Spatial and non-spatial aspects of visual attention: Interactive cognitive mechanisms and neural underpinnings

The Role of Mindfulness Therapy in the Treatment of Chronic Pain

PURPOSE OF REVIEW

Mindfulness therapy is a widely used treatment for many diseases and has been shown to improve pain-related functions. There is growing support for the use of psychotherapy in the treatment of chronic pain. While studies have shown a positive effect of mindfulness therapy, it is important to consider psychosocial factors as there are still a small number of studies that question its effectiveness.

RECENT FINDINGS

Based on current studies, mindfulness therapy involves cognitive factors related to chronic pain, both in terms of cognitive production and its impact on cognitive control. Psychological and neurobasic studies were reviewed to provide a deeper understanding of these components, which include thought inhibition, attention deficit, pain catastrophizing, and self-efficacy. Mindfulness therapy has the potential to normalize psychology and nerves, and increase internal and external connectivity to work networks related to stress perception, cognition, and emotion. However, further research is needed to fully understand its effects. By exploring the relationship between mindfulness therapy and chronic pain. This review provides a new avenue for future research in psychotherapy for patients with chronic pain.

Task-irrelevant semantic relationship between objects and scene influence attentional allocation

Recent behavioral evidence suggests that the semantic relationships between isolated objects can influence attentional allocation, with highly semantically related objects showing an increase in processing efficiency. This semantic influence is present even when it is task-irrelevant (i.e., when semantic information is not central to the task). However, given that objects exist within larger contexts, i.e., scenes, it is critical to understand whether the semantic relationship between a scene and its objects continuously influence attention. Here, we investigated the influence of task-irrelevant scene semantic properties on attentional allocation and the degree to which semantic relationships between scenes and objects interact. Results suggest that task-irrelevant associations between scenes and objects continuously influence attention and that this influence is directly predicted by the perceived strength of semantic associations.

The large-scale organization of shape processing in the ventral and dorsal pathways is dissociable from attention

The two visual pathways model posits that visual information is processed through two distinct cortical systems: The ventral pathway promotes visual recognition, while the dorsal pathway supports visuomotor control. Recent evidence suggests the dorsal pathway is also involved in shape processing and may contribute to object perception, but it remains unclear whether this sensitivity is independent of attentional mechanisms that were localized to overlapping cortical regions. To address this question, we conducted two fMRI experiments that utilized different parametric scrambling manipulations in which human participants viewed novel objects in different levels of scrambling and were instructed to attend to either the object or to another aspect of the image (e.g. color of the background). Univariate and multivariate analyses revealed that the large-scale organization of shape selectivity along the dorsal and ventral pathways was preserved regardless of the focus of attention. Attention did modulate shape sensitivity, but these effects were similar across the two pathways. These findings support the idea that shape processing is at least partially dissociable from attentional processes and relies on a distributed set of cortical regions across the visual pathways.

Implicit Selective Attention: The Role of the Mesencephalic-basal Ganglia System

The ability of the brain to recognize and orient attention to relevant stimuli appearing in the visual field is highlighted by a tuning process, which involves modulating the early visual system by both cortical and subcortical brain areas. Selective attention is coordinated not only by the output of stimulus-based saliency maps but is also influenced by top-down cognitive factors, such as internal states, goals, or previous experiences. The basal ganglia system plays a key role in implicitly modulating the underlying mechanisms of selective attention, favouring the formation and maintenance of implicit sensory-motor memories that are capable of automatically modifying the output of priority maps in sensory-motor structures of the midbrain, such as the superior colliculus. The article presents an overview of the recent literature outlining the crucial contribution of several subcortical structures to the processing of different sources of salient stimuli. In detail, we will focus on how the mesencephalic- basal ganglia closed loops contribute to implicitly addressing and modulating selective attention to prioritized stimuli. We conclude by discussing implicit behavioural responses observed in clinical populations in which awareness is compromised at some level. Implicit (emergent) awareness in clinical conditions that can be accompanied by manifest anosognosic symptomatology (i.e., hemiplegia) or involving abnormal conscious processing of visual information (i.e., unilateral spatial neglect and blindsight) represents interesting neurocognitive "test cases" for inferences about mesencephalicbasal ganglia closed-loops involvement in the formation of implicit sensory-motor memories.

