Do subitizing deficits in developmental dyscalculia involve pattern recognition weakness?

Subitizing endures in sequential rather than simultaneous comparison tasks

Subitizing is the ability to appraise a number of small quantities (up to four) rapidly and precisely. This system, however, can be impaired by distractors presented along with targets to be enumerated. To better understand whether this limitation arises in perceptual circuits or in the response selection stage, we investigated whether subitizing can endure in simultaneous comparison tasks. Participants were asked to compare the number of dots in two sets on the left and right sides of the screen, presented either simultaneously or sequentially. For comparing within the numerosity range (6-32 dots), both the error rate and reaction time increased steadily as the ratio between the two numbers compared approached "1." Namely, a phenomenon labeled the ratio effect was revealed. For comparison with small numbers (<5), the sequential comparison task was errorless despite the ratio, suggesting the feature of subitizing. Individual efficiency (measured by the inverse efficiency score [IES]) did not correlate between number ranges in sequential comparison, suggesting that distinct mechanisms were involved. However, we found that in simultaneous tasks, error rate and efficiency showed an increase as the ratios of the two numbers compared approached "1." This is similar to the ratio effect revealed in the comparison for moderate numbers. Individual efficiency within these two ranges correlated, indicating that the enumeration within these two ranges was based on a single mechanism. These results suggest that subitizing cannot process sets in parallel, and numerosity takes the job whenever subitizing fails.

Reading numbers is harder than reading words: An eye-tracking study

We recorded the eye movements of adults reading aloud short (four digit) and long (eight to 11 digit) Arabic numerals compared to matched-in-length words and pseudowords. We presented each item in isolation, at the center of the screen. Participants read each item aloud at their pace, and then pressed the spacebar to display the next item. Reading accuracy was 99 %. Results showed that adults make 2.5 times more fixations when reading short numerals compared to short words, and up to 7 times more fixations when reading long numerals with respect to long words. Similarly, adults make 3 times more saccades when reading short numerals compared to short words, and up to 9 times more saccades when reading long numerals with respect to long words. Fixation duration and saccade amplitude stay almost the same when reading short numerals with respect to short words. However, fixation duration increases by ∼50 ms when reading long numerals (∼300 ms) with respect to long words (∼250 ms), and saccade amplitude decreases up to 0.83 characters when reading long numerals with respect to long words. The pattern of findings for long numerals-more and shorter saccades as well as more and longer fixations-shows the extent to which reading long Arabic numerals is a cognitively costly task. Within the phonographic writing system, this pattern of eye movements stands for the use of the sublexical print-to-sound correspondence rules. The data highlight that reading large numerals is an unautomatized activity and that Arabic numerals must be converted into their oral form by a step-by-step process even by expert readers.

Numerical Cognition after Brain Injury: Is There a Relationship between Subitizing and Arithmetical Abilities?

Subitizing is the ability to enumerate small quantities efficiently and automatically. Counting is a strategy adopted for larger numerosities resulting in a near linear increase in response time with each increase in quantity. Some developmental studies suggest that being able to subitize efficiently may be a predictor of later arithmetical ability. Being able to enumerate small quantities efficiently may be necessary for at least some aspects of arithmetical skill and understanding to develop. According to this view, arithmetic ability ultimately depends upon subitizing. If this were the case, when acquired brain injury results in impaired performance on subitizing tasks, mathematical performance may also be impaired. The following study tested eleven healthy control participants and nine chronic patients with acquired brain injury on tasks focused on visual enumeration, addition and multiplication to explore a potential relationship between subitizing ability and calculation performance. No overall correlations were found between subitizing and addition or multiplication speed. However, a very clear subitizing impairment was found in two patients who then demonstrated very different levels of preserved addition skills. The dissociations found and the large inter-individual variability supports a more componential view of arithmetical ability.

Spatial and chromatic properties of numerosity estimation in isolation and context

Numerosity estimation around the subitizing range is facilitated by a shape-template matching process and shape-coding mechanisms are selective to visual features such as colour and luminance contrast polarity. Objects in natural scenes are often embedded within other objects or textured surfaces. Numerosity estimation is improved when objects are grouped into small clusters of the same colour, a phenomenon termed groupitizing, which is thought to leverage on the subitizing system. Here we investigate whether numerosity mechanisms around the subitizing range are selective to colour, luminance contrast polarity and orientation, and how spatial organisation of context and target elements modulates target numerosity estimation. Stimuli consisted of a small number (3-to-6) of target elements presented either in isolation or embedded within context elements. To examine selectivity to colour, luminance polarity and orientation, we compared target-only conditions in which all elements were either the same or different along one of these feature dimensions. We found comparable performance in the same and different feature conditions, revealing that subitizing mechanism do not depend on ‘on-off’ luminance-polarity, colour or orientation channel interactions. We also measured the effect of varying spatial organisation of (i) context, by arranging the elements either in a grid, mirror-symmetric, translation-symmetric or random; (ii) target, by placing the elements either mirror-symmetric, on the vertices of simple shapes or random. Our results indicate higher accuracy and lower RTs in the grid compared to all other context types, with mirror symmetric, translation and random arrangements having comparable effects on target numerosity. We also found improved performance with shape-target followed by symmetric and random target arrangements in the absence and presence of context. These findings indicate that numerosity mechanisms around the subitizing range are not selective to colour, luminance polarity and orientation, and that symmetric, translation and random contexts organisations inhibit target-numerosity encoding stronger than regular/grid context.

