Andrea Alamia

Orienting attention in visual space by nociceptive stimuli: investigation with a temporal order judgment task based on the adaptive PSI method

In the Abstract, the second sentence should read “This study investigated if, and in which time window, a nociceptive stimulus can attract attention to its location on the body, independently of voluntary control, to facilitate the processing of visual stimuli occurring in the same side of space as the limb on which the nociceptive stimulus was applied” (instead of “This study investigated if, and in which time window, a nociceptive stimulus can attract attention to its location on the body, independently of voluntary control, to facilitate the processing of visual stimuli occurring in the same side of space as the limb on which the visual stimulus was applied”).

Disruption of broca's area alters higher-order chunking processing during perceptual sequence learning

Because Brocas area is known to be involved in many cognitive functions, including language, music, and action processing, several attempts have been made to propose a unifying theory of its role that emphasizes a possible contribution to syntactic processing. Recently, we have postulated that Brocas area might be involved in higher-order chunk processing during implicit learning of a motor sequence. Chunking is an information-processing mechanism that consists of grouping consecutive items in a sequence and is likely to be involved in all of the aforementioned cognitive processes. Demonstrating a contribution of Brocas area to chunking during the learning of a nonmotor sequence that does not involve language could shed new light on its function. To address this issue, we used offline MRI-guided TMS in healthy volunteers to disrupt the activity of either the posterior part of Brocas area (left Brodmanns area [BA] 44) or a control site just before participants learned a perceptual sequence structured in distinct hierarchical levels. We found that disruption of the left BA 44 increased the processing time of stimuli representing the boundaries of higher-order chunks and modified the chunking strategy. The current results highlight the possible role of the left BA 44 in building up effector-independent representations of higher-order events in structured sequences. This might clarify the contribution of Brocas area in processing hierarchical structures, a key mechanism in many cognitive functions, such as language and composite actions.

Biased visuospatial perception in complex regional pain syndrome

Complex regional pain syndrome (CRPS) is a chronic pain condition associating sensory, motor, trophic and autonomic symptoms in one limb. Cognitive difficulties have also been reported, affecting the patients’ ability to mentally represent, perceive and use their affected limb. However, the nature of these deficits is still a matter of debate. Recent studies suggest that cognitive deficits are limited to body-related information and body perception, while not extending to external space. Here we challenge that statement, by using temporal order judgment (TOJ) tasks with tactile (i.e. body) or visual (i.e. extra-body) stimuli in patients with upper-limb CRPS. TOJ tasks allow characterizing cognitive biases to the advantage of one of the two sides of space. While the tactile TOJ tasks did not show any significant results, significant cognitive biases were observed in the visual TOJ tasks, affecting mostly the perception of visual stimuli occurring in the immediate vicinity of the affected limb. Our results clearly demonstrate the presence of visuospatial deficits in CRPS, corroborating the cortical contribution to the CRPS pathophysiology, and supporting the utility of developing rehabilitation techniques modifying visuospatial abilities to treat chronic pain.

Primary motor cortex contributes to the implementation of implicit value-based rules during motor decisions.

Abstract In the present study, we investigated the functional contribution of the human primary motor cortex (M1) to motor decisions. Continuous theta burst stimulation (cTBS) was used to alter M1 activity while participants performed a decision‐making task in which the reward associated with the subjects’ responses (right hand finger movements) depended on explicit and implicit value‐based rules. Subjects performed the task over two consecutive days and cTBS occurred in the middle of Day 2, once the subjects were just about to implement implicit rules, in addition to the explicit instructions, to choose their responses, as evident in the control group (cTBS over the right somatosensory cortex). Interestingly, cTBS over the left M1 prevented subjects from implementing the implicit value‐based rule while its implementation was enhanced in the group receiving cTBS over the right M1. Hence, cTBS had opposite effects depending on whether it was applied on the contralateral or ipsilateral M1. The use of the explicit value‐based rule was unaffected by cTBS in the three groups of subject. Overall, the present study provides evidence for a functional contribution of M1 to the implementation of freshly acquired implicit rules, possibly through its involvement in a cortico‐subcortical network controlling value‐based motor decisions. HighlightsWe used cTBS to study the role of M1 in value‐based motor decisions.Subjects learned to use explicit and implicit rules in a decision‐making task.When applied over left M1, cTBS altered the ability to implement the implicit rule.When applied over right M1, cTBS enhanced the implementation of the implicit rule.cTBS over M1 had no impact on the ability to use the explicit rule.

Shaping visual space perception through bodily sensations: Testing the impact of nociceptive stimuli on visual perception in peripersonal space with temporal order judgments

Coordinating spatial perception between body space and its external surrounding space is essential to adapt behaviors to objects, especially when they are noxious. Such coherent multisensory representation of the body extended into external space is conceptualized by the notion of peripersonal reference frame, mapping the portion of space in which somatic and extra-somatic inputs interact closely. Studies on crossmodal interactions between nociception and vision have been scarce. Here we investigated how the perception of visual stimuli, especially those surrounding the body, can be impacted by a nociceptive and potentially harmful stimulus inflicted on a particular body part. In two temporal order judgment tasks, participants judged which of two lateralized visual stimuli, presented either near or far from the body, had been presented first. Visual stimuli were preceded by nociceptive stimuli, either applied unilaterally (on one single hand) or bilaterally (on both hands simultaneously). In Experiment 1 participants’ hands were always placed next to the visual stimuli presented near the trunk, while in Experiment 2 they could also be placed next to the visual stimuli presented far from the trunk. In Experiment 1, the presence of unilateral nociceptive stimuli prioritized the perception of visual stimuli presented in the same side of space as the stimulated hand, with a significantly larger effect when visual stimuli were presented near the body than when presented farther away. Experiment 2 showed that these visuospatial biases were related to the spatial congruency between the hand on which nociceptive stimuli were applied and the visual stimuli, independently of the relative distance of both the stimulated hand and the visual stimuli from the trunk. Indeed, nociceptive stimuli mostly impacted the perception of the closest visual stimuli. It is hypothesized that these crossmodal interactions may rely on representations of the space directly surrounding specific body parts.

