The DSM-IV characterizes dissociation as “disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment” (American Psychiatric Association, 1994, p. 477) and it has been tenuously linked with trauma, but “lacks a single, coherent referent … that all investigators in the field embrace” (Cardena, 1994). It is known that dissociation is a spectrum (Bernstein and Putnam, 1986; Shor, Orne, and O’Connell, 1962; Spiegel, 1963; Tellegen and Atkinson, 1974), and low levels of dissociation can be a part of normal functioning, allowing us to do two things at once (Butler, Duran and Jasiukitis, 1996), but higher levels can interfere with daily functioning. The present study used survey techniques to investigate the link between dissociation and trauma. Survey results showed a significant correlation between trauma and dissociation. The current investigation also used the high temporal and spatial resolution of electroencephalographic techniques to identify the neurophysiological correlates of dissociation. Specifically, the current investigation recorded early and late event-related potentials in participants who rated high and low in dissociation while they viewed affective pictures in order to determine if there were electrophysiological differences in responses to emotional stimuli. Electroencephalographic results were nonsignificant, but trends indicated that high dissociators showed a heightened response to affective photos at P1 and the late positive potential compared with low dissociators. If the results are thought to be reliable, the trends may indicate that high dissociators were not actively dissociating during the task, and because high dissociators have usually experienced trauma, they are more sensitive to emotional stimuli. Further research is needed to support these theories.

The present dissertation aims to evaluate the phenomenon of visual masking as a tool for studying visual awareness focusing on two-alternative forced choice (2AFC) discrimination tasks. Two existing theories of masking - Bachmann's (1984) perceptual retouch theory and Marcel's (1983) recovery theory - are discussed along with the global neuronal workspace theory of awareness (Baars. 1989; Dehaene, Kerszberg, & Changeux, 1998). Performance accuracy on Semantic discrimination is compared to that on Orthographic discrimination as an indication of a potential difference between semantic and orthographic processing of masked word stimuli presented for 40 ms and 50 ms. This is further compared to an e-detection task previously used as an indicator of awareness in some masked priming experiments. Together, these tasks are further evaluated in terms of their relationship with participants' subjective reports collected in the form of confidence ratings. The implications and predictions drawn from the theories of masking and visual awareness as well as the notion of partial awareness (Kouider & Dupoux, 2001) are assessed taking into account the data obtained in the current experiments.The relevance of these data for masked priming is determined by performing a comparison between 2AFC discrimination and detection tasks, and the lexical decision task. An ERP study is also presented, in which Semantic and Orthographic discrimination as well as e-detection are paired with confidence ratings and electrophysiological recordings in search of an ERP component that can be correlated with both subjective (confidence) and objective (performance) measures of awareness. A binding account of visual awareness with special attention paid to visual masking is proposed and compared to the three existing theories.

The electroencephalogram (EEG) reflects summated, slow post-synaptic potentials of cortical neurons. Sensory, motor or cognitive events (such as a fast-rising sensory stimulus, a brisk self-paced movement or a stimulus-triggered cognitive task) can elicit transient changes in the ongoing human EEG, called event-related potentials (ERPs). ERPs are widely used in clinical practice, and believed to reflect the activity of the sensory system activated by the stimulus (for example, laser-evoked potentials are used to substantiate the neuropathic nature of clinical pain conditions). When ERPs are elicited by pairs or trains of stimuli delivered at short inter-stimulus intervals (ISIs), the magnitude of the ERP elicited by the repeated stimuli is markedly reduced, a phenomenon known as response decrement. While the interval between two consecutive stimuli becomes longer, the reduced response is recovered. Thus, this phenomenon has been traditionally interpreted in terms of neural refractoriness of generators of ERPs ("neural refractoriness hypothesis"). This thesis, however, challenges this neural refractoriness hypothesis by describing the results of manipulating the preceding events of the eliciting stimulus. The first study examined the effect of variable and short ISIs on sensory ERPs, delivering trains of auditory and electrical stimuli with random ISIs ranging from 100 to 1000ms. In the second study, pairs of laser stimuli were presented in two comparable conditions. In the constant condition, the ISI was identical across trials in each block, while in the variable condition, the ISI was variable across trials. By directly comparing ERPs elicited by laser stimulation, this study aimed to explore whether lack of saliency in the eliciting stimulus could explain the response decrement during stimulus repetition. Finally, the third study tested the hypothesis that the reduced eliciting ERPs would recover if saliency were introduced by changing the modality of the preceding event. Thus, trains of three stimuli (S1-S2-S3) with 1s ISI were presented; S2 was either same or different in modality as S1 and S3 in each block. Results from these three experiments demonstrate that this "refractoriness hypothesis" does not hold, and suggest that the magnitude of ERPs is only partly related to the magnitude of the incoming sensory input, and instead largely reflects neural activities triggered by salient events in the sensory environment. These results are important for the correct interpretation of ERPs in both physiological and clinical studies.

