Disturbance at the self-other boundary in schizophrenia: Linking phenomenology to clinical neuroscience

In this selective review, we describe the current neuroscientific literature on disturbances of the self-other boundary in schizophrenia as they relate to structural and experiential aspects of the self. Within these two broad categories, the structural self includes body ownership and agency, and the experiential self includes self-reflection, source monitoring, and self-referential and autobiographical memory. Further, we consider how disturbances in these domains link to the phenomenology of schizophrenia. We identify faulty internal predictive coding as a potential mechanism of disturbance in body ownership and agency, which results in susceptibility to bias (over- or under-attributing outcomes to one's own actions or intentions). This is reflected in reduced activity in the temporoparietal junction (TPJ), a heteromodal association area implicated in several aspects of self-other processing, as well as reduced fronto-parietal functional connectivity. Deficits of the experiential self in schizophrenia may stem from a lack of salience of self-related information, whereby the mental representation of self is not as rich as in healthy controls and therefore does not result in the same level of privileged processing. As a result, memory for self-referential material and autobiographical memory processes is impaired, which hinders creation of a cohesive life narrative. Impairments of the experiential self implicate abnormal activation patterns along the cortical midline, including medial prefrontal cortex and posterior cingulate/precuneus, as well as TPJ. In fact, TPJ appears to be involved in all the reviewed aspects of the self-other disturbance. We conclude with suggestions for future work, including implications for interventions with critical timing considerations.

Visual perceptual learning is effective in the illusory far but not in the near space

Visual shape discrimination is faster for objects close to the body, in the peripersonal space (PPS), compared with objects far from the body. Visual processing enhancement in PPS occurs also when perceived depth is based on 2D pictorial cues. This advantage has been observed from relatively low-level (detection, size, orientation) to high-level visual features (face processing). While multisensory association also displays proximal advantages, whether PPS influences visual perceptual learning remains unclear. Here, we investigated whether perceptual learning effects vary according to the distance of visual stimuli (near or far) from the observer, illusorily induced by leveraging the Ponzo illusion. Participants performed a visual search task in which they reported whether a specific target object orientation (e.g., triangle pointing downward) was present among distractors. Performance was assessed before and after practicing the visual search task (30 minutes/day for 5 days) at either the close (near group) or far (far group) distance. Results showed that participants that performed the training in the near space did not improve. By contrast, participants that performed the training in the far space showed an improvement in the visual search task in both the far and near spaces. We suggest that such improvement following the far training is due to a greater deployment of attention in the far space, which could make the learning more effective and generalize across spaces.

Biases in hand perception are driven by somatosensory computations, not a distorted hand model

To sense and interact with objects in the environment, we effortlessly configure our fingertips at desired locations. It is therefore reasonable to assume that the underlying control mechanisms rely on accurate knowledge about the structure and spatial dimensions of our hand and fingers. This intuition, however, is challenged by years of research showing drastic biases in the perception of finger geometry.1,2,3,4,5 This perceptual bias has been taken as evidence that the brain's internal representation of the body's geometry is distorted,6 leading to an apparent paradox regarding the skillfulness of our actions.7 Here, we propose an alternative explanation of the biases in hand perception-they are the result of the Bayesian integration of noisy, but unbiased, somatosensory signals about finger geometry and posture. To address this hypothesis, we combined Bayesian reverse engineering with behavioral experimentation on joint and fingertip localization of the index finger. We modeled the Bayesian integration either in sensory or in space-based coordinates, showing that the latter model variant led to biases in finger perception despite accurate representation of finger length. Behavioral measures of joint and fingertip localization responses showed similar biases, which were well fitted by the space-based, but not the sensory-based, model variant. The space-based model variant also outperformed a distorted hand model with built-in geometric biases. In total, our results suggest that perceptual distortions of finger geometry do not reflect a distorted hand model but originate from near-optimal Bayesian inference on somatosensory signals.

The blink reflex and its modulation - Part 1: Physiological mechanisms

The blink reflex (BR) is a protective eye-closure reflex mediated by brainstem circuits. The BR is usually evoked by electrical supraorbital nerve stimulation but can be elicited by a variety of sensory modalities. It has a long history in clinical neurophysiology practice. Less is known, however, about the many ways to modulate the BR. Various neurophysiological techniques can be applied to examine different aspects of afferent and efferent BR modulation. In this line, classical conditioning, prepulse and paired-pulse stimulation, and BR elicitation by self-stimulation may serve to investigate various aspects of brainstem connectivity. The BR may be used as a tool to quantify top-down modulation based on implicit assessment of the value of blinking in a given situation, e.g., depending on changes in stimulus location and probability of occurrence. Understanding the role of non-nociceptive and nociceptive fibers in eliciting a BR is important to get insight into the underlying neural circuitry. Finally, the use of BRs and other brainstem reflexes under general anesthesia may help to advance our knowledge of the brainstem in areas not amenable in awake intact humans. This review summarizes talks held by the Brainstem Special Interest Group of the International Federation of Clinical Neurophysiology at the International Congress of Clinical Neurophysiology 2022 in Geneva, Switzerland, and provides a state-of-the-art overview of the physiology of BR modulation. Understanding the principles of BR modulation is fundamental for a valid and thoughtful clinical application (reviewed in part 2) (Gunduz et al., submitted).

Are blind individuals immune to bodily illusions? Somatic rubber hand illusion in the blind revisited

Multisensory awareness of one's own body relies on the integration of signals from various sensory modalities such as vision, touch, and proprioception. But how do blind individuals perceive their bodies without visual cues, and does the brain of a blind person integrate bodily senses differently from a sighted person? To address this question, we aimed to replicate the only two previous studies on this topic, which claimed that blind individuals do not experience the somatic rubber hand illusion, a bodily illusion triggered by the integration of correlated tactile and proprioceptive signals from the two hands. We used a larger sample size than the previous studies and added Bayesian analyses to examine statistical evidence in favor of the lack of an illusion effect. Moreover, we employed tests to investigate whether enhanced tactile acuity and cardiac interoceptive accuracy in blind individuals could also explain the weaker illusion. We tested 36 blind individuals and 36 age- and sex-matched sighted volunteers. The results show that blind individuals do not experience the somatic rubber hand illusion based on questionnaire ratings and behavioral measures that assessed changes in hand position sense toward the location of the rubber hand. This conclusion is supported by Bayesian evidence in favor of the null hypothesis. The findings confirm that blind individuals do not experience the somatic rubber hand illusion, indicating that lack of visual experience leads to permanent changes in multisensory bodily perception. In summary, our study suggests that changes in multisensory integration of tactile and proprioceptive signals may explain why blind individuals are "immune" to the nonvisual version of the rubber hand illusion.

