Identifying reasons for non-acceptance of influenza vaccine in healthcare workers: an observational study using declination form data.

BACKGROUND: Healthcare workers are sometimes required to complete a declination form if they choose not to accept the influenza vaccine. We analysed the declination data with the goal of identifying barriers to vaccination uptake across seasons, staff groups, and pre- and post- arrival of COVID-19. METHODS: Reasons for declining the vaccine were gathered from N = 2230 declination forms, collected over four influenza seasons, 2017/2018, 2018/2019, 2019/2020 and 2020/2021, from a single health board in the UK. Reasons were classified according to ten categories and the resulting distribution analysed across year and staff groups. A further analysis considered the two most prevalent categories in more detail. RESULTS: Fear of adverse reactions and Lack of perception of own risk were identified as primary reasons for not accepting the vaccine across time and across staff groups. However, there was no evidence that Lack of concern with influenza, or Doubts about vaccine efficacy was prevalent, contrary to previous findings. Overall, reasons fitted a pattern of underestimating risk associated with influenza and overestimating risk of minor adverse reactions. There were also differences across years, χ2(24) = 123, p < .001. In particular, there were relatively fewer Lack of perception of own risk responses post-COVID-19 arrival than before, χ2(8) = 28.93, p = .002. CONCLUSION: This study shows that data collected from declination forms yields sensible information concerning vaccine non-acceptance without the difficulties of retrospective or pre-emptive reasoning suffered by questionnaires. Our findings will aid messaging campaigns designed to encourage uptake of the influenza vaccine in healthcare workers. In particular, we argue for an approach focused on risk perception rather than correction of straightforward misconceptions.

COVID-19 myth-busting: an experimental study.

BACKGROUND: COVID-19 misinformation is a danger to public health. A range of formats are used by health campaigns to correct beliefs but data on their effectiveness is limited. We aimed to identify A) whether three commonly used myth-busting formats are effective for correcting COVID-19 myths, immediately and after a delay, and B) which is the most effective. METHODS: We tested whether three common correction formats could reduce beliefs in COVID-19 myths: (i) question-answer, ii) fact-only, (ii) fact-myth. n = 2215 participants (n = 1291 after attrition), UK representative of age and gender, were randomly assigned to one of the three formats. n = 11 myths were acquired from fact-checker websites and piloted to ensure believability. Participants rated myth belief at baseline, were shown correction images (the intervention), and then rated myth beliefs immediately post-intervention and after a delay of at least 6 days. A partial replication, n = 2084 UK representative, was also completed with immediate myth rating only. Analysis used mixed models with participants and myths as random effects. RESULTS: Myth agreement ratings were significantly lower than baseline for all correction formats, both immediately and after the delay; all ß's > 0.30, p's < .001. Thus, all formats were effective at lowering beliefs in COVID-19 misinformation. Correction formats only differed where baseline myth agreement was high, with question-answer and fact-myth more effective than fact-only immediately; ß = 0.040, p = .022 (replication set: ß = 0.053, p = .0075) and ß = - 0.051, p = .0059 (replication set: ß = - 0.061, p < .001), respectively. After the delay however, question-answer was more effective than fact-myth, ß = 0.040, p =. 031. CONCLUSION: Our results imply that COVID-19 myths can be effectively corrected using materials and formats typical of health campaigns. Campaign designers can use our results to choose between correction formats. When myth belief was high, question-answer format was more effective than a fact-only format immediately post-intervention, and after delay, more effective than fact-myth format.

Subjective sensory sensitivity and its relationship with anxiety in people with probable migraine.