Uncertainty represents a robust threat that can amplify aversive experiences and exaggerate negative expectations about uncertain future outcomes. Mindfulness – an open and receptive attention to present moment experiences -- has been shown to facilitate adaptive regulation when faced with a variety of distinct emotional threats. Reduced experiential avoidance and equanimity in the face of unpleasant emotional experiences have been theorized as central to these emotional regulatory benefits. The present study explored whether dispositional mindfulness would promote adaptive responses to uncertainty during the anticipation of, and after exposure to emotional stimuli, as indicated by self-reports and neural (event-related potential) markers of anticipation and appraisal. Participants were exposed to stimulus cues that informed them about the valence of a subsequent emotional picture as neutral, aversive, or uncertain. Consistent with past research, uncertainty during the anticipation of an emotional stimulus amplified unpleasant stimulus appraisals, and participants demonstrated biased expectations to associate uncertainty with aversiveness. Dispositional mindfulness was associated with lower expectations for unpleasant stimuli, and was found to amplify the effect of uncertainty on a cortical marker of stimulus appraisal called the late positive potential (LPP). Traits that contrasted with mindfulness predicted opposite patterns of association with these measures. However, these findings were directly the opposite of findings from past research. A theoretically defensible explanation is discussed for these findings and suggestions were made for future research on the role of mindfulness on ERP variability. The results from the present study contribute to a growing body of evidence that suggests that uncertainty during the anticipation of potentially negative future outcomes can exert a potent downstream influence on emotional anticipation and appraisal processes. Further research is needed to clarify the role of dispositional mindfulness during emotional stimulus anticipation and appraisal following uncertainty.

Lexical access, the matching of auditory information onto lexical representations in the brain, is a crucial component of online language processing. To understand the nature of lexical access, it is important to identify the kind of acoustic information that is stored in the long-term memory and to study how the brain uses such information. This dissertation investigates the contribution of prosodic information to lexical access and examines language-specific processing mechanisms by studying three typologically distinct languages: English, Turkish, and Swedish. The main research objective is to demonstrate the activation of long-term memory traces for words on the sole basis of prosodic information and to test the accuracy of typological phonological descriptions suggested in the literature by studying electrophysiological measurements of brain activation. A secondary research objective is to evaluate three distinct electrophysiological recording systems. The dissertation is based on three papers, each examining neural responses to prosodic changes in one of the three languages with a different recording system. The first two papers deal directly with the interplay between prosody and the lexicon, and investigate whether prosodic changes activate memory traces associated with segmentally identical but prosodically different words; the third paper introduces morphology to this process and investigates whether prosodic changes activate memory traces associated with potential lexical derivations. Neural responses demonstrate that prosodic information indeed activates memory traces associated with words and their potential derivations without any given context. Strongly connected neural networks are argued to guarantee neural activation and implementation of long-term memory traces. Regardless of differences in prosodic typology, all languages exploit prosodic information for lexical processing, although to different extents. The amount of neural activation elicited by a particular piece of prosodic information is positively correlated with the strength of its lexical representation in the brain, which is called lexical specification. This dissertation could serve as a first step towards building an electrophysiological-perceptual taxonomy of prosodic processing based on lexical specification.

