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Research recently showed that boredom proneness was associated with increased social distancing rule-breaking in a sample collected early in the COVID-19 pandemic. Here we explore data collected early in the pandemic to examine what factors might drive this relation. We focus on political affiliation. Given the functional account of boredom as a call to action, we hypothesized that this urge to act may drive individuals towards outlets replete with symbolic value (e.g., ideology, identity). In addition, given the politicization of some social distancing rules (e.g., mask wearing), we explored whether those who adhere to strong political ideologies—particularly conservative ideologies—would be more likely to rule-break. Moderation analyses indicated that boredom proneness and social (but not fiscal) conservatism were indeed predictive of rule-breaking. These results highlight the need for both clear messaging emphasizing the strength of communal identity and action (i.e., that “We are all in this together”) and for interventions that emphasize shared collective values in contexts that appeal directly to social conservatives.

Conditions of low and high perceived control often lead to boredom, albeit for different reasons. Whereas, high perceived control may be experienced as boring because the situation lacks challenge, low perceived control may be experienced as boring because the situation precludes effective engagement. In two experiments we test this proposed quadratic relationship. In the first experiment we had participants play different versions of the children's game “rock-paper-scissors” in which they arbitrarily won (intended to maximize feelings of control) or lost (to induce feelings of low control). Despite having only dichotomous conditions, participants reported experiencing a broad range of levels of perceived control. Consistent with our predictions, boredom was highest at low and high levels of perceived control (i.e., a quadratic relation between perceived control and felt boredom). Experiment 2 tested the notion that the mere prospect of gaining control may mitigate boredom. Participants given to believe (erroneously) that they could gain control over the game of rock, paper, scissors were less bored than those who believed there was no possibility of winning at greater than chance levels. This suggests that beliefs concerning prospective control, rather than a given level of perceived control per se, may predict engagement and boredom.

Self-control is critical for successful participation and performance in sports and therefore has attracted considerable research interest. Yet, knowledge about self-control remains surprisingly incomplete and inconsistent. Here, we draw attention to boredom as an experience that likely plays an important role in sports and exercise (e.g., exercise can be perceived as boring but can also be used to alleviate boredom). Specifically, we argue that studying boredom in the context of sports and exercise will also advance our understanding of self-control as a reward-based choice. We demonstrate this by discussing evidence for links between self-control and boredom and by highlighting the role boredom plays for guiding goal-directed behavior. As such, boredom is likely to interact with self-control in affecting sports performance and exercise participation. We close by highlighting several promising routes for integrating self-control and boredom research in the context of sports performance and exercise behavior.

The state of boredom arises when we have the desire to be engaged in goal pursuit, but for whatever reason we cannot fulfil that desire. Boredom proneness is characterized by both frequent and intense feelings of boredom and is an enduring individual difference trait associated with a raft of negative outcomes. There has been some work in educational settings, but relatively little is known about the consequences of boredom proneness for learning. Here we explored the unique contributions of boredom proneness, self-control and self-esteem to undergraduate self-reported higher grade point average (GPA). Within educational settings, prior research has shown self-control and self-esteem to be associated with better academic performance. In contrast, boredom proneness is associated with lower levels of self-control and self-esteem. Our analyses replicate those previous findings showing that self-control acts as a positive predictor of GPA. Importantly, we further demonstrated, for the first time, that boredom proneness has a unique contribution to GPA over and above the contribution of self-control, such that as boredom proneness increases, GPA decreases. We discuss potential mechanisms through which boredom proneness may influence academic performance.

Visual working memory (VWM) involves the encoding and maintenance of visual information over time, with the requirement that object features be accurately bound to spatial locations. We and others have shown that damage to the right hemisphere leads to impaired spatial working memory. Here, we test the notion that right brain damage (RBD) may have consequences for domain general VWM. We had eight RBD patients and a group of healthy control participants perform a VWM task under different loads (1 to 3 items to recall) and spatial competition (high vs. low). All participants were asked to remember the colour of target items presented on the right side of space. Patients showed impaired encoding of information evident in poor precision of memory representations and increased guessing rates even at a set size of only one item. Our data suggests that VWM capacity is severely limited following RBD. Although five of the eight patients presented with neglect, it is not clear whether this deficit in VWM is unique to the syndrome. We suggest that future work should directly pit attention and VWM demands against one another in the same patients to determine whether the confluence of deficits in these domains is the critical determinant of the neglect syndrome. Regardless of the implications for the neglect syndrome, however, our data show that VWM deficits in RBD patients extend into non-spatial feature space.

We have shown recently that damage to the right hemisphere impairs the ability to update mental models when evidence suggests an old model is no longer appropriate. We argue that this deficit is generic in the sense that it crosses multiple cognitive and perceptual domains. Here, we examined the nature of this updating impairment to determine more precisely the underlying mechanisms. We had right (RBD, N = 12) and left brain damaged (LBD, N = 10) patients perform versions of our picture-morphing task in which pictures gradually morph from one object (e.g., shark) to another (e.g., plane). Performance was contrasted against two groups of healthy older controls, one matched on age (HCO-age-matched, N = 9) and another matched on general level of cognitive ability (HCO-cognitively-matched, N = 9). We replicated our earlier findings showing that RBD patients took longer than LBD patients and HCOs to report seeing the second object in a sequence of morphing images. The groups did not differ when exposed to a morphing sequence a second time, or when responding to ambiguous images outside the morphing context. This indicates that RBD patients have little difficulty alternating between known representations or labeling ambiguous images. Instead, the difficulty lies in generating alternate hypotheses for ambiguous information. Lesion overlay analyses, although speculative given the sample size, are consistent with our fMRI work in healthy individuals in implicating the anterior insular cortex as critical for updating mental models.

