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1. A conversation with Alberto Gallace

From Facebook’s purchase of Oculus VR Inc. to the latest medical developments, technology is driving new explorations of the perception, reality, and neuroscience. How do we perceive reality through the sense of touch? Alberto Gallace is a researcher in touch and multisensory integration at the University of Milano-Bicocca, Italy, and co-author of In touch with the future: The sense of touch from cognitive neuroscience to virtual reality. We recently spoke to him about touch, personal boundaries, and being human.

Out of all the human senses, touch is the one that is most often unappreciated, and undervalued. When did you first become interested in touch research?

I was in Oxford as a visiting PhD student and working on multisensory integration, in particular on the integration between tactile and visual signals in the brain. Soon I realized that, despite the fact that is a very important sensory modality, there was not much research on touch, and there were not even a lot of instruments to study such sensory modality. I started by working more with engineers and technical workshops then with psychologists and neuroscientists, just because I needed some device to test the sense of touch in a different way as compared to what was done in the past. Touch was mainly studied with reference to haptic object recognition, mostly on visually impaired individuals or in terms of its physiological mechanisms. Many of the most relevant aspects of touch were very little, if not at all, investigated.

HandsWe use touch for walking, talking, eating, nearly everything basically. It also plays a major role on our interpersonal relationships, it affects the release of hormones and it contributes to define the boundary of our self.

To my students I often say, where our touch begins, we are. I wanted to understand more of these topics. I wanted to compare touch with other sensory modalities. In doing that I was convinced that research on touch had to get away from the fingertips or hands and extend to the whole body surface. The more I studied this sense, the more I became interested in it. For every question answered there were many more without responses. I like touch a lot because there are many things that still need to be understood about it, and I am a rather curious person, particularly when it comes to science.

What do you think has been the most important development in touch research in the past 100 years?

I am not sure if it’s the most important development, but what I certainly consider important is the recent study of certain neural fibres specialized in transmitting socially-relevant information via the sense of touch. That is, the C tactile afferents in humans, that are strongly activated by ‘caress like’ stimuli, might play an important role in many of our most pleasant social experiences. However, I should also say that my personal way to think about science is much more ‘future oriented’. That is, I believe that the most important developments in touch research are the ones that we will see in the next years. I am really looking forward to reading (or possibly writing) about them.

Why did you decide to research this topic?

Most of the previously published books on touch — there aren’t many, to be honest — were focused on a single topic. Most of them were based on research on visually-impaired individuals, and the large majority of them were authored books, a collections of chapters written by different people, sometimes with a different view. Charles [Spence, University of Oxford] and myself wanted something different, something more comprehensive, something that could help people to understand that touch is involved in many different and relevant aspects of our life. We envisioned a book where the more neuroscientific aspects of touch were addressed together with a number of more applied topics. We wanted something where people could see touch ‘at work’. We talk about the neural bases of touch, tactile perception, tactile attention, tactile memory, tactile consciousness, but also about the role of touch in technology, marketing, virtual reality, food appreciation, and sexual behaviour. Many of these topics have never been considered in a book on touch before.

Philippe Mercier - The Sense of Touch

Philippe Mercier’s The Sense of Touch

What do you see as being the future of research in this field in the next decade?

I think that research in my field, pushed by technological advances, will grow rapidly in the coming years. One of the fields where I see a lot of potential is certainly related to the reproduction of tactile sensations in virtual reality environments. Virtual reality will likely become an important part of our life, maybe not in the next decade, but certainly in a not so distant future. However, if we want to create believable virtual environments we need to understand more of our sense of touch, and in particular how our brain processes tactile information, how different tactile stimulations can lead to certain emotions and behaviours, and how tactile sensations can be virtually reproduced. Following the idea that ‘where our touch begins, we are’, research will certainly invest a lot of resources in trying to better understand the neurocognitive mechanisms responsible for supporting our sense of ‘body ownership’ (the feeling that the body is our own) and how this sense can be transferred to virtual/artificial counterparts of our self. Here research on touch will certainly play a leading role.

If you weren’t doing touch research, what would you be doing?

I think I’d work as a scientist in a different field, but always as a scientist. I am too curious about how nature works to do something different. Since I was twelve I’ve always had a special interest in astronomy and astrophysics and I can easily picture myself working in that field too. Understanding the secrets of black cosmic matter or studying the mysteries of white brain matter? Not sure which would be better. What I am sure about is that I like my job a lot, and I won’t change it with anything else that is not based that much on creativity and curiosity.

Alberto Gallace is a researcher at Department of Psychology, University of Milano-Bicocca, Italy, and co-author of In touch with the future: The sense of touch from cognitive neuroscience to virtual reality. His research interests include spatial representation, multisensory integration, tactile perception, tactile interfaces, body representation, virtual reality, sensory substitution systems, and neurological rehabilitation of spatial disorders.

