Pure imagery hemi-neglect of far space

Travel Planning Ability in Right Brain-Damaged Patients: Two Case Reports

Planning ability is fundamental for goal-directed spatial navigation. Preliminary findings from patients and healthy individuals suggest that travel planning (TP)-namely, navigational planning-can be considered a distinct process from visuospatial planning (VP) ability. To shed light on this distinction, two right brain-damaged patients without hemineglect were compared with a control group on two tasks aimed at testing VP (i.e., Tower of London-16, ToL-16) and TP (i.e., Minefield Task, MFT). The former requires planning the moves to reach the right configuration of three colored beads on three pegs, whereas the latter was opportunely developed to assess TP in the navigational environment when obstacles are present. Specifically, the MFT requires participants to plan a route on a large carpet avoiding some hidden obstacles previously observed. Patient 1 showed lesions encompassing the temporoparietal region and the insula; she performed poorer than the control group on the ToL-16 but showed no deficit on the MFT. Conversely, Patient 2 showed lesions mainly located in the occipitoparietal network of spatial navigation; she performed worse than the control group on the MFT but not on the ToL-16. In both cases performances satisfied the criteria for a classical dissociation, meeting criteria for a double dissociation. These results support the idea that TP is a distinct ability and that it is dissociated from VP skills.

Loneliness predicts a preference for larger interpersonal distance within intimate space

Loneliness is thought to serve as an adaptive signal indicating the need to repair or replace salutary social connections. Accordingly, loneliness may influence preferences for interpersonal distance. If loneliness simply motivates a desire to socially reconnect, then loneliness may be associated with a preference for smaller interpersonal distances. According to the evolutionary model of loneliness, however, loneliness also signals an inadequacy of mutual aid and protection, augmenting self-preservation motives. If loneliness both increases the motivation to reconnect and increases the motivation for self-protection, then the resulting approach-avoidance conflict should produce a preference for larger interpersonal distance, at least within intimate (i.e., proximal) space. Here, we report two survey-based studies of participants’ preferences for interpersonal distance to distinguish between these competing hypotheses. In Study 1 (N = 175), loneliness predicted preferences for larger interpersonal distance within intimate space net gender, objective social isolation, anxiety, depressive symptomatology, and marital status. In Study 2 (N = 405), we replicated these results, and mediation analyses indicated that measures of social closeness could not adequately explain our findings. These studies provide compelling evidence that loneliness predicts preferences for larger interpersonal distance within intimate space, consistent with predictions from the evolutionary model of loneliness.

Unilateral spatial neglect after posterior parietal damage

Unilateral spatial neglect is a disabling neurologic deficit, most frequent and severe after right-hemispheric lesions. In most patients neglect involves the left side of space, contralateral to a right-hemispheric lesion. About 50% of stroke patients exhibit neglect in the acute phase. Patients fail to orient, respond to, and report sensory events occurring in the contralateral sides of space and of the body, to explore these portions of space through movements by action effectors (eye, limbs), and to move the contralateral limbs. Neglect is a multicomponent higher-level disorder of spatial awareness, cognition, and attention. Spatial neglect may occur independently of elementary sensory and motor neurologic deficits, but it can mimic and make them more severe. Diagnostic tests include: motor exploratory target cancellation; setting the midpoint of a horizontal line (bisection), that requires the estimation of lateral extent; drawing by copy and from memory; reading, assessing neglect dyslexia; and exploring the side of the body contralateral to the lesion. Activities of daily living scales are also used. Patients are typically not aware of neglect, although they may exhibit varying degrees of awareness toward different components of the deficit. The neural correlates include lesions to the inferior parietal lobule of the posterior parietal cortex, which was long considered the unique neuropathologic correlate of neglect, to the premotor and to the dorsolateral prefrontal cortices, to the posterior superior temporal gyrus, at the temporoparietal junction, to subcortical gray nuclei (thalamus, basal ganglia), and to parietofrontal white-matter fiber tracts, such as the superior longitudinal fascicle. Damage to the inferior parietal lobule of the posterior parietal cortex is specifically associated with the mainly egocentric, perceptual, and exploratory extrapersonal, and with the personal, bodily components of neglect. Productive manifestations, such as perseveration, are not a correlate of posterior parietal cortex damage.

