Spatial cognition training rapidly induces cortical plasticity in blind navigation: Transfer of training effect & Granger causal connectivity analysis.

How is the cortical navigation network reorganized by the Likova Cognitive-Kinesthetic Navigation Training? We measured Granger-causal connectivity of the frontal-hippocampal-insular-retrosplenial-V1 network of cortical areas before and after this one-week training in the blind. Primarily top-down influences were seen during two tasks of drawing-from-memory (drawing complex maps and drawing the shortest path between designated map locations), with the dominant role being congruent influences from the egocentric insular to the allocentric spatial retrosplenial cortex and the amodal-spatial sketchpad of V1, with concomitant influences of the frontal cortex on these areas. After training, and during planning-from-memory of the best on-demand path, the hippocampus played a much stronger role, with the V1 sketchpad feeding information forward to the retrosplenial region. The inverse causal influences among these regions generally followed a recursive feedback model of the opposite pattern to a subset of congruent influences. Thus, this navigational network reorganized its pattern of causal influences with task demands and the navigation training, which produced marked enhancement of the navigational skills.

Do we enjoy what we sense and perceive? A dissociation between aesthetic appreciation and basic perception of environmental objects or events.

This integrative review rearticulates the notion of human aesthetics by critically appraising the conventional definitions, offerring a new, more comprehensive definition, and identifying the fundamental components associated with it. It intends to advance holistic understanding of the notion by differentiating aesthetic perception from basic perceptual recognition, and by characterizing these concepts from the perspective of information processing in both visual and nonvisual modalities. To this end, we analyze the dissociative nature of information processing in the brain, introducing a novel local-global integrative model that differentiates aesthetic processing from basic perceptual processing. This model builds on the current state of the art in visual aesthetics as well as newer propositions about nonvisual aesthetics. This model comprises two analytic channels: aesthetics-only channel and perception-to-aesthetics channel. The aesthetics-only channel primarily involves restricted local processing for quality or richness (e.g., attractiveness, beauty/prettiness, elegance, sublimeness, catchiness, hedonic value) analysis, whereas the perception-to-aesthetics channel involves global/extended local processing for basic feature analysis, followed by restricted local processing for quality or richness analysis. We contend that aesthetic processing operates independently of basic perceptual processing, but not independently of cognitive processing. We further conjecture that there might be a common faculty, labeled as aesthetic cognition faculty, in the human brain for all sensory aesthetics albeit other parts of the brain can also be activated because of basic sensory processing prior to aesthetic processing, particularly during the operation of the second channel. This generalized model can account not only for simple and pure aesthetic experiences but for partial and complex aesthetic experiences as well.

Brain trauma impacts retinal processing: photoreceptor pathway interactions in traumatic light sensitivity.

BACKGROUND: Concussion-induced light sensitivity, or traumatic photalgia, is a lifelong debilitating problem for upwards of 50% of mild traumatic brain injury (mTBI) cases, though of unknown etiology. We employed spectral analysis of electroretinographic (ERG) responses to assess retinal changes in mTBI as a function of the degree of photalgia. METHODS: The design was a case-control study of the changes in the ERG waveform as a function of level of light sensitivity in individuals who had suffered incidents of mild traumatic brain injury. The mTBI participants were categorized into non-, mild-, and severe-photalgic groups based on their spectral nociophysical settings. Light-adapted ERG responses were recorded from each eye for 200 ms on-off stimulation of three spectral colors (R:red, G:green, and B:blue) and their sum (W:white) at the highest pain-free intensity level for each participant. The requirement of controls for testing hypersensitive individuals at lower light levels was addressed by recording a full light intensity series in the control group. RESULTS: Both the b-wave and the photopic negative response (PhNR) were significantly reduced in the non-photalgic mTBI group relative to controls. In the photalgic groups, the main b-wave peak shifted to the timing of the rod b-wave, with reduced amplitude at the timing of the cone response. CONCLUSION: These results suggest the interpretation that the primary etiology of the painful light sensitivity in mTBI is release of the rod pathway from cone-mediated inhibition at high light levels, causing overactivation of the rod pathway.

Self-Regulation of Seat of Attention Into Various Attentional Stances Facilitates Access to Cognitive and Emotional Resources: An EEG Study.