OBJECTIVE: To better characterize differences in interictal sensory experience in adults with migraine and more comprehensively describe the relevance of anxiety to these experiences. BACKGROUND: Evidence suggests that sensitivity to sensory input may not be limited to migraine attacks but continues between them. However, there is a need to better understand whether this is the case across senses, and to clearly distinguish sensory experience from measured sensory threshold, which are not straightforwardly related. Previous literature also indicates a co-occurrence between sensory sensitivity, migraine, and anxiety, but this relationship remains to be fully elucidated. METHODS: The present cross-sectional study used online questionnaires to investigate how self-reported sensory experiences relate to migraine in a large community sample including 117 individuals with probable migraine and 827 without. Mediation analyses were also used to determine whether any relationship between migraine and sensory sensitivity was mediated by anxiety. RESULTS: Significant increases in subjective reports of sensory sensitivity (d = 0.80) and sensory avoidance (d = 0.71) were found in participants with migraine. Anxiety symptoms partially mediated the relationship between subjective sensory sensitivity and migraine. Finally, visual, movement, and auditory subscales were found to provide unique explanatory variance in analyses predicting the incidence of migraine (area under the curve = 0.73, 0.69, 0.62 respectively). CONCLUSION: Subjective sensory sensitivities are present between attacks and across senses in individuals with migraine. Anxiety symptoms are relevant to this relationship; however, sensory sensitivities appear to exist independent of this affective influence. The implications of interictal sensitivities for the daily lives of those with migraine should, therefore, be considered in clinical management wherever appropriate.

Smart speaker devices can improve speech intelligibility in adults with intellectual disability.

BACKGROUND: Successful communication is vital to quality of life. One group commonly facing speech and communication difficulties is individuals with intellectual disability (ID). A novel route to encourage clear speech is offered by mainstream smart speakers (e.g., Amazon Alexa and Google Home). Smart speakers offer four factors important for learning: reward immediacy, spaced practice, autonomy/intrinsic motivation and reduced social barriers. Yet the potential of smart speakers to improve speech intelligibility has not been explored before. AIMS: To determine whether providing individuals with intellectual disabilities with smart speaker devices improved ratings of speech intelligibility for (1) phrases related to device use and (2) unrelated words via a semi-randomized controlled trial. METHODS & PROCEDURES: In a semi-randomized controlled trial, an intervention group of adults with ID (N = 21) received smart speakers, while a control group (N = 22) did not. Before and after about 12 weeks, participants were recorded saying smart speaker-related phrases and unrelated words. Naïve participants then rated the intelligibility of the speech recordings. OUTCOMES & RESULTS: The group that received smart speakers made significantly larger intelligibility gains than the control group. Although the effect size was modest, this difference was found for both smart speaker-related phrases and unrelated words. CONCLUSIONS & IMPLICATIONS: While the mechanism of action remains to be determined, the presence of smart speakers in the home had a demonstrable impact on ratings of speech intelligibility, and could provide cost-effective inclusive support for speech and communication improvement, improving the quality of life of vulnerable populations. What this paper adds What is already known on the subject Speech intelligibility is a key obstacle for social relationships and quality of life across several vulnerable populations (children with speech difficulties, older adults with dementia, individuals with ID). Anecdotal reports suggest mainstream smart speakers (e.g., Amazon Alexa, Google Home), could improve speech intelligibility. What this paper adds to existing knowledge We used a semi-randomized controlled trial to show that using a smart speaker for about 12 weeks could improve ratings of speech intelligibility in adults with ID for both smart speaker-related phrases and unrelated words. What are the potential or actual clinical implications of this work? These initial findings suggest that smart speaker technology could be a novel, and inclusive, route to improving speech intelligibility in vulnerable populations.

Self-reported impulsivity does not predict response caution.

The broad construct of impulsivity is one that spans both personality and cognitive ability. Despite a common overarching construct, previous research has found no relationship between self-report measures of impulsivity and people's ability to inhibit pre-potent responses. Here, we use evidence accumulation models of choice reaction time tasks to extract a measure of "response caution" (boundary separation) and examine whether this correlates with self-reported impulsivity as measured by the UPPS-P questionnaire. Response caution reflects whether an individual makes decisions based on more (favouring accuracy) or less (favouring speed) evidence. We reasoned that this strategic dimension of behaviour is conceptually closer to the tendencies that self-report impulsivity measures probe than what is traditional measured by inhibition tasks. In a meta-analysis of five datasets (total N = 296), encompassing 19 correlations per subscale, we observe no evidence that response caution correlates with self-reported impulsivity. Average correlations between response caution and UPPS-P subscales ranged from rho = -0.02 to -0.04. While the construct of response caution has demonstrated value in understanding individual differences in cognition, brain functioning and aging; the factors underlying what has been called "impulsive information processing" appear to be distinct from the concept of impulsivity derived from self-report.

