Attention

Is attention both necessary and sufficient for consciousness? Call this central question of this treatise, “Q.” We commonly have the experience of consciously paying attention to something, but is it possible to be conscious of something you are not attending to, or to attend to something of which you are not conscious? Where might we find examples of these?
This treatise is a quest to find an answer to Q in two parts. Part I reviews the foundations upon which the discourse on Q is built. Different inputs to Q produce different answers. After consideration of the many ways “attention” and “consciousness” have been defined, I settle upon phenomenal consciousness and Executive Attention (defined as a suite of strategies for structuring cognition for further processing implemented by the executive of working memory) as the most interesting inputs to Q, and the ones on which Part II focuses.
Attention without consciousness seems relatively easy to establish empirically, but consciousness without attention is much harder. The putative candidates all seem to have major problems, but I build a strong abductive case for the hitherto ignored case of foveal phenomenal overflow. We consciously see far more detail in our foveal fields than we can Executively Attend, although there is a serious obstacle to our ever confirming that empirically—identifying conscious content relies on Executive Attentional report. Triangulating the capacity limitations of attention, consciousness, and working memory strengthens this case for consciousness without attention, and suggests that cognition must work something like my “Witches’ Hat Model,” on which content can become conscious outside of Executive Attention or working memory. I conclude with some reflections on the implications of my arguments for the discourse on Q, and for other discourses such as the ontologies of attention and consciousness, theories of consciousness, some other cognitive concepts, and ethical considerations in humans, animals, and machines. A conclusive answer to Q continues to elude us. It may perhaps be an ultimately insoluble conundrum. But it is the very essence of humanity to seek an answer, and in so doing, to improve our understanding of our own nature:
“The proper study of mankind is man.”

Despite the established evidence for threat-related attention bias in anxiety, the mechanisms underlying this bias remain unclear. One important unresolved question is whether disorder-congruent threats capture attention to a greater extent than do more general or disorder-incongruent threat stimuli. Evidence for attention bias specificity in anxiety would implicate involvement of previous learning and memory processes in threat-related attention bias, whereas lack of content specificity would point to perturbations in more generic attention processes. Enhanced clarity of mechanism could have clinical implications for the stimuli types used in Attention Bias Modification Treatments (ABMT). Content specificity of threat-related attention bias in anxiety and potential moderators of this effect were investigated. A systematic search identified 37 samples from 29 articles (N=866). Relevant data were extracted based on specific coding rules, and Cohen's d effect size was used to esti...

Virtual reality (VR) head-mounted displays (HMD) appear to be effective research tools,
which may address the problem of ecological validity in neuropsychological testing.
However, their widespread implementation is hindered by VR induced symptoms
and effects (VRISE) and the lack of skills in VR software development. This study
offers guidelines for the development of VR software in cognitive neuroscience and
neuropsychology, by describing and discussing the stages of the development of Virtual
Reality Everyday Assessment Lab (VR-EAL), the first neuropsychological battery in
immersive VR. Techniques for evaluating cognitive functions within a realistic storyline
are discussed. The utility of various assets in Unity, software development kits, and other
software are described so that cognitive scientists can overcome challenges pertinent
to VRISE and the quality of the VR software. In addition, this pilot study attempts to
evaluate VR-EAL in accordance with the necessary criteria for VR software for research
purposes. The VR neuroscience questionnaire (VRNQ; Kourtesis et al., 2019b) was
implemented to appraise the quality of the three versions of VR-EAL in terms of user
experience, game mechanics, in-game assistance, and VRISE. Twenty-five participants
aged between 20 and 45 years with 12–16 years of full-time education evaluated various
versions of VR-EAL. The final version of VR-EAL achieved high scores in every sub-score
of the VRNQ and exceeded its parsimonious cut-offs. It also appeared to have better
in-game assistance and game mechanics, while its improved graphics substantially increased the quality of the user experience and almost eradicated VRISE. The results
substantially support the feasibility of the development of effective VR research and
clinical software without the presence of VRISE during a 60-min VR session.