Object-based inhibition of return in three-dimensional space: From simple drawings to real objects

Cued to an object in space, inhibition of the attended location can spread to the entire object. Although object-based inhibition of return (IOR) studies in a two-dimensional plane have been documented, the IOR has not been explored when objects cross depth in three-dimensional (3D) space. In the present study, we used a virtual reality technique to adapt the double-rectangle paradigm to a 3D space, and manipulated the cue validity and target location to examine the difference in object-based IOR between far and near spaces under different object representations. The study showed that the object-based IOR of simple drawings existed only in near space, whereas object-based IOR of real objects existed only in far space at first, and as the object similarity decreases, it appeared in both far and near spaces.

Dynamic changes in spatial representation within the posterior parietal cortex in response to visuomotor adaptation

Recent studies used functional magnetic resonance imaging (fMRI) population receptive field (pRF) mapping to demonstrate that retinotopic organization extends from the primary visual cortex to ventral and dorsal visual pathways, by quantifying visual field maps, receptive field size, and laterality throughout multiple areas. Visuospatial representation in the posterior parietal cortex (PPC) is modulated by attentional deployment, raising the question of whether spatial representation in the PPC is dynamic and flexible, and whether this flexibility contributes to visuospatial learning. To answer this question, changes in spatial representation within the PPC and early visual cortex were recorded with pRF mapping before and after prism adaptation (PA)-a well-established visuomotor technique that modulates visuospatial attention according to the direction of the visual displacement. As predicted, results showed that adaptation to left-shifting prisms increases pRF size in left PPC, while leaving space representation in the early visual cortex unchanged. This is the first evidence that PA drives a dynamic reorganization of response profiles in the PPC. These findings show that spatial representations in the PPC not only reflect changes driven by attentional deployment but dynamically change in response to modulation of external factors such as manipulation of the visuospatial input during visuomotor adaptation.

Attention and platypuses

This perspective piece discusses a set of attentional phenomena that are not easily accommodated within current theories of attentional selection. We call these phenomena attentional platypuses, as they allude to an observation that within biological taxonomies the platypus does not fit into either mammal or bird categories. Similarly, attentional phenomena that do not fit neatly within current attentional models suggest that current models are in need of a revision. We list a few instances of the "attentional platypuses" and then offer a new approach, that we term dynamically weighted prioritization, stipulating that multiple factors impinge onto the attentional priority map, each with a corresponding weight. The interaction between factors and their corresponding weights determines the current state of the priority map which subsequently constrains/guides attentional allocation. We propose that this new approach should be considered as a supplement to existing models of attention, especially those that emphasize categorical organizations. This article is categorized under: Psychology > Attention Psychology > Perception and Psychophysics Neuroscience > Cognition.

Effects of selective attention on the C1 ERP component: A systematic review and meta-analysis

The C1 event-related potential (ERP) captures the earliest stage of feedforward processing in the primary visual cortex (V1). An ongoing debate is whether top-down selective attention can modulate the C1. One side of the debate pointed out that null findings appear to outnumber positive findings; thus, selective attention does not seem to influence the C1. However, this suggestion is not based on a valid approach to summarizing evidence across studies. Therefore, we conducted a systematic review and meta-analysis investigating the effects of selective attention on the C1, involving 47 experiments and 794 subjects in total. Despite heterogeneity across studies, results suggested that attention has a moderate effect on the C1 (Cohen's d z $$ {d}_z $$  = 0.33, p < .0001); that is, C1 amplitude is larger for visual stimuli that are attended than unattended. These results suggest that C1 is affected by top-down selective attention.

Visual Attention in the Prefrontal Cortex

Voluntary attention selects behaviorally relevant signals for further processing while filtering out distracter signals. Neural correlates of voluntary visual attention have been reported across multiple areas of the primate visual processing streams, with the earliest and strongest effects isolated in the prefrontal cortex. In this article, I review evidence supporting the hypothesis that signals guiding the allocation of voluntary attention emerge in areas of the prefrontal cortex and reach upstream areas to modulate the processing of incoming visual information according to its behavioral relevance. Areas located anterior and dorsal to the arcuate sulcus and the frontal eye fields produce signals that guide the allocation of spatial attention. Areas located anterior and ventral to the arcuate sulcus produce signals for feature-based attention. Prefrontal microcircuits are particularly suited to supporting voluntary attention because of their ability to generate attentional template signals and implement signal gating and their extensive connectivity with the rest of the brain. Expected final online publication date for the Annual Review of Vision Science, Volume 8 is September 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Minimum detectable change in reaction time to the Posner task due to change in sustained attention

