Visual search in ADHD, ASD and ASD + ADHD: overlapping or dissociating disorders?

Recent debates in the literature discuss commonalities between Attention-Deficit/Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD) at multiple levels of putative causal networks. This debate requires systematic comparisons between these disorders that have been studied in isolation in the past, employing potential markers of each disorder to be investigated in tandem. The present study, choose superior local processing, typical to ASD, and increased Intra-Subject Variability (ISV), typical to ADHD, for a head-to-head comparison of the two disorders, while also considering the comorbid cases. It directly examined groups of participants aged 10-13 years with ADHD, ASD with (ASD+) or without (ASD-) comorbid ADHD and a typically developing (TD) group (total N = 85). A visual search task consisting of an array of paired words was designed. The participants needed to find the specific pair of words, where the first word in the pair was the cue word. This visual search task was selected to compare these groups on overall search performance and trial-to-trial variability of search performance (i.e., ISV). Additionally, scanpath analysis was also carried out using Recurrence Quantification Analysis (RQA) and the Multi-Match Model. Results show that only the ASD- group exhibited superior search performance; whereas, only the groups with ADHD symptoms showed increased ISV. These findings point towards a double dissociation between ASD and ADHD, and argue against an overlap between ASD and ADHD.

Monsters are people too.

Animals, including dogs, dolphins, monkeys and man, follow gaze. What mediates this bias towards the eyes? One hypothesis is that primates possess a distinct neural module that is uniquely tuned for the eyes of others. An alternative explanation is that configural face processing drives fixations to the middle of peoples' faces, which is where the eyes happen to be located. We distinguish between these two accounts. Observers were presented with images of people, non-human creatures with eyes in the middle of their faces (`humanoids') or creatures with eyes positioned elsewhere (`monsters'). There was a profound and significant bias towards looking early and often at the eyes of humans and humanoids and also, critically, at the eyes of monsters. These findings demonstrate that the eyes, and not the middle of the head, are being targeted by the oculomotor system.

Cued shifts of attention and memory encoding in partial report: a dual-task approach.

This study explores how cued shifts of visual attention and rapid encoding of visual information relate to limited-capacity processing mechanisms. Three experiments were conducted placing a partial-report task within a dual-task paradigm. Experiments 1 and 2 involved a simple speeded visual discrimination (Task 1) and then an unspeeded partial-report task (Task 2). Generally, Task 2 accuracy declined as the temporal overlap between the two tasks increased. In addition, in Experiment 1, varying the number of items in the partial-report display had an effect on performance regardless of overlap. In contrast, in Experiment 2, varying the type of probe had an effect only at long task overlap. The generality of the interference effect was tested in Experiment 3 using an auditory discrimination as Task 1. Again, Task 2 accuracy declined as the temporal overlap between the two tasks increased. In all cases, the observed interference had the properties of a processing bottleneck. It is argued that encoding information into memory and response selection for the first task both require general-purpose processing. The results are discussed in terms of the functional relationship between attention and memory.

Failure to remap visuotactile space across the midline in the split-brain.

We examined the effect of posture change on the representation of visuotactile space in a split-brain patient using a cross-modal congruency task. Split-brain patient J.W. made speeded elevation discrimination responses (up versus down) to a series of tactile targets presented to the index finger or thumb of his right hand. We report congruency effects elicited by irrelevant visual distractors placed either close to, or far from, the stimulated hand. These cross-modal congruency effects followed the right hand as it moved within the right hemispace, but failed to do so when the hand crossed the midline into left hemispace. These results support recent claims that interhemispheric connections are required to maintain an accurate representation of visuotactile space.

Representation of visuotactile space in the split brain.

Recent neurophysiological research in the monkey has revealed bimodal neuronal cells with both tactile receptive fields on the hand and visual receptive fields that follow the hands as they move, suggesting the existence of a bimodal map of visuotactile space. Using a cross-modal congruency task, we examined the representation of visuotactile space in normal people and in a split-brain patient (J. W.) as the right arm assumed different postures. The results showed that the congruency effects from distracting lights followed the hand around in space in normal people, but failed to do so in the split-brain patient when the hand crossed the midline. This suggests that cross-cortical connections are required to remap visual space to the current hand position when the hand crosses the midline.

