Visual exploration of objects and scenes in patients with age-related macular degeneration.

OBJECTIVE: Studies on people with age-related macular degeneration (AMD) have shown that they are able to detect briefly displayed objects and scenes with high accuracy (above 80%). However, in everyday life we explore our environment to search and to recognize objects. We assessed visual exploration in people with AMD during the identification of objects and scenes. METHOD: Twenty patients with AMD, fifteen age-matched and twelve young controls participated. We used colored photographs of isolated objects, natural scenes and objects in scenes, displayed centrally on a monitor. Participants were asked to name the objects and scenes. Ocular movements were recorded during the identification task. Scan paths, saccades, fixations, and accuracy were also recorded. RESULTS: People with AMD exhibited lower accuracy (by about 30%). Eye movement parameters were impaired with a larger number of saccades, shorter fixation durations and a larger scan path than controls. CONCLUSIONS: Our results are consistent with studies on artificial scotoma in normally sighted people showing that a central scotoma impairs oculomotricity. In contrast to detection tasks, people with central vision loss exhibit impaired performance in identification of objects and scenes (62 to 66%). Eye movement studies suggest that the lower accuracy in patients is likely due to the use of peripheral vision and instability of fixation.

[Perception of objects and scenes in age-related macular degeneration]. / La perception des objets et des scènes naturelles dans la dégénérescence maculaire liée à l'âge.

Vision related quality of life questionnaires suggest that patients with AMD exhibit difficulties in finding objects and in mobility. In the natural environment, objects seldom appear in isolation. They appear in a spatial context which may obscure them in part or place obstacles in the patient's path. Furthermore, the luminance of a natural scene varies as a function of the hour of the day and the light source, which can alter perception. This study aims to evaluate recognition of objects and natural scenes by patients with AMD, by using photographs of such scenes. Studies demonstrate that AMD patients are able to categorize scenes as nature scenes or urban scenes and to discriminate indoor from outdoor scenes with a high degree of precision. They detect objects better in isolation, in color, or against a white background than in their natural contexts. These patients encounter more difficulties than normally sighted individuals in detecting objects in a low-contrast, black-and-white scene. These results may have implications for rehabilitation, for layout of texts and magazines for the reading-impaired and for the rearrangement of the spatial environment of older AMD patients in order to facilitate mobility, finding objects and reducing the risk of falls.

Attentional capture in schizophrenia: failure to resist interference from motion signals.

INTRODUCTION: Patients with schizophrenia show high susceptibility to distraction but the neural mechanisms underlying sensitivity to distraction are not clearly established. We designed a paradigm to assess whether sensitivity to distraction and dorsal stream dysfunction are related in schizophrenia. METHOD: 60 patients, 37 schizotypals, and 58 healthy controls were asked to locate a target square appearing above or below fixation and to ignore a distractor that either moved abruptly (in Experiments 1 and 3) or changed in colour (in Experiment 2). The distractor condition was compared to a baseline condition with no distractor. Resistance to interference was assessed by manipulating the probability of the distractor changing more frequently (50%, 75%, 100%) on one side of fixation. RESULTS: Patients, schizotypals, and controls showed attentional capture with longer response times when the distractor changed as compared to the baseline condition. In contrast to controls, the magnitude of interference from distractors remained stable for patients and schizotypals across all probability conditions and this was confined to attentional capture by motion, not by colour. CONCLUSION: We found a similar pattern of results in patients and in schizotypals. Our attentional capture paradigm could help to identify early cognitive impairments in populations at risk to develop schizophrenia. The data are interpreted in terms of dysfunction of frontal control on dorsal stream functions in schizophrenia.

Neural correlates of implicit object identification.

The present study sought to assess neural correlates of implicit identification of objects by means of fMRI, using tasks that require matching of the physical properties of objects. Behavioural data suggests that there is automatic access to object identity when observers attend to a physical property of the form of an object (e.g. the object's orientation) and no evidence for semantic processing when subjects attend to colour. We evaluated whether, in addition to neural areas associated with decisions to specific perceptual properties, areas associated with access to semantic information were activated when tasks demanded processing of the global configuration of pictures. We used two perceptual matching tasks based on the global orientation or on the colour of line drawings. Our results confirmed behavioural data. Activations in the inferior occipital cortex, fusiform and inferior temporal gyri in both tasks (orientation and colour) account for perceptual and structural processing involved in each task. In contrast, activations in the posterior and medial parts of the fusiform gyrus, shown to be involved in explicit semantic judgements, were more pronounced in the orientation-matching task, suggesting that semantic information from the pictures is processed in an implicit way even when not required by the task. Thus, this study suggests that cortical regions usually involved in explicit semantic processing are also activated when implicit processing of objects occurs.