This study provides evidence supporting the operation of a novel cognitive process of a somatic seat of attention, or ego-center, whose somatic location is under voluntary control and that provides access to differential emotional resources. Attention has typically been studied in terms of what it is directed toward, but it can also be associated with a localized representation in the body image that is experienced as the source or seat of attention-an aspect that has previously only been studied by subjective techniques. Published studies of this phenomenon under terms such as egocenter or self-location suggest that the seat of attention can be situated in various ways within the experienced body, resulting in what are here referred to as different attentional stances. These studies also provide evidence that changes in attentional stance are associated with differences in cognitive skill, emotional temperament, self-construal, and social and moral attitudes, as well as with access to certain states of consciousness. In the present study, EEG results from multiple trials of each of 11 specific attentional stances confirmed that patterns of neural activity associated with the voluntarily control of attentional stances can be reliably measured, providing evidence for a differential neural substrate underlying the subjective location of the seat of attention. Additionally, brain activation patterns for the attentional stances showed strong correlations with EEG signatures associated with specific positive emotional states and with arousal, confirming that differential locations of the seat of attention can be objectively associated with different emotion states, as implied in previous literature. The ability to directly manage the seat of attention into various attentional stances holds substantial potential for facilitating access to specific cognitive and emotional resources in a new way.

Perception and Appreciation of Tactile Objects: The Role of Visual Experience and Texture Parameters.

This exploratory study was designed to examine the effects of visual experience and specific texture parameters on both discriminative and aesthetic aspects of tactile perception. To this end, the authors conducted two experiments using a novel behavioral (ranking) approach in blind and (blindfolded) sighted individuals. Groups of congenitally blind, late blind, and (blindfolded) sighted participants made relative stimulus preference, aesthetic appreciation, and smoothness or softness judgment of two-dimensional (2D) or three-dimensional (3D) tactile surfaces through active touch. In both experiments, the aesthetic judgment was assessed on three affective dimensions, Relaxation, Hedonics, and Arousal, hypothesized to underlie visual aesthetics in a prior study. Results demonstrated that none of these behavioral judgments significantly varied as a function of visual experience in either experiment. However, irrespective of visual experience, significant differences were identified in all these behavioral judgments across the physical levels of smoothness or softness. In general, 2D smoothness or 3D softness discrimination was proportional to the level of physical smoothness or softness. Second, the smoother or softer tactile stimuli were preferred over the rougher or harder tactile stimuli. Third, the 3D affective structure of visual aesthetics appeared to be amodal and applicable to tactile aesthetics. However, analysis of the aesthetic profile across the affective dimensions revealed some striking differences between the forms of appreciation of smoothness and softness, uncovering unanticipated substructures in the nascent field of tactile aesthetics. While the physically softer 3D stimuli received higher ranks on all three affective dimensions, the physically smoother 2D stimuli received higher ranks on the Relaxation and Hedonics but lower ranks on the Arousal dimension. Moreover, the Relaxation and Hedonics ranks accurately overlapped with one another across all the physical levels of softness/hardness, but not across the physical levels of smoothness/roughness. These findings suggest that physical texture parameters not only affect basic tactile discrimination but differentially mediate tactile preferences, and aesthetic appreciation. The theoretical and practical implications of these novel findings are discussed.

Mental Visualization in the Cerebellum: Rapid Non-motor Learning at Sub-Lobular and Causal Network Levels.

