The line bisection bias stems from left-side underawareness, not from right-side hyperattention

Abstract

It is still a matter of scientific debate whether the line bisection bias frequently observed in patients with spatial neglect is due to attentional underawareness of the left end of the line, attentional hyperattention towards the right end, or a logarithmically compressed perception of the line. To address this question, neglect patients who showed a line bisection bias were administered additional tasks involving horizontal lines (e.g., number line estimation tasks). Their performance was compared to neglect patients not showing a line bisection bias, patients with right hemisphere damage without neglect, and healthy controls. Results indicated that patients with a line bisection bias tended to overestimate lefthand segments when they had to dissect lines into three or four equal parts. This is congruent with both the notions of an underawareness of lefthand segments as well as a logarithmic compression of the line. However, when these patients had to imagine the lines as bounded fraction number lines ranging from 0-1, the results were mixed. When the number lines ranged from 0-10, these patients showed rightward overestimation biases for the numbers 4 and 5. Additionally, all patient groups, but not healthy controls, tended to place number 1 too far to the left and number 9 too far to the right, suggesting a general bias towards endpoints. In sum, this seems more congruent with attentional accounts than a perceptual one. Spatial-numerical associations could be ruled out, as all participants showed a verbal number bisection bias towards smaller numbers (i.e., the left of the mental number line). Therefore, these findings seem to indicate that the line bisection bias is most likely due to underawareness of the left end rather than hyperattention towards the right or a logarithmic perception of the line.