Inattentional Blindness Research Articles

When Nurses in an Emergency Situation Look for a Medical Item But Fail to See It.

Emergency department nurses may fail to see medical items in emergency cart drawers, such as syringes and tubes, while handling emergency situations, which can often contribute to a delay in managing the case. This is a phenomenon known as Looked-but-failed-to-see (LBFTS) and occurs when the observer fails to detect a visible visual stimulus among various other stimuli. LBFTS is a group of human errors, including inattentional blindness (IB), satisfaction of search, and biased search processes, and is associated with constraints on human visual processing. LBFTS has been studied extensively in the fields of aviation, military, radiology, and road safety; however, the role of LBFTS in hospital ED has generally been overlooked. Hence, a key aim of this study was to investigate the possibility of the occurrence of LBFTS among ED nurses while searching for a particular medical item during a real-life emergency. An observational cross-sectional blinded study was conducted to determine the occurrence of LBFTS in a real-life visual search task during resuscitation cases in ED. The A-B-C (antecedent-behavior-consequence) observation and recording naturalistic observation technique was used. A total of 45 ED nurses who were assigned to either the crash cart or the intubation trolley at the time of data collection agreed to participate and were included in the analysis. The results revealed that LBFTS accounted for 66% of the cases where emergency items were brought from another location. Participants missed seeing an item, although the item was directly in front of their eyes. Factors such as the perception of cognitive workload at the time of data collection positively impacted the increase in LBFTS (P = .021). Taken together, the results of the present study and recent visual studies support the occurrence of LBFTS among nurses working in ED. Devising successful strategies to reduce this phenomenon could translate directly into saved lives.

A survey of what legal populations believe and know about inattentional blindness and visual detection

A survey of what legal populations believe and know about inattentional blindness and visual detection

Effectiveness of novel oral hygiene instruction avoiding inattentional blindness using an application for unique plaque control record calculation: A randomized clinical trial.

This study was performed to estimate the effectiveness of novel oral hygiene instruction (OHI) focusing on areas with deep periodontal pockets for reduction of periodontal inflammation. Because stained areas on the plaque chart do not always correspond to the areas with deep periodontal pockets, conventional OHI based on O'Leary's plaque control record (PCR) often provides guidance inconsistent with the target area. This randomized clinical trial involved two groups: (1) OHI based on the PCR limited in deep pocket sites (novel OHI group) and (2) OHI based on O'Leary's PCR (conventional OHI group). The unique PCR (aggressive target for PCR [agPCR]; only counting the plaque-stained areas with PD at ≥4 mm sites) for the novel OHI was calculate by dedicated expression program. The probing depth (PD), bleeding on probing (BOP), and periodontal inflamed surface area (PISA) were obtained at the baseline and 5 to 6 months later. The approximation curve with PISA before and after instruction indicated that the PISA converged to a lower value after instruction in the novel OHI group. The approximation curve with the improvement rate of the PISA and agPCR showed a positive correlation in the novel OHI group but no correlation in the conventional OHI group. Control of inflammation was more effective in the novel OHI group. These results suggest that this novel OHI technique using our developed application could be used as a strategy to improve the effectiveness of brushing instruction.

A survey of what legal populations believe and know about inattentional blindness and visual detection.

Inattentional blindness refers to when people fail to notice obvious and unexpected events when their attention is elsewhere. Existing research suggests that inattentional blindness is a poorly understood concept that violates the beliefs that are commonly held by the public about vision and attention. Given that legal cases may involve individuals who may have experienced inattentional blindness, it is important to understand the beliefs legal populations and members of the community have about inattentional blindness, and their general familiarity and experience with the concept. Australian police officers (n = 94) and lawyers (n = 98), along with psychology students (n = 99) and community members (n = 100) completed a survey where they: a) stated whether an individual would have noticed an event in six legal vignettes, b) rated whether factors would make an individual more, less, or just as likely to notice an unexpected event, c) reported their familiarity with and personal experiences of inattentional blindness, and d) indicated whether they believed individuals could make themselves more likely to notice unexpected events. Respondents in all populations frequently responded "yes" to detecting the unexpected event in most legal vignettes. They also held misconceptions about some factors (expertise and threat) that would influence the noticing of unexpected events. Additionally, personal experiences with inattentional blindness were commonly reported. Finally, respondents provided strategies for what individuals can do to make themselves more likely to notice of unexpected events, despite a lack of evidence to support them. Overall, these findings provide direction for where education and training could be targeted to address misconceptions about inattentional blindness held by legal populations, which may lead to improved decision-making in legal settings.

