Global-local visual processing in schizophrenia: evidence for an early visual processing deficit.

BACKGROUND: Abnormalities in early-stage visual processing might contribute to observed higher neurocognitive deficits in schizophrenia, but to date no clear link has been established. Schizophrenia has been associated with deficits in the magnocellular visual pathway, suggesting a relative bias for processing elemental (local) as opposed to configural (global) aspects of a hierarchical stimulus; however, global-local paradigm studies in schizophrenia have yielded mixed results. METHODS: In the current study, global-local and event-related potential (ERP) procedures were concomitantly used to assess temporal and spatial characteristics of hierarchical visual stimulus processing abnormalities. RESULTS: Patients (n = 24) had slower and less accurate responses to global stimuli than a healthy comparison group (n = 29). They exhibited a marked decrement in N150 ERP amplitude, which correlated with speed of response to global stimuli. They also failed to show an augmented P300 response to local stimuli. CONCLUSIONS: Behavioral and physiological data are consistent and support a global visual processing deficit in schizophrenia. This is manifest at a relatively early stage of visual processing and might relate to physiological disturbances in areas V3/V3a of the extrastriate cortex.     

Visual perception without awareness in a patient with posterior cortical atrophy: impaired explicit but not implicit processing of global information.

A patient with progressive posterior cortical atrophy (PCA) was examined on several tests of visual cognition. The patient displayed multiple visual cognitive deficits, which included problems identifying degraded stimuli, attending to two or more stimuli simultaneously, recognizing faces, tracing simple visual stimuli, matching simple shapes, and copying objects. The patient was also impaired in identifying visual targets contained at the global level within global-local stimuli (i.e., smaller letters that compose a larger letter). Although the patient denied any conscious awareness of the global form, he nevertheless displayed a normal pattern of global interference when asked to identify local level targets. Thus, the patient processed the global information despite not being consciously aware of such information. These results suggest that global-local processing can take place in the absence of awareness. Possible neurocognitive mechanisms explaining this dissociation are discussed.     

Meaningfulness and global-local processing in schizophrenia

The present work aimed to study the influence of the meaningfulness of stimuli during global-local processing in schizophrenia. Study participants were asked to determine whether pairs of compound stimuli (global forms composed of local forms) were identical or not. Both global and local forms represented either objects or non-objects. Results indicated that when identification processes were useful for performing the task, similar global-local response patterns were observed in patients and controls. However, patients were more affected than controls when an object was present at a distractor level, particularly when this information came from the local level. These results are discussed in terms of the conjunction of executive and visuospatial deficits and underscore the importance of meaningful identification in the visual perception of schizophrenia patients, given its central role in day-to-day situations.     

Neural substrates differentiating global/local processing of bilateral visual inputs

We investigated neural substrates of global/local processing of bilateral hierarchical stimuli using functional magnetic resonance imaging (fMRI). Subjects were presented with two compound letters that were displayed simultaneously in the left and right visual fields, respectively. In a steady-state, block-design paradigm, hemodynamic responses were recorded while subjects detected infrequent global or local targets presented in one hemifield in separate epochs of trials. While behavioural responses were more accurate and faster to global than local targets, attention to the global level of bilateral visual inputs induced stronger activations in the left and right temporal cortex relative to attention to the local level. However, attention to the local level generated stronger activations in bilateral superior parietal cortex compared with attention to the global level. The results suggest that distinct neural substrates in the temporal and parietal cortices are preferentially engaged in the global and local processing of bilateral visual inputs, respectively.     

Directed and divided attention in Alzheimer's disease: impairment in shifting of attention to global and local stimuli.

This study investigated the relative performance of Alzheimer's disease (AD) patients and normal controls on directed and divided attention reaction time (RT) tasks that involved the use of global-local stimuli (e.g., a large '1' made from small '2s'). Relative to normals, AD patients displayed disproportionately greater impairment on the divided attention task compared to the directed attention task. On the divided attention task, when the target remained at the same global-local level across consecutive trials, the AD patients displayed a greater facilitation effect than did the controls when responding to the second stimulus. However, when the target changed levels across consecutive trials (i.e., from the global to the local, or vice versa) the AD patients' RTs to the second stimulus were disproportionately slower than were the controls' RTs. These results demonstrated that AD patients are impaired in disengaging and shifting attention across levels of perceptual organization within the same stimulus.     

