Change blindness and inattentional blindness

Sensitivity to visual features in inattentional blindness

The relation between attention, perception, and awareness is among the most fundamental problems in the science of the mind. One of the most striking and well-known phenomena bearing on this question is inattentional blindness (IB). In IB, naive observers fail to report clearly visible stimuli when their attention is otherwise engaged-famously missing a gorilla parading before their eyes. IB carries tremendous significance, both as evidence that awareness requires attention and as a tool in seeking the neural correlates of consciousness. However, such implications rest on a notoriously biased measure: asking participants whether they noticed anything unusual (and interpreting negative answers as reflecting a complete lack of perception). Here, in the largest ever set of IB studies, we show that, as a group, inattentionally blind participants can successfully report the location, color, and shape of stimuli they deny noticing, demonstrating that perceptual information remains accessible in IB. By introducing absent trials, we further show that observers are collectively biased to report not noticing in IB-essentially 'playing it safe' in reporting their sensitivity. These data provide the strongest evidence to date of significant residual visual sensitivity in IB. They also challenge the use of inattentional blindness to argue that awareness requires attention.

Optimizing multimodal alarms to mitigate inattentional blindness in air traffic control

This study evaluates the effectiveness of multimodal alarms in reducing inattentional blindness (i.e., the inability to detect unexpected visual stimuli), a critical safety concern in air traffic control (ATC). Two experiments were conducted: the first assessed the attention-capturing ability of multimodal alarms with visual, vibrotactile, and auditory alerting components in a simulated ATC task with 29 student controllers, using electroencephalography (EEG), questionnaires, and performance metrics. The second assessed the effectiveness of visual ambient alarms with reduced opacity and duration with 28 students. Results indicated that multimodal alarms significantly reduced missed alarms compared to the standard ATC alarm, but were perceived as more urgent and annoying. Notably, even low-opacity (5%) and brief (17 ms) visual ambient alarms were effective. These findings provide insights for optimizing alarm designs in safety-critical environments such as aviation, healthcare, and nuclear power.

Improving detection of oral lesions: Eye tracking insights from a randomized controlled trial comparing standardized to conventional approach

BACKGROUND

Early detection of oral cancer (OC) or its precursors is the most effective measure to improve outcome. The reasons for missing them on conventional oral examination (COE) or possible countermeasures are still unclear.

METHODS

In this randomized controlled trial, we investigated the effects of standardized oral examination (SOE) compared to COE. 49 dentists, specialists, and dental students wearing an eye tracker had to detect 10 simulated oral lesions drawn into a volunteer's oral cavity.

RESULTS

SOE had a higher detection rate at 85.4% sensitivity compared to 78.8% in the control (p = 0.017) due to higher completeness (p < 0.001). Detection rate correlated with examination duration (p = 0.002).

CONCLUSIONS

A standardized approach can improve systematics and thereby detection rates in oral examinations. It should take at least 5 min. Perceptual and cognitive errors and improper technique cause oral lesions to be missed. Its wide implementation could be an additional strategy to enhance early detection of OC.

Attention in redundancy masking

Peripheral vision is limited due to several factors, such as visual resolution, crowding, and attention. When attention is not directed towards a stimulus, detection, discrimination, and identification are often compromised. Recent studies have found a new phenomenon that strongly limits peripheral vision, "redundancy masking". In redundancy masking, the number of perceived items in repeating patterns is reduced. For example, when presenting three lines in the peripheral visual field and asking participants to report the number of lines, often only two lines are reported. Here, we investigated what role attention plays in redundancy masking. If redundancy masking was due to limited attention to the target, it should be stronger when less attention is allocated to the target, and absent when attention is maximally focused on the target. Participants were presented with line arrays and reported the number of lines in three cueing conditions (i.e., single cue, double cue, and no cue). Redundancy masking was observed in all cueing conditions, with observers reporting fewer lines than presented in the single, double, and no cue conditions. These results suggest that redundancy masking is not due to limited attention. The number of lines reported was closer to the correct number of lines in the single compared to the double and the no cue conditions, suggesting that reduced attention additionally compromised stimulus discrimination, and replicating typical effects of diminished attention. Taken together, our results suggest that the extent of attention to peripherally presented stimuli modulates discrimination performance, but does not account for redundancy masking.

Familiarity Alters the Bandwidth of Perceptual Awareness

Results from paradigms like change blindness and inattentional blindness indicate that observers are unaware of numerous aspects of the visual world. However, intuition suggests that perceptual experience is richer than these results indicate. Why does it feel like we see so much when the data suggests we see so little? One possibility stems from the fact that experimental studies always present observers with stimuli that they have never seen before. Meanwhile, when forming intuitions about perceptual experience, observers reflect on their experiences with scenes with which they are highly familiar (e.g., their office). Does prior experience with a scene change the bandwidth of perceptual awareness? Here, we asked if observers were better at noticing alterations to the periphery in familiar scenes compared with unfamiliar scenes. We found that observers noticed changes to the periphery more frequently with familiar stimuli. Signal detection theoretic analyses revealed that when observers are unfamiliar with a stimulus, they are less sensitive at noticing (d') and are more conservative in their response criterion (c). Taken together, these results suggest that prior knowledge expands the bandwidth of perceptual awareness. It should be stressed that these results challenge the widely held idea that prior knowledge fills in perception. Overall, these findings highlight how prior knowledge plays an important role in determining the limits of perceptual experience and is an important factor to consider when attempting to reconcile the tension between empirical observation and personal introspection.

