touch Flashcards

1
Q

Pleasant Touch

A

response to slow stroking (integrates body w/sensory & social environment

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2
Q

Kinesthesia

A

internal sensations arising from muscles, tendons, joints that inform us of the positions and movements of our limbs in space (identify & manipulate objects, act in our world + balance)

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3
Q

Tactile

A

sensations caused by mechanical displacement of skin (identify and manipulate objects, nonverbal communication)

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4
Q

Thermal sense

A

perception of temperature changes (seek/create thermally safe environments)

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5
Q

Pain

A

occurs when body tissues are damaged (warning system against danger)

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6
Q

itchiness

A

avoid irritants

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7
Q

skin and its components

A

largest, heaviest organ, tactile receptors imbedded in:
- dermis: bulk of skin tissue, contains most touch receptors+nerve endings that generate touch sensations

-epidermis: outermost layer, protective shield, several sublayers constantly replenished

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8
Q

Touch receptors differ by:

A
  1. type of stimulation: to which receptor responds. Touch signals are highly specific (mechanical (pressure, vibration), temperature, pain..)
  2. Transmission speed: response to continuous stimulation
  3. Rate of Adaptation: response to continuous stimuli
  4. Size of receptive field: receptors are activated when stimulation is applied to particular area of body, which constitutes the receptive field. (Size of receptive field is extent of body area that elicits a receptor response)
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9
Q

Touch Receptor Structure

A

Pseudo-unipolar neuron
-axon (or nerve fiber) is either myelinated or not
-axon may have specialised ending (capsule) or ion channels that help tune the afferent fibre to a particular feature of touch

axon may have specialised ending (capsule) or ion channels that help tune the afferent fibre to a particular feature of touch

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10
Q

Speed of AP conduction

A

depends on axon diameter and myelination

larger diameter has larger conduction speed

proprioceptor (a -alpha): largest conduction (80-120ms) /diameter (13-20 mm)

mechanoreceptor (A -beta): conduction (35-75ms) / diameter (6-12 mm)

pain and temp (a-delta):
conduction (5-30ms) / diameter (1-5mm)

pleasant touch/temp/itch (C): conduction (0.5-2 ms)/ diameter (0.2-1.5mm)

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11
Q

Transduction by Mechanoreceptors

A
  1. deformation of the pacinian corpuscle stretches the membrane of the nerve fibre
  2. opens stretch gated ion channels in the membrane
  3. positively charged ions (cations) flow in and cause membrane depolarization (receptor potential)
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12
Q

Types of Mechanoreceptors (all neurons)

A

Pacinian corpuscle (large receptive field, fast adaption rate): temporal changes in skin deformation, high freq. (250-700 Hz) vibration, fine texture perception, deep (dermis) , mosquito on finger

Ruffini capsule (large receptive field, slow adaption rate); sensitive to skin stretch, transmit sustained downward pressure (grip), lateral skin stretch, dermis and deeper tissues, when hand changes shape (hold cup)

Meissner corpuscle (small receptive field, fast adaption rate): designed to transmit low frequency (5-50Hz) vibration, stable grasp, superficial (junction of dermis and epidermis), vibrations/moving against skin/cup sliding down)

Merkel cell (small receptive field, slow adaption rate): sustained pressure, very low frequency (<5Hz), course texture, pattern and form perception, fine details, neurite complex lies in fingerprint ridges, superficial (junction of dermis and epidermis), reading braille

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13
Q

Mechanoreceptors can be both:

A

Slowly Adapting (SA) receptors: low temporal resolution - best at transmitting info about unchanging stimuli, bad at detecting change

Fast Adapting (FA) receptors: high temporal resolution (best detect stimuli that vary over time). Good at detecting change

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14
Q

Receptive Field Size

A

Tactile Receptive Field (RF): patch of the body where a stimulus will produce a response (in a given neuron).

Small RF = 10-20mm2,
large RF = 60mm2 to entire finger

The smaller the RF, the greater the capacity for spatial resolution, i.e., ability to distinguish closely spaced objects

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15
Q

what determines receptive field size

A

Number of dendrites (dendrite arbour) determines receptive field size.

