Strengthening mental health research outcomes through genuine partnerships with young people with lived or living experience: A pilot evaluation study.

BACKGROUND: Despite increasing support for stakeholder inclusion in research, there is limited evaluative research to guide safe (i.e., youth-friendly) and meaningful (i.e., non-tokenistic) partnerships with young people with lived experience of mental ill-health in research. This paper describes a pilot evaluation and iterative design of a Youth Lived Experience Working Group (LEWG) protocol that was established by the Youth Mental Health and Technology team at The University of Sydney's Brain and Mind Centre, based on the results of two studies. METHODS: Study one consisted of a pilot evaluation of the extent to which youth partners felt empowered to contribute, to qualitatively explore how LEWG processes could be improved. Youth partners completed online surveys, and results were shared over two LEWG meetings in 2021 to empower youth partners to collectively identify actions of positive change regarding LEWG processes. These meetings were audio-recorded and transcripts were subsequently coded using thematic analysis. Study two assessed whether LEWG processes and proposed improvements were acceptable and feasible from the perspective of academic researchers via an online survey in 2022. RESULTS: Quantitative and qualitative data collected from nine youth partners and 42 academic researchers uncovered initial learnings regarding facilitators, motivators, and barriers to partnering with young people with lived experience in research. Implementing clear processes for youth partners and academic researchers on effective partnership strategies, providing training opportunities for youth partners to develop research skills, and providing regular updates on how youth partner contributions led to research outcomes were identified as key facilitators. CONCLUSIONS: This pilot study provides insight into a growing international field on how to optimise participatory processes so that researchers and young people with lived experience can be better supported and engaged to make meaningful contributions to mental health research. We argue that more transparency is needed around participatory research processes so that partnerships with young people with lived experience are not merely tokenistic. CONSUMER CONTRIBUTIONS: Our study has also been approved by and reflects the concepts and priorities of our youth lived experience partners and lived experience researchers, all of whom are authors of this paper.

Motion-induced blindness for dynamic targets: Further explorations of the perceptual scotoma hypothesis.

Motion-induced blindness (MIB) is a striking phenomenon wherein fully visible and attended objects may repeatedly fluctuate into and out of conscious awareness when superimposed onto certain global moving patterns. Perhaps the most remarkable feature of MIB is that objects can disappear even when they are moving. Here we report several novel demonstrations of MIB for dynamic objects, including the observations that (a) MIB can occur for dynamic targets defined by various types of complex visual distortions (akin to those that may occur with various types of metamorphopsias), and (b) MIB is more robust for downward-drifting compared to upward-drifting objects (perhaps because of the related motions of floaters in the eye's vitreous humor). To interpret these results, we focus on the idea that MIB may arise not from a limitation or failure of visual processing, but instead from a perceptual scotoma: MIB may reflect a functional inference in visual processing, eliminating some novel stimuli from awareness in much the same way that the visual system chronically eliminates percepts that would otherwise arise from visual impairments (such as scotomas) or features that are not in the external world in the first place (such as shadows from retinal blood vessels).

Cognitive adaptations for gathering-related navigation in humans.

Current research increasingly suggests that spatial cognition in humans is accomplished by many specialized mechanisms, each designed to solve a particular adaptive problem. A major adaptive problem for our hominin ancestors, particularly females, was the need to efficiently gather immobile foods which could vary greatly in quality, quantity, spatial location and temporal availability. We propose a cognitive model of a navigational gathering adaptation in humans and test its predictions in samples from the US and Japan. Our results are uniformly supportive: the human mind appears equipped with a navigational gathering adaptation that encodes the location of gatherable foods into spatial memory. This mechanism appears to be chronically active in women and activated under explicit motivation in men.

Subjective time dilation: spatially local, object-based, or a global visual experience?

Time can appear to slow down in certain brief real-life events-e.g. during car accidents or critical moments of athletes' performances. Such time dilation can also be produced to a smaller degree in the laboratory by 'oddballs' presented in series of otherwise identical stimuli. We explored the spatial distribution of subjective time dilation: Does time expand only for the oddball objects themselves, only for the local spatial region including the oddball, or for the entire visual field? Because real-life traumatic events provoke an apparently global visual experience of time expansion, we predicted-and observed-that a locally discrete oddball would also dilate the apparent duration of other concurrent events in other parts of the visual field. This 'dilation at a distance' was not diminished by increasing spatial separation between the oddball and target events, and was not influenced by manipulations of objecthood that drive object-based attention. In addition, behaviorally 'urgent' oddballs (looming objects) yielded time dilation, but visually similar receding objects did not. We interpret these results in terms of the influence of attention on time perception-where attention reflects general arousal and faster internal pacing rather than spatial or object-based selection, per se. As a result, attention influences subjective time dilation as a global visual experience.

"Perceptual scotomas": a functional account of motion-induced blindness.

