Continuous flash suppression and monocular pattern masking impact subjective awareness similarly

Peters and Lau (eLife, 4, e09651, 2015) found that when criterion bias is controlled for, there is no evidence for unconscious visual perception in normal observers, in the sense that they cannot directly discriminate a target above chance without knowing it. One criticism of that study is that the visual suppression method used, forward and backward masking (FBM), may be too blunt in the way it interferes with visual processing to allow for unconscious forced-choice discrimination. To investigate this question, we compared FBM directly to continuous flash suppression (CFS) in a two-interval forced-choice task. Although CFS is popular, and may be thought of as a more powerful visual suppression technique, we found no difference in the degree of perceptual impairment between the two suppression types. To the extent that CFS impairs perception, both objective discrimination and subjective awareness are impaired to similar degrees under FBM. This pattern was consistently observed across three experiments in which various experimental parameters were varied. These findings provide evidence for an ongoing debate about unconscious perception: normal observers cannot perform forced-choice discrimination tasks unconsciously.     

Perception of objects oriented downward from a vertical position

In the present work we investigated people’s perceptions of orientation for surfaces that are conceived of as being sloped downward from vertical against a vertical reference frame. In the three conditions of Experiment 1, participants either (1) placed a ladder against a wall at what they thought was the most stable position, and then estimated its orientation; (2) gave a verbal (conceptual) estimate of what the most stable position of a ladder leaned against a wall would be; or (3) drew a line representing the most stable position of a ladder to be placed against a wall, and then gave a verbal estimate of the ladder’s orientation. Ladder placement was shallower than the most stable position, as were the verbal estimations of both the positioned and drawn orientations and the verbal (conceptual) estimates of the most stable position for a ladder to be leaned against a wall, relative to the actual orientations. In Experiment 2, participants verbally estimated various ladder orientations. The estimates were again shallower than the actual orientations. For orientations between 60° and 90°, the estimates showed a scale compression effect from horizontal. This perceived exaggeration of the orientation of an object typically oriented down from vertical is similar to the perceived exaggeration of the orientation of hills and ramps, typically thought of as oriented up from horizontal. This may point to a generic perceived exaggeration of slant whose direction depends on the conceptual or actual reference frame being used.     

The influence of relevant and irrelevant stereoscopic depth cues: Depth information does not always capture attention

Previous research reported ambiguous findings regarding the relationship of visuospatial attention and (stereoscopic) depth information. Some studies indicate that attention can be focused on a distinct depth plane, while other investigations revealed attentional capture from irrelevant items located in other, unattended depth planes. To evaluate whether task relevance of depth information modulates the deployment of attentional resources across depth planes, the additional singleton paradigm was adapted: Singletons defined by depth (i.e., displayed behind or in front of a central depth plane) or color (green against gray) were presented among neutral items and served as targets or (irrelevant) distractors. When participants were instructed to search for a color target, no attentional capture from irrelevant depth distractors was observed. In contrast, it took substantially longer to search for depth targets when an irrelevant distractor was presented simultaneously. Color distractors as well as depth distractors caused attentional capture, independent of the distractors’ relative depth position (i.e., in front of or behind the target). However, slight differences in task performance were obtained depending on whether or not participants fixated within the target depth plane. Thus, the current findings indicate that attentional resources in general are uniformly distributed across different depth planes. Although task relevant depth singletons clearly affect the attentional system, this information might be processed subsequent to other stimulus features.     

Visual statistical learning at basic and subordinate category levels in real-world images

Visual statistical learning (VSL) has been proposed as a powerful mechanism underlying the striking ability of human observers to handle complex visual environments. Previous studies have shown that VSL can occur when statistical information is embedded at multiple levels of abstraction, such as at semantically different category levels. In the present study, we further examined whether statistical regularities at a basic category level (e.g., a regular sequence of a bird, then a car, and then a dog) could influence the ability to extract statistical regularities at the subordinate level (e.g., a regular sequence of a parrot, then a sports car, and then an Eskimo dog). In the familiarization phase, participants were exposed to a stream of real-world images whose semantic categories had temporal regularities. Importantly, the temporal regularities existed at both the basic and subordinate levels, or the regularities existed at only the subordinate level, depending on the experimental condition. After completing the familiarization, participants performed a surprise two-alternative forced choice (2AFC) task for a familiarity judgment between two triplets in which the temporal regularities were either preserved or not preserved. Our results showed that the existence of statistical regularities at the basic level did not influence VSL at the subordinate level. The subsequent experiments showed these results consistently even when the basic-level categories had to be explicitly recognized and when the stimuli were not easily categorized at their subordinate level. Our results suggest that VSL is constrained to learn a particular level of patterns when patterns are presented across multiple levels.     

Relationship between vection and motion perception in depth

This study examined the effects of cues to motion in depth – namely, stereoscopic (i.e., changing-disparity cues and interocular velocity differences) and changing-size cues on forward and backward vection. We conducted four experiments in which participants viewed expanding or contracting optical flows with the addition of either or both cues. In Experiment 1, participants reported vection by pressing a button whenever they felt it. After each trial, they also rated the magnitude of the vection (from 0 to 100). In Experiments 2 and 3, the participants rated the perceived velocity and motion-in-depth impression of the flows relative to standard stimuli, respectively. In Experiment 4, the participants rated the perceived depth and distance of the display. We observed enhancements in vection, motion-in-depth impression, and perceived depth and distance when either or both types of cues indicated motion-in-depth, as compared to those when the cues did not (Experiments 1, 3, and 4). The perceived velocity changed with cue conditions only for the high velocity condition (Experiment 2). Correlational analyses showed that the vection can be best explained by the motion-in-depth impression. This was partially supported by the multiple regression analyses. These results indicate that the enhancement of vection caused by cues is related to the impression of motion-in-depth rather than the perceived velocity and perceived three-dimensionality.     

