Measuring Gaze and Arrow Cuing Effects With a Short Test Adapted to Brain Damaged Patients With Unilateral Spatial Neglect: A Preliminary Study.

People with left unilateral spatial neglect (USN) following a right brain lesion show difficulty in orienting their attention toward stimuli presented on the left. However, cuing the stimuli with gaze direction or a pointing arrow can help some of them to compensate for this difficulty. In order to build a tool that helps to identify these patients, we needed a short version of the paradigm classically used to test gaze and arow cuing effects in healthy adults, adapted to the capacities of patients with severe attention deficit. Here, we tested the robustness of the cuing effects measured by such a short version in 48 young adult healthy participants, 46 older healthy participants, 10 patients with left USN following a right brain lesion (USN+), and 10 patients with right brain lesions but no USN (USN-). We observed gaze and arrow cuing effects in all populations, independently of age and presence or absence of a right brain lesion. In the neglect field, the USN+ group showed event greater cuing effect than older healthy participants and the USN- group. We showed that gaze and arrow cuing effects are powerful enough to be detected in a very short test adapted to the capacities of older patients with severe attention deficits, which increases their applicability in rehabilitation settings. We further concluded that our test is a suitable basis to develop a tool that will help neuropsychologists to identify USN patients who respond to gaze and/or arrow cuing in their neglect field.

Diagnosing gaze and arrow cueing effects in unilateral spatial neglect.

Individuals with left unilateral spatial neglect (USN) following a right hemisphere lesion show difficulty in orienting their attention toward stimuli presented on the left. In normal cognition, others' gaze direction and a pointing arrow naturally guide visual attention. Here, we explore a method to identify patients who may benefit from these skills as a base for compensation during rehabilitation. We tested gaze and arrow cueing effects in 26 healthy participants and in 13 patients with USN. Our data show that brain injuries causing USN do not affect gaze and arrow cueing in a consistent manner from one patient to another.

Are impairments of time perception in schizophrenia a neglected phenomenon?

Based on clinical, phenomenological and neurobiological observations, psychiatrists often report a deficit in time estimation in patients with schizophrenia. Cognitive models of time estimation in healthy subjects have been proposed and developed for approximately 30 years. The current theory in the field of time perception, which is supported by a connectionist model, postulates that temporal judgement is based upon a pacemaker-counter device that depends mostly upon memory and attentional resources. The pacemaker emits pulses that are accumulated in a counter, and the number of pulses determines the perceived length of an interval. Patients with schizophrenia are known to display attentional and memory dysfunctions. Moreover, dopamine regulation mechanisms are involved in both the temporal perception processes and schizophrenia. Thus, it is still unclear if temporal impairments in schizophrenia are related to a specific disturbance in central temporal processes or are due to certain cognitive problems, such as attentional and memory dysfunctions, or biological abnormalities. The authors present a critical literature review on time perception in schizophrenia that covers topics from psychopathology to neuroscience. Temporal perception appears to play a key role in schizophrenia and to be partially neglected in the current literature. Future research is required to better ascertain the underlying mechanisms of time perception impairments in schizophrenia.

A simple model of the vertical-horizontal illusion.

In spite of being one of the most elementary visual effects, the vertical-horizontal illusion is still poorly understood. We provide here a simple quantitative model to describe the overestimation of the vertical segment relative to the horizontal one. The model also includes a necessary factor related to the effect of bisecting a line on the under-estimation of its length. These two factors, orientation anisotropy and length bisection, provide a very good account of various configurations of the illusion when the stimulus looks like a 'T', an 'L', or a '+'-sign, and for different stimulus orientations. The orientation anisotropy bias is on average 6% while the length bisection bias amounts to about 16%. In addition, when uncertainty about line estimation is included, new predictions on the sensitivity of different configurations are obtained and confirmed. In particular, we find that the '+'-sign figure suffers from a loss of sensitivity in comparing their vertical and horizontal segments when compared to the 'L'-figure. This difference can only be accounted for by a late-noise model where uncertainty is at the decision stage rather than on the image measurements.