It is generally understood that the main role of the cerebellum is in movement planning and coordination, but neuroimaging has led to striking findings of its involvement in many aspects of cognitive processing. Mental visualization is such a cognitive process, extensively involved in learning and memory, artistic and inventive creativity, etc. Here, our aim was to conduct a multidimensional study of cerebellar involvement in the non-motor cognitive tasks. First, we used fMRI to investigate whether the cognitive task of visualization from an immediate memory of complex spatial structures (line drawings) engages the cerebellum, and identified a cerebellar network of both strongly activated and suppressed regions. Second, the task-specificity of these regions was examined by comparative analysis with the task of perceptual exploration and memorization of the drawings to be later visualized from memory. BOLD response patterns over the iterations of each task differed significantly; unexpectedly, the suppression grew markedly stronger in visualization. Third, to gain insights in the organization of these regions into cerebellar networks, we determined the directed inter-regional causal influences using Granger Causal Connectivity analysis. Additionally, the causal interactions of the cerebellar networks with a large-scale cortical network, the Default Mode Network (DMN), were studied. Fourth, we investigated rapid cognitive learning in the cerebellum at the level of short-term BOLD response evolution within each region of interest, and at the higher level of network reorganization. Our paradigm of interleaved sequences of iteration between two tasks combined with some innovative analyses were instrumental in addressing these questions. In particular, rapid forms of non-motor learning that strongly drive cerebellar plasticity through mental visualization were uncovered and characterized at both sub-lobular and network levels. Collectively, these findings provide novel and expansive insights into high-order cognitive functions in the cerebellum, and its macroscale functional neuroanatomy. They represent a basis for a framework of rapid cerebellar reorganization driven by non-motor learning, with implications for the enhancement of cognitive abilities such as learning and memory.

Neuroplasticity and Crossmodal Connectivity in the Normal, Healthy Brain.

Objective: Neuroplasticity enables the brain to establish new crossmodal connections or reorganize old connections which are essential to perceiving a multisensorial world. The intent of this review is to identify and summarize the current developments in neuroplasticity and crossmodal connectivity, and deepen understanding of how crossmodal connectivity develops in the normal, healthy brain, highlighting novel perspectives about the principles that guide this connectivity. Methods: To the above end, a narrative review is carried out. The data documented in prior relevant studies in neuroscience, psychology and other related fields available in a wide range of prominent electronic databases are critically assessed, synthesized, interpreted with qualitative rather than quantitative elements, and linked together to form new propositions and hypotheses about neuroplasticity and crossmodal connectivity. Results: Three major themes are identified. First, it appears that neuroplasticity operates by following eight fundamental principles and crossmodal integration operates by following three principles. Second, two different forms of crossmodal connectivity, namely direct crossmodal connectivity and indirect crossmodal connectivity, are suggested to operate in both unisensory and multisensory perception. Third, three principles possibly guide the development of crossmodal connectivity into adulthood. These are labeled as the principle of innate crossmodality, the principle of evolution-driven 'neuromodular' reorganization and the principle of multimodal experience. These principles are combined to develop a three-factor interaction model of crossmodal connectivity. Conclusions: The hypothesized principles and the proposed model together advance understanding of neuroplasticity, the nature of crossmodal connectivity, and how such connectivity develops in the normal, healthy brain.

Multipurpose Spatiomotor Capture System for Haptic and Visual Training and Testing in the Blind and Sighted.

We describe the development of a multipurpose haptic stimulus delivery and spatiomotor recording system with tactile map-overlays for electronic processing This innovative multipurpose spatiomotor capture system will serve a wide range of functions in the training and behavioral assessment of spatial memory and precise motor control for blindness rehabilitation, both for STEM learning and for navigation training and map reading. Capacitive coupling through the map-overlays to the touch-tablet screen below them allows precise recording i) of hand movements during haptic exploration of tactile raised-line images on one tablet and ii) of line-drawing trajectories on the other, for analysis of navigational errors, speed, time elapsed, etc. Thus, this system will provide for the first time in an integrated and automated manner quantitative assessments of the whole 'perception-cognition-action' loop - from non-visual exploration strategies, spatial memory, precise spatiomotor control and coordination, drawing performance, and navigation capabilities, as well as of haptic and movement planning and control. The accuracy of memory encoding, in particular, can be assessed by the memory-drawing operation of the capture system. Importantly, this system allows for both remote and in-person operation. Although the focus is on visually impaired populations, the system is designed to equally serve training and assessments in the normally sighted as well.

Differences in the major fiber-tracts of people with congenital and acquired blindness.