Hand-blink reflex modulation: The role of primary emotions and attachment dimensions

The hand-blink reflex (HBR) is a subcortical response elicited by the electrical stimulation of the median nerve. HBR magnitude is enhanced when the stimulated hand is close to the face and is modulated by high-level structures according to the perceived threat magnitude. Psychological factors may contribute to threat evaluation and possibly to HBR amplitude modulation. In this study, we assessed distinctively emotional and relational aspects of personality and evaluated their associations with the HBR response, or lack thereof, in healthy subjects. Seventy-one volunteers filled the Experiences in Close Relationships Scale, the Affective Neuroscience Personality Scales, and the State-Trait Anxiety Inventory Form Y questionnaires and underwent HBR recording. We found that the HBR could be evoked only in 50.7% of all subjects (responders). Non-responders subjects showed higher scores in the avoidance dimension (p = .005), and lower scores in the care dimension (p = .008), compared with responders. In responders, regression analysis showed a negative association of HBR amplitude (difference in near vs. far responses) with anger dimension and a positive association with state anxiety (R2  = 0.239). A positive association also emerged with HBR latency and fear dimension (R2  = 0.419). We conclude that primary emotional and relational factors may play an important role in the modulation of brainstem circuits mediating the HBR response. Our results may also contribute to the question about the absence of the HBR in about half of the subjects since high-level cognitive processes seem to play an important role in the differentiation between responder and non-responder.

Visual stimuli in the peripersonal space facilitate the spatial prediction of tactile events-A comparison between approach and nearness effects

Previous studies reported that an object in one's peripersonal space (PPS) attracts attention and facilitates subsequent processing of stimuli. Recent studies showed that visual stimuli approaching the body facilitated the spatial prediction of subsequent tactile events, even if these stimuli were task-irrelevant. However, it is unclear whether the approach is important for facilitating this prediction or if the simple existence of stimuli within the PPS is what matters. The present study aimed to scrutinize the predictive function of visuo-tactile interaction in the PPS by examining the effects of visual stimuli approaching the hand and of visual stimuli near the hand. For this purpose, we examined electroencephalograms (EEGs) during a simple reaction time task for tactile stimuli when visual stimuli were presented approaching the hand or were presented near the hand, and we analyzed event-related spectral perturbation (ERSP) as an index of prediction and event-related brain potentials (ERPs) as an index of attention and prediction error. The tactile stimulus was presented to the left (or right) wrist with a high probability (80%) and to the opposite wrist with a low probability (20%). In the approach condition, three visual stimuli were presented approaching the hand to which the high-probability tactile stimulus was presented; in the near condition, three visual stimuli were presented repeatedly near the hand with the high-probability tactile stimulus. Beta-band activity at the C3 and C4 electrodes, around the primary somatosensory area, was suppressed before the onset of the tactile stimulus, and this suppression was larger in the approach condition than in the near condition. The P3 amplitude for high-probability stimuli in the approach condition was larger than that in the near condition. These results revealed that the approach of visual stimuli facilitates spatial prediction and processing of subsequent tactile stimuli compared to situations in which visual stimuli just exist within the PPS. This study indicated that approaching visual stimuli facilitates the prediction of subsequent tactile events, even if they are task-irrelevant.

Perceptual simultaneity between nociceptive and visual stimuli depends on their spatial congruence

To protect our body against physical threats, it is important to integrate the somatic and extra-somatic inputs generated by these stimuli. Temporal synchrony is an important parameter determining multisensory interaction, and the time taken by a given sensory input to reach the brain depends on the length and conduction velocity of the specific pathways through which it is transmitted. Nociceptive inputs are transmitted through very slow conducting unmyelinated C and thinly myelinated Aδ nociceptive fibers. It was previously shown that to perceive a visual stimulus and a thermo-nociceptive stimulus applied on the hand as coinciding in time, the nociceptive stimulus must precede the visual one by 76 ms for nociceptive inputs conveyed by Aδ fibers and 577 ms for inputs conveyed by C fibers. Since spatial proximity is also hypothesized to contribute to multisensory interaction, the present study investigated the effect of spatial congruence between visual and nociceptive stimuli. Participants judged the temporal order of visual and nociceptive stimuli, with the visual stimuli flashed either next to the stimulated hand or next to the opposite unstimulated hand, and with nociceptive stimuli evoking responses mediated by either Aδ or C fibers. The amount of time by which the nociceptive stimulus had to precede the visual stimulus for them to be perceived as appearing concomitantly was smaller when the visual stimulus occurred near the hand receiving the nociceptive stimulus as compared to when it occurred near the contralateral hand. This illustrates the challenge for the brain to process the synchrony between nociceptive and non-nociceptive stimuli to enable their efficient interaction to optimize defensive reaction against physical dangers.

Spatial proximity to others induces plastic changes in the neural representation of the peripersonal space

Peripersonal space (PPS) is a highly plastic "invisible bubble" surrounding the body whose boundaries are mapped through multisensory integration. Yet, it is unclear how the spatial proximity to others alters PPS boundaries. Across five experiments (N = 80), by recording behavioral and electrophysiological responses to visuo-tactile stimuli, we demonstrate that the proximity to others induces plastic changes in the neural PPS representation. The spatial proximity to someone else's hand shrinks the portion of space within which multisensory responses occur, thus reducing the PPS boundaries. This suggests that PPS representation, built from bodily and multisensory signals, plastically adapts to the presence of conspecifics to define the self-other boundaries, so that what is usually coded as "my space" is recoded as "your space". When the space is shared with conspecifics, it seems adaptive to move the other-space away from the self-space to discriminate whether external events pertain to the self-body or to other-bodies.

Influence of E/I balance and pruning in peri-personal space differences in schizophrenia: A computational approach

The encoding of the space close to the body, named peri-personal space (PPS), is thought to play a crucial role in the unusual experiences of the self observed in schizophrenia (SCZ). However, it is unclear why SCZ patients and high schizotypal (H-SPQ) individuals present a narrower PPS and why the boundaries of the PPS are more sharply defined in patients. We hypothesise that the unusual PPS representation observed in SCZ is caused by an imbalance of excitation and inhibition (E/I) in recurrent synapses of unisensory neurons or an impairment of bottom-up and top-down connectivity between unisensory and multisensory neurons. These hypotheses were tested computationally by manipulating the effects of E/I imbalance, feedback weights and synaptic density in the network. Using simulations we explored the effects of such impairments in the PPS representation generated by the network and fitted the model to behavioural data. We found that increased excitation of sensory neurons could account for the smaller PPS observed in SCZ and H-SPQ, whereas a decrease of synaptic density caused the sharp definition of the PPS observed in SCZ. We propose a novel conceptual model of PPS representation in the SCZ spectrum that can account for alterations in self-world demarcation, failures in tactile discrimination and symptoms observed in patients.

Hand Ownership Is Altered in Teenagers with Unilateral Cerebral Palsy

We explored hand ownership in teenagers with unilateral cerebral palsy (UCP) compared with typically developing teenagers. Eighteen participants with UCP and 16 control teenagers participated. We used the rubber hand illusion to test hand ownership (HO). Both affected/non-affected hands (UCP) and dominant/non-dominant hands (controls) were tested during synchronous and asynchronous strokes. HO was assessed by measuring the proprioceptive drift toward the fake hand (as a percentage of arm length) and conducting a questionnaire on subjective HO. Both groups had significantly higher proprioceptive drift in the synchronous stroking condition for both hands. Teenagers with UCP showed a significantly higher proprioceptive drift when comparing their paretic hand (median 3.4% arm length) with the non-dominant hand of the controls (median 1.7% arm length). The questionnaires showed that synchronous versus asynchronous stroking generated a robust change in subjective HO in the control teenagers, but not in the teenagers with UCP. Teenagers with UCP have an altered sense of HO and a distorted subjective experience of HO that may arise from the early dysfunction of complex sensory–motor integration related to their brain lesions. HO may influence motor impairment and prove to be a target for early intervention.