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Image credits: (1) Via Catalana Barcelona Plaça Catalunya 37. Photo by Judesba. CC-BY-SA-3.0 via Wikimedia Commons. (2) The Sense of Touch, painting by Philipe Mercier. Public domain via Wikimedia Commons

The post A conversation with Alberto Gallace appeared first on OUPblog.

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2. Dementia on the beach

By Cretien van Campen


Would you take a person with dementia to the beach?

This might not really be an idea you would think of. There are several possible constraints: difficulty with travel, for example, being one. And what if, having succeeded in getting the dementia sufferer there and back, the next day you asked if they enjoyed their day out and he or she just stared at you with a confused gaze as if to ask, ‘what are you talking about?’

If you think it makes little sense to take persons with dementia to the beach, it will surprise you that a nursing home in Amsterdam has built a Beach room. In this room, residents can enjoy the feeling of sitting in the sun with their bare feet in the sand. The room is designed to improve the well-being of these residents. The garden room at the centre of the home has recently been converted into a true ‘beach room’, complete with sand and a ‘sun’ which can be adjusted in intensity and heat output. A summer breeze blows occasionally and the sounds of waves and seagulls can be heard. The décor on the walls is several metres high, giving those in the room the impression that they are looking out over the sea. There are five or six chairs in the room where the older residents can sit. There are also areas of wooden decking on which wheelchairs can be parked. The designers have even managed to replicate the impression of sea air.

Multisensory ‘Beach room’ in the Vreugdehof care centre, Amsterdam.

Multisensory ‘Beach room’ in the Vreugdehof care centre, Amsterdam.

Visits to the beach room appear to have calming and inspiring effects on residents of the nursing home. One male resident used to go to the beach often in the past and now, after initially protesting when his daughter collected him from his bedroom, feels calm and content in the beach room. His dementia hinders us from asking him whether he remembers anything from the past, but there does appear to be a moment of recognition of a familiar setting when he is in there.

Evidence is building through studies into the sensorial aspects of memorizing and reminiscing by frail older persons in nursing and residential homes. Several experimental studies have noted the positive effects of sense memories on the subjective well-being of frail older persons. For instance, one study showed that participants of a life review course including sensory materials had significantly fewer depressive complaints and felt more in control of their lives than the control group who had watched a film.

The Beach Room is an example of a multisensory room that emanates from a specific sensorial approach to dementia. The ‘Snoezelen’ approach was initiated in the Netherlands in the late 1970s. The word ‘Snoezelen’ is a combination of two Dutch words: ‘doezelen’ (to doze) and ‘snuffelen’ (to sniff ). Snoezelen takes place in a specially equipped room where the nature, quantity, arrangement, and intensity of stimulation by touch, smells, sounds and light are controlled. The aim of these multisensory interventions is to find a balance between relaxation and activity in a safe environment. Snoezelen has become very popular in nursing homes: around 75% of homes in the Netherlands, for example, have a room set aside for snoezelen activities.

On request by health care institutions, artists have taken up the challenge to design multisensory rooms or redesign the multisensory space of wards (e.g. distinguished by smells) and procedures (cooking and eating together instead of individual microwave dinners). Besides a few scientific evaluations, most evidence is actually acquired from collaborations of artists and health professionals at the moment. The senses are often a better way of communicating with people affected by deep dementia. Like the way that novelist Marcel Proust opened the joys of his childhood memories with the flavour of a Madeleine cake dipped in linden-blossom tea, these artistic health projects open windows to a variety of ways of using sensorial materials to reach unreachable people.

So, would you take a person with dementia to the beach? Yes, take them to the beach! It can evoke Proust effects and enhance their joy and well-being. Although, we still do not know what the Proust effect does inside the minds of people with dementia, we can oftentimes observe the result as an enhanced state of calmness with perhaps a little smile on their face. People with dementia who have lost so much of their quality of life can still experience moments of joy and serenity through their sense memories.

Cretien van Campen is a Dutch author, scientific researcher and lecturer in social science and fine arts. He is the founder of Synesthetics Netherlands and is affiliated with the Netherlands Institute for Social Research and Windesheim University of Applied Sciences. He is best known for his work on synesthesia in art, including historical reviews of how artists have used synesthetic perceptions to produce art, and studies of perceived quality of life, in particular of how older people with health problems perceive their living conditions in the context of health and social care services. He is the author of The Proust Effect: The Senses as Doorways to Lost Memories.

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Image credits: Multisensory ‘Beach room’ in the Vreugdehof care centre, Amsterdam. Photo: Cor Mantel, with permission from Vreugdehof.

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