in spatial problem solving and to compare it with that of fimbria fornix (FF). Rats were trained with a place + cue task in a shallow pool, then were divided into three groups (DS, FF, control), and lesions were made in the corresponding areas. After retraining, four probe tests were given: Test 1 (start position moved), Test 2 (goal and start positions moved), Test 3 (invisible goal), and Test 4 (curtain test). The test results suggest that the DS and Control groups performed the original task by using the place strategy, whereas the FF group used the cue strategy, which strongly implies that the DS group was impaired in the use of the cue strategy. This research also provides evidence supporting the usefulness of a shallow pool in evaluating animal behavior.     

Social influence on metacognitive evaluations: The power of nonverbal cues

Metacognitive evaluations refer to the processes by which people assess their own cognitive operations with respect to their current goal. Little is known about whether this process is susceptible to social influence. Here we investigate whether nonverbal social signals spontaneously influence metacognitive evaluations. Participants performed a two-alternative forced-choice task, which was followed by a face randomly gazing towards or away from the response chosen by the participant. Participants then provided a metacognitive evaluation of their response by rating their confidence in their answer. In Experiment 1, the participants were told that the gaze direction was irrelevant to the task purpose and were advised to ignore it. The results revealed an effect of implicit social information on confidence ratings even though the gaze direction was random and therefore unreliable for task purposes. In addition, nonsocial cues (car) did not elicit this effect. In Experiment 2, the participants were led to believe that cue direction (face or car) reflected a previous participant's response to the same question—that is, the social information provided by the cue was made explicit, yet still objectively unreliable for the task. The results showed a similar social influence on confidence ratings, observed with both cues (car and face) but with an increased magnitude relative to Experiment 1. We additionally showed in Experiment 2 that social information impaired metacognitive accuracy. Together our results strongly suggest an involuntary susceptibility of metacognitive evaluations to nonverbal social information, even when it is implicit (Experiment 1) and unreliable (Experiments 1 and 2).     

Smoking reduces language lateralization: a dichotic listening study with control participants and schizophrenia patients

Schizophrenia has been associated with deficits in functional brain lateralization. According to some authors, the reduction of asymmetry could even promote this psychosis. At the same time, schizophrenia is accompanied by a high prevalence of nicotine dependency compared to any other population. This association is very interesting, because sex-dependent effects of smoking in auditory language asymmetries have been reported recently, and the verbal domain is also one major focus in cognitive deficit studies of schizophrenia. Thus, the altered laterality pattern in schizophrenia could, at least in part, result from secondary artefacts due to smoking rather than being a pure cause of the disease itself. To test this hypothesis, the present study examined auditory language lateralization in 67 schizophrenia patients and in 72 healthy controls in a phonemic and an emotional dichotic listening task. Our findings replicate previous research, in that smoking reduces language lateralization in men in phonemic dichotic listening. In addition, we show that smoking also reduces laterality in women in the emotional dichotic listening task. Thus, smoking alters phonemic and emotional language asymmetries differentially for men and women, with a stronger effect for men in the left hemisphere phonemic task, and a stronger effect for women in the right hemisphere emotional task. Together, these findings point towards an effect of smoking which is possibly independent of sex and hemisphere. Importantly, by testing equal numbers of smoking and non-smoking patients and controls, we found no schizophrenia-associated asymmetry effect. Possible neurobiological mechanisms with which smoking may alter auditory microcircuits and thereby diminish left-right differences are discussed.     

Recognition and mental manipulation of body parts dissociate in locked-in syndrome

Several lines of evidence demonstrate that the motor system is involved in motor simulation of actions, but some uncertainty exists about the consequences of lesions of descending motor pathways on mental imagery tasks. Moreover, recent findings suggest that the motor system could also have a role in recognition of body parts. To address these issues in the present study we assessed patients with a complete damage of descending motor pathways (locked-in syndrome, LIS) on the hand laterality task, requiring subjects to decide whether a hand stimulus in a given spatial orientation represents a left or a right hand. LIS patients were less accurate than healthy controls in judging hand laterality; more importantly, LIS patients’ performance was modulated by spatial orientation of hand stimuli whereas it was not affected by biomechanical constraints. These findings demonstrate a dissociation between spared hand recognition and impaired access to action simulation processes in LIS patients.     

Emergence of representational activity during the early drawing stage: process analysis

This study analyzed the process underlying the emergence of representational drawing. Eighty-seven children aged 1–3 years were asked to color or draw either a simple picture (P) or a contour for an object (DC) in a shared task. After that, they were asked to draw their mother on a blank sheet of paper in a no drawn contour task (NC). Whereas 1½- and 2-year-olds were more successful in the P task than in the DC task, the 2½- and 3-year-olds were successful in both. The 2-year-olds were better in the DC than the NC task. The results show that 1½- and 2-year-olds can extract the component parts of a drawing even though they cannot produce them and children over 2½ years old can organize these components into a drawing by themselves. These findings indicate that representational drawing is based on the extraction of the component parts and the acquisition of the drawing ability to combine the parts into a drawing and that the beginnings of representational drawing are found in 1½- and 2-year-old children.     