Unconscious associative learning with conscious cues

Abstract Despite extensive research, the very existence of unconscious learning in humans remains much debated. Skepticism arises chiefly from the difficulty in assessing the level of awareness of the complex associations learned in classical implicit learning paradigms. Here, we show that simple associations between colors and motion directions can be learned unconsciously. In each trial, participants had to report the motion direction of a patch of colored dots but unbeknownst to the participants, two out of the three possible colors were always associated with a given direction/response, while one was uninformative. We confirm the lack of awareness by using several tasks, fulfilling the most stringent criteria. In addition, we show the crucial role of trial-by-trial feedback, and that both the stimulus–response (motor) and stimulus–stimulus (perceptual) associations were learned. In conclusion, we demonstrate that simple associations between supraliminal stimulus features can be learned unconsciously, providing a novel framework to study unconscious learning.

Chunking Improves Symbolic Sequence Processing and Relies on Working Memory Gating Mechanisms.

Chunking, namely the grouping of sequence elements in clusters, is ubiquitous during sequence processing, but its impact on performance remains debated. Here, we found that participants who adopted a consistent chunking strategy during symbolic sequence learning showed a greater improvement of their performance and a larger decrease in cognitive workload over time. Stronger reliance on chunking was also associated with higher scores in a WM updating task, suggesting the contribution of WM gating mechanisms to sequence chunking. Altogether, these results indicate that chunking is a cost-saving strategy that enhances effectiveness of symbolic sequence learning.

Statistical Regularities Attract Attention when Task-Relevant.

Visual attention seems essential for learning the statistical regularities in our environment, a process known as statistical learning. However, how attention is allocated when exploring a novel visual scene whose statistical structure is unknown remains unclear. In order to address this question, we investigated visual attention allocation during a task in which we manipulated the conditional probability of occurrence of colored stimuli, unbeknown to the subjects. Participants were instructed to detect a target colored dot among two dots moving along separate circular paths. We evaluated implicit statistical learning, i.e., the effect of color predictability on reaction times (RTs), and recorded eye position concurrently. Attention allocation was indexed by comparing the Mahalanobis distance between the position, velocity and acceleration of the eyes and the two colored dots. We found that learning the conditional probabilities occurred very early during the course of the experiment as shown by the fact that, starting already from the first block, predictable stimuli were detected with shorter RT than unpredictable ones. In terms of attentional allocation, we found that the predictive stimulus attracted gaze only when it was informative about the occurrence of the target but not when it predicted the occurrence of a task-irrelevant stimulus. This suggests that attention allocation was influenced by regularities only when they were instrumental in performing the task. Moreover, we found that the attentional bias towards task-relevant predictive stimuli occurred at a very early stage of learning, concomitantly with the first effects of learning on RT. In conclusion, these results show that statistical regularities capture visual attention only after a few occurrences, provided these regularities are instrumental to perform the task.

Counterproductive effect of saccadic suppression during attention shifts

During saccadic eye movements, the processing of visual information is transiently interrupted by a mechanism known as “saccadic suppression” [1] that is thought to ensure perceptual stability [2]. If, as proposed in the premotor theory of attention [3], covert shifts of attention rely on sub-threshold recruitment of oculomotor circuits, then saccadic suppression should also occur during covert shifts. In order to test this prediction, we designed two experiments in which participants had to orient towards a cued letter, with or without saccades. We analyzed the time course of letter identification score in an “attention” task performed without saccades, using the saccadic latencies measured in the “saccade” task as a marker of covert saccadic preparation. Visual conditions were identical in all tasks. In the “attention” task, we found a drop in perceptual performance around the predicted onset time of saccades that were never performed. Importantly, this decrease in letter identification score cannot be explained by any known mechanism aligned on cue onset such as inhibition of return, masking, or microsaccades. These results show that attentional allocation triggers the same suppression mechanisms as during saccades, which is relevant during eye movements but detrimental in the context of covert orienting.

Investigating the spatial characteristics of the crossmodal interaction between nociception and vision using gaze direction

The present study investigated the influence of nociceptive stimuli on visual stimuli processing according to the relative spatial congruence between the two stimuli of different sensory modalities. Participants performed temporal order judgments on pairs of visual stimuli, one presented near the hand on which nociceptive stimuli were occasionally applied, the other one either to its left or to its right. The visual hemifield in which the stimulated hand and the near visual stimulus appeared was manipulated by changing gaze direction. The stimulated hemibody and the stimulated visual hemifield were therefore either congruent or incongruent, in terms of anatomical locations. Despite the changes in anatomical congruence, judgments were always biased in favor of the visual stimuli presented near the stimulated hand. This indicates that nociceptive-visual interaction may rely on a realignment of the respective initial anatomical representations of the somatic and retinotopic spaces toward an integrated, multimodal representation of external space.