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PubMed2006

Developmental differences in the neural bases of the face inversion effect show progressive tuning of face-selective regions to the upright orientation.

Face inversion hinders face processing in adults, while not affecting children in the same way. This fMRI study examines the neural underpinnings of the behavioral face inversion effect (FIE) from childhood to adulthood, and how face-selective regions in the brain may change with development. Adults, children, and teens performed a facial expression decision on upright and inverted face stimuli. In the right hemisphere (RH) all age groups showed similar profiles of neural activation for upright faces, but important developmental differences occured for inverted faces. For inverted faces, adults, and to a lesser degree teens, exhibited decreased levels of activity in the face-selective, right lateral fusiform gyrus (LFG). However, children exhibited greater activation for inverted than for upright faces in the same region. We found similar, but less robust, developmental trends in the right superior temporal sulcus (STS) and medial fusiform gyrus (MFG). Furthermore, the present study identifies the right LFG as the primary neural correlate of the behavioral FIE, and therefore of face processing expertise, by showing a significant correlation between the behavioral FIE and the neural FIE only in this region. Finally, the present findings shed some light on at least one of the possible mechanisms underlying the development of face processing expertise, by suggesting a progressive tuning of face-selective regions in the right hemisphere to the upright orientation, that extends well into adolescence.

Adolescent↗
PubMed2002

The classification of 'fear' from faces is associated with face recognition skill in women.

Two experiments were conducted to explore the relationship between the discrimination of the facial expression of 'fear' in faces and facial recognition. On the basis of the reported role of the amygdala in both processes in patients, we hypothesised that the two skills would be correlated in normal adults. In Experiment 1, a series of tests of facial expression categorisation, of face matching and of familiar and unfamiliar face recognition was conducted on normal young women, for whom psychometric scores were also obtained (n=23). Accuracy of categorisation of fear from faces predicted variance in face recognition accuracy-especially in tasks of unfamiliar face recognition (immediate old-new discrimination). No other correlations between face processing and expression classification were significant. Experiment 2 repeated the expression classification tests and an unfamiliar face recognition test on a new sample of men (n=13) and women (n=16). While there were no sex differences in face recognition, the correlation between 'fear' and face recognition was replicated only for women. These data indicate that the amygdala supports both the specific apprehension of fear in faces and face recognition in adult human females, but that the association may not hold for men. Sex differences in the structure of the amygdala-hippocampal complex suggest a likely cortical substrate for the observed differences. We speculate that social learning, which involves identifying the faces of potentially salient others, and also their attitude to the observer, engages the amygdala more readily in women than in men.

Adolescent↗
PubMed2006

Faces are "spatial"--holistic face perception is supported by low spatial frequencies.

Faces are perceived holistically, a phenomenon best illustrated when the processing of a face feature is affected by the other features. Here, the authors tested the hypothesis that the holistic perception of a face mainly relies on its low spatial frequencies. Holistic face perception was tested in two classical paradigms: the whole-part advantage (Experiment 1) and the composite face effect (Experiments 2-4). Holistic effects were equally large or larger for low-pass filtered faces as compared to full-spectrum faces and significantly larger than for high-pass filtered faces. The disproportionate composite effect found for low-pass filtered faces was not observed when holistic perception was disrupted by inversion (Experiment 3). Experiment 4 showed that the composite face effect was enhanced only for low spatial frequencies, but not for intermediate spatial frequencies known be critical for face recognition. These findings indicate that holistic face perception is largely supported by low spatial frequencies. They also suggest that holistic processing precedes the analysis of local features during face perception.

Adolescent↗
PubMed1990

Repetition priming and face processing: priming occurs within the system that responds to the identity of a face.