Environmentally defined frames of reference: their time course and sensitivity to spatial cues and attention.

In a Simon task the effects of spatial cues and attention on spatial stimulus coding were explored. Participants made speeded responses corresponding to the direction of target arrows that were preceded by peripherally presented cues. Cue validity varied across experiments as did the percentage of trials on which the target appeared peripherally or centrally. The data indicate (a) that targets are coded relative to multiple reference frames, (b) that spatial coding of a target is not affected when attention is shifted to the target, and (c) that an object serves as a referent for spatial coding of other objects even after its spatial code no longer activates responses.

Inhibition of return at multiple locations in visual search: when you see it and when you don't.

Using a novel sequential task, Danziger, Kingstone, and Snyder (1998) provided conclusive evidence that inhibition of return (IOR) can co-occur at multiple non-contiguous locations. They argued that their findings depended crucially on the allocation of attention to cued locations. Specifically, they hypothesized that because subjects could not predict whether an onset event was a target or a non-target, all onset events had to be attended. As a result, non-targets were tagged with inhibition. The present study tested this hypothesis by manipulating whether target onset was predictable or not. In support of Danziger et al., three experiments revealed that multiple IOR was only observed when attention had to be directed to the cued locations. Interestingly, when attention did not need to be allocated to the cued locations, and multiple IOR was abolished, an IOR effect was still observed at the most recently cued location. Two possible accounts for this single IOR effect were presented for future investigation. One account attributes the effect to motor-based inhibition as hypothesized by Klein and Taylor (1994). The alternative account attributes the effect to weak attentional capture by a peripheral cue. Together the data support the view that multiple IOR is an attentional phenomenon and, as hypothesized by Tipper, Weaver, and Watson (1996), its presence or absence is largely under the control of the observer.

Attentional momentum does not underlie the inhibition of return effect.

J. Pratt, T. M. Spalek, and F. Bradshaw (1999) recently proposed that attentional momentum is the mechanism underlying the inhibition of return (IOR) effect. They suggested that momentum associated with an attentional movement away from a peripherally cued location and toward an uncued opposite location is essential and fundamental to the finding of an IOR effect. Although it is clear from the present study and from a reanalysis of data from Pratt et al. that response time can be facilitated at an uncued opposite location, this putative effect of attentional momentum is neither robust nor reliable. First, it occurs for only a minority of participants. Second, it occurs in only a subset of the cued display positions. And finally, it is uncorrelated with the occurrence of IOR. Together the data indicate that the attentional momentum hypothesis is an overgeneralization and that it does not underlie the robust and reliable IOR effect.

Inhibition of return and visual search: how many separate loci are inhibited?

Using a novel sequential visual search paradigm Danziger, Kingstone, and Snyder (1998) demonstrated that inhibition of return (IOR) can reside at three spatial locations. In the present study, we extended the work of Danziger et al. by investigating whether there is a limit to the number of locations that can be inhibited in a sequential visual search task. Our study revealed that IOR can be measured at a minimum of five locations. The magnitude of the IOR effect was largest at the most recently searched location and declined from there in an approximately linear fashion. Two models that can account for our data are presented.

Competition-induced visual field differences in search.

Do visual field effects point to differences in cortical representation, or do they reflect differences in the way these representations are used by other brain regions? This study explored three attributes of visual search that provide strong evidence in favor of differences in use. Competition refers to the finding that visual field differences in search efficiency are larger in whole- than in half-field displays (both left-right and upper-lower half-fields). Task specialization refers to the finding that some tasks favor one hemisphere whereas other tasks favor the other hemisphere, even though the same stimulus displays are used in both tasks. Anatomical alignment refers to the finding that competition effects are altered if the quadrants of the visual display are not aligned with the cortical quadrants of the observer. We propose that visual field specialization in search is the result of a competition involving limited access to cortical visual representations by the extended neural networks of attention.

Reflexive joint attention depends on lateralized cortical connections.