Reciprocal Influences Between Loneliness and Self-Centeredness: A Cross-Lagged Panel Analysis in a Population-Based Sample of African American, Hispanic, and Caucasian Adults

Loneliness has been posited to increase the motivation to repair or replace deficient social relationships and, seemingly paradoxically, to increase the implicit motivation for self-preservation. In the current research, we report a cross-lagged panel analysis of 10 waves of longitudinal data ( N = 229) on loneliness and self-centeredness (as gauged by Feeney and Collins's measure of chronic self-focus) in a representative sample of middle-aged and older adults. As predicted by the proposition that loneliness increases the implicit motivation for self-preservation, loneliness in the current year predicts self-centeredness in the subsequent year beyond what is explained by current-year demographic variables, self-centeredness, depressive symptomatology, and overall negative mood. Analyses also show that self-centeredness in the current year (net covariates) predicts loneliness in the subsequent year, a reciprocal relationship that could potentially contribute to the maintenance of loneliness. Theoretical and practical implications are discussed.

Related but different: Examining pseudoneglect in audition, touch and vision

Although researchers have consistently demonstrated a leftward attentional bias in visual and representational (e.g. tactile/mental number line) line bisection tasks, the results from audition have been mixed. Differences in methodology between auditory and visual bisection tasks, especially with regards to the location of stimuli of peripersonal versus extrapersonal space, have also meant that researchers have not been able to compare performance in visual, tactile and auditory line bisection directly. In this research, 39 neurologically typical individuals participated in standard visual and tactile line bisection tasks, together with a newly developed auditory line bisection task. Results demonstrated significant leftward bisection biases across all three modalities. Hence, we demonstrate auditory pseudoneglect in peripersonal space for the first time. Tactile and auditory line bisections showed a relatively small but statistically reliable correlation, but neither task correlated with visual line bisection. This suggests that the processes underlying auditory line bisection are not synonymous to those involved in visual perceptual bisection, and further we argue that this bias may be related to representational pseudoneglect.

Loneliness: clinical import and interventions

In 1978, when the Task Panel report to the US President's Commission on Mental Health emphasized the importance of improving health care and easing the pain of those suffering from emotional distress syndromes including loneliness, few anticipated that this issue would still need to be addressed 40 years later. A meta-analysis (Masi et al., 2011) on the efficacy of treatments to reduce loneliness identified a need for well-controlled randomized clinical trials focusing on the rehabilitation of maladaptive social cognition. We review assessments of loneliness and build on this meta-analysis to discuss the efficacy of various treatments for loneliness. With the advances made over the past 5 years in the identification of the psychobiological and pharmaceutical mechanisms associated with loneliness and maladaptive social cognition, there is increasing evidence for the potential efficacy of integrated interventions that combine (social) cognitive behavioral therapy with short-term adjunctive pharmacological treatments.

A penny for your thoughts! patterns of fMRI activity reveal the content and the spatial topography of visual mental images

Visual mental imagery is a complex process that may be influenced by the content of mental images. Neuropsychological evidence from patients with hemineglect suggests that in the imagery domain environments and objects may be represented separately and may be selectively affected by brain lesions. In the present study, we used functional magnetic resonance imaging (fMRI) to assess the possibility of neural segregation among mental images depicting parts of an object, of an environment (imagined from a first-person perspective), and of a geographical map, using both a mass univariate and a multivariate approach. Data show that different brain areas are involved in different types of mental images. Imagining an environment relies mainly on regions known to be involved in navigational skills, such as the retrosplenial complex and parahippocampal gyrus, whereas imagining a geographical map mainly requires activation of the left angular gyrus, known to be involved in the representation of categorical relations. Imagining a familiar object mainly requires activation of parietal areas involved in visual space analysis in both the imagery and the perceptual domain. We also found that the pattern of activity in most of these areas specifically codes for the spatial arrangement of the parts of the mental image. Our results clearly demonstrate a functional neural segregation for different contents of mental images and suggest that visuospatial information is coded by different patterns of activity in brain areas involved in visual mental imagery.

