Schizotypy and pseudoneglect: a critical update on theories of hemispheric asymmetries

INTRODUCTION

Positive schizotypy has been associated with a leftward spatial bias (pseudoneglect) in different tasks and populations. We tested whether this relationship (1) can be observed for two different hemispatial tasks in the same participants, and (2) is specific to positive schizotypy.

METHODS

Forty right-handed men performed a conventional line bisection task and a whole-body movement task. In the latter task, participants were presented with illuminated target locations on the floor, and had to visit the remembered locations (equal number in right and left hemispace) after a short time interval. We assessed side preferences in both tasks. Positive schizotypy, negative schizotypy, and cognitive disorganisation were assessed with a validated self-report questionnaire.

RESULTS

Irrespective of schizotypy, pseudoneglect was observed in both tasks. We found a rightward bisection and walking bias as a function of positive schizotypy, and also as a function of cognitive disorganisation for walking initiation.

DISCUSSION

This unexpected finding resulted in a review of hemispheric asymmetry for function in schizotypy, and in the discussion of potential variables that might account for the present discrepancy. We suggest that different schizotypy questionnaires and their presentation mode might be a potential contributor to the opposite findings in the literature.

Inter-Rater Reliability of the Diagnoses of Psychosis and Depression in Individuals with Intellectual Disabilities

BACKGROUND: There is a history of over-prescription of antipsychotics to individuals with intellectual disability (ID), while antidepressants may be under-prescribed. However, appropriate treatment is best supported when the diagnosis of psychosis or depression is valid and carries good predictive validity. The present authors report a study examining one aspect of validity, namely whether skilled clinicians can agree on whether an individual with an ID is psychotic or depressed. MATERIALS AND METHODS: Pairs of clinicians assessed 52 individuals. Agreement was assessed using Cohen's kappa statistic and agreement proportion. RESULTS: Overall agreement was high for both psychosis and depression. Whether the individual had mild ID or moderate/severe ID did not have a significant impact on agreement. CONCLUSIONS: Experienced clinicians achieved a high level of agreement as to whether a person with ID was psychotic or depressed similar to that found for those without ID. The findings provide some support for treatment interventions based on diagnosis.

Selective memory biases for words reflecting sex-specific body image concerns

Women show "fear of fatness" and men a "drive for muscularity." Moreover, women perceive themselves as larger and men more muscular than they actually are. We tested potential memory biases congruent with these sex-specific body image concerns. Free recall performance for weight-related and muscle-related positive and negative words was assessed in 40 healthy undergraduate students (20 men). Men revealed a recall advantage for positive muscle words, while women showed a general advantage for positive and negative weight-related words. Thus, men revealed a memory bias congruent with their personal preference (more muscular), while women showed a general memory bias for weight information independent of their personal preference of being thinner. The absence of a positive memory bias in women might explain the higher incidence of body dissatisfaction and eating disorders in this population.

Psychophysics reveals a right hemispheric contribution to body image distortions in women but not men

We tested the hypothesis that the right cerebral hemisphere contributes to the enhanced body image distortions seen in women when compared to men. Using classical psychophysics, 60 right-handed healthy participants (30 women) were briefly presented with size-distorted pictures of themselves, another person (an experimenter), and a non-corporal, familiar object (a coke bottle) to the central, right, and left visual field. Participants had to decide whether the presented stimulus was fatter or thinner than the real body/object, and thus compare the presented picture with the stored representation of the stimulus from memory. From these data we extracted the amount of image distortion at which participants judged the various stimuli to be veridical. We found that right visual field presentations (initial left hemisphere processing) revealed a general "fatter" bias, which was more evident for bodies than for objects. Crucially, a "fatter" bias with own body presentations in the left visual field (initial right hemisphere processing) was only found for women. Our findings suggest that right visual field presentation results in a general size overestimation, and that this overestimation is more pronounced for bodies than for objects. Moreover, the particular "fatter" bias after own body presentations to the left visual field in women supports the notion of a specific role of the right hemisphere in sex-specific body image distortion.