Joint attention, the tendency to spontaneously direct attention to where someone else is looking, has been thought to occur because eye direction provides a reliable cue to the presence of important events in the environment. We have discovered, however, that adults will shift their attention to where a schematic face is looking--even when gaze direction does not predict any events in the environment. Research with 2 split-brain patients revealed that this reflexive joint attention is lateralized to a single hemisphere. Moreover, although this phenomenon could be inhibited by inversion of a face, eyes alone produced reflexive shifts of attention. Consistent with recent functional neuroimaging studies, these results suggest that lateralized cortical connections between (a) temporal lobe subsystems specialized for processing upright faces and gaze and (b) the parietal area specialized for orienting spatial attention underlie human reflexive shifts of attention in response to gaze direction.

Unmasking the inhibition of return phenomenon.

Conventional wisdom holds that a nonpredictive peripheral cue produces a biphasic response time (RT) pattern: early facilitation at the cued location, followed by an RT delay at that location. The latter effect is called inhibition of return (IOR). In two experiments, we report that IOR occurs at a cued location far earlier than was previously thought, and that it is distinct from attentional orienting. In Experiment 1, IOR was observed early (i.e., within 50 msec) at the cued location, when the cue predicted that a detection target would occur at another location. In Experiment 2, this early IOR effect was demonstrated to occur for target detection, but not for target identification. We conclude that previous failures to observe early IOR at a cued location may have been due to attention being directed to the cued location and thus "masking" IOR.

Inhibition of return is composed of attentional and oculomotor processes.

Response time can be delayed if a target stimulus appears at a location or object that was previously cued. This inhibition of return (IOR) phenomenon has been attributed to a delay in activating attentional or motor processes to a previously cued stimulus. Two experiments required subjects to localize or identify a target stimulus. In Experiment 1, the subjects' eyes were not monitored. In Experiment 2, the subjects' eyes were monitored, and the subjects were instructed to either execute or withhold an eye movement to a target stimulus. The results indicated that IOR was always present for location and identification responses, supporting an attentional account of IOR. However, IOR was larger when eye movements were executed, indicating that a motor component can contribute to IOR. Finally, when eye movements were withheld, IOR was larger when a target was presented alone than when it was presented with a distractor, suggesting that IOR is larger for exogenous than for endogenous covert orienting. Together, the data indicate that IOR is composed of both an oculomotor component and an attentional component.

Inhibition of return to successively stimulated locations in a sequential visual search paradigm.

The inhibition of return (IOR) effect refers to a slowing in response time for a target that appears at a previously attended location. Many investigators have speculated that IOR's inherent ecological validity may be to ensure an efficient search of a complex environment by creating a bias against returning to locations that have already been investigated. Unfortunately, this intriguing idea has lacked compelling empirical support. The current study addressed this issue. It was shown that in a novel visual search task, the IOR could dwell at a minimum of 3 spatially noncontiguous locations. These data suggest that IOR may serve as an important mechanism for facilitating visual search in complex environments, by inhibiting attention from returning to previously inspected locations.

The psychological refractory period effect following callosotomy: uncoupling of lateralized response codes.

A callosotomy patient was tested in 2 dual-task experiments requiring successive speeded responses to lateralized stimuli. The patient showed a robust psychological refractory period (PRP) effect. Three aspects of the data indicate that, unlike for the control participants, the PRP effect for the split-brain patient should not be attributed to a response selection bottleneck. First, the patient did not show an increase in reaction time (RT) when the 2 tasks required responses from a common output system compared with when different output systems were used. Second, inconsistent stimulus-response mappings for the 2 tasks increased RTs for the control participants but had minimal effect on the performance of the split-brain patient. Third, the consistency manipulation was underadditive with stimulus onset asynchrony but was additive or overadditive for the normal participants. These results suggest that the persistent PRP effect following callosotomy should be attributed to a bottleneck associated with response initiation, a strategy adopted to comply with the task demands, or a combination of these factors.

Inhibition of return in location- and identity-based choice decision tasks.