You never know where you are going until you know where you have been: Disorganized search after stroke

Disorders in spatial exploration can be expressed in a disorganized fashion of target cancellation. There is debate regarding whether disorganized search is related to stroke in general, to right brain damage or to unilateral spatial neglect (USN) in particular. In this study, 280 stroke patients and 37 healthy control subjects performed a computerized shape cancellation test. We investigated the number of perseverations and several outcome measures regarding disorganized search: Consistency of search direction (best r), distance between consecutive cancelled targets and intersections with paths between previous cancelled targets. We compared performance between patients with left and right brain damage (L, R) and with and without USN (USN+, USN?), resulting in four subgroups: LUSN?, RUSN?, LUSN+, and RUSN+. Higher numbers of intersections were found for the left brain‐ and right brain‐damaged patients with USN and for the right brain‐damaged patients without USN, compared to healthy control subjects. Furthermore, right brain‐damaged patients with USN showed a higher number of intersections compared to right brain‐damaged patients without USN and compared to left brain‐damaged patients with USN. To conclude, disorganized search was most strongly related to the neglect syndrome, and patients with more severe USN were even more impaired.     

A goal activation approach to the study of executive function: an application to antisaccade tasks

We argue that a general control process, responsible for the activation and maintenance of task goals, is central to the concept of executive function. Failures of this process can become manifest as goal neglect: disregard of a task requirement even though it has been understood (Duncan, 1995). We discuss the results of several published and new experiments using various versions of the antisaccade task in order to investigate the circumstances under which goal neglect is likely to occur. Potentially conflicting results in the literature on adaptive control of saccadic eye movements are argued to be attributable to the extent to which different task versions elicit goal neglect. The results suggest an increased susceptibility to goal neglect of high-functioning older adults (Experiment 1) and of first-episode schizophrenia patients (Experiment 2), but not of patients with obsessive-compulsive disorder (Experiment 3). However, the degree to which such differences in susceptibility become manifest in task performance, is shown to be strongly influenced by manipulations of the relative saliency of task requirements. Theoretical and methodological implications for the study of executive function are discussed.     

Reliability and magnitude of auditory laterality effects: the influence of attention

Three experiments investigated the effect of attention on the reliability and magnitude of laterality effects in a dichotic listening task. In Experiment 1, 40 undergraduate students were randomly assigned to either a free-recall or focused-attention condition. In Experiment 2, 40 undergraduate students completed a dichotic listening task with exogenous cueing. They were randomly assigned to either a 150-ms stimulus onset asynchrony (SOA) or a 450-ms SOA condition. In Experiment 3, 20 participants completed a task where the SOA for the exogenous cue was randomized on a trial to trial basis. Results indicated that focused attention increased the magnitude of the laterality effect. Contrary to predictions, this finding was not due to reduced variability in the focused-attention task compared to the free-recall task. In addition, a cueing tone was only effective at directing attention in Experiment 3. Specifically, a significant right ear advantage observed at the 150-ms SOA was reduced at the 450-ms SOA. It appears that, in Experiment 3, the tone was effective at controlling attention because it reduced the systematic bias that has been suggested to account for the laterality effects observed in dichotic tasks.     

Visual exploration pattern in hemineglect

The analysis of eye movement parameters in visual neglect such as cumulative fixation duration, saccade amplitude, or the numbers of saccades has been used to probe attention deficits in neglect patients, since the pattern of exploratory eye movements has been taken as a strong index of attention distribution. The current overview of the literature of visual neglect has its emphasis on studies dealing with eye movement and exploration analysis. We present our own results in 15 neglect patients. The free exploration behavior was analyzed in these patients presenting 32 naturalistic color photographs of everyday scenes. Cumulative fixation duration, spatial distribution of fixations in the horizontal and vertical plane, the number and amplitude of exploratory saccades was analyzed and compared with the results of an age-matched control group. A main result of our study was that in neglect patients, fixation distribution of free exploration of natural scenes is not only influenced by the left–right bias in the horizontal direction but also by the vertical direction.     