The thalamus interrupts top-down attentional control for permitting exploratory shiftings to sensory signals.

When attention is involuntarily drawn in a direction different to that of the target, slower motor response times are observed (i.e. the meridian effect). Previous data suggested that the thalamus might participate in the generation of visual salience. What may be the role of the thalamus in the capture by luminance transients when attentional control is in action? A single experiment was administrated in a group of ten healthy volunteers as well as in a group of three patients with unilateral thalamic infarcts. Subjects participated in a task where attentional control was interrupted by a distractor. The meridian effect was present only in the performance of the healthy volunteers and when distractors occurred in the ipsilesional (intact) hemifield of the thalamic patients. These results suggest that when an important signal appears during attentional focalization, the thalamus interrupts current focalization and permits the compilation of an attentional program in the midbrain aiming at generating an orienting response towards the source of this signal.

Different effects of lorazepam and diazepam on perceptual integration.

Recent research has established the detrimental effect of lorazepam, a benzodiazepine, on both implicit and explicit memory. Furthermore, lorazepam is known to affect perceptual integration. Diazepam, on the other hand, though being a benzodiazepine too, only impairs explicit memory, leaving implicit memory fairly intact. Little is known about the effect of diazepam on perceptual integration. The present study aimed at filling in this gap, by comparing the effects of lorazepam and diazepam on the detection of discontinuities in random-shaped outlines. In line with previous findings, the results in a lorazepam-treated group were quite different from the results in a placebo-treated group. The results in a diazepam-treated group were analogous to the results in the placebo-treated group and different from the results in the lorazepam-treated group. This shows that lorazepam and diazepam differ, not only with respect to their effect on implicit memory, but also with respect to their effect on perceptual integration. It is argued that this bears important consequences for memory research that makes use of a pharmacological dissociation rationale.

Effects of lorazepam on vision and oculomotor balance.

BACKGROUND: Previous studies have shown an effect of the tranquilizer lorazepam on visual perception. We explored the effects of the drug on binocular vision, visual acuity and accommodation. SUBJECTS AND METHODS: Twenty-four paid healthy volunteers (13 women, 11 men) were recruited from the University of Strasbourg (mean age: 23.6 years, mean weight: 66.8 Kg). They were randomly assigned to one of two parallel groups of 12 subjects each (a placebo group and a lorazepam 0.038 mg/kg group). Visual acuity was measured for each eye separately (Snellen chart and Parinaud scale). Binocular vision was studied using the cover tests, measurement of the fusional amplitudes (with Berens prisms), and the Duane Scale Test (near point rule) measuring convergence and/or accommodation in centimeters or diopters as a function of age. RESULTS: Regarding vision, there was no lorazepam effect, at either 33 cm or 5 m. An esophoria was observed after the intake of lorazepam (0Delta before intake and 2.8Delta after intake, p=0.001). Both fusional convergence and fusional divergence amplitudes decreased by lorazepam, (p=0.008, and p=0.002). Lorazepam also impaired the near point of convergence but did not affect accommodation. CONCLUSION: A single dose of lorazepam induces an esophoric oculomotor imbalance and impaired fusional convergence and divergence amplitudes without impairing visual acuity or accommodation.

Effect of benzodiazepine on temporal integration in object perception.

