Some facilitatory effects of lorazepam on dynamic visual binding

Dynamic Protention: The Architecture of Real-Time Cognition for Future Events

For over 30 years now, a body of physiological evidence has been acquired which indicates that cognitive operations coordinate via the phase synchronization of neuronal firing. While usually ascribed to "binding," i.e., the putting together of basic perceptual features to form more complex perceptual units, this ascription is not without critics, who identify phase synchronization as a function of sensorimotor coordination. From the perspective of an experimental paradigm used to measure the effects of stimulus synchronization, we discuss what is "bound" and attempt a reconciliation between perceptual and sensorimotor accounts of oscillatory synchronization. Our evidence identifies a role for synchronization in protentive coding, this is to say, coding in anticipation of a future event, and hence describes the architecture of real-time cognition for future events.

Dissecting perception and memory-driven imagery by boosting GABA-ergic neurotransmission

Flanking lateral masks enhance or weaken the detection of a low-contrast visual target. This effect depends on the target-to-mask distance. An improvement of stimulus detection can also be observed when participants imagine (i.e., retrieve from memory) the previously presented masks. In this double-blind, placebo-controlled study, we show that the gamma-aminobutyric acid-A (GABAA) receptor agonist alprazolam disrupts perceptual but not imagery enhancement of contrast detection in individuals with generalized anxiety and adjustment disorder. The weakened target detection at short target-to-mask distances became more pronounced after the administration of the GABA-agonist in both perception and imagery conditions. Healthy control participants did not differ from individuals with generalized anxiety and adjustment disorder receiving placebo. These results indicate that perception and imagery can be dissociated by boosting GABA-ergic neurotransmission. Further studies are warranted to investigate this effect in healthy individuals.

Atemporal equilibria: pro- and retroactive coding in the dynamics of cognitive microstructures

Synchronization of spatially distributed neural assemblies at frequencies in the range 30-70 Hz (the "gamma" band) may be instrumental in grouping stimulus features. In agreement with this we have shown that detection reaction times to a grouping target stimulus are expedited when the stimulus is preceded by repeated presentation of a priming stimulus, presented below detection thresholds in a matrix that flickers at particular frequencies in the 27-68 Hz range. This dynamic priming effect can be partly explained as a function of the return phase of the priming stimulus relative to the premask matrix, indicating one of the primary consequences of repeating stimulation is pre-activation of a priming response relative to prime-stimulus presentation. However, this cannot entirely explain the relationship that develops between the timing of stimulus events (in this instance the time of target relative to priming-stimulus presentations) and response. By varying the frequency and phase of priming-stimulus and target presentations we discovered that given a particular relationship between the phase of target presentation relative to the return phase of the prime, target coding is expedited by a prime that achieves its maximum activation at a phase that would precede priming-stimulus presentation by several tens of milliseconds. However, and in addition, the cognition concerned is flexible enough to be able to achieve an identical prime retroactively, that is to say at a phase during or subsequent to priming-stimulus presentation. This occurs because of a different relationship between the phase of target presentation (defined relative to prime frequency) and the frequency of premask-matrix presentation. On this basis, it can be concluded that by virtue of the relationship between its dynamics and the timing of stimulus events, microstructural cognition functions in a temporal context that can shift from past to future states. Consequently and at the lowest level of psychological function, the conventional, one-dimensional model of time flow-from future to past states does not fully explain how cognition can function. In fact depending upon the interaction in phase between different coding frequencies, the same form of cognition can anticipate or retroactively code events. Consequently, and in so far as our cognition at this level provides a content structure for consciousness, our psychological lives may be fundamentally based upon the ability of our cognitive states to travel backwards and forwards across very short intervals of time.