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16
Q

Thermoreceptors

A

Inform us about changes in skin temperature

Located in dermal and epidermal layers of skin

Afferent fibers that lack specialized endings

Conduct via C fibers (small, unmyelinated) and Aδ fibres (small, lightly myelinated)

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17
Q

warm to cold fibre ratio

A

Warm Fibers: respond to increases in skin temperature
Cold Fibers: respond to decreases in skin temperature

Cold: warm = 30:1

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18
Q

Sensitivity

A

we don’t perceive heat/cold at physiological zero (30-36 celsius), thermoreceptors activated/start to fire by deviations from physiological zero.
Very sensitive to local changes in temperature, better at detected changes
Thermoreceptor activation leads to physiological effects that allow us to adapt to thermal changes in our environment (ex; shivering, sweating)

temperatures >50 : pain receptors take over

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19
Q

Transient receptor potential (TRP) channels:

and thermoTRPs

A

Ion channels involved in transduction. Non-selective cation channels (allow Na+ and Ca2+ in

thermoTRPs: Thermally-sensitive TRPs. Detect entire thermal range (from non-painful
coolness to non-painful warmth). Many are polymodal: respond to more than
one stimulus, e.g., temperature and chemicals (e.g., capsaicin or mint)

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20
Q

Nociceptors

A

sensory receptors sensitive to noxious stimuli (stimuli that can cause skin damage).

Free nerve endings in the skin, joints, muscles, internal organs

Pain: unpleasant sensory and emotional consequence of nociceptive activity

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21
Q

Subtypes activated by different painful stimuli:

A
  1. Myelinated Aδ fibres: strong pressure or heat
    -slow and fast adapting
  2. Unmyelinated C type: intense pressure, intense heat/cold, noxious chemicals (polymodal)
    - slowly adapting (slower, more sustained/lasting response)
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22
Q

Candidate noci-transducers are non-selective cation channels:

A
  1. ThermoTRP channels: different from the thermoTRPs that respond to painful heat/cold (TRPV2 and TRPA1 are candidate nociceptors)
  2. Acid-Sensing ion Channels (ASIC): expressed in nociceptive fibres that innervate skeletal and cardiac muscle (detects internal pain), mediate pain due to pH change (acidity) during low O2
  3. Ligand-gated ATP receptors (P2X receptors): Open in response to binding of extracellular ATP
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23
Q

Pleasant Touch Receptors use what fibers

A

C Tactile (CT) fibers: mediated by unmyelinated C fibers (Separate from pain/itch C-fibres).

Only hairy skin (most skin on body)

Preferred Stimulus: lightly applied, slow- moving (1-10 cm/s) mechanical stimulation (optimal stroke rates correspond to speeds that people find pleasant)
Induce emotional, hormonal, behavioral responses to skin-to-skin contact
pet/stroke = happy and pleasant feelings

Schirmer & Gunter (2017): EEG recordings show that CT-targeted stroking makes people more attentive to the emotional content of voices.
Stroking hairy skin reduces the experience of pain from thermal heat
People tend to stroke loved ones at ideal speeds
Pleasant touch receptors mediate the emotional properties of nonpainful bodily touch

Infants stroked with brushes at fast (30 cm/s), medium (3 cm/s) or slow (0.3 cm/s) speeds. Only medium stroking reduced heart rate. + inc oxytocin and dec. cortisol levels

Study: removed C-tactile fibers from mice - induced social isolation, reduce tactile interaction (drives social behavior)

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24
Q

Kinesthetic Receptors

A

sensory mechanoreceptors in the muscles, joints, and tendons (send info to brain yo adjust muscle length). Where our body is in space. Are the terminal ends of nerve fibers belonging to sensory neurons.

