Visual Exploration Strategies Research Articles

Gaze Control and Motor Performance in Motor Expertise Studies: Focused Review of Field Application Research on Perceptual Skill Training

This research reviews studies on sports performance and visual exploration strategies in the field of sports proficiency and comprehension. Accepting visual information is conducted through visual search, now referred to as visual exploration. Visual exploration refers to the process of paying attention to appropriate key clues that contain the necessary information to prepare and execute actions in a given circumstance or to make pertinent decisions. The visual exploration study uses an eye-tracking system to measure gaze fixation time and position, and to discern the disparity in the process of obtaining information between experienced and amateurs depending on the various sports fields and presents meaningful results in revealing the characteristics of the former: experienced individuals. The Vision-in-Action system presents a methodology that can solve the limitations of the visual exploration paradigm. That is, the movement pattern of the gaze is recorded at the same time as performing the physical technical movement performed in the actual sporting event. This methodology is consistent with a theoretical flow that emphasizes the perceptual-action coupling process. Research on visual exploration and exercise performance has been conducted in various sporting events such as aiming, conceptual, and tactical tasks. Specifically, in aiming tasks, QED is a crucial facet linked to performance accuracy. Based on these exploration studies, perceptual technology training is applied. Perception technology training is applied as a method of QED and gaze control training, and it is reported that it has a distinctively positive effect on improving performance.

Emotion Facial Processing in Children With Autism Spectrum Disorder: A Pilot Study of the Impact of Service Dogs.

Processing and recognizing facial expressions are key factors in human social interaction. Past research suggests that individuals with autism spectrum disorder (ASD) present difficulties to decode facial expressions. Those difficulties are notably attributed to altered strategies in the visual scanning of expressive faces. Numerous studies have demonstrated the multiple benefits of exposure to pet dogs and service dogs on the interaction skills and psychosocial development of children with ASD. However, no study has investigated if those benefits also extend to the processing of facial expressions. The aim of this study was to investigate if having a service dog had an influence on facial expression processing skills of children with ASD. Two groups of 15 children with ASD, with and without a service dog, were compared using a facial expression recognition computer task while their ocular movements were measured using an eye-tracker. While the two groups did not differ in their accuracy and reaction time, results highlighted that children with ASD owning a service dog directed less attention toward areas that were not relevant to facial expression processing. They also displayed a more differentiated scanning of relevant facial features according to the displayed emotion (i.e., they spent more time on the mouth for joy than for anger, and vice versa for the eyes area). Results from the present study suggest that having a service dog and interacting with it on a daily basis may promote the development of specific visual exploration strategies for the processing of human faces.

Theory of mind, empathy and eye gaze strategies during observation of a work of art: neurodegenerative pathologies.

Theory of mind (ToM) and empathy are severely impaired in the behavioural variant of frontotemporal dementia (bvFTD) and more mildly in Alzheimer's (AD) and Parkinson's diseases (PD). Such impairments are associated with behavioural disorders. Modification of visual scanning strategies of complex visual scenes is also found in these pathologies. We hypothesised that these patients applied atypical gaze strategies when observing social events, which does not allow them to properly process social cues and results in the production of erroneous inferences and lack of empathy towards others. Fifty-five participants were divided into four groups: five bvFTD subjects, 19 AD subjects, 17 PD subjects and 14 matched control subjects. ToM and empathy were assessed by eye movement recording (eye-tracking) and by a questionnaire during a painting observation. Scores obtained were compared between each group and to social cognition reference tests and correlated to the NeuroPsychiatric Inventory. Our paradigm was suitable for assessing cognitive ToM while it lacked sensitivity for empathy assessment. Severe ToM impairment was highlighted in bvFTD, while milder difficulties were observed in AD and for PD. Subjects with bvFTD and AD produced erroneous inferences from cognitive mental states. ToM performances were linked to visual exploration strategies of the painting. Atypical visual observation was highlighted in the bvFTD and AD groups causing a time delay in taking the perspective of the other person. Finally, we highlighted that social cognition performances, gaze strategies and behavioural disorders were correlated. Observing a painting in association with eye-tracking technology can be a good support for social cognition assessment. We highlighted a link between atypical visual scanning strategies, ToM impairment and behavioural disorders in these pathologies. ToM skills could be improved by training in the search for visual social cues. Therefore, this kind of remediation could have positive effects on behavioural disorders.