<p>Humans make decisions in highly complex physical, economic and social environments. In order to adaptively choose, the human brain has to learn about- and attend to- sensory cues that provide information about the potential outcome of different courses of action. Here I present three event-related potential (ERP) studies, in which I evaluated the role of the interactions between attention and reward learning in economic decision-making. I focused my analyses on three ERP components (Chap. 1): (1) the N2pc, an early lateralized ERP response reflecting the lateralized focus of visual; (2) the feedback-related negativity (FRN), which reflects the process by which the brain extracts utility from feedback; and (3) the P300 (P3), which reflects the amount of attention devoted to feedback-processing. I found that learned stimulus-reward associations can influence the rapid allocation of attention (N2pc) towards outcome-predicting cues, and that differences in this attention allocation process are associated with individual differences in economic decision performance (Chap. 2). Such individual differences were also linked to differences in neural responses reflecting the amount of attention devoted to processing monetary outcomes (P3) (Chap. 3). Finally, the relative amount of attention devoted to processing rewards for oneself versus others (as reflected by the P3) predicted both charitable giving and self-reported engagement in real-life altruistic behaviors across individuals (Chap. 4). Overall, these findings indicate that attention and reward processing interact and can influence each other in the brain. Moreover, they indicate that individual differences in economic choice behavior are associated both with biases in the manner in which attention is drawn towards sensory cues that inform subsequent choices, and with biases in the way that attention is allocated to learn from the outcomes of recent choices.</p> / Dissertation

This study examined how attentional sub-processes contribute to binge-eating. Dense-array EEG and a version of the canonical attentional blink task were used to ascertain the neural correlates underlying the attentional sub-processes that comprise the Posner model of attention (alerting, orienting, and executive control) and how attentional activation differs for binge-eaters vs. non-binge eaters. Furthermore, we examined a number of the event-related potentials (ERP), including P2 activation, which has been linked with orientating of attention, and N2 activation which has been linked with attentional conflict. We found decreased P2 activation for binge-eaters, in the negative condition, for incorrect target 2 (T2) detection trials. We also found more N2 activation for binge-eaters than non-binge eaters, in negative trials when T2 was not detected. This pattern of results suggest that binge-eaters showed deficiencies in allocating attention to stimuli that followed negative images; this attention deficiency may be a key factor for binge-eating behavior.