[Purpose] Spatial attention evaluations are beneficial for patients with unilateral spatial neglect or dementia. Thus, such evaluations are crucial among these patients for determining functional disorder extents. The study aimed to determine minimal detectable changes in reaction time to the Posner task among healthy young participants for establishing spatial attention evaluation protocols. [Participants and Methods] The study recruited 10 healthy young adults (five males and five females; mean age: 28.9 ± 4.0 years). Each participant completed two sessions of the Posner task with 160 trials per session. The reaction time for each trial was measured. Data obtained by the two blocks were analyzed by Bland–Altman analysis, and intraclass correlation coefficient case 1 and minimal detectable changes at the 95% confidence interval were calculated. [Results] Bland–Altman analysis indicated no systematic bias. The intraclass correlation coefficient case 1 exceeded 0.80 under all conditions of the Posner task, whereas the minimal detectable changes at the 95% confidence interval spanned 23–34 ms. [Conclusion] The results exhibited high reliability for reaction time to the Posner task. The minimal detectable changes as the 95% confidence interval values determined in this study based on reaction time can be applied to establish spatial attention evaluation protocols.

Task-Irrelevant Semantic Properties of Objects Impinge on Sensory Representations within the Early Visual Cortex

Objects can be described in terms of low-level (e.g., boundaries) and high-level properties (e.g., object semantics). While recent behavioral findings suggest that the influence of semantic relatedness between objects on attentional allocation can be independent of task-relevance, the underlying neural substrate of semantic influences on attention remains ill-defined. Here, we employ behavioral and functional magnetic resonance imaging measures to uncover the mechanism by which semantic information increases visual processing efficiency. We demonstrate that the strength of the semantic relatedness signal decoded from the left inferior frontal gyrus: 1) influences attention, producing behavioral semantic benefits; 2) biases spatial attention maps in the intraparietal sulcus, subsequently modulating early visual cortex activity; and 3) directly predicts the magnitude of behavioral semantic benefit. Altogether, these results identify a specific mechanism driving task-independent semantic influences on attention.

Landmark cueing and exogenous (onset) cueing: How are they related?

Attentional consequences of (i) mere onset of a peripheral visual cue, and (ii)encoding spatially predictive, landmark features of that cue were studied in two experiments. Target location was associated with landmark features of peripheral cues. Cue onset elicited both attention capture (Experiment Two) and inhibition of return (Experiment One) effects. In both experiments, attentional effects of landmark features of the cues were observed early in practice, and diminished with time on task. Contrary to hypotheses based on models that liken attention to a moving spotlight or zoom lens, in both experiments attentional effects of landmark features were confined to the location where the cue was presented. To explain this, we enlist the concept of attentional priority maps, and propose that visual encoding causes attentional priorities to be updated via alternative input routes and mechanisms. We suggest that onset cueing effects are associated with retinotectal 'spatial indexing', which registers the location, but not the attributes of new stimuli, while landmark cueing effects are associated with interaction between spatial indexing and dorsal stream visual processing of attentionally relevant landmark features.