Information is transmitted to CNS via Aα (largest, thickest, most activated) fibres

Endings contain mechanically (stretch)-gated ion channels

sense where our limbs are and what kinds of movements we’re making (location + dynamic info)

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25
Types of Kinesthetic Receptors (all motor neurons):
1. Muscle Spindles: convey rate at which muscle fibers are changing in length (ie: angles formed by a limb and joint) 2. Golgi Tendon Organs: provide signals about the tension in the muscles attached to the tendons 3. Joint Receptors: are activated when a joint is bent at an extreme angle (connection bone-to-bone) Provide info to the motor system: tell us where our limbs are and what kind of movements were making Case of Ian Waterman: at 19 destroyed proprioceptors (couldn't feel where his limbs were in space) Cant walk/clap without light. Needs a visual system to move.
26
Dorsal Root Ganglion (DRG)
cell bodies of somatosensory neurons lie here -axons of various somatosensory receptors converge into a single spinal nerve -Cell bodies lie in the DRG, right next to the spinal cord -AP’s travel from the peripheral end all along the axon to the central end, where they enter the spinal cord at the dorsal horn
27
Signal transfer in the spinal cord
1. Signals enter the dorsal horn, organised into laminae (multiple layers) 2. Inputs organised somatotopically: adjacent areas of the skin are connected to adjacent areas within a region of the cord 3. Spinal cord is the only channel for transmission of somatosensory (and motor) info from the body to and from the brain
28
Dermatomes
reas of skin that connect to a specific nerve root on your spine Ex: Shingles (varicella-zoster): Maps/dermatomes are good clinical tools in the event of injury or infection of a particular spinal nerve. Viral infection that causes a painful rash that most often appears as a stripe of blisters, shingles are reactivated chicken pox viruses that travel along nerve pathways to the skin.
29
How does the signal get from the primary afferent neuron to the brain?
Parallel Processing: of different touch qualities
30
Dorsal Column-Medial lemniscal pathway (DCML) pathway
Aα (proprio) and Aβ (tactile) 1. first order DRG neurons send axons up white matter of spinal cord 2. central terminals of DRG neurons synapse on dorsal column nuclei of medulla 3. axons of second-order neurons arch over midline (decussate) to the other side of the brain and ascend to thalamus 4. thalamic relay (third order) neurons project directly to the cerebral cortex (SI) - primary somatosensory
31
Spinothalamic Pathway
Aδ and C (pain, temp) 1. first order DRG neurons synapse on neurons in dorsal horn 2. axons of second-order dorsal horn neurons cross the midline in the spinal cord and ascend via spinothalamic tract 3. most of the axons terminate on relay nuclei in the medulla, midbrain, thalamus 4. these neurons project to the cortex in a diffuse manner
32
Touch Processing in the Cortex
primary somatosensory cortex: primary cortical area that receives inputs from the thalamus via the internal capsule -Located in the postcentral gyrus (posterior to central sulcus) -Parietal lobe Secondary Somatosensory Cortex (S2): receives convergent projections from all areas of S1
32
Motor Areas:
areas of the cortex that control body parts, just in front of the central sulcus Adjacency enhances communication between somatosensory & motor control systems
33
Somatotopic Organization: (s1)
complete, orderly representation of the body. Adjacent areas on the skin have connection to adjacent areas in the brain Contralateral mapping (all neurons in left brain, respond to right side of body)
34
Nonlinear Representation (sensory homunculus): S1
cortical neurons also have receptive fields based on connected neurons. Receptive field size depends on location in somatotopic map: Varies within an area (eg. finger vs trunk) Varies across an area (eg. 3 vs 1) *Wilder Penfield: discovered somatosensory neural system. Electrically stimulated parts of somatosensory cortex w/electrode & asked where patient could feel
35
Neural Plasticity
changes in the cortical map (neural circuits) can occur in response to physiological changes in sensory and motor function (ie. experience) Ex: monkey trained to use digits (fingers) 2 and 3 heavily for several months: after practise, a larger part of the cortex responds to stimulation of digits 2 and 3 (functional remapping) Ex: Found that smartphone users have an enhanced thumb sensory representation in the brain. Used EEG to measure cortical potentials in response to mechanical touch on the thumb, index, and middle fingertips of touchscreen users vs. non-users Ex: normal, sighted volunteers who are blindfolded for 5 days show increased activity in brain areas associated with vision during somatosensory/touch tasks (discriminating braille patterns) = Cross Modal Plasticity: 1 sensory system taken over by another Young brains have more neuroplasticity
