The duration of the movement aftereffect as an index of psychiatric illness

The effects of abnormal visual experience on neurodevelopmental disorders

Normal visual development is supported by intrinsic neurobiological mechanisms and by appropriate stimulation from the environment, both of which facilitate the maturation of visual functions. However, an offset of this balance can give rise to visual disorders. Therefore, understanding the factors that support normal vision during development and in the mature brain is important, as vision guides movement, enables social interaction, and allows children to recognize and understand their environment. In this paper, we review fundamental mechanisms that support the maturation of visual functions and discuss and draw links between the perceptual and neurobiological impairments in autism spectrum disorder (ASD) and schizophrenia. We aim to explore how this is evident in the case of ASD, and how perceptual and neurobiological deficits further degrade social ability. Furthermore, we describe the altered perceptual experience of those with schizophrenia and evaluate theories of the underlying neural deficits that alter perception.

Altered short-term neural plasticity related to schizotypal traits: Evidence from visual adaptation

Abnormalities in synaptic plasticity are argued to underlie the neural dysconnectivity observed in schizophrenia. One way to measure synaptic plasticity is through sensory adaptation, whereby sensory neurons exhibit reduced sensitivity after sustained stimulus exposure. Evidence for decreased adaptation in individuals with schizophrenia is currently inconclusive, possibly due to heterogeneity in clinical and medication status across samples. Here we circumvent these confounds by examining whether altered adaptation is represented sub-clinically in the general population. To test this we used three paradigms from visual perception research that provide a precise and non-invasive index of adaptation in the visual system. Two paradigms involve a class of illusory percepts termed visual aftereffects. The third relies on a visual phenomenon termed binocular rivalry, where incompatible stimuli are presented to the two eyes and observers alternate between perceiving exclusively one stimulus or a combination of the two (i.e. mixed perception). We analyzed the strength and dynamics of visual adaptation in these paradigms, in relation to schizotypy. Our results showed that increased schizotypal traits were related to reduced orientation, but not luminance, aftereffect strength (Exp. 1). Further, increased schizotypy was related to a greater proportion of mixed perception during binocular rivalry (Exp. 1 and 2). Given that visual adaption is well understood at cellular and computational levels, our data suggest that short-term plasticity in the visual system can provide important information about the disease mechanisms of schizophrenia.

A review of visual aftereffects in schizophrenia

Psychosis-a cardinal symptom of schizophrenia-has been associated with a failure to appropriately create or use stored regularities about past states of the world to guide the interpretation of incoming information, which leads to abnormal perceptions and beliefs. The visual system provides a test bed for investigating the role of prior experience and prediction, as accumulated knowledge of the world informs our current perception. More specifically, the strength of visual aftereffects, illusory percepts that arise after prolonged viewing of a visual stimulus, can serve as a valuable measure of the influence of prior experience on current visual processing. In this paper, we review findings from a largely older body of work on visual aftereffects in schizophrenia, attempt to reconcile discrepant findings, highlight the role of antipsychotic medication, consider mechanistic interpretations for behavioral effects, and propose directions for future research.

Adaptive sensory coding of gaze direction in schizophrenia

Schizophrenia has been associated with differences in how the visual system processes sensory input. A fundamental mechanism that regulates sensory processing in the brain is gain control, whereby the responses of sensory neurons to a given stimulus are modulated in accordance with the spatial and temporal context. Some studies indicate an impairment of certain cortical gain control mechanisms in schizophrenia in low-level vision, reflected, for instance, in how the visual appearance of a stimulus is affected by the presence of other stimuli around it. In the present study, we investigated higher-level, social vision in schizophrenia, namely the perception of other people's direction of gaze (i.e. a type of face processing). Recent computational modelling work indicates that perceptual aftereffects-changes in perception that occur following repeated exposure to faces that display a specific direction of gaze-are indicative of two distinct forms of gain control involved in the coding of gaze direction across sensory neurons. We find that individuals with schizophrenia display strong perceptual aftereffects following repeated exposure to faces with averted gaze, and a modelling analysis indicates similarly robust gain control in the form of (i) short-term adjustment of channel sensitivities in response to the recent sensory history and (ii) divisive normalization of the encoded gaze direction. Together, this speaks to the typical coding of other people's direction of gaze in the visual system in schizophrenia, including flexible gain control, despite the social-cognitive impairments that can occur in this condition.