Infants' visual exploration strategies for adult and child faces.

By the end of the first year of life, infants' discrimination abilities tune to frequently experienced face groups. Little is known about the exploration strategies adopted to efficiently discriminate frequent, familiar face types. The present eye-tracking study examined the distribution of visual fixations produced by 10-month-old and 4-month-old singletons while learning adult (i.e., familiar) and child (i.e., unfamiliar) White faces. Infants were tested in an infant-controlled visual habituation task, in which post-habituation preference measured successful discrimination. Results confirmed earlier evidence that, without sibling experience, 10-month-olds discriminate only among adult faces. Analyses of gaze movements during habituation showed that infants' fixations were centered in the upper part of the stimuli. The mouth was sampled longer in adult faces than in child faces, while the child eyes were sampled longer and more frequently than the adult eyes. At 10months, but not at 4months, global measures of scanning behavior on the whole face also varied according to face age, as the spatiotemporal distribution of scan paths showed larger within- and between-participants similarity for adult faces than for child faces. Results are discussed with reference to the perceptual narrowing literature, and the influence of age-appropriate developmental tasks on infants' face processing abilities.

Theory of mind, empathy and eye gaze strategies during an artwork observation in neurodegenerative pathologies

Theory of mind (ToM) and empathy are severely impaired in the behavioral-variant of frontotemporal dementia (bvFTD) and more mildly in Alzheimer's (AD) and Parkinson's diseases (PD). Such impairments are associated with behavioral disorders (BD). Modification of visual scanning strategies of complex visual scenes is also found in these pathologies. We hypothesized that these patients applied atypical gaze strategies when observing social events, which would not allow to properly process social cues and would result in the production of erroneous inferences and lack of empathy towards others. Fifty-five participants were divided into four groups: five bvFTD, 19AD, 17PD and 14matched controls subjects. ToM and empathy were assessed by eye movements recording (eye-tracking) and by a questionnaire during a painting observation. Scores obtained were compared between each group and to social cognition reference tests, and correlated to the NeuroPsychiatric Inventory. Our paradigm was suitable for assessing cognitive ToM while it lacked sensitivity for empathy assessment. Severe ToM impairment was highlighted in bvFTD while milder difficulties were observed in AD and for PD. bvFTD and AD groups produced erroneous inferences from cognitive mental states. ToM performances were linked to visual exploration strategies of the painting. Atypical visual observation was highlighted in bvFTD and AD groups causing a time shift in perspective taking of the character. Finally, we have highlighted that social cognition performances, gaze strategies and BD were correlated. The observation of a painting in association with eye-tracking technology can be a good support for social cognition assessment. We highlighted a link between atypical visual scanning strategies, ToM impairment and BD in these pathologies. ToM skills could be improved by training in the search for visual social cues. Therefore, this kind of remediation could have positive effects on BD.

Characterization of visual scanning while driving for the identification of drivers’ profiles

Assessing the driving skills of people with cognitive or visual impairments is often complex. The analysis of visual exploration strategies can be a good solution to identify the implementation or not of good strategies of information search in the visual scene (adaptation and compensation). In this study, we compared the visual exploration behaviours of 26 healthy, 19 glaucoma and 21 elderly participants. For this purpose, we used a driving simulator for which a visual field measurement test had been adapted to obtain measurements in static and dynamic conditions. The dynamics of the gaze was also measured. Our results showed that each of the three groups of participants had specific characteristics of visual exploration. Using a classification algorithm, we were able to show that it was possible to identify the group which a participant belonged to on the basis of the visual exploration’s characteristics. This finding opens the door to many applications in the context of driving assistance and training.

