Original ArticlesUnconscious integration of multisensory bodily inputs in the peripersonal space shapes bodily self-consciousness
Introduction
Based on clinical and experimental research in humans, it has been proposed that multisensory integration is a key mechanism for self-consciousness. In particular, bodily self-consciousness (BSC) has been shown to depend on the integration of multisensory bodily stimuli (Blanke, 2012, Blanke et al., 2015, Ehrsson, 2012a, Tsakiris, 2010). Research has focused on two central aspects of BSC: people normally self-identify with a given body, which they perceive as their own (self-identification) and they experience their self at the location of their body (self-location) (Blanke, 2012, Blanke and Metzinger, 2009). The notion that BSC depends on multisensory integration of bodily inputs is evidenced by neurological patients who present deficits in multisensory integration together with an altered perception of their own body (Blanke et al., 2004, Blanke et al., 2002), and by experimental manipulations of BSC in healthy subjects using multisensory conflicts (Ionta et al., 2011, Lenggenhager et al., 2007, Petkova and Ehrsson, 2008, Petkova et al., 2011, Salomon et al., 2013). For example, in the full body illusion, viewing an avatar’s body being stroked, while concurrently receiving the same tactile stimulation on one’s own body, makes participants self-identify with the avatar (Ehrsson, 2007, Petkova and Ehrsson, 2008) and induces changes in self-location such that subjects perceive themselves closer to the avatar’s position (Ionta et al., 2011, Lenggenhager et al., 2007).
Under normal conditions, multisensory body-related stimuli occur within a limited distance from the body, which defines the peripersonal space (PPS Serino et al., 2015). Accordingly, neuronal populations have been described both in monkeys and in humans integrating somatosensory stimulation on the body with visual and/or auditory stimuli specifically when presented close to the body (Graziano and Cooke, 2006, Ladavas and Serino, 2008, Rizzolatti et al., 1997). PPS and BSC are thought to involve common neural structures in premotor, posterior parietal, and temporo-parietal cortex (Blanke et al., 2015, Grivaz et al., 2017, Makin et al., 2008) and it has recently been shown that the full body illusion leads to a shift in PPS from the physical body toward the virtual body that participants identify with (Noel, Pfeiffer, Blanke, & Serino, 2015), compatible with an extension of the PPS boundary (Serino, Canzoneri, Marzolla, di Pellegrino, & Magosso, 2015). These data link processing and integration of multisensory stimuli within PPS to self-consciousness, and to BSC in particular (Blanke et al., 2015, Noel et al., 2016).
Conscious experience has also been related to the integration of sensory information in the brain by other authors (Dehaene and Naccache, 2001, Mudrik et al., 2014, Tononi, 2008). Indeed, consciousness is characterized by a unity of experience in which information from multiple sensory modalities is integrated and bound together (Bayne, 2002, James et al., 1981). Recent experimental work has shown that non-visual stimuli that are consciously perceived may be integrated with stimuli rendered invisible through various masking paradigms (i.e. auditory (Alsius and Munhall, 2013, Lunghi et al., 2014), tactile (Lunghi and Alais, 2013, Lunghi et al., 2010, Salomon et al., 2015), olfactory (Zhou, Jiang, He, & Chen, 2010), proprioceptive (Salomon, Lim, Herbelin, Hesselmann, & Blanke, 2013) and vestibular (Salomon, Kaliuzhna, Herbelin, & Blanke, 2015)). It was further shown that even a subliminal auditory and a subliminal visual stimulus can be integrated despite unawareness (Faivre et al., 2014, Noel et al., 2015). It is unknown, however, whether integration of unconscious multisensory events affects self-consciousness, and BSC in particular, which is often considered a distinct and specific form of conscious content (Dehaene and Changeux, 2011, Faivre et al., 2015, Gallagher, 2000).