Visual attention in long-term survivors of leukemia receiving cranial radiation therapy.

The effect of cranial radiation therapy (CRT) on visual attention was examined in long-term survivors of childhood acute lymphoblastic leukemia (ALL) compared to peers with no history of ALL (n = 24) using a cued orienting task and a global-local task. ALL participants treated with CRT (n = 13) demonstrated an increased cost in response time with invalid spatial orienting cues and inefficient shifts of attention across hierarchical levels. ALL participants treated only with chemotherapy (n = 8) showed performance similar to the non-ALL comparison group. Participants with exposure to CRT early in life appeared to largely account for the attention deficits, and showed particular difficulties with shifting attention from the local level of stimuli to the global level. The data are consistent with prior reports emphasizing attention deficits following CRT, and suggest that attention shifting may be particularly affected by CRT early in life.     

Magnocellular and parvocellular contributions to backward masking dysfunction in schizophrenia

Patients with schizophrenia have repeatedly shown deficits in visual processing. These deficits have been well documented using visual backward masking (VBM). The VBM deficit in schizophrenia is thought to be due to aberrant interactions between magnocellular (M) and parvocellular (P) visual pathways. To date, no study has studied these claims with rigorous stimuli isolating M and P pathway responses. This study examined the function of each pathway and their interactions by creating M- and P-biased targets based on their known physiological properties. The M system responds to very low luminance contrast whereas the P system does not, and the P system responds to color contrast whereas the M system generally does not. Thus, to activate the P system, target letters and masks utilized color contrast, and to activate the M system, target letters and masks utilized very low luminance contrast. Four conditions were presented such that M- and P-biased targets were paired with both M- and P-biased masks. A significant Group x Mask Condition interaction was found when a P target was used in combination with an M or P mask, but not when an M target was used. In particular, schizophrenia patients needed significantly longer interstimulus intervals (ISIs) than controls to escape from masking in the P target/M mask condition, but not in any of the other three conditions. In addition, the critical stimulus durations (CSDs) for unmasked stimuli were significantly increased for both M and P targets in patients relative to controls.These findings demonstrate a significant impairment in M, but not P pathway, function in patients with schizophrenia. Furthermore, deficits of letter identification, including those of P targets, may also reflect impairment of the M pathway given the priming function of the dorsal stream.     

Neural mechanisms of global/local processing of bilateral visual inputs: an ERP study.

OBJECTIVE: Examine the neural mechanisms of global/local processing of multiple hierarchical stimuli. METHODS: Event-related brain potentials (ERPs) were recorded from adults who selectively attended to the global or local level of two compound letters that were simultaneously presented in the left and right visual fields, respectively. The compound stimuli were either broadband in spatial frequency (SF) spectrum or contrast balanced to remove low SFs. Subjects were asked to detect the presence of a global or local target that might appear in either the left or the right visual field in separate blocks of trials. RESULTS: Attention to the local level of broadband stimuli elicited a positivity over lateral occipital sites at 80-120 ms (P1) with larger amplitude than those in the global attention condition. However, global attention produced an enhanced positivity at 240-320 ms (P2) over lateral occipital sites relative to local attention. Both the P1 and P2 waves in the global condition were of larger amplitudes over the left than right hemispheres. Contrast balancing eliminated the P1 and P2 effects and modulated the hemispheric asymmetry of the long-latency occipital positivity. CONCLUSIONS: The results provide ERP evidence for modulations of neural activities in the visual cortex by global/local attention to concurrently presented multiple compound letters. Moreover, the modulation of brain activities by global/local attention depends upon the presence of low SFs in the compound stimuli. SIGNIFICANCE: The ERP results of this study contribute to the understanding of neural mechanisms of the processing of simultaneously-presented multiple compound stimuli.     