In order to better understand how our visual system processes information, we must understand the underlying brain connectivity architecture, and how it can get reorganized under visual deprivation. The full extent to which visual development and visual loss affect connectivity is not well known. To investigate the effect of the onset of blindness on structural connectivity both at the whole-brain voxel-wise level and at the level of all major white-matter tracts, we applied two complementary Diffusion-Tension Imaging (DTI) methods, TBSS and AFQ. Diffusion-weighted brain images were collected from three groups of participants: congenitally blind (CB), acquired blind (AB), and fully sighted controls. The differences between these groups were evaluated on a voxel-wise scale with Tract-Based Spatial Statistics (TBSS) method, and on larger-scale with Automated Fiber Quantification (AFQ), a method that allows for between-group comparisons at the level of the major fiber tracts. TBSS revealed that both blind groups tended to have higher FA than sighted controls in the central structures of the brain. AFQ revealed that, where the three groups differed, congenitally blind participants tended to be more similar to sighted controls than to those participants who had acquired blindness later in life. These differences were specifically manifested in the left uncinated fasciculus, the right corticospinal fasciculus, and the left superior longitudinal fasciculus, areas broadly associated with a range of higher-level cognitive systems.

Learning face perception without vision: Rebound learning effect and hemispheric differences in congenital vs late-onset blindness.

To address the longstanding questions of whether the blind-from-birth have an innate face-schema, what plasticity mechanisms underlie non-visual face learning, and whether there are interhemispheric face processing differences in face processing in the blind, we used a unique non-visual drawing-based training in congenitally blind (CB), late-blind (LB) and blindfolded-sighted (BF) groups of adults. This Cognitive-Kinesthetic Drawing approach previously developed by Likova (e.g., 2010, 2012, 2013) enabled us to rapidly train and study training-driven neuroplasticity in both the blind and sighted groups. The five-day two-hour training taught participants to haptically explore, recognize, memorize raised-line images, and draw them free-hand from memory, in detail, including the fine facial characteristics of the face stimuli. Such drawings represent an externalization of the formed memory. Functional MRI was run before and after the training. Tactile-face perception activated the occipito-temporal cortex in all groups. However, the training led to a strong, predominantly left-hemispheric reorganization in the two blind groups, in contrast to right-hemispheric in blindfolded-sighted, i.e., the post-training response-change was stronger in the left hemisphere in the blind, but in the right in the blindfolded. This is the first study to discover interhemispheric differences in non-visual face processing. Remarkably, for face perception this learning-based change was positive in the CB and BF groups, but negative in the LB-group. Both the lateralization and inversed-sign learning effects were specific to face perception, but absent for the control nonface categories of small objects and houses. The unexpected inversed-sign training effect in CB vs LB suggests different stages of brain plasticity in the ventral pathway specific to the face category. Importantly, the fact that only after a very few days of our training, the totally-blind-from-birth CB manifested a very good (haptic) face perception, and even developed strong empathy to the explored faces, implies a preexisting face schema that can be "unmasked" and "tuned up" by a proper learning procedure. The Likova Cognitive-Kinesthetic Training is a powerful tool for driving brain plasticity, and providing deeper insights into non-visual learning, including emergence of perceptual categories. A rebound learning model and a neuro-Bayesian economy principle are proposed to explain the multidimensional learning effects. The results provide new insights into the Nature-vs-Nurture interplay in rapid brain plasticity and neurorehabilitation.

When light hurts: Comparative Morphometry of Human Brainstem in Traumatic Photalgia.

Traumatic brain injury is an increasingly common affliction, although many of its serious repercussions are still underappreciated. A frequent consequence is the development of light-induced pain, or 'photalgia', which can often lead to prolonged debilitation. The mechanism underlying the sensitivity to light, however, remains unresolved. Since tissue oedema (swelling) is a common feature of traumatic brain injury, we propose that the brainstem oedema, in particular, might sensitize the brainstem trigeminal complex to signals from ocular mechanisms activated in bright light. To assess this hypothesis, we ran high-resolution Magnetic Resonance Imaging of the brainstems of concussion groups with mild and severe photalgia, without photalgia, and healthy controls. The 3D configuration of the brainstem was determined by Tensor-Based Morphometry (TBM) for each participant. The TBM revealed significant deviations in the brainstem morphology of all concussion groups, with a characteristic signature for each group. In particular, concussion without photalgia showed bilateral expansion at the pontine/medulla junction, whereas concussion with photalgia showed mid-pontine shrinkage, consistent with degeneration of nuclei of the trigeminal complex. These results support the hypothesis that brainstem shrinkage/degeneration represents a morphological substrate of the photalgic sensitization of the trigeminal pathway.