RATIONALE: Though various psychometrical tests indicate that benzodiazepines affect vigilance, few studies have been conducted to assess the effect of benzodiazepines on attentional processes. OBJECTIVE: We used a RSVP (Rapid Serial Visual Presentation) procedure to investigate the effect of benzodiazepines on the attentional blink effect. It refers to the difficulty in detecting a probe following identification of a target within a temporal window of 500 ms. METHOD: Three experimental groups were tested (placebo, lorazepam and diazepam). Sequences of 15 pictures were centrally displayed for 50 ms each. In a dual-task condition, observers were instructed (1) to identify the target (the single picture on a blue background) and (2) to detect the presence of a probe. In the single-task condition, subjects were asked to detect the probe. The serial position of the probe relative to the target was varied. RESULTS: Performance was equivalent for the three groups in the single-task condition. In the dual-task condition, the attentional blink was increased in magnitude and duration for benzodiazepine-treated subjects, especially diazepam, than for placebo-treated subjects. A large number of intrusions (a tendency to report as target the name of a picture preceding the target) were observed in the benzodiazepine-treated groups. CONCLUSION: The results indicate that benzodiazepines impair visual integration in the temporal domain. This extends previous findings that benzodiazepine impairs visual integration in the spatial domain. The results also suggest that benzodiazepine increase time to disengage attention from a first to a second target.

Enhanced GABA(A) inhibition enhances synchrony coding in human perception.

The benzodiazepine, lorazepam enhances the efficiency of local, inhibitory GABA(A) synapses in the cortex, which stabilize postsynaptic, excitatory activity by synchronizing their own discharges at around 40 Hz. Treatment with lorazepam has also been shown to adversely influence detection performance in perceptual tasks, suggesting a role for GABA(A)-mediated synchronization during visuo-perceptual organization. Consistent with these findings we report that reaction times to target stimuli were slower following lorazepam treatment. However, when targets followed presentation of a synchronized prime, presented within a flickering 40-Hz display matrix, the effects of priming were amplified relative to baseline and control conditions. We conclude that enhanced GABA(A)-induced inhibition enhances stimulus-evoked synchronization with differential effects upon mechanisms of perceptual segmentation and grouping.

Failure to identify the target does not prevent the attentional blink effect.

The attentional blink has been attributed to capacity limitations at a central level of processing. We tested whether failure to identify the target would eliminate the blink. Two agnostic patients were presented with streams of letters, which they were able to identify, and streams of pictures, which they were unable to identify. The dual-task involved identification of a target and detection of a probe. With letters the duration of the blink was equivalent to that of the control subjects. A prolonged blink was observed in both patients for pictures irrespective of whether the target was identified. This result indicates that failure to identify the target does nevertheless mobilize attentional resources sufficiently to prevent detection of a second target stimulus.

Automatic object identification: an fMRI study.

Boucart and Humphreys reported an automatic access to object identity when observers attend to a physical property of the form of an object (e.g. the orientation) but not to its colour. We sought evidence for automatic identification in a brain imaging study using fMRI. In an orientation decision task participants decided whether a picture was vertical or horizontal. In the colour decision task participants decided if a picture was blue or green. Activation of areas 18-19 was found for both color and orientation. Activation of the temporal area 37 occurred more frequently in the orientation than in the colour decision task. This result suggests that automatic identification activates the same brain area as overt processing of semantic information.

Inhibitory tagging in inhibition of return is affected in schizophrenia: evidence from the stroop task.

L. J. Fuentes, A. B. Vivas, and G. W. Humphreys (1999b) showed that stimulus processing is affected when stimuli are presented to locations subject to inhibition of return. They argued that activated representations of stimuli presented at inhibited locations are disconnected from their associated responses through an "inhibitory tagging" mechanism occurring in inhibition of return. In the present research, the authors asked whether such a mechanism is affected in people with schizophrenia. Healthy adults and patients with schizophrenia performed a Stroop task in an inhibition of return paradigm. Healthy adults showed a reduction in the Stroop interference when stimuli were presented at inhibited locations, a result that agrees with the inhibitory tagging mechanism hypothesis and replicates previous findings. However, patients with schizophrenia did not show such a reduction, a result suggesting that they have a deficit in inhibitory processing occurring in inhibition of return.

The computation of occluded contours in visual agnosia: Evidence for early computation prior to shape binding and figure-ground coding.