Effectiveness and context dependency of social norm interventions: five field experiments on nudging pro-environmental and pro-social behavior

Social norm interventions hold the potential to change people's behavior. Five field experiments (N = 1,163) examined the effects of a simple and easily realizable social norm nudge based on the social media format "Be like Bill." The nudge consisted of a stick figure named Toni that communicated descriptive and injunctive norms regarding pro-environmental or pro-social behaviors. Nudge conditions were compared to no-intervention control conditions. Experiment 1 (N = 179) focused on paper towel consumption in a women's restroom at a German university. The nudge condition used less paper towels than the control condition, d = 0.48. Experiment 2 (N = 183) replicated this result (d = 0.32) in a more diverse setting of a women's restroom at a German Christmas market. Experiment 3 (N = 250) examined differences in the effects of prescriptive (i.e., 'do-norm') versus proscriptive (i.e., 'do not-norm') social norms on paper towel consumption again in a university women's restroom. The effectiveness of both social norm nudge conditions was shown in comparison to the control condition (d = 0.46; d = 0.40), while the prescriptive and proscriptive social norm manipulations did not differ. Experiment 4 (N = 206) applied the nudging approach to the use of plastic lids in a coffee shop, where no effect was found. Finally, Experiment 5 (N = 345) focused on the pro-social behavior of mask wearing in a bakery toward the end of the Covid-19 pandemic restrictions in Germany. In the nudge condition, more visitors put on face masks compared to the control group, d = 0.39. Limitations and contextual factors regarding the applicability of our social norm nudge are discussed.

Exploring Audio Interfaces for Vertical Guidance in Augmented Reality via Hand-Based Feedback

This research proposes an evaluation of pitch-based sonification methods via user experiments in real-life scenarios, specifically vertical guidance, with the aim of standardizing the use of audio interfaces in AR in guidance tasks. Using literature on assistive technology for people who are blind or visually impaired, we aim to generalize their applicability to a broader population and for different use cases. We propose and test sonification methods for vertical guidance in a series of hand-navigation assessments with users without visual feedback. Including feedback from a visually impaired expert in digital accessibility, results (N=19) outlined that methods that do not rely on memorizing pitch had the most promising accuracy and self-reported workload performances. Ultimately, we argue for audio AR's ability to enhance user performance in different scenarios, from video games to finding objects in a pantry.

Long-term memory for distractors: Effects of involuntary attention from working memory

In a visual search task, attention to task-irrelevant distractors impedes search performance. However, is it maladaptive to future performance? Here, I showed that attended distractors in a visual search task were better remembered in long-term memory (LTM) in the subsequent surprise recognition task than non-attended distractors. In four experiments, participants performed a visual search task using real-world objects of a single color. They encoded color in working memory (WM) during the task; because each object had a different color, participants directed their attention to the WM-matching colored distractor. Then, in the surprise recognition task, participants were required to indicate whether an object had been shown in the earlier visual search task, regardless of its color. The results showed that attended distractors were remembered better in LTM than non-attended distractors (Experiments 1 and 2). Moreover, the more participants directed their attention to distractors, the better they explicitly remembered them. Participants did not explicitly remember the color of the attended distractors (Experiment 3) but remembered integrated information with object and color (Experiment 4). When the color of the distractors in the recognition task was mismatched with the color in the visual search task, LTM decreased compared to color-matching distractors. These results suggest that attention to distractors impairs search for a target but is helpful in remembering distractors in LTM. When task-irrelevant distractors become task-relevant information in the future, their attention becomes beneficial.

Investigating Inattentional Blindness Through the Lens of Fear Chemosignals

Inattentional blindness is a phenomenon wherein people fail to perceive obvious stimuli within their vision, sometimes leading to dramatic consequences. Research on the effects of fear chemosignals suggests that they facilitate receivers' sensory acquisition. We aimed to examine the interplay between these phenomena, investigating whether exposure to fear chemosignals (vs. rest body odors) can reduce the inattentional-blindness handicap. Utilizing a virtual-reality aquarium, we asked participants to count how many morsels a school of fish consumed while two unexpected stimuli swam by. We predicted that participants exposed to fear chemosignals (N = 131) would detect unexpected stimuli significantly more often than participants exposed to rest body odors (N = 125). All participants were adult Portuguese university students aged 18 to 40 years. The results confirmed our hypothesis, χ2(1) = 6.10, p = .014, revealing that exposure to fear chemosignals significantly increased the detection of unexpected stimuli by about 10%. The implications of our findings open a novel avenue for reducing the adverse consequences of inattentional blindness.

When and where did it happen? Systematic differences in recall of core and optional sentence information

This article reports on four experiments aiming to examine immediate post-sentential recall of core sentence information (conveyed by direct objects), and optional/additional information (conveyed by temporal or locative adjuncts). Participants read simple and unambiguous Czech sentences such as Starší důchodce velmi pečlivě pročetl noviny v neděli v knihovně: "An older retiree read the newspaper very carefully on Sunday in the library." Sentences always appeared as a whole after pressing a space bar. Immediately after the sentence disappeared, an open-ended (free response) question was presented targeting either the direct object (e.g., newspaper), temporal adjunct (e.g., on Sunday), or locative adjunct (e.g., in the library). Altogether, it was found that the core information (conveyed by the direct object) was recalled almost perfectly, whereas additional information, conveyed by temporal and locative adjuncts, was recalled with significantly lower accuracy rates. Information structure also played a role: if the temporal or locative adjunct was focused, it was recalled better than if it was unfocused. The present article thus shows systematic differences in recall success for different pieces of information. These findings suggest the presence of selective attention mechanisms during early stages of sentence processing. Factors such as syntactic function or information structure influence the degree of attention to different pieces of information conveyed by a sentence. In turn, certain pieces of information may not be consciously accessible already after the sentence is processed.