Visual Memory in Unilateral Spatial Neglect: Immediate Recall versus Delayed Recognition

Patients with unilateral spatial neglect (USN) often show impaired performance in spatial working memory tasks, apart from the difficulty retrieving “left-sided” spatial data from long-term memory, shown in the “piazza effect” by Bisiach and colleagues. This study's aim was to compare the effect of the spatial position of a visual object on immediate and delayed memory performance in USN patients. Specifically, immediate verbal recall performance, tested using a simultaneous presentation of four visual objects in four quadrants, was compared with memory in a later-provided recognition task, in which objects were individually shown at the screen center. Unlike healthy controls, USN patients showed a left-side disadvantage and a vertical bias in the immediate free recall task (69% vs. 42% recall for right- and left-sided objects, respectively). In the recognition task, the patients correctly recognized half of “old” items, and their correct rejection rate was 95.5%. Importantly, when the analysis focused on previously recalled items (in the immediate task), no statistically significant difference was found in the delayed recognition of objects according to their original quadrant of presentation. Furthermore, USN patients were able to recollect the correct original location of the recognized objects in 60% of the cases, well beyond chance level. This suggests that the memory trace formed in these cases was not only semantic but also contained a visuospatial tag. Finally, successful recognition of objects missed in recall trials points to formation of memory traces for neglected contralesional objects, which may become accessible to retrieval processes in explicit memory.

Neglecting the left side of a city square but not the left side of its clock: prevalence and characteristics of representational neglect

Representational neglect, which is characterized by the failure to report left-sided details of a mental image from memory, can occur after a right hemisphere lesion. In this study, we set out to verify the hypothesis that two distinct forms of representational neglect exist, one involving object representation and the other environmental representation. As representational neglect is considered rare, we also evaluated the prevalence and frequency of its association with perceptual neglect. We submitted a group of 96 unselected, consecutive, chronic, right brain-damaged patients to an extensive neuropsychological evaluation that included two representational neglect tests: the Familiar Square Description Test and the O'Clock Test. Representational neglect, as well as perceptual neglect, was present in about one-third of the sample. Most patients neglected the left side of imagined familiar squares but not the left side of imagined clocks. The present data show that representational neglect is not a rare disorder and also support the hypothesis that two different types of mental representations (i.e. topological and non-topological images) may be selectively damaged in representational neglect.

Imagined tool-use in near and far space modulates the extra-striate body area

Active tool-use can result in the incorporation of the tool into the body schema, e.g., the representation of the arm is enlarged according to tool length. This modification even influences the processing of space: using a long tool leads to a remapping of far space as near space. We here further investigate the interaction of the neural representations of the human body, tool use, and spatial domain. Functional magnetic resonance imaging (fMRI) was performed in twelve right-handed healthy individuals while they imagined moving a cylinder towards a target position in far or near space by mentally using either pliers or a joystick. The fMRI data revealed that already the imagined use of preferred tools in near and far space (i.e., pliers in far space, joystick in near space) modulated the neural activity in the extra-striate body area (EBA) located in the occipito-temporal cortex. Moreover, psycho-physical interaction analysis showed that during imagined tool-use the functional connectivity of left EBA to a network representing the near-personal space around the hand was strengthened. This increased functional connectivity is likely to reflect the neural processes underlying the incorporation of the tool into the body schema. Thus, the current data suggest that simulating tool-use modulates the representation of the human body in extra-striate cortex.