Metaphor explanation attenuates the right-hand preference for depictive co-speech gestures that imitate actions

Differential activation levels of the two hemispheres due to hemispheric specialization for various linguistic processes might determine hand choice for co-speech gestures. To test this hypothesis, we compared hand choices for gesturing in 20 healthy right-handed participants during explanation of metaphorical vs. non-metaphorical meanings, on the assumption that metaphor explanation enhances the right hemisphere contribution to speech production. Hand choices were analyzed separately for: depictive gestures that imitate action ("character viewpoint gestures," [McNeill, D. (1992). Hand and mind. What gestures reveal about thought. Chicago: University of Chicago Press.]), depictive gestures that express motion, relative locations, and shape ("observer viewpoint gestures"), and "abstract deictic gestures." It was found that the right-hand over left-hand preference was significantly weaker in the metaphor condition than in the non-metaphor conditions for depictive gestures that imitated action. Findings suggest that the activation of the right hemisphere in the metaphor condition reduces the likelihood of left hemisphere generation of gestures that imitate action, thus attenuating the right-hand preference.

Implicit learning of sequential bias in a guessing task: failure to demonstrate effects of dopamine administration and paranormal belief

Previous research suggests that implicit sequence learning (ISL) is superior for believers in the paranormal and individuals with increased cerebral dopamine. Thirty-five healthy participants performed feedback-guided anticipations of four arrow directions. A 100-trial random sequence preceded two 100-trial biased sequences in which visual targets (arrows) on trial t tended to be displaced 90 degrees clockwise (CW) or counter-clockwise (CCW) from those on t - 1. ISL was defined as a positive change during the course of the biased run in the difference between pro-bias and counter-bias responses. It was hypothesized that this difference would be greater for believers in the paranormal than for skeptics, for those who received dopamine than for those who received placebo, and for believers who received dopamine than for the other groups. None of the hypotheses were supported by the data. It is suggested that a simple binary guessing task with a focus on prediction accuracy during early trials should be considered for future explorations.

Duration and not strength of activation in temporo-parietal cortex positively correlates with schizotypy

Impaired self- and own body processing in patients with schizophrenia and individuals along the schizophrenia spectrum have been associated with dysfunctional cortical activation at the temporo-parietal junction. Here we investigated whether strength or duration of temporo-parietal junction activation during an own body processing task correlates with level of abnormal self-processing in healthy subjects as measured by the frequency of spontaneously experienced schizotypal body schema alterations (perceptual aberrations) and dissociative experiences. Participants carried out a mental imagery task with respect to their own body. Behavioral data and high density EEG were measured. EEG data were analyzed using evoked potential mapping and electrical neuroimaging. Participants completed two validated self-report questionnaires, one asking about perceptual aberration and one about dissociative experiences. The own body transformation task activated the right temporo-parietal junction at 310-390 ms. Participants' reaction times and duration of activation at the right temporo-parietal junction, but not its strength, were found to correlate positively with perceptual aberration scores. No relationship was found with dissociative experiences scores. Brain activations proceeding and following activation of the right temporo-parietal junction did not correlate with scores on either scale. The positive correlation between performance and right temporo-parietal activation in an own body transformation task with perceptual aberrations scores in our healthy population suggests that disturbances in self- and body processing in individuals along the schizophrenia spectrum might be due to prolonged, rather than stronger activation of the right temporo-parietal junction. We argue that this might reflect local pathology, pathologies in cortico-cortical connections and/or re-entry of top-down processing.

Test–retest stability of an experimental measure of human turning behaviour in right-handers, mixed-handers, and left-handers

Animals turn away from the hemisphere with the more active dopamine (DA) system. For humans, a similar relationship has been assumed, albeit that side preferences obtained from different measures are inconsistent. Given the important role of DA on human behaviour and cognition, a stable human turning measure is of significant experimental value. We assessed the stability (test and retest 4 weeks apart) of veering behaviour (lateral deviations during blindfolded straight ahead walking) in 20 healthy right-handers, 20 mixed-handers, and 20 left-handers. Veering behaviour did not differ between groups, and did not reveal any particular side preference in any group. Relationships of side preferences between testing sessions for the different handedness groups was low for right-handers, and showed some minor consistency for the mixed-handed group. Neither handedness nor footedness was significantly related to preferred veering side. These findings, if not related meaningfully to DA-mediated conditions (e.g., clinical populations, pharmacological studies, personality) in the future, suggests that veering behaviour is an inappropriate alternative to the animal turning model. These findings challenge the reliability of human turning measures, and invite more broadly for a critical evaluation of turning measures as an indicator of hemispheric DA asymmetries in human populations.