Automatic attentional orienting to other people’s gaze in schizophrenia

Explicit tests of social cognition have revealed pervasive deficits in schizophrenia. Less is known of automatic social cognition in schizophrenia. We used a spatial orienting task to investigate automatic shifts of attention cued by another person’s eye gaze in 29 patients and 28 controls. Central photographic images of a face with eyes shifted left or right, or looking straight ahead, preceded targets that appeared left or right of the cue. To examine automatic effects, cue direction was non-predictive of target location. Cue–target intervals were 100, 300, and 800?ms. In non-social control trials, arrows replaced eye-gaze cues. Both groups showed automatic attentional orienting indexed by faster reaction times (RTs) when arrows were congruent with target location across all cue–target intervals. Similar congruency effects were seen for eye-shift cues at 300 and 800?ms intervals, but patients showed significantly larger congruency effects at 800?ms, which were driven by delayed responses to incongruent target locations. At short 100-ms cue–target intervals, neither group showed faster RTs for congruent than for incongruent eye-shift cues, but patients were significantly slower to detect targets after direct-gaze cues. These findings conflict with previous studies using schematic line drawings of eye-shifts that have found automatic attentional orienting to be reduced in schizophrenia. Instead, our data indicate that patients display abnormalities in responding to gaze direction at various stages of gaze processing—reflected by a stronger preferential capture of attention by another person’s direct eye contact at initial stages of gaze processing and difficulties disengaging from a gazed-at location once shared attention is established.     

Ambiguous emotion recognition in temporal lobe epilepsy: The role of expression intensity

The lateralization of emotion processing is currently debated and may be further explored by examining facial expression recognition (FER) impairments in temporal lobe epilepsy (TLE). Furthermore, there is also debate in the literature whether FER deficits in individuals with TLE are more pronounced in the right than in the left hemisphere. Individuals with TLE were tested with an FER task designed to be more sensitive than those classically used to shed light on this issue. A total of 25 right- and 32 left-TLE patients, candidates for surgery, along with controls, underwent an FER task composed of stimuli shown not only at full-blown intensities (100 %), but also morphed to lower-intensity display levels (35 %, 50 %, and 75 %). The results showed that, as compared to controls, right-TLE patients showed deficits in the recognition of all emotional categories. Furthermore, when considering valence, right-TLE patients were impaired only in negative emotion recognition, but no deficits for positive emotions were highlighted in left-TLE patients. Finally, only the right-TLE patients’ impairment was found to be related to the age of epilepsy onset. Our work demonstrates that the FER deficits in TLE span multiple emotional categories and show manifestations dependent on the laterality of the epileptic focus. Taken together, our findings provide the strongest evidence for the right-hemisphere model, but they also partially support the valence model. We suggest that current models are not exhaustive at explaining emotional-processing cerebral control, and further that multistep models should be developed.     

The use of recognition information and additional cues in inferences from memory

Goldstein and Gigerenzer's (2002) "Recognition Heuristic" (RH) was tested for its empirical validity in an experimental paradigm with induced recognition of objects. RH claims that upon inferring which of two objects (e.g., cities) scores higher on a criterion (e.g., city size), a recognized object will be chosen over an unrecognized one, if the recognition is a valid predictor of the criterion without considering additional object information. Trying to avoid potential shortcomings of former studies, we (a) used the city population task, (b) provided additional cue information only for recognized cities, and (c) had participants draw inferences from memory. Participants learned city names and additional information about some cities. They also learned that recognition and the additional information were valid predictors of the criterion "city size". In a subsequent decision phase, the additional information about the cities in memory strongly affected the inferences, suggesting that recognition information is clearly integrated into judgments, but by no means in a non-compensatory fashion that would dominate every other cue.     

Global and Local processing in Williams Syndrome: Drawing versus Perceiving

It has been hypothesized that a local processing bias underlies overall visuospatial impairments in Williams syndrome (WS). However, recent studies have challenged this hypothesis by providing evidence against a local processing bias at the perceptual level. The aim of the present study was to further examine drawing and perceptual skills in children with WS using closely matched-hierarchical stimuli. In the drawing task children with WS exhibited a local processing bias. However, no significant preferential bias was found in the perceptual task. This indicates that children with WS do not systematically present a preferential bias for local information. Taken together the findings of the present study suggest that perceptual processing deficits per se are unlikely to explain local processing biases in visuoconstructive tasks often described in people with WS.     

Global and local processing in Williams syndrome: drawing versus perceiving.

It has been hypothesized that a local processing bias underlies overall visuospatial impairments in Williams syndrome (WS). However, recent studies have challenged this hypothesis by providing evidence against a local processing bias at the perceptual level. The aim of the present study was to further examine drawing and perceptual skills in children with WS using closely matched-hierarchical stimuli. In the drawing task children with WS exhibited a local processing bias. However, no significant preferential bias was found in the perceptual task. This indicates that children with WS do not systematically present a preferential bias for local information. Taken together the findings of the present study suggest that perceptual processing deficits per se are unlikely to explain local processing biases in visuoconstructive tasks often described in people with WS.