Transfer of Learning in People Who Are Blind: Enhancement of Spatial-Cognitive Abilities Through Drawing.

INTRODUCTION: This study assessed whether basic spatial-cognitive abilities can be enhanced in people who are blind through transfer of learning from drawing training. METHODS: Near-body spatial-cognitive performance was assessed through the Cognitive Test for the Blind (CTB), which assesses a wide range of basic spatial-cognitive skills. The CTB was administered to 21 participants who are blind in two behavioral testing sessions separated by five days. For participants in the "trained" group, these intervening days were occupied by the Cognitive-Kinesthetic Drawing Training method, during which participants learned how to draw freehand from memory. The "control" participants were not trained. RESULTS: The results showed significantly increased overall CTB performance in the trained but not in the control group, indicating that the drawing training effectively enhanced spatial-cognitive abilities. A three to six month follow-up session with a subset of trained participants suggested that these training-induced spatial-cognitive improvements might persist over time, at least for some tasks. DISCUSSION: These findings demonstrate that learning to draw from memory without vision over just five sessions can lead to enhancement of basic spatial-cognitive abilities beyond the drawing task. This study is the first to examine the transfer of learning of cognitive ability in blind individuals. IMPLICATIONS FOR PRACTITIONERS: This study sheds light on the Cognitive-Kinesthetic Drawing Training as an effective wide-range rehabilitation technique that could be used to enhance basic spatial-cognitive abilities in those who are blind.

Haptic aesthetics in the blind: A behavioral and fMRI investigation.

Understanding perception and aesthetic appeal of arts and environmental objects, what is appreciated, liked, or preferred, and why, is of prime importance for improving the functional capacity of the blind and visually impaired and the ergonomic design for their environment, which however so far, has been examined only in sighted individuals. This paper provides a general overview of the first experimental study of tactile aesthetics as a function of visual experience and level of visual deprivation, using both behavioral and brain imaging techniques. We investigated how blind people perceive 3D tactile objects, how they characterize them, and whether the tactile perception, and tactile shape preference (liking or disliking) and tactile aesthetic appreciation (judging tactile qualities of an object, such as pleasantness, comfortableness etc.) of 3D tactile objects can be affected by the level of visual experience. The study employed innovative behavioral measures, such as new forms of aesthetic preference-appreciation and perceptual discrimination questionnaires, in combination with advanced functional Magnetic Resonance Imaging (fMRI) techniques, and compared congenitally blind, late-onset blind and blindfolded (sighted) participants. Behavioral results demonstrated that both blind and blindfolded-sighted participants assessed curved or rounded 3D tactile objects as significantly more pleasing than sharp 3D tactile objects, and symmetric 3D tactile objects as significantly more pleasing than asymmetric 3D tactile objects. However, as compared to the sighted, blind people showed better skills in tactile discrimination as demonstrated by accuracy and speed of discrimination. Functional MRI results demonstrated that there was a large overlap and characteristic differences in the aesthetic appreciation brain networks in the blind and the sighted. As demonstrated both populations commonly recruited the somatosensory and motor areas of the brain, but with stronger activations in the blind as compared to the sighted. Secondly, sighted people recruited more frontal regions whereas blind people, in particular, the congenitally blind, paradoxically recruited more 'visual' areas of the brain. These differences were more pronounced between the sighted and the congenitally blind rather than between the sighted and the late-onset blind, indicating the key influence of the onset time of visual deprivation. Understanding of the underlying brain mechanisms should have a wide range of important implications for a generalized cross-sensory theory and practice in the rapidly evolving field of neuroaesthetics, as well as for 'cutting-edge' rehabilitation technologies for the blind and the visually impaired.

Memory-guided drawing training increases Granger causal influences from the perirhinal cortex to V1 in the blind.

