When small effect sizes become huge: Synaesthesia is linked to very large differences in cognition.

The replication crisis has taught us to expect small-to-medium effects in psychological research. But this is based on effect sizes calculated over single variables. Mahalanobis D, the multivariate equivalent of Cohen's d, can enable very large group differences to emerge from a collection of small-to-medium effects (here, reanalysing multivariate datasets from synaesthetes and controls). The use of multivariate effect sizes is not a slight of hand but may instead be a truer reflection of the degree of psychological differences between people that has been largely underappreciated.

Fibromyalgia is linked to increased subjective sensory sensitivity across multiple senses.

Changes in subjective sensory sensitivity - reporting sensory stimuli as being atypically intense or weak - are a transdiagnostic symptom of several disorders. The present study documents for the first time the sensory sensitivity profile of fibromyalgia, taking a questionnaire measure that asks about different sensory modalities and both hyper- and hyposensitivity (the Glasgow Sensory Questionnaire, GSQ). The fibromyalgia group had higher overall scores on this measure. This was linked more strongly to sensory hypersensitivity and was pervasive across all senses that were surveyed. Although differences in hyposensitivity were found, these were sporadic (perhaps linked to the symptoms of fibromyalgia itself) and did not resemble the pattern documented for autism (e.g., self-stimulating and repetitive behaviours were not a feature of fibromyalgia). We suggest that individual differences in subjective sensory hypersensitivity may be a multisensory dispositional trait linked to fibromyalgia which ultimately becomes most pronounced for pain.

Perceptual confirmation bias and decision bias underlie adaptation to sequential regularities.

Our perception does not depend exclusively on the immediate sensory input. It is also influenced by our internal predictions derived from prior observations and the temporal regularities of the environment, which can result in choice history biases. However, it is unclear how this flexible use of prior information to predict the future influences perceptual decisions. Prior information may bias decisions independently of the current sensory input, or it may modulate the weight of current sensory input based on its consistency with the expectation. To address this question, we used a visual decision-making task and manipulated the transitional probabilities between successive noisy grating stimuli. Using a reverse correlation analysis, we evaluated the contribution of stimulus-independent decision bias and stimulus-dependent sensitivity modulations to choice history biases. We found that both effects coexist, whereby there was increased bias to respond in line with the predicted orientation alongside modulations in perceptual sensitivity to favor perceptual information consistent with the prediction, akin to selective attention. Furthermore, at the individual differences level, we investigated the relationship between autistic-like traits and the adaptation of choice history biases to the sequential statistics of the environment. Over two studies, we found no convincing evidence of reduced adaptation to sequential regularities in individuals with high autistic-like traits. In sum, we present robust evidence for both perceptual confirmation bias and decision bias supporting adaptation to sequential regularities in the environment.

Atypical emotion sharing in individuals with mirror sensory synaesthesia.

Being able to empathise with others is a crucial ability in everyday life. However, this does not usually entail feeling the pain of others in our own bodies. For individuals with mirror-sensory synaesthesia (MSS), however, this form of empathic embodiment is a common feature. Our study investigates the empathic ability of adults who experience MSS using a video-based empathy task. We found that MSS participants did not differ from controls on emotion identification and affective empathy; however, they showed higher affect sharing (degree to which their affect matches what they attribute to others) than controls. This finding indicates difficulties with self-other distinction, which our data shows results in fewer signs of prosocial behaviour. Our findings are in line with the self-other control theory of MSS and highlight how the use of appropriate empathy measures can contribute to our understanding of this important socio-affective ability, both in typical and atypical populations.

A symptom network model of misophonia: From heightened sensory sensitivity to clinical comorbidity.