Art therapy for Parkinson's disease

ObjectiveTo explore the potential rehabilitative effect of art therapy and its underlying mechanisms in Parkinson's disease (PD). MethodsObservational study of eighteen patients with PD, followed in a prospective, open-label, exploratory trial. Before and after twenty sessions of art therapy, PD patients were assessed with the UPDRS, Pegboard Test, Timed Up and Go Test (TUG), Beck Depression Inventory (BDI), Modified Fatigue Impact Scale and PROMIS-Self-Efficacy, Montreal Cognitive Assessment, Rey-Osterrieth Complex Figure Test (RCFT), Benton Visual Recognition Test (BVRT), Navon Test, Visual Search, and Stop Signal Task. Eye movements were recorded during the BVRT. Resting-state functional MRI (rs-fMRI) was also performed to assess functional connectivity (FC) changes within the dorsal attention (DAN), executive control (ECN), fronto-occipital (FOC), salience (SAL), primary and secondary visual (V1, V2) brain networks. We also tested fourteen age-matched healthy controls at baseline. ResultsAt baseline, PD patients showed abnormal visual-cognitive functions and eye movements. Analyses of rs-fMRI showed increased functional connectivity within DAN and ECN in patients compared to controls. Following art therapy, performance improved on Navon test, eye tracking, and UPDRS scores. Rs-fMRI analysis revealed significantly increased FC levels in brain regions within V1 and V2 networks. InterpretationArt therapy improves overall visual-cognitive skills and visual exploration strategies as well as general motor function in patients with PD. The changes in brain connectivity highlight a functional reorganization of visual networks.

Visual exploration and hazard search strategies in a simulated road crossing task among primary and secondary school students in Tanzania

Pedestrians, cyclists, motorcyclists, and other vulnerable road users represent more than half of all road fatalities globally. In Tanzania, pedestrians account for a significant proportion of the death toll, accounting for 30% of all traffic fatalities (WHO, 2018) and a 2016 study conducted in Dar Es Salaam found that 87% of school-aged children walk to school (Draisin, 2016), highlighting that school-aged children are exposed to a high level of risk.The present work reports the results of a study conducted in primary and secondary schools in the Arusha Region of Tanzania which investigates the students’ road crossing mental representation, as well as their level of hazard perception awareness, through their declared gaze behaviour. The students were asked to identify and tell the areas where hazards could come from within three road crossing scenarios, thus exploring the mental representation of the visual exploration strategies applied by children and teenagers when crossing the road. Results showed the tendency to apply the “compliant gaze behaviour” pattern in a flexible manner and to integrate it with the exploration of other areas in the visual field, particularly by the senior students. Practical implications for planning effective pedestrian road safety training programs are discussed.

Investigation of effect of different virtual reality environments on saccadic eye movement: Construct validity testing in healthy older adults

This paper describes two experiments designed to (1) ascertain whether the way in which architectural plans are displayed on a computer screen influences the quality of their correction by humans, and (2) identify the visual exploration strategies adopted in this type of task. Results of the first “spot the difference” experiment showed that superimposing the plans yielded better error correction performances than displaying them side by side. Furthermore, a sequential display mode, where the second plan only gradually appeared on the screen, improved error search effectiveness. In the second experiment, eye movement recordings revealed that superimposition increased plan comparison efficiency by making it easier to establish coreference between the two sources of information. The improvement in effectiveness in the sequential condition was shown to be linked to the attentional guidance afforded by this display mode, which helped users to make a more thorough exploration of the plans.

An Empirical Study on the Adaptation and Automation of a Cancellation Test for Children

Tests that evaluate individual strategies of visual exploration may be useful for uncovering deviations from typical development, such as autism spectrum disorder and dyslexia. One subgroup of visual exploration tests, called cancellation tests, requires the identification of specific targets surrounded by distractors. However, the lack of automated versions of these tests limits their availability to a broader audience. In the present paper, we present an automated version of a cancellation test: the cars’ test. The test is designed to be used by specialists, optimizing both its application and the analysis of collected data. First, we evaluated the cars’ test in a group of six to nine-years-old children enrolled in a private school, 22 children in total. Then, after some modifications based on the observations made during the first test (increase in the number of targets and distractors on the screen, for example), a second test was performed in a public school with a larger group of children, 82 participants, allowing a better statistical analysis of the collected data. The results suggest that the cars’ test is useful in providing information about visual exploration strategies adopted by children and is in agreement with the results of similar tests found in the literature.