Using Extended Reality to Study the Experience of Presence

Extended reality (XR), encompassing various forms of virtual reality (VR) and augmented reality (AR), has become a powerful experimental tool in consciousness research due to its capability to create holistic and immersive experiences of oneself and surrounding environments through simulation. One hallmark of a successful XR experience is when it elicits a strong sense of presence, which can be thought of as a subjective sense of reality of the self and the world. Although XR research has shed light on many factors that may influence presence (or its absence) in XR environments, there remains much to be discovered about the detailed and diverse phenomenology of presence, and the neurocognitive mechanisms that underlie it. In this chapter, we analyse the concept of presence and relate it to the way in which humans may generate and maintain a stable sense of reality during both natural perception and virtual experiences. We start by reviewing the concept of presence as developed in XR research, covering both factors that may influence presence and potential ways of measuring presence. We then discuss the phenomenological characteristics of presence in human consciousness, drawing on clinical examples where presence is disturbed. Next, we describe two experiments using XR that investigated the effects of sensorimotor contingency and affordances on a specific form of presence related to the sense of objects as really existing in the world, referred to as 'objecthood'. We then go beyond perceptual presence to discuss the concept of 'conviction about reality', which corresponds to people's beliefs about the reality status of their perceptual experiences. We finish by exploring how the novel XR method of 'Substitutional Reality' can allow experimental investigation of these topics, opening new experimental directions for studying presence beyond the 'as-if' experience of fully simulated environments.

Automatic change detection: Mismatch negativity and the now-classic Rensink, O’Reagan, and Clark (1997) stimuli

Change blindness experiments had demonstrated that detection of significant changes in natural images is extremely difficult when brief blank fields are placed between alternating displays of an original and a modified scene. On the other hand, research on the visual mismatch negativity (vMMN) component of the event-related potentials (ERPs) identified sensitivity to events (deviants) different from the regularity of stimulus sequences (standards), even if the deviant and standard events are non-attended. The present study sought to investigate the apparent controversy between the experience under the change blindness paradigm and the ERP results. To this end, the stimulus of Rensink, O’Reagen, and Clark (1997) was adapted to a passive oddball ERP paradigm to investigate the underlying processing differences between the standard (original) and deviant (altered) stimuli measured in 22 subjects. Posterior negativity within the 280–330 ms latency range emerged as the difference between ERPs elicited by standard and deviant stimuli, identified as visual mismatch negativity (vMMN). These results raise the possibility that change blindness is not based on the lack of detailed visual representations or the deficiency of comparing two representations. However, effective discrimination of the two scene versions requires considerable frequency differences between them.

A theory of consciousness from a theoretical computer science perspective: Insights from the Conscious Turing Machine

This paper examines consciousness from the perspective of theoretical computer science (TCS), a branch of mathematics concerned with understanding the underlying principles of computation and complexity, including the implications and surprising consequences of resource limitations. We propose a formal TCS model, the Conscious Turing Machine (CTM). The CTM is influenced by Alan Turing's simple yet powerful model of computation, the Turing machine (TM), and by the global workspace theory (GWT) of consciousness originated by cognitive neuroscientist Bernard Baars and further developed by him, Stanislas Dehaene, Jean-Pierre Changeux, George Mashour, and others. Phenomena generally associated with consciousness, such as blindsight, inattentional blindness, change blindness, dream creation, and free will, are considered. Explanations derived from the model draw confirmation from consistencies at a high level, well above the level of neurons, with the cognitive neuroscience literature.

Expectation-based blindness: Predictions about object categories gate awareness of focally attended objects

Selective attention gates access to conscious awareness, resulting in surprising failures to notice clearly visible but unattended objects ('inattentional blindness'). Here, we demonstrate that expectations can have a similar effect, even for fully attended objects ('expectation-based blindness'). In three experiments, participants (N = 613) were presented with rapid serial visual presentation (RSVP) streams at fixation and had to identify a target object indicated by a cue. Target category was repeated for the first 19 trials but unexpectedly changed on trial 20. The probability of correct target reports on this surprise trial was substantially lower than on preceding and subsequent trials. This impairment was present for switches between target letters and digits, and also for changes between human and animal face images. In contrast, no drop in accuracy was observed for novel target objects from the same category as previous targets. These results demonstrate that predictions about object categories affect visual awareness. Objects that are task relevant and focally attended often fail to get noticed when their category changes unexpectedly.

Change blindness in simulated driving in individuals with homonymous visual field loss

Individuals with homonymous visual field loss (HVFL) fail to perceive visual information that falls within the blind portions of their visual field. This places additional burden on memory to represent information in their blind visual field, which may make visual changes in the scene more difficult to detect. Failing to detect changes could have serious implications in the context of driving. A change blindness driving simulator experiment was conducted with individuals with HVFL (n = 17) and in those with normal vision (NV; n = 16) where changes (pedestrians appearing) were triggered based on the driver’s gaze location. Gaze was used to ensure that the location of the change was visible before and after the change occurred. There were wide individual differences in both vision groups, ranging from no change blindness to more than 33% of events. Those with HVFL had more change blindness than those with NV (16.7% vs. 6.3%, p < 0.001) and more change blindness to pedestrians appearing in their blind than seeing hemifield (34.6% vs. 10.4%, p < 0.001). Further, there was more change blindness for events appearing in the seeing hemifield for those with HVFL than normal vision (p = 0.023). These results suggest that individuals with HVFL may be more susceptible to failures of awareness, such as change blindness, than individuals with normal vision. Increased risk for failures of awareness may result in motor vehicle crashes where the driver fails to notice the other road user (looked-but-failed-to-see incidents).