OBJECTIVES: Misophonia-an unusually strong intolerance of certain sounds-can cause significant distress and disruption to those who have it but is an enigma in terms of our scientific understanding. A key challenge for explaining misophonia is that, as with other disorders, it is likely to emerge from an interaction of traits that also occur in the general population (e.g., sensory sensitivity and anxiety) and that are transdiagnostic in nature (i.e., shared with other disorders). METHODS: In this preregistered study with a large sample of participants (N = 1430), we performed a cluster analysis (based on responses to questions relating to misophonia) and identified two misophonia subgroups differing in severity, as well as a third group without misophonia. A subset of this sample (N = 419) then completed a battery of measures designed to assess sensory sensitivity and clinical comorbidities. RESULTS: Clinical symptoms were limited to the most severe group of misophonics (including autistic traits, migraine with visual aura, anxiety sensitivity, obsessive-compulsive traits). Both the moderate and severe groups showed elevated attention-to-detail and hypersensitivity (across multiple senses). A novel symptom network model of the data shows the presence of a central hub linking misophonia to sensory sensitivity which, in turn, connects to other symptoms in the network (relating to autism, anxiety, etc.). CONCLUSION: The core features of misophonia are sensory-attentional in nature with severity linked strongly to comorbidities.

How do Different Types of Synesthesia Cluster Together? Implications for Causal Mechanisms.

It is unclear whether synesthesia is one condition or many, and this has implications for whether theories should postulate a single cause or multiple independent causes. Study 1 analyses data from a large sample of self-referred synesthetes (N = 2,925), who answered a questionnaire about N = 164 potential types of synesthesia. Clustering and factor analysis methods identified around seven coherent groupings of synesthesia, as well as showing that some common types of synesthesia do not fall into any grouping at all (mirror-touch, hearing-motion, tickertape). There was a residual positive correlation between clusters (they tend to associate rather than compete). Moreover, we observed a "snowball effect" whereby the chances of having a given cluster of synesthesia go up in proportion to the number of other clusters a person has (again suggesting non-independence). Clusters tended to be distinguished by shared concurrent experiences rather than shared triggering stimuli (inducers). We speculate that modulatory feedback pathways from the concurrent to inducers may play a key role in the emergence of synesthesia. Study 2 assessed the external validity of these clusters by showing that they predict performance on other measures known to be linked to synesthesia.

Familial aggregation of synaesthesia with autism (but not schizophrenia).

INTRODUCTION: This study determines whether there is a familial aggregation between synaesthesia and two neuropsychiatric conditions (autism and schizophrenia). METHOD We examined the prevalence of autism and schizophrenia among synaesthetes and non-synaesthetic controls, and among their first-degree relatives. RESULTS: As predicted, autism occurred at elevated levels among synaesthetes and-we document for the first time-amongst their relatives. This was not found for schizophrenia, where a link may be expected, or in a control condition (type 1 diabetes) where we had no a priori reason to assume a link. Synaesthetes, compared to controls, were also more likely to have other synaesthetes in their family. People with three or more types of synaesthesia were more likely (compared to synaesthetes with fewer types) to have synaesthetic relatives and to report autism in themselves. People with two or more types of synaesthesia (compared to synaesthetes with only one type) were more likely to report familial autism. CONCLUSIONS: The results suggest a shared genetic predisposition between synaesthesia and autism, and more extreme synaesthetes may tend to hail from more neurodiverse families.

Comparing Sampling Strategies for Tackling Imbalanced Data in Human Activity Recognition.

Human activity recognition (HAR) using wearable sensors is an increasingly active research topic in machine learning, aided in part by the ready availability of detailed motion capture data from smartphones, fitness trackers, and smartwatches. The goal of HAR is to use such devices to assist users in their daily lives in application areas such as healthcare, physical therapy, and fitness. One of the main challenges for HAR, particularly when using supervised learning methods, is obtaining balanced data for algorithm optimisation and testing. As people perform some activities more than others (e.g., walk more than run), HAR datasets are typically imbalanced. The lack of dataset representation from minority classes hinders the ability of HAR classifiers to sufficiently capture new instances of those activities. We introduce three novel hybrid sampling strategies to generate more diverse synthetic samples to overcome the class imbalance problem. The first strategy, which we call the distance-based method (DBM), combines Synthetic Minority Oversampling Techniques (SMOTE) with Random_SMOTE, both of which are built around the k-nearest neighbors (KNN). The second technique, referred to as the noise detection-based method (NDBM), combines SMOTE Tomek links (SMOTE_Tomeklinks) and the modified synthetic minority oversampling technique (MSMOTE). The third approach, which we call the cluster-based method (CBM), combines Cluster-Based Synthetic Oversampling (CBSO) and Proximity Weighted Synthetic Oversampling Technique (ProWSyn). We compare the performance of the proposed hybrid methods to the individual constituent methods and baseline using accelerometer data from three commonly used benchmark datasets. We show that DBM, NDBM, and CBM reduce the impact of class imbalance and enhance F1 scores by a range of 9-20 percentage point compared to their constituent sampling methods. CBM performs significantly better than the others under a Friedman test, however, DBM has lower computational requirements.