A familiar stimulus that has recently been recognized will be recognized a second time more quickly and more accurately than if it had not been primed by the earlier encounter. This is the phenomenon of "repetition priming". Four experiments on repetition priming of face recognition suggest that repetition priming is a consequence of changes within the system that responds to the familiarity of a stimulus. In Experiment 1, classifying familiar faces by occupation facilitated subsequent responses to the same faces in a familiarity decision task (Is this face familiar or unfamiliar?) but not in an expression decision task (Is this face smiling or unsmiling?) or a sex decision task (Is this face male or female?). In Experiment 2, familiar faces showed repetition priming in a familiarity decision task, regardless of whether a familiarity judgment or an expression judgment had been required when the faces were first encountered. Expression decisions to familiar faces again failed to show repetition priming. In Experiment 3, familiar faces showed repetition priming in a familiarity decision task, regardless of whether a familiarity judgment or a sex judgment had been asked for when the faces were first encountered. Sex decisions to familiar faces again failed to show repetition priming. In Experiment 4, familiarity decisions continued to show repetition priming when a brief presentation time with encouragement to respond while the face was displayed reduced response latencies to speeds comparable to those for sex and expression judgments in Experiments 1 to 3. The results are problematic for theories that propose that repetition priming is mediated by episodic records of previous acts of stimulus encoding.

Adult↗
PubMed2002

Social interest and the development of cortical face specialization: what autism teaches us about face processing.

Investigations of face processing in persons with an autism spectrum disorder (ASD) inform upon theories of the development of "normal" face processing, and the story that emerges challenges some models of the nature and origin of cortical face specialization. Individuals with an ASD possess deficits in face processing and a lack of a fusiform face area (FFA). Evidence from studies of ASD can be conceptualized best using an expertise framework of face processing rather than models that postulate a face module in the fusiform gyrus. Because persons with an ASD have reduced social interest, they may fail to develop cortical face specialization. Face specialization may develop in normal individuals because they are socially motivated to regard the face, and such motivation promotes expertise for faces. The amygdala is likely the key node in the system that marks objects as emotionally salient and could be crucial to the development of cortical face specialization.

Adolescent↗
PubMed2004

Dissociation between overt and unconscious face processing in fusiform face area.

The precise role of the fusiform face area (FFA) in face processing remains controversial. In this study, we investigated to what degree FFA activation reflects additional functions beyond face perception. Seven volunteers underwent rapid event-related functional magnetic resonance imaging while they performed a face-encoding and a face-recognition task. During face encoding, activity in the FFA for individual faces predicted whether the individual face was subsequently remembered or forgotten. However, during face recognition, no difference in FFA activity between consciously remembered and forgotten faces was observed, but the activity of FFA differentiated if a face had been seen previously or not. This demonstrated a dissociation between overt recognition and unconscious discrimination of stimuli, suggesting that physiological processes of face recognition can take place, even if not all of its operations are made available to consciousness.

Adult↗
PubMed2001

Face processing occurs outside the fusiform 'face area' in autism: evidence from functional MRI.

Processing the human face is at the focal point of most social interactions, yet this simple perceptual task is difficult for individuals with autism, a population that spends limited amounts of time engaged in face-to-face eye contact or social interactions in general. Thus, the study of face processing in autism is not only important because it may be integral to understanding the social deficits of this disorder, but also, because it provides a unique opportunity to study experiential factors related to the functional specialization of normal face processing. In short, autism may be one of the only disorders where affected individuals spend reduced amounts of time engaged in face processing from birth. Using functional MRI, haemodynamic responses during a face perception task were compared between adults with autism and normal control subjects. Four regions of interest (ROIs), the fusiform gyrus (FG), inferior temporal gyrus, middle temporal gyrus and amygdala were manually traced on non-spatially normalized images and the percentage ROI active was calculated for each subject. Analyses in Talairach space were also performed. Overall results revealed either abnormally weak or no activation in FG in autistic patients, as well as significantly reduced activation in the inferior occipital gyrus, superior temporal sulcus and amygdala. Anatomical abnormalities, in contrast, were present only in the amygdala in autistic patients, whose mean volume was significantly reduced as compared with normals. Reaction time and accuracy measures were not different between groups. Thus, while autistic subjects could perform the face perception task, none of the regions supporting face processing in normals were found to be significantly active in the autistic subjects. Instead, in every autistic patient, faces maximally activated aberrant and individual-specific neural sites (e.g. frontal cortex, primary visual cortex, etc.), which was in contrast to the 100% consistency of maximal activation within the traditional fusiform face area (FFA) for every normal subject. It appears that, as compared with normal individuals, autistic individuals 'see' faces utilizing different neural systems, with each patient doing so via a unique neural circuitry. Such a pattern of individual-specific, scattered activation seen in autistic patients in contrast to the highly consistent FG activation seen in normals, suggests that experiential factors do indeed play a role in the normal development of the FFA.

