title: Implicit integration in a case of integrative visual agnosia.
abstract: We present a case (SE) with integrative visual agnosia following ischemic stroke affecting the right dorsal and the left ventral pathways of the visual system. Despite his inability to identify global hierarchical letters [Navon, D. (1977). Forest before trees: The precedence of global features in visual perception. Cognitive Psychology, 9, 353-383], and his dense object agnosia, SE showed normal global-to-local interference when responding to local letters in Navon hierarchical stimuli and significant picture-word identity priming in a semantic decision task for words. Since priming was absent if these features were scrambled, it stands to reason that these effects were not due to priming by distinctive features. The contrast between priming effects induced by coherent and scrambled stimuli is consistent with implicit but not explicit integration of features into a unified whole. We went on to show that possible/impossible object decisions were facilitated by words in a word-picture priming task, suggesting that prompts could activate perceptually integrated images in a backward fashion. We conclude that the absence of SE's ability to identify visual objects except through tedious serial construction reflects a deficit in accessing an integrated visual representation through bottom-up visual processing alone. However, top-down generated images can help activate these visual representations through semantic links.
authors.affiliation: Department of Psychology, Hebrew University, 91905 Jerusalem, Israel.
authors.forename: Hillel
authors.initials: H
authors.lastname: Aviezer
authors.forename: Ayelet N
authors.initials: AN
authors.lastname: Landau
authors.forename: Lynn C
authors.initials: LC
authors.lastname: Robertson
authors.forename: Mary A
authors.initials: MA
authors.lastname: Peterson
authors.forename: Nachum
authors.initials: N
authors.lastname: Soroker
authors.forename: Yaron
authors.initials: Y
authors.lastname: Sacher
authors.forename: Yoram
authors.initials: Y
authors.lastname: Bonneh
authors.forename: Shlomo
authors.initials: S
authors.lastname: Bentin
mesh_terms: D000377:Agnosia / Q000209:etiology / Q000473:pathology / Q000503:physiopathology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008606:Mental Processes / Q000502:physiology*; D008875:Middle Aged; D009483:Neuropsychological Tests; D010775:Photic Stimulation / Q000379:methods; D011597:Psychomotor Performance / Q000502:physiology; D021641:Recognition, Psychology; D020521:Stroke / Q000150:complications; D014796:Visual Perception / Q000502:physiology*