Rightward bisection errors for letter lines: The role of semantic information

When bisecting words in their middle, people reveal leftward bisection errors. This tendency might emerge from an attentional bias towards the beginning of the word. However, when longer meaningless letter strings are presented, people reveal a rightward bisection bias. To test the role of semantic information on leftward or rightward bisection biases, we tested letter line bisection performance in healthy right-handed students in four independent experiments. A third of the letter lines contained an embedded four-letter word to the left of true centre, another third contained an embedded four-letter word to the right of true centre, while the remaining lines contained no words. Half of these words were emotional words, the other half were neutral words. Results across experiments revealed a stronger rightward bisection bias: (i) for letter lines containing emotional as compared to neutral words, (ii) for letter lines containing words in the left as compared to right half of the lines, and (iii) for those experiments in which the spatial position of letter lines remained within a narrow body-centred space. Findings from this study suggest that letter line bisection performance might be only minimally determined by visuo-spatial attention. Rather, letter line perception might activate the left hemisphere more than the right hemisphere, shifting the subjective midpoint to the right of true centre. Leftward bisection biases for words only, as had been described in the literature, may thus have resulted from automated reading strategies rather than from attentional biases towards the left hemispace.

Neural basis of embodiment: distinct contributions of temporoparietal junction and extrastriate body area

Embodiment, the sense of being localized within one's physical body, is a fundamental aspect of the self. Recently, researchers have started to show that self and body processing require distinct brain mechanisms, suggesting two posterior brain regions as key loci: the temporoparietal junction (TPJ), which is involved in self processing and multisensory integration of body-related information; and the extrastriate body area (EBA), which responds selectively to human bodies and body parts. Here we used evoked potential mapping and a distributed linear inverse solution to show that activations in EBA and TPJ code differentially for embodiment and self location, because the location and timing of brain activation depended on whether mental imagery is performed with mentally embodied (EBA) or disembodied (TPJ) self location. In a second experiment, we showed that only EBA activation, related to embodied self location, but not TPJ activation, related to disembodied self location, was modified by the subjects' body position during task performance (supine or sitting). This suggests that embodied self location and actual body location share neural mechanisms. Collectively, these data show that distributed brain activity at the EBA and TPJ as well as their timing are crucial for the coding of the self as embodied and as spatially situated within the human body.

Lateralized semantic priming: modulation by levodopa, semantic distance, and participants' magical beliefs

We tested levodopa effects on lateralized direct and indirect semantic priming in 40 healthy right-handed men in a placebo-controlled, double-blind procedure. Crucially, priming was also analyzed as a function of participants' positive schizotypal features (magical ideation, MI), previously found to be associated with an enhanced semantic spreading activation (SSA) within the right hemisphere. Across both priming conditions, we observed increased semantic priming in the levodopa group 1) specifically after right visual field stimulations and 2) in high MI scorers. In both instances, increased semantic priming emerged from exceedingly long reaction times to unrelated targets reflecting 1) the left hemisphere's specialization for closely related concepts and 2) an opposite association between MI and SSA in the levodopa as compared with the placebo group. As a final finding, low MI scorers under levodopa performed like high MI scorers under placebo. Our findings speak against a general dopaminergic focusing of SSA, but one that respects each hemisphere's specialization. They also suggest that individuals' schizotypal features are important determinants of dopamine-induced changes in hemispheric functioning. We note that, in psychiatric patients, dopamine antagonists reportedly restore unusual lateralization. We discuss this dissociation between schizotypy and schizophrenia as supporting previous notions of protective brain mechanisms operating in the healthy "psychosis-prone" brain.

Arm folding, hand clasping, and Luria's concept of "latent left-handedness"

Luria (1947/1970) proposed left-top positions in arm folding (AF) and hand clasping (HC) to be signs of "latent left-handedness". However, research since has revealed that (1) left-top positions are canonical for European right-handers and (2) combined AF/HC measures may provide more information about cerebral laterality than either measure considered alone. We tested whether AF and HC or AF/HC combinations predicted diminished right-handedness for 12 handedness items. Results from 509 healthy participants showed that (1) left-top positions in AF and HC were dominant across participants, as was right-handedness, and a right-top position in HC was associated with attenuated right-handedness, (2) right-hand preference was more frequently associated with congruent AF/HC combinations, especially of the LL type (AF: left-top / HC: left-top), and (3) non-right-hand preference was associated with non-congruent, predominantly LR combinations. We conjecture that the LL type combination indicates left hemispheric dominance for motor actions, whereas the LR combination, in which HC as the distally innervated posture deviates from the canonical pattern, indicates attenuated hemispheric asymmetry. Our data support Luria's proposition that a left-top preference in AF points to "latent" left-handedness, but only if associated with a right-top preference in HC. Consistent left-top preference for the combined AF/HC measure appears to predict right-handedness.

