Reality monitoring and metacognitive judgments in a false-memory paradigm.

How well do we distinguish between different memory sources when the information from imagination and perception is similar? And how do metacognitive (confidence) judgments differ across different sources of experiences? To study these questions, we developed a reality monitoring task using semantically related words from the Deese-Roediger-McDermott (DRM) paradigm of false memories. In an orientation phase, participants either perceived word pairs or had to voluntarily imagine the second word of a word pair. In a test phase, participants viewed words and had to judge whether the paired word was previously perceived, imagined, or new. Results revealed an interaction between memory source and judgment type on both response rates and confidence judgments: reality monitoring was better for new and perceived (compared to imagined) sources, and participants often incorrectly reported imagined experiences to be perceived. Individuals exhibited similar confidence between correct imagined source judgments and incorrect imagined sources reported to be perceived. Modeling results indicated that the observed judgments were likely due to an externalizing bias (i.e., a bias to judge the memory source as perceived). Additionally, we found that overall metacognitive ability was best in the perceived source. Together, these results reveal a source-dependent effect on response rates and confidence ratings, and provide evidence that observers are surprisingly prone to externalizing biases when monitoring their own memories.

Metacognitive awareness in the sound-induced flash illusion.

Hundreds (if not thousands) of multisensory studies provide evidence that the human brain can integrate temporally and spatially discrepant stimuli from distinct modalities into a singular event. This process of multisensory integration is usually portrayed in the scientific literature as contributing to our integrated, coherent perceptual reality. However, missing from this account is an answer to a simple question: how do confidence judgements compare between multisensory information that is integrated across multiple sources, and multisensory information that comes from a single, congruent source in the environment? In this paper, we use the sound-induced flash illusion to investigate if confidence judgements are similar across multisensory conditions when the numbers of auditory and visual events are the same, and the numbers of auditory and visual events are different. Results showed that congruent audiovisual stimuli produced higher confidence than incongruent audiovisual stimuli, even when the perceptual report was matched across the two conditions. Integrating these behavioural findings with recent neuroimaging and theoretical work, we discuss the role that prefrontal cortex may play in metacognition, multisensory causal inference and sensory source monitoring in general. This article is part of the theme issue 'Decision and control processes in multisensory perception'.

Effects of neurofeedback training on performance in laboratory tasks: A systematic review.

Neurofeedback procedures are attracting increasing attention in the neuroscience community. Based on the principle that participants, through suitable feedback, may learn to affect specific aspects of their brain activity, neurofeedback interventions have been applied to basic research, translational, and clinical science. A large segment of the available empirical research as well as review articles have focused on the extent to which neurofeedback interventions affect mental health outcomes, cognitive capacity, aging, and other complex behaviors. Another segment has aimed to characterize the extent to which neurofeedback affects the targeted neural processes. At this time, there is no current systematic review of the effects of neurofeedback on healthy participants' performance in experimental tasks. Such a review is relevant in this rapidly evolving field because changes in experimental task performance are traditionally considered a hallmark of changing neurocognitive processes, often established in neurotypical individuals. This systematic review addresses this gap in the literature using the PRISMA method, building on earlier reviews on the same topic. Empirical studies using EEG or fMRI to alter brain processes linked to established cognitive and affective laboratory tasks were reviewed. Systematic quality assessment and z-curve analyses were also conducted. Substantial variability was found regarding the study designs used, the implementation of the feedback, and the neural targets of feedback. Importantly, only a minority of the studies reported statistically meaningful effects of neurofeedback on performance in cognitive and affective tasks. The z-curve analyses found no evidence for reporting bias or unsound research practices. Quality control and effect size analyses showed few systematic relations between study characteristics such as sample size or experimental control on the one hand and outcome on the other. Overall, the present study does not support strong effects of NFT on performance in laboratory tasks. Implications for future work are discussed.

Drug use associated tricuspid valve infective endocarditis in pregnancy.

BACKGROUND AND AIM: We report a case of intravenous drug use associated tricuspid valve endocarditis in a 28-year-old pregnant female at 26-week gestation. METHODS: Patient management required a multidisciplinary collaboration between cardiac surgery, obstetrics and gynecology, and neonatal critical care. RESULTS: Despite appropriate intravenous antibiotics, the patient developed life-threatening complications and underwent planned cesarean delivery at 28 weeks 6 days gestation followed by interval tricuspid valve replacement 1 week later. CONCLUSIONS: Both the patient and her infant were successfully managed through the perioperative period.

Demonstrating synchronization of isorhythmic dissociation with stress testing.

There are a variety of causes of atrial and ventricular dyssynchrony. The mechanism underlying the arrhythmia is usually a guide to further management. This case highlights the key distinguishing features of more benign etiologies.