When attention is intact in adults with ADHD

Is covert visuospatial attention—selective processing of information in the absence of eye movements—preserved in adults with attention-deficit/hyperactivity disorder (ADHD)? Previous findings are inconclusive due to inconsistent terminology and suboptimal methodology. To settle this question, we used well-established spatial cueing protocols to investigate the perceptual effects of voluntary and involuntary attention on an orientation discrimination task for a group of adults with ADHD and their neurotypical age-matched and gender-matched controls. In both groups, voluntary attention significantly improved accuracy and decreased reaction times at the relevant location, but impaired accuracy and slowed reaction times at irrelevant locations, relative to a distributed attention condition. Likewise, involuntary attention improved accuracy and speeded responses. Critically, the magnitudes of all these orienting and reorienting attention effects were indistinguishable between groups. Thus, these counterintuitive findings indicate that spatial covert attention remains functionally intact in adults with ADHD.     

How visual spatial attention alters perception

Visual attention is essential for visual perception. Spatial attention allows us to grant priority in processing and selectively process information at a given location. In this paper, I explain how two kinds of spatial attention: covert (allocated to the target location, without accompanying eye movements) and presaccadic (allocated to the location of the upcoming saccade’s target) affect performance and alter appearance. First, I highlight some behavioral and neuroimaging research on covert attention, which alters performance and appearance in many basic visual tasks. Second, I review studies showing that presaccadic attention improves performance and alters appearance at the saccade target location. Further, these modulations change the processing of feature information automatically, even when it is detrimental to the task at hand. We propose that saccade preparation may support transsaccadic integration. Systematically investigating the common and differential characteristics of covert attention and presaccadic attention will continue to further our understanding of the pervasive selective processing of information, which enables us to make sense of our complex visual world.     

Selective attention affects implicit and explicit memory for familiar pictures at different delay conditions

Three experiments investigated the effects of two variables -selective attention during encoding and delay between study and test- on implicit (picture fragment completion and object naming) and explicit (free recall and recognition) memory tests. Experiments 1 and 2 consistently indicated that (a) at all delays (immediate to 1 month), picture-fragment identification threshold was lower for the attended than the unattended pictures; (b) the attended pictures were recalled and recognized better than the unattended; and (c) attention and delay interacted in both memory tests. For implicit memory, performance decreased as delay increased for both attended and unattended pictures, but priming was more pronounced and lasted longer for the attended pictures; it was still present after a 1-month delay. For explicit memory, performance decreased as delay increased for attended pictures, but for unattended pictures performance was consistent throughout delay. By using a perceptual object naming task, Experiment 3 showed reliable implicit and explicit memory for attended but not for unattended pictures. This study indicates that picture repetition priming requires attention at the time of study and that neither delay nor attention dissociate performance in explicit and implicit memory tests; both types of memory require attention, but explicit memory does so to a larger degree.     

How attention enhances spatial resolution: evidence from selective adaptation to spatial frequency

In this study, we investigated how spatial resolution and covert attention affect performance in a texture segmentation task in which performance peaks at midperiphery and drops at peripheral and central retinal locations. The central impairment is called the central performance drop (CPD; Kehrer, 1989). It has been established that attending to the target location improves performance in the periphery where resolution is too low for the task, but impairs it at central locations where resolution is too high. This is called the central attention impairment (CAI; Yeshurun & Carrasco, 1998, 2000). We employed a cuing procedure in conjunction with selective adaptation to explore (1) whether the CPD is due to the inhibition of low spatial frequency responses by high spatial frequency responses in central locations, and (2) whether the CAI is due to attention's shifting sensitivity to higher spatial frequencies. We found that adaptation to low spatial frequencies does not change performance in this texture segmentation task. However, adaptation to high spatial frequencies diminishes the CPD and eliminates the CAI. These results indicate that the CPD is primarily due to the dominance of high spatial frequency responses and that covert attention enhances spatial resolution by shifting sensitivity to higher spatial frequencies.     

The body, adolescence, and psychosis

This article explores aspects of the clinical development of a male 17 year-old patient who had four weekly sessions of psychoanalysis during an acute psychotic crisis. In the context of arrested adolescent development, a psychotic crisis can present an opportunity to set the process of maturation in motion again. Adolescent psychosis is examined in the light of Bion's theories of catastrophic change - in which the container/contained relationship becomes explosive and overwhelming - as well as of Ferrari's and Matte Blanco's hypotheses on the mind-body relationship. The authors emphasize the role of denial of the body and its changes in the genesis of adolescent psychotic conflict, and show how the analytic relationship can offer crucial reverie conditions for promoting recognition of the body, bodily sensations and affects, as a prerequisite for the activation of an autonomous mental system. This clinical approach entails recognizing the urgent need to make room for the elaboration of intrasubjective relationships and for mind-body dialogue, transference interpretations being postponed. Clinical material and fragments of analytic dialogue illustrate the authors' hypotheses and demonstrate the patient's development towards recognition of his body and an incipient capacity to think associated with the perception of the limits set by time and reality.