Previous research on the multisensory basis of BSC focused on the integration of sensory inputs that are presented above the visual and tactile thresholds for conscious access. Yet as it has been argued that BSC is based on low-level and pre-reflexive brain mechanisms, it is possible that the sensory events shaping the experience of the self need not be consciously perceived. While there is no experimental evidence suggesting that the multisensory integration processes of BSC do not require conscious awareness of the multisensory stimuli, interactions between unconscious multimodal stimuli have been shown in humans (see above) (Faivre et al., 2014, Salomon et al., 2015, Salomon et al., 2013) and at the neuronal level in anesthetized animals (Graziano et al., 1997, Meredith and Stein, 1986, Stein and Stanford, 2008). Here, in a series of four experiments, we tested for the first time whether multisensory integration of bodily stimuli underlying BSC also occurs for signals presented below the threshold of conscious perception. We first asked whether tactile stimuli on the body are preferentially integrated with visual stimuli presented within; as compared to outside the PPS, when visual inputs were subliminal and tactile inputs supraliminal (Exp. 1) or when visual were subliminal and tactile inputs were near-threshold (Exp. 2). Next, we investigated whether it is possible to manipulate BSC by using visuo-tactile stimulation administered below the threshold for conscious access. To this aim, we coupled tactile stimulation on the body with invisible synchronous visual stimuli on a virtual body to induce the full body illusion (Lenggenhager et al., 2007) and tested whether this would affect self-identification, as assessed by questionnaires (Exp.3) and self-location, as assessed by the location of PPS boundaries (Exp. 4).
Section snippets
Participants
In total 98 participants (31 females, mean age = 23.0 ± 2.7) were included in this series of experiments. Thirty-two subjects took part in Exp. 1, 15 in Exp. 2, 25 in Experiment 3, and 26 in Exp. 4 (the first experiment being a between-subject experimental design, while the latter three being within-subjects). All participants were right-handed, had normal or corrected-to-normal visual acuity, reported normal hearing and touch, and had no history of psychiatric or neurological disorder. All
Invisible looming stimuli within the PPS affect tactile perception (Exp. 1)
We analysed RT to the tactile stimulation as a function of the different distances of the virtual ball and its direction, in the visible and invisible conditions. As shown in Fig. 2A, there was a clear distance dependent modulation of RT, as a function of the location of the visual stimulus, both for the Visible and Invisible conditions. This was not the case for Receding visual stimuli, excluding the possibility that the present finding was a mere temporal effect (see Supplementary material
Unconscious multisensory integration in PPS
The self is essential to our understanding of consciousness (Blanke and Metzinger, 2009, Damasio, 2012, Metzinger, 2004) and recent work has highlighted the role of multisensory integration and PPS in self-consciousness, especially in BSC (for reviews see Blanke, 2012, Blanke et al., 2015, Ehrsson, 2012b, Faivre et al., 2017, Noel et al., 2016). The present study brings novel comprehensive evidence that multisensory integration in PPS does not require conscious awareness and, importantly, that
Author contributions
R.S., J.P.N., A.S., and O.B., conceived of the experiments, which were performed by R.S., J.P.N., M.L., and analysed by R.S., J.P.N., and A.S. N.F.; T.M. provided valuable analysis tools and conceptual contributions to the manuscript, which was written by R.S. and A.S. All authors edited and approved the final version of the manuscript.
Competing interests
We declare we have no competing interests.
Funding
O.B. is supported by the Bertarelli Foundation, the Swiss National Science Foundation, and the European Science Foundation. A.S. is supported by W Investments S.A., Switzerland (industrial grant ‘RealiSM’), by Swiss National Science Foundation (PP00P3_163951), by the Leenards Foundation. R.S. was supported by the National Center of Competence in Research (NCCR) “SYNAPSY – The Synaptic Bases of Mental Diseases” financed by the Swiss National Science Foundation (n° 51AU40_125759). NF is an EPFL
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These authors contributed equally to this work.