36
Phantom Limb
illusion that a missing limb (eg:after amputation) is still present. Happens because neurons are still firing w/o input Usually diminishes over time Phantom sensations are often felt when the face is touched: functional reorganization of the somatotopic map after amputation. S1 neurons that lost their input are innervated by tactile receptors from the face.
37
Esthesiometer
set of calibrated fibers with different diameters, each producing a different force when applied to the skin. Used to determine touch thresholds. Smaller diameter = less force Finding detection threshold: start w/least stiff/thinnest fiber and work your way up to thicker. Use the method of limits to see when they feel the stimulus. Larger threshold = body is less sensitive, need to apply more force to detect it
38
Vibrotactile sensation
change in pressure (short, repetitive) over time Maximal sensitivity occurs at ~200 Hz Overall curve reflects the contributions of different mechanoreceptor populations (SAI, FAI, FAII) at different levels of vibration Absolute vibratory threshold: the minimum amount that a vibrating stimulus displaced the skin for it to be detected
39
Two-point limen/touch threshold
smallest separation of 2 points applied simultaneously to the skin that can still be discriminated (measured by compass test: start at large separation and keep moving closer to see how long until participant can detect 2 points) Two point pain threshold: smallest separation of 2 painful stimuli applied simultaneously that can be differentiated (measured by applied small pulses of radiant heat heat using lasers) How these values compare to detection threshold: similar, here the finger tips are more sensitive than the face *separate mechanoreceptors are needed to detect 2 point touch. Stay separate when arriving at the brain. Determination of 2 closely spaced points instead of just 1 requires that the brain receives 2 separate signals.
40
Two-point discrimination associated with:
Smaller mechanoreceptor field size Higher density of mechanoreceptors
40
Factors that Affect Tactile Sensitivity
Sex (women tend to have better sense of touch due to smaller finger size) Age (depends on experience/doesn't disappear. Can be maintained across a lifetime with daily attention to tactile stimulation on the fingers - daily attention to stimulation is important to retain this. Ex: old blind ppl retained the same sensitivity compared to sighted people whose sensitivity decreased. Same with painists) Genetics (autism spectrum disorder diagnosis, those with ASD have altered tactile discrimination and hypersensitivity to gentle touch)
41
Touch Adaptation
occurs in response to prolonged, steady stimulation Promoted by: larger stimulus area, weaker intensity force, stimulating less-sensitive areas of the body *adaptation cannot solely be explained by reduced mechanoreceptor discharge (consider SA fibers). Related to lack of stimulus movement?
42
Pain
the perceptual consequence of nociception Important survival value: warning signal to withdraw from stimulus. People who lack nociception are vulnerable to self-harm or death. (can be congenital, ex: congenital insensitivity to pain, or acquired - leprosy) Highly subjective state: sensory, emotional, and cognitive influences together interact to create our conscious experience of pain
43
Processing of Nociceptive signals in the dorsal horn
Nociceptive signals arrive at the dorsal horn of the spinal cord Interneurons in the dorsal horn receive info from the brain (aka: descending inputs) Interneurons form synapses in neurons that convey nociceptive info to the brain
44
Gate Control Theory
theory describes how various influences integrate to form pain perception. Bottom-up (pain) signals can be blocked via a feedback circuit in the dorsal horn Projection neuron is like gate, if excited than pain info goes to brain and vice versa
45
Pain is processed by a diverse and distributed network of neurons in the brain