Small number enumeration processes of deaf or hard-of-hearing students: A study using eye tracking and artificial intelligence

Students who are deaf or hard-of-hearing (DHH) often show significant difficulties in learning mathematics. Previous studies have reported that students who are DHH lag several years behind in their mathematical development compared to hearing students. As possible reasons, limited learning opportunities due to a lesser incidental exposure to numerical ideas, delays in language and speech development, and further idiosyncratic difficulties of students who are DHH are discussed; however, early mathematical skills and their role in mathematical difficulties of students who are DHH are not explored sufficiently. In this study, we investigate whether students who are DHH differ from hearing students in their ability to enumerate small sets (1–9)—an ability that is associated with mathematical difficulties and their emergence. Based on a study with N = 63 who are DHH and N = 164 hearing students from third to fifth grade attempting 36 tasks, we used eye tracking, the recording of students' eye movements, to qualitatively investigate student enumeration processes. To reduce the effort of qualitative analysis of around 8,000 student enumeration processes (227 students x 36 tasks), we used Artificial Intelligence, in particular, a clustering algorithm, to identify student enumeration processes from the heatmaps of student gaze distributions. Based on the clustering, we found that gaze distributions of students who are DHH and students with normal hearing differed significantly on a group level, indicating differences in enumeration processes, with students who are DHH using advantageous processes (e.g., enumeration “at a glance”) more often than hearing students. The results indicate that students who are DHH do not lag behind in small number enumeration as compared to hearing students but, rather, appear to perform better than their hearing peers in small number enumeration processes, as well as when conceptual knowledge about the part-whole relationship is involved. Our study suggests that the mathematical difficulties of students who are DHH are not related to difficulties in the small number enumeration, which offers interesting perspectives for further research.

Manipulation of Attention Affects Subitizing Performance: A Systematic Review and Meta-analysis

Subitizing is the fast and accurate enumeration of small sets. Whether attention is necessary for subitizing remains controversial considering (1) subitizing is claimed to be "pre-attentive", and (2) existing experimental methods and results are inconsistent. To determine whether manipulations to attention demonstratively affect subitizing, the current study comprises a systematic review and meta-analysis. Results from fourteen studies (22 experiments, 35 comparisons) suggest that changes to attentional demands interferes with enumeration of small sets; leading to slower response times, lower accuracy, and poorer Weber acuity (p <.010; p <.001; p <.001; respectively)-notwithstanding a potential publication bias. A unifying framework is proposed to explain the role of attention in visual enumeration, with progressively greater attentional involvement from estimation to subitizing to counting. Our findings suggest attention is integral for subitizing and highlights the need to emphasise attentional mechanisms into neurocognitive models of numerosity processing. We also discuss the possible role of attention in numerical processing difficulties (e.g., dyscalculia).

Iconic Mathematics: Math Designed to Suit the Mind

Mathematics is a struggle for many. To make it more accessible, behavioral and educational scientists are redesigning how it is taught. To a similar end, a few rogue mathematicians and computer scientists are doing something more radical: they are redesigning mathematics itself, improving its ergonomic features. Charles Peirce, an important contributor to ordinary symbolic logic, also introduced a rigorous but non-symbolic, graphical alternative to it that is easier to picture. In the spirit of this iconic logic, George Spencer-Brown founded iconic mathematics. Performing iconic arithmetic, algebra, and even trigonometry, resembles doing calculations on an abacus, which is still popular in education today, has aided humanity for millennia, helps even when it is merely imagined, and ameliorates severe disability in basic computation. Interestingly, whereas some intellectually disabled individuals excel in very complex numerical tasks, others of normal intelligence fail even in very simple ones. A comparison of their wider psychological profiles suggests that iconic mathematics ought to suit the very people traditional mathematics leaves behind.

What Skills Could Distinguish Developmental Dyscalculia and Typically Developing Children: Evidence From a 2-Year Longitudinal Screening

Developmental dyscalculia (DD) is a mathematics learning disorder that affects approximately 5% to 7% of the population. This study aimed to detect the underlying domain-specific and domain-general differences between DD and typically developing (TD) children. We recruited 9-year-old primary school children to form the DD group via a 2-year longitudinal screening process. In total, 75 DD children were screened from 1,657 children after the one-time screening, and 13 DD children were screened from 1,317 children through a consecutive 2-year longitudinal screening. In total, 13 experimental tasks were administered to assess their cognitive abilities to test the domain-specific magnitude representation hypothesis (including symbolic and nonsymbolic magnitude comparisons) and four alternative domain-general hypotheses (including working memory, executive function, attention, and visuospatial processing). The DD group had worse performance than the TD group on the number sense task, finger sense task, shifting task, and one-back task after both one-time and two-time screening. Logistic regressions further indicated the differences on the shifting task and the nonsymbolic magnitude comparison task could distinguish DD and TD children. Our findings suggest that domain-specific nonsymbolic magnitude representation and domain-general executive function both contribute to DD. Thus, both domain-specific and domain-general abilities will be necessary to investigate and to intervene in DD groups in the future.

