Neglect and Extinction

Visual neglect has been associated with an imbalance in the level of activity in the saccadic system: activity in the contralesional field is suppressed, which makes target selection unlikely. We recorded eye movements of a patient with hemispatial neglect and a group of healthy participants during an oculomotor distractor paradigm. Results showed that the interfering effects of a distractor were very strong when presented in her ipsilesional visual field. However, when the distractor was presented in her contralesional field, there were (...) no interfering effects when the target was presented in her ipsilesional field. These findings could not be explained by the presence of a visual field defect as revealed by the results of two hemianopic patients. Our results are in line with an imbalance in the level of activity in the saccadic system in visual neglect because visual elements presented in the contralesional field did not compete for saccadic selection. (shrink)

We believe that when assessing the likelihood of uncertain events, statistically unsophisticated people utilize a coarse internal scale that only has a limited number of categories. The success of the nested sets hypothesis may lie in its ability to provide an appropriate set structure of the problem by reducing the computational demands.

Barbey & Sloman's (B&S's) base-rate respect model is anticipated by Reyna's denominator neglect model. There are parallels at three levels: (a) explanations are grounded in a general cognitive theory (rather than in domain-specific ideas); (b) problem structure is treated as a key source of reasoning errors; and most importantly, (c) nested set relations are seen as the cause of base-rate neglect.

Homo sapiens have evolved a dual-process cognitive architecture that is adaptive but prone to systematic errors. Fuzzy-trace theory predicts that nested or overlapping class-inclusion relations create processing interference, resulting in denominator neglect: behaving as if one ignores marginal denominators in a 2 × 2 table. Ignoring marginal denominators leads to fallacies in base-rate problems and conjunctive and disjunctive probability estimates.

The tendency to neglect base-rates in judgment under uncertainty may be as Barbey & Sloman (B&S) suggest, but it is neither inevitable (as they document; see also Koehler 1996) nor unique. Here we would like to point out another line of evidence connecting ecological rationality to dual processes, the failure of individuals to appropriately judge cumulative probability.

Ego-justifying, group-justifying, and system-justifying motivations contribute to base-rate respect. People tend to neglect (and use) base rates when doing so allows them to draw desired conclusions about matters such as their health, the traits of their in-groups, and the fairness of the social system. Such motivations can moderate whether people rely on the rule-based versus associative strategies identified by Barbey & Sloman (B&S).

While improving the theoretical account of base-rate neglect, Barbey & Sloman's (B&S's) target article suffers from affect neglect by failing to consider the fundamental role of emotional processes in decisions. We illustrate how affective influences are fundamental to decision making, and discuss how the dual process model can be a useful framework for understanding hot and cold cognition in reasoning.

Right brain-damaged patients with unilateral neglect, who ignore left-sided visual events, may also omit left-sided details when describing known places from memory. Modulating the orienting of visual attention may ameliorate imaginal neglect. A first step toward explaining these phenomena might be to postulate that space-related imagery is a cognitive activity involving attentional and intentional aspects.

Unilateral neglect stems from a relatively selective impairment of exogenous, or stimulus-related, orienting of attention. This neuropsychological evidence parallels “change blindness” experiments, in which normal individuals lack awareness of salient details in the visual scene as a consequence of their attention being exogenously attracted by a competing event, suggesting that visual consciousness requires the integrity of exogenous orienting of attention.

Patients may show a more-or-less complete deviation of the head and eyes towards the right (ipsilesional) side [that is, to the same side of egocentric space as the brain lesion responsible for their disorder]. If addressed by the examiner from the left (contralesional) side [the opposite side to their lesion], patients with severe extrapersonal neglect may fail to respond or may look for the speaker in the right side of the room, turning head and eyes more and more to the (...) right. Frequently these patients will not pick up food from the left half of the plate. Given a crossword puzzle, they may complete only the squares to the right. If walking is not prevented by hemiparesis, neglect patients may lose their bearings, since they do not make use of left sided cues. (shrink)