Individual differences in inattentional blindness.

People often fail to notice unexpected objects and events when they are performing an attention-demanding task, a phenomenon known as inattentional blindness. We might expect individual differences in cognitive ability or personality to predict who will and will not notice unexpected objects given that people vary in their ability to perform attention-demanding tasks. We conducted a comprehensive literature search for empirical inattentional blindness reports and identified 38 records that included individual difference measures and met our inclusion criteria. From those, we extracted individual difference effect sizes for 31 records which included a total of 74 distinct, between-groups samples with at least one codable individual difference measure. We conducted separate meta-analyses of the relationship between noticing/missing an unexpected object and scores on each of the 14 cognitive and 19 personality measures in this dataset. We also aggregated across personality measures reflecting positive/negative affectivity or openness/absorption and cognitive measures of interference, attention breadth, and memory. Collectively, these meta-analyses provided little evidence that individual differences in ability or personality predict noticing of an unexpected object. A robustness analysis that excluded samples with extremely low numbers of people who noticed or missed produced similar results. For most measures, the number of samples and the total sample sizes were small, and larger studies are needed to examine individual differences in inattentional blindness more systematically. However, the results are consistent with the idea that noticing of unexpected objects or events differs from deliberate attentional control tasks in that it is not reliably predicted by individual differences in cognitive ability.

Stimulus awareness is associated with secondary somatosensory cortex activation in an inattentional numbness paradigm

While inattentional blindness and deafness studies have revealed neural correlates of consciousness (NCC) without the confound of task relevance in the visual and auditory modality, comparable studies for the somatosensory modality are lacking. Here, we investigated NCC using functional magnetic resonance imaging (fMRI) in an inattentional numbness paradigm. Participants (N = 44) received weak electrical stimulation on the left hand while solving a demanding visual task. Half of the participants were informed that task-irrelevant weak tactile stimuli above the detection threshold would be applied during the experiment, while the other half expected stimuli below the detection threshold. Unexpected awareness assessments after the experiment revealed that altogether 10 participants did not consciously perceive the somatosensory stimuli during the visual task. Awareness was not significantly modulated by prior information. The fMRI data show that awareness of stimuli led to increased activation in the contralateral secondary somatosensory cortex. We found no significant effects of stimulus awareness in the primary somatosensory cortex or frontoparietal areas. Thus, our results support the hypothesis that somatosensory stimulus awareness is mainly based on activation in higher areas of the somatosensory cortex and does not require strong activation in extended anterior or posterior networks, which is usually seen when perceived stimuli are task-relevant.

Feedforward connectivity patterns from visual areas to the front of the brain contain information about sensory stimuli regardless of awareness or report

Current theories of consciousness can be categorized to some extent by their predictions about the putative role of the prefrontal cortex (PFC) in conscious perception. One family of the theories proposes that the PFC is necessary for conscious perception. The other postulates that the PFC is not necessary and that other areas (e.g., posterior cortical areas) are more important for conscious perception. No-report paradigms could potentially arbitrate the debate as they disentangle task reporting from conscious perception. While previous no-report paradigms tend to point to a reduction in PFC activity, they have not examined the critical role of the PFC in “monitoring” or “reading out” the patterns of activity in the sensory cortex to generate conscious perception. To address this, we reanalysed electroencephalography (EEG) data from a no-report inattentional blindness paradigm (Shafto & Pitts, 2015). We examined the role of feedforward input patterns to the PFC from sensory cortices. We employed nonparametric spectral Granger causality and quantified the amount of information that reflected the contents of consciousness using multivariate classifiers. Unexpectedly, regardless of whether the stimulus was consciously seen or not, we found that information relating to the current sensory stimulus was present in the pattern of inputs from visual areas to the PFC. In light of these findings, we suggest various theories of consciousness need to be revised to accommodate the fact that the contents of consciousness are decodable from the input patterns from posterior sensory regions to the PFC, regardless of awareness (or report).

Investigating Inattentional Blindness Through the Lens of Fear Chemosignals.