The perirhinal cortex (PRC) is a medial temporal lobe structure that has been implicated in not only visual memory in the sighted, but also tactile memory in the blind (Cacciamani & Likova, 2016). It has been proposed that, in the blind, the PRC may contribute to modulation of tactile memory responses that emerge in low-level "visual" area V1 as a result of training-induced cortical reorganization (Likova, 2012, 2015). While some studies in the sighted have indicated that the PRC is indeed structurally and functionally connected to the visual cortex (Clavagnier, Falchier, & Kennedy, 2004; Peterson, Cacciamani, Barense, & Scalf, 2012), the PRC's direct modulation of V1 is unknown-particularly in those who lack the visual input that typically stimulates this region. In the present study, we tested Likova's PRC modulation hypothesis; specifically, we used fMRI to assess the PRC's Granger causal influence on V1 activation in the blind during a tactile memory task. To do so, we trained congenital and acquired blind participants on a unique memory-guided drawing technique previously shown to result in V1 reorganization towards tactile memory representations (Likova, 2012). The tasks (20s each) included: tactile exploration of raised line drawings of faces and objects, tactile memory retrieval via drawing, and a scribble motor/memory control. FMRI before and after a week of the Cognitive-Kinesthetic training on these tasks revealed a significant increase in PRC-to-V1 Granger causality from pre- to post-training during the memory drawing task, but not during the motor/memory control. This increase in causal connectivity indicates that the training strengthened the top-down modulation of visual cortex from the PRC. This is the first study to demonstrate enhanced directed functional connectivity from the PRC to the visual cortex in the blind, implicating the PRC as a potential source of the reorganization towards tactile representations that occurs in V1 in the blind brain (Likova, 2012).

Studying the Retinal Source of Photophobia by Facial Electroretinography.

PURPOSE: Photophobia is a debilitating clinical condition that disrupts the ability to use vision for everyday tasks in bright lighting conditions. The goal of the study is to develop a methodology to study the neural basis of photophobia and the contribution of the melanopic pathway to its etiology with differential chromatic responses by means of standard electroencephalographic recording equipment. METHODS: We introduce and validate the approach of recording wavelength-specific electroretinographic (ERG) responses from the face electrodes of the high-density whole-head electroencephalography recording system under light-adapted conditions. RESULTS: ERGs recorded in this way to whole-field chromatic stimuli exhibit striking differences between the photophobic and non-photophobic groups. The control responses were consistent with photopic intensity in peak time, and in the ordering of peak times as a function of wavelength condition, indicating a predominantly cone source of the signals. The photophobic responses, on the other hand, were substantially slowed relative to controls, with the peak times conforming to a different order as a function of wavelength condition than controls, implying that the cone response has been suppressed and that the responses derived from a different photoreceptor system consistent with mediation by melanopic retinal ganglion cells. CONCLUSIONS: The results will be important for determining the neural pathways involved in photophobia and potential approaches to its treatment on the basis of this etiology.

Addressing long-standing controversies in conceptual knowledge representation in the temporal pole: A cross-modal paradigm.

Conceptual knowledge allows us to comprehend the multisensory stimulation impinging on our senses. Its representation in the anterior temporal lobe is a subject of considerable debate, with the "enigmatic" temporal pole (TP) being at the center of that debate. The controversial models of the organization of knowledge representation in TP range from unilateral to fully unified bilateral representational systems. To address the multitude of mutually exclusive options, we developed a novel cross-modal approach in a multifactorial brain imaging study of the blind, manipulating the modality (verbal vs pictorial) of both the reception source (reading text/verbal vs images/pictorial) and the expression (writing text/verbal vs drawing/pictorial) of conceptual knowledge. Furthermore, we also varied the level of familiarity. This study is the first to investigate the functional organization of (amodal) conceptual knowledge in TP in the blind, as well as, the first study of drawing based on the conceptual knowledge from memory of sentences delivered through Braille reading. Through this paradigm, we were able to functionally identify two novel subdivisions of the temporal pole - the TPa, at the apex, and the TPdm - dorso-medially. Their response characteristics revealed a complex interplay of non-visual specializations within the temporal pole, with a diversity of excitatory/inhibitory inversions as a function of hemisphere, task-domain and familiarity, which motivate an expanded neurocognitive analysis of conceptual knowledge. The interplay of inter-hemispheric specializations found here accounts for the variety of seemingly conflicting models in previous research for conceptual knowledge representation, reconciling them through the set of factors we have investigated: the two main knowledge domains (verbal and pictorial/sensory-motor) and the two main knowledge processing modes (receptive and expressive), including the level of familiarity as a modifier. Furthermore, the interplay of these factors allowed us to also reveal for the first time a system of complementary symmetries, asymmetries and unexpected anti-symmetries in the TP organization. Thus, taken together these results constitute a unifying explanation of the conflicting models in previous research on conceptual knowledge representation.

