Right hemisphere infarct patients and healthy controls: evaluation of starting points in cancellation tasks.

Patients with visual neglect (VN) tend to start cancellation tasks from the right. This exceptional initial rightward bias is also seen in some right hemisphere (RH) stroke patients who do not meet the criteria of VN in conventional tests. The present study compared RH infarct patients' (examined on average 4 days post-stroke) and healthy controls' starting points (SPs) in three cancellation tasks of the Behavioural Inattention Test (BIT). Furthermore, task-specific guideline values were defined for a normal SP to differentiate the performance of healthy subjects from that of patients with subclinical inattention. Conventional tests indicated that 15 of the 70 RH infarct patients had VN. The control group comprised 44 healthy volunteers. In each task, the VN group started the cancellations mainly from the right. The non-neglect and healthy groups initiated most cancellations from the left, more so in the healthy group. Starting more than one BIT task outside the guideline value indicated pathological inattention, as this was typical among the VN patients, but exceptional among the healthy subjects. One-third of the non-neglect patients showed pathological inattention by starting more than one task outside the guideline value. Clinical assessment of VN should, therefore, include an evaluation of the SPs to detect this subtle form of neglect.

What is a nice smile like that doing in a place like this? Automatic affective responses to environments influence the recognition of facial expressions.

An affective priming paradigm with pictures of environmental scenes and facial expressions as primes and targets, respectively, was employed in order to investigate the role of natural (e.g., vegetation) and built elements (e.g., buildings) in eliciting rapid affective responses. In Experiment 1, images of environmental scenes were digitally manipulated to make continua of priming pictures with a gradual increase of natural elements (and a decrease of built elements). The primes were followed by presentations of facial expressions of happiness and disgust as to-be-recognized target stimuli. The recognition times of happy faces decreased and the recognition times of disgusted faces increased as the quantity of natural/built material present in the primes increased/decreased. The physical changes also influenced the evaluated restorativeness and affective valence of the primes. In Experiment 2, the primes used in Experiment 1 were manipulated in such a way that they were void of any recognizable natural or built elements but contained either similar colours or similar shapes as primes in Experiment 1. This time the results showed no effect of priming. These results were interpreted to give support for a view that the priming effect by environmental pictures is due to the primes representing environmental scenes and not due to the presence of certain low-level colour or shape information in the primes. In all, the present results provide evidence that perception of environmental scenes elicits automatic affective responses and influences recognition of facial expressions.