Adult↗
PubMed2003

A network of occipito-temporal face-sensitive areas besides the right middle fusiform gyrus is necessary for normal face processing.

Neuroimaging studies have identified at least two bilateral areas of the visual extrastriate cortex that respond more to pictures of faces than objects in normal human subjects in the middle fusiform gyrus [the 'fusiform face area' (FFA)] and, more posteriorly, in the inferior occipital cortex ['occipital face area' (OFA)], with a right hemisphere dominance. However, it is not yet clear how these regions interact which each other and whether they are all necessary for normal face perception. It has been proposed that the right hemisphere FFA acts as an isolated ('modular') processing system for faces or that this region receives its face-sensitive inputs from the OFA in a feedforward hierarchical model of face processing. To test these proposals, we report a detailed neuropsychological investigation combined with a neuroimaging study of a patient presenting a deficit restricted to face perception, consecutive to bilateral occipito-temporal lesions. Due to the asymmetry of the lesions, the left middle fusiform gyrus and the right inferior occipital cortex were damaged but the right middle fusiform gyrus was structurally intact. Using functional MRI, we disclosed a normal activation of the right FFA in response to faces in the patient despite the absence of any feedforward inputs from the right OFA, located in a damaged area of cortex. Together, these findings show that the integrity of the right OFA is necessary for normal face perception and suggest that the face-sensitive responses observed at this level in normal subjects may arise from feedback connections from the right FFA. In agreement with the current literature on the anatomical basis of prosopagnosia, it is suggested that the FFA and OFA in the right hemisphere and their re-entrant integration are necessary for normal face processing.

Discrimination, Psychological↗
PubMed2000

The N170 occipito-temporal component is delayed and enhanced to inverted faces but not to inverted objects: an electrophysiological account of face-specific processes in the human brain.

Behavioral studies have shown that picture-plane inversion impacts face and object recognition differently, thereby suggesting face-specific processing mechanisms in the human brain. Here we used event-related potentials to investigate the time course of this behavioral inversion effect in both faces and novel objects. ERPs were recorded for 14 subjects presented with upright and inverted visual categories, including human faces and novel objects (Greebles). A N170 was obtained for all categories of stimuli, including Greebles. However, only inverted faces delayed and enhanced N170 (bilaterally). These observations indicate that the N170 is not specific to faces, as has been previously claimed. In addition, the amplitude difference between faces and objects does not reflect face-specific mechanisms since it can be smaller than between non-face object categories. There do exist some early differences in the time-course of categorization for faces and non-faces across inversion. This may be attributed either to stimulus category per se (e.g. face-specific mechanisms) or to differences in the level of expertise between these categories.

Adult↗
PubMed1982

Changing faces: visual and non-visual coding processes in face recognition.

Two experiments examined the effect of recognition accuracy and latency of changing the view of faces between presentation and test. In Expt 1, all the faces were unfamiliar to the subjects. Faces at test were either unchanged, or changed in angle (e.g. full face to 3/4), expression (e.g. smiling to unsmiling) or both. Unchanged faces were recognized more quickly and accurately than faces with a change in angle or expression which were in turn better than faces with both changed. In Expt 2, half the faces were highly familiar to the subjects, and at test unfamiliar and familiar faces were either unchanged or changed in both angle and expression. Unfamiliar faces were recognized more slowly and less accurately if changed at test, while familiar faces were recognized more slowly though no less accurately if change (though performance was effectively at ceiling). Familiar faces were recognized more quickly and accurately than unfamiliar, though false positive rates and rejection latencies were similar for familiars and unfamiliars. The results are discussed in terms of the combination of information from "pictorial', "structural', and "semantic' and "name' codes.

Discrimination Learning↗
PubMed2002

Developmental changes in mother-infant face-to-face communication: birth to 3 months.