Asceticism is founded on the possibility that human beings can profoundly transform themselves through training and discipline. In particular, asceticism in the Eastern monastic tradition is based on the assumption that individuals are not slaves to the habitual and automatic but can be improved by ascetic practice and, with the cooperation of divine grace, transform their entire character and cultivate special powers and skills. Asceticism of the Mind explores the strategies that enabled Christian ascetics in the Egyptian, Gazan, and Sinaitic monastic traditions of late antiquity to cultivate a new form of existence. At the book's center is a particular model of ascetic discipline that involves a systematic effort to train the mind and purify attention. Drawing on contemporary cognitive and neuro-scientific research, this study underscores the beneficial potential and self-formative role of the monastic system of mental training, thereby confuting older views that emphasized the negative and repressive aspects of asceticism. At the same time, it sheds new light on the challenges that Christian ascetics encountered in their attempts to transform themselves, thereby lending insight into aspects of their daily lives that would otherwise remain inaccessible. Asceticism of the Mind brings rigorously historical and cognitive perspectives into conjunction across a range of themes, and in so doing opens up new ways of exploring ascet-icism and Christian monasticism. By working across the traditional divide between the humanities and the cognitive sciences, it offers new possibilities for a constructive dialogue across these fields.

These studies may help in understanding the biological bases of the high level of cognitive ability that is achieved during primate evolution culminating in humans.
Michael S. Gazzaniga from The Sage Center for the Study of Mind,
University of California, Santa Barbara.

This study investigated the effect of methylphenidate (Ritalin) on the selective attention of hyperactive children designated as favorable or adverse responders to stimulant medication. Using a type II incidental learning paradigm, it was found that children in the drug condition recalled more central and less incidental stimuli than those children in the placebo condition. While no differential effects on recall were found for responder type, methylphenidate did affect the
spontaneous overt labeling of central stimuli by the favorable responder group. Results were interpreted in terms of the role of methylphenidate in narrowing the focus of attention. Implications for the classification of hyperactive children
as favorable and adverse responders were also discussed.

In phenomenology, normality is neither an objectively measurable average nor a mere historical or social construct. Rather than being understood from without, looked at from the outside of lived experiences, normality is approached from within as a condition and mode of lived experience. In the first part of the paper, I will show why it is relevant to turn to a phenomenological investigation of normality if one is interested in normativity. This perspective, so I will argue, is needed if one wants to understand not only how external norms actually become part of subjective experience but also how norms develop in the first place through repeated practices. As such, the experience of normality, understood here as consisting of selfevident feelings of orientation and familiarity, can be interpreted as the result of an operative normativity. In the second part, I will present Husserl's theory of normality in more detail in order to demonstrate how it could be applied to a more systematic investigation of normality and norms on different genetic levels. Lived normality is seen here as a dynamic and fragile system of balances; a constant attempt to achieve an equilibrium with one's environment and fellow subjects. (Re)turning to normality allows us to see normativity at work, embedded in the need for constant development, appropriation, and transformations of regular structures in experience.

The purpose of this qualitative study was to explore the lived experience of how sensory-related behaviors of children with autism affected family routines. In-depth semi-structured interviews were conducted with four primary caregivers regarding the meaning and impact of their child’s sensory-related behaviors on family routines that occurred inside and outside the home. Findings indicated that sensory behaviors are one factor that limited family participation in work, family and leisure activities; and that parents employed specific strategies to manage individual and family routines in light of the child’s sensory-related behaviors. This information has important implications for professionals who work with families of children with autism to decrease caregiver stress and to increase life satisfaction for the child and family.

To determine whether supplementation with the long-chain omega-3 polyunsaturated fatty acids eicosapentaenoic (EPA) and docosahexaenoic acid (DHA) affects behavioral symptoms and cognitive impairments in children 6-12 years of age diagnosed with attention-deficit/hyperactivity disorder (ADHD). The randomized, double-blind placebo-controlled 16 weeks trial was conducted with 95 children diagnosed with ADHD according to DSM-IV criteria. Behavior was assessed by parents, teachers and investigators using standardized rating scales and questionnaires. Further outcome variables were working memory, speed of information processing and various measures of attention. For a subgroup of 81 participants, erythrocyte membrane fatty acid composition was analyzed before and after the intervention. Supplementation with the omega-3 fatty acid mix increased EPA and DHA concentrations in erythrocyte membranes and improved working memory function, but had no effect on other cognitive measures and paren...

The parietal lobe (PL) supports cognitive domains, including attention and memory, which are impaired in bipolar disorder (BD). Although cross-sectional voxel-based morphometry studies found reduced PL grey matter (GM) in BD, none has longitudinally focused on PL anatomy in BD, relating it to patients' functioning. Thirty-eight right-handed BD patients and 42 matched healthy subjects (HS) underwent a Magnetic Resonance Imaging (MRI) scan at baseline. Seventeen BD patients and 16 matched HS underwent a follow-up MRI. PL white matter (WM) and GM volumes were measured. The trajectory of parietal volumes over time and the possible relation with the global functioning were investigated in both BD patients and HS. At baseline, BD patients showed significant reduced PL WM and GM and different WM laterality compared with HS. Furthermore, smaller PL WM volumes predicted lower global functioning in BD, but not in HS. At follow-up, although BD patients reported reduced PL WM compared with ...