Discriminative Aspects: location, intensity, and quality of the noxious stimulus Emotional Aspects: unpleasant feeling, fear, anxiety, autonomic system activations that accompanies exposure to noxious stimuli) Anterior Cingulate Cortex (ACC): attention allocation, reward anticipation, decision making, emotion Insula: self-awareness, emotion, homeostatic emotions Prefrontal Cortex: cognition and executive function Amygdala: emotional memory, fear
46
Referred Pain
pain that arises in deeper structures of the body is actually felt elsewhere (due to convergence of afferent fibers onto the spinal cord from different parts of the body) Ex: pain in “arms or shoulders” due to heart attack - actually due to pain arising from heart muscle
47
How is pain measured?
Univariate Approach: group all dimensions of pain together, measure using standard psychological techniques Multivariate Approach: separately assesses different dimensions of pain (location, intensity, quality)
48
Pain Sensitization (you are more sensitive to painful stimuli): - can be caused by peripheral or central changes
Peripheral: results from interaction of nociceptors w/inflammatory substances released after tissue damage Central: due to increased excitability of neurons at the dorsal horn (neuropathic): ex: activity in nociceptive afferents that was previously subthreshold now generates APs in dorsal horn neuron
49
Hyperalgesia
increased/heightened pain to a normally painful stimulus (due to peripheral or central mechanisms) mast + immune cells come to heal (ex: cut on skin)
50
Allodynia
stimuli that are normally innocuous (eg: brushing on skin) causes pain (ex: sunburn), this is called: Neuropathic pain: chronic, intensely painful experience that is difficult to treat (occurs when afferent nerve fibers or central pathways are damaged due to injury or disease and pain thresholds do not return to pre-injury levels)
51
Phantom pain
a lingering painful sensation (tingling, burning) in the missing limb Example of central pain → nociceptive signals arise in the brain or spinal cord (Central pain pathways are still active without peripheral stimulation) Initial damage causes overactive nociceptors, leads to heightened sensitivity in dorsal horn - you still feel pain
52
Methods for Moderating pain
1. Pharmacological Analgesics: dampen pain sensation (orajel) Anti-Inflammatory Drugs: block pro-inflamattory molecules that activate pain reception (tylenol) Opiates: activate opioid receptors, helps with pain tolerance 2. Surgical & -neurostimulatory approaches *serious cases Remove part of spinal cord (cordotomy) or part of frontal lobe (lobotomy) TENS (transcutaneous electrical nerve stimulation) → activates Aβ fibres (benign counter stimulation) - noninvasive, can self-administer reduction in pain only when machine is on 3. Psychological approaches Counterstimulation (ex:hot water bottle) or counterirritation (direct pain elsewhere, pinch arm when toothache) Placebo effect → patients proclaim beneficial effects of drugs that contain no medicinal ingredients (May actually be due to action of endogenous opioids) Relaxation training, distraction techniques, hypnosis, physical contact with a loved one
53
Pruriceptors
Itch-sensitive touch receptors C-fibers (thinnest, unmyelinated); convey info via the spinothalamic (antro/ventrolateral pathway/system). Activated by prurigenic (itch-inducing) chemicals like histamine produced by mast cells - due to allergic rxn Interaction between itch and pain are closely related Some itch receptors also respond to painful stimuli (reduce itch) Pain and itch interact in the spinal cord
54
Does scratching “make itch worse”?
Scratching may reduce itchiness! ( Effect may be at the level of spinal cord and/or the brain) Another stimulus activates mechanoreceptors Older people may itch/scratch more due to age-related loss of Merkel cells
55
Absolute Threshold for detecting temp. change depends on:
Rate of change (if gradual its harder to detect) Size of skin area being stimulated (spatial summation, larger area = easier to detect) Body location where stimulation is made (sensitivity is like that for pressure) *Adaptation: prominent feature of thermal sensation (temps closer to physiological zero are better adapted to, we get used to temperatures and may not notice over time
56
Thermosensory adaptation
physiological zero can be shifted -> the intermediate temperature (30 degrees) now evokes thermal sensations due to prior adaptation (if one hand in 10 degree and other in 40 degree water and you wait 20 mins your body adapts, then when you put both hands in 30 degree water the 10 degree hand feels warm and 40 degree feels cool) warm and cool receptors are activated Adaptation: prominent feature of thermal sensation (temps closer to physiological zero are better adapted to, we get used to temperatures and may not notice over time)