A novel real-space navigation paradigm reveals age- and gender-dependent changes of navigational strategies and hippocampal activation.

To establish a novel multimodal real-space navigation paradigm and define age- and gender-related normative values for navigation performance and visual exploration strategies in space. A group of 30 healthy subjects (mean age 45.9 ± 16.5years, 16 men) performed a real-space navigation paradigm, requiring allo- and egocentric spatial orientation abilities. Visual exploration behaviour and navigation strategy were documented by a gaze-controlled, head-fixed camera. Allo- and egocentric spatial orientation performance were compared in younger and older subjects (age threshold 50years) as well as men and women. Navigation-induced changes of regional cerebral glucose metabolism (rCGM) were measured by [18F]-fluorodeoxyglucose-positron emission tomography in a subgroup of 15 subjects (8 men) and compared across age and gender. The majority of healthy subjects (73.3%) completed the navigation task without errors. There was no gender difference in navigation performance. Normalized total error rates increased slightly, but significantly with age (r = 0.36, p = 0.05). Analysis of navigation path indicated a significantly reduced use of short cuts in older age (r = 0.44, p = 0.015). Visual exploration analysis revealed that older subjects made significantly more total saccades (r = 0.49, p = 0.006) and search saccades (r = 0.54, p = 0.002) during navigation. All visual exploration parameters were similar in men and women. Navigation-induced rCGM decreased with age in the hippocampus and precuneus and increased in the frontal cortex, basal ganglia and cerebellum. Women showed an increase of rCGM in the left hippocampus and right middle temporal gyrus, men in the superior vermis. Real-space navigation testing was a feasible and sensitive method to depict age-related changes in navigation performance and strategy. Normalized error rates, total mean durations per item and total number of saccades were the most sensitive and practical parameters to indicate deterioration of allocentric navigation strategies and right hippocampal function in age irrespective of gender.

Working memory dependence of spatial contextual cueing for visual search.

When spatial stimulus configurations repeat in visual search, a search facilitation, resulting in shorter search times, can be observed that is due to incidental learning. This contextual cueing effect appears to be rather implicit, uncorrelated with observers' explicit memory of display configurations. Nevertheless, as I review here, this search facilitation due to contextual cueing depends on visuospatial working memory resources, and it disappears when visuospatial working memory is loaded by a concurrent delayed match to sample task. However, the search facilitation immediately recovers for displays learnt under visuospatial working memory load when this load is removed in a subsequent test phase. Thus, latent learning of visuospatial configurations does not depend on visuospatial working memory, but the expression of learning, as memory-guided search in repeated displays, does. This working memory dependence has also consequences for visual search with foveal vision loss, where top-down controlled visual exploration strategies pose high demands on visuospatial working memory, in this way interfering with memory-guided search in repeated displays. Converging evidence for the contribution of working memory to contextual cueing comes from neuroimaging data demonstrating that distinct cortical areas along the intraparietal sulcus as well as more ventral parieto-occipital cortex are jointly activated by visual working memory and contextual cueing.