Synaesthesia as a model system for understanding variation in the human mind and brain.

The aim of this article is to reposition synaesthesia as model system for understanding variation in the construction of the human mind and brain. People with synaesthesia inhabit a remarkable mental world in which numbers can be coloured, words can have tastes, and music is a visual spectacle. Key questions remain unanswered about why it exists, and how the study of synaesthesia might inform theories of the human mind. This article argues we need to rethink synaesthesia as not just representing exceptional experiences, but as a product of an unusual neurodevelopmental cascade from genes to brain to cognition of which synaesthesia is only one outcome. Specifically, differences in the brains of synaesthetes support a distinctive way of thinking (enhanced memory, imagery etc.) and may also predispose towards particular clinical vulnerabilities. In effect, synaesthesia can act as a paradigmatic example of a neuropsychological approach to individual differences.

Synaesthesia and autism: Different developmental outcomes from overlapping mechanisms?

Synaesthesia, a mixing of the senses, is more common in individuals with autism. Here, we review the evidence for the association between synaesthesia and autism with regard to their genetic background, brain connectivity, perception, cognitive mechanisms and their contribution to exceptional talents. Currently, the overlap between synaesthesia and autism is established most convincingly at the level of alterations in sensory sensitivity and perception, with synaesthetes showing autism-like profiles of sensory sensitivity and a bias towards details in perception. Shared features may include a predominance of local over global connectivity in the brain. When autism and synaesthesia co-occur in the same individual, the chance of developing heightened cognitive and memory abilities is increased. We discuss how the same theoretical models could potentially explain both conditions. Given the evidence, we believe the phenotypical overlap between autism and synaesthesia has been established clearly enough to invite future research to confirm overlapping mechanisms.

Individual differences in the tendency to see the expected.

Prior knowledge has been shown to facilitate the incorporation of visual stimuli into awareness. We adopted an individual differences approach to explore whether a tendency to 'see the expected' is general or method-specific. We administered a binocular rivalry task and manipulated selective attention, as well as induced expectations via predictive context, self-generated imagery, expectancy cues, and perceptual priming. Most prior manipulations led to a facilitated awareness of the biased percept in binocular rivalry, whereas strong signal primes led to a suppressed awareness, i.e., adaptation. Correlations and factor analysis revealed that the facilitatory effect of priors on visual awareness is closely related to attentional control. We also investigated whether expectation-based biases predict perceptual abilities. Adaptation to strong primes predicted improved naturalistic change detection and the facilitatory effect of weak primes predicted the experience of perceptual anomalies. Taken together, our results indicate that the facilitatory effect of priors may be underpinned by an attentional mechanism but the tendency to 'see the expected' is method-specific.

A single system account of enhanced recognition memory in synaesthesia.

Researchers often adjudicate between models of memory according to the models' ability to explain impaired patterns of performance (e.g., in amnesia). In contrast, evidence from special groups with enhanced memory is very rarely considered. Here, we explored how people with unusual perceptual experiences (synaesthesia) perform on various measures of memory and test how computational models of memory may account for their enhanced performance. We contrasted direct and indirect measures of memory (i.e., recognition memory, repetition priming, and fluency) in grapheme-colour synaesthetes and controls using a continuous identification with recognition (CID-R) paradigm. Synaesthetes outperformed controls on recognition memory and showed a different reaction-time pattern for identification. The data were most parsimoniously accounted for by a single-system computational model of the relationship between recognition and identification. Overall, the findings speak in favour of enhanced processing as an explanation for the memory advantage in synaesthesia. In general, our results show how synaesthesia can be used as an effective tool to study how individual differences in perception affect cognitive functions.

The MULTISENSE Test of Lexical-Gustatory Synaesthesia: An automated online diagnostic.