Time Interaction With Two Spatial Dimensions: From Left/Right to Near/Far

In this study, we explored the time and space relationship according to two different spatial codings, namely, the left/right extension and the reachability of stimulus along a near/far dimension. Four experiments were carried out in which healthy participants performed the time and spatial bisection tasks in near/far space, before and after short or long tool-use training. Stimuli were prebisected horizontal lines of different temporal durations in which the midpoint was manipulated according to the Muller-Lyer illusion. The perceptual illusory effects emerged in spatial but not temporal judgments. We revealed that temporal and spatial representations dynamically change according to the action potentialities of an individual: temporal duration was perceived as shorter and the perceived line’s midpoint was shifted to the left in far than in near space. Crucially, this dissociation disappeared following a long but not short tool-use training. Finally, we observed age-related differences in spatial attention which may be crucial in building the memory temporal standard to categorize durations.

A neural surveyor to map touch on the body

Perhaps the most recognizable “sensory map” in neuroscience is the somatosensory homunculus. Although the homunculus suggests a direct link between cortical territory and body part, the relationship is actually ambiguous without a decoder that knows this mapping. How the somatosensory system derives a spatial code from an activation in the homunculus is a longstanding mystery we aimed to solve. We propose that touch location is disambiguated using multilateration, a computation used by surveying and global positioning systems to localize objects. We develop a Bayesian formulation of multilateration, which we implement in a neural network to identify its computational signature. We then detect this signature in psychophysical experiments. Our results suggest that multilateration provides the homunculus-to-body mapping necessary for localizing touch.

Perhaps the most recognizable sensory map in all of neuroscience is the somatosensory homunculus. Although it seems straightforward, this simple representation belies the complex link between an activation in a somatotopic map and the associated touch location on the body. Any isolated activation is spatially ambiguous without a neural decoder that can read its position within the entire map, but how this is computed by neural networks is unknown. We propose that the somatosensory system implements multilateration, a common computation used by surveying and global positioning systems to localize objects. Specifically, to decode touch location on the body, multilateration estimates the relative distance between the afferent input and the boundaries of a body part (e.g., the joints of a limb). We show that a simple feedforward neural network, which captures several fundamental receptive field properties of cortical somatosensory neurons, can implement a Bayes-optimal multilateral computation. Simulations demonstrated that this decoder produced a pattern of localization variability between two boundaries that was unique to multilateration. Finally, we identify this computational signature of multilateration in actual psychophysical experiments, suggesting that it is a candidate computational mechanism underlying tactile localization.

Empathy as a predictor of peripersonal space: Evidence from the crossmodal congruency task

To investigate whether individual differences in Empathy predict the characteristics of Peripersonal Space (PPS) representations, we asked participants to complete the IRI questionnaire and a visuo-tactile crossmodal congruency task (CCT) as an index of PPS. In the CCT, they responded to the elevation of a tactile target while ignoring a visual distractor presented at the same (i.e. congruent) or different (i.e. incongruent) elevation. The target-distractor distance was also manipulated in depth, with visual distractors randomly presented at near, middle or far locations (0 cm, 25 cm or 50 cm). The near and middle crossmodal congruency effects (CCE) were inversely related to participants' scores on the Empathic Concern sub-scale (EC). Furthermore, the slope of participants' CCE across locations was related to EC scores, with flatter slopes for higher EC individuals. Thus, higher EC individuals showed reduced visuo-tactile integration responses within PPS and a reduced differentiation between PPS and extra-personal space (EPS).

Peripersonal and reaching space differ: Evidence from their spatial extent and multisensory facilitation pattern

Peripersonal space (PPS) is a multisensory representation of the space near body parts facilitating interactions with the close environment. Studies on non-human and human primates agree in showing that PPS is a body part-centered representation that guides actions. Because of these characteristics, growing confusion surrounds peripersonal and arm-reaching space (ARS), that is the space one's arm can reach. Despite neuroanatomical evidence favoring their distinction, no study has contrasted directly their respective extent and behavioral features. Here, in five experiments (N = 140) we found that PPS differs from ARS, as evidenced both by participants' spatial and temporal performance and by its modeling. We mapped PPS and ARS using both their respective gold standard tasks and a novel multisensory facilitation paradigm. Results show that: (1) PPS is smaller than ARS; (2) multivariate analyses of spatial patterns of multisensory facilitation predict participants' hand locations within ARS; and (3) the multisensory facilitation map shifts isomorphically following hand positions, revealing hand-centered coding of PPS, therefore pointing to a functional similarity to the receptive fields of monkeys' multisensory neurons. A control experiment further corroborated these results and additionally ruled out the orienting of attention as the driving mechanism for the increased multisensory facilitation near the hand. In sharp contrast, ARS mapping results in a larger spatial extent, with undistinguishable patterns across hand positions, cross-validating the conclusion that PPS and ARS are distinct spatial representations. These findings show a need for refinement of theoretical models of PPS, which is relevant to constructs as diverse as self-representation, social interpersonal distance, and motor control.

Altered Peripersonal Space and the Bodily Self in Schizophrenia: A Virtual Reality Study

Self-disturbances such as an anomalous perception of one's own body boundary are central to the phenomenology of schizophrenia (SZ), but measuring the spatial parameters of the hypothesized self-other boundary has proved to be challenging. Peripersonal space (PPS) refers to the immediate zone surrounding the body where the self interacts physically with the environment; the space that corresponds to hypothesized self-other boundary. PPS is represented by enhanced multisensory integration and faster reaction time (RT) for objects near the body. Thus, multisensory RT tasks can be used to estimate self-other boundary. We aimed to quantify PPS in SZ using an immersive virtual reality visuotactile RT paradigm. Twenty-four participants with SZ and 24 demographically matched controls (CO) were asked to detect tactile vibration while watching a ball approaching them, thrown by either a machine (nonsocial condition) or an avatar (social condition). Parameters of PPS were estimated from the midpoint of the spatial range where the tactile RT decreased most rapidly (size) and the gradient of the RT change at this midpoint (slope). Overall, PPS was smaller in participants with SZ compared with CO. PPS slope for participants with SZ was shallower than CO in the social but not in nonsocial condition, indicating an increased uncertainty of self-other boundary across an extended zone in SZ. Social condition also increased false alarms for tactile detection in SZ. Clinical symptoms were not clearly associated with PPS parameters. These findings suggest the context-dependent nature of weakened body boundary in SZ and underscore the importance of reconciliating objective and subjective aspects of self-disturbances.