Influence of cross-ethnic social experience on face recognition accuracy and the visual perceptual strategies involved

The cross-ethnic effect (in the literature, usually termed the cross-race effect) is defined as the greater difficulty in recognizing faces of other ethnicities compared with faces of one’s own. The aims of the present research were: 1) to test the hypothesis that the cross-ethnic effect is due to lack of contact with the other ethnicity. 2) to study possible differences in the perceptual mechanisms employed in face recognition as a function of the contact degree between ethnicities, which may be the basis of the cross-ethnic effect. We compared two ethnic groups with a high degree of contact, but different identities and cultural values: Andalusian Gypsies and Andalusian Caucasians. Both groups had to recognize a set of East Asian, Caucasian, and Gypsy faces while eye movements were monitored. In accordance with the contact hypothesis, our results revealed no differences between Gypsies and Caucasians observers in face recognition success. However, East Asian faces were more poorly recognized than Gypsies and Caucasian faces by both observer groups. With respect to the perceptual strategies, despite achieving similar face recognition performance, Caucasian and Gypsy observers employed different visual exploration strategies. Gypsies focused their attention on the eyes, while Caucasians fixated more on the nose than Gypsies. Our results support the contact hypothesis as an explanation for the cross-ethnic effect, and show how cultural factors imply differences in perceptual strategies even between close ethnic groups.

Mapping self-face recognition strategies in congenital prosopagnosia.

Recent evidence showed that individuals with congenital face processing impairment (congenital prosopagnosia [CP]) are highly accurate when they have to recognize their own face (self-face advantage) in an implicit matching task, with a preference for the right-half of the self-face (right perceptual bias). Yet the perceptual strategies underlying this advantage are unclear. Here, we aimed to verify whether both the self-face advantage and the right perceptual bias emerge in an explicit task, and whether those effects are linked to a different scanning strategy between the self-face and unfamiliar faces. Eye movements were recorded from 7 CPs and 13 controls, during a self/other discrimination task of stimuli depicting the self-face and another unfamiliar face, presented upright and inverted. Individuals with CP and controls differed significantly in how they explored faces. In particular, compared with controls, CPs used a distinct eye movement sampling strategy for processing inverted faces, by deploying significantly more fixations toward the nose and mouth areas, which resulted in more efficient recognition. Moreover, the results confirmed the presence of a self-face advantage in both groups, but the eye movement analyses failed to reveal any differences in the exploration of the self-face compared with the unfamiliar face. Finally, no bias toward the right-half of the self-face was found. Our data suggest that the self-face advantage emerges both in implicit and explicit recognition tasks in CPs as much as in good recognizers, and it is not linked to any specific visual exploration strategies. (PsycINFO Database Record

Genetic Influence on Eye Movements to Complex Scenes at Short Timescales

Where one looks within their environment constrains one's visual experiences, directly affects cognitive, emotional, and social processing [1-4], influences learning opportunities [5], and ultimately shapes one's developmental path. While there is a high degree of similarity across individuals with regard to which features of a scene are fixated [6-8], large individual differences are also present, especially in disorders of development [9-13], and clarifying the origins of these differences is essential to understand the processes by which individuals develop within the complex environments in which they exist and interact. Toward this end, a recent paper [14] found that "social visual engagement"-namely, gaze to eyes and mouths of faces-is strongly influenced by genetic factors. However, whether genetic factors influence gaze to complex visual scenes more broadly, impacting how both social and non-social scene content are fixated, as well as general visual exploration strategies, has yet to be determined. Using a behavioral genetic approach and eye tracking data from a large sample of 11-year-old human twins (233 same-sex twin pairs; 51% monozygotic, 49% dizygotic), we demonstrate that genetic factors do indeed contribute strongly to eye movement patterns, influencing both one's general tendency for visual exploration of scene content, as well as the precise moment-to-moment spatiotemporal pattern of fixations during viewing of complex social and non-social scenes alike. This study adds to a now growing set of results that together illustrate how genetics may broadly influence the process by which individuals actively shape and create their own visual experiences.

Postural Control in Children with Dyslexia: Effects of Emotional Stimuli in a Dual-Task Environment.

