Topic 3: Visual Object Recognition Flashcards
What does the term agnosia mean?
refers to a broad range of deficits related to recognition
What is visual agnosia?
visual agnosia involves deficits in visually-based object recognition, which occur in the absence of other accompanying problems with lower-level visual processing (i.e., those affected still have intact visual sensation)
this condition gained widespread attention with the publication of Oliver Sacks’ book “The Man Who Mistook His Wife for a Hat”
How does visual agnosia highlight the hierarchical nature of visual processing?
we go through different stages of processing to recognize objects
problems can occur at any of these stages
the particular stage(s) at which visual processing “breaks down” in an individual has implications for how that impacts their perception
the fact that visual agnosia presents without accompanying problems in lower-level visual processing suggests the problem occurs “upstream” (i.e., farther in the sequence of processing) from V1 in visual cortex
What is the area of damage in visual agnosia?
many cases involve known temporal lobe damage, representing a contribution to our understanding of this phenomenon from neuropsychological evidence
What are the two major types of visual agnosia?
apperceptive and associative
What is apperceptive agnosia?
typically involves an inability to recognize familiar objects based on shape
one way to think about this type of agnosia is as primarily affecting one’s ability to form a coherent mental representation (i.e., percept, or pattern) of whatever stimuli is being visually processed, almost as though they can process/represent the pieces but can’t “put the pieces together”
can also involve a degraded ability to recognize objects under certain conditions (poor lighting, non-canonical viewpoints, etc.)
may primarily affect earlier stages of visual processing more closely related to basic sensation processing (e.g., lower-level visual properties)
What is global vs. local processing in apperceptive agnosia?
apperceptive agnosia patients often have difficulty focusing on the whole (the global level) and tend to only draw meaning from small portions of whatever stimuli is being processing (at the local level)
What is a Navon figure?
can be used to test for impairments in local or global processing
local level: the stimuli is made up of many small number 4’s
global level: the many small number 4’s make up a larger pattern (a single number 7)
What is the lateralization related to global vs. local processing?
global features tend to preferentially processed when stimuli are presented to the left visual field
local features tend to be preferentially processed when stimuli are presented to the right visual field
in addition to hinting at some lateralization effects, this also provides a useful experimental method that can be applied in various ways to manipulate/isolate effects related to local or global processing
What is associative agnosia?
involves an inability to connect visual perceptions with meaning/memory
in contrast to apperceptive agnosia, seem to be less about difficulty extracting information about shape/form from coherent mental representation (i.e., percept, or pattern)
patients with this type of agnosia are capable of “putting together the pieces” of a stimuli to form a coherent mental representation (i.e., pattern, perception, etc.) of whatever they’re visually processing but then can’t connect that with any meaning
may primarily affect later stages of visual processing related to perception (higher-level meaning)
What is the performance of copying model drawings tasks of people with apperceptive agnosia?
are pretty much entirely unable to copy the model objects
this speaks to the difficulty they have extracting information from shape and form to produce a coherent mental representation that captures the essence of what they’re looking at
in contrast to the patients with associative agnosia, their drawings very clearly stand out as looking “abnormal”
What is the performance of copying model drawings tasks of people with associative agnosia?
they can copy the form of the object very accurately
however, their success often relies on a strategy meant to compensate for their deficit and they tend to copy the drawings by meticulously duplicating exactly what is on the page line by line, rather than incorporating elements based on firsthand experience with the objects (as someone without agnosia might do)
as a point of comparison, someone without visual agnosia might use the model picture as a reference point yet still draw an object based on (at least in part) their own prior knowledge of what it looks like in the real world
what they are doing is more akin to using a “grid method” for drawing
What are some other subtypes of visual agnosia?
various “subtypes” of visual agnosia have been identified, involving more selective/specific deficits (e.g., color agnosia, in which individuals cannot identify colors of common objects)
agnosia in other modalities can also occur (e.g. auditory agnosia, tactile agnosia, etc.)