Increasing self-other bodily overlap increases sensorimotor resonance to others' pain

Empathy for another person’s pain and feeling pain oneself seem to be accompanied by similar or shared neural responses. Such shared responses could be achieved by mapping the bodily states of others onto our own bodily representations. We investigated whether sensorimotor neural responses to the pain of others are increased when experimentally reducing perceived bodily distinction between the self and the other. Healthy adult participants watched video clips of the hands of ethnic ingroup or outgroup members being painfully penetrated by a needle syringe or touched by a cotton swab. Manipulating the video presentation to create a visuospatial overlap between the observer’s and the target’s hand increased the perceived bodily self-attribution of the target’s hand. For both ingroup and outgroup targets, this resulted in increased neural responses to the painful injections (compared with nonpainful contacts), as indexed by desynchronizations of central mu and beta scalp rhythms recorded using electroencephalography. Furthermore, these empathy-related neural activations were stronger in participants who reported stronger bodily self-attribution of the other person’s hand. Our findings provide further evidence that empathy for pain engages sensorimotor resonance mechanisms. They also indicate that reducing bodily self-other distinction may increase such resonance for ingroup as well as outgroup targets.

The Peripersonal Space in a social world

The PeriPersonal Space (PPS) has been defined as the space surrounding the body, where physical interactions with elements of the environment take place. As our world is social in nature, recent evidence revealed the complex modulation of social factors onto PPS representation. In light of the growing interest in the field, in this review we take a close look at the experimental approaches undertaken to assess the impact of social factors onto PPS representation. Our social world also influences the personal space (PS), a concept stemming from social psychology, defined as the space we keep between us and others to avoid discomfort. Here we analytically compare PPS and PS with the aim of understanding if and how they relate to each other. At the behavioral level, the multiplicity of experimental methodologies, whether well-established or novel, lead to somewhat divergent results and interpretations. Beyond behavior, we review physiological and neural signatures of PPS representation to discuss how interoceptive signals could contribute to PPS representation, as well as how these internal signals could shape the neural responses of PPS representation. In particular, by merging exteroceptive information from the environment and internal signals that come from the body, PPS may promote an integrated representation of the self, as distinct from the environment and the others. We put forward that integrating internal and external signals in the brain for perception of proximal environmental stimuli may also provide us with a better understanding of the processes at play during social interactions. Adopting such an integrative stance may offer novel insights about PPS representation in a social world. Finally, we discuss possible links between PPS research and social cognition, a link that may contribute to the understanding of intentions and feelings of others around us and promote appropriate social interactions.

Integration of predictions and afferent signals in body ownership

We aimed at investigating the contribution of sensory predictions triggered by the sight of an object moving towards the body for the sense of body ownership. We used a recently developed psychophysical discrimination task to assess body ownership in the rubber hand illusion. In this task, the participants had to choose which of the two right rubber hands in view felt most like their own, and the ownership discriminations were fitted to psychometric curves. In the current study, we occluded the visual impressions of the object moving towards one of the rubber hands (during the first two-thirds of the path) and only revealed the final third of the object's movement trajectory when it touched the rubber hand (approach-occluded condition). Alternatively, we occluded only the final part so that the main part of the movement towards the model hand was visible (touch-occluded). We compared these two conditions to an illusion baseline condition where the object was visible during the entire trajectory and contact (no-occlusion). The touch-occluded condition produced equally strong hand ownership as the baseline condition with no occlusion, while ownership perception was significantly reduced when vision of the object approaching the rubber hand was occluded (approach-occluded). Our results show that tactile predictions generated from seeing an object moving towards the body are temporally exact, and they contribute to the rubber hand illusion by integrating with temporally congruent afferent sensory signals. This finding highlights the importance of multisensory predictions in peripersonal space, object permanence, and the interplay between bottom-up sensory signals and top-down predictions in body ownership.

When two worlds collide: the influence of an obstacle in peripersonal space on multisensory encoding

Multisensory coding of the space surrounding our body, the peripersonal space, is crucial for motor control. Recently, it has been proposed that an important function of multisensory coding is that it allows anticipation of the tactile consequences of contact with a nearby object. Indeed, performing goal-directed actions (i.e. pointing and grasping) induces a continuous visuotactile remapping as a function of on-line sensorimotor requirements. Here, we investigated whether visuotactile remapping can be induced by obstacles, e.g. objects that are not the target of the grasping movement. In the current experiment, we used a cross-modal obstacle avoidance paradigm, in which participants reached past an obstacle to grasp a second object. Participants indicated the location of tactile targets delivered to the hand during the grasping movement, while a visual cue was sometimes presented simultaneously on the to-be-avoided object. The tactile and visual stimulation was triggered when the reaching hand passed a position that was drawn randomly from a continuous set of predetermined locations (between 0 and 200 mm depth at 5 mm intervals). We observed differences in visuotactile interaction during obstacle avoidance dependent on the location of the stimulation trigger: visual interference was enhanced for tactile stimulation that occurred when the hand was near the to-be-avoided object. We show that to-be-avoided obstacles, which are relevant for action but are not to-be-interacted with (as the terminus of an action), automatically evoke the tactile consequences of interaction. This shows that visuotactile remapping extends to obstacle avoidance and that this process is flexible.

Fearful faces modulate spatial processing in peripersonal space: An ERP study

Peripersonal space (PPS) represents the region of space surrounding the body. A pivotal function of PPS is to coordinate defensive responses to threat. We have previously shown that a centrally-presented, looming fearful face, signalling a potential threat in one's surroundings, modulates spatial processing by promoting a redirection of sensory resources away from the face towards the periphery, where the threat may be expected - but only when the face is presented in near, rather than far space. Here, we use electrophysiological measures to investigate the neural mechanism underlying this effect. Participants made simple responses to tactile stimuli delivered on the cheeks, while watching task-irrelevant neutral or fearful avatar faces, looming towards them either in near or far space. Simultaneously with the tactile stimulation, a ball with a checkerboard pattern (probe) appeared to the left or right of the avatar face. Crucially, this probe could either be close to the avatar face, and thus more central in the participant's vision, or further away from the avatar face, and thus more peripheral in the participant's vision. Electroencephalography was continuously recorded. Behavioural results confirmed that in near space only, and for fearful relative to neutral faces, tactile processing was facilitated by the peripheral compared to the central probe. This behavioural effect was accompanied by a reduction of the N1 mean amplitude elicited by the peripheral probe for fearful relative to neutral faces. Moreover, the faster the participants responded to tactile stimuli with the peripheral probe, relative to the central, the smaller was their N1. Together these results, suggest that fearful faces intruding into PPS may increase expectation of a visual event occurring in the periphery. This fear-induced effect would enhance the defensive function of PPS when it is most needed, i.e., when the source of threat is nearby, but its location remains unknown.

No Evidence for an Effect of the Distance Between the Hands on Tactile Temporal Order Judgments

Localizing somatosensory stimuli is an important process, as it allows us to spatially guide our actions toward the object entering in contact with the body. Accordingly, the positions of tactile inputs are coded according to both somatotopic and spatiotopic representations, the latter one considering the position of the stimulated limbs in external space. The spatiotopic representation has often been evidenced by means of temporal order judgment (TOJ) tasks. Participants' judgments about the order of appearance of two successive somatosensory stimuli are less accurate when the hands are crossed over the body midline than uncrossed but also when participants' hands are placed close together when compared with farther away. Moreover, these postural effects might depend on the vision of the stimulated limbs. The aim of this study was to test the influence of seeing the hands, on the modulation of tactile TOJ by the spatial distance between the stimulated limbs. The results showed no influence of the distance between the stimulated hands on TOJ performance and prevent us from concluding whether vision of the hands affects TOJ performance, or whether these variables interact. The reliability of such distance effect to investigate the spatial representations of tactile inputs is questioned.