Anticlockwise or clockwise? A dynamic Perception-Action-Laterality model for directionality bias in visuospatial functioning.

Orientation bias and directionality bias are two fundamental functional characteristics of the visual system. Reviewing the relevant literature in visual psychophysics and visual neuroscience we propose here a three-stage model of directionality bias in visuospatial functioning. We call this model the 'Perception-Action-Laterality' (PAL) hypothesis. We analyzed the research findings for a wide range of visuospatial tasks, showing that there are two major directionality trends in perceptual preference: clockwise versus anticlockwise. It appears these preferences are combinatorial, such that a majority of people fall in the first category demonstrating a preference for stimuli/objects arranged from left-to-right rather than from right-to-left, while people in the second category show an opposite trend. These perceptual biases can guide sensorimotor integration and action, creating two corresponding turner groups in the population. In support of PAL, we propose another model explaining the origins of the biases - how the neurogenetic factors and the cultural factors interact in a biased competition framework to determine the direction and extent of biases. This dynamic model can explain not only the two major categories of biases in terms of direction and strength, but also the unbiased, unreliably biased or mildly biased cases in visuosptial functioning.

Tactile Object Familiarity in the Blind Brain Reveals the Supramodal Perceptual-Mnemonic Nature of the Perirhinal Cortex.

This study is the first to investigate the neural underpinnings of tactile object familiarity in the blind during both perception and memory. In the sighted, the perirhinal cortex (PRC) has been implicated in the assessment of visual object familiarity-a crucial everyday task-as evidenced by reduced activation when an object becomes familiar. Here, to examine the PRC's role in tactile object familiarity in the absence of vision, we trained blind participants on a unique memory-guided drawing technique and measured brain activity while they perceptually explored raised-line drawings, drew them from tactile memory, and scribbled (control). Functional magnetic resonance imaging (fMRI) before and after a week of training revealed a significant decrease in PRC activation from pre- to post-training (i.e., from unfamiliar to familiar) during perceptual exploration as well as memory-guided drawing, but not scribbling. This familiarity-based reduction is the first evidence that the PRC represents tactile object familiarity in the blind. Furthermore, the finding of this effect during both tactile perception and tactile memory provides the critical link in establishing the PRC as a structure whose representations are supramodal for both perception and memory.

The Cortical Network for Braille Writing in the Blind.

Fundamental forms of high-order cognition, such as reading and writing, are usually studied in the context of one modality - vision. People without sight, however, use the kinesthetic-based Braille writing, and haptic-based Braille reading. We asked whether the cognitive and motor control mechanisms underlying writing and reading are modality-specific or supramodal. While a number of previous functional Magnetic Resonance Imaging (fMRI) studies have investigated the brain network for Braille reading in the blind, such studies on Braille writing are lacking. Consequently, no comparative network analysis of Braille writing vs. reading exists. Here, we report the first study of Braille writing, and a comparison of the brain organization for Braille writing vs Braille reading. FMRI was conducted in a Siemens 3T Trio scanner. Our custom MRI-compatible drawing/writing lectern was further modified to provide for Braille reading and writing. Each of five paragraphs of novel Braille text describing objects, faces and navigation sequences was read, then reproduced twice by Braille writing from memory, then read a second time. During Braille reading, the haptic-sensing of the Braille letters strongly activated not only the early visual area V1 and V2, but some highly specialized areas, such as the classical visual grapheme area and the Exner motor grapheme area. Braille-writing-from-memory, engaged a significantly more extensive network in dorsal motor, somatosensory/kinesthetic, dorsal parietal and prefrontal cortex. However, in contrast to the largely extended V1 activation in drawing-from-memory in the blind after training (Likova, 2012), Braille writing from memory generated focal activation restricted to the most foveal part of V1, presumably reflecting topographically the focal demands of such a "pin-pricking" task.