What is the relation between perceptual awareness and action? In this study we tested the hypothesis that motor response influences perceptual awareness judgements. We used a perceptual discrimination task in which presentation of the stimulus was immediately followed by a cue requiring a motor response that was irrelevant to the task but could be the same, opposite, or neutral to the correct response to the stimulus. After responding to the cue, participants rated their stimulus awareness using the Perceptual Awareness Scale, and then carried out their discrimination response. Participants reported a higher level of stimulus awareness after carrying out responses that were either congruent or incongruent with the response required by the stimulus, compared to the neutral condition. The results suggest that the motor response overlapping with a potential response to the stimulus provides information about the outcome of decision process and increases the reported awareness of stimuli.

This article discusses how the analysis of interactions between action and awareness allows us to better understand the mechanisms of visual awareness. We argue that action is one of several factors that influence visual awareness and we provide a number of examples. We also discuss the possible mechanisms that underlie these influences on both the cognitive and the neural levels. We propose that action affects visual awareness for the following reasons: (1) it serves as additional information in the process of evidence accumulation; (2) it restricts the number of alternatives in the decisional process; (3) it enables error detection and performance monitoring; and (4) it triggers attentional mechanisms that modify stimulus perception. We also discuss the possible neuronal mechanisms of the aforementioned effects, including feedback-dependent prefrontal cortex modulation of the activity of visual areas, error-based modulation, interhemispheric inhibition of motor cortices, and attentional modulation of visual cortex activity triggered by motor processing.

Transcranial magnetic stimulation (TMS) is used to make inferences about relationships between brain areas and their functions because, in contrast to neuroimaging tools, it modulates neuronal activity. The central aim of this article is to critically evaluate to what extent it is possible to draw causal inferences from repetitive TMS (rTMS) data. To that end, we describe the logical limitations of inferences based on rTMS experiments. The presented analysis suggests that rTMS alone does not provide the sort of premises that are sufficient to warrant strong inferences about the direct causal properties of targeted brain structures. Overcoming these limitations demands a close look at the designs of rTMS studies, especially the methodological and theoretical conditions which are necessary for the functional decomposition of the relations between brain areas and cognitive functions. The main points of this article are that TMS-based inferences are limited in that stimulation-related causal effects are not equivalent to structure-related causal effects due to TMS side effects, the electric field distribution, and the sensitivity of neuroimaging and behavioral methods in detecting structure-related effects and disentangling them from confounds. Moreover, the postulated causal effects can be based on indirect (network) effects. A few suggestions on how to manage some of these limitations are presented. We discuss the benefits of combining rTMS with neuroimaging in experimental reasoning and we address the restrictions and requirements of rTMS control conditions. The use of neuroimaging and control conditions allows stronger inferences to be gained, but the strength of the inferences that can be drawn depends on the individual experiment’s designs. Moreover, in some cases, TMS might not be an appropriate method of answering causality-related questions or the hypotheses have to account for the limitations of this technique. We hope this summary and formalization of the reasoning behind rTMS research can be of use not only for scientists and clinicians who intend to interpret rTMS results causally but also for philosophers interested in causal inferences based on brain stimulation research.