In a constantly changing environment we must adapt to both abrupt and gradual changes to incoming information. Previously, we demonstrated that a distributed network (including the anterior insula and anterior cingulate cortex) was active when participants updated their initial representations (e.g., it's a cat) in a gradually morphing picture task (e.g., now it's a rabbit; Stöttinger et al., 2015). To shed light on whether these activations reflect the proactive decisions to update or perceptual uncertainty, we introduced two additional conditions. By presenting picture morphs twice we controlled for uncertainty in perceptual decision making. Inducing an abrupt shift in a third condition allowed us to differentiate between a proactive decision in uncertainty-driven updating and a reactive decision in surprise-based updating. We replicated our earlier result, showing the robustness of the effect. In addition, we found activation in the anterior insula (bilaterally) and the mid frontal area/ACC in all three conditions, indicative of the importance of these areas in updating of all kinds. When participants were naïve as to the identity of the second object, we found higher activations in the mid-cingulate cortex and cuneus – areas typically associated with task difficulty, in addition to higher activations in the right TPJ most likely reflecting the shift to a new perspective. Activations associated with the proactive decision to update to a new interpretation were found in a network including the dorsal ACC known to be involved in exploration and the endogenous decision to switch to a new interpretation. These findings suggest a general network commonly engaged in all types of perceptual decision making supported by additional networks associated with perceptual uncertainty or updating provoked by either proactive or reactive decision making.

Characterized as an agitated state in which the individual is motivated to engage in their environment but all attempts to do so fail to satisfy, boredom represents a disengaged attentional state that is associated with negative affect and poor self-control. There have been anecdotal reports of increased levels of boredom post-traumatic brain injury (TBI). For the first time, we provide objective evidence that TBI patients do indeed experience higher levels of boredom proneness. Hierarchical regression analyses showed that the presence and severity of head injury were a significant positive predictor of levels of boredom proneness and a negative predictor of self-control. As with healthy controls, TBI patients showed a strong negative correlation between boredom proneness and self-control-those with lower levels of self-control exhibited higher levels of boredom proneness. This was despite the fact that our TBI patients reported higher overall levels of self-control (probably concomitant with their older mean age). The TBI patients also showed strong positive correlations between boredom proneness and measures of physical aggression and anger. Together, this suggests that patients with TBI may be more susceptible to increased levels of boredom proneness and other negative affective states that arise as a consequence of failures of self-control.

In order to survive in a complex, noisy and constantly changing environment we need to categorize the world (e.g., Is this food edible or poisonous?) and we need to update our interpretations when things change. How does our brain update when object categories change from one to the next? We investigated the neural correlates associated with this updating process. We used event-related fMRI while people viewed a sequence of images that morphed from one object (e.g., a plane) to another (e.g., a shark). All participants were naïve as to the identity of the second object. The point at which participants 'saw' the second object was unpredictable and uncontaminated by any dramatic or salient change to the images themselves. The moment when subjective perceptual representations changed activated a circumscribed network including the anterior insula, medial and inferior frontal regions and inferior parietal cortex. In a setting where neither the timing nor nature of the visual transition was predictable, this restricted cortical network signals the time of updating a perceptual representation. The anterior insula and mid-frontal regions (including the ACC) were activated not only at the actual time when change was reported, but also immediately before, suggesting that these areas are also involved in processing alternative options after a mismatch has been detected.

Statistical learning is the implicit learning of the contingencies between sequential stimuli, typically from mere exposure. It is present from infancy onward, and plays a role in functions from language learning to selective attention. Despite these observations, there are few data on whether statistical learning capacity changes with age or after brain injury. In order to examine how brain injury affects the ability to learn and update statistical representations, we had young control and healthy elder participants, as well as participants with either left or right brain injury, perform an auditory statistical learning task. Participants listened to two languages with made-up words that were defined by the transition probability between syllables. Following passive listening, learning was assessed with a two-alternative forced choice test for the most familiar word. As in previous studies, we found that young controls have a learning capacity limitation for statistical learning; a second language is less well learned than the first, and this statistical learning capacity limit is attenuated with age. Additionally, we found that brain damaged patients, whether with left or right hemispheric damage, showed impaired statistical learning. This impairment was not explained by aphasia or cognitive deficits. As statistical learning is a critical skill for daily life, a better appreciation of the nature of this impairment will improve our understanding of the cognitive effects of brain injury and could lead to new rehabilitation strategies.

Boredom is an ubiquitous and consequential human emotion. This chapter argues that it functions as a self-regulatory signal indicating that our cognitive resources are not engaged. It provides a definition of state boredom before developing the broad notion that trait boredom represents a chronic disposition toward maladaptively responding to the boredom signal (i.e., state boredom). The chapter reviews the nascent research employing functional neuroimaging to understand boredom and casts it as being mired in the “here and now” with no clear avenues for escape. Next, it outlines a specific hypothesis that trait boredom arises in circumstances of regulatory non-fit – when our preferred mode of goal pursuit does not match our current behavior. Finally, the chapter explores the notion that state boredom is not intrinsically good or bad. The signal itself does not evaluate what we are doing in any obvious way but merely indicates that change is needed.

Effectively engaging with the world depends on accurate representations of the regularities that make up that world-what we call mental models. The success of any mental model depends on the ability to adapt to changes-to 'update' the model. In prior work, we have shown that damage to the right hemisphere of the brain impairs the ability to update mental models across a range of tasks. Given the disparate nature of the tasks we have employed in this prior work (i.e. statistical learning, language acquisition, position priming, perceptual ambiguity, strategic game play), we propose that a cognitive module important for updating mental representations should be generic, in the sense that it is invoked across multiple cognitive and perceptual domains. To date, the majority of our tasks have been visual in nature. Given the ubiquity and import of temporal information in sensory experience, we examined the ability to build and update mental models of time. We had healthy individuals complete a temporal prediction task in which intervals were initially drawn from one temporal range before an unannounced switch to a different range of intervals. Separate groups had the second range of intervals switch to one that contained either longer or shorter intervals than the first range. Both groups showed significant positive correlations between perceptual and prediction accuracy. While each group updated mental models of temporal intervals, those exposed to shorter intervals did so more efficiently. Our results support the notion of generic capacity to update regularities in the environment-in this instance based on temporal information. The task developed here is well suited to investigations in neurological patients and in neuroimaging settings.

In many research domains, researchers have employed gradually morphing pictures to study perception under ambiguity. Despite their inherent utility, only a limited number of stimulus sets are available, and those sets vary substantially in quality and perceptual complexity. Here we present normative data for 40 morphing picture series. In all sets, line drawings of pictures of common objects are morphed over 15 iterations into a completely different object. Objects are either morphed from an animate to an inanimate object (or vice versa) or morphed within the animate and inanimate object categories. These pictures, together with the normative naming data presented here, will be of value for research on a diverse range of questions, from perceptual processing to decision making.