The Cognitive Profile of Math Difficulties: A Meta-Analysis Based on Clinical Criteria

Math difficulties (MD) manifest across various domain-specific and domain-general abilities. However, the existing cognitive profile of MD is incomplete and thus not applicable in typical settings such as schools or clinics. So far, no review has applied inclusion criteria according to DSM or ICD, summarized domain-specific abilities or examined the validity of response time scores for MD identification. Based upon stringent clinical criteria, the current meta-analysis included 34 studies which compared cognitive performances of a group with MD (n = 680) and a group without MD (n = 1565). Criteria according to DSM and ICD were applied to identify MD (percentile rank ≤ 16, age range 8–12 years, no comorbidities/low IQ). Effect sizes for 22 abilities were estimated and separated by their level and type of scoring (AC = accuracy, RT = response time). A cognitive profile of MD was identified, characterized by distinct weaknesses in: (a) computation (calculation [AC], fact retrieval [AC]), (b) number sense (quantity processing [AC], quantity-number linking [RT], numerical relations [AC]), and (c) visual-spatial short-term storage [AC]. No particular strength was found. Severity of MD, group differences in reading performance and IQ did not significantly moderate the results. Further analyses revealed that (a) effects are larger when dealing with numbers or number words than with quantities, (b) MD is not accompanied by any weakness in abilities typically assigned to reading, and (c) weaknesses in visual-spatial short-term storage emphasize the notion that number and space are interlinked. The need for high-quality studies investigating domain-general abilities is discussed.

From Hemispheric Asymmetry through Sensorimotor Experiences to Cognitive Outcomes in Children with Cerebral Palsy

Recent neuroimaging studies allowed us to explore abnormal brain structures and interhemispheric connectivity in children with cerebral palsy (CP). Behavioral researchers have long reported that children with CP exhibit suboptimal performance in different cognitive domains (e.g., receptive and expressive language skills, reading, mental imagery, spatial processing, subitizing, math, and executive functions). However, there has been very limited cross-domain research involving these two areas of scientific inquiry. To stimulate such research, this perspective paper proposes some possible neurological mechanisms involved in the cognitive delays and impairments in children with CP. Additionally, the paper examines the ways motor and sensorimotor experience during the development of these neural substrates could enable more optimal development for children with CP. Understanding these developmental mechanisms could guide more effective interventions to promote the development of both sensorimotor and cognitive skills in children with CP.

Developmental dyscalculia: the progress of cognitive modeling in the field of numerical cognition deficits for children

The study of dyscalculia requires an analysis of the current developed hypotheses which describe the cognitive mechanisms involved in this neurodevelopmental disorder. The objective of our review is to determine any progress in modeling developmental dyscalculia. The first hypothesis suggests that dyscalculia is the consequence of a specific deficit level number on the precise number system and the approximate system. Then, the second hypothesis states that developmental dyscalculia is linked to a failure to process non-symbolic representations of numbers. On the other hand, the third suggests that dyscalculia is caused by a lack of access to numerical quantities from symbols. However, the last hypothesis asserts that developmental dyscalculia is linked to general deficits. All these hypotheses are compatible with recent neuroimaging results and raise new horizons for experimentation, which will allow the development of precise diagnostic tools and the improvement of intervention strategies and the remediation of developmental dyscalculia.

Developmental brain dynamics of numerical and arithmetic abilities

The development of numerical and arithmetic abilities constitutes a crucial cornerstone in our modern and educated societies. Difficulties to acquire these central skills can lead to severe consequences for an individual's well-being and nation's economy. In the present review, we describe our current broad understanding of the functional and structural brain organization that supports the development of numbers and arithmetic. The existing evidence points towards a complex interaction among multiple domain-specific (e.g., representation of quantities and number symbols) and domain-general (e.g., working memory, visual-spatial abilities) cognitive processes, as well as a dynamic integration of several brain regions into functional networks that support these processes. These networks are mainly, but not exclusively, located in regions of the frontal and parietal cortex, and the functional and structural dynamics of these networks differ as a function of age and performance level. Distinctive brain activation patterns have also been shown for children with dyscalculia, a specific learning disability in the domain of mathematics. Although our knowledge about the developmental brain dynamics of number and arithmetic has greatly improved over the past years, many questions about the interaction and the causal involvement of the abovementioned functional brain networks remain. This review provides a broad and critical overview of the known developmental processes and what is yet to be discovered.

Impaired large numerosity estimation and intact subitizing in developmental dyscalculia

It is believed that the approximate estimation of large sets and the exact quantification of small sets (subitizing) are supported by two different systems, the Approximate Number System (ANS) and Object Tracking System (OTS), respectively. It is a current matter of debate whether they are both impaired in developmental dyscalculia (DD), a specific learning disability in symbolic number processing and calculation. Here we tackled this question by asking 32 DD children and 32 controls to perform a series of tasks on visually presented sets, including exact enumeration of small sets as well as comparison of large, uncountable sets. In children with DD, we found poor sensitivity in processing large numerosities, but we failed to find impairments in the exact enumeration of sets within the subitizing range. We also observed deficits in visual short-term memory skills in children with dyscalculia that, however, did not account for their low ANS acuity. Taken together, these results point to a dissociation between quantification skills in dyscalculia, they highlight a link between DD and low ANS acuity and provide support for the notion that DD is a multifaceted disability that covers multiple cognitive skills.

Perceptual subitizing and conceptual subitizing in Williams syndrome and Down syndrome: Insights from eye movements

BACKGROUND AND AIMS

Mathematical difficulties in individuals with Williams Syndrome (WS) and in individuals with Down Syndrome (DS) are well-established. Perceptual subitizing and conceptual subitizing are domain-specific precursors of mathematical achievement in typically developing (TD) population. This study employed, for the first time, eye-tracking methodology to investigate subitizing abilities in WS and DS.

METHODS AND PROCEDURES

Twenty-five participants with WS and 24 participants with DS were compared to a younger group of TD children (n = 25) matched for mental age. Participants were asked to enumerate one to six dots arranged either in a dice or a random pattern.

