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Burden Neurological Institute, Bristol, England
Burden Neurological Institute, Bristol, England
Introduction
The relation between the electrical responses in the human brain and
mental processes of integration and association is perhaps the most chal-
lenging of all the problems facing neurophysiologists today. Until quite
recently the prospect of unifying physiological and psychological concepts
by electro-encephalographic ( EEG ) techniques seemed to be receding
because of the baffling complexity of the intrinsic electrical rhythms, and
this difficulty has still not been overcome. The most intriguing, and at
the same time most elusive, of the properties of these rhythms is that,
although often remarkably constant in their variations with respect to
time, they fluctuate also, in a much less regular manner, within the three
dimensional space of the brain. The continuous analysis and display of
such a phenomenon presents serious difficulties, and no method has yet
given entirely satisfactory results.
The incentive to construct adequate equipment and to design and per-
form crucial experiments is undoubtedly limited by the uncertainty as
to whether the information likely to be obtained in this way is essential
to understanding brain mechanisms; few experimenters imagine that it
would be sufficient.
However difficult they may be to unravel, the time-and space-relations
of the intrinsic brain rhythms cannot be ignored, if only because so intri-
cate and orderly an arrangement seems unlikely to have survived the
struggle for existence with no functional identification. The awkward fact
that these rhythms are highly individual-even to the extent of total
absence in some people-must also be accepted as a fascinating part of the
enigma, where personality and disposition are essential features in the
architecture of human physiology.
The introduction of more versatile and sophisticated methods for ex-
tracting information about transient components of the EEG inevitably
diverted interest from the background activity because, by definition, the
methods of transient analysis tend to efface or at least diminish those
rhythmic features which are most prominent in a conventional record.
This unfortunate technical incompatibility has discouraged correlative
studies, but interaction between the multitude of intrinsic rhythms and
the responses evoked by sensory stimuli seems an indispensable part of
the cerebral information-flow system. These influences are complex and
often reciprocal; intrinsic rhythms of excitability-variation can modify the
amplitude and latency of evoked responses, and the arrival of signals in an
afferent channel can modulate the amplitude, phase, and frequency of
320
Walter: Auditory and Tactile Responses 321
intrinsic rhythms. These effects are typically elusive because of the “cere-
bral uncertainty principle”; any event which affects the brain ensures that
another similar event will have a different effect. In the present state of
knowledge a crude analogy may be drawn between these inter-relations
and the operation of a Vehicle Actuated Traffic Signal (VATS) system.
In such a system a regular time-sequence of “stop” and “go” signals can
be over-ridden by the approach of a vehicle toward an intersection. In
the absence of traffic the regular rhythm provides an equal chance of a
clear run in either direction, but the first vehicle to approach an inter-
section biasses the system in its favour, and the rhythm of the signals can
be “driven” by the vehicle proceeding from one crossing to another. When
traffic is very heavy however, the Vehicle Actuated mode is incompetent
and the time cycle supervenes, again providing every vehicle with an
equal chance of reaching its destination. Such problems are familiar to
traffic engineers, who are only too conscious of the enormous complexities
that develop in any but the simplest cases of regular orthogonal thorough-
fares with equal and constant traffic density. No driver in a big city would
underestimate the difficulty of providing an optimum flow rate for all at
all times. We must assume that in the human brain, with a population and
traffic density far greater than that of all terrestrial cities combined, a
solution to this problem has been elaborated, and, further, that some at
least of the failures in brain transactions-the various clinical states-may
arise from the innate inadequacy or breakdown under stress of some
traffic-control device.
The basic fact about any communication system is that all signals have
an origin and a destination. In the classical or “pre-reticular” physiology
of sensation the origin of sensory signals was assumed to be in the receptor
and their destination in the specific cortical sensory zone. We know now
that not all signals from the receptors reach the primary sensory regions
and, further, that most sensory signals can find their way, with surprisingly
little delay, to many regions far from their expected destination, where
they have a rendezvous with other signals of different provenance and
modality. These processes of sensory dispersion, convergence, and con-
tingent interaction in human subjects have been investigated in some
detail in the hope of establishing a working hypothesis of sensory inte-
gration and adaptive association. Some of the results have already been
reported elsewhere (Walter, 1963).