Lexical-gustatory (LG) synesthesia is an intriguing neurological condition in which individuals experience phantom tastes when hearing, speaking, reading, or thinking about words. For example, the word "society" might flood the mouth of an LG synesthete with the flavor of fried onion. The condition is usually verified in individuals by obtaining verbal descriptions of their word-flavor associations on more than one occasion, separated by several months. Their flavor associations are significantly more consistent over time than are those of controls (who are asked to invent associations by intuition and to recall them from memory). Although this test reliably dissociates synesthetes from nonsynesthetes, it suffers from practical and methodological limitations. Here we present a novel, automated, online consistency test, which can be administered in just 30 min in order to instantly and objectively verify LG synesthesia. We present data from two versions of our diagnostic test, in which synesthetes report their synesthetic flavors either from a hierarchical set of food categories (Exp. 1) or by specifying their basic component tastes (sweet, salty, bitter, etc.). We tested the largest sample of self-declared LG synesthetes studied to date and used receiver operating characteristic analysis to assess the discriminant power of our tests. Although both our methods discriminated synesthetes from controls, our second test (Exp. 2) has greater discriminatory power with a threshold cutoff. We suggest that our novel diagnostic for LG synesthesia has unprecedented benefits in its automated and objective scoring, its ease of use for participants and researchers, its short testing time, and its online platform.

A meta-analysis of memory ability in synaesthesia.

People with synaesthesia (e.g., experiencing colours for letters and numbers) have been reported to possess enhanced memory relative to the general population. However, there are also inconsistencies in this literature and it is unclear whether this reflects sampling error (exacerbated by low Ns) or more meaningful differences that arise because synaesthesia relates to some aspects of memory more than others. To this end, a multi-level meta-analysis was conducted. Synaesthetes have enhanced long-term (episodic) memory with a medium population effect size ( dˆ = 0.61), whereas the effects on working memory (short-term memory) were significantly smaller ( dˆ = 0.36) but still exceeded that of controls. Moderation analyses suggested that, aside from the division between long-term vs. working memory, the effects of synaesthesia are pervasive, i.e., they extend to all kinds of stimuli, and extend to all kinds of test formats. This pattern is hard to reconcile with the view that synaesthetic experiences directly support memory ability: for instance, digit span (where synaesthesia could be helpful) showed a small effect whereas episodic memory for abstract images (where synaesthesia is irrelevant) yielded larger effects. Synaesthesia occupies a unique position of being the only known neurodevelopmental condition linked to a pervasive enhancement of long-term memory.

The relationship between mirror-touch synaesthesia and empathy: New evidence and a new screening tool.

People with mirror-touch synaesthesia (MTS) report tactile sensations on their own body when seeing another person being touched. Although this has been associated with heightened empathy and emotion perception, this finding has been disputed. Here, we conduct two experiments to explore this relationship further. In Experiment 1, we develop a new screening measure for MTS. We show that MTS is related to vicarious experiences more generally, but is not a simple exaggerated version of normality. For example, people with MTS report videos of scratching as "touch" rather than "itchiness" and have localized sensations when watching others in pain. In Experiment 2, we show that MTS is related to increased emotional empathy to others and better ability to read facial expressions of emotion, but other measures of empathy are normal. In terms of theoretical models, we propose that this is more consistent with a qualitative difference in the ability to selectively inhibit the other and attend to the self.

The prevalence and cognitive profile of sequence-space synaesthesia.

People with sequence-space synaesthesia visualize sequential concepts such as numbers and time as an ordered pattern extending through space. Unlike other types of synaesthesia, there is no generally agreed objective method for diagnosing this variant or separating it from potentially related aspects of cognition. We use a recently-developed spatial consistency test together with a novel questionnaire on naïve samples and estimate the prevalence of sequence-space synaesthesia to be around 8.1% (Study 1) to 12.8% (Study 2). We validate our test by showing that participants classified as having sequence-space synaesthesia perform differently on lab-based tasks. They show a spatial Stroop-like interference response, they show enhanced detection of low visibility Gabor stimuli, they report more use of visual imagery, and improved memory for certain types of public events. We suggest that sequence-space synaesthesia develops from a particular neurocognitive profile linked both to greater visual imagery and enhanced visual perception.

Subjective embodiment during the rubber hand illusion predicts severity of premonitory sensations and tics in Tourette Syndrome.