OUTCOMES AND RESULTS

Accuracy rates and analyses of reaction time showed no significant differences between the clinical groups (WS and DS) and the control group, suggesting that all participants used the same processes to perform the enumeration task in the different experimental conditions. Analyses of the eye movements showed that both individuals with WS and individuals with DS were using inefficient scanning strategies when counting. Moreover, analyses of the eye movements showed significantly shorter fixation duration in participants with DS compared to the control group in all the experimental conditions.

CONCLUSIONS AND IMPLICATIONS

The current study provides evidence that individuals with WS and individuals with DS perform both perceptual subitizing and conceptual subitizing. Moreover, our results suggest a fixation instability in DS group that does not affect their performance when subitizing but might explain their low accuracy rates when counting. Findings are discussed in relation to previous studies and the impact for intervention programmes to improve counting and symbolic mathematical abilities in these populations.

Subitizing, unlike estimation, does not process sets in parallel

Enumeration of very small quantities is a common task that we perform everyday. Much research has highlighted that in these conditions humans display fast, near errorless performance, a phenomenon dubbed subitizing. It has been suggested that this regime has a pivotal role in numerosity perception. Here we asked if this system can process multiple sets of items in parallel. At odds with what happens for moderate numerosities, we found a strong impairment caused already by the introduction of a second group of items marked by a different color. Adding shape as a cue provided no benefit. The only case in which subitizing was possible was when the target and distractor group were held constant through the experimental block. These results show the surprising fact that whilst being rapid and errorless, subitizing does not have the capability to disentangle multiple groups of items and deals only with coarse stimulus statistics.

Tactile Enumeration and Embodied Numerosity Among the Deaf

Representations of the fingers are embodied in our cognition and influence performance in enumeration tasks. Among deaf signers, the fingers also serve as a tool for communication in sign language. Previous studies in normal hearing (NH) participants showed effects of embodiment (i.e., embodied numerosity) on tactile enumeration using the fingers of one hand. In this research, we examined the influence of extensive visuo-manual use on tactile enumeration among the deaf. We carried out four enumeration task experiments, using 1-5 stimuli, on a profoundly deaf group (n = 16) and a matching NH group (n = 15): (a) tactile enumeration using one hand, (b) tactile enumeration using two hands, (c) visual enumeration of finger signs, and (d) visual enumeration of dots. In the tactile tasks, we found salient embodied effects in the deaf group compared to the NH group. In the visual enumeration of finger signs task, we controlled the meanings of the stimuli presentation type (e.g., finger-counting habit, fingerspelled letters, both or neither). Interestingly, when comparing fingerspelled letters to neutrals (i.e., not letters or numerical finger-counting signs), an inhibition pattern was observed among the deaf. The findings uncover the influence of rich visuo-manual experiences and language on embodied representations. In addition, we propose that these influences can partially account for the lag in mathematical competencies in the deaf compared to NH peers. Lastly, we further discuss how our findings support a contemporary model for mental numerical representations and finger-counting habits.

Mathematical Profile Test: A Preliminary Evaluation of an Online Assessment for Mathematics Skills of Children in Grades 1-6

The domain of numerical cognition still lacks an assessment tool that is theoretically driven and that covers a wide range of key numerical processes with the aim of identifying the learning profiles of children with difficulties in mathematics (MD) or dyscalculia. This paper is the first presentation of an online collectively administered tool developed to meet these goals. The Mathematical Profile Test (MathPro Test) includes 18 subtests that assess numerical skills related to the core number domain or to the visual-spatial, memory or reasoning domains. The specific aim of this paper is to present the preliminary evaluation both of the sensitivity and the psychometric characteristics of the individual measures of the MathPro Test, which was administered to 622 primary school children (grades 1–6) in Belgium. Performance on the subtests increased across all grades and varied along the level of difficulty of the items, supporting the sensitivity of the test. The MathPro Test also showed satisfactory internal consistency and significant and stable correlation with a standardized test in mathematics across all grades. In particular, the achievement in mathematics was strongly associated with the performance on the subtests assessing the reasoning and the visuospatial domains throughout all school grades, whereas associations with the core number and memory tasks were found mainly in the younger children. MD children performed significantly lower than their peers; these differences in performance on the MathPro subtests also varied according to the school grades, informing us about the developmental changes of the weaknesses of children with MD. These results suggest that the MathPro Test is a very promising tool for conducting large scale research and for clinicians to sketch out the mathematical profile of children with MD or dyscalculia.

The role of attention in the enumeration of canonical patterns

We report novel findings from experiments on the enumeration of canonical patterns under attentional load. While previous studies have shown that the process of enumerating randomized arrangements can be disrupted by attentional load, the effect of attentional load on canonical patterns has been unexplored. To investigate this case, we adapted a spatial dual-task paradigm previously used to study attentional disruption during the enumeration of randomized arrangements. We begin by replicating previous findings for randomized arrangements, with enumeration error increasing with cluster numerosity and attentional load. For dice patterns, enumeration error also increased under attentional load. However, contrary to findings from studies on single-task enumeration of dice patterns, we observed conflation of patterns with similar outlines. In subsequent experiments, we manipulated the spatial location of the enumeration task, placing the dot cluster in the center. With centrally located, canonical patterns that remained in the same location across trials, enumeration accuracy was more consistent with results from single-task studies. We hypothesize that participants may be using shape cues to inform guessing during enumeration tasks when unable to both localize and fully attend to target patterns.