General anesthesia as a possible GABAergic modulator affects visual processing in children

Gamma-Aminobutyric Acid (GABA) inhibitory interneurons play an important role in visual processing, as is revealed by studies administering drugs in human and monkey adults. Investigating this process in children requires different methodologies, due to ethical considerations. The current study aimed to investigate whether a new method, being general anesthesia using Sevoflurane, can be used to trace the effects of GABAergic modulation on visual brain functioning in children. To this aim, visual processing was investigated in children aged 4–12 years who were scheduled for minor urologic procedures under general anesthesia in day-care treatment. In a visual segmentation task, the difference in Event-Related Potential (ERP) response to homogeneous and textured stimuli was investigated. In addition, psychophysical performance on visual acuity and contrast sensitivity were measured. Results were compared between before and shortly after anesthesia. In two additional studies, effects at 1 day after anesthesia and possible effects of task-repetition were investigated. ERP results showed longer latency and lower amplitude of the Texture Negativity (TN) component shortly after compared to before anesthesia. No effects of anesthesia on psychophysical measurements were found. No effects at 1 day after anesthesia or of repetition were revealed either. These results show that GABAergic modulation through general anesthesia affects ERP reflections of visual segmentation in a similar way in children as benzodiazepine does in adults, but that effects are not permanent. This demonstrates that ERP measurement after anesthesia is a successful method to study effects of GABAergic modulation in children.

Effects of lorazepam on visual perceptual abilities

OBJECTIVE

To evaluate the effects of an acute dose of the benzodiazepine (BZ) lorazepam in young healthy volunteers on five distinguishable visual perception abilities determined by previous factor-analytic studies.

METHODS

This was a double-blind, cross-over design study of acute oral doses of lorazepam (2 mg) and placebo in young healthy volunteers. We focused on a set of paper-and-pencil tests of visual perceptual abilities that load on five correlated but distinguishable factors (Spatial Visualization, Spatial Relations, Perceptual Speed, Closure Speed, and Closure Flexibility). Some other tests (DSST, immediate and delayed recall of prose; measures of subjective mood alterations) were used to control for the classic BZ-induced effects.

RESULTS

Lorazepam impaired performance in the DSST and delayed recall of prose, increased subjective sedation and impaired tasks of all abilities except Spatial Visualization and Closure Speed. Only impairment in Perceptual Speed (Identical Pictures task) and delayed recall of prose were not explained by sedation.

CONCLUSION

Acute administration of lorazepam, in a dose that impaired episodic memory, selectively affected different visual perceptual abilities before and after controlling for sedation. Central executive demands and sedation did not account for results, so impairment in the Identical Pictures task may be attributed to lorazepam's visual processing alterations.

Oscillatory priming and form complexity

Detection of a target grouping is expedited when the target display is preceded by presentation of an oscillating premask that includes priming elements presented intraphasically and below detection threshold at the display locations subsequently occupied by the target. Five experiments were performed to investigate how priming is affected by both the complexity and the geometry of prime/target forms. Experiment 1 showed that the subjective complexity of different polygons was coded in accord with an objective measure of form complexity. Experiments 2 and 3 revealed oscillatory priming to increase as a function of the subjective complexity of prime/target forms when those forms were regular and predictable. However, Experiments 4 and 5 showed that this relation did not hold when the prime/target forms were irregular and unpredictable. Taken together, it is argued that both subjective complexity and the Prägnanz quality of the prime/target forms come to determine the magnitude of priming. These results are discussed with reference to current physiological hypotheses regarding perceptual organization.

Impairment of contrast sensitivity in long-term lorazepam users

RATIONALE

Oculomotor balance and contrast sensitivity are known to be impaired after an intake of a single dose of lorazepam. To the best of our knowledge, these effects have not been explored in long-term users of lorazepam, despite the potential importance of such deficits in everyday life.

OBJECTIVE

We tested the ophthalmological effects and contrast sensitivity for static stimuli in long-term lorazepam users.

MATERIALS AND METHODS

There were 15 lorazepam users and 15 sex-, age- and education level-matched control subjects tested, using a simple blind procedure.

RESULTS

The ophthalmological effects were scarce, with a discrete exophoria. Visual acuity was preserved. Contrast sensitivity, however, was more markedly impaired, consistent with the effects of an acute dose of lorazepam. The effects were not correlated with anxiety or sedation.

CONCLUSIONS

The results are discussed in terms of their possible impact on everyday life. As visual acuity does not allow the detection of the impairments that are observed in the present study, it is suggested that a more systematic exploration of contrast sensitivity be carried out in long-term users of benzodiazepines.