Three experiments were conducted to determine whether inhibition of return can be best characterized as an attentional or a motor phenomenon. In the first experiment, subjects made choice keypress responses to the location of a target (left or right) or the identity of the target (X or +) by pressing a left or right response key. In the second experiment, the display was rotated 90 degrees so that there was no direct spatial mapping between the vertically aligned stimulus display and the horizontally aligned response keys. In both experiments, inhibition of return was observed for location-based and identity-based choice responses, although more inhibition was seen in the identity-based responses. The results of the third experiment suggested that this larger inhibitory effect may be specific to the covert orienting of reflexive attention in response to the sudden appearance of a single peripheral stimulus in the identity tasks. Overall, the results are consistent with the attentional, not the motor, explanation of inhibition of return.

Response channel activation and the lateral prefrontal cortex.

The role of lateral prefrontal cortex in transducing perception into action was studied in 10 patients with chronic, unilateral lesions. They identified colors in the center of a visual display, while a flanking, distractor color was presented simultaneously in either the ipsilesional or contralesional field. The flanker could be either the same color as the target, or incompatible with the correct response. The effects of compatible and incompatible flankers on reaction time (RT) served as a measure of response channel activation by the flanker. Flankers in the contralesional field influenced RT less than did those in the ipsilesional field. These results suggest that the lateral prefrontal cortex is involved in maintaining stimulus-response channels.

Spatial distribution of visual attention: perceptual sensitivity and response latency.

Studies of the spatial distribution of visual attention have shown that attentional facilitation monotonically decreases in a graded fashion with increasing distance from an attended location. However, reaction time (RT) measures have typically shown broader gradients than have signal detection (SD) measures of perceptual sensitivity. It is not clear whether these differences have arisen because the stages of information processing indexed by RT measures are different from those indexed by SD measures, or whether these differences are due to methodological confounds in the SD studies. In the present set of experiments, the spatial distribution of attention was studied by using a luminance detection task in an endogenous cuing paradigm that was designed to permit accurate calculations of SD and RT measures for targets at cued and uncued locations. Subjects made target-present/absent decisions at one of six possible cued or uncued upper visual hemifield locations on each trial. The results from three experiments suggest that the differences between broad and focal attentional distributions are not the result of different stages of information processing indexed by RT measures as opposed to SD measures. Rather, the differing distributions appear to reflect variations in attentional allocation strategies induced by the perceptual requirements typical of RT paradigms as opposed to SD paradigms. These findings support numerous prior studies showing that spatial attention affects perceptual sensitivity and that the strategic allocation of attention is a highly flexible process.

Are microsaccades responsible for the gap effect?

Extinguishing a fixation point shortly before, or concurrently with, the onset of a peripheral visual target reduces the latency of saccades to that target. Saslow (1967) hypothesized that this gap effect might occur because fixation point offsets reduce the incidence of corrective microsaccades with an associated saccadic refractory period. In the present study, a robust gap effect was obtained. However, using a Purkinje image eyetracker with 1 arcmin of resolution, we found that fixation point offsets had no effect on the occurrence of microsaccades and that the occurrence of microsaccades had no impact on the magnitude of gap effect. Microsaccades therefore do not appear to play any part in the production of the gap effect.

Against a role for attentional disengagement in the gap effect: a friendly amendment to Tam and Stelmach (1993).

Saccadic reaction time (RT) is reduced when the fixation point is removed shortly before target onset. Although Tam and Stelmach (1993) argued that this gap effect could not be explained solely by the idea that fixation offset disengaged visual attention and preferred an explanation based on disengagement of the oculomotor system, they felt that they could not rule out a hybrid model in which both oculomotor and attentional disengagement contribute to the gap effect. Our analysis of the dual response experiment (Experiment 4), upon which this hybrid model was based, shows that manual and saccadic responses were likely compromised by a grouping or delay strategy and that subjects may not have been attending as instructed. On these grounds, we argue that Tam and Stelmach (1993), like Kingstone and Klein (1990; 1993a) provide no evidence that attentional disengagement contributes to the gap effect. An alternative proposal (Klein & Kingstone, 1993), that motor preparation and oculomotor disengagement combine additively to produce the gap effect, is consistent with the data from Tam and Stelmach's Experiments 1-3, is similar to the explanation that they prefer, and has been strongly supported when directly tested (Kingstone, Klein, & Taylor, 1994).