The role of visual awareness in processing of global structure: Evidence from the perceptual organization of hierarchical patterns

Essential New Complexity-Based Themes for Patient-Centered Diagnosis and Treatment of Dementia and Predementia in Older People: Multimorbidity and Multilevel Phenomenology

Dementia is a highly prevalent condition with devastating clinical and socioeconomic sequela. It is expected to triple in prevalence by 2050. No treatment is currently known to be effective. Symptomatic late-onset dementia and predementia (SLODP) affects 95% of patients with the syndrome. In contrast to trials of pharmacological prevention, no treatment is suggested to remediate or cure these symptomatic patients. SLODP but not young onset dementia is intensely associated with multimorbidity (MUM), including brain-perturbating conditions (BPCs). Recent studies showed that MUM/BPCs have a major role in the pathogenesis of SLODP. Fortunately, most MUM/BPCs are medically treatable, and thus, their treatment may modify and improve SLODP, relieving suffering and reducing its clinical and socioeconomic threats. Regrettably, the complex system features of SLODP impede the diagnosis and treatment of the potentially remediable conditions (PRCs) associated with them, mainly due to failure of pattern recognition and a flawed diagnostic workup. We suggest incorporating two SLODP-specific conceptual themes into the diagnostic workup: MUM/BPC and multilevel phenomenological themes. By doing so, we were able to improve the diagnostic accuracy of SLODP components and optimize detecting and favorably treating PRCs. These revolutionary concepts and their implications for remediability and other parameters are discussed in the paper.

Masked priming under the Bayesian microscope: Exploring the integration of local elements into global shape through Bayesian model comparison

To investigate whether local elements are grouped into global shapes in the absence of awareness, we introduced two different masked priming designs (e.g., the classic dissociation paradigm and a trial-wise probe and prime discrimination task) and collected both objective (i.e., performance based) and subjective (using the perceptual awareness scale [PAS]) awareness measures. Prime visibility was manipulated using three different prime-mask stimulus onset asynchronies (SOAs) and an unmasked condition. Our results showed that assessing prime visibility trial-wise heavily interfered with masked priming preventing any prime facilitation effect. The implementation of Bayesian regression models, which predict priming effects for participants whose awareness levels are at chance level, provided strong evidence in favor of the hypothesis that local elements group into global shape in the absence of awareness for SOAs longer than 50 ms, suggesting that prime-mask SOA is a crucial factor in the processing of the global shape without awareness.

Perceptual organization and visual awareness: the case of amodal completion

We investigated the involvement of visual awareness in amodal completion, and specifically, whether visual awareness plays a differential role in local versus global completion, using a primed shape discrimination paradigm and the color-opponent flicker technique to render the prime invisible. In four experiments, participants discriminated the shape of a target preceded by a partly occluded or a neutral prime. All primes were divergent occlusion patterns in which the local completion is based on good continuation of the contours at the point of occlusion and the global completion is based on maximum symmetry. The target corresponded to the shape that could arise as a result of local or global completion of the occluded prime. For each experiment with an invisible prime we conducted a version with a visible prime. Our results suggest that local completion, but not global completion, of a partly occluded shape can take place in the absence of visual awareness, but apparently only when the visible occluded shape generates a single, local completion. No completion, either local or global, appears to take place in the absence of visual awareness when the visible occluded shape generates multiple completions. The implications of these results to the differential role of visual awareness in local and global completions and to the relationship between multiple completions and unconscious amodal completions are discussed.

Unconscious integration: Current evidence for integrative processing under subliminal conditions

Integrative processing is traditionally believed to be dependent on consciousness. While earlier studies within the last decade reported many types of integration under subliminal conditions (i.e. without perceptual awareness), these findings are widely challenged recently. This review evaluates the current evidence for 10 types of subliminal integration that are widely studied: arithmetic processing, object-context integration, multi-word processing, same-different processing, multisensory integration and 5 different types of associative learning. Potential methodological issues concerning awareness measures are also taken into account. It is concluded that while there is currently no reliable evidence for subliminal integration, this does not necessarily refute 'unconscious' integration defined through non-subliminal (e.g. implicit) approaches.

Windows of Integration Hypothesis Revisited

In the ongoing research of the functions of consciousness, special emphasis has been put on integration of information: the ability to combine different signals into a coherent, unified one. Several theories of consciousness hold that this ability depends on - or at least goes hand in hand with - conscious processing. Yet some empirical findings have suggested otherwise, claiming that integration of information could take place even without awareness. Trying to reconcile this apparent contradiction, the "windows of integration" (WOI) hypothesis claims that conscious access enables signal processing over large integration windows. The hypothesis applies to integration windows defined either temporally, spatially, or semantically. In this review, we explain the hypothesis and re-examine it in light of new studies published since it was suggested. In line with the hypothesis, these studies provide compelling evidence for unconscious integration, but also demonstrate its limits with respect to time, space, and semantic distance. The review further highlights open questions that still need to be pursued to demonstrate the applicability of the WOI hypothesis as a guiding principle for understanding the depth and scope of unconscious processes.

Visual Awareness Is Essential for Grouping Based on Mirror Symmetry

We examined whether symmetry-based grouping can take place in the absence of visual awareness. To this end, we used a priming paradigm, sandwich masking as an invisibility-inducing method, and primes and targets composed of two vertical symmetric or asymmetric lines. The target could be congruent or incongruent with the prime in symmetry. In Experiment 1, participants were presented with masked primes and clearly visible targets. In each trial, the participants performed a two-alternative discrimination task on the target, and then rated the visibility of the prime on a subjective visibility four-point scale (used to assess prime awareness). Subjectively invisible primes failed to produce response priming, suggesting that symmetry processing might depend on visual awareness. However, participants barely saw the prime, and the results for the visible primes were inconclusive, even when we used a conservative criterion for awareness. To rule out the possibility that our prime stimuli could not produce priming per se, we conducted a control visibility experiment (Experiment 2), in which participants were presented with unmasked, clearly visible primes and performed a target task. The results showed that our primes could elicit significant response priming when visible. Taken together, our findings indicate that symmetry-based grouping requires visual awareness.

Functional involvement of subcortical structures in global-local processing

The present study examined the involvement of subcortical structures in the processing of global and local information. To this end, we used a stereoscope to present hierarchical stimuli (global shapes composed of local elements) in a dichoptic or a monocular fashion, such that global and local information was either presented to the same eye (same-eye condition) or segregated between the eyes (different-eyes condition). In Experiment 1, the typical global advantage and global-to-local interference were observed for the same-eye presentation condition. On the other hand, no indication of a global advantage or of global-to-local interference emerged in the different-eyes presentation condition. In Experiment 2 we replicated these results, ruling out a possible alternative explanation that the pattern of results observed for the different-eyes presentation condition resulted merely from segregation of the stimulus between the eyes. Rather, the experiment demonstrated that the global-to-local interference was eliminated only when global and local information was segregated between the eyes. Taken together, these findings suggest that processing the global aspect of hierarchical stimuli involves subcortical regions indexed by monocular portions of the visual system.