Misalignment between perceptual boundaries and weight categories reflects a new normal for body size perception.

Combatting the current global epidemic of obesity requires that people have a realistic understanding of what a healthy body size looks like. This is a particular issue in different population sub-groups, where there may be increased susceptibility to obesity-related diseases. Prior research has been unable to systematically assess body size judgement due to a lack of attention to gender and race; our study aimed to identify the contribution of these factors. Using a data-driven multi-variate decision tree approach, we varied the gender and race of image stimuli used, and included the same diversity among participants. We adopted a condition-rich categorization visual task and presented participants with 120 unique body images. We show that gender and weight categories of the stimuli affect accuracy of body size perception. The decision pattern reveals biases for male bodies, in which participants showed an increasing number of errors from leaner to bigger bodies, particularly under-estimation errors. Participants consistently mis-categorized overweight male bodies as normal weight, while accurately categorizing normal weight. Overweight male bodies are now perceived as part of an expanded normal: the perceptual boundary of normal weight has become wider than the recognized BMI category. For female bodies, another intriguing pattern emerged, in which participants consistently mis-categorized underweight bodies as normal, whilst still accurately categorizing normal female bodies. Underweight female bodies are now in an expanded normal, in opposite direction to that of males. Furthermore, an impact of race type and gender of participants was also observed. Our results demonstrate that perceptual weight categorization is multi-dimensional, such that categorization decisions can be driven by ultiple factors.

Eye Movement Dynamics Differ between Encoding and Recognition of Faces.

Facial recognition is widely thought to involve a holistic perceptual process, and optimal recognition performance can be rapidly achieved within two fixations. However, is facial identity encoding likewise holistic and rapid, and how do gaze dynamics during encoding relate to recognition? While having eye movements tracked, participants completed an encoding ("study") phase and subsequent recognition ("test") phase, each divided into blocks of one- or five-second stimulus presentation time conditions to distinguish the influences of experimental phase (encoding/recognition) and stimulus presentation time (short/long). Within the first two fixations, several differences between encoding and recognition were evident in the temporal and spatial dynamics of the eye-movements. Most importantly, in behavior, the long study phase presentation time alone caused improved recognition performance (i.e., longer time at recognition did not improve performance), revealing that encoding is not as rapid as recognition, since longer sequences of eye-movements are functionally required to achieve optimal encoding than to achieve optimal recognition. Together, these results are inconsistent with a scan path replay hypothesis. Rather, feature information seems to have been gradually integrated over many fixations during encoding, enabling recognition that could subsequently occur rapidly and holistically within a small number of fixations.

Visual responsiveness in sensorimotor cortex is increased following amputation and reduced after mirror therapy.

Phantom limb pain (PLP) following amputation, which is experienced by the vast majority of amputees, has been reported to be relieved with daily sessions of mirror therapy. During each session, a mirror is used to view the reflected image of the intact limb moving, providing visual feedback consistent with the movement of the missing/phantom limb. To investigate potential neural correlates of the treatment effect, we measured brain responses in volunteers with unilateral leg amputation using functional magnetic resonance imaging (fMRI) during a four-week course of mirror therapy. Mirror therapy commenced immediately following baseline scans, which were repeated after approximately two and four week intervals. We focused on responses in the region of sensorimotor cortex corresponding to primary somatosensory and motor representations of the missing leg. At baseline, prior to starting therapy, we found a strong and unexpected response in sensorimotor cortex of amputees to visually presented images of limbs. This response was stronger for images of feet compared to hands and there was no such response in matched controls. Further, this response to visually presented limbs was no longer present at the end of the four week mirror therapy treatment, when perceived phantom limb pain was also reduced. A similar pattern of results was also observed in extrastriate and parietal regions typically responsive to viewing hand actions, but not in regions corresponding to secondary somatosensory cortex. Finally, there was a significant correlation between initial visual responsiveness in sensorimotor cortex and reduction in PLP suggesting a potential marker for predicting efficacy of mirror therapy. Thus, enhanced visual responsiveness in sensorimotor cortex is associated with PLP and modulated over the course of mirror therapy.

Trajectory of phantom limb pain relief using mirror therapy: Retrospective analysis of two studies.

BACKGROUND AND PURPOSE: Research indicates that mirror therapy reduces phantom limb pain (PLP). Objectives were to determine when mirror therapy works in those who respond to treatment, the relevance of baseline PLP to when pain relief occurs, and what pain symptoms respond to mirror therapy. METHODS: Data from two independent cohorts with unilateral lower limb amputation were analyzed for this study (n=33). Mirror therapy consisted of 15-min sessions in which amputees performed synchronous movements of the phantom and intact legs/feet. PLP was measured using a visual analogue scale and the Short-Form McGill Pain Questionnaire. RESULTS: The severity of PLP at the beginning of treatment predicted when pain relief occurred. Those with low baseline PLP experienced a reduction (p<0.05) in PLP by session 7 of treatment, those with medium baseline PLP experienced pain relief by session 14 of treatment, and those with high baseline PLP experienced pain relief by session 21 of treatment. Mirror therapy reduced throbbing, shooting, stabbing, sharp, cramping, aching, tender, splitting, tiring/exhausting, and punishing-cruel pain symptoms. CONCLUSION: The degree of PLP at baseline predicts when mirror therapy relieves pain. IMPLICATIONS: This article indicates that the degree of baseline PLP affects when mirror therapy relieves pain: relief occurs by session 7 in patients with low PLP but by session 21 in patients with high PLP. Clinicians should anticipate slower pain relief in patients who begin treatment with high levels of pain. ClinicalTrials.gov numbers:NCT00623818 and NCT00662415.