Modal-independent Pattern Recognition Deficit in Developmental Dyscalculia Adults: Evidence from Tactile and Visual Enumeration

Developmental dyscalculia (DD) is characterized by lower numerical and finger-related skills. Studies of enumeration among those DD that suggested core deficiency in pattern recognition, working memory or/and attention were mostly carried out in the visual modality. In our study, we examined visual (dots) enumeration of 1-10 stimuli and tactile (vibration) enumeration of 1-10 fingers among DD and matched-control adults. We used 800-ms stimuli exposure time of either random/non-neighboring or canonical/neighboring stimuli arrangements (visual/tactile). Compared to controls, those with DD responded faster in visual random enumeration and did not differ in reaction time (RT) of canonical stimuli arrangements. However, while the control group had near perfect accuracy in random stimuli arrangements of up to five stimuli, DD participants performed accurately for only up to four stimuli, and they were less accurate in the canonical stimuli arrangements in the counting range. In the tactile task, DD participants showed less accurate tactile enumeration only for neighboring arrangements, more profoundly for finger counting (FC) patterns. The longer exposure time in the visual task enabled us to explore pattern recognition effects when working memory and attention loads were low. We discuss possible modal-independent deficits in pattern recognition and working memory on enumeration performance among those with DD and the unique role of fingers in ordinal and cardinal representation of numbers.

The Diagnosis and Treatment of Dyscalculia

BACKGROUND

3-7% of all children, adolescents, and adults suffer from dyscalculia. Severe, persistent difficulty performing arithmetical calculations leads to marked impairment in school, at work, and in everyday life and elevates the risk of comorbid mental disorders. The state of the evidence underlying various methods of diagnosing and treating this condition is unclear.

METHODS

Systematic literature searches were carried out from April 2015 to June 2016 in the PsycInfo, PSYNDEX, MEDLINE, ProQuest, ERIC, Cochrane Library, ICTRP, and MathEduc databases. The main search terms on dyscalculia were the German terms "Rechenstörung," "Rechenschwäche," and "Dyskalkulie" and the English terms "dyscalculia," "math disorder, and "math disability." The data from the retrieved studies were evaluated in a meta-analysis, and corresponding recommendations on the diagnosis and treatment of dyscalculia were jointly issued by the 20 societies and associations that participated in the creation of this guideline.

RESULTS

The diagnosis of dyscalculia should only be made if the person in question displays below-average mathematical performance when seen in the context of relevant information from the individual history, test findings, clinical examination, and further psychosocial assessment. The treatment should be directed toward the individual mathematical problem areas. The mean effect size found across all intervention trials was 0.52 (95% confidence interval [0.42; 0.62]). Treatment should be initiated early on in the primary-school years and carried out by trained specialists in an individual setting; comorbid symptoms and disorders should also receive attention. Persons with dyscalculia are at elevated risk of having dyslexia as well (odds ratio [OR]: 12.25); the same holds for attention deficit/hyperactivity disorder and for other mental disorders, both internalizing (such as anxiety and depression) and externalizing (e.g., disorders characterized by aggression and rule-breaking).

CONCLUSION

Symptom-specific interventions involving the training of specific mathematical content yield the best results. There is still a need for high-quality intervention trials and for suitable tests and learning programs for older adolescents and adults.

If it looks, sounds, or feels like subitizing, is it subitizing? A modulated definition of subitizing

Research in cognitive psychology has focused mainly on the visual modality as the input interface for mental processes. We suggest that integrating studies from different modalities can aid in resolving theoretical controversies. We demonstrate this in the case of subitizing. Subitizing, the quick and accurate enumeration of small quantities, has been studied since the 19th century. Nevertheless, to date, the underlying mechanism is still debated. Two mechanisms have been suggested: a domain-general mechanism-attention, and a domain-specific mechanism-pattern recognition. Here, we review pivotal studies in the visual, tactile, and auditory modalities. The accumulative findings shed light on the theoretical debate. Accordingly, we suggest that subitizing is a subprocess of counting that occurs in the presence of facilitating factors, such as attentional resources and familiar patterns.

Numerical processing profiles in children with varying degrees of arithmetical achievement

Recent studies show basic cognitive abilities such as the rapid and precise apprehension of small numerosities in object sets ("subitizing"), verbal counting and numerical magnitude comparison significantly influence the acquisition of arithmetic and continues to modulate more advanced stages of mathematical cognition. Additionally, children with low arithmetic achievement (LAA) and Developmental Dyscalculia (DD) exhibit significant deficits in these cognitive processes. Nevertheless, the different cognitive profiles of children with varying degrees of numerical and arithmetic processing deficits have not been sufficiently characterized, despite its potential relevance to the stimulation of numerical cognition and the design of appropriate intervention strategies. Here, the cognitive profiles of groups of typically developing children, children with low arithmetical achievement and DD, exhibiting typical and atypical subitizing ability were contrasted. The results suggest that relatively independent neurocognitive mechanisms may produce distinct profiles at the behavioral level and suggest children with low arithmetic performance exhibiting atypical subitizing abilities are not only significantly slower, but rely on compensatory mechanisms and strategies compared to typical subitizers. The role of subitizing as a correlate of arithmetic fluency is revised in the light of the present findings.

Enumeration and Alertness in Developmental Dyscalculia

Enumeration, the ability to report an amount of elements, differs as a function of range. Subitizing (quantities 1–4) is an accurate and quick process with reaction times (RTs) minimally affected by the number of presented elements within its range. In the counting range (range of 5–9 elements), RTs increase linearly. Subitizing was considered to be a pre-attentive process for many years. However, recently we found that subitizing could be facilitated by improving engagement of attention. Specifically, brief alerting cues increase attentional engagement and reduced RTs in the subitizing range. Moreover, previous studies found that students with developmental dyscalculia (DD) have a smaller than normal subitizing range (3 vs. 4) and their alerting attentional system is impaired. In the current study, we explored whether an alerting cue would increase the subitizing range of adults suffering from DD from 3 to 4. For controls, alerting increased accuracy rates and facilitated enumeration of quantities only in the subitizing range. Participants with DD presented a larger alerting effect; an alerting cue enhanced their RTs in all ranges, but did not increase their smaller than normal subitizing range or accuracy. Our results suggest that both domain-general and domain-specific abilities contribute to the mechanism of enumeration and related to developmental dyscalculia.