Predicting Upcoming Events Occurring in the Space Surrounding the Hand

Predicting upcoming sensorimotor events means creating forward estimates of the body and the surrounding world. This ability is a fundamental aspect of skilled motor behavior and requires an accurate and constantly updated representation of the body and the environment. To test whether these prediction mechanisms could be affected by a peripheral injury, we employed an action observation and electroencephalogram (EEG) paradigm to assess the occurrence of prediction markers in anticipation of observed sensorimotor events in healthy and brachial plexus injury (BPI) participants. Nine healthy subjects and six BPI patients watched a series of video clips showing an actor's hand and a colored ball in an egocentric perspective. The color of the ball indicated whether the hand would grasp it (hand movement), or the ball would roll toward the hand and touch it (ball movement), or no event would occur (no movement). In healthy participants, we expected to find distinct electroencephalographic activation patterns (EEG signatures) specific to the prediction of the occurrence of each of these situations. Cluster analysis from EEG signals recorded from electrodes placed over the sensorimotor cortex of control participants showed that predicting either an upcoming hand movement or the occurrence of a tactile event yielded specific neural signatures. In BPI participants, the EEG signals from the sensorimotor cortex contralateral to the dominant hand in the hand movement condition were different compared to the other conditions. Furthermore, there were no differences between ball movement and no movement conditions in the sensorimotor cortex contralateral to the dominant hand, suggesting that BPI blurred specifically the ability to predict upcoming tactile events for the dominant hand. These results highlight the role of the sensorimotor cortex in creating estimates of both actions and tactile interactions in the space around the body and suggest plastic effects on prediction coding following peripheral sensorimotor loss.

Interpersonal Motor Interactions Shape Multisensory Representations of the Peripersonal Space

This perspective review focuses on the proposal that predictive multisensory integration occurring in one's peripersonal space (PPS) supports individuals' ability to efficiently interact with others, and that integrating sensorimotor signals from the interacting partners leads to the emergence of a shared representation of the PPS. To support this proposal, we first introduce the features of body and PPS representations that are relevant for interpersonal motor interactions. Then, we highlight the role of action planning and execution on the dynamic expansion of the PPS. We continue by presenting evidence of PPS modulations after tool use and review studies suggesting that PPS expansions may be accounted for by Bayesian sensory filtering through predictive coding. In the central section, we describe how this conceptual framework can be used to explain the mechanisms through which the PPS may be modulated by the actions of our interaction partner, in order to facilitate interpersonal coordination. Last, we discuss how this proposal may support recent evidence concerning PPS rigidity in Autism Spectrum Disorder (ASD) and its possible relationship with ASD individuals' difficulties during interpersonal coordination. Future studies will need to clarify the mechanisms and neural underpinning of these dynamic, interpersonal modulations of the PPS.

Duplication of the bodily self: a perceptual illusion of dual full-body ownership and dual self-location

Previous research has shown that it is possible to use multisensory stimulation to induce the perceptual illusion of owning supernumerary limbs, such as two right arms. However, it remains unclear whether the coherent feeling of owning a full-body may be duplicated in the same manner and whether such a dual full-body illusion could be used to split the unitary sense of self-location into two. Here, we examined whether healthy human participants can experience simultaneous ownership of two full-bodies, located either close in parallel or in two separate spatial locations. A previously described full-body illusion, based on visuo-tactile stimulation of an artificial body viewed from the first-person perspective (1PP) via head-mounted displays, was adapted to a dual-body setting and quantified in five experiments using questionnaires, a behavioural self-location task and threat-evoked skin conductance responses. The results of experiments 1-3 showed that synchronous visuo-tactile stimulation of two bodies viewed from the 1PP lying in parallel next to each other induced a significant illusion of dual full-body ownership. In experiment 4, we failed to find support for our working hypothesis that splitting the visual scene into two, so that each of the two illusory bodies was placed in distinct spatial environments, would lead to dual self-location. In a final exploratory experiment (no. 5), we found preliminary support for an illusion of dual self-location and dual body ownership by using dynamic changes between the 1PPs of two artificial bodies and/or a common third-person perspective in the ceiling of the testing room. These findings suggest that healthy people, under certain conditions of multisensory perceptual ambiguity, may experience dual body ownership and dual self-location. These findings suggest that the coherent sense of the bodily self located at a single place in space is the result of an active and dynamic perceptual integration process.

Which hand is mine? Discriminating body ownership perception in a two-alternative forced-choice task

The experience of one's body as one's own is referred to as the sense of body ownership. This central part of human conscious experience determines the boundary between the self and the external environment, a crucial distinction in perception, action, and cognition. Although body ownership is known to involve the integration of signals from multiple sensory modalities, including vision, touch, and proprioception, little is known about the principles that determine this integration process, and the relationship between body ownership and perception is unclear. These uncertainties stem from the lack of a sensitive and rigorous method to quantify body ownership. Here, we describe a two-alternative forced-choice discrimination task that allows precise and direct measurement of body ownership as participants decide which of two rubber hands feels more like their own in a version of the rubber hand illusion. In two experiments, we show that the temporal and spatial congruence principles of multisensory stimulation, which determine ownership discrimination, impose tighter constraints than previously thought and that texture congruence constitutes an additional principle; these findings are compatible with theoretical models of multisensory integration. Taken together, our results suggest that body ownership constitutes a genuine perceptual multisensory phenomenon that can be quantified with psychophysics in discrimination experiments.

Proprioceptive drift is affected by the intermanual distance rather than the distance from the body's midline in the rubber hand illusion

In the rubber hand illusion (RHI), simultaneous brush stroking of a subject’s hidden hand and a visible rubber hand induces a transient illusion of the latter to “feel like it’s my hand” and a proprioceptive drift of the hidden own hand toward the rubber hand. Recent accounts of the RHI have suggested that the illusion would only occur if weighting of conflicting sensory information and their subsequent integration results in a statistically plausible compromise. In three different experiments, we investigated the role of distance between the two hands as well as their proximity to the body’s midline in influencing the occurrence of the illusion. Overall, the results suggest that the illusion is abolished when placing the two hands apart, therefore increasing the mismatch between the visual and proprioceptive modality, whereas the proximity of the two hands to the body’s midline plays only a minor role on the subjective report of the illusion. This might be driven by the response properties of visuotactile bimodal cells encoding the peripersonal space around the hand.