It has been hypothesized that many of the cognitive impairments commonly seen after right brain damage (RBD) can be characterized as a failure to build or update mental models. We (Danckert et al. in Neglect as a disorder of representational updating. NOVA Open Access, New York, 2012a; Cereb Cortex 22:2745–2760, 2012b) were the first to directly assess the association between RBD and updating and found that RBD patients were unable to exploit a strongly biased play strategy in their opponent in the children’s game rock, paper, scissors. Given that this game required many other cognitive capacities (i.e., working memory, sustained attention, reward processing), RBD patients could have failed this task for various reasons other than a failure to update. To assess the generality of updating deficits after RBD, we had RBD, left brain-damaged (LBD) patients and healthy controls (HCs) describe line drawings that evolved gradually from one figure (e.g., rabbit) to another (e.g., duck) in addition to the RPS updating task. RBD patients took significantly longer to alter their perceptual report from the initial object to the final object than did LBD patients and HCs. Although both patient groups performed poorly on the RPS task, only the RBD patients showed a significant correlation between the two, very different, updating tasks. We suggest these data indicate a general deficiency in the ability to update mental representations following RBD.

Drawing from a still-life is a complex visuomotor task. Nevertheless, experts depict three-dimensional subjects convincingly with two-dimensional images. Studies of drawing have historically relied on human critics’ judgement of the drawings, the professional reputations and self-reported experience of the drawers. To extend that work, we developed an objective measurement of the accuracy of a perspective drawing, based on a comparison of the drawing with a ground truth photograph of the subject taken from the same viewpoint. If we measure the angles at intersecting edges in the drawings we can calculate both local errors and each person’s mean percentage magnitude error across angles in the still life. This gives a continuous objective measure of drawing accuracy that correlates well with years of art experience. Drawing expertise may depend to some extent on more accurate internal models of 3D space. To explore this possibility we had adults with a range of drawing experience draw a still life. Participants also made perceptual judgements of still lifes, both from direct observation and from an imagined side view. A conventional mental rotation task failed to differentiate drawing expertise. However, those who drew angles more accurately were also significantly better judges of slant, i.e., the pitch of edges in the still life. Those with the most drawing experience were significantly better judges of spatial extent, i.e., which landmarks were leftmost, rightmost, nearest, farthest etc. The ability to visualize in three dimensions the orientation and relationships of components of a still life predicts drawing accuracy and expertise.

Boredom proneness has been linked to various forms of cognitive and affective dysregulation including poor self-control and mind-wandering (MW), as well as depression and aggression. As such, understanding boredom and the associated cognitive and affective components of the experience, represents an important first step in combatting the consequences of boredom for psychological well-being. We surveyed 1928 undergraduate students on measures of boredom proneness, self-control, MW, depression and aggression to investigate how these constructs were related. Hierarchical regression analysis indicated that self-control operated as a strong negative predictor of boredom proneness. Finally, when controlling for age and self-control, we observed large decreases in the magnitudes of the relationships between boredom proneness and our other measures of interest. Together, these results imply a strong relationship between boredom proneness and cognitive and affective dysregulation, and show that individual levels of self-control can account for the lion’s share of variance in the relationships between boredom, cognition, and affect.

We recently proposed that the right hemisphere plays a crucial role in the processes underlying mental model building and updating. Here, we review the evidence we and others have garnered to support this novel account of right hemisphere function. We begin by presenting evidence from patient work that suggests a critical role for the right hemisphere in the ability to learn from the statistics in the environment (model building) and adapt to environmental change (model updating). We then provide a review of neuroimaging research that highlights a network of brain regions involved in mental model updating. Next, we outline specific roles for particular regions within the network such that the anterior insula is purported to maintain the current model of the environment, the medial prefrontal cortex determines when to explore new or alternative models, and the inferior parietal lobule represents salient and surprising information with respect to the current model. We conclude by proposing some future directions that address some of the outstanding questions in the field of mental model building and updating. (PsycINFO Database Record

Research has shown that damage to either the left or right hemisphere can lead to deficits in visuoconstructional skills including drawing and figure copying. Nevertheless, research would suggest that the nature of the deficits arising from left and right brain injury are distinct in nature if not severity, with the right hemisphere, and parietal cortex specifically, seen as critical for obtaining accurate spatial relations and the left hemisphere important for effective organisation (i.e., executive function). Much of this work on drawing and figure copying following brain damage has rested on qualitative assessments or crude marking scales with descriptive anchors for what constitutes good or poor performance. We employed quantitative analyses of drawings developed to assess accuracy in novice and expert artists. We analyzed drawings of a cube and a star in 50 patients (23, left brain damaged: LBD; 27 right brain damaged: RBD) who had suffered strokes. Our analysis was sensitive to the presence of neglect on the cube (i.e., missing left sided details) with voxel-wise lesion symptom mapping (VLSM) highlighting involvement of expected brain regions (superior temporal and supramarginal gyri). With left-sided omissions removed from analyses, we failed to find any difference between LBD and RBD patients. While the presence of left neglect appeared to exaggerate errors, this was only significant for errors of scale and proportion for the star drawing. VLSM of the distinct error domains demonstrated white matter involvement (and a minor contribution from the right insula) with respect to scale errors of the cube only. Finally, blinded judgements of hemisphere of lesion based on qualitative assessment of the drawings were no better than chance. These results suggest that figure copying is a complex task relying on large scale neural networks involving both hemispheres. Clearly, models of visuoconstructional capacity that emphasise right hemisphere dominance are not entirely accurate.

Our behavior is predicated on mental models of the environment that must be updated to accommodate incoming information. We had 13 right-brain-damaged (RBD) patients and 10 left-brain-damaged (LBD) patients play the children's game "rock, paper, scissors" against a computer opponent that covertly altered its strategy. Healthy age-matched controls and LBD patients quickly detected extreme departures from uniform play ("paper" chosen on 80% of trials), but the RBD patient group did not. Seven RBD patients presented with neglect and although this was associated with greater impairment in strategy updating, there were exceptions: 2 of 7 neglect patients performed above the median of the patient group and 1 of the 6 nonneglect participants was severely impaired. Although speculative, lesion analyses contrasting high and low performing patients showed that severe impairments were associated with insula and putamen lesions. Interestingly, relative to the controls, the LBD group tended to "maximize" choices in the strongly biased condition (i.e., optimal strategy chosen on 100% of the trials), whereas controls "matched" the computer's strategy (i.e., optimal strategy chosen on 80% of the trials). We conclude that RBD leads to impaired updating of mental models to exploit environmental changes.