Environment and object mental images in patients with representational neglect: two case reports

The aim of this study was to shed light on the nature of the imagery deficits in two patients with representational neglect and to determine whether representational neglect is affected by the content of the mental images the patients have to generate, inspect and manipulate. In particular, we submitted two patients with different types of representational neglect to a battery of visual mental imagery tests to assess the different kinds of imagery processes. We found that Patient 1, whose performance was asymmetrical on the O'Clock Test, performed poorly on tasks involving the mental generation, inspection and manipulation of objects but showed no deficit on tasks involving the mental generation, inspection and manipulation of environments. On the other hand, Patient 2, whose performance was asymmetrical on the Familiar Squares Description Test, performed poorly on tasks involving the mental generation, inspection and manipulation of environments, but not on tasks involving the mental generation, inspection and manipulation of objects. Our results demonstrate that environments and objects in the imagery domain can be represented separately and can be selectively affected by damage following brain lesions.

Does hemineglect affect visual mental imagery? Imagery deficits in representational and perceptual neglect

To give new insight about the relationship between imagery processes and different types of hemispatial neglect, we assessed different mental imagery abilities in a sample of right- and left-brain-damaged patients. Furthermore, because of reports of a mental representation disorder for environments in patients affected by representational neglect we also tested their navigational imagery ability. We found that patients with no signs of perceptual or representational neglect performed flawlessly on our imagery tasks regardless of whether they had left- or right-sided lesions. By contrast, patients affected by neglect failed most of the tests; in particular, representational neglect patients failed one test of mental transformation and tests requiring the manipulation of cognitive maps. These results suggest there is a specific relationship between hemispatial neglect and deficits in visual mental imagery and demonstrate that the right hemisphere plays a specific role in visual mental imagery.

Selective visual neglect in right brain damaged patients with splenial interhemispheric disconnection

Left unilateral neglect is frequently reported after right hemispheric lesions of the middle cerebral artery (MCA) damaging the parietal-frontal cortical-subcortical network subserving space representation and awareness. However, accumulating evidence shows that neglect can also follow lesions of the posterior cerebral artery (PCA) that do not directly affect this parietal-frontal network. Surgical studies in the monkeys have demonstrated that complete callosal resection combined with lesion of the right optic tract entirely deprives the right hemisphere of visual inputs from the left hemispace provoking severe left unilateral neglect. Here, through the detailed study of two patients we show, for the first time, that PCA lesions selectively affecting the splenium of the corpus callosum and the adjacent right primary visual cortex provoke severe neglect selectively restricted to the visual domain. No trace of personal, motor or representational-imagery neglect was found. Also at variance with previous case studies in which neglect followed lesion of the trunk or the genu of the corpus callosum, no restriction of neglect to tasks performed with the right hand, no left hemispatial limb akinesia, no tactile extinction for the left hand and no tactile anomia for stimuli explored with the left hand were observed. These findings demonstrate that brain lesions depriving intact parietal and frontal attentional areas from specific sensory inputs can yield spatial neglect limited to specific sensory modalities or sectors of space.

Subjective time in near and far representational space

OBJECTIVE

We set out to measure healthy subjects' estimates of temporal duration during the imagination of left and right sides of an object located in either near or far representational space.

BACKGROUND

Duration estimates during the observation of small-scale scenes are shorter than those during the observation of the same scenes presented in a larger scale. It is not known whether a similar space-time relationship also exists for objects merely imagined and whether subjective time varies with a forced focus on either the left or the right side of a mental image.

METHODS

Eyes closed, 40 healthy, right-handed subjects (20 women) had to imagine a standard Swiss railway clock either at a distance of 30 cm or 6 m. They were required to focus on the imagined movement of the second hand and provide estimates of elapsed durations of 15 and 30 seconds. Separate estimates for the left and right side of the clockface were obtained. The magnitude of implicit line bisection error was assessed in a separate task.

RESULTS

Irrespective of side of the clockface, duration estimates were shorter for the clockface imagined in far space than for the one imagined immediately in front of the inner eye. For men, but not women, duration judgments (left relative to right side of the clockface) correlated with relative lengths of left and right line segments in the bisection task.