Principles of tactile search over the body

Although we routinely experience complex tactile patterns over our entire body, how we selectively experience multisite touch over our bodies remains poorly understood. Here, we characterized tactile search behavior over the full body using a tactile analog of the classic visual search task. On each trial, participants judged whether a target stimulus (e.g., 10-Hz vibration) was present or absent anywhere on the body. When present, the target stimulus could occur alone or simultaneously with distractor stimuli (e.g., 30-Hz vibrations) on other body locations. We systematically varied the number and spatial configurations of the distractors as well as the target and distractor frequencies and measured the impact of these factors on tactile search response times. First, we found that response times were faster on target-present trials compared with target-absent trials. Second, response times increased with the number of stimulated sites, suggesting a serial search process. Third, search performance differed depending on stimulus frequencies. This frequency-dependent behavior may be related to perceptual grouping effects based on timing cues. We constructed linear models to explore how the locations of the target and distractor cues influenced tactile search behavior. Our modeling results reveal that, in isolation, cues on the index fingers make relatively greater contributions to search performance compared with stimulation experienced on other body sites. Additionally, costimulation of sites within the same limb or simply on the same body side preferentially influence search behavior. Our collective findings identify some principles of attentional search that are common to vision and touch, but others that highlight key differences that may be unique to body-based spatial perception.NEW & NOTEWORTHY Little is known about how we selectively experience multisite touch patterns over the body. Using a tactile analog of the classic visual target search paradigm, we show that tactile search behavior for flutter cues is generally consistent with a serial search process. Modeling results reveal the preferential contributions of index finger stimulation and two-site stimulus interactions involving ipsilateral patterns and within-limb patterns. Our results offer initial evidence for spatial and temporal principles underlying tactile search behavior over the body.

Top-down knowledge rapidly acquired through abstract rule learning biases subsequent visual attention in 9-month-old infants

Visual attention is an information-gathering mechanism that supports the emergence of complex perceptual and cognitive capacities. Yet, little is known about how the infant brain learns to direct attention to information that is most relevant for learning and behavior. Here we address this gap by examining whether learning a hierarchical rule structure, where there is a higher-order feature that organizes visual inputs into predictable sequences, subsequently biases 9-month-old infants' visual attention to the higher-order visual feature. In Experiment 1, we found that individual differences in infants' ability to structure simple visual inputs into generalizable rules was related to the change in infants' attention biases towards higher-order features. In Experiment 2, we found that increased functional connectivity between the PFC and visual cortex was related to the efficacy of rule learning. Moreover, Granger causality analyses provided exploratory evidence that increased functional connectivity reflected PFC influence over visual cortex. These findings provide new insights into how the infant brain learns to flexibly select features from the cluttered visual world that were previously relevant for learning and behavior.

Effects of Acute Aerobic Exercise on Response Inhibition in Adult Patients with ADHD

Previous studies suggest beneficial effects of aerobic exercise on executive functions, which are a core deficit in ADHD. The aim of the present fMRI study was to investigate acute effects of aerobic exercise on inhibitory control and related brain activation in adult patients with ADHD. 23 patients and 23 matched healthy controls performed on a Go/No-go task in an MRI scanner, following both, an exercise condition involving 30 min of cycling at moderate intensity, and a control condition. ADHD patients compared to healthy controls showed increased brain activation during successful inhibition in the exercise compared to the control condition in parietal, temporal, and occipital regions. Exercise did not improve behavioral performance in either group, but in ADHD patients, exercise-related increases in brain activation and behavioral task performance (i.e., correct inhibition rate) negatively correlated with correct inhibition rate in the control condition. Thus, patients with worse inhibition performance showed stronger exercise-related enhancements, indicating that the lack of improvements on the behavioral level for the whole patient group could be due to ceiling effects. Our findings might be an important step in understanding the neural basis of exercise effects and could, in the long term, help in developing alternative treatment approaches for ADHD.

Distorted gaze direction input to attentional priority map in spatial neglect

A contribution of the gaze signals to the attention imbalance in spatial neglect is presumed. Direct evidence however, is still lacking. Theoretical models for spatial attention posit an internal representation of locations that are selected in the competition for neural processing resources – an attentional priority map. Following up on our recent research showing an imbalance in the allocation of attention after an oculoproprioceptive perturbation in healthy volunteers, we investigated here whether the lesion in spatial neglect distorts the gaze direction input to this representation.

Information about one's own direction of gaze is critical for the coordinate transformation between retinotopic and hand proprioceptive locations. To assess the gaze direction input to the attentional priority map, patients with left spatial neglect performed a cross-modal attention task in their normal, right hemispace. They discriminated visual targets whose location was cued by the patient's right index finger hidden from view. The locus of attention in response to the cue was defined as the location with the largest decrease in reaction time for visual discrimination in the presence vs. absence of the cue. In two control groups consisting of healthy elderly and patients with a right hemisphere lesion without neglect, the loci of attention were at the exact location of the cues. In contrast, neglect patients allocated attention at 0.5⁰-2⁰ rightward of the finger for all tested locations. A control task using reaching to visual targets in the absence of visual hand feedback ruled out a general error in visual localization. These findings demonstrate that in spatial neglect the gaze direction input to the attentional priority map is distorted. This observation supports the emerging view that attention and gaze are coupled and suggests that interventions that target gaze signals could alleviate spatial neglect.