Perceptual aberrations impair mental own-body transformations

Dysfunctional self and bodily processing have been reported from the schizophrenia spectrum. Here, the authors tested 72 students (40 women) to determine whether performance in a mental own-body transformation task relates to self-rated frequency of spontaneously experienced schizotypal body schema alterations (perceptual aberration). Participants provided speeded left-right decisions concerning the body of a visually depicted human figure (front view vs. back view). For men, reaction times to disembodied perspectives increased with increasing scores on a validated perceptual aberration scale. This finding constitutes behavioral evidence for the clinically postulated association between aberrant bodily experiences during everyday life and aberrant processing in a mental own-body transformation task arguably reflecting mild dysfunction at the temporo-parietal junction.

Out-of-body experience, heautoscopy, and autoscopic hallucination of neurological origin

Autoscopic phenomena (AP) are rare illusory visual experiences during which the subject has the impression of seeing a second own body in extrapersonal space. AP consist of out-of-body experience (OBE), autoscopic hallucination (AH), and heautoscopy (HAS). The present article reviews and statistically analyzes phenomenological, functional, and anatomical variables in AP of neurological origin (n = 41 patients) that have been described over the last 100 years. This was carried out in order to further our understanding of the underlying mechanisms of AP, much as previous research into the neural bases of body part illusions has demystified these latter phenomena. Several variables could be extracted, which distinguish between or are comparable for the three AP providing testable hypotheses for subsequent research. Importantly, we believe that the scientific demystification of AP may be useful for the investigation of the cognitive functions and brain regions that mediate processing of the corporeal awareness and self consciousness under normal conditions.

Does contextual information influence positive and negative schizotypy scores in healthy individuals? The answer is maybe

Defensive responding in schizotypy questionnaires might depend on context. Students completed a schizotypy questionnaire in a "psychiatric" context or a "creativity" context. Positive, but not negative, schizotypy scores were lower in the psychiatry than in the creativity group, but findings applied mainly to male participants. The implications of these findings are critically discussed.

Blinking and schizotypal thinking

Spontaneous eye blink rate (SBR) is thought to be a biological marker for cerebral dopamine (DA) activity. Accordingly, positive psychotic symptoms have been found to be associated with an increased SBR and negative psychotic symptoms with a decreased SBR. However, modulations of the DA system in patient populations also result from prior neuroleptic treatment. Here, we tested the possible relationship between SBR and positive and negative schizotypal thought. To test the direct influence of DA on SBR in general and as a function of schizotypy, half of a sample of 40 healthy men received levodopa and the other half placebo in a double-blind procedure. SBR did not differ between substance groups suggesting that a pharmacologically induced DA increase in healthy individuals does not generally increase SBR. However, in the levodopa group, increasing SBR correlated with increasing negative schizotypy scores, while no relationship was found between SBR and (1) negative schizotypy in the placebo group, or (2) positive schizotypy in either substance group. We conjecture that a pre-existing hypodopaminergic state in high negative schizotypy scorers, made these individuals susceptible to an increased DA concentration, as it has been observed in Parkinson's disease. Furthermore, the absence of any relationship in the placebo group might suggest that variations in DA concentration as a function of schizotypy are too subtle to influence SBR. Finally, the lack of any association of SBR with positive schizotypy might indicate that SBR and positive schizotypy are mediated by functionally distinct neural circuits.

Synesthesia: When colors count

A tacitly held assumption in synesthesia research is the unidirectionality of digit-color associations. This notion is based on synesthetes' report that digits evoke a color percept, but colors do not elicit any numerical impression. In a random color generation task, we found evidence for an implicit co-activation of digits by colors, a finding that constrains neurological theories concerning cross-modal associations in general and synesthesia in particular.