This study documented the growth of the earliest form of face-to-face communication in 16 mother-infant dyads, videotaped weekly during a naturalistic face-to-face interaction, between 1 and 14 weeks, in 2 conditions: with the infant in the mother's arms and with the infant semi-reclined on a sofa. Results showed a curvilinear development of early face-to-face communication, with a significant increase occurring between Week 4 and Week 9 depending on the dyad. After 2 months, trajectories diverged into 2 groups: I whose duration of face-to-face communication continued to increase and I whose duration peaked and then began to decrease. After the 1st month, the duration of face-to-face communication was significantly longer when the infant was on the sofa rather than in the mother's arms. In the latter condition, during the 3rd month, girls spent a significantly longer time than boys in face-to-face communication. These findings suggest that context (infant being held vs. not being held) interacts with the infant's age and sex in affecting mother-infant communication.

Adult↗
PubMed2003

Preadolescents' recognition of faces of unfamiliar peers: the effect of attractiveness of faces.

The authors examined preadolescents' ability to recognize faces of unfamiliar peers according to their attractiveness. They hypothesized that highly attractive faces would be less accurately recognized than moderately attractive faces because the former are more typical. In Experiment 1, 106 participants (M age = 10 years) were asked to recognize faces of unknown peers who varied in gender and attractiveness (high- vs. medium-attractiveness). Results showed that attractiveness enhanced the accuracy of recognition for boys' faces and impaired recognition of girls' faces. The same interaction was found in Experiment 2, in which 92 participants (M age = 12 years) were tested for their recognition of another set of faces of unfamiliar peers. The authors conducted Experiment 3 to examine whether the reason for that interaction is that high- and medium-attractive girls' faces differ more in typicality than do boys' faces. The effect size of attractiveness on typicality was similar for boys' and girls' faces. The overall results are discussed with reference to the development of face encoding and biological gender differences with respect to the typicality of faces during preadolescence.

Attention↗
PubMedDate not supplied

Time-tradeoff values and standard-gamble utilities assessed during telephone interviews versus face-to-face interviews.

The purpose of this study was to compare time-tradeoff values and standard-gamble utilities obtained during telephone interviews with those obtained through face-to-face interviews. Sixty-five patients with peripheral arterial occlusive disease completed both interviews. One week prior to the telephone interview, the patients received by mail a questionnaire in which the value and utility measures were presented in writing. The face-to-face interviews used the same questions, but the interviewer used visual aids. The mean time-tradeoff values were 0.84 (SD 0.20) vs 0.86 (SD 0.17) for the telephone and face-to-face interviews, respectively (p = 0.31). The mean standard-gamble utilities were 0.93 (SD 0.16) vs 0.92 (SD 0.17) for the telephone and face-to-face interviews, respectively (p = 0.26). In conclusion, telephone interviews yield similar time-tradeoff values and standard-gamble utilities compared with face-to-face interviews, suggesting that telephone interviews can replace face-to-face interviews.

Adult↗
PubMedDate not supplied

Time spent in face-to-face patient care and work outside the examination room.

PURPOSE: Contrary to physicians' concerns that face-to-face patient time is decreasing, data from the National Ambulatory Medical Care Survey (NAMCS) indicate that between 1988 and 1998, durations of primary care outpatient visits have increased. This study documented how physicians spend time during the workday, including time outside the examination room, and compared observed face-to-face patient care time with that reported in NAMCS. METHODS: Using time-motion study techniques, for each of 11 physicians, 2 patient care days were randomly selected and documented by direct observation. Physician time spent on face-to-face patient care and 54 activities outside the examination room were documented. Data represent 12,180 minutes of work and 611 outpatient visits. RESULTS: The average workday duration was 8.6 hours, and face-to-face patient care accounted for 55% of the day. Work outside the examination room relevant to a patient currently being seen averaged 14% of the day. Work related to a patient not physically present accounted for one fifth (23%) of the workday. The combination of face-to-face time and time spent on visit-specific work outside the examination room assessed by direct observation was significantly less than the 2003 NAMCS estimate of visit duration assessed by physician report (13.3 vs 18.7 minutes, P <.001). CONCLUSIONS: Nearly one half of a primary care physician's workday is spent on activities outside the examination room, predominately focused on follow-up and documentation of care for patients not physically present. National estimates of visit duration overestimate the combination of face-to-face time and time spent on visit-specific work outside the examination room by 41%.