The advantage in being magnocellular: a few more remarks on attention and the magnocellular system

We have recently proposed a model of visual processing in which object recognition through the ventral stream into inferotemporal cortex is facilitated by an initial rapid feedforward sweep through the dorsal stream activating parietal and frontal regions prior to subsequent feedback to primary visual cortex (V1). Modulation of inferotemporal cortex also requires feedback from frontal regions, and horizontal connections from the dorsal stream. Aspects of this model, however, have been called into question-in particular the timing advantage of magnocellular over parvocellular arrivals in V1 (the 'magnocellular advantage'), the link between attention and the magnocellular system, and also the role of MT in smooth pursuit and saccadic eye movements. These criticisms are each rebutted in detail here, and the basis for a model derived from the magnocellular advantage is reaffirmed.     

Parietal lobe mechanisms of spatial attention: modality-specific or supramodal?

Is the spatial attention system divided into separate, modality-specific subsystems, or is there a supramodal spatial attention system? More specifically, does the role of the parietal lobe in spatial attention involve modality-specific or supramodal mechanisms? We addressed this question using a variant of Posner's spatial cuing task. Parietal-lesioned patients performed a simple reaction time task to lateralized visual target stimuli, preceded on each trial by either non-predictive lateralized visual cue stimuli or non-predictive lateralized auditory cue stimuli. With both types of cues, we found disproportionate slowness in responding to invalidly cued contralesional targets, indicative of an impairment in disengaging attention from the ipsilesional to the contralesional side of space. The finding of an attentional disengagement impairment for visual targets with auditory cues implies that the parietal lobe's attentional mechanism operates on a representation of space in which both visual and auditory stimuli are represented, in other words, a supramodal representation of space.     

Sensory Contributions to Impaired Emotion Processing in Schizophrenia

Both emotion and visual processing deficits are documented in schizophrenia, and preferential magnocellular visual pathway dysfunction has been reported in several studies. This study examined the contribution to emotion-processing deficits of magnocellular and parvocellular visual pathway function, based on stimulus properties and shape of contrast response functions. Experiment 1 examined the relationship between contrast sensitivity to magnocellular- and parvocellular-biased stimuli and emotion recognition using the Penn Emotion Recognition (ER-40) and Emotion Differentiation (EMODIFF) tests. Experiment 2 altered the contrast levels of the faces themselves to determine whether emotion detection curves would show a pattern characteristic of magnocellular neurons and whether patients would show a deficit in performance related to early sensory processing stages. Results for experiment 1 showed that patients had impaired emotion processing and a preferential magnocellular deficit on the contrast sensitivity task. Greater deficits in ER-40 and EMODIFF performance correlated with impaired contrast sensitivity to the magnocellular-biased condition, which remained significant for the EMODIFF task even when nonspecific correlations due to group were considered in a step-wise regression. Experiment 2 showed contrast response functions indicative of magnocellular processing for both groups, with patients showing impaired performance. Impaired emotion identification on this task was also correlated with magnocellular-biased visual sensory processing dysfunction. These results provide evidence for a contribution of impaired early-stage visual processing in emotion recognition deficits in schizophrenia and suggest that a bottom-up approach to remediation may be effective.     

Effects of saliency, not global dominance, in patients with left parietal damage

Neuropsychological and functional imaging studies have shown a general right hemisphere advantage for processing global visual information and a left hemisphere advantage for processing local information. There is also evidence for the left parietal lobe being important for switching attention between local and global levels. Here we examined whether the left parietal lobe is associated with another aspect of attentional control over hierarchical visual processing; namely, ignoring the irrelevant aspect of the stimulus when it is more salient than the target attribute. In experiment 1 a group of left parietal patients were abnormally affected by a salient local stimulus that significantly interfered with their ability to identify global shapes. This effect was reversed in experiment 2 when small sized compound letters were used (where the global shape was more salient than the local letters). The patients then had difficulty ignoring the global shape. Experiments 3 and 4 demonstrated that the failure to accurately identify global form in experiment 1 could not be attributed to a difficulty in spreading attention across a large area. Finally, in experiment 4 the effect of a salient irrelevant stimulus was significantly attenuated when the irrelevant level did not map onto a response. The data indicate that damage to the left parietal lobe disrupts the ability to select attributes of stimuli that have low salience when other attributes have high salience for the task.     