Methods
Material. Records have been taken from over 100 subjects, male and
female aged a few months to 50 years. Of these, fifty were normal vol-
unteers, including 30 school children. The clinical group included 30
autistic children as well as fifteen patients in whose brains 68 gold
electrodes had been implanted for therapeutic purposes (Crow, Cooper
and Phillips, 1961, FIGURE 1). In this latter group the majority of the
patients were suffering from chronic intractable psychoneurotic dis-
322 Annals New York Academy of Sciences
turbances but were free from organic brain disease; there were also three
cases of temporal lobe epilepsy with chronic implanted electrodes. Two
cases of “reading epilepsy” were examined and one patient with a severe
memory defect following influenza1 encephalitis.
In the normal adult group were three deep-trance hypnotic subjects,
two of them trained by Stephen Black for other physiological experiments.
The studies of normal and disturbed children were part of a long-term
research on brain maturation in relation to congenital or precocious
mental disorder.
Technique. Conventional EEG records were obtained with an Offner
Type T eight-channel instrument, fitted with a two-channel BNI-Faraday
automatic wave analyser. All channels were analysed with the eyes open
and shut and during mental activity. Two channels were then left for EEG
recording and analysis, the third was connected to a monitor circuit so as
to indicate stimuli and averaging epochs, the fourth to a bridge circuit to
indicate skin resistance and its changes (PGR), the fifth to electrodes on
the muscles of the left forearm to indicate operant movements by the
subject, the sixth to a mean-zero cardiotachometer, the seventh to a
pneumographic transducer around the chest of the subject, and the
eighth to a time marker.
In normal subjects and patients without intracerebral electrodes, the
two EEG channels were usually connected to electrodes on the vertex and
Walter: Auditory and Tactile Responses 323
mid-occiput respectively with a common reference on the right mastoid
protuberance. Several other montages were tried but none is considered
entirely satisfactory, since the fields of the evoked potentials in nonspecific
areas are so widespread that no part of the head is quite unaffected by
them. The interpretation of scalp potentials was aided by simultaneous
records from intracerebral electrodes in fifteen cases. In these, with 68
electrodes in various parts of the frontal, temporal and sometimes occi-
pital lobes, records could be made with a trustworthy intracerebral average
reference ( AR) since it could be shown that only a minority of electrodes
were involved in the evoked responses and these could be eliminated from
the average circuit. In these cases, too, records from the scalp could be
obtained with an intra-cerebral AR, thus avoiding the ambiguities intro-
duced by field diffusion over the scalp.
The two EEG channels were connected to a two-channel Electronic
Average Response Indicator ( EAR1) using two barrier-grid storage tubes
in an arrangement already described (Cooper and Warren, 1961; Cooper
and Walter, 1962). A valuable feature of this device is that, by suitable
switching, the average values of responses in the two channels can be
written out immediately after a selected number of stimulus presentations
at a higher or lower paper speed and increased gain so as to obtain the
optimum clarity and resolution in both co-ordinates. It can be shown that
in the presence of random signals evenly distributed over the pass-band of
the transmission system (“white noise”), the “noise” pentration or signal-
noise gain of an averaging system for a time-coherent signal is proportional
to the square-root of the number of observations. The greatest relative
advantage is therefore obtained with a small number of observations and
the advantage rises very slowly with increasing numbers, while on the
other hand the likelihood of condition-constancy in the brain diminishes
rapidly with repetition. For these reasons most observations have been
made by averaging sets of twelve evoked responses, giving a minimum
signal-noise gain of about 3.5.In practice, the random components are
rarely “white” and many are isolated transients of waveform similar to
the evoked potentials themselves; in fact these are probably evoked re-
sponses, due to “spontaneous” or uncontrolled sensory and intracerebral
stimuli. The signal-noise gain therefore varied between 3.5 and the number
of samples, that is, twelve (FIGURE 2), which would be the figure if all
the interference were transients without coincidence. For most experi-
ments the averaging epoch was two seconds so as to provide time for
presentation of two or more stimuli, as well as a section before stimulation
as an indication of the intrinsic noise level. An automatic programmer was
used to ensure irregularity of intervals between samples but consistency
between one set and another; the interval varied from 5 to 10 seconds.
The stimulus generator was synchronised electrically with the time-base
of the storage-tube scanner, so that the stimuli always fell at the selected
instants in the average epoch (FIGURE 3 ) .
The first set of twelve samples was taken without stimuli and the
primary gain was adjusted so as to produce a noise-level in the average
of less than about one fifth full scale deflection peak-to-peak.
I
T 1 1 . I I .