Visual motion processing in migraine: Enhanced motion after-effects are related to display contrast, visual symptoms, visual triggers and attack frequency

Background Visual after-effects are illusions that occur after prolonged viewing of visual displays. The motion after-effect (MAE), for example, is an illusory impression of motion after viewing moving displays: subsequently, stationary displays appear to drift in the opposite direction. After-effects have been used extensively in basic vision research and in clinical settings, and are enhanced in migraine. Objective The objective of this article is to assess associations between ( 1 ) MAE duration and visual symptoms experienced during/between migraine/headache attacks, and ( 2 ) visual stimuli reported as migraine/headache triggers. Methods The MAE was elicited after viewing motion for 45 seconds. MAE duration was tested for three test contrast displays (high, medium, low). Participants also completed a headache questionnaire that included migraine/headache triggers. Results For each test contrast, the MAE was prolonged in migraine. MAE duration was associated with photophobia; visual triggers (flicker, striped patterns); and migraine or headache frequency. Conclusions Group differences on various visual tasks have been attributed to abnormal cortical processing in migraine, such as hyperexcitability, heightened responsiveness and/or a lack of intra-cortical inhibition. The results are not consistent with hyperexcitability simply from a general lack of inhibition. Alternative multi-stage models are discussed and suggestions for further research are recommended, including visual tests in clinical assessments/clinical trials.

Altered perception of apparent motion in schizophrenia spectrum disorder

Apparent motion (AM), the Gestalt perception of motion in the absence of physical motion, was used to study perceptual organization and neurocognitive binding in schizophrenia. Associations between AM perception and psychopathology as well as meaningful subgroups were sought. Circular and stroboscopic AM stimuli were presented to 68 schizophrenia spectrum patients and healthy participants. Psychopathology was measured using the Positive and Negative Syndrome Scale (PANSS). Psychopathology was related to AM perception differentially: Positive and disorganization symptoms were linked to reduced gestalt stability; negative symptoms, excitement and depression had opposite regression weights. Dimensions of psychopathology thus have opposing effects on gestalt perception. It was generally found that AM perception was closely associated with psychopathology. No difference existed between patients and controls, but two latent classes were found. Class A members who had low levels of AM stability made up the majority of inpatients and control subjects; such participants were generally young and male, with short reaction times. Class B typically contained outpatients and some control subjects; participants in class B were older and showed longer reaction times. Hence AM perceptual dysfunctions are not specific for schizophrenia, yet AM may be a promising stage marker.

Visual processing and neuropsychological function in schizophrenia and schizoaffective disorder

Persons with schizophrenia and schizoaffective disorder exhibit deficits in both visual processing and neuropsychological tasks. Little is known, however, about whether these deficits are related to one another. We administered psychophysical tests of visual discrimination and recognition, and neuropsychological tests of abstract flexibility, verbal learning, visual memory, working memory and attention to 42 outpatients with stable but chronic schizophrenia or schizoaffective disorder. Multiple regression analyses were performed to determine the relationship between these measures of neuropsychological function and visual psychophysical performance. Results indicated that motion perception was associated with working memory, and that the addition of a memory component to motion perception (motion recognition) was associated with both working memory and visual memory. Visual performance was not associated with symptom severity as measured by the PANSS. These results suggest that psychophysical tests of visual processing may contribute to deficits on neuropsychological tests of visual cognition, and may also reflect cross-modal disturbances of working memory function.

Dynamical aspects of motor and perceptual processes in schizophrenic patients and healthy controls

The present study examined the temporal stationarity of the performance of 16 schizophrenic patients and 16 controls matched for age and sex in a bimanual coordination task and a perceptual task. In the motor task, rhythmic finger oscillations (alternating activity of homologue muscle groups) at increasing speed levels resulted in two measures, the preferred oscillation frequency and the critical frequency at which phase transitions (change towards simultaneous activity of homologue muscle groups) occurred. A measure of local dimensional complexity (pointwise D2 or PD2), which is a measure of non-linear dynamics, was determined for the acceleration profiles of the subjects' movements. Schizophrenics exhibited less stable movement dynamics than controls in horizontal finger cycling, indicated by a lower ratio critical/preferred frequency (critical ratio) and by higher means and standard deviations of the pointwise D2. In vertical cycling, the critical ratio did not differentiate between groups, while PD2 means and standard deviations did. Groups also differed specifically in perception of two ambiguous figures (Schroeder stairs and Rubin vase). Schizophrenics showed significantly higher reversal rates for the Rubin vase and a differential perceptive in comparison to controls in the perception of the Schroeder stairs. Measures of perceptual and motor stability were unrelated, which suggests that perceptual and motor processes are not influenced by a common underlying mechanism.