The validity and consistency of continuous joystick response in perceptual decision-making.

A computer joystick is an efficient and cost-effective response device for recording continuous movements in psychological experiments. Movement trajectories and other measures from continuous responses have expanded the insights gained from discrete responses (e.g., button presses) by providing unique information about how cognitive processes unfold over time. However, few studies have evaluated the validity of joystick responses with reference to conventional key presses, and how response modality can affect cognitive processes. Here we systematically compared human participants' behavioral performance of perceptual decision-making when they responded with either joystick movements or key presses in a four-alternative motion discrimination task. We found evidence that the response modality did not affect raw behavioral measures, including decision accuracy and mean response time, at the group level. Furthermore, to compare the underlying decision processes between the two response modalities, we fitted a drift-diffusion model of decision-making to individual participants' behavioral data. Bayesian analyses of the model parameters showed no evidence that switching from key presses to continuous joystick movements modulated the decision-making process. These results supported continuous joystick actions as a valid apparatus for continuous movements, although we highlight the need for caution when conducting experiments with continuous movement responses.

Claims of causality in health news: a randomised trial.

BACKGROUND: Misleading news claims can be detrimental to public health. We aimed to improve the alignment between causal claims and evidence, without losing news interest (counter to assumptions that news is not interested in communicating caution). METHODS: We tested two interventions in press releases, which are the main sources for science and health news: (a) aligning the headlines and main causal claims with the underlying evidence (strong for experimental, cautious for correlational) and (b) inserting explicit statements/caveats about inferring causality. The 'participants' were press releases on health-related topics (N = 312; control = 89, claim alignment = 64, causality statement = 79, both = 80) from nine press offices (journals, universities, funders). Outcomes were news content (headlines, causal claims, caveats) in English-language international and national media (newspapers, websites, broadcast; N = 2257), news uptake (% press releases gaining news coverage) and feasibility (% press releases implementing cautious statements). RESULTS: News headlines showed better alignment to evidence when press releases were aligned (intention-to-treat analysis (ITT) 56% vs 52%, OR = 1.2 to 1.9; as-treated analysis (AT) 60% vs 32%, OR = 1.3 to 4.4). News claims also followed press releases, significant only for AT (ITT 62% vs 60%, OR = 0.7 to 1.6; AT, 67% vs 39%, OR = 1.4 to 5.7). The same was true for causality statements/caveats (ITT 15% vs 10%, OR = 0.9 to 2.6; AT 20% vs 0%, OR 16 to 156). There was no evidence of lost news uptake for press releases with aligned headlines and claims (ITT 55% vs 55%, OR = 0.7 to 1.3, AT 58% vs 60%, OR = 0.7 to 1.7), or causality statements/caveats (ITT 53% vs 56%, OR = 0.8 to 1.0, AT 66% vs 52%, OR = 1.3 to 2.7). Feasibility was demonstrated by a spontaneous increase in cautious headlines, claims and caveats in press releases compared to the pre-trial period (OR = 1.01 to 2.6, 1.3 to 3.4, 1.1 to 26, respectively). CONCLUSIONS: News claims-even headlines-can become better aligned with evidence. Cautious claims and explicit caveats about correlational findings may penetrate into news without harming news interest. Findings from AT analysis are correlational and may not imply cause, although here the linking mechanism between press releases and news is known. ITT analysis was insensitive due to spontaneous adoption of interventions across conditions. TRIAL REGISTRATION: ISRCTN10492618 (20 August 2015).