0 1 5- 10 I2 10 25
--
FIGURE 2. The relation between number of samples and signal-noise gain oh-
tained by averaging. With “white noise” the gain rises only as the square-root of the
number of samples, while if the noise is due to random isolated transients the gain
can vary directly as the number. The operational conditions lie somewhere between
these limits. N = number of observations.
-w
I
I
I
-- Flash
.,
2secs,&
Clicks
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II
~ FUSNl 2 3 CLlClI 2 3
6
f bCr 2 Fbhl 1 3 (88 FbCLD
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Renilts
Responses to visual and auditory stimuli can often be detected in con-
ventional EEG records, but their amplitudes are rarely much greater than
the background activity unless the stimuli are novel, startling, or in the
Walter: Auditory and Tactile Responses 327
case of flicker, repetitive. The responses to visual stimuli have been inves-
tigated most completely because they are larger, are easily distinguished
from the receptor potentials (ERG) and have great clinical interest in
the precipitation of epileptic seizures (“photic activation”). It has been
assumed rather generally that these visual evoked responses arise in the
primary visual cortex, but comparison of records from the scalp with those
from electrodes implanted in the occipital lobes suggest that this is not
the case.
The responses to single flashes at irregular intervals in primary visual
cortex are stereotyped and persist unchanged over several thousand repeti-
tions while the scalp responses are variable and usually exhibit marked
habituation over a few dozen presentations. The conclusion is that the
responses as seen in scalp records from the occiput are compounded of
specific responses and nonspecific features from visual association areas,
the latter usually predominating.
Similar considerations apply to the interpretation of responses to audi-
tory stimuli, with the added complications that the much smaller primary
areas are nearer the receptor and are also surrounded by large tracts of
nonspecific parietal and temporal cortex. The proximity of the cochlea
to the temporal lobe introduces the possibility of interference by micro-
phonic potentials, and the contribution of the relatively minute strip of
primary auditory cortex is unlikely to be comparable with that of the adja-
cent masses of association and nonspecific tissue.
Specific tactile responses are also difficult to identify by location for the
same reasons; the narrow strip of somato-sensory cortex along the post-
central gyrus is very small compared with the adjacent nonspecific areas.
It was thought at first that the specific and nonspecific categories of
response might be distinguished by their waveforms and latencies but this
is rarely the case. The waveform of the nonspecific responses is extremely
variable, for reasons that will be described later, and the latency of these
responses even as recorded in the depths of orbital frontal cortex is rarely
longer than 25 msec. for auditory and tactile or 30 msec. for visual re-
sponses, figures not very different from those for the major components of
the corresponding responses in specific cortex. The most consistent differ-
ence between responses in specific and nonspecific cortex is in their con-
sistency, a distinction which is difficult to apply experimentally as well as
verbally. As already mentioned the truly specific responses in primary
receiving areas show no signs of habituation over long periods whereas
those in nonspecific regions are typically variable in this sense. Unfortu-
nately a response in nonspecific cortex which has undergone habituation
resembles a primary specific response even more closely than when it was
fresh, so that even this distinction is elusive and confusing. The most
satisfactory principle is to assume that, in experiments with human subjects,
all evoked responses are mainly due to nonspecific activation unless the
contrary can be proved.
An important consequence of this conclusion is that since, by definition,
responses in nonspecific cortex are diffusely projected over wide areas,
328 Annals New York Academy of Sciences
their electric fields as detected on the scalp are very extensive. This
means that no conventional electrode arrangement can be expected to
provide a “true” picture of these potential differences; bipolar montages,
whether longitudinal or transverse, inevitably produce the first derivative
of the potential differences with respect to space, no common-reference
system can be assumed free from activity at the reference electrode and
even the more promising Average Reference ( A R ) system is liable to
serious ambiguities if a large proportion of the electrodes are likely to be
involved in the disturbance.
These inferences have been confirmed by experiment. In patients with
intracerebral electrodes thirty or forty regions can be found which are
not involved in sensory responses (mostly in the frontal white matter).
When these are used as a combined AR the involvement of other regions
(including the scalp) can be explored. With this arrangement evoked
responses to auditory, visual, and tactile stimuli have been recorded from
the ears, chin, neck, and, in fact, all parts of the head. A further compli-
cation is that the time-relations of responses in the various regions of the
head are not static; measurable time differences have been found, some
consistent, some varying with the conditions and context of the stimuli.