The role of eye-specific attention in ocular dominance plasticity

It is well known how selective attention biases information processing in real time, but few work investigates the aftereffects of prolonged attention, let alone the underlying neural mechanisms. To examine perceptual aftereffect after prolonged attention to a monocular pathway, movie images played normally were presented to normal adult's one eye (attended eye), while movie images of the same episode but played backwards were presented to the opposite eye (unattended eye). One hour of watching this dichoptic movie caused a shift of perceptual ocular dominance towards the unattended eye. Interestingly, the aftereffect positively correlated with the advantage of neural activity for the attended-eye over unattended-eye signals at the frontal electrodes measured with steady-state visual evoked potentials. Moreover, the aftereffect disappeared when interocular competition was minimized during adaptation. These results suggest that top-down eye-specific attention can induce ocular dominance plasticity through binocular rivalry mechanisms. The present study opens the route to explain at least part of short-term ocular dominance plasticity with the ocular-opponency-neuron model, which may be an interesting complement to the homeostatic compensation theory.

Oxygen Metabolism-induced Stress Response Underlies Heart-brain Interaction Governing Human Consciousness-breaking and Attention

Neuroscientists have emphasized visceral influences on consciousness and attention, but the potential neurophysiological pathways remain under exploration. Here, we found two neurophysiological pathways of heart-brain interaction based on the relationship between oxygen-transport by red blood cells (RBCs) and consciousness/attention. To this end, we collected a dataset based on the routine physical examination, the breaking continuous flash suppression (b-CFS) paradigm, and an attention network test (ANT) in 140 immigrants under the hypoxic Tibetan environment. We combined electroencephalography and multilevel mediation analysis to investigate the relationship between RBC properties and consciousness/attention. The results showed that RBC function, via two independent neurophysiological pathways, not only triggered interoceptive re-representations in the insula and awareness connected to orienting attention but also induced an immune response corresponding to consciousness and executive control. Importantly, consciousness played a fundamental role in executive function which might be associated with the level of perceived stress. These results indicated the important role of oxygen-transport in heart-brain interactions, in which the related stress response affected consciousness and executive control. The findings provide new insights into the neurophysiological schema of heart-brain interactions.

Does Expertise Reduce Rates of Inattentional Blindness? A Meta-Analysis

Inattentional blindness occurs when one fails to notice a fully visible stimulus because one's attention is on another task. Researchers have suggested that expertise at this other task should reduce rates of inattentional blindness. However, research on the topic has produced mixed findings. To gain clarity on the issue, we meta-analyzed the extant studies (K = 14; N = 1153). On average, experts showed only a slight reduction in rates of inattentional blindness: 62% of novices experienced inattentional blindness compared to 56% of experts, weighted odds ratio = 1.33, 95% CI [0.78, 2.28]. The relevance of the stimuli to the experts’ domain of expertise showed no notable moderating effects. The low number of the included studies, and the small sample sizes of the original studies, weaken our conclusions. Nonetheless, when taken together, the available evidence provides little support for any reliable influence of expertise on rates of inattentional blindness.

Change Blindness in Adolescents With Attention-Deficit/Hyperactivity Disorder: Use of Eye-Tracking

OBJECTIVE

This study investigated change detection of central or marginal interest in images using a change-blindness paradigm with eye tracking.

METHOD

Eighty-four drug-naïve adolescents [44 with attention-deficit/hyperactivity disorder (ADHD)/40 controls with typical development] searched for a change in 36 pairs of original and modified images, with an item of central or marginal interest present or absent, presented in rapid alternation. Collected data were detection rate, response time, and gaze fixation duration, latency, and dispersion data.

RESULTS

Both groups' change-detection times were similar, with no speed-accuracy trade-off. No between-group differences were found in time to first fixation, fixation duration, or scan paths. Both groups performed better for items of central level of interest. The ADHD group demonstrated greater fixation dispersion in scan paths for central- and marginal-interest items.

CONCLUSION

Results suggest the greater gaze dispersion may lead to greater fatigue in tasks that require longer attention duration.

The role of perceptual and cognitive load on inattentional blindness: A systematic review and three meta-analyses

The inattentional blindness phenomenon refers to situations in which a visible but unexpected stimulus remains consciously unnoticed by observers. This phenomenon is classically explained as the consequence of insufficient attention, because attentional resources are already engaged elsewhere or vary between individuals. However, this attentional-resources view is broad and often imprecise regarding the variety of attentional models, the different pools of resources that can be involved in attentional tasks, and the heterogeneity of the experimental paradigms. Our aim was to investigate whether a classic theoretical model of attention, namely the Load Theory, could account for a large range of empirical findings in this field by distinguishing the role of perceptual and cognitive resources in attentional selection and attentional capture by irrelevant stimuli. As this model has been mostly built on implicit measures of distractor interference, it is unclear whether its predictions also hold when explicit and subjective awareness of an unexpected stimulus is concerned. Therefore, we conducted a systematic review and meta-analyses of inattentional blindness studies investigating the role of perceptual and/or cognitive resources. The results reveal that, in line with the perceptual account of the Load Theory, inattentional blindness significantly increases with the perceptual load of the task. However, the cognitive account of this theory is not clearly supported by the empirical findings analysed here. Furthermore, the interaction between perceptual and cognitive load on inattentional blindness remains understudied. Theoretical implications for the Load Theory are discussed, notably regarding the difference between attentional capture and subjective awareness paradigms, and further research directions are provided.