Slow and steady? Strategic adjustments in response caution are moderately reliable and correlate across tasks.

Speed-accuracy trade-offs are often considered a confound in speeded choice tasks, but individual differences in strategy have been linked to personality and brain structure. We ask whether strategic adjustments in response caution are reliable, and whether they correlate across tasks and with impulsivity traits. In Study 1, participants performed Eriksen flanker and Stroop tasks in two sessions four weeks apart. We manipulated response caution by emphasising speed or accuracy. We fit the diffusion model for conflict tasks and correlated the change in boundary (accuracy - speed) across session and task. We observed moderate test-retest reliability, and medium to large correlations across tasks. We replicated this between-task correlation in Study 2 using flanker and perceptual decision tasks. We found no consistent correlations with impulsivity. Though moderate reliability poses a challenge for researchers interested in stable traits, consistent correlation between tasks indicates there are meaningful individual differences in the speed-accuracy trade-off.

The fate of nonselected activity in saccadic decisions: distinct goal-related and history-related modulation.

The global effect (GE) traditionally refers to the tendency of effectors (e.g., hand, eyes) to first land in between two nearby stimuli, forming a unimodal distribution. By measuring a shift of this distribution, recent studies used the GE to assess the presence of decision-related inputs on the motor map for eye movements. However, this method cannot distinguish whether one stimulus is inhibited or the other is facilitated and could not detect situations where both stimuli are inhibited or facilitated. Here, we detect deviations in the bimodal distribution of landing positions for remote stimuli and find that this bimodal GE reveals the presence, location, and polarity (facilitation or inhibition) of history-related and goal-related modulation of the nonselected activity (e.g., the distractor activity in correct trials, and the target activity in error trials). We tested, for different interstimulus distances, the effect of the rarity of double-stimulus trials and the difference between performing a discrimination task compared with free choice. Our work shows that the effect of rarity is symmetric and decreases with interstimulus distances, while the effect of goal-directed discrimination is asymmetric - occurring only when the distractor is selected for the saccade - and maintained across interstimulus distances. These results suggest that the former effect changes the response property of the motor map, while the latter specifically facilitates the target location. NEW & NOTEWORTHY Deviations in landing positions for saccades to targets and distractors reveal the presence, location and polarity of history-related or goal-related signals. Goal-directed discrimination appears to facilitate the target location, rather than inhibiting the distractor location, Rare occurrence of a choice appears to indiscriminately increase the neural response for both locations.

The reliability paradox: Why robust cognitive tasks do not produce reliable individual differences.

Individual differences in cognitive paradigms are increasingly employed to relate cognition to brain structure, chemistry, and function. However, such efforts are often unfruitful, even with the most well established tasks. Here we offer an explanation for failures in the application of robust cognitive paradigms to the study of individual differences. Experimental effects become well established - and thus those tasks become popular - when between-subject variability is low. However, low between-subject variability causes low reliability for individual differences, destroying replicable correlations with other factors and potentially undermining published conclusions drawn from correlational relationships. Though these statistical issues have a long history in psychology, they are widely overlooked in cognitive psychology and neuroscience today. In three studies, we assessed test-retest reliability of seven classic tasks: Eriksen Flanker, Stroop, stop-signal, go/no-go, Posner cueing, Navon, and Spatial-Numerical Association of Response Code (SNARC). Reliabilities ranged from 0 to .82, being surprisingly low for most tasks given their common use. As we predicted, this emerged from low variance between individuals rather than high measurement variance. In other words, the very reason such tasks produce robust and easily replicable experimental effects - low between-participant variability - makes their use as correlational tools problematic. We demonstrate that taking such reliability estimates into account has the potential to qualitatively change theoretical conclusions. The implications of our findings are that well-established approaches in experimental psychology and neuropsychology may not directly translate to the study of individual differences in brain structure, chemistry, and function, and alternative metrics may be required.

