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While agreeing with Rosenholtz that the broad concept of visual attention conflates phenomena with explanatory mechanisms, leading to a crisis that demands a paradigm shift, we argue that this issue partially arises from viewing attention within a predominantly perception-focused framework. We propose reframing visual attention as part of an integrated sensorimotor system, emphasizing its role in linking vision and action.
The groundbreaking, anti-homuncular view presented by the author complements conclusions from diverse areas of research, including (a) research on phenomena not concerning attention (e.g., involving anosognosia, scotomata, dreams, and consciousness) and (b) the hypothesis that attention should be construed as an effect (e.g., from the activation of priority signals and task sets) rather than as a cause.
Children’s Advocacy Centers (CACs) use multidisciplinary teams to respond to child abuse allegations. These fluid teams can benefit from team training to enhance team functioning and performance and strengthen the workforce, but they need guidance and resources to support the implementation of team training.
Methods:
We conducted a cluster-randomized hybrid effectiveness-implementation trial to test the effectiveness of team training and evaluate a self-guided implementation process. Six rural CACs (N = 172 team members) were randomized to TeamTRACS (Team Training in Roles, Awareness, Communication, & Support; n = 4) or a waitlist comparison (n = 2). Simultaneous mixed methods evaluated the effectiveness of TeamTRACS (QUAN + qual) and the implementation process (quan + QUAL).
Results:
Reactions to TeamTRACS were positive (mean ratings > 4.5 on 1–5 scale), and TeamTRACS significantly increased teamwork knowledge (estimated marginal means = 80% vs. 75% [intent-to-treat]; 85% vs. 76% [training attendance]). There were no effects on skill use or work-related outcomes. Changes in team-level outcomes were small and inconsistent; one TeamTRACS team made substantial improvements. Reactions to self-guided implementation were positive (mean ratings > 4 on 1–5 scale). However, only one team completed the implementation process. Challenges included difficulty forming and maintaining a change team, turnover and understaffing, and competing priorities and a short timeframe.
Conclusions:
Overall, TeamTRACS and its self-guided implementation process were positively received. Incomplete implementation may have limited TeamTRACS’ effectiveness. Longer timeframes and external support may improve the implementation of team training in low-resource settings.
We suggest that the crisis in visual attention is caused by problems prevalent in many other areas of psychology: low-power experiments and questionable research practices. We demonstrate that many attention experiments use sample sizes that are several orders of magnitude too small and argue that it is unreasonable to expect theoretical clarity based on such unreliable empirical data.
Rosenholtz describes “attention theory” as a scientific paradigm in crisis, in the Kuhnian sense. But is attention a theory? Here, I question this premise. Although there can be theories of attentional phenomena, attention is not a theory. Rather, like memory and emotion, attention is a psychological concept that captures a broad class of phenomena, requiring multiple mechanistic explanations.
Here, we argue that Rosenholtz’ call for a paradigm shift in attention theory is unwarranted based on psychological evidence as well as philosophical theory and would disrupt scientific progress by preventing incremental science. To move forward, we suggest a different philosophical view on attention research that preserves the cumulative nature of scientific progress rather than waxing and waning theoretical paradigms.
Insight into psychosis is a multidimensional construct involving awareness of illness, attribution of symptoms, and perceived need for treatment. Despite extensive research, substantial variability in how insight is conceptualized and measured continues to hinder clinical assessment and cross-study comparisons.
Methods
Following Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines and a registered International Prospective Register of Systematic Reviews protocol (CRD42024558386), we conducted a systematic search across five databases (n = 2,184). Twenty-nine studies met the inclusion criteria, comprising 15 primary scale development papers and 10 independent validation studies. We included instruments explicitly designed to assess insight in schizophrenia-spectrum, and evaluated them using the COnsensus-based Standards for the selection of health Measurement INstruments Risk of Bias checklist. Psychometric domains assessed included content validity, structural validity, construct validity, criterion validity, internal consistency, reliability, responsiveness, and interpretability.
Results
Fifteen distinct insight scales were identified, comprising nine clinician-rated instruments, five self-report tools, and one hybrid format. Most demonstrated adequate content and structural validity, with 11 achieving ‘very good’ reliability ratings. Four scales showed the strongest overall psychometric support. However, responsiveness to clinical change was rarely tested, and cross-cultural validation remained limited. Earlier instruments primarily emphasized clinician-rated illness awareness, whereas more recent tools incorporated cognitive, neurocognitive, and subjective dimensions. Discrepancies between self-report and clinician ratings were common and often clinically meaningful. These findings underscore the need for multidimensional, psychometrically robust, and context-sensitive tools to advance both clinical assessment and research on insight in psychotic disorders.
This commentary refutes Rosenholtz’s claim that visual attention lacks conceptual validity. We contend that attention remains important for elucidating capacity-limited perceptual processing and explaining phenomenological experience. Alternative frameworks centered on tasks and decision boundaries fail to account for perceptual effects that attentional mechanisms can capture. Thus, preserving attention as a theoretical construct is important, providing interpretive frameworks for empirical investigations.