In some cases the time-differences are such as to suggest a regular “sweep”
of afferent projection from front to back of the brain, rather as described
for the alpha rhythms by Cooper and Mundy Castle ( 1960). This suggests
that the “traffic-control” system outlined in the Introduction may in fact
direct and regulate the manifold diffuse sensory projections in an orderly
but flexible sequence of modulated waves. The systematic nature of this
process can be detected only when the signals are large and regular
enough to be identified clearly since the time-differences are only of the
order of 10 msec. and the averaging procedure, by definition, effaces
small irregularities.
Taking account of these complications it is perhaps surprising that any
useful records can be obtained from the scalp at all, and, indeed, were it
not for the opportunities presented by the intracerebral electrodes for
accurate local recording, the analysis of scalp potentiah would probably
have been regarded merely as a technical demonstration. However, the
peculiar-and still only partly explicable-distribution of electric fields
over the head must be accepted and interpreted as circumstances permit
in terms of intracerebral events, even if these seem surprisingly remote
from the superficial regions of apparently greatest activity.
Another factor to be considered is the incidence and source of artefacts.
These arise mainly from the eyes and scalp musculature, particularly in
association with novel or startling stimuli. Of these sources the eyes are
usually the most troublesome and electrode placements have to be ar-
ranged to minimise the potential differences from this source (which are
mainly antero-posterior in gradient ) as compared with the superficial
projection of the action-fields in nonspecific cortex.
This fieId structure has the effect of developing the highest potential
differences between an electrode at about the vertex and one near the
Walter: Auditory and Tactile Responses 329
mastoid processes. With this transverse derivation potential changes due
to eye movements are extremely small. For this reason most records have
been taken with this simple montage, but there is no reason to suppose
that the vertical electrode is really above a particularly active cortical
zone. In fact the tissue immediately below the vertex is merely the sagittal
sinus-a pool of venous blood as remote from active tissue as any part of
the head. It was thought at first that the apparent activity of this region
might be due to a profusion of responses in the cingulate gyrus but in one
case where therapeutic electrodes were introduced into this very region,
remarkably W e response to sensory stimulation could be detected. The
conclusion is that the activity of the vertical region is due to the gradient
irregularities in the general field at this point and that the field itself is
generated by the compound activity of the medial and lateral frontal
cortex, where implanted electrodes do in fact indicate particularly large
and widespread responses.
Another component of the responses in nonspecific cortex is that from
the activation of the frontal orbital cortex. This is sometimes distinctive in
waveform and lability and presumably can contribute little to the fields on
the upper convexity of the scalp. It does, however, spread far into the
basal regions and is probably responsible for most of the activity detected
in such unlikely regions as the chin and neck. The mastoid projections
used-for lack of a better-as a common reference zone show activity from
both superior and inferior regions, but luckily these are often out of phase
so that some degree of cancellation and effective equipotentiality can be
expected. This is not always the case, and since the orbital and superior
components often respond differentially to habituation and conditioning
confusing results can be obtained unless intracerebral references are avail-
able. These effects have been allowed for as much as possible and the
observations described below have all been checked by intracerebral
analysis as well as scalp recording. The following are the principal effects
seen regularly in the population as a whole; the exceptions are in certain
clinical categories and young children.
Dispersive convergence. This apparently self-contradictory term is used
to describe the basic fact that signals in all modalities studied (sight,
hearing, and touch) converge toward frontal cortex but are widely dis-
persed therein (FIGURE 4).All cortical regions studied in these lobes have
shown responses, none has responded in one modality only. This general-
ization applies to the orbital cortex from the midline out to the lateral
border of the anterior fossa, the lateral frontal cortex from the frontal pole
back to the level of the tip of the temporal lobe and to medial cortex over
a similar extent. In many cases electrodes lay in sulci plunging deep into
the frontal lobe from the orbital, medial, or lateral surfaces and in these
too, responses to sensory stimuli were often large and distinctive. There
is no doubt therefore that, in a special but important sense, the prefrontal
cortex is essentially a part of the sensory system.
The size and latency of these responses vary considerably, but the aver-
age peak amplitude is of the order of 10 microvolts as recorded from a
,=
330 Annals New York Academy of Sciences
R t orb.fr: k:f.(80 1
FLASH
TOUCH
I
I
1 T2
I
FIGURE4. Dispersive convergence and modality signature in pre-frontal non-
specific cortex. Both electrodes are in orbital cortex, 18 on the left and 80 on the
right. Both show responses in all three modalities, but the pattern and proportions
for each are distinctive. The auditory responses are the eighth average, after over 100
stimuli; the visual and tactile responses are the second averages after 28 stimuli.