>Magister Scientiae - MSc / INTRODUCTION: Sustained attention is known to be dysfunctional in psychotic disorders. Sustained attention is the ability to remain focused on a specific time-locked stimulus within a task. We aimed to determine whether there are specific group differences between CON and three psychotic disorders: SCZ, MPD and BPD, then to determine differences between these psychotic disorders. This included differences in behavioural performance and prominent electrophysiological event-related potential (ERP) wave components during cueing and target processing of a visual sustained attention task. Further we aimed to characterize ERP waveform component relationships across and within these groups for demographics, substance use, behavioural performance, and clinical variables, the last limited to the psychotic groups. Lastly, we investigated the effects of prescribed medications on ERP wave components within the psychotic groups. METHODOLOGY: 103 participants (29 schizophrenia (SCZ), 28 bipolar disorder with a history of psychosis (BPD), 21 methamphetamine-induced psychotic disorder (MPD), and 30 controls (CON)) underwent electroencephalography (EEG) record while completing a visual continuous performance task. Participants were presented with 60 trials with three consecutive S’s, the presentation of the third S required a behavioural response. Prominent ERP waveform components were extracted from cues and target stimulus. Group differences were determined by ANOVA with Bonferroni post-hoc correction or multivariate Kruskal-Wallis test dependent on data distribution. Relationships between ERP wave components were determined appropriate with Spearman’s Rank order correlation analyses. RESULTS: (1) MPD reported higher use of substances compared to CON, SCZ and BPD. SCZ behavioural performance was poorer compared to CON which was shown by their longer response times, reduced accuracy and increased errors of omission. Clinically, MPD was found to have a shorter duration of illness compared to SCZ. Then SCZ was found to have more positive symptoms compared to BPD whereas BPD had more negative symptoms compared to SCZ. For the first cue, wave component differences were found only over the left hemisphere, for P100 amplitude over the frontal cortex, P300 amplitude over the central cortex, and N170 amplitude over the parietal cortex. For the presentation of the second cue, differences noted for all groups were localised to the frontal and central brain regions, for P100 and N170 ERP waveforms. For the target stimulus wave component differences were found over the prefrontal, frontal and parietal brain regions, within CON, SCZ, BPD and MPD. (2) For the first cue, education positively correlated with the N170 left parietal amplitude in CON and P300 right parietal amplitude in MPD. During the second cue, the left parietal N170 latency in SCZ correlated positively with education and the left central P300 latency correlated negatively with education in MPD. The age on the day of testing correlated positively with the target left frontal P300 latency in MPD. For the first cue, substance use positively correlated with the left and right parietal P300 latency and negatively for the right parietal P100 amplitude in SCZ. In MPD, a negative correlation was noted across left and right prefrontal N170 and P300 amplitudes, and positive correlation for the left prefrontal P300 latency in MPD. For the target stimulus, correlations were evident for the left and right parietal N70, N170 amplitudes, P300 latency, the right parietal P100 amplitude and left central P300 latency in SCZ. For the first cue, in SCZ PANSS total score correlated positively with left and right central P300 amplitudes and the left parietal P300 amplitude. For the second cue; in MPD, the PANSS negative symptom score, positively correlated with the P100 and N170 left parietal amplitude, left and right parietal P150 amplitude, left central and right parietal P300 amplitude. For the target, the Hamilton depression rating scale correlated positively with the left and right frontal P300 amplitude in MPD and then negatively with the right parietal P300 amplitude in SCZ. Behavioural performance in CON, positively correlated with the left parietal N70, P100, P150 and N170 amplitude the number of correct responses, and left central N170 amplitude. While the number of impulsive responses correlated negatively with the left parietal N70, P100, P150 and N170 and the left central N170 amplitude of CON. For the second cue, behavioural performance was related to the fronto-parietal relationship across all groups. For the target stimulus, impulsive responses positively correlated with the left parietal N70 latency in SCZ. Overall response time negatively correlated with the right parietal P300 latency for SCZ. (3) Medication was found to affect ERP wave components during the sustained visual attention task. For the first cue FGA’s increased the left central P100 amplitude in both SCZ and BPD and decreased the left parietal P100 amplitude in SCZ only. The use of antipsychotics increased the right parietal N70 and left central P100 amplitudes in BPD, specifically the right prefrontal N170 amplitude was increased with the use of SGA’s. Then clozapine use increased the left frontal P100 amplitude in SCZ. For the second cue, SGA’s decreased the right parietal P150 amplitude in SCZ but in MPD the right parietal P150 amplitude was increased with haloperidol use, and FGA. SGA’s increased the left parietal P300 latency in BPD and sodium valproate decreased the left prefrontal P300 latency. For the target stimulus, SGA’s decreased the right parietal P100, P150 and left parietal P150 amplitudes and increased the left central P300 latency in BPD. CONCLUSION: (1) sustained attentional performance is poorer in SCZ. Our study adds to previous studies showing attention processing deficits in SCZ, are evident during cueing of a sustained attention tasks; (2) substance use was found to slow cognitive processing, education improved executive function and information processing, and symptom severity was associated with dysfunction of prefrontal and frontal cortices; (3) antipsychotic medication was related to improved processing of salient information. These data support the current literature and provide novel insights to the attentional processing deficits during cueing in the psychotic disorders.