International audience; ''Schizophrenia patients demonstrate behavioural and cerebral lateralised anomalies, prompting some authors to suggest they exhibit a mild form of right unilateral neglect. To better describe and understand lateralised visuospatial anomalies in schizophrenia, three experiments were run using tasks often utilised to study visuospatial processing in healthy individuals and in neglect patients: the Behavioural Inattention Test (BIT), the manual line bisection task with and without a local cueing paradigm, the landmark task (or line bisection judgement), and the number bisection task. Although the schizophrenia patients did not exhibit the full-blown neglect syndrome, they did demonstrate marked spatial biases that differentiated them from controls on all but two tasks. More specifically, schizophrenia patients showed neither a simple perceptual deficit nor an asymmetry, but demonstrated (1) lateralised anomalies on a simple manual line bisection task; (2) unilateral attentional deficits for line bisection within a local cueing paradigm; and (3) a lateralised deficit in the visuospatial representations of numbers. Altogether, these results suggest a right hemineglect-like deficit in schizophrenia in attentional, representational, and motor-intentional processes. Yet it does not appear to be as strong a phenomenon. Indeed, it could be considered as an accentuation of the normal asymmetry in visuospatial processing.''

We examined multisecond time estimation (up to 60 s) for visual and auditory events in a patient with left spatial neglect (RR), who grossly underestimated all durations in all tasks. In contrast, healthy controls and a patient with left hemisphere damage (HW) demonstrated accurate estimates of the same durations. These findings add to a growing body of literature suggesting that neglect cannot be understood simply in terms of a bias in orienting attention to one side of space. In addition, these data suggest that the right hemisphere parietal cortex may be important for the perception of time across multiple modalities.

Prism adaptation reduces some symptoms of neglect; however the mechanisms underlying such changes are poorly understood. We suggest that prisms influence neglect by acting on dorsal stream circuits subserving visuomotor control, with little influence on perceptual aspects of neglect. We examined prism adaptation in three neglect patients and a group of healthy controls on line bisection and landmark tasks. Neglect patients showed a dramatic reduction in the rightward bias for line bisection, but absolutely no change in their leftward bias on the landmark task, which is a perceptual equivalent to bisection. However, in controls, prisms produced 'neglect-like' deficits on both the line bisection and landmark tasks. These data suggest that prisms influence visually guided actions more so than perception in neglect.

The classic definition of ‘pure’ optic ataxia suggests that these patients’ visuomotor impairments are independent of perceptual or attentional deficits. More recent work suggests that some patients with optic ataxia also have difficulty attending to targets in their ataxic field. Thus, an important question is whether these attentional deficits might be related to the well-known problems in visuomotor control evident in these patients. To investigate this question we had controls (N = 5) and CF, a patient with optic ataxia in his left visual field, perform tasks that required them to detect or reach towards targets presented in either central vision, or at different target eccentricities in the periphery. As expected, CF was less accurate than controls when reaching to targets in his ataxic (left) visual field, and was much slower than controls to detect the presence of targets in his ataxic field. The reaction times to lift the hand in the pointing and the detecting conditions were correlated in the ataxic field of patient CF, suggesting a common attentional deficit in both tasks. Importantly, although CF was slower to detect targets in the ataxic field, and less accurate to reach towards those same targets, the two deficits did not follow the same pattern. Specifically, only reaching errors in the ataxic field were strongly modulated by target eccentricity. These results suggest that dorsal posterior parietal lesions result in attention and visuomotor control problems in optic ataxia that arise from damage to independent mechanisms.

Several visuo-motor tasks can be used to demonstrate biases towards left hemispace in schizophrenic patients, suggesting a minor right hemineglect. Recent studies in neglect patients used a new number bisection task to highlight a lateralized defect in their visuo-spatial representation of numbers. To test a possible lateralized representational deficit in schizophrenia, we used the number bisection task in 11 schizophrenic patients compared to 11 healthy controls. Participants were required to orally indicate the central number of an interval orally presented. Whereas healthy subjects showed no significant bias, schizophrenic patients presented a significant leftward bias. Therefore, these results suggest an impairment in higher order representations of the number space in patients with schizophrenia, an impairment that is qualitatively similar to the deficit described in neglect patients.

Visual illusions have been shown to affect perceptual judgements more so than motor behaviour, which was interpreted as evidence for a functional division of labour within the visual system. The dominant perception-action theory argues that perception involves a holistic processing of visual objects or scenes, performed within the ventral, inferior temporal cortex. Conversely, visuomotor action involves the processing of the 3D relationship between the goal of the action and the body, performed predominantly within the dorsal, posterior parietal cortex. We explored the effect of well-known visual illusions (a size-contrast illusion and the induced Roelofs effect) in a patient (IG) suffering bilateral lesions of the dorsal visual stream. According to the perception-action theory, IG's perceptual judgements and control of actions should rely on the intact ventral stream and hence should both be sensitive to visual illusions. The finding that IG performed similarly to controls in three different illusory contexts argues against such expectations and shows, furthermore, that the dorsal stream does not control all aspects of visuomotor behaviour. Assuming that the patient's dorsal stream visuomotor system is fully lesioned, these results suggest that her visually guided action can be planned and executed independently of the dorsal pathways, possibly through the inferior parietal lobule.

We investigated the relationship between self-regulation and two types of boredom proneness (perceived lack of internal stimulation, perceived lack of external stimulation) using a variety of measures of self-regulation. These included a general measure of self-control, measures of both regulatory focus (i.e., promotion or a sensitivity to gains/non-gains vs. prevention or a sensitivity to losses/non-losses) and regulatory mode (i.e., assessment or the tendency to compare means and goals vs. locomotion or the tendency to initiate and maintain commitment to action), and measures of cognitive flexibility (i.e., a perceived sense of control and the tendency to seek alternative solutions). Results identified a unique set of factors related to each boredom proneness component. Trait self-control and prevention focus were associated with lower boredom propensity due to a lack of external stimulation. Locomotion and the tendency to seek alternatives were associated with lower boredom propensity due to a lack of internal stimulation. These findings suggest that effective goal pursuit is associated with reduced likelihood of experiencing boredom.