Walter: Auditory and Tactile Responses 331
single implanted electrode referred to the average of all the other 67. The
amplitude at the vertex is not much different from this and is actually
larger in some people, suggesting that the space-average provided by the
scalp electrode can summate activities in many regions. In some patients
the deep frontal evoked responses can be measured without automatic
averaging because of the low level of background intrinsic activity; these
measurements show considerable variations in size from stimulus to stimu-
lus and these are of course eliminated in the averaging process. Apart
from the habituation and other effects, however, the variations from aver-
age to average (that is when considered in sets of twelve) is much less.
The maximum peak amplitude of individual responses is never greater
than 30 microvolts. The significance of this figure as an indication of the
degree of cortical involvement in a particular modality can be seen when
it is compared with the maximum amplitude of discharge that the same
region of cortex can develop when stimulated electrically. As described
elsewhere (Walter, 1962), using a train of 400 psec. pulses at four to six
volts, cortical regions in the frontal lobes can be stimulated to produce
sustained local after-discharges. These involve only a few cubic millimetres
of the cortex immediately adjacent to the cathode electrode since other
electrodes only a few millimetres away may show no sign of the dis-
turbance. Such after-discharges are usually all-or-none and may last a
minute or more, to cease abruptly with no decrement. Their peak ampli-
tude is of the order of one millivolt and may reach three millivolts under
conditions identical to those during sensory response recording. If it be
assumed that these after-discharges represent the synchronised-and self-
excitatory-activity of the whole local population of neurons and their
processes, the inference is that the sensory evoked responses involve only
about one per cent of these structures.
As will be explained later, there is clear evidence that responses in any
one modality are strictly limited in the number of pathways accessible to
them, while responses in different modalities travel by entirely inde-
pendent routes to the surface of cortex where they mingle only at the
terminus of their line. The conclusion is that a signal from any receptor,
even if due to maximal sensory stimulation, can activate only about one
neuron in a hundred in frontal cortex, but will have this effect over a
vast surface containing several thousand million neurons. All significant
sensory stimuli therefore-with the provisions detailed below regarding
the context of their presentation-must be considered as activating some
tens of millions of neurons over a very extensive area, without necessarily
intruding on any other afferent signals or background activity.
The latency of the responses in these regions depends on modality, since
receptor and tract delays necessarily vary. Responses to auditory stimuli
such as clicks or the onset of tones have an average latency of 25 milli-
seconds (msec.) and those evoked by tactile stimuli to the hand show
about the same delay, Responses to visual stimuli (isolated flashes from
a stroboscope or the onset of a series of flashes-flicker) have latencies of
35 msecs. These figures are about the same as those for the latencies in
332 Annals New York Academy of Sciences
primary specific cortex and the inference is that, however they reach their
frontal destination, the pathway must be a fairly direct one. It is difficult
to exclude the possibility that the frontal responses are due to direct relay
from the specific regions by way of the long anterio-posterior commis-
sures. No patients examined so far have provided the test preparation of
total section of the optic radiations, and the delays in such a circuit would
be very short. The marked differences in behavior between the specific
and nonspecific responses indicates that, whatever the projection circuit,
there must be a highly selective element interposed between the provenance
and the destination. The most likely but still not entirely proven sources,
at least for the auditory and visual signals, are of course the nonspecific
relay centres of thalamus with their connections to the specific stations
in the geniculate bodies. The course of the tactile signals is less clear
since even in experimental animals “the sources of the sensory somatic
inflow which activate the various brain stem structures are not yet estab-
lished unequivocally” (Rose and Mountcastle, 1959).
An important feature of responses in nonspecific frontal cortex is their
extreme sensitivity to distraction, boredom, and drowsiness (FIGURE 5 ) .
Post orb.med.It.- , b
/
[Flash
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Flash
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Vertex- Lmastoid
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FIGURE 6. Modality signature in scalp records of responses in a normal subject
during early stages of standard experiment. The vertical derivation shows responses
in all three modalities but each has its distinctive pattern.
A
FLNH
n
1 DO
-sot
FIGURE 7. Idiodromic projection demonstrated by presentation of a flash stimulus
followed by a click at various intervals. Derivation from an electrode in left orbital
cortex referred to intracerebral AR. Trace 1 shows response to click alone, Trace 2 to
flash alone, Trace 3 the response to a flash followed by a click 100 msec. later. The
two responses cancel except for the first component of the flash response and the last
of the click response. Traces 4 and 5 with stimuli at 80 and 30 msec. separation,
show progressive instrumental summation of the two responses as the components
coincide.
that the interaction between their effects is mainly at the superficial corti-
cal level even if the preliminary selection processes are pre- or sub-cortical.
