A novel, illustrated questionnaire to distinguish projector and associator synaesthetes

Familial aggregation of synaesthesia with autism (but not schizophrenia)

INTRODUCTION

This study determines whether there is a familial aggregation between synaesthesia and two neuropsychiatric conditions (autism and schizophrenia). METHOD We examined the prevalence of autism and schizophrenia among synaesthetes and non-synaesthetic controls, and among their first-degree relatives.

RESULTS

As predicted, autism occurred at elevated levels among synaesthetes and-we document for the first time-amongst their relatives. This was not found for schizophrenia, where a link may be expected, or in a control condition (type 1 diabetes) where we had no a priori reason to assume a link. Synaesthetes, compared to controls, were also more likely to have other synaesthetes in their family. People with three or more types of synaesthesia were more likely (compared to synaesthetes with fewer types) to have synaesthetic relatives and to report autism in themselves. People with two or more types of synaesthesia (compared to synaesthetes with only one type) were more likely to report familial autism.

CONCLUSIONS

The results suggest a shared genetic predisposition between synaesthesia and autism, and more extreme synaesthetes may tend to hail from more neurodiverse families.

The time course of synaesthetic colour perception

Grapheme-colour synaesthesia is a neurodevelopmental condition wherein perception of numbers and letters consistently and involuntarily elicits concurrent experiences of colour photisms. Accumulating evidence suggests that heterogeneity in the visuospatial phenomenology of synaesthesia is attributable to the operation of top-down processes underlying photisms experienced as representations in associator synaesthetes and bottom-up processes subserving photisms experienced as spatially localized in projector synaesthetes. An untested corollary of this hypothesis is that bottom-up mechanisms will actuate earlier photism perception in projector than associator synaesthetes. We tested this prediction in a pre-registered study wherein associators and projectors completed adaptive temporal order judgement tasks for graphemes, colours, and photisms. In corroboration of the hypothesis of differential photism access across subtypes, projectors displayed lower photism colour thresholds than associators whereas the two subtypes did not significantly differ in veridical colour thresholds. Synaesthetes did not differ in grapheme or colour thresholds relative to non-synaesthete controls. These results are consistent with the proposal of differential neural mechanisms underlying photism perception in subtypes of grapheme-colour synaesthesia and warrant renewed attention to heterogeneity in the mechanisms and phenomenology of this condition.

Apparent physical brightness of graphemes is altered by their synaesthetic colour in grapheme-colour synaesthetes

Grapheme-colour synaesthesia is a condition in which the visual perception of letters or numbers induces a specific colour sensation. In this study, we demonstrated that the apparent physical brightness of graphemes is modulated by the synaesthetic colours elicited by them. Synaesthetes first selected a synaesthetic colour corresponding to each capital letter and digit. Then, we selected a grapheme stimulus with a bright synaesthetic colour and one with a dark colour for each synaesthete. Finally, synaesthetes and non-synaesthete controls participated in a brightness judgment task, in which each participant judged the real brightness of each of the two stimuli compared to a standard stimulus. Compared to non-synaesthetes, synaesthetes judged a grapheme with a bright synaesthetic colour to be brighter than one with a dark synaesthetic colour, suggesting that the synaesthetic colour experience of synaesthetes alters their brightness perception. Such alteration in real brightness perception was observed both in those who experienced synaesthetic colours in external space (projector-type synaesthetes) and in those who experienced such colours ‘in the mind’s eye’ (associator-type synaesthetes). These results support the view that early visual processing is modulated by feedback transmitted from the V4 colour area, the neural activation of which accompanies synaesthetic colour experience.

Association between synesthetic colors and sensitivity to physical colors changed by type of synesthetic experience in grapheme-color synesthesia

Grapheme-color synesthesia is a condition in which visual perception of letters induces simultaneous perception of a specific color. Previous studies indicate that grapheme-color synesthetes are more sensitive to physical colors than non-synesthetes. Synesthetic colors are found to be concentrated in multiple regions of the color space, forming "synesthetic color clusters". The present study investigated whether color sensitivity corresponding to synesthetic color clusters (clustered colors) is higher than color sensitivity that does not correspond to synesthetic color clusters (non-clustered colors). However, we found no difference in the color sensitivity for clustered and non-clustered colors. We also investigated whether the color sensitivity is dependent on the synesthetic experience (associators and projectors). We found that the greater the tendency toward associator characteristics, the greater the sensitivity for clustered colors compared to that for non-clustered colors. Our findings suggest an association between synesthetic colors and physical color sensitivity that is modulated by synesthetic experience.