In Tourette Syndrome, the expression of tics and commonly preceding premonitory sensations is associated with perturbed subjective feelings of self-control and agency. We compared responses to the Rubber Hand Illusion in 23 adults with TS and 22 controls. Both TS and control participants reported equivalent subjective embodiment of the artificial hand: feelings of ownership, location, and agency were greater during synchronous visuo-tactile stimulation, compared to asynchronous. However, individuals with TS did not manifest greater proprioceptive drift, an objective marker of embodiment observed in controls. An 'embodiment prediction error' index of the difference between subjective embodiment and objective proprioceptive drift correlated with severity of premonitory sensations. Feelings of ownership also correlated with premonitory sensation severity, and feelings of agency with tic severity. These findings suggest that subjective bodily ownership, as measured by the rubber hand illusion, contributes to susceptibility to the premonitory sensations that may be a precipitating factor in tics.

Synaesthesia is linked to more vivid and detailed content of autobiographical memories and less fading of childhood memories.

People with synaesthesia have enhanced memory on a wide range of laboratory tests of episodic memory, but very little is known about their real-world memory. This study used a standard measure of autobiographical remembering (the Autobiographical Memory Questionnaire, AMQ) considering four constructs (Recollection, Belief, Impact and Rehearsal) and two time periods (recent memories from adulthood, remote memories from childhood). Synaesthetes reported more Recollection (e.g., sensory detail) and Belief (e.g., confidence) which interacted with time, such that remote memories are reported to be comparatively better preserved in synaesthetes. This cannot be explained by synaesthetes recalling more salient episodes (the groups did not differ in Impact). It suggests instead that childhood memories have a special status in synaesthesia that reflects the different neurodevelopmental trajectory of this group. With regards to Rehearsal, controls tended to report that more recent memories tend to resurface (i.e., adulthood > childhood), but the synaesthetes showed the opposite dissociation (i.e., childhood > adulthood).

The Emergence of Synaesthesia in a Neuronal Network Model via Changes in Perceptual Sensitivity and Plasticity.

Synaesthesia is an unusual perceptual experience in which an inducer stimulus triggers a percept in a different domain in addition to its own. To explore the conditions under which synaesthesia evolves, we studied a neuronal network model that represents two recurrently connected neural systems. The interactions in the network evolve according to learning rules that optimize sensory sensitivity. We demonstrate several scenarios, such as sensory deprivation or heightened plasticity, under which synaesthesia can evolve even though the inputs to the two systems are statistically independent and the initial cross-talk interactions are zero. Sensory deprivation is the known causal mechanism for acquired synaesthesia and increased plasticity is implicated in developmental synaesthesia. The model unifies different causes of synaesthesia within a single theoretical framework and repositions synaesthesia not as some quirk of aberrant connectivity, but rather as a functional brain state that can emerge as a consequence of optimising sensory information processing.

Representational Account of Memory: Insights from Aging and Synesthesia.

The representational account of memory envisages perception and memory to be on a continuum rather than in discretely divided brain systems [Bussey, T. J., & Saksida, L. M. Memory, perception, and the ventral visual-perirhinal-hippocampal stream: Thinking outside of the boxes. Hippocampus, 17, 898-908, 2007]. We tested this account using a novel between-group design with young grapheme-color synesthetes, older adults, and young controls. We investigated how the disparate sensory-perceptual abilities between these groups translated into associative memory performance for visual stimuli that do not induce synesthesia. ROI analyses of the entire ventral visual stream showed that associative retrieval (a pair-associate retrieved in the absence of a visual stimulus) yielded enhanced activity in young and older adults' visual regions relative to synesthetes, whereas associative recognition (deciding whether a visual stimulus was the correct pair-associate) was characterized by enhanced activity in synesthetes' visual regions relative to older adults. Whole-brain analyses at associative retrieval revealed an effect of age in early visual cortex, with older adults showing enhanced activity relative to synesthetes and young adults. At associative recognition, the group effect was reversed: Synesthetes showed significantly enhanced activity relative to young and older adults in early visual regions. The inverted group effects observed between retrieval and recognition indicate that reduced sensitivity in visual cortex (as in aging) comes with increased activity during top-down retrieval and decreased activity during bottom-up recognition, whereas enhanced sensitivity (as in synesthesia) shows the opposite pattern. Our results provide novel evidence for the direct contribution of perceptual mechanisms to visual associative memory based on the examples of synesthesia and aging.