We examined whether an agnosic patient with a deficit in early visual processing, HJA, completed occluded contours. We used matching tasks with stimuli composed of three superimposed or occluded shapes. Experiments 2 and 6 required superimposed or occluded shapes to be discriminated from distractors in which the position of one shape was changed. HJA was selectively impaired with occluded relative to superimposed shapes. His performance was affected by the spatial separation of the occluded contours rather than the area of the occluded surface. Experiments 3 and 5 required HJA to discriminate the central shape. Making occluded contours easier to compute (by reducing their spatial separation) facilitated discrimination of a central occluded shape (in the background), although it impaired discrimination of a central occluding shape (in the foreground). Free-choice shape judgements made to the central shape (Experiment 2) showed that HJA used both real and completed contours to segment foreground shapes inappropriately. When asked to copy overlapping shapes (Experiment 4), HJA drew in the occluded parts as if real contours were present, at least on some occasions. These drawings and a task requiring discrimination between real and occluded contours (Experiment 7), showed a tendency to continue contours inappropriately, an insensitiviy to junctions, and impaired integration of contours into more global shapes. The results suggest that occluded contours can be computed early on in visual processing, probably at the level where long-range mechanisms group collinear contour segments together. Our control experiment shows that HJA is not impaired in collinear contour grouping. These mechanisms are prior to processes in which contours are bound to shapes and in which foregroundbackground relationships between shapes are resolved. In visual agnosia, occluded contours can be computed even when there is impairment of both binding of contours to shapes and the computation of foreground-background relations in overlapping shapes.

Inhibitory processing in visuospatial attention in healthy adults and schizophrenic patients.

This study assessed visuospatial attention in healthy adults and medicated schizophrenic patients. Participants performed a visual orientation task in which a peripheral cue was followed. at different intervals, by a target presented either at valid or invalid locations. When the long stimulus onset asynchrony (SOA) was used, participants were presented with either a single peripheral cue (single-cue condition) or two cues, the peripheral cue followed by a central cue (the double-cue condition). Healthy adults showed marginal facilitation effects with the short SOA and similar inhibition of return effects with the long SOA in both single-cue and double-cue conditions. Schizophrenic individuals showed a big facilitation effect with the short SOA and normal inhibition of return with the long SOA in both cue conditions. Results with the short SOA replicated previous findings (Huey, E.D., Wexler, B.E., 1994. Schizophrenia Research 14, 57-63) but, in contrast, we did not observe blunted inhibition of return with the long SOA. An inspection of the differences in the procedures used in both studies may help both to account for the discrepancies and to reveal what processes involved in visuospatial attention are affected in schizophrenia.

What is the nature of increased Stroop interference in schizophrenia?

In comparison to controls, patients with schizophrenia classically display (1) an overall slowing in response times (RTs) and (2) a disproportionate slowing in RTs in the conflict condition of the Stroop color/word interference task. These two effects appear repeatedly in the card version of the Stroop task but were not replicated in a number of studies using a computer item-by-item version of the task. The present study was aimed at understanding the exact nature of the increased interference classically found in the performance of patients with schizophrenia in the card version of the Stroop task. We used a computer trial-by-trial version in which we investigated the effects of two major methodological differences between the two versions: (1) blocked (card version) versus mixed (computer version) presentation of the neutral, congruent and conflict conditions and (2) presence (card version) versus absence (computer version) of distractors in the spatial surrounding of the target. We found an overall slowing in performance and a disproportionate slowing in the conflict condition for patients with schizophrenia but only when the target was surrounded by distractors (in Experiments 2 and 3). The data are discussed in terms of a deficit in selective attention and inhibitory processes in schizophrenia.

Lorazepam but not diazepam impairs identification of pictures on the basis of specific contour fragments.

We tested the effects of lorazepam 0.038 mg/kg and diazepam 0.3 mg/kg on the identification of pictures of everyday objects that were specifically modified to examine the role of different parts of the external contour. By pressing the space bar of a computer keyboard, observers could add 1% of the total contour of each picture until it was recognized. Identification thresholds were measured in three display conditions, depending on where along the contour the addition of contour pixels started. In the minima condition, stimuli were initially displayed with only minima (i.e., locations along the contour where negative curvature is strongest); all parts with negative curvature were then built up gradually from the minima and only later on were the fragments with positive curvature shown until the contour became closed at the maxima (i.e., locations where positive curvature is strongest). In the maxima condition, initially only the maxima were displayed, with all positive contour built up first and then the negative curvature until the minima were reached. In the inflections condition, the points along the contour shown first were inflections (i.e., points where curvature is locally zero because the sign of curvature changes there) and contour was built up by adding parts of positive and negative curvature at both sides of each inflection until the extrema (minima and maxima) were reached to close the contour of the picture. In general, picture identification was more difficult (i.e., a larger portion of the contour was required) in the minima condition than in the maxima and the inflections conditions. The diazepam group did not differ significantly from the placebo group, while the lorazepam group had significantly lower performance in all three display conditions. Results are discussed in relation to previous research showing impaired perceptual integration and impaired implicit memory under lorazepam influence.