Many of the positive symptoms of schizophrenia, including hallucinations and passivity phenomena, have been related to dysfunction within association cortices. In addition, many of the cognitive deficits observed in patients with schizophrenia can also be characterised as impairments of higher level cognitions known to depend on these same association cortices. While most attention has been directed towards dysfunction of the frontal and temporal cortices, there is mounting evidence for impaired functioning of the parietal cortices as well. That is, there is a substantial body of research demonstrating impaired spatial and motor behaviours in patients with schizophrenia - behaviours known to depend on the parietal cortex. In this selective review we contrast some of these impairments with a neurological syndrome that commonly arises from damage to the right parietal cortex, known as unilateral neglect. Although the spatial impairments characteristic of neglect are far more severe than those observed in patients with schizophrenia, there are some important parallels that make the comparison worthwhile. We intend to outline those parallels and highlight ways in which they may inform models of schizophrenia.

Boredom is a common experience in healthy individuals and may be elevated in various neurological or psychiatric conditions. As yet, very little is known about the cognitive or neural bases of the subjective experience of boredom. We examined temporal perception and the temporal allocation of attention in healthy individuals reporting high- or low-levels of boredom. We found no difference in high- or low-boredom-prone individuals in the temporal allocation of attention, while individuals who experienced low-levels of boredom tended to underestimate time more so than high-boredom-prone individuals. Furthermore, high-boredom-prone individuals demonstrated higher error values when estimating time indicating that the subjective perception of the passage of time may be a critical component to the experience of boredom.

Using variants of a visually guided pointing task, in which subjects make pointing movements towards targets of varying sizes, we explored motor imagery in a patient with visual neglect. When this patient actually pointed towards targets of different sizes he showed the normal correlation between movement duration (MD) and target size, such that MD increased as target size decreased. In contrast, his imagined movements did not show the same speed-accuracy trade-off observed for actual movements. This was true regardless of the hand used or the initial direction of movement (left versus right). The patient performed normally on several tasks of visual imagery, including size estimation, perceptual discrimination and localization of cities on an imagined map. This patient's performance suggests that the networks in the right parietal lobe play an important role in the generation of internal models of motor movements regardless of the hand used to perform the task.

Recent work has shown that pictorial illusions have a greater effect on perceptual judgements than they do on the visual control of actions, such as object-directed grasping. This dissociation between vision for perception and vision for action is thought to reflect the operation of two separate streams of visual processing in the brain. Glover and Dixon claim, however, that perceptual illusions can influence the control of grasping but that these effects are evident only at early stages of the movement. By the time the action nears its completion any effect of illusions disappears. Glover and Dixon suggest that these results are consistent with what they call a 'planning and control' model of action, in which actions are planned using a context-dependent visual representation but are monitored and corrected online using a context-independent representation. We reanalysed data from an earlier experiment on grasping in the Ebbinghaus illusion in which we showed that maximum grip aperture was unaffected by this size-contrast illusion. When we looked at these data more closely, we found no evidence for an effect of the illusion even at the earliest stages of the movement. These findings support the suggestion that the initial planning of a simple object-directed grasping movement in this illusory context is indeed refractory to the effects of the illusion. This is not to suggest that more deliberate and/or complex movements could not be influenced by contextual information.

A common consequence of right-sided brain damage is the syndrome of spatial neglect, which is seen in 40–90 % of patients in the acute phase after stroke [1–4]. The disorder is a debilitating one in which patients fail to attend to stimuli in contralesional, left space [5–8]. Patients with neglect typically require assistance with most activities of daily living and often fail to dress or groom the left side of their body, leave food uneaten on the left side of a plate, and bump into obstacles on their left. In this chapter I first describe the “classic” case of neglect before describing recent work painting a more complicated picture of the constellation of deficits making up the syndrome. I will then review the recent debate regarding the critical lesion site for neglect before discussing recent rehabilitation attempts. The past few decades of research has shown that neglect can no longer be characterized simply as a disorder of attention.

Left neglect following right hemisphere injury is a debilitating disorder that has proven extremely difficult to rehabilitate. Traditional models of neglect have focused on impaired spatial attention as the core deficit and as such, most rehabilitation methods have tried to improve attentional processes. However, many of these techniques (e.g., visual scanning training, caloric stimulation, neck muscle vibration) produce only short-lived effects, or are too uncomfortable to use as a routine treatment. More recently, many investigators have begun examining the beneficial effects of prism adaptation for the treatment of neglect. Although prism adaptation has been shown to have some beneficial effects on both overt and covert spatial attention, it does not reliably alter many of the perceptual biases evident in neglect. One of the challenges of neglect rehabilitation may lie in the heterogeneous nature of the deficits. Most notably, a number of researchers have shown that neglect patients present with severe deficits in spatial working memory (SWM) in addition to their attentional impairments. Given that SWM can be seen as a foundational cognitive mechanism, critical for a wide range of other functions, any deficit in SWM memory will undoubtedly have severe consequences. In the current review we examine the evidence for SWM deficits in neglect and propose that it constitutes a core component of the syndrome. We present preliminary data which suggest that at least one current rehabilitation method (prism adaptation) has no effect on SWM deficits in neglect. Finally, we end by reviewing recent work that examines the effectiveness of SWM training and how SWM training may prove to be a useful avenue for future rehabilitative efforts in patients with neglect.