What is anomia?
patients with agnosia sometimes also demonstrate impairments in object naming (anomia), though this can also happen independent of typical visual agnosia symptoms
among other things, this suggests that retrieving verbal labels also represents a somewhat dissociable stage of processing related to visual perception
What is category specific visual agnosia?
these involve more selective impairments in identifying objects belonging to a particular category (tools, living things, etc)
What is prosopagnosia?
the most well-studied example of a category specific form of visual agnosia is prosopagnosia, which involves a selective agnosia for faces
What is Capgras syndrome?
involves a delusional belief that someone in their life (usually someone important, e.g., friends, partners, family members) has been replaced by an “imposter” or “doppelganger”
can cooccur with various forms of pathology (brain damage, dementia, schizophrenia, etc.)
on some level, this involve a deficit in object/person identification and can therefore be likened to various forms of visual agnosia
at the same time, the fact that those affected can still perceive the people as at least resembling the persons true identity implies rather different underlying mechanisms than visual agnosia
What are the underlying mechanisms of Capgras syndrome?
there seem to be (at least) two distinct neural pathways that mediate recognition of familiar faces: one conscious/explicit and one unconscious/implicit
helps explain why some people with prosopagnosia, while being unable to explicitly identify faces, may nevertheless show some sign of implicit recognition using galvanic skin response (GSR)
we see the inverse of this with some Capgras patients: intact conscious/explicit processing but impaired unconscious/implicit processing
What brain regions may be relevant for understanding Capgras syndrome?
Ramachandran (1998) hypothesized that abnormal (impaired) connectivity between the inferotemporal cortex and the amygdala may be responsible
more generally, various differences in connections between the temporal lobe and limbic system may contribute
given the role played in memory for structures in/around the medial temporal lobe (such as the hippocampus), it has been speculated that deficits in the retrieval of episodic memories in particular may also be involved
What is reduplicative paramnesia?
disorder in which people believe that a familiar location has been duplicated
those affected may believe they are in an exact copy of the original location that is nevertheless not the same place (as it is claimed to be)
this disorder seems to occur after frontal lobe damage, suggesting a potential role for the same region in Capgras delusion
this also seems consistent with observations that Capgras-like symptoms are sometimes observed in various forms of dementia, which can also affect frontal areas
What is Fregoli delusion?
representing a sort of “mirror image” of Capgras syndrome, Fregoli delusion involves the belief that multiple individuals who are presented as distinct people are in fact the same person
this can manifest as thinking that someone has “transformed” themselves into another form, adopted a disguise, and/or are able to occupy multiple bodies
someone with Fregoli delusion may believe this (singular) person is transforming in order to trick them, manipulate the, do them harm, etc., and often involves paranoid thoughts revolving around persecution
What areas of the brain are involved in Fregoli delusion?
most often associated with damage to frontal and temporal-parietal areas
What are the underlying mechanisms of Fregoli delusions?
researchers have hypothesized that abnormal activity in memory-relevant regions may contribute to these delusions
whereas there may be an absence of normal memory activation in Capgras, there may be an abnormal (and “inappropriate”) activation of representations in memory that come to be associated with stimuli that are actually unrelated
there is some evidence for reduced inhibition in case studies of this condition, as evidenced by deficits in attention ad executive function, which could be consistent with the idea of abnormal/inappropriate activation
How are dopaminergic systems involves in Fregoli delusions?
we know that “overactivity” of dopaminergic systems can be associated with delusions in various situations (schizophrenia, amphetamine-induced psychosis, etc.)
accordingly, there is also evidence that delusional symptoms can fluctuate across the course of levodopa (L-DOPA) treatment, increasing in frequency/severity as dopamine concentrations rise (providing a sort of experimental, i.e. non-correlational, model)
it has therefore been hypothesized that abnormal dopamine activity may sometimes contribute to Fregoli delusions, and/or it may actually be brought on by dopamine-based treatments