The aim of this study was to compare the visual exploration strategies used during a postural control task across participants with and without dyslexia. We simultaneously recorded eye movements and postural control while children were viewing different types of emotional faces. Twenty-two children with dyslexia and twenty-two aged-matched children without dyslexia participated in the study. We analysed the surface area, the length and the mean velocity of the centre of pressure for balance in parallel with visual saccadic latency, the number of saccades and the time spent in regions of interest. Our results showed that postural stability in children with dyslexia was weaker and the surface area of their centre of pressure increased significantly when they viewed an unpleasant face. Moreover, children with dyslexia had different strategies to those used by children without dyslexia during visual exploration, and in particular when they viewed unpleasant emotional faces. We suggest that lower performance in emotional face processing in children with dyslexia could be due to a difference in their visual strategies, linked to their identification of unpleasant emotional faces. Copyright © 2017 John Wiley & Sons, Ltd.

Effects of Intranasal Oxytocin on Emotion Regulation in Insecure Adolescents: Study Protocol for a Double-Blind, Randomized Controlled Trial.

BackgroundEmotional dysregulation and impaired attachment are potential contributors to the development of psychopathology in adolescence. This raises the question of whether oxytocin (OT), the paradigmatic “attachment hormone,” may be beneficial in such contexts. Recent evidence suggests that intranasal administration of OT increases affiliative behavior, including trust and empathy. OT may also facilitate social reciprocity by attenuating the stress response to interpersonal conflict. To date, few studies have investigated the effects of intranasal oxytocin (IN-OT) on neurophysiological emotion regulation strategies in healthy adolescents, particularly during parent-adolescent interaction. To understand these mechanisms, our study will examine the effects of IN-OT on emotion regulation in adolescents during parent-adolescent stressful interactions, and on each adolescent’s visual and neurophysiological strategies when visualizing attachment-related pictures. We hypothesize that IN-OT will influence psychophysiological outcomes under conditions of stress. We predict that IN-OT will momentarily increase feelings of safety and attenuate stress and hostile behavior during conflict situations. OT may also enhance attachment security by increasing comfort and proximity-seeking, and reducing neurophysiological hyperactivation.ObjectiveThe objective of this study is to evaluate the effects of IN-OT on insecure adolescents by studying their behavior and discourse during a disagreement with one of their parents. Their neurophysiological responses to pictures eliciting attachment-related emotions and their visual exploration strategies will also be investigated.MethodsIn this randomized, double-blind, placebo-controlled parallel-group design, 60 healthy male adolescents classified as insecurely attached will receive 24 international units (IU) of IN-OT versus placebo (PB), 45 minutes before the experimental tasks. Each adolescent will then be invited to engage in an experimental conflict discussion with one of his parents. The conflict session will be videotaped and coded for verbal and non-verbal interaction behavior, using the Goal-Corrected Partnership in Adolescence Coding System (GPACS). Each adolescent will then be asked to visualize attachment-related pictures on a screen. Eye-tracking (ET) and neurophysiological responses, including electrodermal activity (EDA) and heart rate (HR), will be recorded simultaneously and continuously during attachment-related picture viewing (Besançon Affective Picture Set-Adolescents, BAPS-Ado).ResultsEnrollment for the study was completed in May 2016. Data analysis commenced in July 2016. Study results will be submitted for publication in the winter of 2017.ConclusionsOT is a complex molecule with many facets that are not yet fully understood. This experimental protocol will increase scientific and clinical knowledge of emotion regulation skills in insecure adolescents by assessing the impact of IN-OT on parent-adolescent interaction and on the visual processing of attachment-related emotions. Positive results could lead to therapeutic uses of IN-OT to treat emotion dysregulation in adolescence.

Compensatory Recovery after Multisensory Stimulation in Hemianopic Patients: Behavioral and Neurophysiological Components.