In a recent opinion paper we argued that prism adaptation (PA) primarily influences motor behaviors and spatial attention in neglect, but may have very little influence on perceptual biases (Striemer and Danckert, 2010b). Furthermore, we also suggested that the effects of PA on motor behaviors and spatial attention in neglect may arise via interactions with the dorsal “vision for action” pathway (Milner and Goodale, 2006), and the “dorsal attention network” that is important for allocating attention to specific locations in space (Corbetta and Shulman, 2002). Thus, we view alterations in shifts of attention following PA as being closely related to changes in motor behaviors (e.g., eye movements) following PA (i.e., the premotor theory of attention; Rizzolatti et al., 1987). See Striemer and Danckert (2010b) for discussion of the effects of PA on attention and motor behaviors and how this may lead to changes in visual imagery tasks. Support for this hypothesis comes from a recent study (Striemer and Danckert, 2010b) in which we demonstrated that rightward PA reduced neglect patient's rightward bias on a manual line bisection task (i.e., marking the center of a line), but had no influence on their performance on a landmark task (judging whether a bisection marker was closer to the left or right end of a line). These results are consistent with other studies demonstrating that although PA influences exploratory motor behaviors (and covert attention) in neglect, they do not necessarily result in changes in perceptual biases (Dijkerman et al., 2003; Ferber et al., 2003; Sarri et al., 2006, 2010; for a review, see Striemer and Danckert, 2010a). For a similar dissociation between improved attention and bisection performance following PA with no changes in spatial working memory, see Saj et al. (2013). In a recent opinion paper in Frontiers in Human Neuroscience, Saevarsson and Kristjansson (2013) suggest that the results of our recent study are not convincing because both of the tests we used involve “contralesional visual input, as well as eye movements, even when responses were made verbally” (i.e., the landmark task; Saevarsson and Kristjansson, 2013). Saevarsson and Kristjansson also highlight that “difficulties of many patients with shifting their gaze to the contralesional side” may be a critical factor in influencing performance. Based on these criticisms they suggest that the two tests were not capable of isolating “perceptual” and “premotor neglect.” There are a number of important points to note in reply to these comments. First, we never intended to use the line bisection and landmark tasks to differentially assess perceptual and premotor neglect. The purpose of using these tasks was simply to demonstrate that it is possible for PA to create beneficial effects for tasks that are completed with the motor effectors involved during adaptation (e.g., a motor response with the adapted hand) without necessarily changing the patient's perceptual bias. Second, while it is clear that both the line bisection and landmark tasks require contralesional visual input and eye movements, it is unclear how this confounds our interpretation. Specifically, given that the stimuli for both tasks extended into both the left and right visual fields, that patients were allowed unlimited viewing time during both tasks, and that patients were free to make eye movements in both tasks, it is unclear how these factors could have led to the dissociated performance we observed (i.e., improvements on the line bisection but not the landmark task). Unfortunately, Saevarsson and Kristjansson (2013) do not construct a plausible alternative account of this dissociation. Third, while difficulty in shifting gaze contralesionally may be a critical factor in influencing performance, previous studies have demonstrated that, following PA, patients do tend to make many more eye movements into contralesional space (Dijkerman et al., 2003; Ferber et al., 2003; Serino et al., 2006). However, this does not translate into changes in perceptual biases (Dijkerman et al., 2003; Ferber et al., 2003). Again, this provides additional support for our notion that changes in motor performance following PA do not translate into changes in perceptual biases. Of course Saevarsson and Kristjansson (2013) claim that these studies did not properly assess aspects of premotor neglect; however, neither study intended (or claimed) to do so. Finally, while many studies have isolated the neural correlates of premotor neglect to the frontal lobes and basal ganglia (e.g., Sapir et al., 2007; Rossit et al., 2009a; Vossel et al., 2010), several authors have questioned whether premotor neglect is even an important component of the neglect syndrome (Coulthard et al., 2006; Himmelbach et al., 2007; Rossit et al., 2009b). Specifically, many of the premotor deficits in neglect are also present in right brain damaged patients without neglect. In this sense we view the issue as to whether the patient has been previously diagnosed as having “perceptual” or “premotor” neglect as largely irrelevant to interpreting the validity of our results. The fact of the matter is, regardless of how one attempts to fractionate neglect (in terms of patient diagnosis) it is clear that PA can influence motor behaviors without influencing perceptual biases (for an alternative view, see Newport and Schenk, 2012). Saevarsson and Kristjansson (2013) also question our theory suggesting that it is unclear what role the dorsal stream might play in the beneficial effects of PA on premotor neglect. While we agree that it is not entirely clear what brain regions are responsible for the beneficial effects of PA in neglect, or what aspects of PA are critical for generating the beneficial effects (Aimola et al., 2012), it seems undeniable that the very brain regions that are directly involved in adaptation (which prominently include the dorsal stream) must play some role in generating the beneficial effects of PA in neglect (see Clower et al., 1996; Danckert et al., 2008; Shiraishi et al., 2008; Luaute et al., 2009; Saj et al., 2013). In their opinion paper Saevarsson and Kristjansson (2013) proposed that in order for a neglect patient to demonstrate the beneficial effects of prisms they must have either premotor neglect, or a combination of visual neglect and premotor neglect, as visual neglect is assumed to play only a passive role in preventing de-adaptation. In essence, their proposal is quite similar to ours in that they suggest PA is more likely to exert its effects through influencing motor behaviors in neglect, although they focus more specifically on premotor neglect. While there is currently little data available to evaluate the validity of their hypothesis, it is certainly an interesting proposal that warrants future investigation. In light of this, we are pleased to see that Saevarsson and Kristjansson (2013) and others have taken an active interest in this topic, as any additional knowledge obtained will only serve to help us better understand how PA remediates symptoms of neglect.

Studies using visual illusions to demonstrate a dissociation within the visual system can provide relevant and decisive data only if certain methodological points are taken into account. Although, our previous work (Stottinger et al. in Exp Brain Res 202:88–97, 2010) followed these points, the task made use of only 2-D stimuli which may raise doubts concerning the nature of grasping in that experiment. We therefore replicated the study using a 3-D version of the empty space illusion. Consistent with the earlier study, that used 2-D stimuli, we found that grip aperture followed actual target size independent of illusory effects, while perceived length, as indicated by finger-thumb span, clearly was subject to the illusion. Therefore, the prior results cannot be due to the use of 2-D stimuli. Together, these two studies provide clear evidence for the perception versus action hypothesis.

The line bisection task is used as a bedside test of spatial neglect patients who typically bisect lines to the right of true centre. To disambiguate the contribution of perceptual from motor biases in bisection, previous research has used the landmark task in which participants determine whether a transection mark is left or right of centre. One recent study using stimuli that reliably leads to leftward perceptual biases in healthy individuals, found that ocular judgements of centre were biased to the right of centre, whereas manual bisections were biased leftwards. Here we used behavioural measures and functional MRI in healthy individuals to investigate ocular and perceptual judgements of centre. Ocular judgements were made by having participants fixate the centre of a horizontal bar that was dark at one end and light at the other (i.e., a ‘greyscale’ stimulus), whereas perceptual responses were made by having participants indicate whether a transection mark on the greyscales stimuli was to the left or right of centre. Behavioural data indicated a leftward bias in the first, second and longest fixations for bisection. Moreover, greyscale orientation (i.e., dark extremity to the right or to the left), and stimulus position modulated fixations. In contrast, for the landmark task, initial fixations were attracted towards the transection mark, whereas subsequent fixations were closer to veridical centre. Imaging data showed a large bilateral network, including superior parietal and lingual cortex, that was active for bisection. The landmark task activated a predominantly right hemisphere network including superior and inferior parietal cortices. Taken together these results indicate that very different strategies and underlying neural networks are invoked by the bisection and landmark tasks.