Selection by color and form in vision.

Whether attention to a local part of a visual display can prevent access to semantic information in form matching tasks with objects was studied. A first picture containing a line segment (the reference) was followed by 2 lateral objects also containing a line segment (a target and a distractor). Participants matched the line segments according to either their orientation or color. Effects of semantic information were assessed by manipulating the semantic relations among the pictures surrounding the reference, target, and distractor. Semantic information affected performance in the orientation matching task, but not in the color matching task. Results suggest the existence of separate selection mechanisms in vision. Selection of local colors for response purposes can be based on inhibition of the form pathway (eliminating semantic effects on matching). Selection within the form pathway can involve a bias toward global shape (the picture). Once attention is allocated to global shape associated semantic representations are activated and semantic effects on matching emerge.

Integration of physical and semantic information in object processing.

Physiological studies report independent processing pathways for form and colour information. A more-complex picture on human subjects has previously been reported. A sequential matching task was used that was based on a physical property of an object and in which semantic relations between stimuli were manipulated. Performance was affected by semantic information when matching was based on a property of the form of an object (its orientation, shape, or size). Effects of semantic information were eliminated when matching was based on the colour of a local part of an object but were found again when subjects matched pictures on the basis of the percentage of a colour integrated across the shape boundary. The results suggest independent selection mechanisms in vision in which selection by local colour can be based on inhibition of the form-processing pathway whilst processing of the global configuration of the form of an object activates automatically the identification process.

Lorazepam impairs perceptual integration of visual forms: a central effect.

Previous studies have shown a lorazepam effect on visual perception. We tested whether this impairment resulted from a peripheral effect induced by benzodiazepines. A first experiment showed that a single dose of lorazepam induces an oculomotor imbalance without impairing visual acuity or accommodation. In a second experiment, we tested whether the impairment induced by lorazepam on visual perception still occurred in monocular vision. Subjects matched incomplete forms controlled on the spacing and alignment of their local contour elements. A reference object was first displayed and followed by two laterally displayed objects, a target and a distractor. The distractor was the mirror-reversed version of the target. Performance was impaired in the lorazepam group when the reference was an incomplete form with a spacing of 10.8' or 22.2' of arc. These results were not correlated with sedation. They confirm that lorazepam has a central deleterious effect on visual perception. A post-hoc analysis also suggested that lorazepam-treated subjects used asymmetry in the stimuli as a compensatory strategy. This result is discussed in relation to previous hypotheses about the physiological mechanisms that determine the effects of lorazepam on visual perception.

Effects of a static textured background on motion integration.

We studied how the visual system integrates locally ambiguous velocities into global unambiguous coherent motion in the presence or absence of a textured background. Line drawings of complex figures were presented through invisible (i.e. same luminance and hue as the background) circular apertures such that only straight line segments were visible. These figures were either presented against a uniform background or embedded in static textures made of similar line segments in such a way that figures cannot be detected if they remain static. Under our experimental conditions, the figures translated clockwise or counterclockwise along a circular path and observers were required to discriminate the global direction of motion. Because of the aperture problem, a single moving segment cannot disambiguate the global direction of the figures and integration across multiple line segments is therefore necessary to perform the task. We found that with figures at high contrast, the presence of a texture enhanced direction discrimination, while direction discrimination of figures at low contrast was impaired by the presence of the texture. These paradoxical effects of a static texture were further tested by manipulating the relative contrast between figures and texture, the motion onset asynchrony (the delay between stimulus onset and motion onset or MOA), the density, the orientation and the distribution of texture elements. The effects of the texture, either facilitation or suppression, increase with texture contrast. Accuracy improves with MOA and decreases with texture density. In general, at high figure contrast, accuracy is better whenever referents are present in the image. We suggest that facilitation by the texture at high figure contrast is accounted for by reduced salience of segmentation cues such as line terminators and increased accuracy of local velocity measurements. On the other hand, decreased performance at low figure contrast may reflect lateral suppression of the responses to motion signals by the texture.