This article reviews recent event-related brain potential (ERP) studies of
involuntary attention and distractibility in response to novelty and change
in the acoustic environment. These studies show that the mismatch negativi
ty, N-1 and P-3a ERP components elicited by deviant or novel sounds in an u
nattended sequence of repetitive stimuli index different processes along th
e course to involuntary attention switch to distracting stimuli. These stud
ies used new auditory-auditory and auditory-visual distraction paradigms, w
hich enable one to assess objectively abnormal distractibility in several c
linical patient groups, such as those suffering from closed-head injuries o
r chronic alcoholism. Copyright (C) 2000 S. Karger AG, Basel.