Tactile enumeration: A case study of acalculia

Enumeration is one of the building blocks of arithmetic and fingers are used as a counting tool in early steps. Subitizing-fast and accurate enumeration of small quantities-has been vastly studied in the visual modality, but less in the tactile modality. We explored tactile enumeration using fingers, and gray matter (GM) changes using voxel-based morphometry (VBM), in acalculia. We examined JD, a 22-year-old female with acalculia following a stroke to the left inferior parietal cortex. JD and a neurologically healthy normal comparison (NC) group reported how many fingers were stimulated. JD was tested at several time points, including at acute and chronic phases. Using the sensory intact hand for tactile enumeration, JD showed deficit in the acute phase, compared to the NC group, and improvement in the chronic phase of (1) the RT slope of enumerating up to four stimuli, (2) enumerating neighboring fingers, and (3) arithmetic fluency performance. Moreover, VBM analysis showed a larger GM volume for JD relative to the NC group in the right middle occipital cortex, most profoundly in the chronic phase. JD's performance serves as a first glance of tactile enumeration in acalculia. Pattern-recognition-based results support the suggestion of subitizing being the enumeration process when using one hand. Moreover, the increase in GM in the occipital cortex lays the groundwork for studying the innate and primitive ability to perceive and evaluate sizes or amounts-"sense of magnitude"- as a multisensory magnitude area and as part of a recovery path for deficits in basic numerical abilities.

Spatial Arrangement and Set Size Influence the Coding of Non-symbolic Quantities in the Intraparietal Sulcus

Performance in visual quantification tasks shows two characteristic patterns as a function of set size. A precise subitizing process for small sets (up to four) was contrasted with an approximate estimation process for larger sets. The spatial arrangement of elements in a set also influences visual quantification performance, with frequently perceived arrangements (e.g., dice patterns) being faster enumerated than random arrangements. Neuropsychological and imaging studies identified the intraparietal sulcus (IPS), as key brain area for quantification, both within and above the subitizing range. However, it is not yet clear if and how set size and spatial arrangement of elements in a set modulate IPS activity during quantification. In an fMRI study, participants enumerated briefly presented dot patterns with random, canonical or dice arrangement within and above the subitizing range. We evaluated how activity amplitude and pattern in the IPS were influenced by size and spatial arrangement of a set. We found a discontinuity in the amplitude of IPS response between subitizing and estimation range, with steep activity increase for sets exceeding four elements. In the estimation range, random dot arrangements elicited stronger IPS response than canonical arrangements which in turn elicited stronger response than dice arrangements. Furthermore, IPS activity patterns differed systematically between arrangements. We found a signature in the IPS response for a transition between subitizing and estimation processes during quantification. Differences in amplitude and pattern of IPS activity for different spatial arrangements indicated a more precise representation of non-symbolic numerical magnitude for dice and canonical than for random arrangements. These findings challenge the idea of an abstract coding of numerosity in the IPS even within a single notation.

TEMA and Dot Enumeration Profiles Predict Mental Addition Problem Solving Speed Longitudinally

Different math indices can be used to assess math potential at school entry. We evaluated whether standardized math achievement (TEMA-2 performance), core number abilities (dot enumeration, symbolic magnitude comparison), non-verbal intelligence (NVIQ) and visuo-spatial working memory (VSWM), in combination or separately, predicted mental addition problem solving speed over time. We assessed 267 children’s TEMA-2, magnitude comparison, dot enumeration, and VSWM abilities at school entry (5 years) and NVIQ at 8 years. Mental addition problem solving speed was assessed at 6, 8, and 10 years. Longitudinal path analysis supported a model in which dot enumeration performance ability profiles and previous mental addition speed predicted future mental addition speed on all occasions, supporting a componential account of math ability. Standardized math achievement and NVIQ predicted mental addition speed at specific time points, while VSWM and symbolic magnitude comparison did not contribute unique variance to the model. The implications of using standardized math achievement and dot enumeration ability to index math learning potential at school entry are discussed.

Heterogeneity of Developmental Dyscalculia: Cases with Different Deficit Profiles

Developmental Dyscalculia (DD) has long been thought to be a monolithic learning disorder that can be attributed to a specific neurocognitive dysfunction. However, recent research has increasingly recognized the heterogeneity of DD, where DD can be differentiated into subtypes in which the underlying cognitive deficits and neural dysfunctions may differ. The aim was to further understand the heterogeneity of developmental dyscalculia (DD) from a cognitive psychological perspective. Utilizing four children (8–9 year-old) we administered a comprehensive cognitive test battery that shed light on the cognitive-behavioral profile of each child. The children were compared against norm groups of aged-matched peers. Performance was then contrasted against predominant hypotheses of DD, which would also give insight into candidate neurocognitive correlates. Despite showing similar mathematical deficits, these children showed remarkable interindividual variability regarding cognitive profile and deficits. Two cases were consistent with the approximate number system deficit account and also the general magnitude-processing deficit account. These cases showed indications of having domain-general deficits as well. One case had an access deficit in combination with a general cognitive deficit. One case suffered from general cognitive deficits only. The results showed that DD cannot be attributed to a single explanatory factor. These findings support a multiple deficits account of DD and suggest that some cases have multiple deficits, whereas other cases have a single deficit. We discuss a previously proposed distinction between primary DD and secondary DD, and suggest hypotheses of dysfunctional neurocognitive correlates responsible for the displayed deficits.