In motion-induced blindness (MIB), salient objects in full view can repeatedly fluctuate into and out of conscious awareness when superimposed onto certain global moving patterns. Here we suggest a new account of this striking phenomenon: Rather than being a failure of visual processing, MIB may be a functional product of the visual system's attempt to separate distal stimuli from artifacts of damage to the visual system itself. When a small object is invariant despite changes that are occurring to a global region of the surrounding visual field, the visual system may discount that stimulus as akin to a scotoma, and may thus expunge it from awareness. We describe three experiments demonstrating new phenomena predicted by this account and discuss how it can also explain several previous results.

Dynamic visualization of coexpression in systems genetics data.

Biologists hope to address grand scientific challenges by exploring the abundance of data made available through modern microarray technology and other high-throughput techniques. The impact of this data, however, is limited unless researchers can effectively assimilate such complex information and integrate it into their daily research; interactive visualization tools are called for to support the effort. Specifically, typical studies of gene co-expression require novel visualization tools that enable the dynamic formulation and fine-tuning of hypotheses to aid the process of evaluating sensitivity of key parameters. These tools should allow biologists to develop an intuitive understanding of the structure of biological networks and discover genes residing in critical positions in networks and pathways. By using a graph as a universal representation of correlation in gene expression, our system employs several techniques that when used in an integrated manner provide innovative analytical capabilities. Our tool for interacting with gene co-expression data integrates techniques such as: graph layout, qualitative subgraph extraction through a novel 2D user interface, quantitative subgraph extraction using graph-theoretic algorithms or by compound queries, dynamic level-of-detail abstraction, and template-based fuzzy classification. We demonstrate our system using a real-world workflow from a large-scale, systems genetics study of mammalian gene co-expression.

Spatial adaptations for plant foraging: women excel and calories count.

We present evidence for an evolved sexually dimorphic adaptation that activates spatial memory and navigation skills in response to fruits, vegetables and other traditionally gatherable sessile food resources. In spite of extensive evidence for a male advantage on a wide variety of navigational tasks, we demonstrate that a simple but ecologically important shift in content can reverse this sex difference. This effect is predicted by and consistent with the theory that a sexual division in ancestral foraging labour selected for gathering-specific spatial mechanisms, some of which are sexually differentiated. The hypothesis that gathering-specific spatial adaptations exist in the human mind is further supported by our finding that spatial memory is preferentially engaged for resources with higher nutritional quality (e.g. caloric density). This result strongly suggests that the underlying mechanisms evolved in part as adaptations for efficient foraging. Together, these results demonstrate that human spatial cognition is content sensitive, domain specific and designed by natural selection to mesh with important regularities of the ancestral world.

Preferential attention to animals and people is independent of the amygdala.

The amygdala is thought to play a critical role in detecting salient stimuli. Several studies have taken ecological approaches to investigating such saliency, and argue for domain-specific effects for processing certain natural stimulus categories, in particular faces and animals. Linking this to the amygdala, neurons in the human amygdala have been found to respond strongly to faces and also to animals. However, the amygdala's necessary role for such category-specific effects at the behavioral level remains untested. Here we tested four rare patients with bilateral amygdala lesions on an established change-detection protocol. Consistent with prior published studies, healthy controls showed reliably faster and more accurate detection of people and animals, as compared with artifacts and plants. So did all four amygdala patients: there were no differences in phenomenal change blindness, in behavioral reaction time to detect changes or in eye-tracking measures. The findings provide decisive evidence against a critical participation of the amygdala in rapid initial processing of attention to animate stimuli, suggesting that the necessary neural substrates for this phenomenon arise either in other subcortical structures (such as the pulvinar) or within the cortex itself.

The scope of social attention deficits in autism: prioritized orienting to people and animals in static natural scenes.

A central feature of autism spectrum disorder (ASD) is an impairment in 'social attention'--the prioritized processing of socially relevant information, e.g. the eyes and face. Socially relevant stimuli are also preferentially attended in a broader categorical sense, however: observers orient preferentially to people and animals (compared to inanimate objects) in complex natural scenes. To measure the scope of social attention deficits in autism, observers viewed alternating versions of a natural scene on each trial, and had to 'spot the difference' between them--where the difference involved either an animate or inanimate object. Change detection performance was measured as an index of attentional prioritization. Individuals with ASD showed the same prioritized social attention for animate categories as did control participants. This could not be explained by lower level visual factors, since the effects disappeared when using blurred or inverted images. These results suggest that social attention - and its impairment in autism - may not be a unitary phenomenon: impairments in visual processing of specific social cues may occur despite intact categorical prioritization of social agents.

Category-specific attention for animals reflects ancestral priorities, not expertise.

Visual attention mechanisms are known to select information to process based on current goals, personal relevance, and lower-level features. Here we present evidence that human visual attention also includes a high-level category-specialized system that monitors animals in an ongoing manner. Exposed to alternations between complex natural scenes and duplicates with a single change (a change-detection paradigm), subjects are substantially faster and more accurate at detecting changes in animals relative to changes in all tested categories of inanimate objects, even vehicles, which they have been trained for years to monitor for sudden life-or-death changes in trajectory. This animate monitoring bias could not be accounted for by differences in lower-level visual characteristics, how interesting the target objects were, experience, or expertise, implicating mechanisms that evolved to direct attention differentially to objects by virtue of their membership in ancestrally important categories, regardless of their current utility.