Trajectory curvature in saccade sequences: spatiotopic influences vs. residual motor activity.

When decisions drive saccadic eye movements, traces of the decision process can be inferred from the movement trajectories. For example, saccades can curve away from distractor stimuli, which was thought to reflect cortical inhibition biasing activity in the superior colliculus. Recent neurophysiological work does not support this theory, and two recent models have replaced top-down inhibition with lateral interactions in the superior colliculus or neural fatigue in the brainstem saccadic burst generator. All current models operate in retinotopic coordinates and are based on single saccade paradigms. To extend these models to sequences of saccades, we assessed whether and how saccade curvature depends on previously fixated locations and the direction of previous saccades. With a two-saccade paradigm, we first demonstrated that second saccades curved away from the initial fixation stimulus. Furthermore, by varying the time from fixation offset and the intersaccadic duration, we distinguished the extent of curvature originating from the spatiotopic representation of the previous fixation location or residual motor activity of the previous saccade. Results suggest that both factors drive curvature, and we discuss how these effects could be implemented in current models. In particular, we propose that the collicular retinotopic maps receive an excitatory spatiotopic update from the lateral interparial region.NEW & NOTEWORTHY Saccades curve away from locations of previous fixation. Varying stimulus timing demonstrates the effects of both 1) spatiotopic representation and 2) motor residual activity from previous saccades. The spatiotopic effect can be explained if current models are augmented with an excitatory top-down spatiotopic signal.

Speeded saccadic and manual visuo-motor decisions: Distinct processes but same principles.

Action decisions are considered an emergent property of competitive response activations. As such, decision mechanisms are embedded in, and therefore may differ between, different response modalities. Despite this, the saccadic eye movement system is often promoted as a model for all decisions, especially in the fields of electrophysiology and modelling. Other research traditions predominantly use manual button presses, which have different response distribution profiles and are initiated by different brain areas. Here we tested whether core concepts of action selection models (decision and non-decision times, integration of automatic and selective inputs to threshold, interference across response options, noise, etc.) generalise from saccadic to manual domains. Using two diagnostic phenomena, the remote distractor effect (RDE) and 'saccadic inhibition', we find that manual responses are also sensitive to the interference of visual distractors but to a lesser extent than saccades and during a shorter time window. A biologically-inspired model (DINASAUR, based on non-linear input dynamics) can account for both saccadic and manual response distributions and accuracy by simply adjusting the balance and relative timings of transient and sustained inputs, and increasing the mean and variance of non-decisional delays for manual responses. This is consistent with known neurophysiological and anatomical differences between saccadic and manual networks. Thus core decision principles appear to generalise across effectors, consistent with previous work, but we also conclude that key quantitative differences underlie apparent qualitative differences in the literature, such as effects being robustly reported in one modality and unreliable in another.

Significant reductions in human visual gamma frequency by the gaba reuptake inhibitor tiagabine revealed by robust peak frequency estimation.

The frequency of visual gamma oscillations is determined by both the neuronal excitation-inhibition balance and the time constants of GABAergic processes. The gamma peak frequency has been linked to sensory processing, cognitive function, cortical structure, and may have a genetic contribution. To disentangle the intricate relationship among these factors, accurate and reliable estimates of peak frequency are required. Here, a bootstrapping approach that provides estimates of peak frequency reliability, thereby increasing the robustness of the inferences made on this parameter was developed. The method using both simulated data and real data from two previous pharmacological MEG studies of visual gamma with alcohol and tiagabine was validated. In particular, the study by Muthukumaraswamy et al. [] (Neuropsychopharmacology 38(6):1105-1112), in which GABAergic enhancement by tiagabine had previously demonstrated a null effect on visual gamma oscillations, contrasting with strong evidence from both animal models and very recent human studies was re-evaluated. After improved peak frequency estimation and additional exclusion of unreliably measured data, it was found that the GABA reuptake inhibitor tiagabine did produce, as predicted, a marked decrease in visual gamma oscillation frequency. This result demonstrates the potential impact of objective approaches to data quality control, and provides additional translational evidence for the mechanisms of GABAergic transmission generating gamma oscillations in humans. Hum Brain Mapp 37:3882-3896, 2016. © 2016 Wiley Periodicals, Inc.

