Self-monitoring in schizophrenia : weighting exteroceptive visual signals against self-generated vestibular cues

Disturbances in self-monitoring are core symptoms of schizophrenia. Some research suggests an over-reliance on exteroceptive cues and a reduced weighting of self-generated interoceptive signals to guide perception. The vestibular sense provides important self-generated information about the body in space. Alterations of vestibular function are reported in schizophrenia, but it is unknown whether internally generated vestibular information is discounted in favour of exteroceptive input. In this study, we test for evidence of an over-reliance on exteroceptive visual cues and a reduced weighting of vestibular signals in guiding perception. In a group of individuals with schizophrenia and healthy controls, we used a well-studied visual illusion – the Tilt Illusion – to probe the respective weight given to visual and vestibular cues in judging line orientation. The Tilt Illusion reveals that perceived orientation of a vertical grating is biased by the orientation in its surround. This illusion increases when the head is tilted, due to the reduced reliability of vestibular information that would otherwise provide an internally generated reference for vertical. We predicted that an over-reliance on exteroceptive cues in schizophrenia would lead to a reduced susceptibility to the effects of head position on Tilt Illusion strength. We find no difference between patients and controls. Both groups show comparable Tilt Illusion magnitudes that increase when the head is tilted. Thus, our findings suggest that chronic patients with schizophrenia adequately combine self-generated vestibular cues and exteroceptive visual input to judge line verticality. A stronger reliance on exteroceptive information over internally generated signals in guiding perception is not evident in our data. Deficits in self-monitoring might therefore be modality specific or state dependant

Holistic processing of gaze cues during interocular suppression

Direct eye contact is preferentially processed over averted gaze and has been shown to gain privileged access to conscious awareness during interocular suppression. This advantage might be driven by local features associated with direct gaze, such as the amount of visible sclera. Alternatively, a holistic representation of gaze direction, which depends on the integration of head and eye information, might drive the effects. Resolving this question is interesting because it speaks to whether the processing of higher-level social information in the visual system, such as facial characteristics that rely on holistic processing, is dependent on conscious awareness. The Wollaston Illusion is a visual illusion that allows researchers to manipulate perceived gaze direction while keeping local eye features constant. Here we used this illusion to elucidate the driving factor facilitating the direct gaze advantage during interocular suppression. Using continuous flash suppression, we rendered Wollaston faces with direct and averted gaze (initially) invisible. These faces conveyed different gaze directions but contained identical eye regions. Our results showed clear evidence for a direct gaze advantage with Wollaston faces, indicating that holistic representations of gaze direction may drive the direct gaze advantage during interocular suppression

Examining motion speed processing in schizophrenia using the flash lag illusion

Research on visual perception in schizophrenia suggests a deficit in motion processing. Specifically, difficulties with discriminating motion speed are commonly reported. However, speed discrimination tasks typically require participants to make judgments about the difference between two stimuli in a two-interval forced choice (2IFC) task. Such tasks not only tap into speed processing mechanisms, but also rely on higher executive functioning including working memory and attention which has been shown to be compromised in schizophrenia. We used the Flash Lag illusion to examine speed processing in patients with schizophrenia. Based on previous research showing a strong dependence between motion speed and the illusion magnitude, we expected a deficit in speed processing to alter this relationship. A motion processing deficit in patients would also predict overall reductions in perceived lag. We found the magnitude and speed dependence of the Flash Lag illusion to be similar in patients and controls. Together, the findings suggest no general abnormality in motion speed processing in schizophrenia

No influence of eye gaze on emotional face processing in the absence of conscious awareness

The human brain has evolved specialised mechanisms to enable the rapid detection of threat cues, including emotional face expressions (e.g., fear and anger). However, contextual cues – such as gaze direction – influence the ability to recognise emotional expressions. For instance, anger paired with direct gaze, and fear paired with averted gaze are more accurately recognised compared to alternate conjunctions of these features. It is argued that this is because gaze direction conveys the relevance and locus of the threat to the observer. Here, we used continuous flash suppression (CFS) to assess whether the modulatory effect of gaze direction on emotional face processing occurs outside of conscious awareness. Previous research using CFS has demonstrated that fearful facial expressions are prioritised by the visual system and gain privileged access to awareness over other expressed emotions. We hypothesised that if the modulatory effects of gaze on emotional face processing occur also at this level, then the gaze-emotion conjunctions signalling self-relevant threat will reach awareness faster than those that do not. We report that fearful faces gain privileged access to awareness over angry faces, but that gaze direction does not modulate this effect. Thus, our findings suggest that previously reported effects of gaze direction on emotional face processing are likely to occur once the face is detected, where the self-relevance and locus of the threat can be consciously appraised