Inattentional blindness is a phenomenon wherein people fail to perceive obvious stimuli within their vision, sometimes leading to dramatic consequences. Research on the effects of fear chemosignals suggests that they facilitate receivers' sensory acquisition. We aimed to examine the interplay between these phenomena, investigating whether exposure to fear chemosignals (vs. rest body odors) can reduce the inattentional-blindness handicap. Utilizing a virtual-reality aquarium, we asked participants to count how many morsels a school of fish consumed while two unexpected stimuli swam by. We predicted that participants exposed to fear chemosignals (N = 131) would detect unexpected stimuli significantly more often than participants exposed to rest body odors (N = 125). All participants were adult Portuguese university students aged 18 to 40 years. The results confirmed our hypothesis, χ2(1) = 6.10, p = .014, revealing that exposure to fear chemosignals significantly increased the detection of unexpected stimuli by about 10%. The implications of our findings open a novel avenue for reducing the adverse consequences of inattentional blindness.

Peripheral vision is mainly for looking rather than seeing

Vision includes looking and seeing. Looking, mainly via gaze shifts, selects a fraction of visual input information for passage through the brain’s information bottleneck. The selected input is placed within the attentional spotlight, typically in the central visual field. Seeing decodes, i.e., recognizes and discriminates, the selected inputs. Hence, peripheral vision should be mainly devoted to looking, in particular, deciding where to shift the gaze. Looking is often guided exogenously by a saliency map created by the primary visual cortex (V1), and can be effective with no seeing and limited awareness. In seeing, peripheral vision not only suffers from poor spatial resolution, but is also subject to crowding and is more vulnerable to illusions by misleading, ambiguous, and impoverished visual inputs. Central vision, mainly for seeing, enjoys the top-down feedback that aids seeing in light of the bottleneck which is hypothesized to starts from V1 to higher areas. This feedback queries for additional information from lower visual cortical areas such as V1 for ongoing recognition. Peripheral vision is deficient in this feedback according to the Central-peripheral Dichotomy (CPD) theory. The saccades engendered by peripheral vision allows looking to combine with seeing to give human observers the impression of seeing the whole scene clearly despite inattentional blindness.

The Visual Patient Avatar ICU Facilitates Information Transfer of Written Information by Visualization: A Multicenter Comparative Eye-Tracking Study.

Patient monitoring is crucial in critical care medicine. Perceiving and interpreting multiple vital signs requires a high workload that can lead to decreased situation awareness and consequently inattentional blindness, defined as impaired perception of unexpectedly changing data. To facilitate information transfer, we developed and validated the Visual-Patient avatar. Generated by numerical data, the animation displays the status of vital signs and patient installations according to a user-centered design to improve situation awareness. As a surrogate parameter for information transfer in patient monitoring, we recorded visual attention using eye-tracking data. In this computer-based study, we compared the correlation of visually perceived and correctly interpreted vital signs between a Visual-Patient-avatar ICU and conventional patient monitoring. A total of 50 recruited study participants (25 nurses, 25 physicians) from five European study centers completed five randomized scenarios in both modalities. Using a stationary eye tracker as the primary endpoint, we recorded how long different areas of interest of the two monitoring modalities were viewed. In addition, we tested for a possible association between the length of time an area of interest was viewed and the correctness of the corresponding question. With the conventional monitor, participants looked at the installation site the longest (median 2.13-2.51 s). With the Visual-Patient-avatar ICU, gaze distribution was balanced; no area of interest was viewed for particularly long. For both modalities, the longer an area was viewed, the more likely the associated question was answered incorrectly (OR 0.97, 95% CI 0.95-0.99, p = 0.008). The Visual-Patient-avatar ICU facilitates and improves information transfer through its visualizations, especially with written information. The longer an area of interest was viewed, the more likely the associated question was answered incorrectly.

An investigation of inattentional blindness using gaze and frequency tagging.

Inattentional blindness (IB) occurs when a salient object presented in plain sight goes unnoticed when its appearance is unexpected. Across two experiments, participants completed a classic dynamic IB task while eye movements and steady-state visual evoked potential (SSVEP) responses were continually recorded. This allowed us to measure the modulation of gaze and brain-based indices of attention during IB. While an SSVEP response to all stimuli including the unexpected object was attained, only gaze measures were able to discriminate noticers from nonnoticers. Experiment 1 used a prototypical sustained IB task and found that gaze toward the unexpected object was largely unrelated to noticing that object. Experiment 2 manipulated the contrast of the target and distractor stimuli, and instead observed a tight concordance between gazing at the unexpected object and reporting its presence. This task-based variability in gaze deployment is consistent with the broader literature and cumulatively delineates the challenges faced in translating lab-based IB research from the bench to the bedside. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Gorillas on a boat: Inattentional blindness during supervisory control of autonomous vessels