Isolating automatic photism generation from strategic photism use in grapheme-colour synaesthesia

Grapheme-colour synaesthesia is a phenomenon in which ordinary black numbers and letters (graphemes) trigger the experience of highly specific colours (photisms). The Synaesthetic Stroop task has been used to demonstrate that graphemes trigger photisms automatically. In the standard Stroop task, congruent trial probability (CTP) has been manipulated to isolate effects of automaticity from higher-order strategic effects, with larger Stroop effects at high CTP attributed to participants strategically attending to the stimulus word to facilitate responding, and smaller Stroop effects at low CTP reflecting automatic word processing. Here we apply this logic for the first time to the Synaesthetic Stroop task. At high CTP we showed larger Stroop effects due to synaesthetes using their synaesthetic colours strategically. At low CTP Stroop effects were reduced but were still significant. We directly isolate automatic processing of graphemes from strategic effects and conclusively show that, in synaesthesia, viewing black graphemes automatically triggers colour experiences.

Ignoring Irrelevant Information: Enhanced Intermodal Attention in Synaesthetes

Despite the fact that synaesthetes experience additional percepts during their inducer-concurrent associations that are often unrelated or irrelevant to their daily activities, they appear to be relatively unaffected by this potentially distracting information. This might suggest that synaesthetes are particularly good at ignoring irrelevant perceptual information coming from different sensory modalities. To investigate this hypothesis, the performance of a group of synaesthetes was compared to that of a matched non-synaesthete group in two different conflict tasks aimed at assessing participants' abilities to ignore irrelevant information. In order to match the sensory modality of the task-irrelevant distractors (vision) with participants' synaesthetic attentional filtering experience, we tested only synaesthetes experiencing at least one synaesthesia subtype triggering visual concurrents (e.g., grapheme-colour synaesthesia or sequence-space synaesthesia). Synaesthetes and controls performed a classic flanker task (FT) and a visuo-tactile cross-modal congruency task (CCT) in which they had to attend to tactile targets while ignoring visual distractors. While no differences were observed between synaesthetes and controls in the FT, synaesthetes showed reduced interference by the irrelevant distractors of the CCT. These findings provide the first direct evidence that synaesthetes might be more efficient than non-synaesthetes at dissociating conflicting information from different sensory modalities when the irrelevant modality correlates with their synaesthetic concurrent modality (here vision).

Sound-Color Associations in Psychosis-Prone Individuals

Synesthetic-pseudosynesthetic characteristics have been hypothesized to be a schizophrenia endophenotype, a developmental feature, and/or a symptom of psychosis. Few studies to date, however, have examined whether individuals at risk for psychosis have synesthetic symptoms. We examined the relationship between hue and pitch in high psychosis prone (HP; n = 30) and low psychosis prone individuals (LP; n = 31). Synesthesia was evaluated using self-report and two performance-based tasks. Results revealed that HP subjects experienced more synesthetic experiences than the LP only on the self-report measure. These results suggest that high psychotic prone patients report unusual experiences but are no more likely to exhibit synesthesia than LP individuals. HP individuals, however, were more likely to choose shorter wavelength colors than LP individuals on performance tasks. These results are consistent with the notion that psychosis vulnerability is associated with a preference to light wavelengths associated with increasing emotional valence and negative affect.

How uncommon is tickertaping? Prevalence and characteristics of seeing the words you hear

Tickertape experience is the subjective phenomenon of routinely visualizing the orthographic appearance of words that one hears, speaks, or thinks, like mental subtitles in the mind’s eye. It has been observed in grapheme-color synesthetes, whose letter visualizations are colored, but has been very little studied. We report a survey, among 425 Norwegian adults from varied sub-samples, of the prevalence, character, and associated skills of tickertaping. Our questionnaire was designed to reflect different degrees of automaticity of the experience. While strongly automatic tickertaping appeared rare (n = 6; CI₉₅ = 0.6% to 3.2% of sample), lesser degrees of text visualization were reported by more than half of respondents, indicating a continuity between extreme tickertaping and normal cognition. Tickertaping was not strongly associated with greater awareness of an inner voice while reading silently. We also found no strong evidence that tickertapers are unusually likely to self-report skill in rapidly enumerating heard words, or in backward spelling and backward speaking, despite the fact that these skills have been observed in single-case studies of tickertapers. The qualitative character of tickertaping varied among respondents, and included negative experiences. However visualization of letters was predominantly uncolored, indicating that tickertaping is a phenomenon in its own right and not just a subset of grapheme-color synesthesia. We suggest tickertaping is an explicit expression of the close interconnection between phonemic and graphemic representations of words which, for reasons we do not yet understand, manifests as visual imagery with a varying degree of automaticity.

Phosphene Perception Relates to Visual Cortex Glutamate Levels and Covaries with Atypical Visuospatial Awareness

Phosphenes are illusory visual percepts produced by the application of transcranial magnetic stimulation to occipital cortex. Phosphene thresholds, the minimum stimulation intensity required to reliably produce phosphenes, are widely used as an index of cortical excitability. However, the neural basis of phosphene thresholds and their relationship to individual differences in visual cognition are poorly understood. Here, we investigated the neurochemical basis of phosphene perception by measuring basal GABA and glutamate levels in primary visual cortex using magnetic resonance spectroscopy. We further examined whether phosphene thresholds would relate to the visuospatial phenomenology of grapheme-color synesthesia, a condition characterized by atypical binding and involuntary color photisms. Phosphene thresholds negatively correlated with glutamate concentrations in visual cortex, with lower thresholds associated with elevated glutamate. This relationship was robust, present in both controls and synesthetes, and exhibited neurochemical, topographic, and threshold specificity. Projector synesthetes, who experience color photisms as spatially colocalized with inducing graphemes, displayed lower phosphene thresholds than associator synesthetes, who experience photisms as internal images, with both exhibiting lower thresholds than controls. These results suggest that phosphene perception is driven by interindividual variation in glutamatergic activity in primary visual cortex and relates to cortical processes underlying individual differences in visuospatial awareness.