Perceptual and cognitive processes in augmented reality - comparison between binocular and monocular presentations

In the present study, we investigated the difference between monocular augmented reality (AR) and binocular AR in terms of perception and cognition by using a task that combines the flanker task with the oddball task. A right- or left-facing arrowhead was presented as a central stimulus at the central vision, and participants were instructed to press a key only when the direction in which the arrowhead faced was a target. In a small number of trials, arrowheads that were facing in the same or opposite direction (flanker stimuli) were presented beside the central stimulus binocularly or monocularly as an AR image. In the binocular condition, the flanker stimuli were presented to both eyes, and, in the monocular condition, only to the dominant eye. The results revealed that participants could respond faster in the binocular condition than in the monocular one; however, only when the flanker stimuli were in the opposite direction was the response faster in the monocular condition. Moreover, the results of event-related brain potentials (ERPs) showed that all stimuli were processed in both the monocular and the binocular conditions in the perceptual stage; however, the influence of the flanker stimuli was attenuated in the monocular condition in the cognitive stage. The influence of flanker stimuli might be more unstable in the monocular condition than in the binocular condition, but more precise examination should be conducted in a future study.

Causality and continuity close the gaps in event representations

Imagine you see a video of someone pulling back their leg to kick a soccer ball, and then a soccer ball soaring toward a goal. You would likely infer that these scenes are two parts of the same event, and this inference would likely cause you to remember having seen the moment the person kicked the soccer ball, even if that information was never actually presented (Strickland & Keil, 2011, Cognition, 121[3], 409-415). What cues trigger people to "fill in" causal events from incomplete information? Is it due to the experience they have had with soccer balls being kicked toward goals? Is it the visual similarity of the object in both halves of the video? Or is it the mere spatiotemporal continuity of the event? In three experiments, we tested these different potential mechanisms underlying the "filling-in" effect. Experiment 1 showed that filling in occurs equally in familiar and unfamiliar contexts, indicating that familiarity with specific event schemas is unnecessary to trigger false memory. Experiment 2 showed that the visible continuation of a launched object's trajectory is all that is required to trigger filling in, regardless of other occurrences in the second half of the scene. Finally, Experiment 3 found that, using naturalistic videos, this filling-in effect is more heavily affected if the object's trajectory is discontinuous in space/time compared with if the object undergoes a noticeable transformation. Together, these findings indicate that the spontaneous formation of causal event representations is driven by object representation systems that prioritize spatiotemporal information over other object features.

The neural basis of consciousness

Consciousness has evolved and is a feature of all animals with sufficiently complex nervous systems. It is, therefore, primarily a problem for biology, rather than physics. In this review, I will consider three aspects of consciousness: level of consciousness, whether we are awake or in a coma; the contents of consciousness, what determines how a small amount of sensory information is associated with subjective experience, while the rest is not; and meta-consciousness, the ability to reflect upon our subjective experiences and, importantly, to share them with others. I will discuss and compare current theories of the neural and cognitive mechanisms involved in producing these three aspects of consciousness and conclude that the research in this area is flourishing and has already succeeded to delineate these mechanisms in surprising detail.

Implicit Detection Observation in Different Features, Exposure Duration, and Delay During Change Blindness

To investigate whether implicit detection occurs uniformly during change blindness with single or combination feature stimuli, and whether implicit detection is affected by exposure duration and delay, two one-shot change detection experiments are designed. The implicit detection effect is measured by comparing the reaction times (RTs) of baseline trials, in which stimulus exhibits no change and participants report “same,” and change blindness trials, in which the stimulus exhibits a change but participants report “same.” If the RTs of blindness trials are longer than those of baseline trials, implicit detection has occurred. The strength of the implicit detection effect was measured by the difference in RTs between the baseline and change blindness trials, where the larger the difference, the stronger the implicit detection effect. In both Experiments 1 and 2, the results showed that the RTs of change blindness trials were significantly longer than those of baseline trials. Whether under set size 4, 6, or 8, the RTs of the change blindness trials were significantly longer than those in the baseline trials. In Experiment 1, the difference between the baseline trials’ RTs and change blindness trials’ RTs of the single features was significantly larger than that of the combination features. However, in Experiment 2, the difference between the baseline trials’ RTs and the change blindness trials’ RTs of single features was significantly smaller than that of the combination features. In Experiment 1a, when the exposure duration was shorter, the difference between the baseline and change blindness trials’ RTs was smaller. In Experiment 2, when the delay was longer, the difference between the two trials’ RTs was larger. These results suggest that regardless of whether the change occurs in a single or a combination of features and whether there is a long exposure duration or delay, implicit detection occurs uniformly during the change blindness period. Moreover, longer exposure durations and delays strengthen the implicit detection effect. Set sizes had no significant impact on implicit detection.

Preferential snake detection in a simulated ecological experiment

OBJECTIVES

According to Isbell's snake detection theory (SDT), the need to rapidly detect and thus avoid snakes had a major impact on the evolution of the primate visual system, and thus the origin and evolution of the primate lineage, as expansion of the visual sense is a key characteristic of primates. The SDT rests on the assumption that there are both cortical (conscious) and subcortical (unconscious) brain structures and pathways that are responsible for rapid visual detection of and quick avoidance reactions to snakes. Behavioral evidence for the SDT primarily comes from visual search tasks and presentations of images on a computer screen; our aim was to evaluate the SDT under more ecologically valid circumstances.

MATERIALS AND METHODS

We asked participants to take a virtual hike in which a realistic model of a snake, rabbit, or bottle had been placed on the trail. Subjects were instructed simply to imagine themselves as the hiker while watching the video. We measured heart rate and skin conductance reactions while the participants viewed the video. After the video, the participants were shown pictures of the three stimuli and asked if they had seen any of them.

RESULTS

We found that snakes were detected more often than rabbits or bottles, and that participants showed greater changes in heart rate and greater skin conductance responses in the snake condition than in the other two conditions, even when the participant did not report having seen the snake.

DISCUSSION

A critical component of the SDT is that primates must be able to quickly detect snakes even when their attention is directed elsewhere. Using a novel experimental context-a simulated hike-we assessed arousal and detection without directing participants to attend to any particular stimulus or event. Our data support the SDT by providing evidence of enhanced detection and autonomic arousal even in the absence of detection. Replication of these results using additional controls and experimental contexts will help refine our understanding of snake avoidance by primates.