When focused on a task, unexpected visual stimuli can go by unnoticed. Inattentional blindness may be problematic for supervisory controllers of autonomous vessels, because this role specifically relies on identifying unexpected stimuli in case intervention is needed. In a simulation-based experiment (n=32), we show that 50% of participants did not perceive an unexpected visual stimulus (a gorilla passenger) when assigned the task of supervisory controller for an autonomous ferry. Additionally, eye-tracking showed that 12 of the 16 players who did not report the gorilla in fact gazed directly at it. Results also showed no correlation to skillset (gamer or navigator) nor to vigilance (5- or 30-minute scenarios); they did, however, show positive correlation to multitasking (1 or 3 supervised vessels). We discuss implications for designing work tasks for supervisory control of remotely operated and autonomous vessels.

Similarity of an unexpected object to the attended and ignored objects affects noticing in a sustained inattentional blindness task.

When focusing attention on some objects and ignoring others, people often fail to notice the presence of an additional, unexpected object (inattentional blindness). In general, people are more likely to notice when the unexpected object is similar to the attended items and dissimilar from the ignored ones. Perhaps surprisingly, current evidence suggests that this similarity effect results almost entirely from dissimilarity to the ignored items, and it remains unclear whether similarity to the attended items affects noticing. Other aspects of similarity have not been examined at all, including whether the similarity of the attended and ignored items to each other affects noticing of a distinct unexpected object. We used a sustained inattentional blindness task to examine all three aspects of similarity. Experiment 1 (n = 813) found no evidence that increasing the similarity of the attended and ignored items to each other affected noticing of an unexpected object. Experiment 2 (n = 610) provided some of the first compelling evidence that similarity to the attended items - in addition to the ignored items - affects noticing. Experiment 3 (n = 1,044) replicated that pattern and showed that noticing rates varied with the degree of similarity to the ignored shapes but not to the attended shapes, suggesting that suppression of ignored items functions differently from the enhancement of attended items.

Inattentional Insensitivity As A Predictor of Relevant Situation Awareness Questions And Irrelevant Questions

This study explored predictors of situation awareness (SA) and predictors of irrelevant information in a complex task. Thirty-one participants were tested on personality, a little-known situation awareness test, working memory, inattentional blindness (IB), and inattentional insensitivity (IIS) as predictors of situation awareness and performance in a driving simulator. The two IIS conditions were visual (IB) and tactile. Participants were paid $25 for about a 1 ½ hour commitment. During the driving simulator scenario, participants answered 10 questions (half related to the driving task and half not critical to safe driving performance). More relevant questions were answered correctly than irrelevant questions. However, few predictors were shown for SA (relevant questions), but IB, and personality variables predicted response time for irrelevant questions. Tactile IIS was found to be better for performance on one of the SA tests and resulted in fewer errors in one of the tactile IIS tasks.

Faces capture spatial attention only when we want them to: An inattentional blindness EEG study

Previous research on emotional face processing has shown that emotional faces such as fearful faces may be processed without visual awareness. However, evidence for nonconscious attention capture by fearful faces is limited. In fact, studies using sensory manipulation of awareness (e.g., backward masking paradigms) have shown that fearful faces do not attract attention during subliminal viewings nor when they were task-irrelevant. Here, we used a three-phase inattentional blindness paradigm and electroencephalography to examine whether faces (fearful and neutral) capture attention under different conditions of awareness and task-relevancy. We found that the electrophysiological marker for attention capture, the N2-posterior-contralateral (N2pc), was elicited by face stimuli only when participants were aware of the faces and when they were task-relevant (phase 3). When participants were unaware of the presence of faces (phase 1) or when the faces were irrelevant to the task (phase 2), no N2pc was observed. Together with our previous work, we concluded that fearful faces, or faces in general, do not attract attention unless we want them to.

The ‘invisible gorilla’ during pedestrian-AV interaction: Effects of secondary tasks on pedestrians’ reaction to eHMIs

In road traffic, mental overload often leads to a failure to notice new and distinctive stimuli. Such phenomenon is known as ‘inattentional blindness’. Safe and efficient interaction between automated vehicles (AVs) and pedestrians is expected to rely heavily on external human-machine interfaces (eHMIs), a tool AVs are equipped with to communicate their intentions to pedestrians. This study seeks to explore the phenomenon of ‘inattentional blindness’ in the context of pedestrian-AV interactions. Specifically, the aim is to understand the effects of a warning eHMI on pedestrians’ crossing decisions when they are engaged in a secondary task. In an experiment study with videos of pedestrian crossing scenarios filmed from the perspective of the crossing pedestrian, participants had to decide the latest point at which they would be willing to cross the road in front of an AV with an eHMI vs. an AV without an eHMI. Participants were also asked to predict the future behavior of the AV. 125 female and 9 male participants aged between 18 and 25 completed the experiment and a follow-up questionnaire. It was found that the presence of a warning eHMI on AVs contributes to a clearer understanding of pedestrians’ inferences about the intention of AVs and helps deter late and dangerous crossing decisions made by pedestrians. However, the eHMI fail to help pedestrians avoid such decisions when they face a high mental workload induced by secondary task engagement.