Although attention problems are presumably responsible for a wide variety of difficulties patients with narcolepsy experience in everyday life, empirical investigation of this issue is scarce. Therefore, we conducted a systematic investigation of different aspects of attention and verbal memory in patients with narcolepsy. Control-group design with comparison of performance in four attention tests--measuring phasic alertness, focused attention, divided attention, and flexible attention--and one verbal memory test. 19 patients with narcolepsy (NG) and 20 healthy controls (CG) MEASUREMENTS AND RESULTS: The NG showed no deficits in phasic alertness, focused attention, and verbal memory. However, specific deficits occurred in divided and flexible attention. Furthermore, the NG had generally slower and more variable reaction times in all attention tasks. Our results contradict the hypothesis that attentional impairments in narcolepsy are merely a result of a temporal disturbance of infor...

Mild cognitive impairment (MCI) often presages development of Alzheimer's disease (AD). We recently completed a cross-sectional study to test the hypothesis that a combination of a brief cognitive screening instrument (Mini-Cog) with a functional scale (Functional Activities Questionnaire; FAQ) would accurately identify individuals with MCI and undiagnosed dementia. The Mini-Cog consists of a clock drawing task and 3-item recall, and takes less than 5 minutes to administer. The FAQ is a 30-item questionnaire completed by an informant. In addition to the Mini-Cog and FAQ, a traditional cognitive test battery was administered, and two neurologists and a neuropsychologist determined a consensus diagnosis of Normal, MCI, or Dementia. A classification tree algorithm was used to pick optimal cutpoints, and, using these cutpoints, the combined Mini-Cog and FAQ (MC-FAQ) predicted the consensus diagnosis with an accuracy of 83% and a weighted kappa of 0.81. When the population was divide...

Humans’ conscious awareness of objects in their visual periphery is limited. This limit is not entirely the result of reduced visual acuity. Rather, it is primarily caused by crowding—the difficulty identifying an object when it is surrounded by clutter. The effect of crowding on visual awareness in infants has yet to be explored. Do infants, for example, have a fine-grained “spotlight,” as adults do, or do infants have a diffuse “lantern” that sets limits on what they can register in their visual periphery? We designed an eye-tracking paradigm to psychophysically measure crowding in infants between 6 months and 15 months of age. We showed infants pairs of faces at three eccentricities, in the presence or absence of flankers, and recorded infants’ first saccade from central fixation to either face. Infants could discriminate faces in the periphery, and flankers impaired this ability. We found that the effective spatial resolution of infants’ visual perception increased with age, but...

Saccadic eye movements direct the high-resolution foveae of our retinas toward objects of interest. With each saccade, the image jumps on the retina, causing a discontinuity in visual input. Our visual perception, however, remains stable. Philosophers and scientists over centuries have proposed that visual stability depends upon an internal neuronal signal that is a copy of the neuronal signal driving the eye movement, now referred to as a corollary discharge (CD) or efference copy. In the old world monkey, such a CD circuit for saccades has been identified extending from superior colliculus through MD thalamus to frontal cortex, but there is little evidence that this circuit actually contributes to visual perception. We tested the influence of this CD circuit on visual perception by first training macaque monkeys to report their perceived eye direction, and then reversibly inactivating the CD as it passes through the thalamus. We found that the monkey's perception changed; duri...

To evaluate the impact of a Mindfulness Based Stress Reduction (MBSR) program in patients with chronic bothersome tinnitus on the (1) severity of symptoms of tinnitus and (2) functional connectivity in neural attention networks. Open-label interventional pilot study. Outpatient academic medical center. A total of 13 adult participants with a median age of 55 years, suffering from bothersome tinnitus. An 8-week MBSR program was conducted by a trained MBSR instructor. The primary outcome measure was the difference in patient-reported tinnitus symptoms using the Tinnitus Handicap Index (THI) and Tinnitus Functional Index (TFI) between pre-intervention, post-MBSR, and 4-week post-MBSR assessments. Secondary outcomes included change in measurements of depression, anxiety, mindfulness, and cognitive abilities. Functional connectivity magnetic resonance imaging (MRI) was performed at pre- and post-MBSR intervention time points to serve as a neuroimaging biomarker of critical cortical netwo...