A corollary of this supposition seems to be that the selection (on the
basis of conditional significance) must be mediated by cortico-fugal con-
trol of the sub-cortical relays. This hypothesis leads to the concept of
retroactive cortico-basal circuits in which the maintenance of stability
would be a major problem. Failure to maintain stability could result in
cumulative oscillations; the notorious susceptibility of many epileptics
and some normal subjects to “activation” by rhythmic sensory stimulation
may well be evidence of this inevitable weakness. The waveforms of the
normal evoked responses may be described as micro-wave-and-spike and
the sustained after-discharges evoked by local electrical stimulation of
normal cortex have a similar appearance at a higher amplitude; the
difference between these and the enormous potentials of the petit mal
Walter: Auditory and Tactile Responses 337
wave-and-spike may be only a matter of degree, and dependent on the
extent of synchronisation and cortical permeation. The contribution of
metabolic factors should not be overlooked in developing these notions:
hypersynchrony can often be potentiated by mild alkalosis or hypocapnia
(as in voluntary hyperpnoea) and this has a number of known effects on
5
c
9 --
10
11
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!
5
10
II
12
FIGURE 10. Habituation of resuonses to auditory stimuli in orbital cortex (same
subject as FIGURE 4 ) . A. 12 primary records to show degree of masking of responses
by intrinsic activity. B. Average of these first twelve presentations showing clear re-
sponse, followed by second, fourth, seventh and ninth averages, each of twelve pres-
entations. Habituation is clearly demonstrated after about 50 stimuli at the intervals
shown in FIGURE 3. The first effect is attenuation of the SNC.
Walter: Auditory and Tactile Responses
AVERAGE
I - 12
13-24
3 7-48
73-84
97-108
3--- 2 5ec.-
FIGURE
10. (Continued)
----A *i----- -
1
CLICU --- ----I sac -+-
1
FlAsH
FIGURE 11. Comparison of phase relations of responses to flicker and clicks in
cortical, subcortical and scalp derivations. A . Responses in two adjacent electrodes
23 and 24 placed as in diagram their contact surfaces three mm. apart, both referred t o
AR. The phase inversion is almost perfect. B . With a shorter interval between the
start of flicker and the click, algebraic summation is seen in both regions, the sec-
ondary response in cortex remains uncancelled. C . Simultaneous averaging of scalp
( vertex) and intracerebral derivations, both referred to intracerebral AR shows
phase inversion, a larger primary SNC and secondary negative surge in scalp deriva-
tions.
t
S.T.W.
A
, Y-n.
J;T;LI I
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- - V
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FIGURE
12. (Continued)
o-n
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FIGURE13. The effects of significance dilution or equivocation on conditional
responses. Same subject as FIGURE 12. A. Standard first association of flash with
clicks and operant response, showing contingent amplification, attenuation, secondary
negative surge and coherent after-rhythm. B. The same after 12 further presentations.
The association is firmly established, the negative surge is increased, coherent rhythm
amplified, auditory response attenuated and reaction time reduced to 50 msec. C .
Withdrawal of visual stimulus restores auditory response, abolishes coherent rhythm
and lengthens reaction time to 160 msec. D. Restoration of visual stimulus re-estab-
lishes situation as in B, but with less after-rhythm and longer reaction time. E . Pres-
entation of 24 flashes of which only 12 were followed by clicks dilutes probability of
association within set to 0.5; primary visual responses remain but secondary wave
and coherent rhythm are attenuated while contingent attenuation of auditory response
is abolished, as though the conditional stimuli had been withdrawn as in C. Reaction
time is over 200 msecs. F. Unequivocal association of 12 flashes and clicks in next
set increases secondary negative surge and contingent attenuation, but coherent
rhythm is absent and reaction time is still long; the significance can never be quite
the same again. G. After 46 unequivocal associations the coherent rhythm begins to
re-appear and reaction time is shorter. H . Repetition of significance dilution to 12
associations in 43 flashes again restores auditory response, abolishes secondary nega-
tive surges and coherent rhythm and lengthens reaction time. I . Presentation of flash
only at end of experiment without auditory stimulus shows lapse of contingent am-
plification and total lack of coherent rhythm in absence of association.