CONCLUSIONS

Subjective time seems to run faster during the inspection of a small-size compared with a larger-size mental image. This finding underlines the equivalence of the laws that guide both exploration and representation of space. Together with the observed correlation between spatial and temporal measures of lateral asymmetries, the result also illustrates the conceptual similarities in the processing of space and time. The normative data presented here may be useful for clinical applications of the paradigm in patients with hemispatial neglect or a distorted perception of time.

Landmark based navigation in brain-damaged patients with neglect

We tested navigational abilities of brain-damaged patients suffering from representational or perceptual neglect asking them to retrieve a location according to salient spatial cues included in a rectangular empty room. Both groups of patients showed difficulties in learning the spatial definition of the target location in relation to two landmarks. However in a delayed attempt performed after several trials the group of patients with perceptual neglect proved able to easily retrieve the target location. In this condition they performed as controls showing a spared ability to navigate according to a stable representation of the room in long-term memory. In contrast the difficulty of patients with representational neglect remained unchanged across experimental conditions. At variance with clinical assessment, in which patients show asymmetrical performances in describing a well-known environment from memory, this latter result depicts a behavioural counterpart of the disorder, namely the inability to orient in a new environment according to an inner representation. Data are further discussed in order to provide a description of the cognitive mechanisms required for space representation for navigation.

Pure representational neglect and navigational deficits in a case with preserved visuo-spatial working memory

We describe a patient who, after right hemisphere damage, showed severe, persistent, pure representational neglect but no evidence of perceptual neglect and no deficits in spatial working memory when evaluated with a traditional clinical test (Corsi Block Tapping test). This finding provides evidence against a full explanation of representational neglect within the context of visuo-spatial working memory. Indeed, this patient showed a peculiar deficit in navigational tasks requiring re-orientation in a novel environment by means of his mental representation of the environment. Since no representational neglect was observed in tests requiring mental representation of single or multiple objects (i.e., o'clock test) we suggest that in our patient representational neglect is caused by damage to the cognitive system involved in coding and storing environmental information to be used during navigation.

Neural mechanisms underlying spatial judgements on seen and imagined visual stimuli in the left and right hemifields in men

We investigated the neural networks involved in spatial judgements on visual and imagined stimuli in the left and right hemifields. Twenty healthy male right-handers were scanned using fMRI. In an adaptation of the Mental Clock Test, subjects judged whether the angle between visually presented or to be imagined clock hands at a given time (e.g. "12:20") was >90 degrees or <90 degrees . The angle formed by the clock hands was always located either on the left or right hemifield of the clock face, constituting a 2x2 factorial design with factors stimulus type (visual "V", imagined "I") and attention to spatial hemifield (left "L", right "R"). The contrast I>V revealed a bilateral neural network which included the superior parietal, prefrontal and antero-dorsal cingulate cortex. While right superior parietal cortex was activated during both RV and LV, left superior parietal cortex was only active during RV. The contrast RI versus LI (and vice versa) did not reveal significant differences with respect to activation height. However, a masking procedure and the calculation of a laterality index showed that RI recruited larger areas in the left than in the right hemisphere, while LI led to symmetrical activations in both hemispheres. Our data thus confirm that there are hemifield-specific asymmetries in brain activity during spatial processing of both visual and imagined stimuli. Our data indicate, however, that these asymmetries are less clear and of a different nature in the latter. Overall, our findings converge with neuropsychological data showing that representational and visuospatial neglect do not always co-occur.

Letters lost in space: hemispace dependent handwriting errors

Although handwriting is a daily life activity commonly attributed to the left hemisphere in the majority of right-handers, it is also known to require attentional and spatial mechanisms that rely on right hemispheric processing. The underlying spatial organization of handwriting in patients with right brain damage remains unresolved. Here we show in a patient with circumscribed right superior parietal damage that handwriting systematically depends on the hand's position in space with respect to her body-midline. Most importantly, handwriting in contralesional space not only leads to spatial but also to language errors. This suggests that the right hemisphere's role in handwriting may surpass its generally assumed purely spatial contribution. We discuss our results in term of co-registration between both cerebral hemispheres in language processing.