Lateralized post-chiasmatic lesions of the primary visual pathway result in loss of visual perception in the field retinotopically corresponding to the damaged cortical area. However, patients with visual field defects have shown enhanced detection and localization of multisensory audio-visual pairs presented in the blind field. This preserved multisensory integrative ability (i.e., crossmodal blindsight) seems to be subserved by the spared retino-colliculo-dorsal pathway. According to this view, audio-visual integrative mechanisms could be used to increase the functionality of the spared circuit and, as a consequence, might represent an important tool for the rehabilitation of visual field defects. The present study tested this hypothesis, investigating whether exposure to systematic multisensory audio-visual stimulation could induce long-lasting improvements in the visual performance of patients with visual field defects. A group of 10 patients with chronic visual field defects were exposed to audio-visual training for 4 h daily, over a period of 2 weeks. Behavioral, oculomotor and electroencephalography (EEG) measures were recorded during several visual tasks before and after audio-visual training. After audio-visual training, improvements in visual search abilities, visual detection, self-perceived disability in daily life activities and oculomotor parameters were found, suggesting the implementation of more effective visual exploration strategies. At the electrophysiological level, after training, patients showed a significant reduction of the P3 amplitude in response to stimuli presented in the intact field, reflecting a reduction in attentional resources allocated to the intact field, which might co-occur with a shift of spatial attention towards the blind field. More interestingly, both the behavioral improvements and the electrophysiological changes observed after training were found to be stable at a follow-up session (on average, 8 months after training), suggesting long-term effects of multisensory audio-visual training. These long-lasting effects seem to be subserved by the activation of the spared retino-colliculo-dorsal pathway, which promotes orienting responses towards the blind field, able to both compensate for the visual field loss and concurrently attenuate visual attention towards the intact field. These results add to previous findings the knowledge that audio-visual multisensory stimulation promote long-term plastic changes in hemianopics, resulting in stable and long-lasting ameliorations in behavioral and electrophysiological measures.

Training of Affect Recognition impacts electrophysiological correlates of facial affect recognition in schizophrenia: Analyses of fixation-locked potentials

Objectives. Training of Affect Recognition (TAR) is a useful approach to restoring cognitive function in schizophrenic patients. Along with improving visual exploration of faces and altering central information processing in relevant brain areas, TAR attenuates impairments in facial affect recognition. In the present study, we investigate the effects of TAR on early electrophysiological correlates of facial affect recognition in schizophrenia. Methods. The study population comprised 12 schizophrenic patients and 14 healthy controls. In each individual, we carried out EEG, concomitant measurements of scanning eye movements and fixation-based low resolution electromagnetic tomography (sLORETA) analyses of brain electric activity. All analyses were performed at baseline and after participation in TAR. Results. In patients, brain activation patterns significantly changed after completing the TAR. Functional improvements were particularly pronounced in the superior parietal and inferior parietal lobes, where trained patients showed a larger increase in activation than untrained healthy controls. Conclusions. The TAR activates compensatory brain processes involved in the perception, attention and evaluation of emotional stimuli. This may underlie the established behavioral effects of the TAR in schizophrenic patients, which include improvements in facial affect recognition and alterations of visual exploration strategies.

An eye-tracking investigation of intentional motion perception in patients with schizophrenia.

Schizophrenia has been characterized by an impaired attribution of intentions in social interactions. However, it remains unclear to what extent poor performance may be due to low-level processes or to later, higher-level stages or to what extent the deficit reflects an over- (hypermentalization) or underattribution of intentions (hypomentalization). We evaluated intentional motion perception using a chasing detection paradigm in individuals with schizophrenia or schizoaffective disorder and in healthy controls while eye movements were recorded. Smooth pursuit was measured as a control task. Eye-tracking was used to dissociate ocular from cognitive stages of processing. We included 27 patients with schizophrenia, 2 with schizoaffective disorder and 29 controls in our analysis. As a group, patients had lower sensitivity to the detection of chasing than controls, but showed no bias toward the chasing present response. Patients showed a slightly different visual exploration strategy, which affected their ocular sensitivity to chasing. They also showed a decreased cognitive sensitivity to chasing that was not explained by differences in smooth pursuit ability, in visual exploration strategy or in general cognitive abilities. It is not clear whether the deficit in intentional motion detection demonstrated in this study might be explained by a general deficit in motion perception in individuals with schizophrenia or whether it is specific to the social domain. Participants with schizophrenia showed a hypomentalization deficit: they adopted suboptimal visual exploration strategies and had difficulties deciding whether a chase was present or not, even when their eye movement revealed that chasing information had been seen correctly.