Inattentional blindness in dogs

Inattentional blindness occurs when an individual's attention is highly focused on a task, producing a failure to notice other stimuli in the environment. The current study aimed to assess whether dogs demonstrate inattentional blindness. We divided a cohort of dogs into experimental (n = 12) and control groups (n = 12), balanced by sex and aspects of temperament that could potentially influence inattentional blindness. Dogs were initially trained to run down an empty corridor for five consecutive trials. From trial 6–10, the experimental group was rewarded at the end of the corridor in order to condition an expectation of reward and induce inattentional blindness, while the control group continued to be unrewarded. On trials 11 and 12, a novel object was placed in a side opening halfway down the corridor for all dogs, and dogs’ responses to the object were scored. There were significantly fewer responses to the novel object by dogs in the experimental group compared to the control group, suggesting that dogs fail to attend to novel stimuli in the environment when expecting a reward. These findings provide the first evidence of inattentional blindness in dogs, and have important implications for dog behavior with particular relevance for the training and performance of working dogs.

How Blind is Inattentional Blindness in Mixed Hybrid search?

How Blind is Inattentional Blindness in Mixed Hybrid search?

Classification of inattentional blindness using brain dynamics of ERPs.

Situational awareness (SA) is vital for understanding our surroundings. Multiple variables, including inattentive blindness (IB), contribute to the deterioration of SA, which may have detrimental effects on individuals' cognitive performance. IB occurs due to attentional limitations, ignoring critical information and resulting in a loss of SA and a decline in general performance, particularly in complicated situations requiring substantial cognitive resources. To the best of our knowledge, however, past research has not fully uncovered the neurological characteristics of IB nor classified these characteristics in life-alike virtual situations. Therefore, the purpose of this study is to determine whether ERP dynamics in the brain may be utilised as a neural feature to predict the occurrence of IB using machine learning (ML) algorithms. In a virtual reality simulation of an IB experiment, 30 participants' behaviour and Electroencephalography (EEG) measurements were obtained. Participants were given a target detection task in the IB experiment without knowing the unattended shapes displayed on the background building. The targets were presented in three different sensory modalities (auditory, visual, and visual-auditory). On the post-experiment questionnaire, participants who claimed not to have noticed the unattended shapes were assigned to the IB group. Subsequently, the Aware group was formed from individuals who reported seeing the unattended shapes. Using EEGNet to classify IB and Aware groups demonstrated a high classification performance. According to the research, ERP brain dynamics are associated with the awareness of unattended shapes and have the potential to serve as a reliable indication for predicting the visual consciousness of unexpected objects.(p/)(p)Clinical relevance- This research offers a potential brain marker for the mixed-reality and BCI systems that will be used in the future to identify cognitive deterioration, maintain attentional capacity, and prevent disasters.

The invisible man: A replication study investigating whether interpersonal goals moderate White women’s inattentional blindness to African American men

Anti-Black racism in America renders Black people both invisible and hypervisible, at times. Here, we draw on previous research on inattentional blindness, a phenomenon whereby people fail to perceive something or someone (e.g., a person walking about) in their environment when attending to another feature of their environment (e.g., other people playing a ball game). We sought to replicate past work examining the conditions under which heterosexual White women fail to perceive a Black man walking through a complex scene. Specifically, we investigated whether selective inattention to a task-irrelevant person walking through a scene of two teams passing basketballs may depend on two factors: (a) the race of the person walking through the scene (Black vs. White), and (b) the interpersonal goal of the viewer (searching for a coworker, neighbor, friend, romantic partner, or a control condition)—hence the reason we recruited heterosexual White women participants. Consistent with the original work, across three studies, we found a main effect of target race such that heterosexual White women participants were more likely to notice the White (vs. Black) man walking through the ball-passing scene. Inconsistent with the original work, we did not find that this effect was moderated by the interpersonal goal condition. We discuss the implications of the current findings and future directions.