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The mechanisms of left inattention in spatial neglect are incompletely understood.

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Attention loci in visual space are displaced to the right of somatosensory cues.

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This indicates a distorted gaze direction input to the attentional priority map.

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Distorted gaze direction input could lead to left-right attention imbalance.

An Information-Driven 2-Pathway Characterization of Occipitotemporal and Posterior Parietal Visual Object Representations

Recent studies have demonstrated the existence of rich visual representations in both occipitotemporal cortex (OTC) and posterior parietal cortex (PPC). Using fMRI decoding and a bottom-up data-driven approach, we showed that although robust object category representations exist in both OTC and PPC, there is an information-driven 2-pathway separation among these regions in the representational space, with occipitotemporal regions arranging hierarchically along 1 pathway and posterior parietal regions along another pathway. We obtained 10 independent replications of this 2-pathway distinction, accounting for 58-81% of the total variance of the region-wise differences in visual representation. The separation of the PPC regions from higher occipitotemporal regions was not driven by a difference in tolerance to changes in low-level visual features, did not rely on the presence of special object categories, and was present whether or not object category was task relevant. Our information-driven 2-pathway structure differs from the well-known ventral-what and dorsal-where/how characterization of posterior brain regions. Here both pathways contain rich nonspatial visual representations. The separation we see likely reflects a difference in neural coding scheme used by PPC to represent visual information compared with that of OTC.

Intrusive effects of task-irrelevant information on visual selective attention: semantics and size

Attentional selection is a mechanism by which incoming sensory information is prioritized for further, detailed, and more effective, processing. Given that attended information is privileged by the sensory system, understanding and predicting what information is granted prioritization becomes an important endeavor. It has been argued that salient events as well as information that is related to the current goal of the organism (i.e., task-relevant) receive such a priority. Here, we propose that attentional prioritization is not limited to task-relevance, and discuss evidence showing that task-irrelevant, non-salient, high-level properties of unattended objects, namely object meaning and size, influence attentional allocation. Such an intrusion of non-salient, task-irrelevant, high-level information points to the need to re-conceptualize and formally modify current models of attentional guidance.

Neurons in FEF Keep Track of Items That Have Been Previously Fixated in Free Viewing Visual Search

When searching a visual scene for a target, we tend not to look at items or locations we have already searched. It is thought that this behavior is driven by an inhibitory tagging mechanism that inhibits responses on priority maps to the relevant items. We hypothesized that this inhibitory tagging signal should be represented as an elevated response in neurons that keep track of stimuli that have been fixated. We recorded from 231 neurons in the frontal eye field (FEF) of 2 male animals performing a visual foraging task, in which they had to find a reward linked to one of five identical targets (Ts) among five distractors. We identified 38 neurons with activity that was significantly greater when the stimulus in the receptive field had been fixated previously in the trial than when it had not been fixated. The response to a fixated object began before the saccade ended, suggesting that this information is remapped. Unlike most FEF neurons, the activity in these cells was not suppressed during active fixation, had minimal motor responses, and did not change through the trial. Yet using traditional classifications from a memory-guided saccade, they were indistinguishable from the rest of the FEF population. We propose that these neurons keep track of any items that have been fixated within the trial and this signal is propagated by remapping. These neurons could be the source of the inhibitory tagging signal to parietal cortex, where a neuronal instantiation of inhibitory tagging is seen.SIGNIFICANCE STATEMENT When we search a scene for an item, we rarely examine the same location twice. It is thought that this is due to a neural mechanism that keeps track of the items at which we have looked. Here we identified a subset of neurons in the frontal eye field that preferentially responded to items that had been fixated earlier in the trial. These responses were remapped, appearing before the saccade even ended, and were not suppressed during maintained fixation. We propose that these neurons keep track of which items have been examined in search and could be the source of feedback that creates the inhibitory tagging seen in parietal cortex.