Schizotypy and individual differences in peripersonal space plasticity

The space surrounding our body, defined as peripersonal space (PPS), is dynamically shaped by our motor experiences. For instance, PPS extends after using a tool to reach far objects. Several studies have demonstrated how PPS size varies across people, depending on different individual characteristics, including schizotypy. Coherently, narrower PPS boundaries have been reported among high schizotypal individuals and schizophrenia patients. However, little is known about the relationship between PPS plasticity and personality traits like schizotypy. To this purpose, the present study has investigated the individual PPS plasticity, after two different motor trainings, along the schizotypal continuum. Specifically, PPS plasticity was tested after using a tool (Experiment 1) and after the mere observation of another person using the same tool (Experiment 2). Indeed, previous evidence has shown that tool-use observation influences visual distance judgments, extending the representation of PPS. To date, however, there is no study investigating whether observation of tools action could also affect multisensory PPS tasks. Experiment 1 has shown that PPS boundaries extended after using the tool; on the other hand, Experiment 2 has revealed the absence of PPS expansion. Moreover, greater PPS expansion emerged in the relatively-low schizotypal group than in the relatively-high one, regardless of the type of motor training performed. The absence of PPS modulation after the observation task is discussed in relation to recent findings showing that intentional action and/or the goal of the action represent potentially crucial elements to trigger PPS plasticity. Finally, these new results extend previous evidence underlining a potential general functional alteration of PPS with the increase of schizotypal level.

Rapid Recalibration of Peri-Personal Space: Psychophysical, Electrophysiological, and Neural Network Modeling Evidence

Interactions between individuals and the environment occur within the peri-personal space (PPS). The encoding of this space plastically adapts to bodily constraints and stimuli features. However, these remapping effects have not been demonstrated on an adaptive time-scale, trial-to-trial. Here, we test this idea first via a visuo-tactile reaction time (RT) paradigm in augmented reality where participants are asked to respond as fast as possible to touch, as visual objects approach them. Results demonstrate that RTs to touch are facilitated as a function of visual proximity, and the sigmoidal function describing this facilitation shifts closer to the body if the immediately precedent trial had indexed a smaller visuo-tactile disparity. Next, we derive the electroencephalographic correlates of PPS and demonstrate that this multisensory measure is equally shaped by recent sensory history. Finally, we demonstrate that a validated neural network model of PPS is able to account for the present results via a simple Hebbian plasticity rule. The present findings suggest that PPS encoding remaps on a very rapid time-scale and, more generally, that it is sensitive to sensory history, a key feature for any process contextualizing subsequent incoming sensory information (e.g., a Bayesian prior).

Immersive virtual reality reveals that visuo-proprioceptive discrepancy enlarges the hand-centred peripersonal space

Vision and proprioception, informing the system about the body position in space, seem crucial in defining the boundary of the peripersonal space (PPS). What happens to the PPS representation when a conflict between vision and proprioception arises? We capitalize on the Immersive Virtual Reality to dissociate vision and proprioception by presenting the participants' 3D hand image in congruent/incongruent positions with respect to the participants' real hand. To measure the hand-centred PPS, we exploit multisensory integration occurring when visual stimuli are delivered simultaneously with tactile stimuli applied to a body district; i.e., visual enhancement of touch (VET). Participants are instructed to respond to tactile stimuli while ignoring visual stimuli (red LED), which can appear either near to or far from the hand receiving tactile (electrical) stimuli. The results show that, when vision and proprioception are congruent (i.e., real and virtual hand coincide), a space-dependent modulation of the VET effect occurs (with faster responses when visual stimuli are near to than far from the stimulated hand). Contrarily, when vision and proprioception are incongruent (i.e., a discrepancy between real and virtual hand is present), a comparable VET effect is observed when visual stimuli occur near to the real hand and when they occur far from it, but close to the virtual hand. These findings, also confirmed by the independent estimate of a Bayesian Causal Inference model, suggest that, when the visuo-proprioceptive discrepancy makes the coding of the hand position less precise, the hand-centred PPS is enlarged, likely to optimize reactions to external events.

Faster recognition of graspable targets defined by orientation in a visual search task

Peri-hand space is the area surrounding the hand. Objects within this space may be subject to increased visuospatial perception, increased attentional prioritization, and slower attentional disengagement compared to more distal objects. This may result from kinesthetic and visual feedback about the location of the hand that projects from the reach and grasp networks of the dorsal visual stream back to occipital visual areas, which in turn, refines cortical visual processing that can subsequently guide skilled motor actions. Thus, we hypothesized that visual stimuli that afford action, which are known to potentiate activity in the dorsal visual stream, would be associated with greater alterations in visual processing when presented near the hand. To test this, participants held their right hand near or far from a touchscreen that presented a visual array containing a single target object that differed from 11 distractor objects by orientation only. The target objects and their accompanying distractors either strongly afforded grasping or did not. Participants identified the target among the distractors by reaching out and touching it with their left index finger while eye-tracking was used to measure visual search times, target recognition times, and search accuracy. The results failed to support the theory of enhanced visual processing of graspable objects near the hand as participants were faster at recognizing graspable compared to non-graspable targets, regardless of the position of the right hand. The results are discussed in relation to the idea that, in addition to potentiating appropriate motor responses, object affordances may also potentiate early visual processes necessary for object recognition.

Electroencephalographic Functional Connectivity With the Tacit Learning System Prosthetic Hand: A Case Series Using Motor Imagery

We previously created a prosthetic hand with a tacit learning system (TLS) that automatically supports the control of forearm pronosupination. This myoelectric prosthetic hand enables sensory feedback and flexible motor output, which allows users to move efficiently with minimal burden. In this study, we investigated whether electroencephalography can be used to analyze the influence of the auxiliary function of the TLS on brain function. Three male participants who had sustained below-elbow amputations and were myoelectric prosthesis users performed a series of physical movement trials with the TLS inactivated and activated. Trials were video recorded and a sequence of videos was prepared to represent each individual's own use while the system was inactivated and activated. In a subsequent motor imagery phase during which electroencephalography (EEG) signals were collected, each participant was asked to watch both videos of themself while actively imagining the physical movement depicted. Differences in mean cortical current and amplitude envelope correlation (AEC) values between supplementary motor areas (SMA) and each vertex were calculated. For all participants, there were differences in the mean cortical current generated by the motor imagery tasks when the TLS inactivated and activated conditions were compared. The AEC values were higher during the movement imagery task with TLS activation, although their distribution on the cortex varied between the three individuals. In both S1 and other brain areas, AEC values increased in conditions with the TLS activated. Evidence from this case series indicates that, in addition to motor control, TLS may change sensory stimulus recognition.

Testing the exteroceptive function of nociception: The role of visual experience in shaping the spatial representations of nociceptive inputs

Adequately localizing pain is crucial to protect the body against physical damage and react to the stimulus in external space having caused such damage. Accordingly, it is hypothesized that nociceptive inputs are remapped from a somatotopic reference frame, representing the skin surface, towards a spatiotopic frame, representing the body parts in external space. This ability is thought to be developed and shaped by early visual experience. To test this hypothesis, normally sighted and early blind participants performed temporal order judgment tasks during which they judged which of two nociceptive stimuli applied on each hand's dorsum was perceived as first delivered. Crucially, tasks were performed with the hands either in an uncrossed posture or crossed over body midline. While early blinds were not affected by the posture, performances of the normally sighted participants decreased in the crossed condition relative to the uncrossed condition. This indicates that nociceptive stimuli were automatically remapped into a spatiotopic representation that interfered with somatotopy in normally sighted individuals, whereas early blinds seemed to mostly rely on a somatotopic representation to localize nociceptive inputs. Accordingly, the plasticity of the nociceptive system would not purely depend on bodily experiences but also on crossmodal interactions between nociception and vision during early sensory experience.