Alerting cues enhance the subitizing process

Enumeration of elements differs as a function of their range. Subitizing (quantities 1-4) is considered to be an accurate and quick process with reaction times minimally affected by the number of presented elements within its range. In contrast, small estimation (range of 5-9 elements exposed briefly) is a less precise linear process. Subitizing was consider to be a pre-attentive process for many years. However, recent studies found that when attentional resources were occupied elsewhere, the subitizing process was impaired. In the current study, we examined whether subitizing can be facilitated by improving engagement of attention. Specifically, brief alerting cues that increase attentional engagement were presented in half of the trials during enumeration tasks. In Experiment 1, participants were required to enumerate dots presented in random arrays within the subitizing or small estimation range. Alerting facilitated enumeration of quantities in the subitizing range, but not in the small estimation range. We suggested that the benefit of alerting on the subitizing process was achieved via enhancement of global processing, a process that was previously associated with both alerting and subitizing. In Experiment 2, we provided direct evidence for this hypothesis by demonstrating that when global processing was used for items in the small estimation range (i.e., presenting quantities in a canonical array), a subitizing-like pattern was revealed in quantities beyond the subitizing range.

From “sense of number” to “sense of magnitude”: The role of continuous magnitudes in numerical cognition

In this review, we are pitting two theories against each other: the more accepted theory, the number sense theory, suggesting that a sense of number is innate and non-symbolic numerosity is being processed independently of continuous magnitudes (e.g., size, area, and density); and the newly emerging theory suggesting that (1) both numerosities and continuous magnitudes are processed holistically when comparing numerosities and (2) a sense of number might not be innate. In the first part of this review, we discuss the number sense theory. Against this background, we demonstrate how the natural correlation between numerosities and continuous magnitudes makes it nearly impossible to study non-symbolic numerosity processing in isolation from continuous magnitudes, and therefore, the results of behavioral and imaging studies with infants, adults, and animals can be explained, at least in part, by relying on continuous magnitudes. In the second part, we explain the sense of magnitude theory and review studies that directly demonstrate that continuous magnitudes are more automatic and basic than numerosities. Finally, we present outstanding questions. Our conclusion is that there is not enough convincing evidence to support the number sense theory anymore. Therefore, we encourage researchers not to assume that number sense is simply innate, but to put this hypothesis to the test and consider whether such an assumption is even testable in the light of the correlation of numerosity and continuous magnitudes.

Effects of Numerosity Range on Tactile and Visual Enumeration

Our study explores tactile enumeration using both hands and investigates the effects of numerosity range's (NR) on general enumeration. In Experiment 1, using custom-made vibro-tactile apparatus, we replicated results of Cohen, Naparstek, and Henik (2014, Acta Psychologica, 150C, 26-34) and again found a moderate increase in RT up to four stimuli and then a decrease for five stimuli. In Experiment 2, we used a within participants design and compared NR 1 to 5 and 1 to 10 in tactile and visual enumeration. The results showed that enumeration for NR 5 to 1 was faster than for NR 1 to 10, especially for numerosities four and five. Within NR 1 to 10, in the visual modality the subitizing range was 4, the counting range was from 5 to 9, and there was an end effect of 10 dots. In the tactile modality, when excluding one-hand arrangements, the subitizing range was 2, the counting range was from 3 to 5, there was an acceleration of counting from 5 and on, and there was an end effect for 10 stimuli that was stronger than for 10 visual stimuli. We suggest that NR influences enumeration and that number-hand association (i.e. resulting from finger counting) influences enumeration, resulting in faster counting.

Ratio dependence in small number discrimination is affected by the experimental procedure

Adults, infants and some non-human animals share an approximate number system (ANS) to estimate numerical quantities, and are supposed to share a second, 'object-tracking,' system (OTS) that supports the precise representation of a small number of items (up to 3 or 4). In relative numerosity judgments, accuracy depends on the ratio of the two numerosities (Weber's Law) for numerosities >4 (the typical ANS range), while for numerosities ≤4 (OTS range) there is usually no ratio effect. However, recent studies have found evidence for ratio effects for small numerosities, challenging the idea that the OTS might be involved for small number discrimination. Here we tested the hypothesis that the lack of ratio effect in the numbers 1-4 is largely dependent on the type of stimulus presentation. We investigated relative numerosity judgments in college students using three different procedures: a simultaneous presentation of intermingled and separate groups of dots in separate experiments, and a further experiment with sequential presentation. As predicted, in the large number range, ratio dependence was observed in all tasks. By contrast, in the small number range, ratio insensitivity was found in one task (sequential presentation). In a fourth experiment, we showed that the presence of intermingled distractors elicited a ratio effect, while easily distinguishable distractors did not. As the different ratio sensitivity for small and large numbers has been often interpreted in terms of the activation of the OTS and ANS, our results suggest that numbers 1-4 may be represented by both numerical systems and that the experimental context, such as the presence/absence of task-irrelevant items in the visual field, would determine which system is activated.

