Visual synaesthesia in the blind

Synaesthesia is characterised by idiosyncratic ectopic sensations which commonly take the form of coloured visual impressions evoked by touch or hearing. We studied six late-blind individuals who have retained synaesthetic colour perception. Four of them had been without any form of genuine colour vision for more than 10 years. All perceived colours when they heard or thought about letters, numbers, and time-related words (days of the week and months of the year). One experienced synaesthetic colours for all words. Another saw Braille characters as coloured dots when he touched them. The aberrant experiences were compelling and reliable: detailed verbal descriptions of the colours were remarkably consistent in tests more than 2 months apart. The percepts predominantly took the form of coloured patches, localised in body-centred space for five of the subjects and in head-centred space for the sixth. This implies that the neural activity underlying synaesthesia occurs after the establishment of a visual representation independent of eye (or head) position. The synaesthetic colour depended only on phonetic cues in one case, but on semantic context in others. Although synaesthesia might be due to idiosyncratic, aberrant corticocortical connectivity established during early development, it can persist for very long periods with little or no natural experience in the referred modality and therefore does not depend solely on continuing associative learning.