The Posterior Parietal Cortex in Adaptive Visual Processing

Although the primate posterior parietal cortex (PPC) has been largely associated with space, attention, and action-related processing, a growing number of studies have reported the direct representation of a diverse array of action-independent nonspatial visual information in the PPC during both perception and visual working memory. By describing the distinctions and the close interactions of visual representation with space, attention, and action-related processing in the PPC, here I propose that we may understand these diverse PPC functions together through the unique contribution of the PPC to adaptive visual processing and form a more integrated and structured view of the role of the PPC in vision, cognition, and action.

A Tale of Two Visual Systems: Invariant and Adaptive Visual Information Representations in the Primate Brain

Visual information processing contains two opposite needs. There is both a need to comprehend the richness of the visual world and a need to extract only pertinent visual information to guide thoughts and behavior at a given moment. I argue that these two aspects of visual processing are mediated by two complementary visual systems in the primate brain-specifically, the occipitotemporal cortex (OTC) and the posterior parietal cortex (PPC). The role of OTC in visual processing has been documented extensively by decades of neuroscience research. I review here recent evidence from human imaging and monkey neurophysiology studies to highlight the role of PPC in adaptive visual processing. I first document the diverse array of visual representations found in PPC. I then describe the adaptive nature of visual representation in PPC by contrasting visual processing in OTC and PPC and by showing that visual representations in PPC largely originate from OTC.

Top-Down Control of Visual Attention by the Prefrontal Cortex. Functional Specialization and Long-Range Interactions

The ability to select information that is relevant to current behavioral goals is the hallmark of voluntary attention and an essential part of our cognition. Attention tasks are a prime example to study at the neuronal level, how task related information can be selectively processed in the brain while irrelevant information is filtered out. Whereas, numerous studies have focused on elucidating the mechanisms of visual attention at the single neuron and population level in the visual cortices, considerably less work has been devoted to deciphering the distinct contribution of higher-order brain areas, which are known to be critical for the employment of attention. Among these areas, the prefrontal cortex (PFC) has long been considered a source of top-down signals that bias selection in early visual areas in favor of the attended features. Here, we review recent experimental data that support the role of PFC in attention. We examine the existing evidence for functional specialization within PFC and we discuss how long-range interactions between PFC subregions and posterior visual areas may be implemented in the brain and contribute to the attentional modulation of different measures of neural activity in visual cortices.

Goal-Directed Visual Processing Differentially Impacts Human Ventral and Dorsal Visual Representations

Recent studies have challenged the ventral/"what" and dorsal/"where" two-visual-processing-pathway view by showing the existence of "what" and "where" information in both pathways. Is the two-pathway distinction still valid? Here, we examined how goal-directed visual information processing may differentially impact visual representations in these two pathways. Using fMRI and multivariate pattern analysis, in three experiments on human participants (57% females), by manipulating whether color or shape was task-relevant and how they were conjoined, we examined shape-based object category decoding in occipitotemporal and parietal regions. We found that object category representations in all the regions examined were influenced by whether or not object shape was task-relevant. This task effect, however, tended to decrease as task-relevant and irrelevant features were more integrated, reflecting the well-known object-based feature encoding. Interestingly, task relevance played a relatively minor role in driving the representational structures of early visual and ventral object regions. They were driven predominantly by variations in object shapes. In contrast, the effect of task was much greater in dorsal than ventral regions, with object category and task relevance both contributing significantly to the representational structures of the dorsal regions. These results showed that, whereas visual representations in the ventral pathway are more invariant and reflect "what an object is," those in the dorsal pathway are more adaptive and reflect "what we do with it." Thus, despite the existence of "what" and "where" information in both visual processing pathways, the two pathways may still differ fundamentally in their roles in visual information representation.SIGNIFICANCE STATEMENT Visual information is thought to be processed in two distinctive pathways: the ventral pathway that processes "what" an object is and the dorsal pathway that processes "where" it is located. This view has been challenged by recent studies revealing the existence of "what" and "where" information in both pathways. Here, we found that goal-directed visual information processing differentially modulates shape-based object category representations in the two pathways. Whereas ventral representations are more invariant to the demand of the task, reflecting what an object is, dorsal representations are more adaptive, reflecting what we do with the object. Thus, despite the existence of "what" and "where" information in both pathways, visual representations may still differ fundamentally in the two pathways.