Developmental Dyscalculia

Developmental dyscalculia (DD) is a specific learning disorder that affects the acquisition of arithmetic skills and number processing in children. A high comorbidity between DD and other neurodevelopmental disorders (e.g., dyslexia, attention-deficit/hyperactivity disorder [ADHD]) as well as substantial heterogeneity in cognitive profiles have been reported. Current studies indicate that DD is persistent, has a genetic component, and is related to functional and structural alterations of brain areas involved in magnitude representation. Recent neuronal and behavioral evidence is presented, showing that DD entails (a) impairments in two preverbal core systems of number, an approximate system for estimating larger magnitudes and an exact system for representing small magnitudes, (b) deficits in symbolic number processing, (c) aberrant and nonadaptive neuronal activation in basic magnitude processing and calculation, (d) dysfunctional arithmetic fact retrieval and persistent use of counting strategies in calculation, and (e) deficits in visuospatial working memory and the central executive. Finally, open research questions, including the role of domain-general cognitive resources in DD, causes and developmental consequences of comorbidity, as well as design and evaluation of interventions for DD, are briefly discussed.

Spontaneous versus trained numerical abilities. A comparison between the two main tools to study numerical competence in non-human animals

A large body of experimental evidence shows that animals as diverse as mammals, birds, and fish are capable of processing numerical information. Considerable differences have been reported in some cases among species and a wide debate currently surrounds the issue of whether all vertebrates share the same numerical systems or not. Part of the problem is due to the fact that these studies often use different methods, a circumstance that potentially introduces confounding factors in a comparative analysis. In most studies, two main methodological approaches have been used: spontaneous choice tests and training procedures. The former approach consists of presenting to the subjects two groups of biologically-relevant stimuli (e.g., food items or social companions) differing in numerosity with the assumption that if they are able to discriminate between the two quantities, they are expected to spontaneously select the larger/smaller quantity. In the latter approach, subjects undergo extensive training in which some neutral stimuli (e.g., a quantity of dots) are associated with a reward and the capacity to learn a numerical rule is taken as evidence of numerical abilities. We review the literature on this topic, highlighting the relevance, and potential weaknesses in controlling confounding factors obtained with either approach.

The role of pattern recognition in children's exact enumeration of small numbers

Enumeration can be accomplished by subitizing, counting, estimation, and combinations of these processes. We investigated whether the dissociation between subitizing and counting can be observed in 4- to 6-year-olds and studied whether the maximum number of elements that can be subitized changes with age. To detect a dissociation between subitizing and counting, it is tested whether task manipulations have different effects in the subitizing than in the counting range. Task manipulations concerned duration of presentation of elements (limited, unlimited) and configuration of elements (random, line, dice). In Study 1, forty-nine 4- and 5-year-olds were tested with a computerized enumeration task. Study 2 concerned data from 4-, 5-, and 6-year-olds, collected with Math Garden, a computer-adaptive application to practice math. Both task manipulations affected performance in the counting, but not the subitizing range, supporting the conclusion that children use two distinct enumeration processes in the two ranges. In all age groups, the maximum number of elements that could be subitized was three. The strong effect of configuration of elements suggests that subitizing might be based on a general ability of pattern recognition.

Dyskalkulie vs. Rechenschwäche: Basisnumerische Verarbeitung in der Grundschule

Laut ICD-10 und DSM-IV-TR muss für die Diagnose einer Dyskalkulie eine Diskrepanz zwischen der allgemeinen kognitiven Leistungsfähigkeit und der tatsächlichen oder vorhergesagten Leistung in einem Mathematiktest vorliegen. Diese Definition impliziert, dass sich rechenschwache Kinder, die diese Diskrepanz aufweisen, von rechenschwachen Kindern ohne Erfüllung des Diskrepanzkriteriums unterscheiden. Die vorliegende Arbeit hatte zum Ziel, mögliche Unterschiede zwischen dyskalkulischen und rechenschwachen Kindern sowie einer Kontrollgruppe in der basisnumerischen Verarbeitung zu prüfen. Zur Identifikation einer Dyskalkulie bzw. Rechenschwäche wurden entweder (a) ein Testverfahren mit basisnumerischem Schwerpunkt (ZAREKI-R) oder (b) Tests zur Erfassung von Rechenfertigkeiten (ZAREKI-R Kopfrechnen und Textaufgaben, HRT 1 – 4 Addition und Subtraktion, WISC-IV rechnerisches Denken) verwendet. Insgesamt bearbeiteten 68 Kinder (Dyskalkulie: Na = 27/Nb = 11, Rechenschwäche: Na = 21/Nb = 18, Kontrollgruppe: Na = 20/Nb = 39) eine Batterie von basisnumerischen Aufgaben: Simultanerfassung, Abzählen, Mengenvergleich, Transkodieren, Number sets und Zahlenstrahl (0 – 100). Zusätzlich wurde die Arbeitsgedächtniskapazität mit einer visuell-räumlichen Aufgabe (Matrixspanne) überprüft. Laut Klassifikation nach ZAREKI-R unterschieden sich rechenschwache und dyskalkulische Kinder in fast allen basisnumerischen Aufgaben klar von der Kontrollgruppe, jedoch nicht untereinander. Bei Klassifikation nach Rechenfertigkeiten konnten rechenschwache und dyskalkulische Kinder ebenfalls nicht differenziert werden, allerdings unterschieden sich nur rechenschwache Kinder von der Kontrollgruppe (bei den Aufgaben Simultanerfassung, Abzählen, symbolischer Mengenvergleich, Transkodieren, Zahlenstrahl). Die Befunde werden vor dem Hintergrund der Verwendung basisnumerischer Fertigkeiten für die Diagnose und Therapie von Dyskalkulie diskutiert.