Sunday, July 21, 2019

Is there an objective test for Aphantasia?

How well do we know our own inner lives? Self-report measures are a staple of psychiatry, neuroscience, and all branches of psychology (clinical, cognitive, perceptual, personality, social, etc.). Symptom scales, confidence ratings, performance monitoring, metacognitive efficiency (meta-d'/d'), vividness ratings, preference/likeability judgements, and affect ratings are all examples. Even monkeys have an introspective side! 1

In the last post we learned about a condition called aphantasia, the inability to generate visual images. Although the focus has been on visual imagery, many people with aphantasia cannot form “mental images” of any sensory experience. Earworms, those pesky songs that get stuck in your head, are not a nuisance for some individuals with aphantasia (but many others do get them). Touch, smell, and taste are even less studied mental imagery of these senses is generally more muted, if it occurs at all (even in the fully phantasic).

The Vividness of Visual Imagery Questionnaire (VVIQ, Marks 1973)2 is the instrument used to identify people with poor to non-existent visual imagery (i.e., aphantasia). For each item on the VVIQ, the subject is asked to “try to form a visual image, and consider your experience carefully. For any image that you do experience, rate how vivid it is using the five-point scale described below. If you do not have a visual image, rate vividness as ‘1’. Only use ‘5’ for images that are truly as lively and vivid as real seeing.” By its very nature, it's a subjective measure that relies on introspection.

But how well do we really know the quality of our private visual imagery? Eric Schwitzgebel has argued that it's really quite poor:3
“ is observed that although people give widely variable reports about their own experiences of visual imagery, differences in report do not systematically correlate with differences on tests of skills that [presumably] require visual imagery, such as mental rotation, visual creativity, and visual memory.”

And it turns out that many of these cognitive skills do not require visual imagery. A recent study found that participants with aphantasia were slower to perform a mental rotation task (relative to controls), but they were more accurate (Pounder et al., 2018). The test asked participants to determine whether a pair of objects is identical, or mirror images of each other. Response times generally increase as a function of the angular difference in the orientations of the two objects. The overall slowing and accuracy advantage in those with aphantasia held across all levels of difficulty, so these participants must be using a different strategy than those without aphantasia.

Another study found that people with aphantasia were surprisingly good at reproducing the details of a complex visual scene from memory (Bainbridge et al., 2019).4

What test does require visual imagery? The phenomenon of binocular rivalry involves the presentation of two different images to each eye using specialized methods or simple 3D glasses. Instead of forming a unified percept, the images presented to the left and right eye seem to alternate. Thus, binocular rivalry involves perceptual switching. The figure below was taken from the informative video of Carmel and colleagues (2010) in JoVE. I highly recommend the video, which I've embedded at the end of this post.

A recent study examined binocular rivalry in aphantasia using the setup shown in Fig 1 (Keogh & Pearson, 2018). The key trick is that participants were cued to imagine one of two images for 6 seconds. Then they performed a vividness rating, followed by a brief presentation of the binocular rivalry display. Finally, the subjects had to report which color they saw.

- click for larger view -

The study population included 15 self-identified aphantasics recruited via Facebook, direct contact with the investigators, or referral from Professor Adam Zeman, and 209 control participants recruited from the general population. The VVIQ verified poor or non-existent visual imagery in the aphantasia group.

For the binocular rivalry test, the general population showed a priming effect from the imagined stimulus they were more likely to report that the subsequent test display matched the color of the imagined stimulus (green or red) at a greater than chance level (better than guessing). As a group, the individuals with aphantasia did not show priming that was greater than chance. However, as can be seen in Fig. 2E, results from this test were not completely diagnostic. Some with aphantasia showed better-than-chance priming, while a significant percentage of the controls did not show the binocular rivalry priming effect.

Fig. 2E (Keogh & Pearson, 2018). Frequency histogram for imagery priming scores for aphantasic participants (yellow bars and orange line) and general population (grey bars and black dashed line). The green dashed line shows chance performance (50% priming).

Furthermore, scores on the VVIQ in the participants with aphantasia did not correlate with their priming scores (although n=15 would make this hard to detect). Earlier work by these investigators suggested that the VVIQ does correlate with overall priming scores in controls, and binocular rivalry priming on an individual trial is related to self-reported vividness on that trial. Correlations for the n=209 controls in the present paper were not reported, however. This would be quite informative, since the earlier study had a much lower number of participants (n=20).

What does this mean? I would say that binocular rivalry priming can be a useful “objective” measure of aphantasia, but it's not necessarily diagnostic at an individual level.

Related Posts

The Shock of the Unknown in Aphantasia: Learning that Visual Imagery Exists

Imagine These Experiments in Aphantasia


1 see Mnemonic introspection in macaques is dependent on superior dorsolateral prefrontal cortex but not orbitofrontal cortex.