Acceptability,Feasibility, and Effectiveness of Internet-Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder in New York

Cognitive-behavioral therapy (CBT), consisting of exposure and response prevention (EX/RP), is both efficacious and preferred by patients with obsessive–compulsive disorder (OCD), yet few receive this treatment in practice. This study describes the implementation of an Internet-based CBT program (ICBT) developed in Sweden in individuals seeking OCD treatment in New York. After translating and adapting the Swedish ICBT for OCD, we conducted an open trial with 40 adults with OCD. Using the RE-AIM implementation science framework, we assessed the acceptability, feasibility, and effectiveness of ICBT. The Yale–Brown Obsessive Compulsive Scale (Y-BOCS) was the primary outcome measure. Of 40 enrolled, 28 participants completed the 10-week ICBT. In the intent-to-treat sample (N = 40), Y-BOCS scores decreased significantly over time (F = 28.12, df = 2, 49, p < . 001). Depressive severity (F = 5.87, df = 2, 48, p < . 001), and quality of life (F = 12.34, df = 2, 48, p < . 001) also improved. Sensitivity analyses among treatment completers (N = 28) confirmed the intent-to-treat results, with a large effect size for Y-BOCS change (Cohen’s d = 1.38). ICBT took less time to implement than face-to face EX/RP and participants were very to mostly satisfied with ICBT. On a par with results in Sweden, the adapted ICBT program reduced OCD and depressive symptoms and improved quality of life among individuals with moderate to severe OCD. Given its acceptability and feasibility, ICBT deserves further study as a way to increase access to CBT for OCD in the United States.     

Predictive Relationship Between Parental Beliefs and Accommodation of Pediatric Anxiety

Behavior performed by parents to assist a youth in avoiding or alleviating anxiety, known as accommodation, is ubiquitous among pediatric anxiety disorders and strongly related to poor treatment outcome. According to cognitive-behavioral theory, the beliefs parents hold regarding accommodation should predict parental accommodating behavior. Unfortunately, little is known about the beliefs parents hold regarding accommodation, as there exists no validated measure of this construct. First, the psychometric properties were examined for the Parental Accommodation Scale (PAS), a novel measure of parental accommodating behavior frequency (PAS-Behavior scale) and parental beliefs about accommodation (PAS-Belief scale). Second, the relationship between parental beliefs about accommodation and accommodation frequency was examined. Results provide preliminary evidence of the internal consistency and convergent validity of the PAS. Stronger positive beliefs about accommodation significantly predicted accommodation frequency, even after controlling for youth anxiety severity. Specifically, beliefs that accommodation prevents youth from losing behavioral and emotional control significantly predicted accommodation frequency. Therefore, efforts to decrease accommodation in clinical settings should involve correcting maladaptive parental beliefs about accommodation, with a particular emphasis on beliefs regarding the necessity of accommodation in preventing a youth from losing behavioral and emotional control.     

Psychobiography and the Psychology of Religion: A Tribute to the Work of Donald Capps

This article examines Donald Capps’s work on the psychology of major religious figures and the social forces that informed their psychic lives, spiritual worldviews, and teachings. Drawing on four texts that were published between 2000 and 2014, the essay explores Capps’s views on the importance of psychobiography to the study of religion and the specific contributions his thinking has made to a greater understanding of the historical Jesus. The article considers Capps’s analysis of Jesus’s illegitimacy and his role as healer within the society in which he lived and preached. Building on Capps’s work, the article also expands on feminist and postcolonial theories that offer insight into the psychosocial development of religious figures whose teachings and beliefs emerged out of their individual life circumstances and the larger socio-political culture in which they lived.     

Late Onset First Episode Psychosis Emerging as Delusional Misidentification of Familiar Sacred Places During a Holy Pilgrimage: A Case Report and Literature Review

Background

The delusional misidentification syndromes (DMS) include a myriad of discrete but related syndromes, which have wide spectrum anomalies of familiarity. Several misidentification syndromes have been described in the psychiatric literature, the most common of these delusions are: the Capgras syndrome; the Fregoli syndrome; the syndrome of inter-metamorphosis; reduplicative paramnesia; and environmental reduplication.

Case Presentation

The reported case highlights the emergence of late onset first episode psychosis in a Middle Eastern 65-year-old female who has no previous psychiatric history. The nature of psychosis was mainly delusions of misidentification and persecution.

Discussion

DMS are relatively rare and occur predominantly in association with schizophrenia and affective psychosis. Between 25 and 40% are associated with organic conditions such as dementia, head injuries, brain tumors, and epilepsy. Only three cases of misidentification of sacred places have been reported previously in the literature. This case report is the first to present a DMS, emerging as a late onset first episode psychosis during the sacred journey of Hajj.

Clinical Implications

The reported case highlights the importance of early recognition and treatment of mental health conditions that may appear de novo during the Hajj sacred journey. Readily available psychiatric resources, psychotropic medications, and psycho-education may be pivotal in ensuring mental well-being of pilgrims, which is fundamental to maintain the mental capacity required for completing these journeys.