Magnocellular contributions to impaired motion processing in schizophrenia

Patients with schizophrenia show impairments in motion processing, along with deficits in lower level processing primarily involving the magnocellular visual pathway. The present study investigates potential magnocellular contributions to impaired motion processing in schizophrenia using a combined neurophysiological and behavioral approach. As compared to prior motion studies in schizophrenia, thresholds were determined for both incoherent and coherent visual motion. In this study, velocity discrimination thresholds were measured for schizophrenia patients (n=14) and age-matched normal control subjects (n=16) using a staircase procedure. Early visual processing was evaluated using steady-state visual evoked potentials (ssVEP), with stimuli biased toward activation of either the magnocellular or parvocellular visual pathways through luminance contrast manipulation. Patients with schizophrenia showed poor velocity discrimination for both incoherent and coherent motion, with no significant group x task interaction. Further, when coherent motion performance was measured at individually determined incoherent motion thresholds, accuracy levels for patients were similar to controls, also indicating similarity of deficit for incoherent vs. coherent motion discrimination. Impairments in velocity discrimination correlated significantly with reduced amplitude of ssVEP elicited by magnocellular -- but not parvocellular -- selective stimuli. This study demonstrates that deficits in motion processing in schizophrenia are significantly related to reduced activation of the magnocellular visual system. Further, this study supports and extends prior reports of impaired motion processing in schizophrenia, and indicates significant bottom-up contributions to higher-order cognitive impairments.     

Directed and divided attention during hierarchical processing in patients with visuo-spatial neglect and matched healthy volunteers

Hierarchically organized figures (for example, a large E made up of smaller N's) are frequently used to investigate directed and divided attention. Investigations of neurological and psychiatric patients, and also tachistoscopic and functional neuroimaging studies on healthy subjects, typically find the right hemisphere to be specialized for the processing of global stimuli and the left hemisphere to be specialized for the processing of local stimuli. In the current study, a group of 12 patients with visuo-spatial neglect (NP) after right hemisphere lesions and 12 age and sex-matched control subjects (CO) performed a directed and a divided attention task with hierarchically organized letters. As expected, faster reaction times were found for control subjects than for neglect patients, especially for the directed global attention task. Lower error rates were found for CO and NP for local than for global targets during the divided attention condition. Local on global interference was found for both groups in reaction times. These local processing advantages for older healthy adults have been reported previously. Additionally, an impairment in the divided attention task was found in both groups, but especially for global targets in NP. This impairment is consistent with other evidence of difficulty in disengaging attention shown by patients with visuo-spatial neglect.     

The visual backward masking deficit in schizophrenia

1. Subjects with schizophrenia have an impairment very early in visual information processing, requiring a longer minimal stimulus duration than normal controls to identify a target stimulus. Subjects with schizophrenia have a deficit in visual backward masking, identifying fewer target stimuli than normal controls when the target is briefly obscured by a second visual stimulus When interstimulus interval is increased parametrically, subjects with schizophrenia have trouble identifying target stimuli at intervals that do not affect the performance of normal controls. 2. The visual backward masking deficit: is trait-related; is associated with negative symptoms but has also been associated with measures of thought disorder; may or may not be related to treatment with neuroleptic medication or other neurocognitive deficits of schizophrenia; is of unclear etiology, though researchers have speculated that it involves magnocellular channels and/or the cortical dorsal visual processing stream; has been shown to be heritable in one study. 3. If visual information processing deficits are observed in the unaffected siblings of schizophrenic patients, it may be a candidate intermediate phenotype.     

Perception of static eye gaze direction facilitates subsequent early visual processing.