2 The VVIQ is not without its detractors...

3 Thanks to Rolf Degan for bringing this paper to my attention.

4 Also see this reddit thread on Sketching from memory.


Bainbridge WA, Pounder Z, Eardley A, Baker CI (2019). Characterizing aphantasia through memory drawings of real-world images. Cognitive Neuroscience Society Annual Meeting.

Keogh R, Pearson J. (2018). The blind mind: No sensory visual imagery in aphantasia. Cortex 105:53-60.

Marks DF. (1973). Visual imagery differences in the recall of pictures. British journal of Psychology 64(1): 17-24.

Pounder Z, Jacob J, Jacobs C, Loveday C, Towell T, Silvanto J. (2018). Mental rotation performance in aphantasia. Vision Sciences Society Annual Meeting.

Schwitzgebel E. (2002). How well do we know our own conscious experience? The case of visual imagery. Journal of Consciousness Studies 9(5-6):35-53.  {PDF}

Shepard RN, Metzler J. Mental rotation of three-dimensional objects. (1971) Science 171(3972): 701-3.

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At July 21, 2019 9:16 PM, Blogger Janelle said...

Very interesting! It's too bad that binocular rivalry priming wouldn't be diagnostic for the individual, because I'd be half inclined to contact the cognitive neuropsych department at the nearby university to see if they have that set up to see what my results are!

After your previous post, I posted the red star tweet in a Facebook group of speech-language pathologists (as we generally like various cognitive neuroscience topics) to see what proportion claimed to visualize #5 or 6. I thought for sure most/all would be like me and answer #1. To my surprise, most people claimed to be able to visualize #5-6! (I managed to weird out 3 others who didn't know that most people can literally see things in their mind's eye.) There was a great deal of discussion what this means, as you can imagine from a group of SLPs. There was some consideration if this could possibly be affecting a small subset of our young clients, as one major strategy to aid in developing expressing language relies heavily on teaching, you guessed it, visualization skills. (For an example of a formal program, go to: ). I don't think so, because in what we do, you simply can't separate out our heavy language instruction from the use of visualization so even if you can't visualize, there will still be organizational strategies taught that are helpful.

I can tell you what strategy I use for the mental rotation task--I mentally travel down the line of the object and mentally turn left or right, and it all feels very kinesthetic. I often use that mental movement strategy, and I'm wondering now if I'm using some form of that strategy when I think I'm using mental imagery??

Also, when you described your personal immediate mental imagery in your comment on your post, it reminded me of the visual persistence you can get when you see something brightly coloured, then close your eyes and then still see if for a brief moment until it fades away. I guess that is the closest I'll ever get to experiencing literal visual imagery!

At July 23, 2019 10:26 AM, Blogger The Neurocritic said...

Hi Janelle - I think the binocular rivalry priming paradigm would be useful to assess the relative large percentage of people who choose 6 on the red star test, which means "I see the red star in my mind as clearly as I would see it in real life." These individuals should show priming on nearly every trial, or it should match performance when real stimuli are presented.

I'd consider Eric Schwitzgebel's view here, that we don't know the contents of own minds as well as we think. He's written quite a lot about it. Rolf Degen has a lengthy quote from Schwitzgebel's article in a tweet. And this, from another Degen tweet:

Our mental images are not as vivid as "real" visual images (link). If they were, people wouldn't bother, for example, to watch porn. They's just exert their imagination.

It's probably not uncommon to use a kinesthetic strategy for mental rotation, as if you're holding the object as a block and rotating it around.

At June 01, 2020 12:31 PM, Blogger Linda Trimm said...

I have never know any other way to think. I spent my life disguising mental blocks as temporary lapses and I actually believed it.

I "suffer" more now that I know that not only am I different, there's a name for my "condition" and a lot of others like me. I was better off not knowing that people aren't being metaphorical when they say they "can just see it now".

Throughout my life I probably covered up my empty spots with false information, inaccurate descriptions, and you know what, it never got me in trouble or harmed anyone. Now I doubt myself whenever relating an event to anyone. How do I know it was a 4 door car? Did I see someone open the back door? or am I just saying that to avoid sounding like I don't know what I'm talking about?

I have an exceptional ability to remember every word to any song I've heard more than twice, if I like the song. If I hate the song, doesn't matter, by the 4th or 5th time I've heard it I will know the lyrics for life.

I can't sing, but I do so anyway, just not publicly, not since the heath department banned me from singing in any establishment that serves food. lol

At October 24, 2022 2:53 PM, Anonymous Anonymous said...

"Now I doubt myself whenever relating an event to anyone. How do I know it was a 4 door car?"

Don't be too self-critical. Something like a 4 car door, or the car being red, is a logistical fact, rather than a visual one. You can know the facts describing something without visualization. Take the "imagine an apple" hypothetical: even if you can't actually picture an apple in your mind's eye, you KNOW what an apple is, and could describe it factually without mentally visualizing it (red, round-ish, with a stem, etc.).

Although to be able to visualize something in the mind IS a huge difference, it doesn't mean you can't rely on yourself in other areas, because they're different areas of thought.


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