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient

PURPOSE

Since the last Canadian Airway Focus Group (CAFG) guidelines were published in 2013, the literature on airway management has expanded substantially. The CAFG therefore re-convened to examine this literature and update practice recommendations. This first of two articles addresses difficulty encountered with airway management in an unconscious patient.

SOURCE

Canadian Airway Focus Group members, including anesthesia, emergency medicine, and critical care physicians, were assigned topics to search. Searches were run in the Medline, EMBASE, Cochrane Central Register of Controlled Trials, and CINAHL databases. Results were presented to the group and discussed during video conferences every two weeks from April 2018 to July 2020. These CAFG recommendations are based on the best available published evidence. Where high-quality evidence was lacking, statements are based on group consensus.

FINDINGS AND KEY RECOMMENDATIONS

Most studies comparing video laryngoscopy (VL) with direct laryngoscopy indicate a higher first attempt and overall success rate with VL, and lower complication rates. Thus, resources allowing, the CAFG now recommends use of VL with appropriately selected blade type to facilitate all tracheal intubations. If a first attempt at tracheal intubation or supraglottic airway (SGA) placement is unsuccessful, further attempts can be made as long as patient ventilation and oxygenation is maintained. Nevertheless, total attempts should be limited (to three or fewer) before declaring failure and pausing to consider "exit strategy" options. For failed intubation, exit strategy options in the still-oxygenated patient include awakening (if feasible), temporizing with an SGA, a single further attempt at tracheal intubation using a different technique, or front-of-neck airway access (FONA). Failure of tracheal intubation, face-mask ventilation, and SGA ventilation together with current or imminent hypoxemia defines a "cannot ventilate, cannot oxygenate" emergency. Neuromuscular blockade should be confirmed or established, and a single final attempt at face-mask ventilation, SGA placement, or tracheal intubation with hyper-angulated blade VL can be made, if it had not already been attempted. If ventilation remains impossible, emergency FONA should occur without delay using a scalpel-bougie-tube technique (in the adult patient). The CAFG recommends all institutions designate an individual as "airway lead" to help institute difficult airway protocols, ensure adequate training and equipment, and help with airway-related quality reviews.

Clever Cats: Do They Utilize Change Blindness as a Covered Approaching Strategy?

Sometimes, we do not notice big changes in our environment, if these changes occur while we perform eye movements or external events interrupt our perception. This striking phenomenon is known as "change blindness." Research on chimpanzees, macaques, and pigeons suggests that change blindness may not be unique to humans, but our understanding is limited by the difficulty of carrying out change blindness experiments in animals. However, let's have a look to the habitats of some of our most beloved four-legged friends: cats and dogs. Here, we list several online videos with cats and a husky appear to use humans' change blindness to their advantage to sneak upon them. Thus, we might be able to deduce the effects of change blindness and other perceptual phenomena from animals' behaviour. Our clear message: Watch more (cat) videos! Watch them as perceptual scientists by means of observing and analysing the cat's behaviour.

Developmental origins of cognitive offloading

Many animals manipulate their environments in ways that appear to augment cognitive processing. Adult humans show remarkable flexibility in this domain, typically relying on internal cognitive processing when adequate but turning to external support in situations of high internal demand. We use calendars, calculators, navigational aids and other external means to compensate for our natural cognitive shortcomings and achieve otherwise unattainable feats of intelligence. As yet, however, the developmental origins of this fundamental capacity for cognitive offloading remain largely unknown. In two studies, children aged 4-11 years (n = 258) were given an opportunity to manually rotate a turntable to eliminate the internal demands of mental rotation--to solve the problem in the world rather than in their heads. In study 1, even the youngest children showed a linear relationship between mental rotation demand and likelihood of using the external strategy, paralleling the classic relationship between angle of mental rotation and reaction time. In study 2, children were introduced to a version of the task where manually rotating inverted stimuli was sometimes beneficial to performance and other times redundant. With increasing age, children were significantly more likely to manually rotate the turntable only when it would benefit them. These results show how humans gradually calibrate their cognitive offloading strategies throughout childhood and thereby uncover the developmental origins of this central facet of intelligence.

A Three-Feature Model to Predict Colour Change Blindness

Change blindness is a striking shortcoming of our visual system which is exploited in the popular ‘Spot the difference’ game, as it makes us unable to notice large visual changes happening right before our eyes. Change blindness illustrates the fact that we see much less than we think we do. In this paper, we introduce a fully automated model to predict colour change blindness in cartoon images based on image complexity, change magnitude and observer experience. Using linear regression with only three parameters, the predictions of the proposed model correlate significantly with measured detection times. We also demonstrate the efficacy of the model to classify stimuli in terms of difficulty.

Incubation, not sleep, aids problem-solving

Solving a novel problem and finding innovative solutions requires a flexible and creative recombination of prior knowledge. It is thought that setting a problem aside before giving it another try aids problem-solving. The underlying mechanisms of such an incubation period could include unconscious processing that fosters spreading activation along associated networks and the restructuring of problem representations. Recently, it has been suggested that sleep may also support problem-solving by supporting the transformation and restructuring of memory elements. Since the effect of sleep on problem-solving has been mainly tested using the Remote Associates Test, we chose three different tasks-classical riddles, visual change detection, and anagrams-to examine various aspects of problem-solving and to pinpoint task-specific prerequisites for effects of sleep or incubation to emerge. Sixty-two participants were given two attempts to solve the problems. Both attempts either occurred consecutively or were spaced apart by a 3-hour incubation interval that was spent awake or asleep. We found that a period of incubation positively affected solutions rates in classical riddles, but not in visual change detection or anagram solving. Contrary to our hypothesis, spending the incubation period asleep, did not yield any additional benefit. Our study thus supports the notion that a period of letting a problem rest is beneficial for its solution and confines the role of sleep to memory transformations that do not directly impact on problem-solving ability.