Hand blink reflex in virtual reality: The role of vision and proprioception in modulating defensive responses

Our research focused on the role of vision and proprioception in modulating a defensive reflex (hand blink reflex, HBR) whose magnitude is enhanced when the threatened hand is inside the peripersonal space of the face. We capitalized on virtual reality, which allows dissociating vision and proprioception by presenting a virtual limb in congruent/incongruent positions with respect to the participants' limb. In experiment 1, participants placed their own stimulated hand in far/near positions with respect to their face (postural manipulation task), while observing a virtual empty scenario. Vision was not informative, but the HBR was significantly enhanced in near compared with far position, suggesting that proprioception is sufficient for the HBR modulation to occur. In experiment 2, participants did not perform the postural manipulation but they (passively) observed the avatar's virtual limb performing it. Proprioceptive signals were not informative, but the HBR was significantly enhanced when the observed virtual limb was near to the face, suggesting that visual information plays a role in modulating the HBR. In experiment 3, both participants and avatar performed the postural manipulation, either congruently (both of them far/near) or incongruently (one of them far, the other near). The HBR modulation was present only in congruent conditions. In incongruent conditions, the conflict between vision and proprioception confounded the system, abolishing the difference between far and near positions. Taken together, these findings promote the view that observing a virtual limb modulates the HBR, providing also new evidence on the role of vision and proprioception in modulating this subcortical reflex.

The Role of Sensorimotor Processes in Pain Empathy

Pain is a salient, aversive sensation which motivates avoidance, but also has a strong social signaling function. Numerous studies have shown that regions of the nervous system active in association with first-hand pain are also active in response to the pain of others. When witnessing somatic pain, such as seeing bodies in painful situations, significant activations occur not only in areas related to the processing of negative emotions, but also in neuronal structures engaged in somatosensation and the control of skeletal muscles. These empathy-related sensorimotor activations are selectively reviewed in this article, with a focus on studies using electrophysiological methods and paradigms investigating responses to somatic pain. Convergent evidence from these studies shows that these activations (1) occur at multiple levels of the nervous system, from the spinal cord up to the cerebral cortex, (2) are best conceptualized as activations of a defensive system, in line with the role of pain to protect body from injury, and (3) contribute to establishing a matching of psychological states between the sufferer and the observer, which ultimately supports empathic understanding and motivate prosocial action. Future research should thus focus on how these sensorimotor responses are related to higher-order empathic responses, including affective sharing and emotion regulation, and how this motivates approach-related prosocial behaviors aimed at alleviating the pain and suffering of others.

Action Planning Modulates Peripersonal Space

Peripersonal space is a multisensory representation relying on the processing of tactile and visual stimuli presented on and close to different body parts. The most studied peripersonal space representation is perihand space (PHS), a highly plastic representation modulated following tool use and by the rapid approach of visual objects. Given these properties, PHS may serve different sensorimotor functions, including guidance of voluntary actions such as object grasping. Strong support for this hypothesis would derive from evidence that PHS plastic changes occur before the upcoming movement rather than after its initiation, yet to date, such evidence is scant. Here, we tested whether action-dependent modulation of PHS, behaviorally assessed via visuotactile perception, may occur before an overt movement as early as the action planning phase. To do so, we probed tactile and visuotactile perception at different time points before and during the grasping action. Results showed that visuotactile perception was more strongly affected during the planning phase (250 msec after vision of the target) than during a similarly static but earlier phase (50 msec after vision of the target). Visuotactile interaction was also enhanced at the onset of hand movement, and it further increased during subsequent phases of hand movement. Such a visuotactile interaction featured interference effects during all phases from action planning onward as well as a facilitation effect at the movement onset. These findings reveal that planning to grab an object strengthens the multisensory interaction of visual information from the target and somatosensory information from the hand. Such early updating of the visuotactile interaction reflects multisensory processes supporting motor planning of actions.

Aim and Plausibility of Action Chains Remap Peripersonal Space

Successful interaction with objects in the peripersonal space requires that the information relative to current and upcoming positions of our body is continuously monitored and updated with respect to the location of target objects. Voluntary actions, for example, are known to induce an anticipatory remapping of the peri-hand space (PHS, i.e., the space near the acting hand) during the very early stages of the action chain: planning and initiating an object grasp increase the interference exerted by visual stimuli coming from the object on touches delivered to the grasping hand, thus allowing for hand-object position monitoring and guidance. Voluntarily grasping an object, though, is rarely performed in isolation. Grasping a candy, for example, is most typically followed by concatenated secondary action steps (bringing the candy to the mouth and swallowing it) that represent the agent’s ultimate intention (to eat the candy). However, whether and when complex action chains remap the PHS remains unknown, just as whether remapping is conditional to goal achievability (e.g., candy-mouth fit). Here we asked these questions by assessing changes in visuo-tactile interference on the acting hand while participants had to grasp an object serving as a support for an elongated candy, and bring it toward their mouth. Depending on its orientation, the candy could potentially enter the participants’ mouth (plausible goal), or not (implausible goal). We observed increased visuo-tactile interference at relatively late stages of the action chain, after the object had been grasped, and only when the action goal was plausible. These findings suggest that multisensory interactions during action execution depend upon the final aim and plausibility of complex goal-directed actions, and extend our knowledge about the role of peripersonal space in guiding goal-directed voluntary actions.

Identifying peripersonal space boundaries in newborns

Peripersonal space immediately surrounds the body and can be represented in the brain as a multisensory and sensorimotor interface mediating physical and social interactions between body and environment. Very little consideration has been given to the ontogeny of peripersonal spatial representations in early postnatal life, despite the crucial roles of peripersonal space and its adaptive relevance as the space where infants' earliest interactions take place. Here, we investigated whether peripersonal space could be considered a delimited portion of space with defined boundaries soon after birth. Our findings showed for the first time that newborns' saccadic reaction times to a tactile stimulus simultaneous to sounds with different intensities changed based on the sound intensity. In particular, they were significantly faster when the sound was lounder than a critical intensity, in a pattern that closely resembled that showed by adults. Therefore, provided that sound intensity on its own can cue newborns' sound distance perception, we speculate that this critical distance could be considered the boundary of newborns' rudimentary peripersonal space. Altogether, our findings suggest that soon after birth peripersonal space may be already considered as a bounded portion of space, perhaps instrumental to drive newborns' attention towards events and people within it.

Toward understanding the neurophysiological basis of peripersonal space: An EEG study on healthy individuals

The subcortical mechanisms subtending the sensorimotor processes related to the peripersonal space (PPS) have been well characterized, whereas less evidence is available concerning the cortical mechanisms. We investigated the theta, alpha and beta event-related spectral perturbations (ERSP) while holding the forearm in different positions into the PPS of the face. Fifty healthy individuals were subjected to EEG recording while being provided with median nerve electric stimulation at the wrist of the right hand held at different hand-to-face distances. Theta and beta rhythms were significantly perturbed depending on the hand-to-face distance, whereas alpha oscillations reflected a more general, non-specific oscillatory response to the motor task. The perturbation of theta and beta frequency bands may reflect the processes of top-down modulation overseeing the conscious spatiotemporal encoding of sensory-motor information within the PPS. In other words, such perturbation reflects the continuous update of the conscious internal representations of the PPS to build up a purposeful and reflexive motor response.