Achromatic synesthesias - a functional magnetic resonance imaging study

Grapheme-color synesthetes experience consistent, automatic and idiosyncratic colors associated with specific letters and numbers. Frequently, these specific associations exhibit achromatic synesthetic qualities (e.g. white, black or gray). In this study, we have investigated for the first time the neural basis of achromatic synesthesias, their relationship to chromatic synesthesias and the achromatic congruency effect in order to understand not only synesthetic color but also other components of the synesthetic experience. To achieve this aim, functional magnetic resonance imaging experiments were performed in a group of associator grapheme-color synesthetes and matched controls who were stimulated with real chromatic and achromatic stimuli (Mondrians), and with letters and numbers that elicited different types of grapheme-color synesthesias (i.e. chromatic and achromatic inducers which elicited chromatic but also achromatic synesthesias, as well as congruent and incongruent ones). The information derived from the analysis of Mondrians and chromatic/achromatic synesthesias suggests that real and synesthetic colors/achromaticity do not fully share neural mechanisms. The whole-brain analysis of BOLD signals in response to the complete set of synesthetic inducers revealed that the functional peculiarities of the synesthetic brain are distributed, and reflect different components of the synesthetic experience: a perceptual component, an (attentional) feature binding component, and an emotional component. Additionally, the inclusion of achromatic experiences has provided new evidence in favor of the emotional binding theory, a line of interpretation which constitutes a bridge between grapheme-color synesthesia and other developmental modalities of the phenomenon.

Affect-related synesthesias: a prospective view on their existence, expression and underlying mechanisms

The literature on developmental synesthesia has seen numerous sensory combinations, with surprisingly few reports on synesthesias involving affect. On the one hand, emotion, or more broadly affect, might be of minor importance to the synesthetic experience (e.g., Sinke et al., 2012). On the other hand, predictions on how affect could be relevant to the synesthetic experience remain to be formulated, in particular those that are driven by emotion theories. In this theoretical paper, we hypothesize that a priori studies on synesthesia involving affect will observe the following. Firstly, the synesthetic experience is not merely about discrete emotion processing or overall valence (positive, negative) but is determined by or even altered through cognitive appraisal processes. Secondly, the synesthetic experience changes temporarily on a quantitative level according to (i) the affective appraisal of the inducing stimulus or (ii) the current affective state of the individual. These hypotheses are inferred from previous theoretical and empirical accounts on synesthesia (including the few examples involving affect), different emotion theories, crossmodal processing accounts in synesthetes, and non-synesthetes, and the presumed stability of the synesthetic experience. We hope that the current review will succeed in launching a new series of studies on "affective synesthesias." We particularly hope that such studies will apply the same creativity in experimental paradigms as we have seen and still see when assessing and evaluating "traditional" synesthesias.

Current tests and trends in single-case neuropsychology

In this issue of Cortex, Crawford, Garthwaite and Ryan publish bayesian statistical tests that will enable researchers to take account of covariates when comparing single patients to control samples. In this article, we provide some context for this development, from an audit of the Cortex archives. We suggest that single-case research is alive and well, and more rigorous than ever, and that current practice has been shaped considerably by Crawford and colleagues' statistical refinements over the past 12 years. However, there is scope for further tightening and standardisation of statistical methods and reporting standards. The advantages offered by the new bayesian tests should promote the even wider use of appropriate statistical methods, with benefits for the validity of individual studies, and for cross-comparability in the single-case literature.

Grapheme-colour synaesthesia improves detection of embedded shapes, but without pre-attentive 'pop-out' of synaesthetic colour

For people with synaesthesia letters and numbers may evoke experiences of colour. It has been previously demonstrated that these synaesthetes may be better at detecting a triangle made of 2s among a background of 5s if they perceive 5 and 2 as having different synaesthetic colours. However, other studies using this task (or tasks based on the same principle) have failed to replicate the effect or have suggested alternative explanations of the effect. In this study, we repeat the original study on a larger group of synaesthetes (n = 36) and include, for the first time, an assessment of their self-reported colour experiences. We show that synaesthetes do have a general advantage over controls on this task. However, many synaesthetes report no colour experiences at all during the task. Synaesthetes who do report colour typically experience around one third of the graphemes in the display as coloured. This is more consistent with theories of synaesthesia in which spatial attention needs to be deployed to graphemes for conscious colour experiences to emerge than the interpretation based on 'pop-out'.