What is the relationship between attention and conscious awareness? Awareness sometimes appears to be restricted to the contents of focused attention, yet at other times irrelevant distractors will dominate awareness. This contradictory relationship has also been reflected in an abundance of discrepant research findings leading to an enduring controversy in cognitive psychology. Lavie's load theory of attention suggests that the puzzle can be solved by considering the role of perceptual load. Although distractors will intrude upon awareness in conditions of low load, awareness will be restricted to the content of focused attention when the attended information involves high perceptual load. Here, we review recent evidence for this proposal with an emphasis on the various subjective blindness phenomena, and their neural correlates, induced by conditions of high perceptual load. We also present novel findings that clarify the role of attention in the response to stimulus contrast. Overall, this article demonstrates a critical role for perceptual load across the spectrum of perceptual processes leading to awareness, from the very early sensory responses related to contrast detection to explicit recognition of semantic content.

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We establish a new dissociation between the roles of working memory (WM) cognitive control and visual maintenance in selective attention as measured by the efficiency of distractor rejection. The extent to which focused selective attention can prevent distraction has been shown to critically depend on the level and type of load involved in the task. High perceptual load that consumes perceptual capacity leads to reduced distractor processing, whereas high WM load that reduces WM ability to exert priority-based executive cognitive control over the task results in increased distractor processing (e.g., Lavie, Trends in Cognitive Sciences, 9(2), 75–82, 2005). WM also serves to maintain task-relevant visual representations, and such visual maintenance is known to recruit the same sensory cortices as those involved in perception (e.g., Pasternak & Greenlee, Nature Reviews Neuroscience, 6(2), 97–107, 2005). These findings led us to hypothesize that loading WM with visual maintenance would reduce visual capacity involved in perception, thus resulting in reduced distractor processing—similar to perceptual load and opposite to WM cognitive control load. Distractor processing was assessed in a response competition task, presented during the memory interval (or during encoding; Experiment 1a) of a WM task. Loading visual maintenance or encoding by increased set size for a memory sample of shapes, colors, and locations led to reduced distractor response competition effects. In contrast, loading WM cognitive control with verbal rehearsal of a random letter set led to increased distractor effects. These findings confirm load theory predictions and provide a novel functional distinction between the roles of WM maintenance and cognitive control in selective attention.

We contrasted the effects of different types of working memory (WM) load on detection. Considering the sensory-recruitment hypothesis of visual short-term memory (VSTM) within load theory (e.g., Lavie, 2010) led us to predict that VSTM load would reduce visual-representation capacity, thus leading to reduced detection sensitivity during maintenance, whereas load on WM cognitive control processes would reduce priority-based control, thus leading to enhanced detection sensitivity for a low-priority stimulus. During the retention interval of a WM task, participants performed a visual-search task while also asked to detect a masked stimulus in the periphery. Loading WM cognitive control processes (with the demand to maintain a random digit order [vs. fixed in conditions of low load]) led to enhanced detection sensitivity. In contrast, loading VSTM (with the demand to maintain the color and positions of six squares [vs. one in conditions of low load]) reduced detection sensitivity, an effect comparable with that found for manipulating perceptual load in the search task. The results confirmed our predictions and established a new functional dissociation between the roles of different types of WM load in the fundamental visual perception process of detection.

Load Theory of attention suggests that high perceptual load in a task leads to reduced sensory visual cortex response to task-unrelated stimuli resulting in "load-induced blindness" [e.g., Lavie, N. Attention, distraction and cognitive control under load. Current Directions in Psychological Science, 19, 143-148, 2010; Lavie, N. Distracted and confused?: Selective attention under load. Trends in Cognitive Sciences, 9, 75-82, 2005]. Consideration of the findings that visual STM (VSTM) involves sensory recruitment [e.g., Pasternak, T., & Greenlee, M. Working memory in primate sensory systems. Nature Reviews Neuroscience, 6, 97-107, 2005] within Load Theory led us to a new hypothesis regarding the effects of VSTM load on visual processing. If VSTM load draws on sensory visual capacity, then similar to perceptual load, high VSTM load should also reduce visual cortex response to incoming stimuli leading to a failure to detect them. We tested this hypothesis with fMRI and behavioral measures of visual detection sensitivity. Participants detected the presence of a contrast increment during the maintenance delay in a VSTM task requiring maintenance of color and position. Increased VSTM load (manipulated by increased set size) led to reduced retinotopic visual cortex (V1-V3) responses to contrast as well as reduced detection sensitivity, as we predicted. Additional visual detection experiments established a clear tradeoff between the amount of information maintained in VSTM and detection sensitivity, while ruling out alternative accounts for the effects of VSTM load in terms of differential spatial allocation strategies or task difficulty. These findings extend Load Theory to demonstrate a new form of competitive interactions between early visual cortex processing and visual representations held in memory under load and provide a novel line of support for the sensory recruitment hypothesis of VSTM.

Hebrew), and Sólveig Þorsteinsdóttir (Icelandic). Finally, we would like to thank all the participants.

Objectives: Characterize the scale and pattern of long-term atrophy in gray matter (GM), white matter (WM), and cerebrospinal fluid (CSF) in chronic moderate-severe traumatic brain injury (TBI) and its relationship to neurocognitive outcomes. Participants:The TBI group consisted of 17 males with primary diagnosis of moderate-severe closed head injury. Participants had not received any systematic, postacute rehabilitation and were recruited on average 8.36 years post-injury. The control group consisted of 15 males matched on age and education.Main measures: Neurocognitive battery included widely used tests of verbal memory, visual memory, executive functioning, and attention/organization. GM, WM, and CSF volumes were calculated from segmented T1-weighted anatomical MR images. Voxelbased morphometry was employed to identify brain regions with differences in GM and WM between TBI and control groups.results: Chronic TBI results in significant neurocognitive impairments, and significant loss of GM and WM volume, and significant increase in CSF volume. Brain atrophy is not widespread, but it is rather distributed in a fronto-thalamic network. The extent of volume loss is predictive of performance on the neurocognitive tests.conclusion: Significant brain atrophy and associated neurocognitive impairments during the chronic stages of TBI support the notion that TBI results in a chronic condition with lifelong implications.

Despite decades of research, Alzheimer’s Disease (AD) remains a lethal neurodegenerative disorder for which there are no effective treatments. This review examines the latest evidence of a novel and newly introduced perspective, which focuses on the restoration of gamma oscillations and investigates their potential role in the treatment of AD. Gamma brain activity (∼25–100 Hz) has been well-known for its role in cognitive function, including memory, and it is fundamental for healthy brain activity and intra-brain communication. Aberrant gamma oscillations have been observed in both mice AD models and human AD patients. A recent line of work demonstrated that gamma entrainment, through auditory and visual sensory stimulation, can effectively attenuate AD pathology and improve cognitive function in mice models of the disease. The first evidence from AD patients indicate that gamma entrainment therapy can reduce loss of functional connectivity and brain atrophy, improve cognitive function, and ameliorate several pathological markers of the disease. Even though research is still in its infancy, evidence suggests that gamma-based therapy may have a disease-modifying effect and has signified a new and promising era in AD research.