Comparison of the repeatability of GABA-edited magnetic resonance spectroscopy with and without macromolecule suppression.

PURPOSE: The inhibitory neurotransmitter γ-aminobutyric acid (GABA) can be measured in vivo using edited magnetic resonance spectroscopy (MRS), but quantification suffers from contamination by macromolecules (MM). It is possible to suppress this contamination using symmetric editing, but this procedure potentially compromises reliability of the GABA measurement. The aim of this study was to compare the repeatability of GABA-edited MRS with and without MM suppression. METHODS: GABA' (non-MM contaminated) and GABA'+MM (MM-contaminated) concentration was measured in the occipital lobe (OCC) and anterior cingulate (AC) using symmetric and standard editing (n = 15). Each method was performed twice in each region. RESULTS: Within-participant coefficients of variation for each technique were 4.0% (GABA'+MM) and 8.6% (GABA') in the OCC and 14.8% (GABA'+MM) and 12.6% (GABA') in the AC. Intraclass correlation coefficients were better for the suppression method than standard editing in both the OCC (0.72 versus 0.67) and AC (0.41 versus 0.16). These findings were replicated in the OCC of a second cohort (n = 15). CONCLUSION: Symmetric suppression is shown to be comparable in repeatability to standard GABA-editing. Measuring a purer quantification of GABA becomes increasingly important as more research is conducted on links between GABA concentration, pathology and healthy behavior.

Interaction between contours and eye movements in the perception of afterimages: A test of the signal ambiguity theory.

An intriguing property of afterimages is that conscious experience can be strong, weak, or absent following identical stimulus adaptation. Previously we suggested that postadaptation retinal signals are inherently ambiguous, and therefore the perception they evoke is strongly influenced by cues that increase or decrease the likelihood that they represent real objects (the signal ambiguity theory). Here we provide a more definitive test of this theory using two cues previously found to influence afterimage perception in opposite ways and plausibly at separate loci of action. However, by manipulating both cues simultaneously, we found that their effects interacted, consistent with the idea that they affect the same process of object interpretation rather than being independent influences. These findings bring contextual influences on afterimages into more general theories of cue combination, and we suggest that afterimage perception should be considered alongside other areas of vision science where cues are found to interact in their influence on perception.

The contribution of pre-stimulus neural oscillatory activity to spontaneous response time variability.

Large variability between individual response times, even in identical conditions, is a ubiquitous property of animal behavior. However, the origins of this stochasticity and its relation to action decisions remain unclear. Here we focus on the state of the perception-action network in the pre-stimulus period and its influence on subsequent saccadic response time and choice in humans. We employ magnetoencephalography (MEG) and a correlational source reconstruction approach to identify the brain areas where pre-stimulus oscillatory activity predicted saccadic response time to visual targets. We find a relationship between future response time and pre-stimulus power, but not phase, in occipital (including V1), parietal, posterior cingulate and superior frontal cortices, consistently across alpha, beta and low gamma frequencies, each accounting for between 1 and 4% of the RT variance. Importantly, these correlations were not explained by deterministic sources of variance, such as experimental factors and trial history. Our results further suggest that occipital areas mainly reflect short-term (trial to trial) stochastic fluctuations, while the frontal contribution largely reflects longer-term effects such as fatigue or practice. Parietal areas reflect fluctuations at both time scales. We found no evidence of lateralization: these effects were indistinguishable in both hemispheres and for both saccade directions, and non-predictive of choice - a finding with fundamental consequences for models of action decision, where independent, not coupled, noise is normally assumed.

Saccadic inhibition and the remote distractor effect: One mechanism or two?

