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发现经颅磁刺激诱导的“麻木感”的前景与挑战——评 Ro 和 Koenig(2021)。

Promise and challenges for discovering transcranial magnetic stimulation induced "numbsense"-Commentary on Ro & Koenig (2021).

机构信息

Turku Brain and Mind Center, University of Turku, Turku, Finland.

Turku Brain and Mind Center, University of Turku, Turku, Finland; Department of Psychology and Speech-Language Pathology, University of Turku, Turku 20014, Finland.

出版信息

Conscious Cogn. 2022 Feb;98:103265. doi: 10.1016/j.concog.2021.103265. Epub 2021 Dec 28.

Abstract

The notion that behavioral responses to stimuli can be mediated by separate unconscious and conscious sensory pathways remains popular, but also hotly debated. Recently, Ro and Koenig (2021) reported that when activity in somatosensory cortex was interfered with transcranial magnetic stimulation (TMS), participants could discriminate tactile stimuli they reported not consciously feeling. The study launches an interesting new area of research, helping to uncover mechanisms of unconscious perception that possibly generalize across different sensory modalities. However, we argue here that the study by Ro and Koenig also has several significant shortcomings, and it fails to provide evidence that pathways bypassing primary somatosensory cortex enable unconscious tactile discrimination. By referring to numerous studies investigating TMS-induced blindsight, we outline challenges in demonstrating unconscious sensory pathways using TMS. By facing to these challenges, research investigating TMS-induced numbsense has potential to stimulate progress in stubborn debates and reveal modality-general mechanisms of unconscious perception.

摘要

刺激的行为反应可以通过独立的无意识和意识感觉途径来调节的观点仍然很流行,但也存在激烈的争论。最近,Ro 和 Koenig(2021)报告说,当感觉皮层的活动受到经颅磁刺激(TMS)的干扰时,参与者可以辨别他们报告没有感觉到的触觉刺激。这项研究开辟了一个有趣的新研究领域,有助于揭示无意识感知的机制,这些机制可能在不同的感觉模式中普遍存在。然而,我们在这里认为,Ro 和 Koenig 的研究也有几个显著的缺点,它未能提供证据表明绕过初级感觉皮层的途径能够实现无意识的触觉辨别。通过参考许多研究经颅磁刺激诱导的盲目视觉的研究,我们概述了使用经颅磁刺激证明无意识感觉途径所面临的挑战。通过面对这些挑战,研究经颅磁刺激诱导的麻木感觉有可能刺激固执的争论的进展,并揭示无意识感知的模态通用机制。

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