The prioritisation of motivationally salient stimuli in hemi-spatial neglect may be underpinned by goal-relevance: A meta-analytic review.

Abstract

Damage to regions underpinning attention can result in hemi-spatial neglect, characterised by inattention to stimuli presented in contralesional space. Motivationally salient stimuli (e.g. reward/threat) are, however, resilient to neglect and more likely to be detected compared to neutral stimuli. Prominent theories of attention suggest that the motivational detection advantage in neglect is underpinned by a goal-independent 'emotional attention' system. However, measures of stimulus awareness previously used often present the stimuli as part of the goal-relevant target set. Previous findings may therefore be more consistent with top-down attentional selection, which is preserved in some cases of neglect. Using multilevel and Bayesian meta-analytic approaches to individual case and group data, the evidence for a motivational detection advantage in neglect, and conditions when it emerges, were examined and conceptual claims reviewed. Cumulative evidence suggested that in perceptually simple conditions, when a single stimulus appeared, there was no evidence of a motivational detection advantage (Individual: k = 36; log OR = .02, 95%CI [-.44,.47]; Group: k = 2, d

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