It has been hotly debated whether a single mechanism underlies two established and highly robust oculomotor phenomena thought to index the competitive nature of eye movement plans: the remote distractor effect and saccadic inhibition (SI). It has been suggested that a transient mechanism underlying SI would not be able to account for the shift in the saccade latency distribution produced by early distractors (e.g., those appearing 60 ms before target onset) without additional assumptions or a more sustained source of inhibition. Here we tested this prediction with a model previously optimized to capture SI for late distractors. Where behavioral studies have intermingled stimulus onset asynchronies (SOAs) within the same block, the model captures the pattern of RDEs and SI effects with no parameter changes. Where SOAs have been blocked behaviorally, the pattern of RDEs can also be captured by the same model architecture, but requires changes to the inputs of the model between SOAs. Such changes plausibly reflect likely changes in participants' expectations and attentional strategy across block types.

The effect of eye movements and blinks on afterimage appearance and duration.

The question of whether eye movements influence afterimage perception has been asked since the 18th century, and yet there is surprisingly little consensus on how robust these effects are and why they occur. The number of historical theories aiming to explain the effects are more numerous than clear experimental demonstrations of such effects. We provide a clearer characterization of when eye movements and blinks do or do not affect afterimages with the aim to distinguish between historical theories and integrate them with a modern understanding of perception. We found neither saccades nor pursuit reduced strong afterimage duration, and blinks actually increased afterimage duration when tested in the light. However, for weak afterimages, we found saccades reduced duration, and blinks and pursuit eye movements did not. One interpretation of these results is that saccades diminish afterimage perception because they cause the afterimage to move unlike a real object. Furthermore, because saccades affect weak afterimages but not strong ones, we suggest that their effect is modulated by the ambiguity of the afterimage signal.

Saccadic compensation for reflexive optokinetic nystagmus just as good as compensation for volitional pursuit.

The natural viewing behavior of moving observers ideally requires target-selecting saccades to be coordinated with automatic gaze-stabilizing eye movements such as optokinetic nystagmus. However, it is unknown whether saccade plans can compensate for reflexive movement of the eye during the variable saccade latency period, and it is unclear whether reflexive nystagmus is even accompanied by extraretinal signals carrying the eye movement information that could potentially underpin such compensation. We show that saccades do partially compensate for optokinetic nystagmus that displaces the eye during the saccade latency period. Moreover, this compensation is as good as for displacements due to voluntary smooth pursuit. In other words, the saccade system appears to be as well coordinated with reflexive nystagmus as it is with volitional pursuit, which in turn implies that extraretinal signals accompany nystagmus and are just as informative as those accompanying pursuit.

The timing and neuroanatomy of conscious vision as revealed by TMS-induced blindsight.

Following damage to the primary visual cortex, some patients exhibit "blindsight," where they report a loss of awareness while retaining the ability to discriminate visual stimuli above chance. Transient disruption of occipital regions with TMS can produce a similar dissociation, known as TMS-induced blindsight. The neural basis of this residual vision is controversial, with some studies attributing it to the retinotectal pathway via the superior colliculus whereas others implicate spared projections that originate predominantly from the LGN. Here we contrasted these accounts by combining TMS with visual stimuli that either activate or bypass the retinotectal and magnocellular (R/M) pathways. We found that the residual capacity of TMS-induced blindsight occurs for stimuli that bypass the R/M pathways, indicating that such pathways, which include those to the superior colliculus, are not critical. We also found that the modulation of conscious vision was time and pathway dependent. TMS applied either early (0-40 msec) or late (280-320 msec) after stimulus onset modulated detection of stimuli that did not bypass R/M pathways, whereas during an intermediate period (90-130 msec) the effect was pathway independent. Our findings thus suggest a prominent role for the R/M pathways in supporting both the preparatory and later stages of conscious vision. This may help resolve apparent conflict in previous literature by demonstrating that the roles of the retinotectal and geniculate pathways are likely to be more nuanced than simply corresponding to the unconscious/conscious dichotomy.