352 Annals New York Academy of Sciences
I ul11bJoa
1
cr-.. 2d>&
- 1 f-
F c
FIGURE
13. (Continued)
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C
H
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- 1
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r
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FIGURE
13. (Continued)
1 2
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FLASHES
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14. (Continued)
FIGURE
f-
~~
Discussion
The properties of human cerebral responses to sensory stimuli as de-
scribed above seem so complex and varied as to defy coherent explana-
tion. Even if the variations between individuals could be ignored the
diversity of interactive patterns would be difficult to classify, but personal
differences must be expected and accepted as a part of the problem.
Actually it is the personal characters that provide an essential clue to
resolution of these difficulties since they provide apparent exceptions that
literally prove the rules in the sense of testing their validity.
One source of confusion must be considered before discussing the
mechanisms underlying these effects. Reports from different centres vary
considerably both in their nomenclature and in their content; there is at
present neither an agreed terminology nor a conventional or standardised
experimental situation. The range of possible and reasonable situations
is bewilderingly wide. Given three stimulus modalities ( vision, hearing
and touch) and three modes of subject response (none, instrumental,
operant) there would seem to be 54 distinct situations, any or all of
which would be reasonable for human subjects and these can be com-
bined and permuted in an indefinitely large number of patterns. The
358 Annals New York Academy of Sciences
“simplest” situation, where a single stimulus is presented repeatedly with-
out possibility of an effector response, is the commonest but is really far
from simple, since it is presenting the brain with a peculiar challenge,
a novel experience of unknown significance which must be appraised
statistically merely on the basis of its repetition, regularity, and perhaps
autocorrelation. This elementary, “classical” situation, in fact, gives the
most inconsistent and confusing results, which can be interpreted only by
assuming that in such a predicament the brain employs some a priori
criterion of “regularity” or “randomness.” There seems little doubt that
such a criterion is incorporated in the cerebral mechanisms, but it is cer-
tainly not a universal one, and as would be expected, personal variations
are found to be greatest when the situation is apparently most simple.
The rate and course of habituation to a set of single, irregular stimuli is
far more variable from person to person than is the pattern of interaction
to associated stimuli of unequivocal significance.
The discrepancies in the reports from various centres are largely due
to this factor; provided it is recognised there should be little serious dis-
agreement. It is not surprising that no two groups of workers have
selected the same experimental arrangements since there are so very
many to choose from, but some agreement on standard conditions might
be useful if co-ordinated research, mutual aid and complementary facil-
ities are envisaged for the future. The application of these methods of
studying human brain mechanisms to clinical problems will be particu-
larly difficult and confusing as long as every investigator is studying a
different problem with different methods.
The eight or so properties of evoked responses in nonspecific cortex
described above provide what may be called an operational specification
for the input circuits of a learning machine. They may be considered in
two groups. The first includes the four features which relate to the pre-
liminary operations on all afferent signals irrespective of their context:
Dispersive Convergence, Modality Signature, Idiodromic Projection, and
Differentiation. Since these mechanisms are concerned with the extrac-
tion of meaning from sensory stimuli, these preliminary processes may
be thought of in linguistic terms as specifying the orthography of the
cerebral code, the established procedure and accepted abbreviations for
signals from all sources. The second group of properties, Habituation,
Contingent Amplification, Contingent Attenuation, Unconditional Resto-
ration, specify the conjugation and syntax of signals according to their
context and destination.
Dispersive Convergence, Modality Signature, and Idiodromic Projec-
tion indicate between them the nature of the networks leading from the
first afferent relays to the cortical surface. They ensure that all nonspecific
areas receive information about all signals of uncertain or well-defined
significance, without overload or inter-modality modulation. The signals
thus relayed are distorted but not irreversibly corrupted. The process of
Differentiation is similar to the practice of writing an important term
Walter: Auditory and Tactile Responses 359
with a Capital Initial whereby, after regular usage, it can be readily
identified, as in EEG. It is interesting that in some subjects this conven-
tion is observed to the letter; the responses to the first few dozen presen-
tations of Flicker have capital initials but are spelled out, while later
ones, in which only the onset of the unconditional stimulus matters, are
represented by the initial alone. The theoretical need for differentiation
was predicted and defined many years ago (Walter, 1953) in relation to
cerebral mechanisms of learning; it was demonstrated that this operation
-as a cerebral rather than receptor property-was essential for all signals
that might be classified as unconditional since knowledge of the start of
such events is all that is necessary to establish the significance of their
association. This prediction has been amply confirmed and helps to ex-
plain the graphic complexity of the evoked responses to novel or unclas-
sified stimuli. Any signal may be classified as novel, neutral, conditional
or unconditional: as a novel signal is repeated, its class must ultimately
be changed into one of the other three but until this transition has been
achieved the cerebral selective processes must in effect maintain a “null
hypothesis” and assume as little as possible about the ultimate category.