Monocular Presentation Attenuates Change Blindness During the Use of Augmented Reality

Augmented reality (AR) is an emerging technology in which information is superimposed onto the real world directly in front of observers. AR images may behave as distractors because they are inside the observer’s field of view and may cause observers to overlook important information in the real world. This kind of overlooking of events or objects is known as “change blindness.” In change blindness, a distractor may cause someone to overlook a change between an original image and a modified image. In the present study, we investigated whether change blindness occurs when AR is used and whether the AR presentation method influences change blindness. An AR image was presented binocularly or monocularly as a distractor in a typical flicker paradigm. In the binocular presentation, the AR image was presented to the both of the participants’ eyes, so, it was not different from the typical flicker paradigm. By contrast, in the monocular presentation, the AR image was presented to only one eye. Therefore, it was hypothesized that if participants could observe the real-world image through the eye to which the AR image was not presented, change blindness would be avoided because the moment of change itself could be observed. In addition, the luminance of the AR image was expected to influence the ease to observe the real world because the AR image is somewhat translucent. Hence, the AR distractor had three luminance conditions (high, medium, and low), and we compared how many alternations were needed to detect changes among the conditions. Result revealed that more alternations were needed in the binocular presentation and in the high luminance condition. However, in all luminance conditions in the monocular presentation, the number of alternations needed to detect the change was not significantly different from that when the AR distractor was not presented. This result indicates that the monocular presentation could attenuate change blindness, and this might be because the observers’ visual attention is attracted to the location where the change has occurred automatically.

Optimistic metacognitive judgments predict poor performance in relatively complex visual tasks

In some cases, people overestimate how much they can see. This can produce a metacognitive blind spot that may lead participants to devote fewer cognitive resources than a visual task demands. However, little research has tested whether individuals who are particularly optimistic about their visual capabilities are susceptible to poor visual performance. We tested whether optimistic metacognitive judgments would predict poor performance in a visual task, especially when it placed a large attentional load on the participant, and when it required balancing between multiple sources of information. We tested participants in a simplified battle command simulation in which they were asked to detect visual changes. Participants who predicted spatially expansive visual attention performance performed more poorly in the change detection task when the task required tracking larger numbers of aircraft, and when it included a secondary change-list display.

Perceptual consciousness and cognitive access from the perspective of capacity-unlimited working memory

Theories of consciousness divide over whether perceptual consciousness is rich or sparse in specific representational content and whether it requires cognitive access. These two issues are often treated in tandem because of a shared assumption that the representational capacity of cognitive access is fairly limited. Recent research on working memory challenges this shared assumption. This paper argues that abandoning the assumption undermines post-cue-based 'overflow' arguments, according to which perceptual consciousness is rich and does not require cognitive access. Abandoning it also dissociates the rich/sparse debate from the access question. The paper then explores attempts to reformulate overflow theses in ways that do not require the assumption of limited capacity. Finally, it discusses the problem of relating seemingly non-probabilistic perceptual consciousness to the probabilistic representations posited by the models that challenge conceptions of cognitive access as capacity-limited.This article is part of the theme issue 'Perceptual consciousness and cognitive access'.

Change deafness, dual-task performance, and domain-specific expertise

In a change deafness manipulation using radio broadcasts of sporting events, we show that change deafness to a switch in talker increases when listeners are asked to monitor both lexical and indexical information for change. We held semantic content constant and demonstrated a change deafness rate of 85% when participants listened to the home team broadcast of a hockey game that switched midway to the away team broadcast with a different announcer. In Study 2, participants were asked to monitor either the indexical characteristics ( listen for a change in announcer) or both the indexical and semantic components ( listen for a change in announcer or a goal scored). Monitoring both components led to significantly greater change deafness even though both groups were alerted to the possibility of a change in announcer. In Study 3, we changed both the indexical and the semantic components when the broadcast switched from a hockey game to a basketball game. We found a negative correlation between sports expertise and change deafness. The results are discussed in terms of the nature of perceptual representation and the influence of expertise and evolution on attention allocation.

Impact of three task demand factors on simulated unmanned system intelligence, surveillance, and reconnaissance operations

The present study investigated how three task demand factors influenced performance, subjective workload and stress of novice intelligence, surveillance, and reconnaissance operators within a simulation of an unmanned ground vehicle. Manipulations were task type, dual-tasking and event rate. Participants were required to discriminate human targets within a street scene from a direct video feed (threat detection [TD] task) and detect changes in symbols presented in a map display (change detection [CD] task). Dual-tasking elevated workload and distress, and impaired performance for both tasks. However, with increasing event rate, CD task deteriorated, but TD improved. Thus, standard workload models provide a better guide to evaluating the demands of abstract symbols than to processing realistic human characters. Assessment of stress and workload may be especially important in the design and evaluation of systems in which human character critical signals must be detected in video images. Practitioner Summary: This experiment assessed subjective workload and stress during threat and CD tasks performed alone and in combination. Results indicated an increase in event rate led to significant improvements in performance during TD, but decrements during CD, yet both had associated increases in workload and engagement.