>Magister Scientiae - MSc / Introduction: Sustained attention is known to be dysfunctional in psychotic disorders. Sustained attention is the ability to remain focused on a specific time-locked stimulus within a task. We aimed to determine whether there are specific group differences between CON and three psychotic disorders: SCZ, MPD and BPD, then to determine differences between these psychotic disorders. This included differences in behavioural performance and prominent electrophysiological event-related potential (ERP) wave components during cueing and target processing of a visual sustained attention task. Further we aimed to characterize ERP waveform component relationships across and within these groups for demographics, substance use, behavioural performance, and clinical variables, the last limited to the psychotic groups. Lastly, we investigated the effects of prescribed medications on ERP wave components within the psychotic groups. Methodology: 103 participants (29 schizophrenia (SCZ), 28 bipolar disorder with a history of psychosis (BPD), 21 methamphetamine-induced psychotic disorder (MPD), and 30 controls (CON)) underwent electroencephalography (EEG) record while completing a visual continuous performance task. Participants were presented with 60 trials with three consecutive S’s, the presentation of the third S required a behavioural response. Prominent ERP waveform components were extracted from cues and target stimulus. Group differences were determined by ANOVA with Bonferroni post-hoc correction or multivariate Kruskal-Wallis test dependent on data distribution. Relationships between ERP wave components were determined appropriate with Spearman’s Rank order correlation analyses.

O P300 auditivo é um potencial evocado que reflete a atividade neurofisiológica das habilidades cognitivas auditivas de atenção, memória, discriminação e tomada de decisão. A possibilidade de correlacionar aspectos do comportamento auditivo a fenômenos fisiológicos observáveis tem despertado o interesse de profissionais de diversas áreas interessados no estudo das disfunções auditivas. Por ser um procedimento novo, os métodos de análise e interpretação dos resultados ainda não estão padronizados e, portanto, devem ser explorados e discutidos visando maior segurança para aplicação clínica e científica. Este estudo investigou a estabilidade na análise e interpretação do P300 auditivo seguindo um conjunto de regras (critério) pré-determinadas. Para isso, quatro profissionais da área audiológica analisaram, em 2 momentos diferentes, 70 traçados de P300 de crianças e adolescentes saudáveis entre 8 e 18 anos de idade, seguindo as mesmas regras para a identificação das ondas (N1, P2, N2 e P3) e marcação de suas medidas de latência. As medidas de latência da onda P300 foram submetidas a análises qualitativa e quantitativa. A análise qualitativa investigou os tipos de erros cometidos pelo examinador no uso do critério de determinação do P300 (5,9% do total de 560 medidas obtidas). Os erros mais freqüentes no uso do critério foram: não identificar o P300 como a maior onda logo após o complexo N1-P2-N2 e identificar uma “falsa" onda P300. A análise quantitativa investigou a variabilidade da medida da latência do P300 atribuível ao examinador. Os resultados mostraram que não houve diferença significante entre as análises inter e intra-examinador, tendo sido encontradas correlações significantes entre as medidas de latência, indicando boa fidedignidade no teste-reteste e alta concordância entre os examinadores no modo como analisaram os traçados das ondas. O critério usado neste estudo demonstrou ser útil na determinação do P300, podendo ser sugerido com segurança para uso clínico e científico. / The P300 auditory is an evoked potential which reflects the neurophysiological activity of auditory cognitive abilities: attention, memory, discrimination and making decision as well. The possibility of correlation between aspects of auditory behavior and observable physiological phenomena has increased the interest in the study of auditory dysfunctions among professionals of various fields. Due the fact that the P300 is a recent procedure, the methods of its analysis and interpretation have not been standardized yet. Therefore, they must be explored and debated aiming more security for clinical and scientific application. In this study it was investigated the stability in the analysis and interpretation of P300 auditory, according to a pre-determined set of rules. Four audiologists analyzed twice 70 records of P300 of healthy children and adolescents between 8 and 18 years of age, identifying the waves (N1, P2, N2, P3) and their latencies according to the pre-determined set of rule. The P300 latency measurements were submitted to quantitative and qualitative analysis. The qualitative analysis looked into types of errors made by the examiner during the P300 identification (5.9% in a total of 560 measurements). The no-identification of the P300 as the highest wave following the complex N1-P2-N2, likewise the “wrong" identification of P300 wave were the most frequent mistakes. In the quantitative analysis we investigated the variability of the P300 latency measurements attributable to the examiner. The results showed that there were no significant differences between the inter- and intra-examiner analyses. Significant correlations were found between the measurements, showing a good test-retest reliability and high concordance among the examiners in the way they analyzed the wave records. We conclude that the rules used in this study are useful to the identification of the P300 in both clinical and scientific situations.