57
How do pleasant touch signals reach the brain? Cats Love Tuna, Tasty & Irresistible
Pathways initially follow spinothalamic tract but then diverges at the level of the cortex CT fibers synapse in lamina II of the dorsal horn - > second order neurons decussate and synapse in the thalamus -> thalamic neurons project to the insula (links sensory to emotional systems) Cats Love Tuna, Tasty & Irresistible Ie: diff pathways for discriminative touch vs. affective touch
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diff pathways for discriminative touch vs. affective touch Case et al. (2016) J. Neurosci.
Used fMRI to measure brain activity during fast and slow stroking Participants rated the pleasantness and intensity of stroking Pleasantness rating was related to the activity in the anterior cingulate cortex (ACC) and was independent of activity in S1 (primary somatosensory cortex) or insula
59
Social touch affects relationships
Mother rats that lick and groom their pups produce offspring that lick and groom their own pups. But, if pups from attentive and remote moms are switched at birth, pumps inherit the behaviour of their adoptive parents. Experience turns licking-and-grooming genes on or off (epigenetics) McGowan, P.O. et al. (2009) - Examined epigenetic differences in a glucocorticoid receptor (neuroendocrine receptor) between postmortem hippocampus from suicide victims with a history of childhood abuse and those from suicide victims with no history of childhood abuse or controls Decreased levels of glucocorticoid receptor mRNA in suicide victims with a history of childhood abuse, Also found increased modification of the promoter region of glucocorticoid receptor Thus, parental care influences the epigenetic regulation of hippocampal neuroendocrine receptor expression.
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Haptic Perception
perceptual processing of inputs from multiple sensory subsystems, including those in skin, muscles, tendons, and joints. Active and information seeking
61
Procedures used during active touch exploration:
Static contact (temp) Contour following (global/exact shape) Enclosure (global shape, volume) Unsupported holding (weight)
62
Action for perception
using hands to actively explore the world of surfaces and objects outside our bodies (ex: using exploratory procedures) Freely and actively touching object: allows to better identify an object as it is willful and engages mind in purposeful exploration - problem solving, recruits proprioceptors to provide kinesthetic info Each exploratory procedure is linked to a specific object property because different procedures activate different mechanoreceptors (ex: FAII afferent fire in synchrony when skin rubs a fabric texture - move hand back and forth to activate correct receptors , FAII afferent fire in synchrony with a vibrating stimulus applied to the skin)
63
Haptic Object Recognition
we are very good at, and can usually detect common objects in less than 5 seconds. Texture and temperature are usually easier to perceive with our sense of touch Hard to recognize some objects by touch (braille), easier to see - geometry info provided from visual system
64
Haptic Algorithm for Curvature
Perceived as curved surface: slant changes, height doesn't change Perceived as flat surface: height of fingers changes, not slant
65
Haptic Object localization (beyond the body) - locate objects with just touch and no vision
First requires that we establish a frame of reference (the coordinate system used to define locations in space) Haptic egocentre: tends to change, get top and bottom to line up and not overshoot (above and below table demo) Localizing stimuli is a complex process that we can do from a very young age (Leed, Chinn, and Lockman (2019) used vibrating patches to test childrens’ ability to locate stimuli on the skin - can easily locate mouth from young (7 months), and become good at other body parts as they get older)
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Tactile agnosia
inability to identify objects by touch. Caused by lesions of the parietal lobe (Patient E.C.: lesion to the left inferior parietal lobe. Patient could not recognize objects haptically with right hand! Could recognize objects with left hand or visually - discriminative features were not connected to persons memory, issue with perceptual binding) Disorder of touch perception requires you to first rule out: that tactile receptors still work (loose touch sensation), don't have cognitive deficit (memory deficit)