Rosenholtz addresses the crisis of proliferating mechanisms for visual attention by redefining the concept in terms of (a) the known limitations of peripheral vision and (b) a proper assessment of task complexity. We argue that abandoning the see → decide → act pipeline model and the myth of a centralized gate or resource eliminates this crisis. In our view, “attention” describes an outcome—the consequence of multiple constraints on perception and action—rather than a reified cause.
The 22q11.2 deletion syndrome (22q11DS) is a genetic disorder characterised by defined microdeletions at chromosome 22q11.2. These genetic changes lead to a variety of neurodevelopmental problems, including cognitive delays and a very high rate of symptoms on the autism and schizophrenia spectrum. The underlying mechanisms contributing to these neurodevelopmental manifestations remain poorly understood. In concert with these neurodevelopmental difficulties there are also immune system alterations, including autoimmunity. We hypothesise that immune dysfunction and the presence of circulating autoantibodies may play a role in the pathophysiology of these neuropsychiatric symptoms. In this review, we synthesise the diverse literature on autoantibodies in 22q11DS and propose mechanisms for a causative role of these autoantibodies in neurobehavioural problems such as psychosis and cognitive delays. This review highlights the importance of further research to explore the interaction between autoreactive antibodies and functional alterations in neurocircuitry function. Understanding this relationship may provide insight into the origins of psychiatric symptoms.
An outbreak of emm92/ST82 Streptococcus pyogenes was detected through prospective genomic surveillance at a military treatment facility. Twenty-one of twenty-six patients had confirmed epidemiological links to grappling sports. One case resulted from household transmission. The benefits of routine surveillance extend beyond the hospital environment enabling the detection of community-driven transmission.
This anonymous survey of hospitalists and acute care nurses evaluated awareness of peripheral intravenous catheters (PIVC) presence and decision-making regarding PIVC insertion, maintenance, and removal. Nurses were most aware of PIVC presence and regarded as best to make decisions about PIVC, yet <50% of respondents felt nurses should remove PIVC without an order.
Paradigm shifts as advocated by Kuhn (1962), should be rarely occurring and based upon true crises. The study of attention, however, is not in crisis requiring a paradigm shift but instead has a firm empirical foundation that can accommodate the findings in visual search cited in the target article.
Rosenholtz’s paper is a solid addition to a long tradition of throwing out babies with attentional bathwater (Di Lollo, 2012) (Wolfe, 2012) (Hulleman & Olivers, 2017) (Wolfe, 2017). She is correct that the term “attention” has been used in profligate and often ill-defined ways. That said, I argue that any plausible model of visual search must include visual selective attention.
Recent electrophysiological studies of visual attention have highlighted the importance of visual circuits through evolutionarily conserved brain regions in the midbrain that target processing stages downstream from early visual cortex. These findings support the target article’s emphasis on late-stage “task selection” but are also consistent with early-stage modulation of basic visual features and flexible pooling of visual signals.
Rosenholtz argues that summary statistics explain attentional phenomena via peripheral vision. While we acknowledge their role, we challenge the claim that they serve as an alternative mechanism. Instead, we argue that summary statistics and selective attention are interdependent, shaping visual perception under limited capacity, as evidenced by perceptual biases in numerosity judgments and mean estimations of shape size, color, and position.
I agree that, in some literature, the term “attention” is ill-defined and the constraints of peripheral vision have been overlooked. However, I disagree with omitting the empirical studies that have emphasized the importance of defining, operationalizing, and manipulating different types of attention and have investigated their effects on perception as a function of eccentricity and polar angle in peripheral vision.
Ectoparasites are commonly found on wild birds and might play an important role as vectors of pathogens. The Balearic Islands archipelago (Spain) is an ecological hotspot for wild birds due to its geographical location and habitat diversity. Although the avian fauna of the archipelago is well studied, little information is available regarding the ectoparasites infesting its wild bird populations. This study aimed to identify the diversity of ectoparasites (chewing lice, louse flies and ticks) and feather mites on wild birds in several locations on Menorca Island, as well as to assess the prevalence based on the migration status and season. Our research revealed that ten of the 13 species of chewing lice collected in this study are reported here for the first time in the Balearic Islands, including two that are also new records for Spain. We did not find statistically significant differences in the prevalence of ectoparasites or feather mites between sedentary and migratory birds. Likewise, no significant differences were observed in feather mite prevalence among migratory birds from Illa de s’Aire between prenuptial and postnuptial migrations. This study provides valuable insights into the prevalence and diversity of ectoparasites, shedding light on their potential role as vectors for avian pathogens. Further research is needed to explore the pathogens these ectoparasites may carry and transmit, contributing to a better understanding of the epidemiology of avian diseases in Menorca.
The commentaries debated numerous points in the target article. Many questioned the existence of a crisis and the benefits of a paradigm shift, even though none countered the listed signs of a crisis. Paradigm shifts are an important way that science progresses. There remains hope for a unifying theory, and for a reawakening of an ambitious science of visual attention.
Rosenholtz (2024) dismisses attentional capture, arguing that brief distractions (20–40 ms) are insignificant or intentional. However, we argue that distractions are never intentional nor negligible, and studying them is crucial both theoretically and for real-world applications.