Family Practice↗
PubMed2005

Face, eye and object early processing: what is the face specificity?

We investigated the human face specificity by comparing the effects of inversion and contrast reversal, two manipulations known to disrupt configural face processing, on human and ape faces, isolated eyes and objects, using event-related potentials. The face sensitive marker, N170, was shortest to human faces and delayed by inversion and contrast reversal for all categories and not only for human faces. Most importantly, N170 to inverted or contrast-reversed faces was not different from N170 to eyes that did not differ across manipulations. This suggests the disruption of facial configuration by these manipulations isolates the eye region from the face context, to which eye neurons respond. Our data suggest that (i) the inversion and contrast reversal effects on N170 latency are not specific to human faces and (ii) the similar increase of N170 amplitude by inversion and contrast reversal is unique to human faces and is driven by the eye region. Thus, while inversion and contrast reversal effects on N170 latency are not category-specific, their effects on amplitude are face-specific and reflect mainly the contribution of the eye region.

Adult↗
PubMed2005

The Cambridge Face Memory Test: results for neurologically intact individuals and an investigation of its validity using inverted face stimuli and prosopagnosic participants.

The two standardized tests of face recognition that are widely used suffer from serious shortcomings [Duchaine, B. & Weidenfeld, A. (2003). An evaluation of two commonly used tests of unfamiliar face recognition. Neuropsychologia, 41, 713-720; Duchaine, B. & Nakayama, K. (2004). Developmental prosopagnosia and the Benton Facial Recognition Test. Neurology, 62, 1219-1220]. Images in the Warrington Recognition Memory for Faces test include substantial non-facial information, and the simultaneous presentation of faces in the Benton Facial Recognition Test allows feature matching. Here, we present results from a new test, the Cambridge Face Memory Test, which builds on the strengths of the previous tests. In the test, participants are introduced to six target faces, and then they are tested with forced choice items consisting of three faces, one of which is a target. For each target face, three test items contain views identical to those studied in the introduction, five present novel views, and four present novel views with noise. There are a total of 72 items, and 50 controls averaged 58. To determine whether the test requires the special mechanisms used to recognize upright faces, we conducted two experiments. We predicted that controls would perform much more poorly when the face images are inverted, and as predicted, inverted performance was much worse with a mean of 42. Next we assessed whether eight prosopagnosics would perform poorly on the upright version. The prosopagnosic mean was 37, and six prosopagnosics scored outside the normal range. In contrast, the Warrington test and the Benton test failed to classify a majority of the prosopagnosics as impaired. These results indicate that the new test effectively assesses face recognition across a wide range of abilities.

Adolescent↗
PubMed1998

The effect of face inversion on the human fusiform face area.

Inversion severely impairs the recognition of greyscale faces and the ability to see the stimulus as a face in two-tone Mooney images. We used functional magnetic resonance imaging to study the effect of face inversion on the human fusiform face area (FFA). MR signal intensity from the FFA was reduced when greyscale faces were presented upside-down, but this effect was small and inconsistent across subjects when subjects were required to attend to both upright and inverted faces. However when two-tone faces were inverted, the MR signal from the FFA was substantially reduced for all subjects. We conclude that (i) the FFA responds to faces per se, rather than to the low-level visual features present in faces, and (ii) inverted greyscale faces can strongly activate this face-specific mechanism.

Adult↗
PubMed1999

The effect of face inversion on activity in human neural systems for face and object perception.

The differential effect of stimulus inversion on face and object recognition suggests that inverted faces are processed by mechanisms for the perception of other objects rather than by face perception mechanisms. We investigated the face inversion using functional magnetic resonance imaging (fMRI). The principal effect of face inversion on was an increased response in ventral extrastriate regions that respond preferentially to another class of objects (houses). In contrast, house inversion did not produce a similar change in face-selective regions. Moreover, stimulus inversion had equivalent, minimal effects for faces in in face-selective regions and for houses in house-selective regions. The results suggest that the failure of face perception systems with inverted faces leads to the recruitment of processing resources in object perception systems, but this failure is not reflected by altered activity in face perception systems.

Brain↗