Change detection in urban and rural driving scenes: Effects of target type and safety relevance on change blindness

The ability to detect changes is crucial for safe driving. Previous research has demonstrated that drivers often experience change blindness, which refers to failed or delayed change detection. The current study explored how susceptibility to change blindness varies as a function of the driving environment, type of object changed, and safety relevance of the change. Twenty-six fully-licenced drivers completed a driving-related change detection task. Changes occurred to seven target objects (road signs, cars, motorcycles, traffic lights, pedestrians, animals, or roadside trees) across two environments (urban or rural). The contextual safety relevance of the change was systematically manipulated within each object category, ranging from high safety relevance (i.e., requiring a response by the driver) to low safety relevance (i.e., requiring no response). When viewing rural scenes, compared with urban scenes, participants were significantly faster and more accurate at detecting changes, and were less susceptible to "looked-but-failed-to-see" errors. Interestingly, safety relevance of the change differentially affected performance in urban and rural environments. In urban scenes, participants were more efficient at detecting changes with higher safety relevance, whereas in rural scenes the effect of safety relevance has marginal to no effect on change detection. Finally, even after accounting for safety relevance, change blindness varied significantly between target types. Overall the results suggest that drivers are less susceptible to change blindness for objects that are likely to change or move (e.g., traffic lights vs. road signs), and for moving objects that pose greater danger (e.g., wild animals vs. pedestrians).

The psychometrics of mental workload: multiple measures are sensitive but divergent

OBJECTIVE

A study was run to test the sensitivity of multiple workload indices to the differing cognitive demands of four military monitoring task scenarios and to investigate relationships between indices.

BACKGROUND

Various psychophysiological indices of mental workload exhibit sensitivity to task factors. However, the psychometric properties of multiple indices, including the extent to which they intercorrelate, have not been adequately investigated.

METHOD

One hundred fifty participants performed in four task scenarios based on a simulation of unmanned ground vehicle operation. Scenarios required threat detection and/or change detection. Both single- and dual-task scenarios were used. Workload metrics for each scenario were derived from the electroencephalogram (EEG), electrocardiogram, transcranial Doppler sonography, functional near infrared, and eye tracking. Subjective workload was also assessed.

RESULTS

Several metrics showed sensitivity to the differing demands of the four scenarios. Eye fixation duration and the Task Load Index metric derived from EEG were diagnostic of single-versus dual-task performance. Several other metrics differentiated the two single tasks but were less effective in differentiating single- from dual-task performance. Psychometric analyses confirmed the reliability of individual metrics but failed to identify any general workload factor. An analysis of difference scores between low- and high-workload conditions suggested an effort factor defined by heart rate variability and frontal cortex oxygenation.

CONCLUSIONS

General workload is not well defined psychometrically, although various individual metrics may satisfy conventional criteria for workload assessment.

APPLICATION

Practitioners should exercise caution in using multiple metrics that may not correspond well, especially at the level of the individual operator.

Elucidating unconscious processing with instrumental hypnosis

Most researchers leverage bottom-up suppression to unlock the underlying mechanisms of unconscious processing. However, a top-down approach - for example via hypnotic suggestion - paves the road to experimental innovation and complementary data that afford new scientific insights concerning attention and the unconscious. Drawing from a reliable taxonomy that differentiates subliminal and preconscious processing, we outline how an experimental trajectory that champions top-down suppression techniques, such as those practiced in hypnosis, is uniquely poised to further contextualize and refine our scientific understanding of unconscious processing. Examining subliminal and preconscious methods, we demonstrate how instrumental hypnosis provides a reliable adjunct that supplements contemporary approaches. Specifically, we provide an integrative synthesis of the advantages and shortcomings that accompany a top-down approach to probe the unconscious mind. Our account provides a larger framework for complementing the results from core studies involving prevailing subliminal and preconscious techniques.

Failure to perceive clinical events: an under-recognised source of error

INTRODUCTION

Attentional focus narrows as individuals concentrate on tasks. Missing an event that would otherwise appear obvious is termed a perceptual error. These forms of perceptual failure are well-recognised in psychological literature, but little attention has been paid to them in medicine. Cognitive workload and expertise modulate risk, although how these factors interplay in practice is unclear. This video-based experiment was designed to explore the hypothesis that perceptual errors affect clinicians.

METHODS

142 volunteers with varying levels of experience of adult resuscitation were shown a short video depicting a simulated cardiac arrest. This video included a series of change-events designed to elicit perceptual errors. The experiment was conducted on-line, with participants watching the video and then responding via combinations of open-ended free-text and directed questioning.

RESULTS

141 people experienced at least a single perceptual error. Even the most clinically significant event (disconnection of the patient's oxygen supply) was missed by three in four viewers. Although expertise was associated with increased likelihood of detecting an occurrence, even highly significant events were missed by up to two thirds of the most experienced observers.

DISCUSSION

This study demonstrates, for the first time, that perceptual errors occur during healthcare-relevant scenarios at significant levels. Events such as an oxygen malfunction would meaningfully affect patient outcome and, although expertise conferred some advantages, events were still missed more often than not. Data acquisition is fundamental to good-quality situational awareness. These results suggest perceptual error may be a contributor to adverse events in practice.

Task probability and report of feature information: what you know about what you 'see' depends on what you expect to need

We investigated the influence of dimensional set on report of object feature information using an immediate memory probe task. Participants viewed displays containing up to 36 coloured geometric shapes which were presented for several hundred milliseconds before one item was abruptly occluded by a probe. A cue presented simultaneously with the probe instructed participants to report either about the colour or shape of the probe item. A dimensional set towards the colour or shape of the presented items was induced by manipulating task probability - the relative probability with which the two feature dimensions required report. This was done across two participant groups: One group was given trials where there was a higher report probability of colour, the other a higher report probability of shape. Two experiments showed that features were reported most accurately when they were of high task probability, though in both cases the effect was largely driven by the colour dimension. Importantly the task probability effect did not interact with display set size. This is interpreted as tentative evidence that this manipulation influences feature processing in a global manner and at a stage prior to visual short term memory.