The superior parietal cortex is critical for the control of visually guided actions. Research suggests that visual stimuli relevant to actions are preferentially processed when they are in peripersonal space. One recent study demonstrated that visually guided movements towards the body were more impaired in a patient with damage to superior parietal cortex. Whereas past studies have explored disordered movement in optic ataxic patients, there has been less exploration of space perception in terms of search capacity in this population. In addition, there is some debate concerning the relationship between deficits of visuomotor control and impaired attention/perception in optic ataxia. Given that the dorsal stream has been implicated in the spatial processing of stimuli in peripersonal space, and damage to this region is known to cause optic ataxia, we felt that further investigation was warranted. We examined tactile search behavior in the fronto-parallel and radial planes in a patient with right superior parietal damage and optic ataxia. We used a pegboard with removable cylindrical pegs that allowed for the reorganization of targets between trials. To better characterize three-dimensional search behavior, we included both horizontal and vertical search conditions. Results showed that the patient spent more time searching, was more accurate and revisited more targets in right versus left space. Interestingly, the patient spent the majority of her time specifically searching the lower right quadrant of the stimulus array. Further analysis revealed lower target detection rates along the outer borders of the pegboard on all sides. The search pattern observed here is unusual considering that all targets were within arm's reach. The present experiment demonstrates that damage to superior parietal cortex impairs tactile search and biases exploration towards lower right peripersonal space.

The line bisection task--commonly used as a clinical measure of unilateral neglect--requires participants to place a mark on a horizontal line to indicate where they think centre is. In general, results suggest that the allocation of attention mediates bisection. In addition, previous research shows that participants rarely explore the endpoints of lines, suggesting that peripheral visual information informs bisection. Here, we examined bisection performance under conditions in which differing levels of 'noise' were introduced to the line to examine the hypothesis that the fidelity and symmetry of peripheral information would inform performance. Contrary to our expectations, results showed that symmetrically introducing noise to the line biased bisection further leftward compared to a 'no-noise' condition. Furthermore, asymmetrical noise increased leftward bisection errors primarily when lines were presented in left space or when the greater amount of noise was on the left half of the line. These results indicate that the fidelity of peripheral visual information mediates bisection behaviour that is already biased leftwards probably due to right hemisphere attentional mechanisms.

Blindsight refers to residual visual abilities of patients with primary visual cortex lesions. Most of this research uses single case studies, most famously patient GY. We examined a patient (DC) after surgical resection of V1 who demonstrated robust but reversed blind field target localisation, mislocalising midline blind field targets to the periphery and vice versa. This pattern was reliable across multiple sessions and was not because of extraocular light scatter. We then used functional magnetic resonance imaging to examine neural responses to blind field motion stimuli with no evidence of motion-selective activation in DC's extrastriate cortex in the damaged hemisphere, in stark contrast to GY who showed robust bilateral activation in response to blind field stimuli. This suggests that DC's blind field performance may not represent true blindsight. Follow-up testing with the target--background contrast reversed (i.e., black targets/white background), eliminated DC's reversed localisation, strongly suggesting that she was employing an unusual decision criterion based on intraocular light scatter. DC's failure to demonstrate true blindsight may be related to the age at which she acquired her lesion--much later in life than GY.

Many studies have demonstrated that prism adaptation can reduce several symptoms of visual neglect: a disorder in which patients fail to respond to information in contralesional space. The dominant framework to explain these effects proposes that prisms influence higher order visuospatial processes by acting on brain circuits that control spatial attention and perception. However, studies that have directly examined the influence of prisms on perceptual biases inherent to neglect have revealed very few beneficial effects. We propose an alternative explanation whereby many of the beneficial effects of prisms arise via the influence of adaptation on circuits in the dorsal visual stream controlling attention and visuomotor behaviors. We further argue that prisms have little influence on the pervasive perceptual biases that characterize neglect.

Recent neuroimaging and neuropsychological studies have suggested that the right hemisphere, particularly frontal regions, is important for the perception of the passage of time. We examined the ability to estimate durations of up to 60 sec in a group of eight patients with unilateral neglect. When estimating multisecond intervals, neglect patients grossly underestimated all durations. On average, healthy controls (HC) demonstrated reasonably accurate estimates of all durations tested. Although the right hemisphere lesioned control patients without neglect also tended to underestimate durations, these underestimations were significantly better than the performance of the neglect group. These findings suggest a pivotal role for a right hemisphere fronto-parietal network in the accurate perception of multisecond durations. Furthermore, these findings add to a growing body of literature suggesting that neglect cannot be understood simply in terms of a bias in orienting attention to one side of space. Additional deficits of the kind demonstrated here are likely to be crucial in determining the nature and extent of the loss of conscious awareness for contralesional events.

Prism adaptation (PA) alleviates some neglect symptoms, however, the mechanisms underlying these effects are unclear. One brain area that may be important in generating these beneficial effects is the superior parietal lobe (SPL), a region not typically damaged in neglect, and known to be important for attention, visuomotor control, and eye movements. We examined the effects of rightward PA on covert attention in CF, a patient with bilateral SPL lesions, compared to a group of controls (N = 26) who underwent sham adaptation. In contrast to previous work in neglect, there was no reduction in CF’s leftward disengage deficit, or rightward attentional bias following PA. These results suggest that the SPL plays an important role in generating the beneficial after-effects of prisms on attention.