Where You Look Matters for Body Perception: Preferred Gaze Location Contributes to the Body Inversion Effect.

The Body Inversion Effect (BIE; reduced visual discrimination performance for inverted compared to upright bodies) suggests that bodies are visually processed configurally; however, the specific importance of head posture information in the BIE has been indicated in reports of BIE reduction for whole bodies with fixed head position and for headless bodies. Through measurement of gaze patterns and investigation of the causal relation of fixation location to visual body discrimination performance, the present study reveals joint contributions of feature and configuration processing to visual body discrimination. Participants predominantly gazed at the (body-centric) upper body for upright bodies and the lower body for inverted bodies in the context of an experimental paradigm directly comparable to that of prior studies of the BIE. Subsequent manipulation of fixation location indicates that these preferential gaze locations causally contributed to the BIE for whole bodies largely due to the informative nature of gazing at or near the head. Also, a BIE was detected for both whole and headless bodies even when fixation location on the body was held constant, indicating a role of configural processing in body discrimination, though inclusion of the head posture information was still highly discriminative in the context of such processing. Interestingly, the impact of configuration (upright and inverted) to the BIE appears greater than that of differential preferred gaze locations.

Seeing is not feeling: posterior parietal but not somatosensory cortex engagement during touch observation.

Observing touch has been reported to elicit activation in human primary and secondary somatosensory cortices and is suggested to underlie our ability to interpret other's behavior and potentially empathy. However, despite these reports, there are a large number of inconsistencies in terms of the precise topography of activation, the extent of hemispheric lateralization, and what aspects of the stimulus are necessary to drive responses. To address these issues, we investigated the localization and functional properties of regions responsive to observed touch in a large group of participants (n = 40). Surprisingly, even with a lenient contrast of hand brushing versus brushing alone, we did not find any selective activation for observed touch in the hand regions of somatosensory cortex but rather in superior and inferior portions of neighboring posterior parietal cortex, predominantly in the left hemisphere. These regions in the posterior parietal cortex required the presence of both brush and hand to elicit strong responses and showed some selectivity for the form of the object or agent of touch. Furthermore, the inferior parietal region showed nonspecific tactile and motor responses, suggesting some similarity to area PFG in the monkey. Collectively, our findings challenge the automatic engagement of somatosensory cortex when observing touch, suggest mislocalization in previous studies, and instead highlight the role of posterior parietal cortex.

Functional organization and visual representations of human ventral lateral prefrontal cortex.

Recent neuroimaging studies in both human and non-human primates have identified face selective activation in the ventral lateral prefrontal cortex (VLPFC) even in the absence of working memory (WM) demands. Further, research has suggested that this face-selective response is largely driven by the presence of the eyes. However, the nature and origin of visual category responses in the VLPFC remain unclear. In a broader sense, how do these findings relate to our current understandings of lateral prefrontal cortex? What do these findings tell us about the underlying function and organization principles of the VLPFC? What is the future direction for investigating visual representations in this cortex? This review focuses on the function, topography, and circuitry of the VLPFC to enhance our understanding of the evolution and development of this cortex.

Faces and eyes in human lateral prefrontal cortex.

Much of the work on face-selective neural activity has focused on posterior, ventral areas of the human and non-human primate brain. However, electrophysiological and fMRI studies have identified face responses in the prefrontal cortex. Here we used fMRI to characterize these responses in the human prefrontal cortex compared with face selectivity in posterior ventral region. We examined a region at the junction of the right inferior frontal sulcus and the precentral sulcus (right inferior frontal junction or rIFJ) that responds more to faces than to several other object categories. We find that the rIFJ and the right fusiform face area (rFFA) are broadly similar in their responses to whole faces, headless bodies, tools, and scenes. Strikingly, however, while the rFFA preferentially responds to the whole face, the rIFJ response to faces appears to be driven primarily by the eyes. This dissociation provides clues to the functional role of the rIFJ face response. We speculate on this role with reference to emotion perception, gaze perception, and to behavioral relevance more generally.

Differential contributions of occipitotemporal regions to person perception.

Downing and Peelen have produced an excellent review synthesizing the current literature on the processing of body stimuli in visual cortex. However, while they consider the Extrastriate Body Area (EBA) and Fusiform Body Area (FBA) in combination, these regions are physically separate in cortex and must contribute differentially to person perception. Here, we evaluate the hierarchical view of processing in EBA and FBA and highlight the visual field biases in these regions, which may provide insight into their origin and functional roles.

Cortical representations of bodies and faces are strongest in commonly experienced configurations.

Faces and bodies are perhaps the most salient and evolutionarily important visual stimuli. Using human functional imaging, we found that the strength of face and body representations depends on long-term experience. Representations were strongest for stimuli in their typical combinations of visual field and side (for example, left field, right body), although all conditions were simply reflections and translations of one another. Thus, high-level representations reflect the statistics with which stimuli occur.

The effect of viewpoint on body representation in the extrastriate body area.

Functional neuroimaging has revealed several brain regions that are selective for the visual appearance of others, in particular the face. More recent evidence points to a lateral temporal region that responds to the visual appearance of the human body (extrastriate body area or EBA). We tested whether this region distinguishes between egocentric and allocentric views of the self and other people. EBA activity increased significantly for allocentric relative to egocentric views in the right hemisphere, but was not influenced by identity. Whole-brain analyses revealed several regions that were influenced by viewpoint or identity. Modulation of EBA activity by viewpoint was modest relative to modulation by stimulus class. We propose that the EBA plays a relatively early role in social vision.