OBJECTIVE: Using event-related potentials (ERPs), it has been recently shown that a reflexive shift of attention following the observation of a dynamic eye gaze cue enhances and speeds up early visual processing of a target presented at the gazed-at location. Here we investigate whether similar early sensory modulations are also elicited by static gaze cues, or if previously described attentional effects were caused mainly by visual motion cues and not by eye gaze direction per se. Furthermore, we explore if these possible attentional orienting effects reflect facilitation of the processing of cued stimuli, inhibition of the unattended stimuli, or both. METHODS: Subjects were presented with a face looking to the right or left visual field (VF), or straight away, before the occurrence of a lateralized target to detect. There were 3 conditions in this nonpredictive cueing task: (1) target presented in the VF indicated by the eye gaze direction (congruent); (2) opposite to the eye gaze direction (incongruent); or (3) preceded by a straight gazing face (neutral). RESULTS: Subjects were faster at detecting congruently than incongruently and neutrally cued targets. Facilitation effects were observed on early ERP components: the occipital P1 and occipito-temporal N1 components were speeded up as early as approximately 100 ms following stimulus onset (P1), and enhanced (P1 and N1) in response to congruent trials, particularly in the right hemisphere. CONCLUSIONS: Spatial attention triggered by static eye gaze direction produces response facilitations - predominantly lateralized to the right hemisphere - from the early sensory stages of visual processing. Significance: This study provides the first evidence of a speeding up and amplification of early visual processing following attention triggered by static eye gaze perception.     

Neural correlates of within-level and across-level attention to multiple compound stimuli

Event-related potentials (ERPs) were recorded to investigate the neural mechanisms of attention to the same or different levels of two compound letters presented concurrently in the left and right visual fields, respectively. Relative to the condition when attention was allocated to the global level of one compound stimulus and the local level of another one (across-level attention), attention to the same level of the two compound stimuli (within-level attention) increased an early positivity between 100 and 140 ms (P1) over the occipito-parietal cortex. A long-latency positivity between 320 and 560 ms (P3) over the central-parietal area was also increased in the within-level relative to across-level attention conditions. The ERP results suggest that, relative to across-level attention, within-level attention to multiple compound stimuli facilitates both early sensory-perceptual processing and late process of stimulus evaluation and identification in hierarchical analysis.     

Age-related differences in global-local processing: stability of laterality differences but disproportionate impairment in global processing.

Visual processing of global and local features differentially engages the right and left hemispheres and requires different allocations of spatial attention. To further understand the decline in visual cognition and visual attention with age, we studied the performance of healthy young subjects and healthy elders on a global-local figures task. The results showed that elders processed global images more quickly when presented in the left visual field and local images in the right visual field, similarly to the young controls. However, we did observe a significant impairment in the elders' ability to process global figures compared with local figures, despite there being no overall difference between global and local processing speed among the young. It is thought that this age-related decline in global processing is related to the narrowed attentional field that can be demonstrated in other age-related visual processing declines such as visual search and useful field of view.     

Global–Local Visual Processing in High Functioning Children with Autism: Structural vs. Implicit Task Biases

Global–local processing was examined in high-functioning children with autism and in groups of typically developing children. In experiment 1, the effects of structural bias were tested by comparing visual search that favored access to either local or global targets. The children with autism were not unusually sensitive to either level of visual structure. In experiment 2 a structural global bias was pitted against an implicit task bias favoring the local level. Children with autism were least sensitive to the structural global bias but showed greater sensitivity to the implicit task bias. This suggests that autism is associated with differences in the executive control processes used to guide attention to either the global or local level, and strategies may be more “data driven”.     

Deficits in visual feature binding under isoluminant conditions

The contribution of the magnocellular stream to visual feature binding was examined psychophysically through the use of isoluminant stimuli. Subjects were presented with three briefly flashed colored letters arranged in an array and asked to identify the shape and color of the center letter. The rate of illusory conjunctions was much higher when the letters were isoluminant with a gray background, compared to when the letters were either brighter or dimmer. Over 90% of conjunction errors involved pairing the wrong shape with the correct color, rather than vice versa. Directing attention to the target location with a nonisoluminant cue did not reduce illusory conjunctions. High rates of binding errors under isoluminance are interpreted here in terms of abnormalities in visual form processing rather than an attentional effect. In another experiment designed to examine the role of synchrony in feature binding, the rate of illusory conjunctions was highest when flanking letters were presented before the central target letter and not synchronously.