Objects that induce face pareidolia are prioritized by the visual system

The human visual system has evolved specialized neural mechanisms to rapidly detect faces. Its broad tuning for facial features is thought to underlie the illusory perception of faces in inanimate objects, a phenomenon called face pareidolia. Recent studies on face pareidolia suggest that the mechanisms underlying face processing, at least at the early stages of visual encoding, may treat objects that resemble faces as real faces; prioritizing their detection. In our study, we used breaking continuous flash suppression (b-CFS) to examine whether the human visual system prioritizes the detection of objects that induce face pareidolia over stimuli matched for object content. Similar to previous b-CFS results using real face stimuli, we found that participants detected the objects with pareidolia faces faster than objectmatched control stimuli. Given that face pareidolia has been more frequently reported amongst individuals prone to hallucinations, we also explored whether this rapid prioritization is intact in individuals with schizophrenia, and found evidence suggesting that it was. Our findings suggest that face pareidolia engages a broadly tuned mechanism that facilitates rapid face detection. This may involve the proposed fast subcortical pathway that operates outside of visual awareness

Bottom-up processing of fearful and angry facial expressions is intact in schizophrenia

Judgments of emotion from faces are reportedly impaired in schizophrenia. However, it is unclear whether this is due to a top-down cognitive deficit in evaluating sensory information or a fundamental bottom-up perturbation in the early stages of face encoding. This study examined whether deficits in emotion processing reflect imprecision in the initial preconscious registration of emotional face expressions within the visual system

Responding to joint attention bids in schizophrenia : an interactive eye-tracking study

This study investigated social cognition in schizophrenia using a virtual reality paradigm to capture the dynamic processes of evaluating and responding to eye gaze as an intentional communicative cue. A total of 21 patients with schizophrenia and 21 age-, gender-, and IQ-matched healthy controls completed an interactive computer game with an on-screen avatar that participants believed was controlled by an off-screen partner. On social trials, participants were required to achieve joint attention by correctly interpreting and responding to gaze cues. Participants also completed non-social trials in which they responded to an arrow cue within the same task context. While patients and controls took equivalent time to process communicative intent from gaze shifts, patients made significantly more errors than controls when responding to the directional information conveyed by gaze, but not arrow, cues. Despite no differences in response times to gaze cues between groups, patients were significantly slower than controls when responding to arrow cues. This is the opposite pattern of results previously observed in autistic adults using the same task and suggests that, despite general impairments in attention orienting or oculomotor control, patients with schizophrenia demonstrate a facilitation effect when responding to communicative gaze cues. Findings indicate a hyper-responsivity to gaze cues of communicative intent in schizophrenia. The possible effects of self-referential biases when evaluating gaze direction are discussed, as are clinical implications

Perceptual grouping in the human brain : common processing of different cues

The perception of global scenes and objects consisting of multiple constituents is based on the integration of local elements or features. Gestalt grouping cues, such as proximity or similarity, can aid this process. Using functional MRI we investigated whet her grouping guided by different gestalt cues rely on distinct networks in the brain or share a common network. Our study revealed that gestalt grouping involved the inferior parietal cortex, middle temporal gyrus and prefrontal cortex irrespective of the specific cue used. These findings agree with observations in neurological patients, which suggest that inferior parietal regions may aid the integration of local features into a global gestalt. Damage to this region results in simultanagnosia, a deficit in perceiving multiple objects and global scenes

The representation of color across the human visual cortex : distinguishing chromatic signals contributing to object form versus surface color

Many theories of visual object perception assume the visual system initially extracts borders between objects and their background and then "fills in" color to the resulting object surfaces. We investigated the transformation of chromatic signals across the human ventral visual stream, with particular interest in distinguishing representations of object surface color from representations of chromatic signals reflecting the retinal input. We used fMRI to measure brain activity while participants viewed figure-ground stimuli that differed either in the position or in the color contrast polarity of the foreground object (the figure). Multivariate pattern analysis revealed that classifiers were able to decode information about which color was presented at a particular retinal location from early visual areas, whereas regions further along the ventral stream exhibited biases for representing color as part of an object's surface, irrespective of its position on the retina. Additional analyses showed that although activity in V2 contained strong chromatic contrast information to support the early parsing of objects within a visual scene, activity in this area also signaled information about object surface color. These findings are consistent with the view that mechanisms underlying scene segmentation and the binding of color to object surfaces converge in V2

Perceptual integration of head and eye cues to gaze direction in schizophrenia

The perceptual mechanisms that underlie social experience in schizophrenia are increasingly becoming a target of empirical research. In the context of low-level vision, there is evidence for a reduction in the integration of sensory features in schizophrenia (e.g. increased thresholds for contour detection and motion coherence). In the context of higher-level vision, comparable differences in the integration of sensory features of the face could in theory impair the recognition of important social cues. Here we examine how the sense of where other people are looking relies upon the integration of eye-region cues and head-region cues. Adults with schizophrenia viewed face images designed to elicit the ‘Wollaston illusion’, a perceptual phenomenon in which the perceived gaze direction associated with a given pair of eyes is modulated by the surrounding sensory context. We performed computational modelling of these psychophysical data to quantify individual differences in the use of facial cues to gaze direction. We find that adults with schizophrenia exhibit a robust perceptual effect whereby their sense of other people’s direction of gaze is strongly biased by sensory cues relating to head orientation in addition to eye region information. These results indicate that the visual integration of facial cues to gaze direction in schizophrenia is intact, helping to constrain theories of reduced integrative processing in higher-level and lower-level vision. In addition, robust gaze processing was evident in the tested participants despite reduced performance on a theory of mind task designed to assess higher-level social cognition