Enlarged representation of peripersonal space in pregnancy

Our ability to maintain a coherent bodily self despite continuous changes within and outside our body relies on the highly flexible multisensory representation of the body, and of the space surrounding it: the peripersonal space (PPS). The aim of our study was to investigate whether during pregnancy - when extremely rapid changes in body size and shape occur - a likewise rapid plastic reorganization of the neural representation of the PPS occurs. We used an audio-tactile integration task to measure the PPS boundary at different stages of pregnancy. We found that in the second trimester of pregnancy and postpartum women did not show differences in their PPS size as compared to the control group (non-pregnant women). However, in the third trimester the PPS was larger than the controls’ PPS and the shift between representation of near and far space was more gradual. We therefore conclude that during pregnancy the brain adapts to the sudden bodily changes, by expanding the representation of the space around the body. This may represent a mechanism to protect the vulnerable abdomen from injury from surrounding objects.

Rubber hands in space: the role of distance and relative position in the rubber hand illusion

The rubber hand illusion (RHI) is a perceptual phenomenon in which participants experience ownership over a fake model hand through synchronous visuotactile stimulation. Several studies have shown that the illusion occurs only when both hands are in close proximity to each other. In the present study, we systematically examined the role of relative position (lateral, distal) and distance (13–75 cm) of the model hand (with respect to participants’ real hand) on illusion experience across both lateral and distal positions. Furthermore, we also compared different facets of the subjective illusion experience; the experience of the model hand being part of one’s body (i.e., ownership) and the perceptual fusion of vision and touch (i.e., referral of touch). In two experiments we observed indications for a stronger illusion experiences in distal compared to lateral positions of identical distances, indicating that the illusory effects may vary as a function of the relative position of the hand. Our results also showed that manipulations of distance differently modulated both facets of the illusion. While ownership was restricted to near distances, referral of touch sensations remained stable at farther distances. These results are interpreted in relation to variations in sensory weighting across different planes.

Unimodal and crossmodal extinction of nociceptive stimuli in healthy volunteers

Nociception, the physiological mechanisms specifically processing information about noxious and potentially painful stimuli, has the double function to warn about potential body damages (interoception) and about the cause of such potential damages (exteroception). The exteroceptive function is thought to rely on multisensory integration between somatic and extra-somatic stimuli, provided that extra-somatic stimuli occur near the stimulated body area. To corroborate this hypothesis, we succeeded to show in healthy volunteers that the perception of nociceptive stimuli applied on one hand can be extinguished, as compared to single presentation, by the simultaneous application of nociceptive stimuli on the opposite hand, as well as by the presentation of visual stimuli near the opposite hand. On the contrary, visual stimuli presented near the same stimulated hand facilitated the perception of nociceptive stimuli. This nociceptive extinction phenomenon indicates that the perception of noxious events does not merely rely on the specific activation of the nociceptive system, but also depends on other sensory experiences about the body and the space around it.

Hands Ahead in Mind and Motion: Active Inference in Peripersonal Hand Space

According to theories of anticipatory behavior control, actions are initiated by predicting their sensory outcomes. From the perspective of event-predictive cognition and active inference, predictive processes activate currently desired events and event boundaries, as well as the expected sensorimotor mappings necessary to realize them, dependent on the involved predicted uncertainties before actual motor control unfolds. Accordingly, we asked whether peripersonal hand space is remapped in an uncertainty anticipating manner while grasping and placing bottles in a virtual reality (VR) setup. To investigate, we combined the crossmodal congruency paradigm with virtual object interactions in two experiments. As expected, an anticipatory crossmodal congruency effect (aCCE) at the future finger position on the bottle was detected. Moreover, a manipulation of the visuo-motor mapping of the participants’ virtual hand while approaching the bottle selectively reduced the aCCE at movement onset. Our results support theories of event-predictive, anticipatory behavior control and active inference, showing that expected uncertainties in movement control indeed influence anticipatory stimulus processing.

Peri-hand space expands beyond reach in the context of walk-and-reach movements

The brain incorporates sensory information across modalities to be able to interact with our environment. The peripersonal space (PPS), defined by a high level of crossmodal interaction, is centered on the relevant body part, e.g. the hand, but can spatially expand to encompass tools or reach targets during goal-directed behavior. Previous studies considered expansion of the PPS towards goals within immediate or tool-mediated reach, but not the translocation of the body as during walking. Here, we used the crossmodal congruency effect (CCE) to quantify the extension of the PPS and test if PPS can also expand further to include far located walk-and-reach targets accessible only by translocation of the body. We tested for orientation specificity of the hand-centered reference frame, asking if the CCE inverts with inversion of the hand orientation during reach. We show a high CCE with onset of the movement not only towards reach targets but also walk-and-reach targets. When participants must change hand orientation, the CCE decreases, if not vanishes, and does not simply invert. We conclude that the PPS can expand to the action space beyond immediate or tool-mediated reaching distance but is not purely hand-centered with respect to orientation.

When social and action spaces diverge: A study in children with typical development and autism

The space around the body has been defined as action space ( peripersonal space) and a social space ( interpersonal space). Within the current debate about the characteristics of these spaces, here we investigated the functional properties and plasticity of action and social space in developmental age. To these aims, children with typical development and autism spectrum disorders were submitted to Reaching- and Comfort-distance tasks, to assess peripersonal and interpersonal space, respectively. Participants approached a person (confederate) or an object and stopped when they thought they could reach the stimulus (Reaching-distance task), or they felt comfortable with stimulus’ proximity (Comfort-distance task). Both tasks were performed before and after a cooperative tool-use training, in which participant and confederate actively cooperated to reach tokens by using either a long (Experiment 1) or a short (Experiment 2) tool. Results showed that in both groups, peripersonal space extended following long-tool-use but not short-tool-use training. Conversely, in typical development, but not in autism spectrum disorders children, interpersonal space toward confederate reduced following the cooperative tool-use training. These findings reveal that action and social spaces are functionally dissociable both in typical and atypical development, and that action but not social space regulation is intact in children with autism.

Mind the Depth: Visual Perception of Shapes Is Better in Peripersonal Space

Closer objects are invariably perceived as bigger than farther ones and are therefore easier to detect and discriminate. This is so deeply grounded in our daily experience that no question has been raised as to whether the advantage for near objects depends on other features (e.g., depth itself). In a series of five experiments (N = 114), we exploited immersive virtual environments and visual illusions (i.e., Ponzo) to probe humans’ perceptual abilities in depth and, specifically, in the space closely surrounding our body, termed peripersonal space. We reversed the natural distance scaling of size in favor of the farther object, which thus appeared bigger, to demonstrate a persistent shape-discrimination advantage for close objects. Psychophysical modeling further suggested a sigmoidal trend for this benefit, mirroring that found for multisensory estimates of peripersonal space. We argue that depth is a fundamental, yet overlooked, dimension of human perception and that future studies in vision and perception should be depth aware.