Previous studies have suggested a right hemineglect in schizophrenia, however few assessed possible visual-perceptual implication in this lateralized anomaly. A manual line bisection without (i.e., lines presented on their own) or with a local cueing paradigm (i.e., a number placed at one or both ends of the line) and the Motor-free Visual Perceptual Test-Vertical format (MVPT-V) were used to assess the visual-perceptual abilities of healthy controls, schizophrenia and depressed patients. Whereas healthy controls and depressed patients showed a non-significant leftward bias in manual line bisection, schizophrenia patients bisected significantly to the left of the true centre of the line. Interestingly, the pattern of performances in response to the local cueing paradigm was similar in depressed and schizophrenia patients such that both groups demonstrated a significant change in their bisection performance only in response to a cue placed at the right extremity of the line (control performance was modified by cues at either end of the line). Finally, in the MVPT-V, schizophrenia patients were impaired relative to the other two groups, especially in the spatial working memory and visual closure categories. These results suggest that: 1/a deficit towards the right hemifield, consistent with a mild form of right hemineglect, can be observed in schizophrenia; 2/lateralized anomalies could also be observed in depression using an appropriate tool such as manual line bisection; 3/performances in the MVPT-V suggested that a simple visual-perceptual deficit could not explain the lateralized anomaly observed in the manual line bisection, as it is the case in the hemineglect syndrome.

Recent research has shown that prism adaptation alleviates some of the symptoms of neglect. Although prism adaptation can aid patients with neglect, the mechanisms underlying these benefits remain largely unknown. One way in which prisms may work is by altering attentional orienting mechanisms known to be impaired in neglect. To investigate this hypothesis, we tested four right brain damaged patients (two with neglect) on a reflexive covert attention task before and after rightward prism adaptation and compared them with a group of healthy controls who underwent sham prism adaptation. Results demonstrated that rightward prism adaptation reduced both the rightward attentional bias, and the disengage deficit in patients with right brain damage irrespective of the presence of neglect.

Recent research has demonstrated some beneficial effects in patients with neglect using rightward shifting prismatic lenses. Despite a great deal of research exploring this effect, we know very little about the cognitive mechanisms underlying prism adaptation in neglect. We examined the possibility that prism adaptation influences visual attention by having healthy participants complete either a reflexive or a voluntary covert visual attention cuing paradigm before and after adaptation to leftward, rightward, or sham (no shift) prisms. The results for reflexive orienting demonstrated that a subset of participants with large cuing effects before prism adaptation were faster to reorient attention away from an invalid cue on the side of space opposite the prismatic shift post adaptation. For voluntary orienting, left prisms increased the efficiency of voluntary attention in both left and right visual space in participants with a small cuing effect before prism adaptation. In contrast, right prisms decreased the efficiency of voluntary attention in both left and right space for participants with a large cuing effect before prism adaptation. No significant effects were observed in the sham prism groups. These results suggest that prism adaptation may exert a variety of influences on attentional orienting mechanisms.

Unilateral neglect, a neurological disorder in which patients fail to detect or respond to contralesional stimuli, has long been considered a failure of attentional orienting mechanisms. This review provides a selective overview of the prominent biases in spatial orienting and exploratory motor behaviour observed in these patients before considering the impact of other factors on the presentation of the disorder and how those factors might inform current neurological models of neglect. In the latter part of the review, we intend to suggest that neglect is likely to be a combination of distinct but interacting impairments including biases in attentional orienting, exploratory motor behaviours and a deficit of spatial working memory. That is, we suggest that the cardinal symptom of neglect - a loss of awareness for contralesional stimuli and events - arises as a result of a combination of these impairments rather than being associated solely with the more dramatic and immediately evident biases in spatial attention.

Typically, spatial neglect after right-hemisphere brain damage is defined as a failure to orient towards or attend to stimuli located towards the contralesional, in this case the left, side of space. Here, we report that neglect patients have difficulty maintaining the spatial locations of vertically arranged stimuli on the right side of space. This indicates that neglect is associated with a severe deficit in the maintenance of spatial information even on the ipsilesional “good” side.

Blindsight broadly refers to the paradoxical neurological condition where patients with a visual field defect due to a cortical lesion nevertheless demonstrate implicit residual visual sensitivity within their field cut. The aim of this paper is twofold. First, through a selective review of the blindsight literature we propose a new taxonomy for the subtypes of residual abilities described in blindsight. Those patients able to accurately act upon blind field stimuli (e.g. by pointing or saccading towards them) are classified as having 'action-blindsight', those whose residual functions can be said to rely to some extent upon attentive processing of blind field stimuli are classified as demonstrating 'attention-blindsight', while finally, patients who have somewhat accurate perceptual judgements for blind field stimuli despite a complete lack of any conscious percept, are classified as having 'agnosopsia'--literally meaning 'not knowing what one sees'. We also address the possible neurological substrates of these residual sensory processes. Our second aim was to investigate the most striking subtype of blindsight, action-blindsight. We review the data relevant to this subtype and the hypotheses proposed to account for it, before speculating on how action-blindsight may inform our normal models of visuomotor control.

Patients with parietal lesions often fail to identify stimuli in the contralesional field (i.e. neglect) but may nevertheless demonstrate implicit processing of neglected stimuli. Explanations of implicit processing in neglect range from intact preattentive mechanisms, to intact higher level categorical processing. Such theories assume implicit processing in neglect is passive and not subject to attentional modulation. We investigated implicit processing in a neglect patient US) using a flanker task in which targets differed on two dimensions simultaneously (i.e. coloured letters). Controls demonstrated interference effects only from goal-relevant dimensions of flankers. JS showed a similar pattern of results even when flankers appeared in his neglected field, suggesting that implicit processing of neglected stimuli can be modulated by behavioural goals.

Corrigendum to “Do visual illusions probe the visual brain? Illusions in action without a dorsal visual stream” [Neuropsychologia 45 (2007) 1849–1858] Yann Coello a,∗, James Danckert b, Annabelle Blangero c, Yves Rossetti c,d a Unit de Recherche sur l’Evolution des Comportements et l’Apprentissage, UPRES EA 1059 and UMR-CNRS 8163 STL, Universite Charles de Gaulle, Lille, BP 60149, F.59653 Villeneuve d’Ascq Cedex, France b Department of Psychology, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada c INSERM UMR-S 534, Institut National de la Sante et de la Recherche Medicale, Universite Claude Bernard, Lyon, Bron, France d Mouvement et Handicap, Institut Federatif des Neurosciences de Lyon, Hospices Civils de Lyon, France

The dramatic improvements of neglect symptoms after prism adaptation (PA) have been interpreted as evidence that PA reorganizes higher levels of spatial representation. Here we demonstrate that while the exploratory eye movements of a patient with neglect were clearly shifted towards the left after PA, he still showed no awareness for the left side of the stimuli he was now actively exploring. Prism adaptation modulates functions of the parietal lobe, such as the control of eye movements, but fails to influence the underlying mechanisms of neglect.