This means that the responses to the first few presentations of a stimulus
are likely to have features characteristic of both unconditional and condi-
tional responses; the projections to nonspecific cortex will be a blend of
both derivatives, one clipped or differentiated as if for unconditional
classification, the other protracted or extended in case the signal turns
out to be of conditional significance. If the stimulus remains neutral, that
is, it is neither preceded nor succeeded by any other event, then both
the differentiated and protracted components must wane, but they will
not necessarily wane at the same rate or in the same sequence. A stimulus
with established unconditiona1 significance-for example, a loud noise-
would be more likely to retain the differentiated appearance, while one
with a conditional quality would remain protracted. The difference be-
tween these pre-classified types might only be of degree but would
depend on experience and context.
In these experiments, the primary components of responses to single
auditory stimuli were in fact usually more persistent in normal subjects
than those to visual or tactile ones, while the secondary negative waves
of the visual and tactile responses were generally more prominent. The
component relations could usually be reversed by suitable association.
In one patient suffering from a chronic intractable anxiety with marked
fear of sudden noises, the nonspecific responses to auditory stimuli per-
sisted unchanged over several hundred presentations, retaining through-
out both their primary differential and secondary protracted components.
This effect suggested that, for this patient, the auditory stimuli, however
monotonous and objectively insignificant, were treated by the brain as
if they were perpetually both conditional and unconditional; in his own
words, he “could never get used to sudden noises.”
The relatively prolonged after-effects of conditional stimuli-explicitly
360 Annals New York Academy of Sciences
demonstrated in adaptive effector action-are reflected in two features of
the nonspecific responses, the coherent after-rhythms and the secondary
negative surges. The former, arising mainly in the parieto-occipital asso-
ciation areas, are related primarily to visual signals; they may be con-
sidered as conveying orderly information in the visual modality to other
zones. The secondary negative surges, their fields spatially congruent
with those of the primary negative waves, seem to have a more general
function. Since their amplitude and duration vary inversely with the SNC
of unconditional responses which they overlap or precede, it is tempting
to regard them as a primary dendritic gate, opened by significant condi-
tional signals and promoting the initiation of relevant effector action on
the conditional signal. In such conditions the unconditional signal has
become merely a timing pulse to indicate when the action planned in
response to the conditional signal should be taken. In accord with this
the muscular activity of the subjects often showed a preparatory incre-
ment in response to the conditional signal though the operant movement
was deferred until the onset of the unconditional one.
Some subjects learned to time their actions so as to control the uncon-
ditional signal after only a single flash, click or touch, that is with an
apparent reaction time of only about 50 msec. This was obviously due
to the establishment of a “time” association since the interval between
conditional and unconditional stimuli was always exactly one second.
When this was achieved the secondary negative surges were often par-
ticularly prominent and the degree of contingent attenuation of the
unconditional responses correspondingly great. The absence of this com-
ponent in the intracerebral recordings, its relative prominence in vertical
derivations and the correlation with relevant effector action suggest that
it may indicate diffusion of dendritic depolarisation into the motor regions
so as to form a functional link between the nonspecific sensory systems
in the frontal lobes and the motor areas in the Rolandic region. This
conjecture may throw some light on the controversy regarding the loca-
tion and nature of “closure” in conditional reflex formation. This may be
seen as dependent on both selective processing by nonspecific mech-
anisms as suggested by Western experimenters and also on cortico-
cortical interaction as assumed in the classical Pavlovian hypotheses. It
is not unusual in such disputes for the assertions on both sides to be
corroborated and their denials refuted.
Acknowledgment
These investigations are being made with V. Aldridge, R. Cooper, and
A. Winter. Most of the equipment is built by W. J. Warren, and the
patients are under the care of H. J. Crow and V. 0. G. Smyth. Part of the
expenses was defrayed by generous grants from the Mental Health Re-
search Foundation of London, and the Parapsychology Foundation of
New York. To all of these and to the very patient subjects I am deeply
indebted for the privilege of their collaboration.
Walter: Auditory and Tactile Responses 361
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